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HomeMy WebLinkAbout2120 SWAN DR - Building PermitsAVP���ant to flll In all CITY OF COSTA MESA' CONSTRUCTION PERMIT Addrea Address witnln �eavy borCer lines anC sign all approprlate Eaclarations. Q TRACT NO. LOT NO. �BLDG. NO. / U � TVPE OF CONSTRUCTION Phone _ g ❑ NEW ❑ ADD O ALTERATION � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH License No. ❑ OTHER � DESCRIPTION OF WQRK Phone I hereby atflrm that I am Ilcensltl UnUe� provlSlo05 ot Charte� 9(COm- menCln9 with SeCtion 7000) of DlviSiOn 3 of the Business antl Aofessions Cotle�t♦ antl my Iitense Is In iull force antl eftecl. Litense Class �—�� � Licen No.���q�.��— �3 Datefa �a� ��� Si9nature ��� �!LLaµaC� WORKERS' COMPENSATION DECLARATION I hereby aHirm that I have a certificate o( conunt to self-insure or a <¢rtlfiwte'of Work¢r5' COmD¢nsatlOn Insurance, or d CGrtifie0 Copy Ihereof (Section 380 lab. .). aoifcy rvo/�5 h� / w� comcany !�C�%"��� '- �cCertltietl copy is hereby furnishetl. � .�g"Certifietl copy is filetl with the city Builtling Division. �XEMPTION FROM WOHKERS' COMPENSATION DECLARATION (ThiS 5¢Ction n¢<tl nOt �e coTpletetl It the permit 6 for one huntlretl (E100) or Iess�. I certlty t�at In t�e pertormance o( thG work (Or wnich [his permii Is issuetl, I shall nof emptoy any person in any manner so ai to become �subject to tbe Workers' Compensation Laws of California. Date $I9naturG NOTICE: If afte� making th15 tleclaratlOn, you ShOultl beGOme SubjaCt I to t�e Workers' Compensalion provisions of the Labor Cotle, you must torthwith comply with such provisions or this permit shall be tleemetl .� revoketl. - - � CONSTRUCTION LENDING AGENCV � I h¢r¢Oy'affi�m tnat the�e Is a con5t�uction I¢ntling agency for the per- formanca�af.the�wo/rk��tor:whith thls /qe r�m��it�Is luuetl (Settion 309� Civ. C.). . �� ( ILtPL�. •.�f :"YN"CP�� ' LenEer's Name � ' Lentler•s Atltlress OWNER BUILDER DECLARATION 1 hereby affirm that 1 am <x¢mpt (rom the COntracmr's Ucnnse Law tor th¢ (ollowing fea5on (SCctlon ]031.5 BUSInlSS dntl Pr01¢SSIOns COtle: Any tlty or COunty whiGh rtquirls a permit to cons[rucq alter, ImpfOVB, tl¢TOIIsh of lepair any stfuctu!¢, prlOr t0It5I55udnG¢, aiso re- qWrGs [h¢ appli�nt for Such permit t0 file a slgneU ztatement tnat he or not more �nan nve nunarea aouars (S�uu�. �-1, dZ own¢r of llle plopefly, of my employee5 wltb wa9e5 a5 thli! sole compensation, will tlo the work, antl the structure is not intentlatl or oltereC for sale. (Settion 7044, Buziness antl Protessions Cotle: The Contractor'S License l.aw tloes not apply to an owner ot a prooerty who bulltl5 or imprOv¢5 thereon, antl who tlOes suth work M1imself or Ihrough his own employees, provbetl that suGh improv¢mGn[s are not Intentl¢tl or ofterlE for sale. If, how<v¢r, Ihe building Or impravement Is soltl� withln ona year of completion, tha owner will hava the burtlen of O�oving he Gitl nOt builtl o� imprOv¢ fOr [h¢ purp05¢ O7 sale). ❑ I, as owner ol the proPeriy, am exclusively contraclin9 with licensetl contractors lo construci the project (Se<Non 7044, Businass and Protessions CAtle: The Con[rdCtOr'S Liwnse Law tloes not apply lo an owner ot property who builtls o� imp�ove5 I�e�eon, antl who COn- [fact5 ffom su[h prO�eGts wlth a WntratiOr(5) IIC¢Sn¢tl pur5udnt lo I tne Contra<tor's IJcense Law�. I ❑ I am ¢x¢mpt unUer Se<tlon B. & P. C. lor this reason Date ' Owner 1 n¢reby.certity thdt 1 have �eatl lhii applica[ion antl State that th¢ dbove . Into�mation is W//ecl. I agree to comply wltb all dty antl cOuntY ortlinanc¢s an0 state laws relating to wnstrut[ion, antl hereby authorize representalivez of this city io enter upon the above mentionea P�oOertY fo�,JMp�_n y( ps= / Slgnature �� � ���CRp��C� pate � Driver5' License or 55 aC N !+ OF PERMIT `-' ❑ GRADING ❑ NDAT�IO,N /❑�T RUCTURAL ❑ TENANT �CAL L{GLNMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION 54. FT. OCCUPANCV_CONSTRUCTION TVPE VALVATION ZONE GRADING CV. VDS. ACRES REMARKS: PLUMBING BATHTUBS TOILETS LAVATORIES KIT. SINKS SERVICE SINKS PLAN CHECK SHOWERS �� VRINALS � DOUBLE lAVS ' DISHWASHERS SUMPS FLOOR SINKS' - � _, FLOOR DRAINS DRINKING FOUNTAINS INTERCEGTORS SWIMMING POOL WATER SERVICE GA$ $ERV ICE SEWERCONNECTIONS SOLARTANK % SOLAR PIPING SVS. ISSUE FEE MECHANICAL CLARIFIERS PTRAP ALTERATION OUTLETS BTU OVTPUT PLAN CHECK HEATING SVSTEM 0-]00,000 BTV _ ANDDVCTING 100,000+gTU_ REFRIGERATION 0-300,000 BTV_ SVSTEM 100,000+BTU_ BOILERS BTV SVSTEM REPAIR, ALTERATION EXHHUSTSVSTEM MULTIPLE ISSV E FEE CMF 0865-46 White-Builtling; Unary-Applicant: Pink-Atcounting: Goltlenrotl-Assessor 0�02 ���5�82 ZONE REAR VARD (TO P/L) GKG.SPACE RE�. STREET WIDTM ZONI NG APPRO V EO B V SPECIAL CONDITIONS: ELECTRICAL PLNGp.Rg�EJF�.p��ry �ROPE�0.TY LIN PROVIDED PARK FEE DATI PLAN CHEGK �trvtK�+�VH 0-1KW_1-lOKW_ TRANSFORMER APPLIANCE '10-SOKW_50+KW_ MOTORS 0-1 HP 1-30 HP _ �1NC. SOLAR) 10-50 HP 50 + HP _ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS - / PHNELS MAIN SVB SERVICE ' AMP � . ISSUE FEE APPIICATION APPROVED BV DATE SUMMARV OF FEES BUILDING PERMIT S PLAN CHECK 5 l PLUMBING S � PLAN CHECK S HLECTRICAL S y. so PIANCHECK $ MECHANICAL S � PLANCHECK E $MIP PERMIT ISSUHNCE GRADING E S 5 15.50 �Tl E MICROFILM S TOTA� FEE § LE55 AO- VANCEPC S_ Ss� FINALFEE S� CONSTRUCTION AND PLANNING POOL & SPA � APPROVALS Permit # Date 'Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe-Undrgrn • 44. Steel Reinforcement 3. Electrical Cqnduit Utility-Undrgrn 45. -Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce . 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr r ' 10. Structural loor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection ' � 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric•Conduit �56. Electrical-Final 15. Rough Electric-Wirin 57. Solar System-Final . 16. Rough Heating & Air Conditioning � encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test � 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin ' 22. Frame and Flashin NOTES: -� _�y - 23. Insulation . e � 24. � lathing & $iding ' - 25. Drywal� Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 26. Final Electric . 29. Final Heating & Air Conditioning � 30. Final Gas Pipe-Test ` ' ' 31. Final Plumbing ' 32. Water Service-Final 33. Gas Service-Final 34. Solar pompstic-Final � 35. landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDING � 39. Special Requirements Completed 40. Electric Release to Edison � 41 . Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date