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