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HomeMy WebLinkAbout422 SWARTHMORE LN - Building Permits• �•••, • " c o. I IL AVP���nt to fill in ill tDatef exceDt tbose wit�ln hlavy Oortla� pnea anE si9n all apDroOriala tleclarNlons. , ,, � CITY OF COSTA MESA' pE NO. TRACT NO. , LOT NO. B , � � ! . � ��CONSTRUCT,ION PERMIT " ` � �'J. �'�' • ' ' � , , ` � ' ' ' ' ,, � Applitent'lMeiling.�{dd�ea , PEOFCONSTRUCTION 'NEW ADD ALTERATION� REPAIR , ' • - � ' �� _ J. �;7J T� y' ' _ ❑ CONVEFSION ❑ DE IS ❑ O R• -- � � • ��J�� ' -- Project Addreu ` M - - ' ' - ' OWnlf'S.NemB -`� hOny�p`v'I� DESCRIPTION OF WORK . l- - I G E U AddBu � � � � �TVPEOFPER T �GRADING IFOUNDATION STRUCTURAL � - A.P.W+. �� � �20NE i -� � -. � ' �� Aroh/Eng. - LiC2nSC NO. � '� ' ❑ TENANT E6ECTRICAL� � ❑ PLUMBIfV6 ❑ MECHANICAL 1 ' 1 Y pLNG. REF �qW , - ' ;'BUILDING ' - .� , Add�¢55 � � ❑,�OTNER � ' . - -� � ' � ' : TO 9UILDING . ' _ � - , ;r - ' �• ' ' P PE TV I E . �' 'REAR VAR� (TO P/L) Contrecto[s Nem h ��' ` L P?aECT DESCRIPTION 5�.` FL � ;OCCVPANCV � , . . i�CONSTRUCTIONTVGF VALUATIONS 'LEFTSIDE VARD � RIGHTSIDE VARD i Addfe55ln1ailin I ' � � � , • i I , � � PKG.SPACE RE�. � ' ' PPOVIDED ' 'i . . - ' ` 20N� ' GRADING CU. VDS. ACRFS - � - �� LicenseNo. ' � � '. - � • - . . . � LICENSED CONTRACTOR DEC�ARATION � � Remark�: � � • ' � ' - $TREET WIDTH � - �. 'PARK FEE § ! • � � I hereCy affirm lhat I am IlcenseG untler provislons ot C�arter 9(commencing . . . � � � � - . � wlth se[tlon 7000) oi Divlsion 3 of [he Business antl ProTassions CoOe, antl ' � � , , � • � ' • SGECIAL CONDITIONS: ;' ' my UCense Is in / r Aq Teft. , 1 � � ' ' ' • " � �+ ` �1' • - , PLUMBING � � ' uc I ss � ' � • • - ' ' , Dat natura � . .. , gaiSiok � . SewerCap - ' ' : ELECTRICAL - '¢!,pRKERS'COMPENSATIONDECLA0.ATION'( ' P , ' , ' ' - � ' - . � � ;��roDy a(flrm tnat-I.nave.a.cartifiwte of-ronsent,to self-insu F�a certifiwte ' , gackf�Ow Preventar ' (' 'j" '" — "Sewer ConnectiOn� ' - r - ` } - Automa[ic Washer_� __ I. .. _ - �Meter ❑over 10U amps'_ _ _ _ ' v�WO/ke�5' CompB�SatlOn Insu�Lnce,'o� d <Brtlfletl�co y theieot (SBCtlO� ' ' - - � � , � � i� ��oo, ts ��i n-i � � Backflow Irrigation ± � $olar Coliectors � � : Construction Pole � � Sub Panel � PolicY N�3�q 9 � nY � ' • � �/�@ � - . � , . � Cooking Unit . � Sub Pale I � ; Certlfletl c py I5 he eby furnisM1etl. / J � ' i � Bathtubs , � 5012� Piping � . . t re' ii cnecnr_4uff, y . � ' � � ( $pjarTank Dishwasher �Motors -1 HP ❑1X$ � Date � - �I�ant N ' � � � : Clarifiers . . ' ' • : .. .` . �EXEMPTIO }FROMWORKERS'COMVENSATIONDECLA ON ' , Dishwaiher 1 . $WiTmingPoolw/SDe ' ' � DryefS ❑GeS��EIeC[fiC ' � InaSoI0fO9-15HPO16-15+ , I (Thlisecllon neetl not be complatqtl it the permlt Is tor one hu (S100j or . i . — � i less) i I � � � ' . . . 1 - . Fan I �Microwave � � 1 { 1 cet)iry�that in Ine pertormance of t�e work for whlch this perm�t is IssueC I � i D/inking Fountei�5 � � U�inal � � I ShaIL•no[ employ any perwn in any manner so+as to eecome zub)ect to tRe , , � , i - � : � F.�.r � � ' .Pole Light ' ; Wor`ers'.ComDensatlon Lawsof.Cali/ornla.' ! � , � ; j FIoo�D�ainS� � Weterqosat� - � • � • ' Dale � � sipna[ure ' � ' ' � � ixtures ' /' r � i-NOTICEi�Ii, after making•this tletlaratiDn,-yovsfioultl'becume Subjecl to-tne '+- �- -� Fltiof Sinks-� -� ' _ � ' - - - Weter Heeter - - • ' - _ RenpO . ', � . _ _ ' Workets'� Cpmpansation Drorizions.ol the Labor Cotle,youu_musLfortpwilh � � , ,.. - ,. r c { I ' <<Omply wllh� sUch .ptoNslonS'"oi Shis�-Dt�Tit �sh211 ba QelmaO� rovOk00. : � GasService. f �Outlets - iWateiService S�9^! � CONSTRUCTION�LENDINC. AGENCV � , � � 1 - � � Outlet5 ' � ' , � � 1 hereby aHirm that there is a constructlomlenEl�g agancy.tor thep erforman<e . Interteptors ,' ' ': i j r' ;(,�' � 1 ' Standing SeCt10n5 ; of tho �work tor which � thls� permit �is :Iz�uetl _(SeMion 3097 Clv. C.; "` - � � Swi[chei ' � � { I.nntlAr's� Name�` � � ^ • �_ �- �� � � � � � Kitctied�Sinkf `- : � •. t . � - ' � � ' . . , ; •Trash CompecEor ; ; � Lentler's ACEress , - '� � • � � - - • � � , � Garkiage Oisposel � � � � � � � 1 OWNER BUILDER OECLARATION � � � � , ` � `� ' . ' � � � . �ayatories'. . .�i � � � � � �_, � } '_ � - � � �J noroby�aftirm thAt I am'exemptfrom tbo�Contratlor'i-Licensa L.aw for tne • -- � i- . �- •. - i Generator� �0-5 KW 05�15KW � � � ! i followin9 reason'�Saction•7031.5 Businass antl PmTesslonal;Cotla: Any city or � `?�Tr�p� ,1 ��r.� - � , � I�tounty wnich requires a permlt to canstruc[; altor, Improve, tlemolish or.mpalr � - . _ � � � � y Transfo�mer 01530 KW • � • � 1 ' . any stru5ture, prlor to Its,iszuance,�also reqWres the aOClltenl lor such permlt -� Roof�Drains' '' ' - ' to /lle a slqnatl itatement [�at ha/sh0 Is Ifcensetl pursuant [o t�e'provl5ions of ' - - , � � . , ' � � , ; ' � �(�e Contractor•s-LJcanse Law'(ChaD�or 9 (commencing with SecHon:700D) of � - - � _ • . O5U + KW � ?qsinspattion Foe 575 �?ISion, 3' af the Businasi antl Protasslons Cotla)' ar. that' he/she is;exempt =� ShOWCfs � � � � _ �; n� RBinSpaction,F00 ��'4� •$15 . , " 011om'aOtl th0 bd515 IOr tM allegaO exemptlOn: Ai1y v(Oldtiodbf Section � - ' , - MetEr ❑up to 100'emps ' �Issue Fea ' � �$ 3 � 3�,,.�1.5 by. any applicant far•a'permit.subjects lba applicant to, a clvil � � � '.. ��, , -� ; � � --- , . . . . � (f6nalty of not more than Iive nunEree edlars (3500). Service Sink � �' � laue Fee s 3 Zaning Approved By � � Date � � � I;�as�,owner o1'thefDroperiy�oi my em0�oyees wlth waqes as thoir sola � � � � � I com ensatlon wlll ao tne work, antl me svucture Is not Intentlatl or offorotl t ;', • � �,• MECHANICAL' ' ' �,!'; � � � ; � i � p Appliption Approved By �• Date ! for wle �.(Se<�lon 7044, Business' antl Professlonal Cotle: The,ContractOr'i ', . � � � �� Ucense law tloos not appty to an owner of a properlylwho builtls or Improvns ; � goil¢f. �' j; Refrige�atiOn SyStem j � , ' � f � ,1 I :=i���=�->�"_r� I �, thareon,.antl who itloas� such, work himself/horself or throu9h hfs or �er own � � � ��=' � i � � APp����ion Isaued By � � Date ampbyeas, provltled that such ImO�a�ements are{not Intentletl ar o/iorotl /or � - - ' ❑0.,100,OOOBTU ❑100,0008TU i 1 Duct-'UnderGround � . �/1� � � � - � � sale. II, however, the builtling or Improvement Is soltl wlthin ono'year�of com- . • � � . . � ' S MARV OF FEES � � ' ! pletlon, the owner wlll have tha Curden of proving he/she Citl not buIIC or Im- � , � � - � ' ' � , � ! � jQrovefortnopurposaoisala7'. j� , . . � � � ,� � Dutt-Structural � SystemRepeir/Alteietion y 'BUILDINGPERMIT $, • ' .� SMIP �, ' � $' , �J I, d5 Owne� Of the p�operty, am BaCIu5lvely contraCting�with Ilcensetl com � . � � • 'i � � { � � lractors.to construct the vroJect.(SecUon 7044, Business.antl Protessions.Cotle: �_ . _ . Duct:. Ventllating. _ _ . . . � _. � _ , �- �- � ' 'PLAN CHECK; $ —�— � PERMIT � � ' The Contractor's Licensa law daes not apply [0 an owner of property who �� - � . 1 ' /�(. (./ . I$$UANCE i $� . bulltls ot Improvas thereon, antl who contracts !or such pro7xts with a con- Exhaust System ❑ MWtiple ❑ � : ' , t�: �{ �PLUMBING � $� ��_ �' � � traclor(s) Ilcense pursuant to tha Contractor'z License Law�. , + ' ' _ : ' �, - , GfiADING . I � $ . ❑ I am axemo� unaer SacHon - ' B. A P. C. lor tNs reaion � , FiiepUFact. Blt. ICBO 51� � ' � � � •.. -PL.AN CHECK: , $ � � , , . ` � , . . • . . � . 1 .. �ELECTRICAL� 1 $ � � . I � $ � �Date � � ' � owner� ' ' � � ' ' } HeatingSystem&Ducting � - ; � � � ,.��. � ' � � � � : �� MICROFILM ; $ � ' '� I-hereb ^certlfy t �I ara reaA•this avP�ication-anA stata thaYthe'above.-�� - � 04100,0001BTU 0100,0008 ' - ; �� � -�'- ' -� �P�N CHECK� � $, � � ' Inlorma�ion Is c re t, gree to comp�y ith all dty.antl county rnElnanros. � ' 1 . : � � � � � � MECHANICAL � $ ' : � � TOTAVFEE� .$ � anG,itate laws r la ng � IlOing canitr ion„antl hereby au[horize repre-, � ' HUod oi Typ01 ❑� � � � ' � ' i santative; of :t tltY n r: uP above-mantloneC' partY r . 4 � . � ReinsOection Fee' ' .$15 � � i � i i LESS � �� 1 . i Inspectio ai. ! � � Ceoo � T e 11 ❑� � . � �� 'P�N CHECK $ � S � ADVANCEPPC ' $ � 519nawre - • ' �. �3 r . ' ! ' ! ' ! , � . ' � � , f � � : Registers i � � � � ' Iswe Fee � � S 3 ! . , i • t FINAL FEE • . E � , Drivers' Licen�se or'S5 $. . — i � I � CMF 086546 rev. 12/82 White - BUIItlIng: Canary - Appliwnt; Pink • Accounting; GOltlenroE -AsseiSor _ �� � � '' "CONSTRUCTION AND PLANNING � . _ FOOL ?A � _ � - '' � ' Date Inspector � - Date . Insjiector _ . :'APPROVALS Permit# APPROVALS Pe�mit� . 1. Temporary Electrical Service or Pole l ,_ � 52. Pool & EquipmenC Location . .{ - co 2: �Soil Pipe=Undrgrnd.. `. . - . � 53. Steel Reinforcement - � - �� . , - 3. Electrical Conduit Utilitv-Undrgrnd.' ' 54. Forms ' � � � ' ^. 4: Electrical Conduit-Und�gmd. _ `_ 55. Elec[rical Bonding � - � ' g ,' � . 5. 6teel Reinforcement� � � - 56. Rough Plumbing & Pressure Tesf � . � 6. �Eleciiical UFER Grnd: ' 57. APPROVAL TO COVER-GUNITE : •-�-7. Fooiings . � ' -• 58. Electrical Conduit•Undrar.,d.'�� '. _ ' 8. �FouPdation " s,,, ..,; 59. Gas Pipe, O Undrgrnd., Test , �� f = 9. Water P.ipe-Undrgrnd. , 60. Backwash Lines, P-Trap, O Undrgrnd. . � 10. Structural Floor System � 61. APPROVAL TO DECK . 71. Pr,operty Sewer Lirie &�House Connection ' •' 62. Backwash & Receptor-Final� �" .,� � c 12. Sewer Cap , a ^ + 63. Heater & Vent-Final � •�:�. - - __ � 13. Roof Drains - 64. Plumbing System - Final -, '. -. 74. Rough:Plumbing � 65. Electrical-Final - - � " 15. Rough`Electrical-Conduit 66. Solar System-Final • - -� -'-f� �-- _ ��16. Rough� Elec[ric Wiring � 67. Fencing & Access Approval � . • " i� 17. Rough Wiring Sign, 68. APPROVED FOR PLASTERING �' - _� 18. Rough Electripl-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL . � .- - "' 19'�Rough�Heating.& Air Conditioning FIRE DEPT. REQUIREMEN7. • - `� , • _i �' 20. Rough Factory Fireplace APPROVALS Permif# � ' r; 21. Duc[s, in.Struaure 70. Underground Hydro . . ( �22. Ducfs, Ventilating 71. Product Piping �Gas ❑Oil ,� 23. Gas Pipe-Rough & Test -_,_ �72. Underground Flush ' � , � 24. Roof Framing 73. Uridergcnd. Storage Tank O Gas ❑ Oil , . 25. Roof�Sheathing 74. Overhead Hydro .- . , �26. T-Bai Ceiling (Structural�i & Monocoat 75., Dry Chemical . ' . � .. � - ��27. Frame and Flashing 76. Diy Standpipe .,. ' ' 28. 'lathing & Siding ' 77. FIXED SYSTEM FINAL. � ' ' .^ 29.'Insulation 78. FIRE PREV. FINAL � .� . r - , 30. Drywall Nailing � Notes: � ` "31. Plaster Brown Coat � � � � . 32. 'Electrical Power Meter-Final ,� � • �� �� � �. � �� � �! . � - � � • 33. Final Electric . - ' � `"• � � � ' 34. Final Heating & Air Conditioning . r 35. Final Gas Pipe-Test � . - - - � 36. Hood or Canopy � . - - � � � � � 37. Final Factory Fiieplace � � � � �.. 38. Final Plumbing "-' � � i 39. Water Seivice-Final : ' . � .- 40. Gas Service-Final � � . � ' 41. Solar pomestic-Final � k � � ' .. 42. Backflow Preventer ' y . . �" � • 43. Backflow Irrigation ' 44. Landscape Irrigation System � � " ' - 45. Sound Attenuation � ,' � � � 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison . � �, -� 50. Gas Release to Southern California Gas Co � ' . � , 57. CERTIFICATE OF OCCUPANCY . , No. � - , � ' Date , �'