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Home My WebLink About2097 SWAN DR - Building Permits r. • f . . l M CITY OF COSTA MESA 4 9 BUILDING DIVISION .,. F I '" I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4• IPA PERMIT bongo'? 601-00123 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2097 SWAN DR Status: ISSUED Suite: • Applied: 01/30/2001 Vicinity: HOUSE&ATTACHED GARAGE Issued: 01/30/2001 Parcel Number: 13953329 Zoning: R1 R1 Applicant: CROWLEY, KEVIN ISSUED BY: Address: 1016 E FIRST ST _ Phone: (714)836-1966 SANTA ANA,CA Zip: 92701 Owner: TERAOKA, JAMES K Address ,2097.SWAN DR Phone: COSTA MESA,CA Zip: 92626 Contractor: GREATER PACIFIC ROOFING Address: 1016 E FIRST ST Phone: (714)836-1966 SANTA ANA,CA ' Zip: ' 92701. License: 621368 , Arch : - Eng: ,, Address: Address: , Phone: Phone: Zip: License: License: , , SCOPE OF PERMIT REROOF EXISTING 2-STORY SINGLE FAMILY RESIDENCE(28 SQ).TEAR OFF EXISTING SHAKE ROOF&RESHEATH , WITH 1/2"OSB. INSTALL 30 LB ASTM FELT UNDERLAYMENT&REROOF WITH 30 YEAR CLASS A'TIMBERLINE" SHINGLES. - FEE SUMMARY ' Plan Check: $0.00 Calc Valuation: $5,975.00 Permit: , $125.25 Claim Valuation: $5,975.00 SMIP Res: $0.60 i SMIP Corn: $0.00 Other:. $0.00 . Inspection: $0.00 / , Total: $125.85 '% \ vv y,i.' „ :� \. PLANNING&.ZONING = / i / SETBACKS - - A MAIN STRUCTURE Front 0-0 ., - Rear 0-0 Left 0-0 Right -0-0 ' ACCESSORY Front -0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 - Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expirationof this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(8100) DECLARATIONS • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. gI have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. =My wo 'compensatio Insurance carrier and policy number are: Carder: TAS /1/2444) Policy.N mube:r (TliiiTsection need not be completed ri the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the perfo nce of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of lifomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p ision 1Applican(Signeture: Date: U-� /�ij WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OVIL FINES UP TO ONE HUNDRED THOUSAND MLI ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3•of theBusiness and Professions Code,and my license is in full force and effect.Lic`# 7 6-2f Set LCiess# Contractor's Si __-/2-2Z-.7 - ate: ,f -- Fr/TJ, I CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? PI Yes IQ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF c •LIANCE AND AUTHORIZATION.OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree comply all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri :- '' t,spectio :urposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. r-= .nat e'of Legal Owner(s) Date / �n./Or Authodzed'Applicanl - - j ate ^a CODE# INSPECTION TYPE DATE' INTITIALE CODE# INSPECTION TYPE. RAL INTIT1ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical _ 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 2. '7 /®( I 9i 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval _ 203 Final Sign 222 Final Site 204 Final Demolition '' 250 Final Building/Occupancy January 29. 1969 Mr. {alter Gayner Republic Homes 500 S. Main St. Orange. Calif. Dear Sir: The following areas of my house o* Lot Fo. 5. Tract 6237. occupied since October 16. 1967. was flooded: A. family Room. 1. flooding from sliding door. 2. Water from overhead - near metal bracing. left side of eliding door. 3. flooding from baseboard near sliding door. B. Kitchen. 1. Flooding from right side of eliding door (breakfast nook). 2. Leak from light switch. 3. Flooding from under sink cabinet at baseboard. C. Living-Dining Booms. 1. Flooding of two (2) walls in living-dining rooms at baseboard. 2. Water seeps from fireplace where bricks carve. D. Raster Bedroom. 1. Stationary (opaque) window incomplete. I do know that my stationary window in the master bath ie not completed and therefore the wind and rain comes in. However. I do not know the cause of the flooding in the living-dining room. kitchen and family rooms. I would like to know why the water flows through the baseboard. I would like to have something done about the flooding. I would also like to be informed of whatever action you will take regarding this matter. g Thank you, TR E C L' : �7 at 3UILDING SAFETY DEPT. 71(1/Cle 01 JAN 31 19691-244-14, r� 4bsaoha ^,13,11,1'.11121314,5'6 2097 Sc Drive st I A phone 540-6017 OWNER -2091 ""' DATE 5-10-67 JOB ADDRESS Swan Drive BUILDING PERMIT NO. 27024 GENERAL CONTRACTOR Mesa Verde B1drS. ,lriC. DESCRIPTION OF WORK Res.Watt.Gar. AP No. LOT 5 TRACT 6237 FIRE ZONE VALUE $ 35,365.00 INQPECTIOly5 Signature Date GROUP I & J TYPE V ZONE Hi- ; i.E C?j(4" /k.- ti'/S SUBCONTRACTOR�7 PERMITS ISSUED Gm, / Date I Number I Signature Water Plumbin• Rough Plumbing , /f/ _ /0/ A'_ 1fl'I t , i_;• . MrProp. Swr. Line EWIlouse Con..7, %J ferry 4b �nitialir - ria Sprinkling System Miscellaneous Rough Heating and Air Conditioning 7-2c-c7 Temporary Service or Pole Underground 0 Power :0 Rough Wiring /09 7,4.--(4 q Beating anti Vent Trenches p Forms E Steel Reinf. E Anil Ste,_67 �/�Q,l,frfr ./j,iiyt, S/1.gry 5�c Floor System /Oa ,_,y_ 6J /-"�___ -✓l a�'`"`•'" l Bond Beam 0 Steel Reinforce 0 Sheathing /00./07 "7-./.2--6,2 Frame and Flashing ,psd 7-n -62 Lathing —In EI Out® 6,00 5-'7-9 Plaster, Brown Coat A'I g--a t.(- 67 Structural, Finalg ectric A .,[ Y 'u5 g, Vent., Refrig. and A.C., Final V .- CO+-l,2,v�..L/,/' �l(�j, L. �/3../ „77g7/ 1 ,Ding, Final and Gas Testier364 / (p- -E, Electric, Final alb_ 10-5-*V7 RiiildirEr Final a /i&.i -*7 • 27024 PAID COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 11 67C1 SAGO 671 *'* 53.75 P.O.BOX 917 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT Lot #5 TYPE OR PRINTTract 6237 BUILDING /� ///�� For Office Use Only BUILDING 77 I �^ o` ' ADDRESS / / J\�/' '�' � �-� -� RECEIPT NO. PERMIT NO. ` COSTA MESA. CALIFORNIA a vik 1� pH IV DaY DATE ISSUED Mesa Verde Builders, Inc. � e" i-_jp_ G) OWNER ] paro . MAIL BUILDING 19P0 , /A • ADDRESS 2850 Mesa Verde DriveaQ ADDRESS '/U,v }}cL// TEL. 5RX FIRE ZONE `5 TYPE '(/ GROUJ/ CITY Costa Mesa NO. 0 5 II' - OR ENGINEER Kaltenbach No' 8046 APPROVED ED DATE UUU ZONING ADDRESS 1894 t 17 S} Santa Ana LON / NO.OP USEOP NEW` ` I esa Verde Builders, nc'�i PLANS C9 d SUILDINGMJ/t&/ CONTRACTOR lqichaOSY.bretiCOCIOtiX1Xtrnicorar ��L c� DESC �J�/ (023, LESCV -- / ^ ce RIPTION /C a- ADDRESS I 2850 Mesa_ Verde Drive CITY Costa Mesa NOTE: NO SAVE OVERHANG SHALL BE LESS THAN LIC.STATE NO. 187318 TEL 549-0395 90'TO SIDE BREAR P.L. SIZELOT /J 7[' x 12 -�J. NO.OF BLOCS. NOW ON LOT 0 ALLOWED (U.B.C.REQUIREMENT) EAVES OF YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C//LSTREETI SETBACK LINE FROM FRONT c .0'FT..""-' FT. CENTER OF STREET REAR YARD SIDE YARD LEFT I RIGHT R.SIDE �/ FT. FT. DESCRIPTION OF WORK L.SIDE O , FT. Fr. REAR. SO FT. FT. NEW X ALTERATION ADDITION _ DISTANCE BET. BET.MAIN Q REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING NO.OF VAR..}t DATE SIZE ROOMS STORIES C.U.P.$ APPROVED �j y COVERINGEXTERIOR WALLCCt p('p I ROOF COVERING shake lA BYPROVED/_ J,// / DATE ,//p/h / USE OF BUILDIRt2 OWORK TO SEPERFOR� [•(/ 77 ^l/ New Residence c ‘ ,3 �' i / , 4 7/3 ,Sy7S N SQ.Ft. I HEREBY ACK WLEDGE TH HAVE READ THIS APPLICATION THE AMOUNT SHOWN& DER VALUATION IS FOR THE AND STATE THAT THE ABOV IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ('c 0• BUILDING CONSTRUCTION.� // ` ,, /� /A/ PERMIT FEE $ /�✓l✓ j SIGNATURE OF Yll _ Yw 1// 1Y� �/y�..,//�. p,i/A G PERMITTEE I�LWV i)4 V.Y�r^I•V�"Jl'(Tr�l AUTHORIZED AGENT E TOTAL FEE /a '