HomeMy WebLinkAbout1102 SANDI LN - Building Permits ADDRESS OF BUILDING: 1102 SANDI LN UNT: G-117/)-- OF COSTA MESA - BUILDING PERMIT __
ONNERs NAVE IF KNOWN: GREGORY , ROSE M PERM NO: 6 085 /Ub
• ADDRESS: 1102 SANDI LN
COSTA MESA,CA 92627 PERMIT NO: B 085786 • PLAN CHECK NO: IV GOVT : N SUP?: N
APPL.NMUNG ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: 0TH
ARCHITECT ORENfn1EER: UC.NO.: JOB DESCRIPTION : I/O, RE-ROOF WITH 30 YR COMP SQ FT : 1 , 600
ARMOR ENG.'S ADDRESS: WIT: ,
CLAIM VALUE: 1 , 600 . 00 CALC-VALUE; 1 , 600 . 00 GROUP OCC; R-3 /
cONlfACTORSimp, '1 D JONES ROOF CRAFTER ( 714 ) 826-4827 - . .
HID
CONIRACTORSIIMUNG 100HIDDEN ACRES LN COMMENTS : TEAR-OFF/RE-COVER WITH 30 YEAR COMP/NO* SWIG '
ADDRESS: Nt.Wl.AS1Lt. CA 11C.Ng.: 435996 ftfFwlrfewwfefi'lefeleXXXXXXXit'T'Xitwit'TX'ItftftifYr'Ytitl'fYrt'hYt9Y'Inst'ItYt'It'R9t'RJt'RYCX-lcfifeltl!'R'RYCfti'iF'/t9!!c'1!'hX'!F'%t'It')t +:www
95658 UNIT: 2 O N I N G . R EQUIREMEN TS
LICENSED CONTRACTORS DECLARATION:I hereby aff int under penalty of perjury that I am licensed under provisions of Chapter 9 S E 1 Y1 A t- K S
(commuting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect.
crryuc.No.: 02712J uc.cuss: C 39 0.: 4.D5y76 EXP: 09 /98 MAIN BUILDING ACCESSORY BUILDING
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11.--t giro/ FRUIT ; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Date: Contred« LEFT: FT IN RGHT: FT IN LEFT : FT IN RGHT ; FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury I I em exempt from the Contractors license Law for the
following reason(Section 7031.5Buseess and Professions Code:Any cityor county which requires a permit loconswd,alter,improve. PARKING REQ: PRUV : PARI-EL: 42204202 ZNE; .REF NO:
demolish.or repel'any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(cornmendng with Section 7000)d Drreion 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 anyapplicant forapermit suMeas theapplicant to a civilof not more than five hundred dollen4 'i.e.e*..................i.e*..................*......-.......................i. ..*.. .. 'i."in in i.i......�' ..
bypenalty155001). XXX XZXXXXXXZXXXXX XXZXXzzxXXXXZXXXXXXXX XXXX xXXXwixxwwic ii-isle iewzzz zvcXZXZXz7czwww?eXwwfe an
❑ I.ea owner of the ptopetryormy employeeswfth wages as their sole compensation.will do to work,and the structured not intended DEVELOPMENT SERVICES R E Q1 U I R E M E N '1- S
•«offered for sale(Section 7044,Business and Professions Code:The Contractors license Law does not applytoan owner of propend
who buids or improves thereon.and who does such work Nmset or herself or through ha or her own employees,provided that such '-..„...-
improvements
+"improvements are not intended or offered for sale.B.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: a'
owner builder will have the burden of proving he or she did nil build or improve for the purpose of sale). -
❑ I.as owner o the property,am exdusiveN contracting with licensed contractors to construct the project(Section 7044.Business end1
Professions Code:The Contractors License Law does not nd nappy to an owner of propewho builds«improves thereon and who Jy U 1 LL I NG APPROVED B Y DATE :
contracts for such projects with a conlrador(s)licensed pursuant to the Contractors License Law). `
DATE /.r .7
ElI am exempt under Section: B.A PC..for this reason: APPLIC *sacA ION ISSUED BY :
XX �
icrwsiiiirnii-mvvvvvvp- r*-44xXzsx XXz XZXzzzzzzzzzzzXXXXXXXXXiEe itvvvrvff'icfi X,Xx.zXzzxz yc:R
Date: Owner LEGALIZATION:N F . E SUMMARY STRUCTURALa'S1rGMENT:Y
•I do hereby certify that I am aware of and understand the requirements of C&Aomia Neagh and Safely Code Sections 25505.79533,end
25534.and met l«arty future wilding occupant will/will not(circle one)need to amply wish said mate codes and the requirements for ' _ BLDGPMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a pennilorconetnctian ormodifiulienhan the Ak suety anagement District.Residential construction appiratScs we xemain=thse _-__ _ _H -1 L7 JV
provisions.
SMTP/NON-RES
Date: Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the following declarations: ISSUE FEE
❑ I have and wit maintain acenifined consent to self-insure for workers'compensation.as provided for by Sedan 3700&thelabar BUILD ING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
T Code,for thepedonmrre of the work for which this permit is issued. TOTALS----> 51 . 75 0 . 00 0 . 00 51 . 75 51 . 75 . 00
zI have and wit maintain workers'compensation insurance,s required by Section 3700 of the labor Code,for the performance of the •
wont for which this permit eiesaed.My wnrken'b 1P In 1t, .t .�a rierand policy number are: EXPIRES. REVENUE DIVISION TOT'ALS--> COLLECTED: 51 . 75 OVER/SHORT:
Carrier: - 3- V 0
Policy Number. LCrJ L9J 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed A the peon✓is for one hundred dollars/S:aol or kat) 51 . 25 . 5V
❑ I ceomy the in me the
workers'
&the work 1«which the penml ad,I eheb not employ any Person in any manner eo s to - ..
beeves aubjetl to ted workers'compensation laws d Californiae, agree • if I should become subject to ted woAen' wfinwwwwwwwwfinicwwwwicfewirfinfvirieicirfewwfvfewwwwwfewwaciewwfxieinefrfcfrwwiewwwwiewwwwwwwwwwfcwXrfewww
compensation pmvieiane o Sedon 3700 of the Labor Cod-, _• Ih h thou proves ns. INDIVIDUAL F E E B 1( E A K D 0 W N
1/—/ l— gin w1� i .` .
ate: Applcera:
I ` • TYPE QTY D E S L K 1 Y 1 1 U N UNIT COST TOTAL COST
Warning:eup to to secureunworkersthous std dollars
on01 coverage Is unlawful,ane I of coed an employer da ao ces a al wattles and
Secfines up of he anrrCo.lnf.,as f,and fSrneya l e addition ro the cwt o/compensation,damages as provided ler In
Section 374 of the Labor coda,Interest,and etrornsyl few. SFR 1600 REROOF BY VALUE RESIDENTIAL 1V O'L,ONE 1 . 00 1 . 6C0 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there
is a constmdion lending agency for the ENL OF FEES
performance of the work for which this permit is issued(Section 3097.CH.C).
LENDER'S NAME:
LENDER'S ADDRESS: '
I certify that I have read this application and date that the above information is coned.I agree to comply with all city and county ordinances '
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend •
forinspedionpurPoaea. PHILLIP HAUSER •
11-18-1997/62:60 w$51.75
Paint Name RCGI4:NI-0615591
Date: //'/I—g7 PERNIT:O$5786
LSi a re of Own Safety:Gree-File: isd«
(5151<6.WP) White-Building&Safety:Green-Rla Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
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1 CONSTRUCTION AND PLANNING • . POOL &-SPA " '
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Service or Pole- _ 52. Pool & Equipment Location_ .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - -
3. Electrical Conduit Utility-Undrgrnd.. 54. Forms -
4,-Electrical Conduit-Undrgrnd. .. 55. Electrical Bonding '' •
5.•Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6.;Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
E
7. Footings - , -58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Tesf
9. Water Pipe-Undrgrnd. 1...' 60. Backwash Lines,P-Trap, ❑.Undrgrnd.
10. Structural Floor System 61.. APPROVAL TO DECK
11. Property Sewer Line & House Connection i 62. Backwash & Receptor-Final. ,
' 12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains . . • 64. Plumbing System Final .
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final '
16. Rough Electric-Wiring - •'67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR LASTERING
(
' 18. Rough Electrical-T Bar Ceiling '69. POOLJSPA SYSTEMS FINAL
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19. Rough Heating & Air Conditioning FIRE DEPT-. REQUIREMENT
20. Rough Factory Fireplace •• . • ; APPROVALS - Permit #
21. Ducts, in Structure, . 70. Underground Hydro •
22. Ducts, Ventilating , •
71. Product Piping 0 Gas :0 Oil
23. Gas Pipe-Rough& Test _ f, ' ._ • 72. Underground Flush :
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - - . 74.,Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoat • . 75. Dry Chemical t
27. Frame and Flashing - 76. Dry Standpipe.. _
28. Lathing& Siding , , - 77. FIXED SYSTEMFINAL
29. Insulation " 78. FIRE PREY. FINAL , .
30. DrywallNailing ,L-_ _ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL:INSPECTION `,
32. Electrical Power Meter-Final I • �2 80. FOOD CERTIFICATE•ISSUED .
33. Final Electric Notes: - -
34. Final Heating"& Air:Conditioning / '
35. Final Gas Pipe-Test ' . r 1 . ^
36. Hood or Canopy . .
37. Final Factory Fireplace - -
_ 38. Final Plumbing • - i - ,
39. Water Service-Final -
40. Gas Service-Final_ _ . .
41. Solar Domestic-Final
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System - - -
45, Sound Attenuation • • -
•
46:Handicap Regulations - -
47. FINAL STRUCTURE & BUILDING l//Lthi' 9: -1
48. FINAL PLANNING
.49: Electric-Release to Edison • ,-
50. Gas Release to Southern California Gas Co 1.=' ,
- 51. CERTIFICATE OF OCCUPANCY 1 _..,--
No. Date t✓