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HomeMy WebLinkAbout1105 SANDI LN - Building Permits ADDRESS Of BURRING: 1105 SANDI LN • Wit CITY OF COSTA MESA - BUILDING PERMIT OM4ERSNAMEIFNID+m:FLORESNORMA LANDA PERM NO: B 081526 f ADDREs5:1105 SANDI LN 1t COSTA MESA,CA 92627 PERMIT NO: B 081526 PLAN CHECK NO: N GOVT: N SUPP : N I • r'` APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH • ARCuRECT DR ENGNEER: RIC.NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 1 , 537 ARCH.OR ENG.'S ADDRESS: LINT: CLAIM VALUE: 1 , 537 . 00 CALC-VALUE: 1 , 537 . 00 GROUP OCC: R-3 / coxmACTowsNANE:JD JONES ROOF CRAFTER ( 714 ) 826-4827 C fmACTORSNMUNi 6011 SAN YSIDRO COMMENTS : REROOF 1050SF RESIDENCE W/COMP ADORESS:BUENA PARK CA uC.Na.: 435996 **+F****Rt***a(-i(-x-R(-i(-****RE***********+E*+r*TELE***-*****+E*******FE*** ***x-************R-+E** 90620 EMT: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. cm(LIc.No.029223 uc.cuss:C39 LIC.NO.: 4 5a a6 EXP: 09 /97 --- MAIN BUILDING - - ACCESSORY BUILDING - �_ 7 �7fre FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury I I pl from the Contractors License Lew for the following reason(Section 70315Business and Professions Code:Any rno.. rv'ichrequires apermit mremw«,akar,improv�e, PARKING REQ: PROV: PARCEL: 42204222 ZNE: REF NO: demolish,or repel any structure,prior to is issuance,also requires the applicant 1«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 7030)of Division 3 of the PLANNING NOTES> • Business and Professions Code]or that he or she is exempt thetehom and the basis for the alleged exemplion.My voletion of Section > - 7031.5 byanY applicant for a permitsubeeds the applicant to a civil penalty of not more than five hundred defiant($5031). *********************************************************************,********** El I,as owner of the«epeM«myempbsole will do the work,and the endure is not intended D E V E `L` O P M E N T S E - R V I C E S R E U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contract«,License Law does not apply to an Owner of property Q who builds or improves thereon.end who does such work fimeel or herself or through he or her own employees,provided that such ,.--di improvementsneiareihave intended burden of proving offered he8eeo she didnotowever,t the iing mprove for° the p°Aimpposacd rlsale).one yBerd`«n°I°Inrr'M° ZONING APPROVED BY DATE: ❑ I.as owner of the property,amexdusiveyoontredg with licensedconban«s toconstnd to project(Section 7044.Business end BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not appy to en owner of property veto builds or improves thereon and who contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). M;, ❑ I em exempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: DATE: 2!(74( / ********************************************** *********************hE. * ** *** Data: Owner: LEGALIZATION:N F EPE SUMMARY STRUCTURALISEGMENT:Y I do hereby certify that I am aware of and understand the requirements of Calio ria Health and Safely Code Sections 25505,25533,and 25534.end that I or any future building occupant will/wN not(circle one)need to comply with said stale codes and the requirements for a permitfoconmdonor modification Ouakly Management Distrd.Resideat mnstlu trun applications ere exempt horn these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 51 . 25 . 50 Date, Applicant: SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby allnn under penalty of perjury one of the following declarations: ISSUE FEE ❑ I have and vril maintain a certificate of consent to selfensure for workers'compensation.as provided for by&Elia)3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the performance of the work for wych this pense is issued. ❑ I have and wit maintain workers'workers'compensation insurance,as required by Section 3700 of the LaborCode, performance the performwe of the TOTALS----> 51 . 75 0 . 00 /.,: 0 . 00 51 . 75 51 . 75 . 00 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: Carrier: STTE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 51 . 75 OVER/SHORT: .00 Policy Number. 185-91UN1'1243 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed/Ns permit is for one hundred dollars 1$1001 or lass) 51 . 25 :) . 50 ❑ I certify that in the performance of the work for which this permit is issued,I Mall n«employ any person in any manner so as to become subject to the workers'compensation laws of Cdiiome, and agree that if I should become suNed to the workers' ******************************************************************************* compensation provisions of Section 3700 o the Lam Code.I Mall fot_hithcocomply ith wprovisions. I N D I V I D U A L F E E BR E AK DOW N Date: 2'7 --9-7 Applicant: /G ,y.M l.�y.. ;y;�/, y: y.: d7 Warning:Fegure to secure winters'comperuaUon coverage is unlawful,and a tan employer to criminal permit's*and y Z Ll t; (u y i L( y f� 'f p 't' (�� N UNIT COST TOTAL COST Gvll fines 143 to one hundred thousand dollars(6104000A In addition to the t compensation damages as provided for In Section 3106 of the Labor Cods,11710/1131,end attorneys lost SFR 1537 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 517 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). , r LENDER'S NAME: • LENDER'S ADDRESS: } ' i I ceniy that I have read this application end elate that the above information is correct.I agree to comply with ell city end county ordinances . 1 j and slate laws relatig to building coruvudon and hereby authorize representatives of this city to enter upon the above'me°tioned property for inspection parpa°'REGINA JONES /r s 02-07-1997/12:09 PM/$51.75 RCP11:01-8001764 Print Name p sic PERMIT:081526 Dale: 2 7—/ 7 t--,. S' dAgentJApplicantrContratlm (5151-46.WP) White-Building A Safely;Green-File;Canary-Applfcanl:Pink-Revenue;Goldenrod-Assessor f' i - CONSTRUCTION AND PLANNING . POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 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 LIFER Grnd. _ 57: APPROVAL TO COVER-GUNITE - . 7. Footings • 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test . •9. Water Pipe-Undrgrnd. • - 60. Backwash Lines, P•Trap, 0 Undrgrnd. 10. Structural Floor System - _ ' - 61. APPROVAL TO DECK ' , 11. Property Sewer Line & House Connection . • 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 - l ' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - • ' 69. POOL/SPA-SYSTEMS FINAL •• 19. Rough Heating & Air Conditioning - - - _ FIRE_DEPT. REQUIREMENT . - 20. 'Rough Factory Fireplace - - _ - APPROVALS Permit# 21. Ducts,in Structure " - - - , 70. Underground Hydro 22. Ducts, Ventilating' - -• - _- r 71. Product-Piping OGas ❑Oil 23. Gas Pipe-Rough & Test - _ ! - 72. Underground Flush - - 24. Roof Framing - ;_ - - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing Z�//7 74.-Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat / -- - 75. Dry Chemical 27. Frame and Flashing _ - 76. Dry Standpipe • 28. Lathing&Siding , -' -- 7.7. FIXED SYSTEM FINAL . • 29. Insulation - 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 86. FOOD CERTIFICATE ISSUED 1 33. Final Electric - ' Notes:Z1/41/47- ;4.3 .t/rr1, '-s,��l.w�r e. 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test - 36. Hood orCanopy - - - - - . 37. Final Factory Fireplace ..• 38. Final Plumbing • , 39. Water Service-Final - - 40. Gas Service-Final t' . - . 41. Solar Domestic-Final ' 42. Backflow Preventer r - r - 43. Backflow Irrigation . 44. Landscape Irrigation System . _ _ . 45. Sound Attenuation - . • 46. Handicap Regulations - I 47- FINAL STRUCTURE& BUILDING Z//g O7 1 ` r . 48. FINAL PLANNING .. • - 49. Electric Release to Edison . 50."Gas Release to Southern California Gas Co . - 51. CERTIFICATE OF OCCUPANCY • No. Date PROJECT ADDRESS: 1101 SANDI LN UM - -CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BE 048829 OWNEWSNAME: BRANN, SALLY' FABER -ADORESs: 1101 SANDI LN PERMIT NO: BE 048829 PLAN CHECK NO: 05557-90 S GOVT: N SUPP : N •011. ' COSTA MESA,CA 92627 • • . 722 1791 CONSTRUCTION TYPE: PERMIT TYPE: ELE SIR • PURPOSE: ALT ' ARCH/ENGINEER: .'. REO.NO.: JOB DESCRIPTION : OPEN WALL INTO STAIRWAY SQ FT :. , 1 , 000 ADDRESS: UNIT: ' ' • CLAIM VALUE: - 1 , 000 . 00 CALC—VALUE: 1 , 000 . 00 GROUP OCC : R-3 / • PERMITTEE: MIKE FABER • ( 714) 722-1791 • - _ ADDRESS: 1101 SANDI LN COMMENTS : X - - C :M. CA 92627 ******************************yc*****+C*******8r*****yE(E******** *et******4yt***** +C* LICENSED CONTRACTOR DECLARATION: hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS •• • CITY LIC.: STATE LIC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: IherebyaffirmthatIhaveacertificateofconsenttosell-insur0oracertificateofWorkers' FRNT: FT IN REAR: FT •IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT. IN LEFT: FT IN RGHT; • FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: i "MPANY: - PARKING REQ: PROV: PARCEL: 42204224 ZNE: PDR— 1REF NO: ' Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> INTERIOR ALTERATIONS FOR BEAMS/ RECESS LIGHTS IN THE' > KITCHEN AND. LIVING ROOM, ONLY . Date: Applicant: *******************9S*******ik'********.*********tt*****************lt**-***'1F.********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need of be corn let I the permit is for one hundred($100)or less). DEVELOrM E N ,T:' S E'ER;V I C E S R E Q U I R E M E N ,T:S I certify that in the performance of the work for which this permit is is ded, all not any person in any manner so as to become -' r subject to the Work rs Compensation Laws of California. /ZONING APPROVED BY Cp ,.e, DATE: = 7 D '— �,(7 ' _ Dater/� /signature: / BUILDING APPROVED BIT : • DATE: •' NOTICE:If, her maling`this declaration,you sit d become subje to the Workers'Compensation provisions of the Labor , r ' I a- Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. - t 7 .— Y S !�' CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance ofdhe work for APPLICATION ISSUED MY : ,: "' - ' DATE: . O which this permit is issued(Section 3097,Civ.C). ***************************3E;***************••iFicii•******************** *****3! �;* LENDER: ***************************'ik*****#1ElE******************************if*'iE)f********* ADDRESS: LEGALIZATION: N F ;E ' SUMMARYY STRUCTURAL;4 SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 25 . 00 1 0 .)5.0 . 50 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed, 5.6$ SMIP/NON—RES . pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 16 . 25 G''. and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by /'-• any applicant far a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE 15 .0019 I, as owner of the property or my employees with wages as their sole.compensatipn, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN ; 16A25 CHECK TOTAL PAID ' DUE E) structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—--—> 3.6 . 0 0 15 . 00 1 2 5 67 . 25 6 7 . 2 5 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED'' 67 . 25 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or Improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECPIANIC FIRE SMIP/TOT GRADING PLAN—CHECK ' I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25 ' 0 0 2 5 • •5 0 /} ' 5 Q 16 . 2 5 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •.. and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware 'kE-N-*1E*'*******'N'***************************9E***'lt*********************'N'**'N'********* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL ;`1' E BREAKDOWN ❑ I am exempt under Section: • B.& • v �,.. •• for this reason:reason: TYPE QTY D E S C R I -P T I O N UNIT COST TOTAL COST Date: gO( Cl (ownepa /SFR 1000 ALTER BY VALUE RESINI'AL NOZONE 1 . 001 , 000 . 00 I do hereby ce���(ttttify that I am aware of and understand the requirementsnd Safety Code Sections 25505,2ELE 14 FIXTURES, LIGHTING •1' ,Fa T 20 EA. . 75 10 . 50 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - END AF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from LiA "/ these provisions. • Date: Applicant: ,I" ' • // I hereby certify that I have read this application and state that the above inf tion is corr I agree to comply with all city and county ; 4 ordinances and state laws relating to building const . 'ion and here o• epresenta s M to enter upon the above-mentioned • property far' spection purposes. '. ' Dat .S Signature' orb Fry / Driver's tense ar 'r ial Security e: 01 000687713-000687n T 0 T •67 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor . DATE: 08/30/90 TINE: 16:19 . CONSTRUCTION AND PLANNING `-; • PO. SPA Date Inspector Date Inspector :APPROVALS Permit # - APPROVALS Permit # _ -t - 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings - •' - 58. Electrical Conduit-Undrgrnd. ' 8. Foundation - - 59. Gas Pipe, O'Undrgrnd., Test , 9. Water Pipe-Undrgrnd. f 60. Backwash Lines, P-Trap, 0 Undrgrnd: 10. Structural Floor System 61. 'APPROVAL•TO DECK_ . 11. Property Sewer Line & House Connection 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 ? /ifQo 67. Fencing & Access Approval .. - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. rough Electrical-T Bar Ceiling - _ 69. POOL/SPA SYSTEMS FINAL _ 1 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 i 23. Gas Pipe-Rough & Test 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 27. Frame and Flashing "-sea, 6c...4 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78.,FIRE PR EV. FINAL 30. Drywall Nailing T 1-ljo ‘Lt-6/ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ., 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - ' l 33. Final Electric JM ‘A:24 Notes: 34. Final Heating & Air Conditioning t t 3j-z - erac"- v -'f 35. Final Gas Pipe-Test Oa2 ,Sfe _/'._ -s.,[ 36. Hood or Canopy /� `v'�`/ 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 4 43. Backflow Irrigation • • 44. Landscape Irrigation System I 45. Sound Attenuation 46. Handicap Regulations ...a / 4 47. FINAL STRUCTURE& BUILDING (,h' Or 48. FINAL PLANNING /, 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - , 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1105 SANDI LN UNIT: CITY OF COSTA ,MESA = BUILDING PERMIT PERM NO: P 054563 OWNER S NAME: FLORES NORMA LANDA • - ADDRESS: 1105 SANDI LN PERMIT NO: P 054563 PLAN CHECK NO: N • GOVT; N SUPP: N COSTA MESA,CA 92627 - CONSTRUCTION TYPE: V—N PERMIT' TYPE: PLU PURPOSE: 0TH 631-1243 - ' ARCH/ENGINEER: ' . REG.NO.: JOB DESCRIPTION ; INSTALL WATER HEATER' ' SQ FT; • ADDRESS: UNIT: • - CLAIM VALUE.: CALC—VALUE:• • GROUP OCC: R-3 . / •• PERMITTEE: EARLS PLUMBING ( 714 ) 772—'3470 • - ADDRESS: 1533 W. LINCOLN COMMENTS- ' SMOKE DETECTOR REQUIRED IN THE HOME • ANANHEIM CA 92801 *************************** *************************************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with SectionZ ONING R E Q O I R E M E N T. S • 7000)of Division 3 ol.the Business and Professions Code,and my license is in full force and effect. SETBACKS - CITY LIC.: 005938 STATE LIC.: 217657 e:_ _ Ga$5 `� ate: signature:_ _ MAIN .BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.9. LEFT: FT IN RGHT: FT IN LEFT: ' FT IN RGHT: FT IN• POLICY NO.: UCA-11686 EXP.DATE: 03/01 /92 - COMPANY: UNICARE PARKING RED:( PROV: PARCEL :' 42204222 ZNE: REF NO; ❑ Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. PLANNING NOTES> /o- 24-4/ 4j CEJ&/2,c ' j=t¢� Applicant: l-f/l'✓1 ***********************************************IE******************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERV I , C E S.`. REQUIREMENT' S • I certify that in the performance of the work far which this permit is issued.I shall not employ any person in any manner so as to become • ra subject to the Workers'Compensation Laws of California.' ; ZONING APPROVED BY `. DATE: • Date: Signature: BUILDING APPROVED BY ' NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor .- . DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /' '� ' : / C CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for' APPLICATION ISSUED BY• 6 • ,G`r+ +:% DATE; !'& —2-3.---137 which this permit is issued(Section 3097,Civ.C). *********************jE ******************* • LENDER:- . . **************,************************ X ' ************************************* . ADDRESS: • . • LEGALIZATION:N F E •E S U 'M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'State License Law for the following reason BLDG. PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT ' - 2 , 0 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed'statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of.the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3. 00 - . • 'I, as owner of the property or my employees with wages as their compensation,'wit do the work, 'and the BUILDING—DIV—>e PERMIT ISSUE PLAN—CHECK TOTAL PAID . DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> • 2 . 00 3 , 00 0. 00 5. 0 0 . 5 .00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through, I . • 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 will have the burden of proving he/she did not build or improve ..REVENUE DIVISION TOTALS--'> COLLECTED: ' 5. 00 OVER/SHORT: 00 for the purpose of sale). BLDG PMT1 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ) and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law)..)am aware ***************************iF**********************************-***************** that proof of their Worker's Compensation insurance should be provided to me. I IND I V I D U A L F E E B R E A K D O W?-N o I am exempt under Section: . B.S P.C. minis reason: TYPE QTY ; D E S C R .I P' T I O N UNIT COST TOTAL COST Date: owner: PLU • 1 ',f WATER HEATER AND/OR VENT ' 200 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and• Y END OF FEES 25534 and that I or any or modification occupant will/will not(circle one)need to comply with said state codes and the requirements for a , - 4 - • permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from - these provisions. Date: 'Applicant: . I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereb authorize representatives of this city to enter upon the above-mentioned I property for inspection purposes. � Y�/� // //�� x • FE-al/0402-1'I signature /»-j li/ /`X�/-//J'N/j . C1 Dt�l[Os55`.—OC17N0555 �"t� '.ii'_i Driver's License or Social Security x: ;ATE: 10/23/91 IME: 14%54; 1641-46 White—Budding:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod-Assessor r - / (( ` POO L & SPA CONSTRUCTION AND PLANNING I:; • - • r, APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector -- 1. Temporary Electrical Servide 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.' Footings - . 58. Electrical Conduit-Undrgrnd. ' 8. Foundation - - 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System -61. APPROVALTO DECK 11. Property Sewer Liner& House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap - . 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbirig 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 PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT . 20: Rough Factory Fireplace + + q . - • • APPROVALS• "Permit# r - - 21.-Ducts, inStructure: . r 70. Underground' _ 22. Ducts, Ventilating - - r ^ „71. Product'Piping OGas OOil 23? Gas Pipe-Rough & Test ' g _ _ 72. Underground Flush 24. Roof Framing >. • . ' • _ . eT 73. "Undergrnd.Storagank 0 Gas 0 Oil 25. Roof Sheathing • ,• _' + '74,-Overhead Hydros - - - ---- 26. T-Bar Ceiling (Structural) &-Monocoat - . 1 - 75. Dry Chemical 27. Frame and Flashing' ,L , 76. Dry Standpipe ; ' 28. Lathing& Siding - c i i' 1 '•- •: 77.-FIXED SYSTEM FINAL' 29. Insulation - . .. ' . + 78.s..FIRE PREY. FINAL i- - t 730. Drywall Nailing : A HEALTH.DEPT. REQUIREMENT• 31. Plaster Brown Coat. , • .�/1' • 79. FINAL'INSPECTION - •- . • -32. Electrical Power Meter-Final -. :80. FOOD CERTIFICATE ISSUED _ 33.final Electric . , Iii ; `Notes: • •:", 34.-Final Heating;& Air.Conditioning, - , .,...-a- - 35.;Final Gas Pipe-Test- - - , i. - = ,36. Hood or Canopyt.. - - - ,! •_t s. _ . 37:-Final Factory Fireplace ' • ' • 1 a -. - ' 38. Final Plumbing - �0, 7qi tt -39. Water Service-Final 1 +t .40. Gas Service-Final , „ • a. I; t' - - 41. Solar Domestic-Final f° ' •C.= 42. Backflow Preventer I. , - . . 43. Backflow Irrigation * - . 44. Landscape Irrigation System + _ • '45.-Sound Attenuation • 46."Handicap Regulations - . i . •• a 47.-FINAL STRUCTURE & BUILDING 48, FINAL PLANNING i . , ' . 49. Electric Release to Edison - `J; - + , 50.•Gas-Release to Southern California Gas Co 1 h--1. . . s. - 51. CERTIFICATEOF•OCCUPANCY / . - • No. Date . S:SOWNER PROPERTIES WEST, INC. DATE 10-14-76 �10B ADDRESS 1105, 1107 Sandi Lane BUILDING PERMIT NO. 40617 QGENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Duplex w/2 Gars. N. AP No. 115-031-17 LOT TRACT FIRE ZONE VALUE 346,940.00 `''INSPECTIONS Signature Date TYPE V GROUP I & J ZONE PDR-MD 'SOILS /Lt= h, SUBCONTRACTOR — PERMITS ISSUED GAS a /4 7.S 77 Date I Number t Signature i WATER lj G 'C 5 I."L 7? Z2,‘ 77 �1�LPlummbiing • v If ,, ROUGH PLUMBING r 'G ..ffS 3./7,7) /`��;�4�_I io / i.6 t5, n/ /a•4.X, 7(a 7.1 , PROP. SWR. LINE ❑ HOUSE CON. ❑ S 7.Zs:77 �_�-y A ,.✓" 17j . 17-3/-?7 73 $,r "01 /SPRINKLING SYSTEM - (j v !!�� 'MISCELLANEOUS ' ROUGH HEATING AND AIR CONDITIONING $pj 7. se- 77 • TEMPORARY SERVICE OR POLE ffI i ' UNDERGROUND O POWER ❑ ROUGH WIRING 31�7(7_ Neatin and Vent. TRENCHES FORMS STEEL REINF. ,/ 4-42•,..m.#71/4, "7 ❑ ❑ dfC,r� 333-77 /3,i8 FLOOR SYSTEM _14 / ,/Z•7J Vise.- 3-2')'-77 /3 yo/ r BOND BEAM n STEEL REINFORCE n FRAATHING &CI' r`a .71 FRAME AND FLASHING Jr a?. 97 LATHING — IN PK- OUT n Ifw,,AV 3.1/-77 PLASTER, BROWN COAT STRUCTURAL, FINAL Eiectrrkv J HEATING, VENT.. REFRIG. AND A.C�.,/FINAL ‘Seg'rn W. ' 7 t -lair � 4e/9 Zor PLUMBING, FINAL AND GAS TEST IYt rJ -5-9-).) , � k y-1 vi) yam. 9 ELECTRIC, FINAL t, b-9 h: /// BUILDING, FINAL �•h0 tr.:, 44. 7.7 els r r PkIU SEP 30-75-5,,001384*r **It*92.29 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA.MESA,CALIFORNIA 92626 A For Applicant to Fill iniCompletelyo� —�e Ink O y RE P ILI(�N ryF�OTREEE,,,SggqERUCTURDA PERMIT BUILDING n ilea; ))15-7 'fit w /11, 'I '/n/ /ED/c� DATE ISSUED ADDRESS /. •fir ""/ PE MIT NO. '7 OWNER tn.& L.Grrl+( C• • A.P. NO.11S-O31'�'7 4P /- 1 •MAIL // J BUILDING d�l6 .�LtA-li : �JADDRESS x .�1r, ADD- 1. - a. ••• ex ,..a CITY ig /�� NO`TE t/7f'T/d TRACTCOSi LOT91 0 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER BRANCH - ' OWNERWf 10 ADDRESS ire 11 OS-1- (IL-- ..c.- ADDRESS yp.� •LAt ' `� ,-__VALUE44-7%0 • ARCHITECT ` o • it •0� TN E0 7-3 _p,�l� U� tl ��tRn $ OR ENGINEER �ti /f '/e.Vd-Ls, Q (eVd - - FIRE • ADDRESS /2j E .rww.a..&_ tt.0".-' ZONE 1, w YPE - 'GRO�(UP ^�/ -.- CONTRACTOR 0 hitt) r BYAPPROV ED red DAT: 6 • ✓" ADDRESS ,_'C TT•E'L. r ZONE NO.OF USE OF N-'�-g l-a/ �J 1/rtst�-.T PLANS - BUILDING CITY NO. TVA /-lV IV/ Amt.64.g. -F+ STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING w SIZE NO.OF BLDGS. (FROM C/}S EET) a OF LOT 72060 / NOW ON LOT © FRONT IO FT.h. ,, I , FT.. J1 Q • � EXISTING BLDG. /USE OF / R.SIDE (7 FT. NCif FTM- . ... H Separate permits are required for L.SIDE 21 L1 FT. FT. electric,plumbing and heating work. LL 1� r WREAR OFT, , tyy f FT. L,. USE OF B ILDING/•ND WORIST,Q B 'ERFORMED DISTANCE B BET. MAIN& O - 4 , ,y...- vr`��AT's{`r - MAIN BLDGS. lll.��� ACCESS. BLDGS. - Q / R # DATE CUP �S -�7 PROVED /0-2-1,S- 11 /i!i! YROVED / lrt//06- O -/i2_7‘,/JTF 6Q HOLD FOR SPEC! RFnillrJCtlrlr cti a =-- a I hereby acknowledge that I have read this application and state - in Cd that the above Information is correct and agree to comply with co a all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of v SW the State of California. (� ,/ ,,rte 1 hereby certify that I am properly licensed as a contractor under /v�D SQ. FT. 7ODT /J// i IV m the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: _ am exempt from the provisions of the State of California Business a: and Professions Cod 'vision 3, Cha ter 9. VALUATION PERMIT FEE $ A m $ Signature of //6 9ta PLAN CHECK $ �r9, o 0 m0 Permittee ✓ n TAX $ £ 29 2 U Authorized Agent TOTAL PAID $9r1 1' q i az FdL nC,f 1I,-76E;7-Of) 93? Ms:*,,, 170.0=O s. 40‘( COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • APL :A ON FOR STRUCTURAL PERMIT For Applicant to Fill in Complete)1y�Use Ink Only . / RE DATE RECEIVED DATE ISSUED BUILDING //o5� �/O �J O/ //'/ ,/ ADDRESS F/F/ !/ ,V PERMIT NO. OWNER A.P. NO. 4. ADDRESS/ /( BUILDING /e� //Q� 411 / �r/ MAIL N ADDRESS TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DFMOLISH LENDER X I III • BRANCH OWNER OpEreneS AST Ate, ADDRESS ARCHITECT TEL. USEa entGIO W AS OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE NO.OF USE OF NEW PLANS BUILDING CITY NO. F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING XI SIZE NO.OF BLDGS. (FROM CIL STREET) 0. OF LOT NOW ON LOT FRONT - FT. FT. Q USE OF CO EXISTING BLDG. B,SIDE FT. FT. tq FSeparate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. REAR FT. FT. kl USE OF BUILDING AND WORK TO BE PERFORMED H DISTANCE BET. BET.MAIN& xIC G r Q MAIN BLOCS. ACCESS.BLOCS. VAR.# DATE C.U.P.# APPROVED - • APPROVED >. — RY DATE sJ IX W O. I hereby acknowledge that I have read this application and state O 'n % that the above Information is correct and agree to comply with • _ m O. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of as CM the State of California. S SO. FT. w I hereby certify that I am properly licensed as a contractor under a`C the State of California Business and Professions Code, Division 3, m W THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business ici VALUATION e and Professions Code, Division 3,Chapter 9. PERMIT FEE $ / 7 G / PLAN CHECK $ ro\V, Signature of _ /X o Permittee $ / f TAX $ ri f r U Authorized Agent TOTAL PAID $ / f I