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Home My WebLink About1107 SANDI LN - Building Permits ADDRESS OPBUILDING: 1107 SANDI LN WIT: CITY OF COSTA MESA - BUILDING PERMIT DlNERSNMIEIEIwmvro BALJEU, EDWIN J PERM NO: B 0815251 "alms& BALJEU, ANGELA S 21941 VACATION LANE PERMIT NO: B 081525 PLAN CHECK NO: N GOVT: N SUPP: N HUNTINGTON BEACH,CA 92646 APPL.MAIuMMADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH • ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 1 , 537 ARCH.OR EMI ADDRESS: WIT: - CLAIM VALUE: 1 , 537 . 00 CALC-VALUE: 1, 537 .00 GROUP OCC : R-3 / CONTNACTORSNAME JD JONES ROOF CRAFTER ( 714 ) 826-4827 CaNTHACTORS MATING 6011 SAN YSIDRO COMMENTS : REROOF 1050SF RESIDENCE W/COMP ADDRESS: BUENA PARK CA DO-NO.: 435996 **+E*K-*x-RE*****RE****** *+E+EiERERER6+E****ir•+tN-SE+Eif -x*iEfe*x****IT-*** * -REiE*x* -*1[************** 90620 INT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally 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 end effect. CITY LIG.NO.: 029223 MC.CLASS: C39 LIC.NO.: 435996 EXP: 09/97 MAIN BUILDING ACCESSORY BUILDING Date: ContractorFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contredas License Law for the following reason(Semon 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,alter,improve, PARKING REQ: P ROV: PARCEL : 42204221 Z N E: REF NO: demolish,or repair any structure.prior to Es issuance,also requires the applicant for such petmil 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 7002)of Division 3 of the PLANNING NOTES> Business and Professions Cede]or that he or she is exempt therefrom and the besie for the alleged exemption.My violation of Section > (rf 031.5 by any applicant loci wrong aubfede the applicant toedal penalty dnd mishe e than five hundred dollars(550011. ******************************************************************************* ❑ 1.as owner 011ie•over or my employees with wages as their sole compensation,will do the work,and the structure l not attended !DEVELOPMENT SERVICES R E Q/� U I R E M E N`T„ S or offered for sale(Section 7044.Business and Professions Code:The Contractors license Law does not apply to an Owner of property .f who bolds or inproves thereon,and who does such work himself or herself or through his employees,her own employe,provided that such improvements are not intended or offered for sale.ff.however.the building or inprwement is sold within one year of completion, ZONING APPROVED BY CO • DATE: -1?":.ownerbuilder wig have the burden of proving he or she did not build or improve for the purpose of sole). •❑, I,as owner o the property,am exclusively contracti g with licensed contractors to construct the project(Section 7(144,Bus4wss and Professions Code:The Contractors License Law does nee apply to n owner of property who builds o improves thereon and with BUILDING APPROVED BY DATE:-11contracts forsuch projects with a contredo(s)licensed pursuant to the Contractors License Law). / ❑ I am exempt under Section: B.SP.C.,for thisreason: APPLICATION ISSUED BY: DATE: f/l ***************************************** !.i ********************moi.*** Date: Owner: if LEGALIZATION:N F E E S U M M ` R . STRUCTURAL SEGMENT: Y I do hereby certify that I are aware of and understand the requirements of California Health and Safety Code Swlen 25505,25533,and 25534,and that I or any future building occupant will will not(circle one)need to comply with said stale codes and the requirements tor app Residential a peBLDG PMT PLUMBING ELECTRIC MECHANI FIRE SMIP/'RES GRADING permit for mnimdion or modibnton horn the oatdd. mndmdion icationsars exempt from these provisions PERMIT 51 . 25 / 450 Data: Appl set SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSN ❑ helsintn Ieandwmeacertiiateofcomenitoselrmre ufawocoseti kers' repenowesprovldedforbySedion3703 of the Labor BUILE FEE BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Code,for the performance of the work for which this permit is issued. ❑ Ihave and will maintain workers'compensation insurance,as required bySection 3700othe Labor Code.for the performance othe TOTALS----> 51 . 75 0 . 00 0 , 00 51 . 75 51 . 75 . 00 worn for which this panne is issued.My workers'compensation insurance carrier and policy number are: • Gather: STAT FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 51 . 75 OVER/SHORT: Policy Number: 785-9717NTT743 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need mol be completed A'the perm&is for one hundred dollars/51007 or less.) 51 . 25 . 5 0 ❑ I candy that in the performance of the was for which the pend is issued.I shall not employ any iter iso n to become subject to the workers'compensation iws of California. and agree that R I should **************************************************************************3l**** compensation provisions of Section 3700 of the Labor Code.I shag forthwith comply with those INDIVIDUAL F E E BREAKDOWN Date: Applicant: Waning:Failure toaacun worker 'compensation coverle unlawful,and shad subjectn employer to edm •fr QTY DESCRIPTIO N UNIT COST TOTAL COST fines rom s up one hundred thousand dollars(51020021,),In addition to the coat of compensation,damages as pro • Secton3706ofMLaborCoda,Interestandattorney'9fw. R 1537 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 1 . 537 00 CONSTRUCTION LENDING AGENCY:I hereby ami under penalty of perjury that there is a construction lending agency for the R. END OF FEES performance of the work fon which this panel is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: - !certify that 1 have read this application end dale that the above information is coned,I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes.REGINA JONES Print Name Date: Signature of Cwher/AgntlAppicantlContredor (5151'6.WP) White-Building A Safely;Green-File;Cnary-Applicant;Pink-Revenue;Goldenrod-Assessor • CONSTRUCTION AND PLANNING - - - r _ POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit-4 - 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 Bond - 'nu' - 5 Steel Reinforcement. 56. Rough Plumbing &Pressure Test . : - ' 6: Electrical UF ER Grnd. • 57: APPROVAL TO COVER-GUNITE - _7. Footings ' - 58. Electrical Conduit'Undrgrnd. -. 1 -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 TQ DECK 11. Property Sewer tine & 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 Ap 17. Rough Wiring Sign - - 68. APPROVED FOR-PLA€[0 G, : 18. Rough Electrical T Bar Ceiling • 69. POOL/SPA SYSTEMS Fl . pl�� 19. Rough Heating & Air Conditioning - - - - - FIRE DEPT. REQUIRE y �,, 20. Rough Factory FiEeplace - - _>. r: APPROVALS Permit + '' 21. Ducts,in Structure - , • - 70.rUnderground Hydro 22. Ducts, Ventilating ` " , .. ?. 71. Product-Piping O_Gas 0O1l 23. Gas Pipe-Rough r:Test - ; , L .4. - : 72. Underground Flush- - 24. Roof.Framing _ :1. -,. ` 731. Undergrnd.StoraEge Tank ❑Gas ❑Oil 25. Roof Shedthing - , .1 , `T, ',-1 = ,- - 74,-Overhead Hydro_ -. 26. T-Bar Ceiling (Structural) & Monocoat _ n - 75. Dry Chemical -- ' - - T. 27. Frame and Flashing„ _ _ 76. Dry Standpipe-. t - 28. Lathing& Siding _ - _,..a:-_ '_.. s _ • - •• 7T. FIXED SYSTEM_-FINAL - . - s - 29. Insulation - - - _. I , • 78. FIRE PREV. FINAL - - • 30. Drywall Nailing _ _ _ --HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat _- I ' , 79. FINAL INSPECTION _ 32. Electrical Poer Meter,Final i wx + 80: FOOD CERTIFICATE ISSUED 33. Final Electric . .. Notes: _. - - - 34. Final Heating & Air.Conditioning:. r _ - - . - 35. Final-Gas Pipe-Test ' - ` _ _ . � ^ " �- -- - 36. Hood or.Canopy , - . �- , :. k - _ - 37. Final Factory Fireplace _ - - _ '' ' V k . 38. Final-Plumbing : - _ _ - x �� _ 39. Water Service-Final • - i` - ' - 40. Gas Service-Final - - - • - I, 41. Solar Domestic-Final. - -- - - - 42. Backflow Preventer - - - - , 43. Backflow Irrigation ' --- + " - 44. Landscape Irrigation System - ._ < , :-- - - _ 45. Sound Attenuation' - = ' _ - 46. Handicap:Regulations = - - - - 47. FINAL STRUGTUR[& BUILDING - r' . 3 �r • - , 4 = 8. FINAL PLANNING - 49. Electric Release to Edison - - - 50. Gas Release to Southern California Gas Co :. _ 51. CERTIFICATE OF OCCUPANCY" - r . . - - No. Date ----- "MS'SUF BUDS' 1107 SANDI LN Wit CITY OF COSTA MESA - BUILDING PERMIT OWNER'S NAME IF MOWN:BALD EU, EDWIN J PERM NO: B 081525 I ADDRE:BALJEU, ANGELA S • 21941 VACATION LANE PERMIT NO: B 081525 PLAN CHECK NO: N GOVT: N SUPP ; N \ ' HUNTINGTON BEACH, CA 92646 • APPL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGNEER: Lit NO.: JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT : 1 , 537 &RCN OR ENG.'S ADDRESS: Wit: CLAIM VALUE: 1 , 537 . 00 CALC-VALUE: 1 , 537 . 00 GROUP OCC : R-3 / caimAnarsNAIIJD JONES ROOF CRAFTER ( 714 ) 826-4827 CONDiACTORSMMWIG 6011 SAN YSIDRO COMMENTS : REROOF 1050SF RESIDENCE W/COMP ADDRESS:BUENA PARK CA uc.NO.: 435996 +E*+ESE+E*********it*ic*at******AE**+t*K-***M-**;,E*****it-M-*x-*x-x-44-***+t+riE*it-+t+Ener*****AE+Ex-AE*iE **+Ek 90620 um: Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am fcensed under provisions of Chapter 9 SETH ACK S ' (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in lull force and effect. Cm LIC.NO.:029223 LIC.cLASs:C39 UC.NO.: 4359 6 EXP : 09/97 MAIN BUILDING ACCESSORY BUILDING �.7- q7 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: cmtrmor: 12 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaky of perjury th ) conEemLicenwforthe following reason(Section 7031.5 Business and Professions Code:Any city or county ion requires a panne to construct.alter,improve. PARKING REQ: P RO V: PARCEL : 42204221 Z N E: REF NO: 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 PLANNING NOTES> Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section ,> • 7031.5 by any applicant for a permit subjects the applicant to a&itpenatty of not more than five hundred dollars MS5001). ******************************************************************************* ❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure a net intended DEVELOPMENT SERVICES R E U I R E M E N T S or offered tor ss (Seder e7010,Business and Professions Code:TheCamreaas License Law does copty t eplean Omelet propeny Q who buids or inproves 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 dor sale.If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did net build or improve for the purpose of sale). ❑ I.as owner of the properly,sin exclusively mn0eaig with licensed contractors to corulrrad the project(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: , contracts for aid,projects with a contractors)licensed pursuant to the Contractors License Law). ^ /j / ❑ l am exempt under Section: B.&P.C.,for this reason APPLICATION ISSUED BY: • s�'isfT" DATE: !/ll i- *********************************************** ***************************1(*** Dates LEGALIZATION:•N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of end understand the requirements of California Health and Safety Code Sections 25505.25533,and 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 permit for construction cmodification from the Air W aanagementDisma.Residentalnorwbaaionappliatiorreareexemptfromthese 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 affirm under penalty of perjury one of the following declarations: ISSUE FEE ❑ Ihave and wiei maintaacenita�edor ctsarnloeeR'lnsurew'write's'te' wmpenaation.aspror.+dedforbySeicn37wdlheLabor BUILD ING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE cedthmaintain e,toremaneofheweAforwinthispemhaased. TOTALS----> 51 . 75 0 . 00 0 . 00 51 . 75 51 . 75 . 00 o I have and will mantas wotkem'compensation insurance,as required by Section 3700 d the Labor Code,for the performance d the work for which this permh is issued.My workers compensation insurance carrier and policy number are: Carder: STATE UND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 51 . 75 OVER/SHORT: .00 Polley Number. 28S-9 UNTT74I 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I the permit is for one hundred dollars ploo/or less.) 51 . 25 . 50 o I certify that in the performance el the work for which this pennh is issued,I shall nor employ any penin in any mariner IN as to berm°subject to the workers'compensation awe of California.and agree tat if 1 ehmM become aublea to the works's' **************************************************************************$**** compensation provisions of Satan 3700 of the Labor Code.I shall forthwith comply with those INDIVIDUAL F E E BREAKDOWN Date: 2-7- /7 Applicant: .-� j� _...4/ Warning:Failure to secure workers'compenaatlon coverage is unlawful,and shall Ian oyer m criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ones rpt to one hundred thousand dollars(5104000A In addition to the cost of co r n.damages as Melded for In Section 3705oItheLabor Code,Interest,and attorneys hoes • SFR 1537 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 537 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES pertmeance of the work for which this pemhi is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state hal the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby autwrae representatives of this city to enter upas the above-mentioned property for inspection purposes. RF..GINA JONES 02-07-1997/12:10 Ph/151.75 - Print Name RCPT0:01-041765 Date: 2 7_v PERMIT:081$25 /:ig d Owmmer/Agent/AppicanuContraaa (5151-4G WP) White-BuiMvg 8 Safely:Green-He;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor 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 e 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 7. Footings _ - - 58. Electrical Conduit-Undrgrnd. - -. 8. Foundation 59. Gas Pipe, D 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 y 14. Rough Plumbing - • 65. Electrical-Final ' 15. Rough Electrical-Conduit ' ' 66. Solar System-Final • . 16. Rough Electric Wiring - `' -67. Fencing & Access Approval I • 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 - - APPROVALS Permit # • 21. Ducts,in;Structure 70.'Underground Hydro 22. Ducts, Ventilating • • c 71. Product Piping D Gas 0 Oil 23. Gas Pipe-Rough & Test .- , 72. Underground Flush 24. Roof Framing •/a-- 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' 144 /""f 74. Overhead Hydro _ .:26. T-Bar Ceiling (Structural) & Monbcoat 75...Dry Chemical - ., - • 27. Frame and Flashing - • 76. Dry Standpipe ' 28. Lathing &Siding _ " 77. FIXED SYSTEM FINAL • 29. Insulation - - ' - 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical.Power Meer-Final - 80. FOOD CERTIFICATE ISSUED 33. .Final Electric - r Notes: 34. Final Heating& Air Conditioning • 35. Final Gas Pipe-Test - '- .-. 36. Hood or Canopy • - 37. Final Factory Fireplace - - 38. Final Plumbing ' 39. Water Service-Final ' 40. Gas Service-Final 41. Solar Domestic-Final - 42. Backflow Preventer - - r 1 43. Backflow Irrigation , - 44. Landscape Irrigation System - 45. Sound Attenuation _ - . 46. Handicap Regulations , 47. FINAL STRUCTURE&BUILDING r)-PIT, - 48. FINAL PLANNING - G/ - - 49. Electric Release to Edison - r 50. Gas Release to Southern California Gas Co - t , 51. CERTIFICATE OF OCCUPANCY - No Date