HomeMy WebLinkAbout1108 SANDI LN - Building Permits AD Es"cBurwitc` 1108 SANDI LN MT:
OF COSTA MESA BUILDING PERMIT
CWHERSNiMEIFKNOvm:PAULSON, BRUCE L TR PERM NO: B 082401
ADORES423440 E RIDGELINE RD
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DIAMOND BAR, CA 91765 PERMIT NO: B 082401 PLAN CHECK NO: N GOVT: N SUPP: N
( 714 )
"PPL."" Nc"°°kEss CONSTRUCTION TYPE: V-N • PERMIT TYPE: STR PURPOSE: 0TH
ARCHITECT OR ENURES: UC.NO.: JOB DESCRIPTION : REROOF 30 YR GAF COMPOSITION SHINGLES SQ FT: 1 , 537
ARCA.OR ENO.'5 ADDRESS: wit:
CLAIM VALUE: 1 , 537 . 00 CALC-VALUE: 1 , 537 , 00 GROUP OCC : R-3 /
^pACT015NAIE°j D JONES ROOF CRAFTER ( 714 ) 826-4827
Ca4TRACTOWSIMIwc 6011 SAN YSIDRO COMMENTS : REROOF EXISTING CONDO
ADORESs:BUENA PARR CA UC-NO.: 435996 ********** -->EK-**it-sE*****at*-!E**************It***it*it******-x-x-**TE**K-AE***Kit*>E*ac*** -*ir***
90620 m3T: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby¢flim under penalty of perjury that I em licensed under proxbiau or Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force end effect. •
Cm UC.NO.:029223 UC.CLASS:C 39 UC.NO.: 4 35996 EXP : 09/97 -- MAIN BUILDING ACCESSORY BUILDING -
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OWNER BUILDER DECLARATION:I hereby afinn under pendy of perjury that I ern exempt from the Contractors License Law for the
following reason(Section 7031.5 Busies,and Professions Code:Any city a county which requires a panne to nominal,alter.improve. PARKING REQ: PROV: PARCEL : 42204205 ZNE: REF NO:
demolish.or repair any structure,prior to its issuance.ebo requires the applicant for such permit to Rb a signed detement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Sargon 7000)of Division 3 of the PLANNING NOTES>
Business and Professions Code]or that he or she is exempt Therefrom end the basis for the alleged exemption.My violation of Section >r,
7031.5 by any applicant for a permit subjects the applkant to a del penally of not more than fie hundred dollen[5500)). *********************** ******************************************* * *********
❑ I,as ovmer of the monody or my employees with wages as their sole compensation.will do the work,and the structure is not intended :L' O P M E N T S E R V I C E S R E U T A E M E N T- S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not applyto en owner of property .D E V E J Q
who builds or improves(hereon.and who does such work himself or head or through hi a her own employees,provided that such
improvements me not intended or offered to sale.If.however.the building or improvement is sold within one year or completion,the •
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owner-builder will have the burden of proving he or she did notpurposeb)
build or improve for the of SM. ZONING APPROVED B Y DATE: a..-
❑ I,as owner d the proprty,am exclusively contractig with licensed contractors to corwtrud the amid(Section 7044,Business and / 1
Professions Code:The Contractors License Law does not apply to an owner or propedy who builds or improves thereon and who BUILDING APPROVED BY ; DATE: P .c.
contracts for such projects with a apmrada(e)licensed pursuant to the Contractors License Law). i i'•:-. / q
❑ lamenmpt under 5edon: B.aP.c..f«mireason: APPLICATION ISSUED BY : !� DATE: f///O
Dale: Owner: *************. ******** - - - - ** **********3F *** * .**
I do hereby certify that lam aware of and understand the requirements of California Heath and Safety Code Sections 25505.25533,end LEGALIZATION;N F E E .U M 1 A Y STRUCTURit.LSEGMENT: Y
25534,and that I or any future building occupant will/wit not(circle one)need to comply with said state codes and the requirements for
apenit for constmctonor modification from the Ai yanegementDindd.Residentiamnatudimepplmaim,areexempthomtnese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 51 . 25 . 50
Date: Applicant: S M I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN ,
❑ I have and w6 maiman a certificate dconsenself-insurecoenl toself-insureler workers'compensation.n. provided for by Section 3700 of Laborthe ISSUE FEE
Code,ler the performance of the work for with this permit i issued. BUILDING-DIC > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I have and veil maintain workers'compeniatize insurance.as required by&glib 3700 of the Labor Code,for the performance°Me TOTALS----> 51 . 75 0 . 00 0 . 00 51 . 75 51 . 75 . 00
work for which this permit is issued.My workers'compensation insurance canter and policy number are:
Carrier: STATF FIIND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 51 .75 OVER/SHORT: .00
Policy Number: 7AS—L17T1MTT'74 '1 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed l the permit is for one hundred ddbn($too)or less.) 51 . 25 - . 50
❑ I certify that in the pedamance d the work for which this permit is issued.I shall not employ any person in any manner so as to
PEP" PP **.***.*****************.*********************************************************
compensation mesonsd Section 3700 of the Labor Code,1 with comply with
r- Dae:
4-10-5 7 A INDIVIDUAL F E E BREAKDOWN
1°_
Wmning:FaNure to secure wo*en'compensation coverage end Blvd Oct en employer to criminal penalties and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil fines rpt to one hundred thousand dollars(3104000), addlt/on to the of compensation,damages s provided ler In
Section 3706 oI MS Labor Coda,Interest,and adomey'eluso SFR 1537 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 53
7 . 00
CONSTRUCTION LENDING AGENCY: I hereby ulm under penaltyd perjury that there is a construction lending agency Ta the END OF FEES
performance of the workork for
which this permit is issuedd(Section 3087,.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and date that the above information is correct.I agree to comply with al city and county ordinances
and state laws relatig to building construction and hereby authorize representatives dihb dry to enter upon the above-mentioned properly
for inspection purposes. n 04-I0-1997/12:38
REy`�Ih]_. JONES •
Dat,: 7
cr5-)2...t,..
RCPT#:01.0804677
Pd 9110— 7 PERMIT:082491
�' Si red /Agent/Appicant/Caninua
,\ (5151-46.WP) While-Building&Safety:Green-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL& SPA
. APPROVALS- Permit # - • Date Inspector _ APPROVALS Permit #.
Date Inspector
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1. Temporary Electrical Service or P6Ie - : : 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 ,• I
5-. Steel Reinforcement - .. .56. RoUgh Plumbing & Pressure Test ' J •
6. Electrical UFER Grnd. . . . 57. APPROVAL TO COVER-GUNITE' -•
7. Footings . - "58. Electrical Conduit-Undrgrnd. _ '
8. Foundation . ' . 59.- Gas Pipe,.❑ U .,ndrgrndTest • .
9. Water Pipe-Undrgrnd. .. . ' '60. Backwash Lines,P-Trap,0 Undrgrnd. ; _ ,
10. Structural Floor System . - - 61. APPROVAL:TO DECK -
11. Property Sewer Line & House.Corinecticin 62.: Backwash & Receptor-Final
12. Sewer Cap - 63, Heater& Vent-Final , .
13. Roof Drains - 64. Plumbing System - Final- l ,
14. Rough Plumbing - 65: Electrical-Final t, ,
15. Rough Electrical-Conduit66. Solar System-Final
i
16. Rough Electric Wiring - ; 67, Fencing•& Access Approval ••
' 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING •
18. Rough Electrica6T 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 • 71. Product Piping ❑Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 'k4 p'7yer 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe
28. Lathing & Siding 77. 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 80. FOOD CERTIFICATE ISSUED
33. Final Electric - 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
_
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41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System •
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING s' 7 /
48. FINAL PLANNING •
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No. Date