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Home My WebLink About1109 SANDI LN - Building Permits 4`,4� A CITY OF COSTA MESA QE BUILDING DIVISION > :J r+rrr• ..t.1• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER �, fl PERMIT • "e P01-00047 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1109 SANDI LN Status: ISSUED Suite No Applied: 01/25/2001 Issued: 01/25/2001 Vicinity: WATER HEATER Parcel Nunmber: 42204220 - ISSUED BY: Applicant: STARK, CHRIS,'" - - Address: 7229 VARNA:AVE - ///,',---> v .• _ Phone: (800)444-8865/ - `� ,A NORTH HOLLYWOOD,CA - ' - _ Zip:' 91605 c-',A . //�r)Av v v _ -- Owner: BROWN;. CHARLES W > vAV`. ' i Address 1109SANDLLN i �"^ �\ '. , {- ,,-'<",/-'72 /; Phone: `.)\ . . /,,,COSTA MESA,CA Zip: 92627 (p. -" r ill -.-'' 1 77_// " -- ' 1. - < . ,, '� „� \ V on{tactor • ALAP ASSOCIATES.OP 0� + ��,� �� "• iAddress -7229 VARNA AVE - .- - _ 4_"_ �, 1 „ • •c % - Phone: (800)444-8865 - _ - . i '\ i,°NORTH HOLLYWOOD,CA Zip: 91605 - N.: I _ C, l-,(, \); / rte" License: 771905 - � �,, Arch/ Eng 1, - . -- -• -. . _. . r >_ _ ll A Address - r' i j A �� 1,1 . Phone. - �i ff` .�` at '+ '� '. "Zip: -.- '/1',� II/ (� License: • - I /'-'' (�j c\\ \,.- / h /c ,d , ,_; 1 \',,+ SCOPE OF PERMIT ' / 1 •\`. \ \ WAER HEATER CHANGEOUT. 9/j.(/ // ` ' `FEE SUMMARY •_ //7/ �./ 0 �, \�v t:r .; AMTS QTY _ , '� AMT :QTY ///// 7�> //TAW QTY ISSUE FEE v v\ '��$23.50 k•y """ ,,°Laundry Tub/Washer"C $0.00 0 '--;)--,--;' -'s Sump Pump -"v A V$0.00 0 Backflow irrigation\ $000. �-o/- -;Landscape' C�� $0.00 .0 - Swimming Pool $0.00 0 Backflow Preventer,* G$0 002 0N��P Trap e _ o - o / $0.00 , O ,�/�Trap/Pnniejo) $0.00 0 Bathtub \� $oAO�/, 0 �.- Pressure Regulator w , $000 0 �� Urinate ,i� woo 0 Clarifier System $0.00!/0 ,� Process Piping(pertil0ftf_ $0 00 0 Vacuum=Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) \-Z$0.00� 017') , ,- .,Receptors; - - - ==$0.00 ac -0 (\,\Vuu`m"Brkr,Bkflow(5+) $0.00 0 Dental Units \-$0.60 6,;:,.../././ -.Septic Tank - "-$6:00 0- Wash Basally' $0.00 0 Dishwasher $0.667)----;.,--,0� -"ii -\Sewer Cap for Demo r$0:00 0,�1'� \"Wash Basin-Set $0.00 0 Drain,Floor $0.60 ..`0 -!Sewer Connect $0.00 --0. ' .Waste anit Vent System $0.00 0 Drain,Rainwater $0.00 ---6...--L-1,--1 _. Sewer Private/Line., C! -. t$0.00 --0 _ A//Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 ._ - Shower ' - -$0.00 0 , c --Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 --Sink;bar- . $0.00,2-.20:2_ Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,-commercial`_ _2$0.00-."0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS I SPECIAL CONDITIONS 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 expiration-of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS ( ) { WORKERS'COMPENSATION DECLARATION: .. . I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and 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. •G- :•d will maintain e co pensation insurance,as r quirt•by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. I---�M o 'rs'compens ro ce carrier and•o'• umb:r ar. u (,�07 Alin er.'� .. AIIIIIP Policy Nu n er.�20A' nbe / (chissect1Oh need not be completed if the pe ,itis valued: Tr.red dollars($100)or less.) ❑ I certify that in the pedorma e o. •.'•www-...fir As issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Call • c� •- a subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these previa• �r ` . — " Applicant Signature: (Date: / — LC T WARNING:FAILURE TO SECURE WO.IIENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(510 .060).IN ADDI •' 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 thafl a sed der pro . • •1 ;h.•ter 9(commencing with Section 7000)of Division 3 of the.Business d�Prj'f ions Code,and my license is in full force and effect. ic.# Class:4� .7 Contractor's Signature: `. Date- ' /—ZZ- ^6 / 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 Processions 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 bthrough 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 ona,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.). ,4•"1...S I r.1"- ❑ I,as owner of the'property;0m.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 Lice1nse/'Laws.). ❑ I am exempt under sec. ''4k P�.' I Business and Professions Code for this reason: Signature: -..- Date: Owner ID verified by driver's license. j]Yes 0 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). ❑ 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 tiled 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? 0 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? 0 Yes I�No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (It"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? 0 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 COMPLIANCE AND AUTHOR • 0 OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all slate • c • dinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspecti• • I a:Tee not to occupy or allow occupancy of any building authorized by this permit until final inspection. eillr r Of :•al•' Date And/or u • -- •-•r cant (-Date`.. CODE# INSPECTION TYPE PEI INTITIALS CODES INSPECIION TYPE DALE INTITIALfl 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 _ _ Hal ADDRESS OF WILDING: SANDI LN UMT: . CITY OF COSTA MESA - BUILDING PERMIT • _ ONNEaisNAa1EIFIWOWN: PERKMAN MANAGEMENT PERM - NO:' B 085 /58 ADDRESS: 800 S BROOKHURST #2A i - . � ANAHEIM,CA 92804PERMIT NO: B 085%58 PLAN CHECK NO: N GOVT: N SUPP: N 956-2012 _ h APPL.MULL%ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH • ARCHITECT OR ENGINEER: -• UC.NO.: JOB DEECKIY11UN T /OFF & REROOF W%COMP SHINGLES SQ FT ; 3, 2200 MCN OR ENG.'S ADDRESS: UHT: CLAIM VALUE': 1 , 600 . 00 CALL-VALUE: 3, 200 . 00 GROUP OCC: R-3 / CONTRACTOR'S ME J D JONES ROOF CRAFTER ( 714 ) 826-4827 CONTRACTORS MAILING 6011AtiK SAN YSIDRO COMMENTS : REROOF LJVUSF DUPLEX W%COMP, ADDnl;SS INCLUDES 1111 SANDI LN ADDREss: tsU ___EivA PARR CA MAO.: 4 JD7:1b iiiibiiiiibiiiiiiiyiiiii iihili**W—iiiiifiiiiiiiiieiiieiiiririri'iFiex+iieieiiiei`lams//ii•ii**—riiieii- iii•ii-iiiciciciiicii/elvishieieieicicikifiilei/ 7UbLU WIT: L O N I ,N G REQUIREMENTS affirm LICENSED CONTRACTORS DECLARATION:I hereby am under penalty 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. .NO.:Li L7LL.1 LIC.CLASS: 1. UC.N•.. 4359 XP : 09/98 MAIN BUILDING ACCESSORY BUILDING //-/�-�2 LEFT : FT REAR: FT IN LEF : FT IN REAR: FT IN ale' �•rsdon LEFT: F T IN RGHT: F T. IN " LEFT; F T IN RGHT: FT IN OWNE UILDER DECLARATION:I hereby affirm under pen, . that I: exempt from the Contractors License Law for the g reason(Section 7031.5 Business and Professions •• y or moray whit.requires a permit to coneuud,alter,improve. PARKING REQ- PRO V : PARCEL: 42204219 L N E: REF NO: demolish,or repel any structure,prior to its issuance,also . _applicant for such permit to file a signed statement that he or she a licensed pursuant to the provisions of the Contractors Lice e.Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NU TES'>: Business and Professions Code[or that he orshe le exempt therefrom and the basis for the alleged exemption.Any violation of Section >rr� - - /,- - 7031.5 by any applicant fa a permit subjects the applicant to a civil penally of not more than five hundred dollars(S5001). iiiii.xxxiiiiiiiriiitiiirieiv-//.ilii iriiiiiiiriiii ii*Pr Pile*wait ii ii sync ii ii IP w stsp,rwri wIt—a*i<i<xiiii sell ii it hili/hili/ii ii/iii inn w-W-iricw-W ❑ I.an°viinrd thepropeM ormYerne/owns wih wags as their sol compensation.will do the work,and the structure is not intended L - E L U P M - N I S E R V I E S 1S E U I R E M E :t0-S or offered for sale(Section 7044.Business and Professions Code:The Contractors License law does not apply to an owners property 0-- �,i who builds or improves thereon,and wto does such work himself or herself or through his or her own employees,provided that such improvements ere not intended or offered for sale.N,however,the building or inprovemem is sold within one year a completion,the � -- owner-builder will have the burden of proving heor she dtbuildorimproveforthepurposeofsale). ZONING APPROVED' IJP DATE: ❑ I,as owner of the propend.am exclusively menacing with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does rapply to an owner of property who builds or improves thereon end who B I NG U Li)I at AYY KU V ED in , DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). 5 v tis __ Oat.. _ _ -• .® 1T ❑ hem exempt under Section: B.d P.C..Mlls reason: APPLICATION ISSUED BY: DAT t: ........nest.. at f•st T'nt'R Fxcx><x9C ltit'It-ltx'R It 9tR It aR'9t'ltxlt n'ftxlt T'-1P 9t 1t 1t R9t'T'n'ft"It lt'lt 'Rlr'It ItR sew at le It It fe se R'sc'RXlt h'R X, •'9c T' aciiii wner - Date: O : - LEGALIZATION:N F E E SUMMARY STRUCTURAL SnGM>:.1V1 : Y I do 4.hereby that candythat I am re bre di and understand wthe reouiremle o of need to Health and aki st Code Sections tassel.x5533,mentend -` 25534.end Clint or any Mum building orapam will y sell an(gem ere)need to conply ocn eek irate cedes end tee exempt for e permitfor mnstmdioeormndificetionhomfinny OuahtyManegamant District.Reskentlel mnatrodon appiratisn era exernpr hors these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRM. SM1P/R'ES GRADING provisions. PERMIT 8,, / . 25 / , 5,0 Date: Applicant: • S M I P%NUN-RES • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedaralore: PLAN ❑ I have and MI maintaina certificate on, cate of consent to self-insure for via/hers' as provided for by Section 3700 a the Labor ISSUE FEE Code,for the performerse age work for which this permit is Nand. TOTALING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL 7 . 75 . 00 TOTAL. > 8i. .5 U . U . a / . /5 87 , 75 have rw h maintain worsen'compensation woke i'compensation as isur by Section 3700 a the numb rade.for the performance a the . U U work for which this permit n issued.My workers' insurance carrier and policy number are: Caine.: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; -. 87. 75 OVER/SHORT : ,00 Policy Number: 7A5-TINT T000744 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP%TOT GRADING PLAN-[_HECK (This section need not be completed it the permit is for one hundred dollars(stool or less.) 87 . 25 . 50 ❑ !candy that in the performance of the work for which the permit o Sued,I shall not employ any person in any manner so as ho , subjedtothelaemofC....';viagatetlndNIsh•uldbecane°WS. tothewakeniiiiiiiiiiiti -knp ovisiwreaSection3700oftheLabor;....Ishallton ' ,mmpywith,it_iy_y • I N D [ V' I DU A L F E E B K E A K D O i4 N ctureroascanwothoummpsruatlonmverepI *Sinn cont enemloyerroedmrnspovida fand T YPE u1 Y D G S L H 1 Y 1 1 V IV UNI1 CV.T TOTAL I_VS• I fines up ro ons hundred thousand dollars ft10000A Inthe cost compensation,damages as provided for In Seeds 37016 of the Labor Code,Smut,and attorneys fees. SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 • 3, 200 ,00 - CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there o a construction lending agency br the END OF FEES performance of the work for which the panel le issued(Section 3097,Civ,C). LENDER'S NAME . LENDER'S ADDRESS: I certify that I have read the application and state that the above information le correct.I agree to comply with an ply and county ordinances and state laws relating to buldig construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. _-..._-_-_ JENNItft HAUSER - 11-14-1997/02:37 Pti/580,75 • (77)./wkCPTH:01 001472 / Pit „yy y� _ _ _ - _ - - Date: FERMI T :0857gg S urs Owner tint/ pph o or - — (515146.WP) White-Building&Safety:Greer-Ate:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor --_—�-�--- CONSTRUCTION AND PLANNING _ - POOL & SPA I > Date Inspector , - Date InsPector APPROVALS •Permit # - - APPROVALS Permit # 1. Temporary Electrical Service orPole 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 COVE R-GUNITE 7. Footings 158. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test; " 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap 0 Undrgfnd. ' 10. Structural Floor System .- 4 - 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final ; ly 1 12. Sewer Cap 63. Heater & Vent-Final ' r, I 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 t• ' 17. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL' 19. Rough Heating & Air Conditioning l FIRE-DEPT:REQUIREMENT 20. .Rough Factory Fireplace - • - - • APPROVALS Permit # r • " 21. Ducts,in-Stracture . - - -- • - 70. Underground Hydro 22..Ducts, Ventilating . - - - • - 71. Product Piping O.Gas D Oil 23. 'Gas Pipe-.Rough&;Test 24. Roof Framing _ + - 72: Underground Flush •›. I • 73. Undergrnd.StdrayeTank 0 Gas 0 Oil 25. Roof Sheathing -` l *--IIT Qu40e- 74. Overhead Hydro 26. T-Bar'. Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing' . 76. Dry Standpipe - , : • _ 28. Lathing& Siding -• -. - ;i774. FIXED-SYSTEM FINAL - 29. Insulation i 'v 76. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown.Coat ' - ' i. 79. FINAL INSPECTION t , ,. I. 32. Electrical Power Meter-Final , • 80: FOOD CERTIFICATE ISSUED 33. Final Electric - i . _ - Notes: - i. 34. Final Heating& Air Conditioning . J It I 35. Final Gas Pipe-Test T ;, 7 36. Hood or Canopy • f I • 37. Final Factory Fireplace • - Ij 38. Final-Plumbing 39. Water Service-Final + i. - _40. Gas Service-Final - - I 41. Solar Domestic-Final 42. Backflow Preventer - V - • 43. Backflow Irrigation - i 44. Landscape lrrigationSystem" - _ - - ' 45. Sound Attenuation ., • - j . 46. Handicap'Regulations - / ' 47. FINAL STRUCTURE & BUILDING 12mir- 48. FINAL PLANNING' .1 - 49. Electric Release to EdisonI 1 50. Gas Release to Southern California Gas Co _ C,� : I 51. CERTIFICATE OF OCCUPANCY I No. Date Applicant to fill in all spaces within heavy border lines and.sign all appropriate declarations. .CITY OF COSTA MESA YI PE V..NO. /S- • • - TRACT NO. LOT' •BLDG.NO: '- • - '- - - . ' -CONSTRUCTION PERMIT SC c76/3 ,/ `Yy �� 11) Project Address • 1109 San i n. �j�.}JB- ,�11I pOE OF ON�STR C N a' 10 Owner • Robt. Sturtenz arr�ohe.- ,--52 '_ ]"NEW ❑ ADD ❑ ALTERATION ' • V - - 61IO { 8%16/82 130.80 TL Address - -- - -- •' -U REPAIR 0 CONVERSION ❑DEMOLISH _ _ _ I Arch/Eng.' License No. 0 OTHER ( ZONING REGU LATIO S , __ -• _ _ _ q SC RIPTION OF WO KQ.. I- `^'U'nt t9� ' A"P'55 .42 Z �' ' Contractor- DaTi113 Const Ph0 27'- /�l Pdu- all_ u ac 'on1111t/.- ' ZONE a z PLNG. REF.t TYPEOF PERMIT BUILD' GTp BUILDING - - p SETBACK C/L ST. PROPERTY LINE • - Addres5 _ _ 35 /O- Long Be ach- Blvd. - ❑ GRADING 'O FOUNDATION ❑ STRUCTURAL - SIOE,I YARD - - ' LEF LICENSED CONTRACTOR DECLARATION- - -- - - 0 TENANT 0 ELECTRICAL BPLUMBING DMECHANICA SIDE YARD - - /�^ . I hereby affirm that I am licensed under pro shoos of Charter 9(corn- . • RIGHT �5 mencing with' section' 7000) of,Di on : .f the. B siness and ❑OTHER -- - - - Professions Code, and my license In fui force :nd effect. REAR YARD(TO P/L) f- -B - -- ^. •� --PROJECT DESCRIPTION _ ' License Class - pre �� PKG.SPACE REQ. ROVIDED ,, - Date R/1 A • /Raignature ' . • . SQ.FT: " - T - •WORKERS'COMPENSATION DECLARATION - - s --- - OCCUPANCY'�� CONSTRUCTION TYPE T STREET WIDTN 11 • PARK FEE$ I I hereby affirm that I have a certificate of consent to self-y$e or a O ZONING APPROVED BV/A /'// �" DATE �j gZ certificate of Workers' Compensation-Insurance, or a cert •'copy •VALUATION/ �f�nF20NE _ n Jy ,-�'- �{Jd .eof(Section 3800, Lab.C.). _ GRADING CU.YDS. ACRES SPECIAL CONDITIONS: `a No. 1:Tr:5-1-01 Company�5o S t _"^18r- Tns' • . .. ._ -. _ r `ertified•copy is hereby furnished. - - - ' ' REMARKS: tified copy is filed with the city Building Division. 'L//c7`L.46,...4N t L�G�i([f9-� . (E PTION FROM WORKERS' COMPENSATION DECLARATION {�IZV%(��/�-(�- ' Rip? IR - - . 7 (This section need not be completed if the permit is for one hundred. ( _ _ _ - - - _ . ($100) or less). I.certify that In the performance of_the work for which this.permit is issued, I shall not employ any person in any manner so as to:become PLUMBING. • PLAN CHECK - - ELECTRICAL PLAN CHECK - subject to the Workers Compensation Laws of California. - - . UW GLLING - LAPALE - I Date Signature BATHTUBS SHOWERS SQ FT Sp T - - ' ' NOTICE: If after making this declaration, you should become subject TOILETS E URINALS -- GENERATOR 0-1 KW -10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS 'APPLIANCE 10-50 KW 50+ KW ' -' a 5Th revoked. - -.• - - - - _ _ _ CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS • MOTORS 0-1 HP 1-10 HP • - - - ' ' I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS - ' SUMPS r- - (INC.SOLAR) * 10-50 HP 0+HP _ - formance of the work for which this permit Is issued (Section 3097 •- `" �� Civ. C.). FLOOR SINKS 'FLOOR DRAINS - r FIXTURES OUTLET SWITCHES ' / Lender's Name • - - - - r I f Lender's Address • - DRINKING FOUNTAINS ' GAS'TUBE SIGNS - - - - OWNER BUILDER DECLARATION- *. _ ... . - . . . .,.. - INTERCEPTORS . ' •CLARIFIRS • -'POLE LIGHTS - - - '- I hereby'affirm that I am exempt from.the Contractor's License'Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP - LUNS I Hut.I Iuel -. - Any city or county which requires a permit to construct, alter, POLES METERED •SUB _ improve, demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE • ALTERATION PANELS MAIN - • 'SUB quires the applicant for such permit to file a signed statement that he • (Chapter pursuant to the • .Contractor's - - Section ]000) of Division 3 of the • - , • �{I,��..`,.Is MP _ .�---wz- 'less and'Professions Code)'or that he'is exempt therefrom and the' WATER HEATERS BTU-OUTPUT - .T-nyw - - �-yA1 for the alleged exemption. Any violation of Section 7031.5 by •• - ria-o' applicant for a permit' subjects the applicant to'e civil penalty SEWER CONNECTIONS- ' - - O .mt more than five hundred dollars ($500). • - 0 I, as owner of the property, or my employees with wages as their ' SOLAR TANK - COLLECTORS ' , sole-compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - • ISS • ace // Contractor's License Law does not apply to an owner of a property - App P VED BV� OgT diff who builds or improves thereon, and who does such work himself or ISSUE FEE through his own employees, provided that such improvements are not Intended or offered for sale:If, however, the building or improvement MECHANICAL PLAN CHECK i\^ U MARY OF FEES _ is sold within one year of completion, the owner will.have the burden ;BUIL R �(' --� of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-1.00,000 BTU PERMIT K $ � 'SMTP • $_ f ❑ I, 'as owner of the property, am exclusively contracting with AND DUCTING • - licensed contractors to construct the.project (Section 7044, Business 100,000+ BTU -PLAN CHECK $ - 7a., PERMIT - and Professions Code: The Contractor's License Law does not apply to -- � - - ISSUANCE $_ - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ 0. tracts from such projects with a contractor(s) licesned pursuant to' SYSTEM ' ' ' - - - - - GRADING- $ ' the Contractor's License Law). 100,000 +BTU PLAN CHECK 4 ' - • - v 1 ❑ I am exempt under Section • 'B.& P.C.for this e BOILERS BTU ELECTRICAL $ • reason ' - ' - ' -' • MICROFILM_$ Date - - Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ --- MECHANICAL _$ ' -TOTAILFEE$ hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • ' 'i LESS AD- • information is orrec I agree to comply with all city and county • PLAN CHECK '$- - 'VANCE PC $__ ordinances and tel..) s relating o construction,and hereb authorize, representatives �•,' th�- ity to enter upon the abo menu d — • property.for _pectin •. pcf _ --s �]J///�A/�/�J^ Signature s -"I� - - ISSUE FEE - - - - - - - - .- - - - - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING -\\ POOL&SPA -• , Date. Inspector: -. ' Date Inspector APPROVALS Permit# - • .APPROVALS ' .Permit,# • 1. Temporary Electrical Service or Pole `" % 43. Pool & Equipment Location ' __ 2. Soil Pipe-Undrgrn • - 44. Steel Reinforcement - - • 1 3. Electrical Conduit,Utility-Undrgrn - • 45. Forms . - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . . 5. Steel Reinforce . 47. Rough Plumbing & Pressure Test • - . 6. Electrical UFER Grn . • 48. APPROVAL TO COVER-GUNITE - ' • 7. Footings _. - 49. Electrical Conduit-Undrgrn ' 8. Foundation r 50. Gas Pipe, ❑Undrgrn,Test. 9. Water Pipe-Undrgrn : - 51. Backwash Lines, P-Trap. ❑Undrgrn - • 10. Structural Floor System - 1 52. APPROVAL TO DECK' - ' 11. Property Sewer Line & House Connection -,53.- Backwash & Receptor-Final 12. Street Sewer Connection54. Heater& Vent-Final 13. Rough Plumbing • 55: Plumbing Svstem -Final ' • 14. Rough Electric-Conduit - - - - - 556.. Eledtfical-Final 15. Rough Electric-Wiring -. -. -14--0 3_ 'y- .- 57.'-.Solar System-Final ' 16. Rough Heating-& Air Conditioning - - _ 58. Fencing & Access,Approval - • 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating _. 19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL . - , - 20. Roof Framing - 21. Roof Sheathing �hA Inyfi�2 _ (r( 1 � � „y � �� ' 22. Frame and Flashing 9--z gZ NOTES: f� i • 23. Insulation • - - K r5k POa1�(µ tit, +;� 8-15-8,2-- 24. Lathing & Siding - c kali - cat- 4 tad a N. 1 c tg',.�) 2„ 25. Drywall Nailing 9 2o-P Z 1/9aat fro(- re....di pa, r-1c2- re- tao.-.on/ /)--0 9/6$z--- 26. Plaster Brown Coat - _ _ 27. Electrical Power Meter-Final - , . 28. -.Final Electric - Ip -7-` a_ ' C-e_ - ' 29:- -Final Heating& Air Conditioning • _ - '- ' . 30. Final Gas Pipe-Test , , - . - � , 31,. Final Plumbing - , - 32.,,. Water Service;Final . . 33: •Gas Service-Final - .. - • . ' .. .34. Solar Domestic-Final - - `351-' 'Landscape Sprinkling System. • 36. Sound Attenuation - . 37. Handicap Regulations • 38. FINAL STRUCTURE & BUILDING' _ ' 39. Special Requirements Completed- - - - . ' - ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - r , • 42. • CERTIFICATE OF OCCUPANCY - - \.-" �NoM Date - - , 'a City of Costa Mesa Pla i Department • Post Office Box 1200 77 Fair Drive gut�j Costa Mesa,California 92626 (714) 556-5245 • REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. 938/ Date gr/4477 Lot No. Address //U % S.s nctei /,cne Cos r r7 /77,es • • The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she, they) P�``- (was or were) G[Jn- advised that this tract has . not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. • The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIVED CITY OF COSTA MESA 11111111111.,e-, -r AUG 1 8 1977 11 I lilt PM � 76i91t01ll1121112131415 6 By ./ ,� �•�®� Devel er and/or mroriz•: • . Representative CI-cc-4z CMF 0569-26 / U 1\/l OWNER PROPERTIES WEST, INC. DATE 10-14-76 JOB ADDRESS 1109, 1110 Sandi Lane BUILDING PERMIT NO. 40624 `O GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Duplex w/3 Gars . _ "0 AP No. 115-031-17 LOT TRACT FIRE ZONE VALUE 351,000.00 �y'^INSPECTIONS Signature Date TYPE V GROUP I & .1 ZONE PDR-HID L 7-45sol ?S /L AS 71• SUBCONTRACTOR • PESMITS ISS4ED 4 GAS a' Date I Number Signature WATER u C. f2 /i', ki..Z 7 7 -lambing • . AROUGH PLUMBING 2- 4 ./9.77, / QE, /D• - � • 7 k1PROP. SWR. LINE ❑ HOUSE CON. 1111P. f II II ' r • , /7- '- Sri I SPRINKLING SYSTEM 71tr - i'!W'71.� 74. - .7 L2-qq MISCELLANEOUS / ROUGH HEATING AND AIR CONDITIONING .A TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WINING /-J NOQtNIna and Vent. .TRENCHES FORMS STEEL REINF. •• . et:,; ,3-2.1^77 ./. 69',‘,1 21/ FLOOR SYSTEM .. C _ gAs /./2 .7.7, !' /A 'J`=Y^J-J /.j 7// BOND BEAM n STEEL REINFORCE t l Tse SHEATHING �. G -•J t p P FRAME AND FLASHING rlv c i,L- . LATHING - IN D OUT I J \NSVaV � TA! 7J - PLASTER. BROWN COAT STRUCTURAL. FINAL T i Fler/1i g HEATING, VENT., REFRIG. AND A.C., FINAL /(. .S Ver. 7" ., I, . = . ',Jr"e( ✓_8-77 t�1/n3� PLUMBING, FINAL AND GAS TEST Rf €71 • ' S /V�// t- ELECTRIC, FINAL .arKJOL -- 1 BUILDING, FINAL 4#71* O-4' . 7 / It. 4n624 FA-e , ***:r9 EP 30 5crr0�1 88' 9.07 • A COSTA MESA BUILDING-SAFETY DEPARTMENT IL:- •P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 1 APP .C• TION FOR STRUCTURAL PERMIT For Applicant to Fill in i ii 'let-.y —U • k 0• y ., �� irdit DATE ISSUED BUILDIN illr ADDRESSrfr i' , . _. ��z ' , _ -- - - . . _ r 15-031— t7 PE R1�M �!J 4 OWNER A //�A�2>- A.P. NO. in/ 4! (] '/// Lv / BUILDING �� MAIL 161 /�Ar��.. : r fa • ADDRESe : �i- . IW ' • TADDRESS�� a1 ��,.��Q/j SW• p / Q b�+\ NO. //L TRACTt 5S3 LOT IO BLOCK CITY /-/J.',y—s-i( NO. • CONSTRUCTION Iy EW ADD ALTER REPAIR MOVING DEMOI ISH LENDER C BRANCH J OWNER / /no : le-,.:, ■(tr _ IJ r CIll ADDRESS 11,"Ted `fi„1 z�VALUE rr�,._..)'; - ARCHITECT !I��//�/��/�////gy�pp_� �� TEL./'j� a U I -I /./ MI-C-- $iy/• If 1,Z) OR ENGINEER I�/Fr' Awe— NO.•H i6J�r/�L f) ,(�'/1 FIRE ADDRESS - ZONE 1 TYPE i GROUP�I CONTRACTOR get' 7Gµ(r�'�1 APPROVED ' DATE IIID'11.44 ADDRESS V ZONE NO.OF USE OF N6>� TEL. F Vn MI PLANS C— BUILDING w( *ar GA� CITY NO.EFV[�1'IY F STATE CITY YARDS APPROVED YARDS APPROVED gLIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE 72 /� /� NO.OF BLOCS. (FROM/C( TREET) IL OF LOT CC, NOW ON LOT FRONYf FT.� ml� • FT. a USE OF .2CI y • / / EXISTING BLDG. R.SIDE FT. Y/f1__ `�YR?_/n` (�/'/� f/./0 / C .. . HSeparate permits are required for L.SIDE//�nl/_'D•'7SFT. FT. L1 electric,plumbing and heating work. REAy{q ,4 FT.pe.y• FT. W •USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& xte0Q �? MAIN BLDGS. ^7 ��J ACCESS. BLDGS. DATE Q ` ( p C URP.#tL`c 7 (nJ OPPPPROVED IQ --7-7s / / APPROVED /'& /�/ OATF /O -7,2-S a • TOLD FOR SPE,°`Ia1I pF[�Ittnre . • 4 . ._. --- ..�.•s.t-$s. e1 Q 1 hereby acknowledge that I have read this application and state I n CC that the above Information is correct and agree to comply with A. all laws regulating building construction, and I shall not employ w Z any person in violation of the workman's compensation laws of ..//�� / v bi the State of California. j,� //j ;i/' ,/� (/ vl m I hereby certify that I am properly licensed as a contractor under 7/%/�//'% SD. FT. I/�/ 7 • �"�i �7 N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR toD 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 th+ isions of he State of California'Business to PERMIT FEE $ VALUATION a and Professions Code •s ion 3, -• er 9. n of / yPLAN CHECK $ Signature �c 5�1 o Permittet.�� $ 1/ �sr TAX $ . 5 7 2U Authorized Agent .. TOTAL PAID $ % 47 ,07 • 06 9 4- J ` COSTA MESA BJJILDING-SAFETY DEPARTMENT • P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ' PP C ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only i+ - G /p/ J R•C� j) -V DATE RECEIVED- DATE ISSUED ADDRESS /'O 9 iTl Ad( L N 'A.P.NO. .. th/^�/n� ///�II PERMIT NO. OWNERMAIL • ♦ /p' Nest ��/� BUILDING/�OQ/ -/// - *� Z.Al DI'T/ f/1 f/y ADDRESS 1 ADDRESS TEL. CITY NO. TRACT LOT BLOCK CONSTRUCTION `NEW ADD ALTER REPAIR MOVING DEMOI ISH LENDER X BRANCH ��,y� B ,1 OWNER p�jt[, LUGC3r litC i ADDRESS ARCHITECT TEL. USE �C.` /T((�$ OR ENGINEER NO. FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE • ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING F STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. - MAIN BUILDING ACCESSORY BUILDING W SIZE I NO.OFBLDGS. (FROM C/L STREET) On OF LOT NOW ON LOT FRONT FT. FT. Q USE OF cn EXISTING BLDG. R.SIDE Ft _. FT. Cr) E Separate permits are required for L.SIDE FT. FT. im electric,plumbing and heating work. REAR FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET. MAIN& GI Q MAIN BLDGS. ACCESS.BLOCS. Q VAR.# DATE C.V.P.# APPROVED APPROVED >1 - __B_Y , DATE ..l • 0 I hereby acknowledge that I have read this application and state n CL that the above information is correct and agree to comply with n G all laws regulating building construction, and I shall not employ m $ Z any person In violation of the workman's compensation laws of e Wthe State of California. - I hereby certify that I am properly licensed as a contractor under SQ. FT. ni the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m_ 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 iO VALUATION PERMIT FEE $ n and Professions Code, Division 3,Chapter 9. /7/ ina 'V PLAN CHECK $ m rpt Signature of . e Permittee $ TAX $ u. • ` Authorized Agent TOTAL PAID $ /q/