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Home My WebLink About1115 SANDI LN - Building Permits ADDRESS OhBMlOWG 1115 SANDI LN GMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME 6'}iuvm: BERNAL FRANK J - PERM NO: B 086074 • ADDREss: 1115 SANDI LN COSTA MESA, CA 92627 PERMIT NO: B • 086074 PLAN CHECK NO: • N GOVT: N SUPP: N APPL.MAILBM ADO"Ess CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: 0TH ARCHITECT OR MOWER: UC.NO.: JOB DESCRIPTION : T/O, RE—ROOF WITH 30 YR COMP SQ FT: 1 , 500 )' ARCH.OR ENG.'S ADDRESS: • ' UM: I CLAIM VALUE: 1 , 500 , 00 CALC—VALUE: 1 , 500 . 00 GROUP OCC: R-3 / cotnAcT rsNAME J D JONES ROOF CRAFTER ( 714 ) 826-4827 • CONTRACTORS MAILING 100 HIDDEN ACRES LN - COMMENTS: TEAR—OFF/RE—COVER WITH 30 YEAR' COMP/NO SHTG ADDRESS:N EWC AS TL E CA it'NO.) 435996 ***+ rit*stst*iEst********sE*sE** ****aEaEeEltstsESESEAt*sE?'E***sEaE*sE*sE*aE*it**AE+EiE'sE**SE'*** '**SEitaE*#iE*** • 95658 uMT: Z 0 N I 'N G REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 S ,E T B A C K S (commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITY uC.NO.:02)9223 LIC.CLASS: C 4 A1996 EXP: 09 /98 MAIN BUILDING ACCESSORY BUILDING "/ �/97 serosa FRNT: FT IN REAR:: FT IN FRNT: FT IN REAR; FT IN —7 LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN ER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the • 'Mowng reason(Section 7031.5 Business and Professions Crede:Any city a county which requires a permit to construct,ager,improve, PARKING REQ: PRO V: PARCEL: 42204217 Z N E: REF NO: nollsh,or repair any structure.prior to is issuance,also requires the applicant for such permit to file a signed statement That he or she ioensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the PLANNING NOTES>,. usiness 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 fori apermsubjects the applicant toe dwlpenalypool).ofnot more than five hundred dollars 00J). **************.*'**************************'k******* E'1F *******************1 ********* o I.as owner of the property or myemplyeeswihwagesastheirsolecompensation,willdothework.andthestructureisnotintendnd D E V E%1 O P M E N T S E R V I C E S R E orofered for sale(Sdion 7044.Business and ProLeann Law The Contractors LeanLaw does not appyto an owner o propend Q U I R E M E N T .S who buids or improves thereon.and who does sod)work himself a herself or through his or her own employees.provided that such %' „:y, improvements areml intended oroffered for sale.If.however,the building or improvement is sold within one year d completion.the ZONING APPROVED' BY • DATE: -" owner-builder will have the burden of proving he or she did not or ryof sale).buildimprove for Lha Wose ' ❑ Prrddmaiona wner Code:Thproperly. e Contractors l eldvi dusively �wntapp wain tosmeerrw ooppei°wiw a(Section r �ihere�n dawand in.o BUILDING APPROVED BY : DATE: ' contracts forsuch prc acts with a contrador(s)licensed pursuant to the Contractors License Law). 41 'l"� ❑ lamexempt under Secton: B.AP.a,for this reason: APPLICATION ISSUED BY: �� DATE: i ^ Date: Owner gqi la****************************************** ** *lE**************** r W** I do hereby certify that l aur aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and LEGALIZATION A- F E E SUMMARY S TR U C TUH'AI, S EGM$N T: Y 25534.andthat I or any future building occupant will/wit not(circle one)need to comply with said state codes and the requirements for / occupant a permit l«mmtruction ormodification from the kr uallyiy aragemeM District Residential construction app5mticreare exempt these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP'/RES GRADING provisions. PERMIT 48 . 50 • . 50 , Dale: Applicant: SMIP/NON—RES . WORKERS COMPENSATION DECLARATION:I hereby affirm under penaltyo the a perjury one foliodw wing doro: PLAN ❑ I have and wit maintaina cerfkate of consent to self-insure for workers' compensation,asprovided for by Sectiono 3700 the Labor ISSUE FEE , Crede,for the pedormanceothe work for which this pemiisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE n Ihave and will m.intenwarkers'compensatoninsurance,asequiredbySecion3703o*wLaboCode for the p.dormanceothe TOTALS----> 49 . 00 0 . 00 0 . 00 49 . 00 49 . 00 . 00 )� work for which this permit is issued.My workers'compensation insurance canter and policy number are:Carver: STATP FUNn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 49 . 00 OVER/SHORT: ,00 Policy Number: ?FS-2A1 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be completed I the pane/is for ens hundred dollars/Stool of kaa.) 48 . 50 . 50 ❑ I certify that in the pedomwnce d IM work for which this pink is issued,I shall ret employ any person in any manner so as to . become cubed to the wwkee'compensation laws of California, and agree that lf I should become subject to the workera' **************************************************************************il co ion cit ions d Section 3700 of the Labor e. a o with m with those provisions. INDIVIDUAL F E E BREAKDOWN Failure toseeud workeranddolnsa(ors coverage Is unlawful,End shall subject an employer to criminal penaltiesarW TYPE QTY • D E S C R I P T I O N UNIT COST TOTAL COST nos rpt to one hundred thousand dollars(}100.0001 M addition to:he cost of compensation,damages u;Welded for In don37wohmaaborcoee,lmeeacandaromayalees. SFR 1500 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 50 0 .00 CONSTRUCTION LENDING fAGENCY:p r hereby affirm ender 7of perjury that there is a construction lending agency for the END OF FEES performance of the work for which the perm is issued(Section 3097,Civ.C). LENDERS NAME LENDERS ADDRESS: I certify that I have mad this application end stale that the above information is correct I agree to comply with all city and county ordinances and stale kms relstg tobuilding construction and hereby authorizedd a representatives this city to enter upon the above-mentioed property for inspection purposes. PHILLIP HAUSER 12 •08 1997/81:35 Gtr/bS3,E8 �e Print Name L/a/ '7 PERMITe086fi74 .�Y I o � Date r Si!alum of Owner/ .ntrdo (5151-46.WP) While-Building 8 -lay:Green-Ale;Canary-Appicant:Pink-Revenue;Goldenrod-Assessor Inir sig • ("CONSTRUCTION AND PLANNING . - - ' POO_ .4 SPA • APPROVALS Permit# • Date Inspector APPROVALS Permit # • Date Inspector is 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 Reinforcement56. Rough Ptumbing& Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation .-• - 59. Gas Pipe, 0 Undrgrnd., Test ,i 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 i 15. Rough Electrical-Conduit - • 66. Solar System-Final 16. Rough Electric Wiring • I 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 APPROVALS Permit# r 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing J 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing /r.1/f/f7f^7 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 ' r i : 38. Final Plumbing , 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /2//4/41 / __ -- 48. FINAL PLANNING { . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - • 51. CERTIFICATE OF OCCUPANCY No. Date tv ,. ' - a.A-3 City of Costa Mesa P ng Department Post Office Box 1201, OCT 24 '77 AM 77 Fair Drive �jCosta Mesa, California 92626 [I , d k1 (714) 556-5245 II` 12 n 1 REQUEST FOR OCCUPANCY Io' \i =3 (Single Family Residential or 971 , Condominium Units) 8'-,, _'• c.El.;_teo CITY OF COSTA MESA PiANM Ir... € PARTMENT Tract No. 5/497 Date 77 Lot No. V Address ///t 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)- (was or were) meta 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. Bya-1- 4 yP „'"—)--- urcha G%'/ By )9 74 or Authorize . Representative S. By ear / ' CMF 0569-26