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Home My WebLink About108 BROOKLINE LN - Building PermitsPROJECT ADDRESS: 108 BROOKLINE LN UNIT: OWNER'S NAME: WELCH DON B ADDRESS: 108 BROOKLINE LN COSTA MESA,CA 92626 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P O BOX 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITYLIC.: 059�3�7�7 STATE Lic.:402536, CLASS: C 39 EXP: 10/95 Date: Signature: v _— WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' CompensationI�I rr yuceZ �. j�uretl copy thereof (Section 3800. Lab. 85/19/95 . .5 / 1 9 / 9 5 POLICY NO.: AIG EXP. DATE: COMPANY: ,,��(( El Certified copy is hereby furnished ff Certified copy is filed with the city Building Division, Date: ADPlicanT. P 1�; // �" EXEMPTION FROMW RXERS' COMPENSATION DECLARATION: (This section need not becomplete7 iftheperatisforona hundred(SIOO)or leSS), I certify that in the performance of the work tar which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: It, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Cry. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law fpr the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant lot a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). 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 (Section 7044, Business and Professional Code: The Contractors' State License Law 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 improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve to; the purpose of sale). L as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland 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' Slate License Law). I am aware that proof of ;heir Worker's Compensation insurance should be amended to me. ❑ I am exempt under Section: B. 8 P. C. tar this reason: Date: I do hereby certify that I am aware of 25534 and that I or any luture building permit for construction or modification these provisions. Owner: antl understand the requirements of California Health and Safely Code Sections 25505, 25533, and occupant wilUwill not (circle one) need to comply with said State Lodes and the requirements for a from the Air Quality management District. Residential construction applications are exempt from Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. l agree to comply with all city and county ordinances and state laws relating to building construction and hereby authome leimeseplatives of this City to enter upon the abovemen coned property for inspection purposes. Dale: 1 Of rJIY `C �—( Signature — - Driver's License or [Social Security x: 1641,46 Whey—Building: Green—Cotle Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069614 PERMIT NO: B 069614 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT JOB DESCRIPTION T/O RESTH & REROOF W/COPM & HOT MOP SQ FT: 2,508 CLAIM VALUE: 2,508,00 CALL—VALUE: 2,508,00 GROUP OCC; R-1 / COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED kk*kk**kkkkkkkkkk*kkkk***kkkkk*kkkkkkkkkkkk*kkkkkkkkkkkk**kk*kkkk*kkkkkkkk**kkk Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING RES: PROV; PARCEL: 41916341 ZNE; REF NO: PLANNING N TES> FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 ,50 k ik kik kikk kikkMkik kik ikk ikk ik ik ik ik ik kik ik ik ikkkkkkkkkkkkkkkkkkkkkkkkkkMkkkkkkkkkkkirkkkkkkkkkkkk k k k kkkk k k kk kkkk k kk k kk k k k kk k kk k k kkk k k kkkkk kk kk k k k k kk kk k k k kkkk k kk k k k k kk k k kk k k k k k k D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY APPLICATION ISSUED BY: k kkkkkkkkkkkkkkkkkk kik k'iF"iF'1F k kkkkkkkkkkkkkkkkkkkkkkkkkkk LEGALIZATION:N BLDG PMT PERMIT 54,00 DATE: DATE - S U M M A R Y PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES G ,50 SMIP/NON—RES STRUCTURAL SEGMENT:Y RADING PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54,50 0,00 0,00 54,50 54,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 54,50 OVER/SHOAT; ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 ,50 k ik kik kikk kikkMkik kik ikk ikk ik ik ik ik ik kik ik ik ikkkkkkkkkkkkkkkkkkkkkkkkkkMkkkkkkkkkkkirkkkkkkkkkkkk I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1,00 2,508,00 01 00170710-00170711 TQ_ T 54,5;J DATE: 10/28/94 TI"E: 13:35 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO, a SPA 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 UFER 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, D Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK it. Property Sewer Line & House Connection 62. Backwash & Receptor -Final I 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 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure; 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping D Gas D Oil 23. Gas Pipe -Rough &Zest - 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 3-�p�� fi�tvj�; 74, Overhead Hydro 26. T.Bar Ceiling (Structural) & Monocoat r 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 Meter -Final .80. ,FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - - 35. Final Gag 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 , 43. Backflow Irrigation .. , 44. Landscape Irrigation System 45. Sound Attenuation •t' - 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING 49. Electric Release to Edison - - - 50. Ga5 Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No. Date OWNER SAN VISTA Alfif.nTNC COMPANY DATE 6_1_64 JOB ADDRESS 108 Rrooklin, Tan, BUILDING PERMIT NO, 22165 GENERAL CONTRACTOR same VALUE$ 115_00 AP No, LOT -4 TRACT 510/1 FIRE ZONE DESCRIPTION OF WORK rpm v/att am INSPECTIONS Signature DATE GROUP TR TYPE ZONE V Soil _ _ SUBCONTRACTOR PERMITS ISSUED NUMBER Gas DATE Water ,-X -- Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating -,7 - _ Rough Plumbing Miscellaneous Prop. Swr. Line p House Con. t. Swr. ❑ 61 , . Tr 9 1961 4 0 Sprinkling System Construction Pole Underground ❑ Power I G Rough Wiring ,. Fc rt Trenches'❑ Forms ❑ Steel Reinf. ❑ C Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing a Frame and FI shin o, Lathin — In Out 01 Plaster, brown coat \,AI Refrig. ❑ Air Con.,o Final Heating, Final -5• Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final _ - - Building, Final OCCUPANCY 22 I R_ COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA NNE San Vista Building Co. c,T,. Los Angeles 11, Calif. No'AD 37187 ARCHITECT Ravmond Levanas TEL 37010 e-nNTwsrrnlx San Vista Building CO. , CITY Los Angeles 11, Calif. LSTATE IC. NO. 192782 NQ AD 37187 ' BIZE_- 20 X 70 I NO _OF SLOGS. 0 SETBACK LINE FROM 1', t CENTER OF STREET J REAR YARD BIDEYARDI LEFT 0 IRIGHT 0 DESCRIPTION OF WORK X I ..-.._...1 II ..... WALL U II HEREBY AND NSTATE PLY WTH I BUILD[ NOC SIGNATUF PERMITTE OE THAT I HAVE READ THIS APPLICATION ABOVE IE CORRECT AND AGREE TO COM. DINANCBS AND STATE LAWS REGULATING FEE RECEIVED NAY x a ?w FINANCE (� TDEPT. APPLI�,MOW FORSPER/v1P BUILDING For Office Use Only ZONING ZOry NO.OF US80FN ' PLANS SUI LOINGI I, A LEGAL Tract 5160 - LNNo//t(A4 DBGCRIFTION / -y/ lam/ -3— NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 30" TO SIDE @ REAR P. L- EAVES EAVES ALLOWED <U.B.C.REQUIREMENT YARDS APPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING L.SID '-� FT. FT. ' REAR 0 FT. FT. +` DUTANCE BET. IN BLDGS. BET. MAIN 9 ACCESS. BLDGS. LL D VAR. }i DATE Y L' APPROVED AP F -/5 (� l BY DATE Vv l; v In In 0 �I �-27// SQ. FT. THE AMOUNT SHOW UNDER VALUATION IS FOR THE Ia1 V LL PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 VALUATION n `T �%// PERMITFEE $ !'-� �- D 0 PLANcHrcK 5s O