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Home My WebLink About114 BROOKLINE LN - Building PermitsL PROJECT ADDRESS: 114 BROOKLINE LN OWNERS NAME: WEISSMANN CONNIE ADDRESS: 114 BROOKLINE LN COSTA MESA,CA 92626 UNIT: ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P 0 BOX 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: I hereby atlirm that) am licensed under provisions of Chapter 9 (commencing will Section 7000) of Corrosion 3 of the Business and Professions Code. and my license is in fail force and eDect. CITY LIC.: 0,5!/93377 STATE LJC.:40253/ GLASS: C 39 EXP: 10/95 Date: b(2 V' Signature: L WORKERS' COMPENSATION DECLARATION: I hereby atlirm that] have a certificate of consent to sell insure or a certificate of Workers' Compensation IpcOraoEe2pc #5lified copy thereof (Section 3800. Lab. 85/19/95 POLICY NO.: ]7 O 01 7 7 EXP. DATE: COMPANY: AIG �}( ❑ Celihed copy is hereby furnished. 1.'l Certified copy is filed with the city Building Division. Date: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (Thus section need not be completed if the pant is for one hundred (S:W) or less). 1 cenify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner m as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: 11, alter making this declaration, you should became subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shag be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency tot the performance of the work for Which this permit is issued (Section 3097. Gy. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for 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 as issuance. aim requires the applicant for such permit to fee a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapler 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 for a permit subjects the applicant to a chat penalty of riot more than In hundred dollars ($5001. I. as owner of the property or my empployees with wages as their sole compenmlloh, will do the work, and the ❑ structure is not intended or offered for sa@ (Section 7044, Business and Professional Code: The Contractors' Slate License Law does not apply to an owner of a pronely who builds Or improves thereon, and who does such work himsell/herself or through his Or her two employees, provided that such improvements are not intended or offered for said 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 for the purpose of well. I, as owner of the proper% am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property wno builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law),I am aware that proof Of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. lot this reason: Date: Owner: I do hereby cenify that I am aware of and understand the requirements of California Nealm and Safety Code Sections 25505, 25533, and 25534 and that I or any future building Occupant wil0will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Au Ouably Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I nate read this applicaliOn and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to budding construction and hereby auttgrize representatives of this city to enter upon the above-mentioned property for inspection purposes Date: iD Signature: Onver's License or Social Security 1641.46 While—Bukin, Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goccenroo—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069610 PERMIT NO: B 069610 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR 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 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 REQ: PROV: PARCEL; 41916344 ZNE: REF NO: PLANNING NOTES> > rrrreErrrBErr4EaE4E4E4ErrrrrraE*BErrrrrrrrr+E+Errrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr 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 DATE: BUILDING APPROVED BY : DATE: qq APPLICATION ISSUED BY: V a DATE: 'ID rrrrrrrrrrrrrrrrrrrrrr rrrrrrrrrr rr rrrrrrrrrrrrrrrrrrrrrrrrrrrrrirrrrirrrrrrrErErrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrr LEGALIZATION:N F E E S U M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 54,00 ,50 SMIP/NON—RES 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 r4EBE+E+EreEeer4Errrrrrrr4Er4E+Ereerr4Errrrr+EBEr+Ereerrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr 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 UNIT COST TOTAL COST SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,508,00 END OF FEES 01 00170704-00170705 TOT 54.501 DATE: 10/28/94 TIME: 13:33 ,or.: CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL o SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location i. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-ilAndrgrnd. 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. - B. Foundation 59. Gas Pipe, O Undrgrnd., Test 8, Water P,pe•Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK 11. Property Severer 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 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval i 17. Rough Wiring r5ign 68. APPROVED FOR PLASTERING ! 18. Rough Electrical -T Bar Ceding 69, POOL/SPA SYSTEMS FINAL ! 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS ' Permit # 20.. Rough Factory Fireplace - 21. Clucis, in StrtictuFe„ - - t70. Underground Hydro 22. Ducts, Ventilating - 71. Product Plping CG'as ❑Oil 23. Gas Pipe -Rough & Test -. - 72. Underground Flush , 24. Roof Framing - 73. Undergrnd. Storage Tank C Gas ❑ Oil 25. Roof Sheathing__z_ 61, 74, Overhead Hydro. 26. T -Bar Ceiling (Structural) & Monocoat - :,� 75: Dry Chemical 4 27. Frame and Flashirig _ 76. Dry Standpipe 28. Lathing & Siding. - - 77: FIXED SYSTEM FINAL 29. Insulation ' 76. FIRE PREV. FINAL 30. Drywall Nailing - I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power %later 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 ' -41. Solar Domestic -Final - •• -' - - 42. Backflow Preventers 43. Backflow Irrigation - 44. Landscape Irrigation System •' 45. Sound Attenuation 46. Handicap. Regulations - 47..FINALSTRUCTURE&BUILDING p�'•--%_ �WLC _ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No, Date GENERAL CONTRACTOR sable VALUE $ 13,097.00 AP No. LOT 7 TRACT SlbO FIRE ZONE DESCRIPTION OF WORK res INSPECTIONS signature DATE GROUP MJ TYPE V ZONE R SoilPERMITS Gas _ SUBCONTRACTOR ISSUED NUMBER DATE Water y < _ Rough Ccfm. Re rig. El Air Cond. O Rough Heating - i0 Rough Plumbing ' b .3 Miscellaneous Prop. Swr. Line O House Con. St. Swr. ❑� DEC�,ec�4 0 6 O Sprinkling System ` Construction Pole Underground p Power p / Rough Wiring Trenches iO Forms i] Steel Reinf. ❑- Floor System Bond Beam ❑ Steel Reinforce ❑ , Sheathing Frame and Flashing 0_ Lathing — In Out o. i Plaster, brown coat / Refrig. ❑ Air Con..Q Final 1 Heating, Final - S- „ Plumbing Fixtures, Final Final Gas Test - J i Electric Fixtures, Final Building, Final OCCUPANCY I/ ?a R COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 114 Brookline Lane COSTA MESA, CALIFORNIA Mme San Vista Building Co. MAIL ADDRESS 1166 E. 58th Street VAPPROVED cITY Los Angeles 11 Calif. TEL' AD 371 ARCHITECT TEL. OR ENGINEER Raymond Levanas NO OR 370ADDRESS 3432 Via 0 orto a ort BeacCONTRACTOR San Vista Building Co.ADDRESS1166 E. 58th Street CITY Los Angeles 11, California FEE RECEIVED imy 19 1w FINANCE DEPT. APPLGC�TWIA PORTPEKMiT� BUILDING For Office Use Only RECEIPT NO. Y DA 8 RBCHI VEDDATE ISSUED J /9-L JUN 1 1964 ZONING NO. OF- USH OF NH PLANS BUILD Tract 5160 - Lot 7 NOTE: NO SAVE OVERHANO SHALL BE LE S THAN LIC.STATNO. 192782 To - AD 37187 80" TO SIDE @REAR . L. EAVES SIZE 20 X 7O I No. OF BLDGS. 0 ALLOWED (U. B. C. REQUIREMENT. OF LOT NOw ON LOT YARDS APPROVED YARDS APPROVED USEOF MAIN BUILDING ACCESSORY BUILDING ' 6ETBACK LINHv ROM 13 I ov_e vee. ■ DESCRIPTION OF WORK X II ., 1 II --- NG'V Q Y .S ROOF 1 l-IMQ . , 'GTIIG F9 2 e Y USE OF 1 HEREBY ACRNOWLEDDE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT ABOVE I8 CORRECT AND AGREE TO COM. PLY WITH ALL C TY RDINANC88 AND STATS LAWS REGULATING BUILDING CONSTRUCT ON. FEE L' REAR FT. FT. DISTANCE BET. BET. MAIN Q UI MAIN BLD S. ACCESS. SLOGS. j CL VAR.* DATE G3 0, C.U.P.# Y APPROVED (�J L- APPR/rq' a BY DATE G U: D. D.U" /375`80. FT. THE AMOUNT SHO UNDER VALUATION IS FOR THE F O PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O C VALUATION ' N O PERMIT FEE $ 8 LA CHEC IDL FEE