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Home My WebLink About120 BROOKLINE LN - Building Permits I rOJECT ADDRESS: 120 BROOKLINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069600 - OWNER'S NAME: TAYLOR DOREEN M ADDRESS: 2921 JACARANDA AVE PERMIT NO: B 069600 PLAN CHECK NO; N GOVT; N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT ARCH/BOWER: REG.ND.: JOB DESCRIPTION ; T/O RESTH & REROOF W/COPM & HOT MOP SQ FT; 2, 508 ADDRESS: UNIT: CLAIM VALUE; 2, 508 . 00 CALL—VALUE; 2, 508 , 00 GROUP OCC: R-1 / PERMITTEE: STOUT ROOFING INC ( 310 ) 923-6775 ADDRESS: P 0 BOX 4309 * ****** R**OO* S* * SDE * * ** **A* SD* B*R * ** *** * * R*DDOWNEYCA 90241 * ** ** * r * ** r* rr * * ** rE+ *w * r* * ** ** ** * ********* LICENSED CONTRACTOR DECLARATION: I hereby atlirm that I am licensed under provisions of Chapter 9(commencing with ith Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: SWWTELIC.: 4025 cuss: C 39 EXP : 10/95 Date'.LC -F5fSignature:=^[/ MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate Ol consent to seltinsure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN Compensation I tier died copy thereof(Section 3800.Lab. POLICY NO.: a L�o � EXP.DATE: 05/19/95 COMPANY: AIG �yy PARKING REQ• PROV; PARCEL: 41916347 ZNE; REF NO: ❑ Certified copy is hereby rnished. fl Certified copy is fit d with the city Building Division. PLANNING NOTES> . . > Date. / 1013/dl(� Applicant: ******************************************************************************* DEVELOPMENT SERVICES R E U I R E M E N T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the pant is tar one hundred(511 l)or less). Q I certify that in the perlormance of the work for 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. ZONING APPROVED BY • DATE; Date: Signature: BUILDING APPROVED BY NOTICE:It.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE: I Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: iR - DATE; which this permit is issued(Section 3097,Civ.C). ***************************** i * ********************************************** LENDER: ***************************** + ************************************************ ADDRESS: LEGALIZATION;N E E SUMMARY STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 , 00 • 50 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'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN SMIP/NON—RES and Professions Code)or that rte/he 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 Me hundred dollars($500). ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property w my employees with wages as their sole compensation, will do the work, and the TOTALS----> 54 . 50 0 , 00 0 , 00 54 , 50 54 . 50 • 00 ❑ 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 REVENUE DIVISION TOTALS--> COLLECTED• 54 . 50 OVER/SHORT; 00 improvement is sold within one year of completion.the owner will have the burden 0l proving he/she did not build or improve foror the purpose Off Salle). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 5 4 00 . 50 ❑ and Professions Code: The Contractors'sSlate License Law does not apply to an owner of property who keds or improves thereon ******************************************************************************* and who contracts for such projects with a e License s¢pursuant to the of State License Law). am aware that proof of their Workers Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 508 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification Irom the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above.mentioned properly tor inspection purposes. p 01 00170700-00170701 TOT 54.50 Date' P"gc1� Signawre: DATE: 10/23/94 TIME; 13:32 Driver's License of Social Security.: 164146 white—Bo:ing;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor +�-C&NSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector 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 i t 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE . - 7. Footings - 58. Electrical Conduit•Undrgrnd. 8. Foundation - - 59. Gas Pipe, 0 Undrgrrd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 7'. Urdrgrnd. I 10. Structural Floor System 61. APPROVAL TO DECK j 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fowl 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 I 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.•-Rough Factory Fireplace - r r ;APPROVALS • Permit# 21. Ducts,in Structtire ' , �: , . . -'70. Undergiotmc( Hydro 22. Ducts, Ventilating ' . 71. Product Pipng DI Gas 0 Oil 23. Gas Pipe-Rough & Test `„ - - 72. Underground Flush ' • 1 . 24. Hoof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 7 70-?f 644.4 . ' 74.1Overhead Hydro 26. T-Bar Ceiling (Structural) &'Monocoat 75;'Dry Chemical i 27. Frame and Flashing ' t 76. Dry Standpipe . ' 28. Lathing& Siding - • • 77. FIXED SYSTEM FINAL , 29. Insulation78. FIRE PREV. FINAL 30. Drywall Nailing I ( HEALTH.OEPT. REQUIREMENT 31. Plaster Brown Coat , , I 79. FINAL INSPECTION 32. Electrical Power Meter-Final •80. r 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 Plumping .. 39. Water Service-Final " 40. Gas Service-Final _ • 41. Solar Domestic-Final - ' r 42. Backflow Preventer 43. Backflow Irrigation • 44. Landscape Irrigation System. : 45. Sound Attenuation • -- , ,. , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING t9�7�qs I (e 48. FINAL PLANNING . • V 1 49. Electric Release to Edison . - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY I No. Date OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64 JOB ADDRESS 120 Brookline Lane BUILDING PERMIT NO. 22171 GENERAL CONTRACTOR same VALUE $ 15,715.00 AP No. LOT 10 TRACT 5 6� 0 FIRE ZONE DESCRIPTION OF WORK res Watt gar INSPECTIONS Signature DAT GROUP I&J TYPE V ZONE RI Soil PERMITS ISSUED Gas c SUBCONTRACTOR DATE NUMBER WaterGt�y�v��7 Rough Com -O Air Cond. 0 Rough Heating Van�'h1 ,(� + . f d/o-Gc,L .�Z//3Rough Plumbing - , �� %-/-e$/ a 3 a 6, Miscellaneous 4 U f, �,• Prop. Swr. Line 0 House Con.�3'St. Swr. o j-a, ,4* 5...i_ en,.-.`_ DEC 9 1963 Sprinkling System ✓ %, / `_, A' Construction Pole as Underground 0 Power 0 // // 4 4 Rough Wiring 6% S q5(7/441 rr o c'7'/7C'fiee- t,.eI. 1 - 4 .1�.��5 — Trenches 0 Forms 0 Steel Reinf. 0 ✓/�j c / 1/ S4 Floor System , n /} -6''/}C ct, Bond Beam ❑ Steel Reinforce 0 Sheathing rt 55 �� Frame and Flashing,-- Lathing— In Out t_ r S! Plaster, brown coat (\ .A 1 Refrig. 0 Air Con. .0 Final • Heating, Final 'r -$-G r Plumbing Fixtures, Final I - --6 q Final Gas Test /7,57,- .a., r// r/ �j9 Electric Fixtures, Final � - - Building, Final %' 1/- - r (--- , OCCUPANCY Form BIM—OM—s-63-9-B P W.) POR SPFriAI Dtn.TTnr....._....... 22171 FEE RECEIVED an . SW COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA,CALIFORNIA �7FIINnIAFFNCE��QTTD��EPMMT..��pp \ For Applicant to Fill In Completely APRtCA3 .P fUR m TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 120 Brookline Lane RECEIPT NO. COSTA MESA. CALIFORNIA 22�+"'� 1 !7 RECEI EY DAT REFE/VSD DATE ISSUED OWNER San Vista Building Co. --/Y— `/ JUN 1 MA BUIL INCMAIL / ADDRESS 1166 E. 58th Street ADDRESS FIRE �T�s Cin Los Angeles 11, Calif.Nj•AD 37187 ZONE TYPE ,/ CITY GROUP 4 S ARCHITECT Raymond Levanas TEL. APPROVED y OR 37010 BY DATE A OR ENGINEER NO. /sl ADDRESS 3432 Via Oporto, Newport Bench EON NO.OFF ZONING LISS $ / PLANS — I ell .. NO , , ENI =r CONTRACTOR S-in Vista Bnil.din3 C11. LEGAL DESCRIPTION Tract 51 .0 Lot ADDRESS 11._66 R 511th Street A.P.NO. '[4' --- :3 Y ` ' CITY Los Angeles 11, California NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SC. TATED. 192782 TET-NO. AD 37187 30'TO SIDE&REAR P.L ,y EAVES OSIZE LOT 20 X 70 I NNO.OW rOLOT 0 ALLOWED (U.B.C.REQUIREMENT)ks YARDS APPROVED YARDS APPROVED (I(( USE OF MAIN BUILDING ACCESSORY BUILDING°,, EXISTING BLDG. None (FROM C/L§TREET) SETBACK LINE FROM FRONT 5 FT. FT. C/ CENTER OP STREET 13REAR YARD SIDE YARD LEFT 0 I RIGHT 0 R.SIGH �F7. FT. I DESCRIPTION OF WORK L.SIDE 0 FT. FT. 2— ` z NEW 7j ALTERATION ADDITION I REAR FT. FT. W DISTANCE BET. BET.MAIN& 12.1 REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. e4 BUILDING q NO O d Y D VAR.# [ ,` DATE C-L/CA7 a SIZE of O X34 ROOMS STORIES 2 C.U. .# • ' f 7 -7 APPROVED / ( –CLIC TLU Z/ EXTERIOR WALL I ROOF Shingle BY Y l . VAALA- .n DATE -.1 •.1 7 `( 4t Stucco RI' Ir COVERING COVERING g BY J USE OF BUILDING AND WORK TO BE PERFORMED Re RI(Ip T1ra�f.c/JC'Aj/ort vc "� / tic J� t iAV 5 ,,1{ '/ O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE f ANO STATETH� g ABOVE IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL(CITY RDINANCES ANO STATE LAWS REGULATING VALUATION _ o BUILDING CONST u ON. PERMIT FEE $ S /.---- SIGNATURE OF � � ,/( �((!��I PERMITTEE J / i ti�`--- \ /� 7.3L R t \ $ J PLAN CHECK $ g .5:5-a O AUTHORIZE AG T ce J $ ^/ / E TOTAL FEE / (� -5-1-'