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HomeMy WebLinkAbout136 BROOKLINE LN - Building Permits I PROJECT ADDRESS: 136 BROOKLINE LW UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069621 OWNERS NAME: SCHLUETER MARIGOLD t ADDRESS: 136 BROOKLINE LANE PERMIT NO; B 069621 PLAN CHECK NO: N GOVT : N SUPP : N COSTA MESA,CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE: STA PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/COPM S HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: CLAIM VALUE; 2, 508 , 00 CALC—VALUE; 2, 508 . 00 GROUP OCC; R-1 / PERMITTEE: STOUT ROOFING INC ( 310 ) 923-6775 ADDRESS: P 0 BOX 4309 COMMENTS : REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REQUIRED er DOWNEY CA 90241 ********************* *erkE*er*ar*******dE-*****kcal*4r**+F**************ar +eerar**4rar+r****Frar LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 al the Business and Professions Code,and my license is in full force and etfect. SETBACKS Date u': 59 STATE tic.: 4025�6 cuss: EXP; 10/95 Date: Q Signature:_ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPS SATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation l uange2o4a4PgfIed copy thereof(Section 3800.Lab.C�.S/19/95• LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: 6 L G`J`J EXP.OATS: COMPANY: AIG PARKING REQ• PROV; PARCEL: 41916351 ZNE; REF NO: 0 Certified copy is hereby furnished. C Certified copy is filed with the city Building Division. PLANNING NOTES> }/ A/ > Date: I.0/ 4i Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(Si®)or less). DEVELOPMENT SERVICES REQUIREMENTS 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 10 become subject to the Workers'Compensation Laws of Cabfornia. ZONING APPROVED BY • . DATE: • Date: Signature:uBUILDING APPROVED BY NOTICE:e. If.afterstmaking this declaration.you should become s permit the Workers'merevoked. provisions of the Labor DATE: Cotle,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 APPLICATION ISSUED BY: '• DATE; 10 Mil which this permit is issued(Section 3097.Civ.C). ***************************** * ********************************** * 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 PLAN SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). I. as owner of the properly or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law TOTALS----> 54 . 50 0 , 0 0 0 . 00 5 4 , 50 54 . 50 , 0 0 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 of proving he/she did not build or improve foror Inc purpose of sale(. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 O 0 50 ❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or Improves thereon ******************************************************************************* and who contracts for such projects with a e License )license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation Insurance should be provided to me, INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&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 cendy 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 from the Air(Slily Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordinances anti state laws relating to building construction and hereby authorize representatives of this city to enter upon the abovementioned property for inspection purposes. 01 00170732-00170733 TOT 54,5L Date:1010:04, Signature: /� DATE: 10/28/94 TIME: 13:40 Driver's License ort Social Security a: 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor .0_^CONSTRUCTION AND PLANNING POO.. & 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test §. Electrical OF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings _ 58. Electrical Conduit lindrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.. Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C 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 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 20.-Rough Factory Fireplace APPROVALS Permit # ' 21..Ducts,in Structure .. 70. Underground Hydro 22. Ducts, Ventilating , ,71. Product Piping r.Gas II Oil • 23. Gas Pi pe.Roggh & Test - • . '72. Underground Flush . ' 24.-Roof Framing .. 73. Undergrnd.Storage Tank C Gas ❑Oii 25. Roof Sheathing - l/--,C2/6- 6 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 1 75. Dry Chemical i 27. Frame and Flashing •• r - 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 Gas Pipe-Test - , 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service-Final - ' 40. Gas Service-Final ` • - l 41. Solar Domestic-Final 42. Backflow Preventer• - , 43. Backflow Irrigation . 44. Landscape Irrigation Systema ; - - . 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING C-7 °FTqs 4, 48. FINAL PLANNING - - , 49. Electric Release to Edison - . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date tJUINCM SAN VISTA BUILDING COMPANY V/\IC iU t4-O( JOB ADDRESS 136 Brookline Lane BUILDING PERMIT NO. 276114 GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Att. Garage AP No. LOT ' TRACT 160 FIRE ZONE VALUE $ 18,114.00 INSPECTIONS Si},nature Date GROUP I R T TYPE j ZONE R-3 SOIL re, L,7 SUBCONTRACTOR PERMITS ISSUED GAS /�ty�/ `�L Date Number I Sienatu._ WATERZI' /_s -/ , •/ S/' �`� ' Plumbin. ROUGH P MBI NG ' Ea-- r %T �. � � ., /0,C-s S-07-0 / ,4 PROP. SWR. LINE ❑ HOUSE CON. E Nit S G-G'7 / . SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING 7 - -ra? TEMPORARY SERVICE OR POLE -.- UNDERGROUND ❑ POWER 0 ROUGH WIRING Heatin and Vent TRENCHES M,...4ORMS 0 STEEL REINF. 0 �i C /5,040,2 �1/�.0j7.74 . /f/c��J .539/ . FLOOR SYSTEM C / / BOND BEAM n STEEL REINFORCE n SHEATHING /6 ' I - r / AZ FRAME AND FLASHING a Nf{ .LATHING — IN rr,�/OUT r� 6 7 PLASTER, BROWN COAT / / VGIT STRUCTURAL, FINAL 444 1. //nn� 0 � , �f �/ HEATING, VENT., REFRIG, AND A.C., FINAL ,' -6 --,,,e /i//[Tj(�f/%N1�/ of hcg. ia-12-dya777/ PLUMBING, FINAL AND GAS TEST F1V--5-2-7,--6,%r5?".. UU,')).�" / ELECTRIC, FINAL (/�/ BUILDING, FINAL CV a b 27644 PA1C OCT -4-67-,;fI.00 1100. :.. '''';(.1'1,1 'i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92920 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING § DUILDINa / a G (44-04.4.4.0• For Office Use Only �' ADOREHH 1 ,ere.,,,O •• COSTA MESA. CALIFORNIA • •� 1 ' OWNER I- 7 /.L, ,, h MAIL �/11 /� �j -tr BUILDING ADDRES* 4-'c9 Walla&A, ADDR"e FIRE (,// O'P /� ZONE TYP GROUP T[ �. • :? CITY �� ��- NOG T2-- '�nq `' ARCHITECT / Tom, APPROVED/ t9 DATE --SO— - -i OR ENGINEER P 62.9 „_No•5-3'127/ �/ ✓✓ ff. i �� ZONINGS �� ADDRESS O �� !w O_i i • ZONE NO.OF USE OP HAW„ J/ . {^/ PLANS © EUILDING L(/ CONTRACTOR ✓ ql ADDRESS QHULA- , � [,,a,1"•'' .•/ S/�ji � CITY A.P.NO. -E� /p 3c -el tc 1.-. '' NOTE: NO EAVE OV:-HANG SMALL BE LESS THAN STATE TEL LIC.NO. ^ NO. . EAVES SIZE „/�x 'zj I "r. ._. • ALLOWED B. REQUIREMENT) t OF LOT t/`V NOW ON LerYARDS APPROVED YARDS USE OF \ MAIN BUILDING ACCESSORY- EXISTING BLDG. REMADE LINE float CENTEB.OH.STAlST RW1YARD--- ' SIDE YARD LEFT I RIGHT ----• R.SID O a DESCRIPTION OF WORK , L.SIDR GFT, •NEW ALTERATION_ ADDITION I REAR OFT. /J�IIIIIIII/ DISTANCE BET. BET.MAIN a REPAIR Il MOVING DEMOLISH } MAIN BLDOB. - BUILDINp�t) ROOF ���/// VAR.# DATE SIZE O•KI�L �47 ROOMS 7 STORIES � - C.V.P.�F - EXTERIOR WALL ROOF / APFTED rp T COVERING COVERING S_Y WO'1�1 YDS OF BUILDINO AN WOEK BEPERFOR D - G—�� p, • DATE /±7 : I HEREBY ACKNOWLEDGE THAT-I HAVE READ THIS APPLICATION THE AMOUNT ENO Ir UNDER VALUATION IS FOR THE o- AND STATE THA ABOVE.10 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. • PLY WITH ALL STY 0 •INANC=AND STATE LAW,REGYVITING VALUATION !BUILDING CON• - CTIO . 1.0 I PERMIT FEE SIGNATURE OF ► ' _A A p PERMITTEE �� �"� \ /7//r---'. e//�� G S / PLAN CHECK S c d W AUTHORIZED A'E 9C TOTAL PEE