HomeMy WebLinkAbout138 BROOKLINE LN - Building Permits I1 PROJECT ADDRESS:
OWNER'S NAME: 138 BROOKLINE LN UNIT:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069620
SIMOVIC JO ANNA
AADDRESS: COSTARMESAICA LN 92626 PERMIT NO: B 069620 PLAN CHECK NO; N GOVT : N SUPP : N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH 6 REROOF W/COPM 6 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
DOWNEY CA 90241 *****************************************+fir********r*kr**********aF****+r****** Err
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQU IR EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
CITY LIC.: 059 77 TATE uc.: 40253 cuss: C : 10/95
li(� MAIN BUILDING ACCESSORY BUILDING
Date: fol. Signature: FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
Compensation I grainctedified copy thereof(Section 3800,Lab.
POLICY NO.: Ai'lIG EXP.DATE: 5/19
1 9/9 5
COMPANY: r�V PARKING REQ• PROV: PARCEL: 41916352 ZNE: REF NO:
0 Certified copy is hereby furnished. U Certified copy is filed with the city Building Division. PLANNING NOTES>
>
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Date: l o' / DApplicant. *******************************************************************************
�' DEVELOPMENT SERVICES REQUIREMENT S
EXEMPTION FROM WO KERS'COMPENSATION ATIO : (This section need not be completed if the permit is for one hundred(5700)or less). ,
I certify that in the performance of the work foror 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:If.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE
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 APPLICATION ISSUED B Y; • j1fy DATE; /01'9,1-4,y.
which this permit is issued(Section 31X97.Civ.C). ********
LENDER: ************************* ******************************************iF*********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I 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 lite a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
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(1500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, win 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 of proving he/she did not build or improve
for the purpose of sale). 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 protect(Section 7044,Business
54 , 00 S 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon *******************************************************************************
and who contracts for such Contract with a contractor(s)Licensw se pursuant to the of props'Slate License Law).l 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.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 from the Air Duality 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 stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
l �} ,}/�y�/ i 01 00170724-00170725 TOT 54,st1
Date: !�•��`� Signature: /'"' " '
Driver's License or/Social Security r: DATE: 10/23/94 TIME: 13:33
164146 White—Building:Green—Cope Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
4 • - .4 rOOL & SPA
CONSTRUCTION AND PLANNING
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
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58, Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Capi
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
I
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
z
20: Rough Factory Fireplacer - -APPROVALS Perm
rit # • ,
21.'4Ducts, in,Stricture, , :. 70. Underground Hydro
•
22. Ducts, Ventilating _ 71. Product?Aping 0 Gas C10.1
23.•Ga5 Pipe-Rough & Test I . - 72. Underground Flush .
24.,Roof Framing 73) Undergrnd.Storage Tank 0 Gas 0 Oil
• I
25. Roof Sheathing Y_rj-q6r 61.4/(1-. ' 74: Overhead Hydro
26,•T.Sar Ceiling (Structurall & Monocoat - - 75:-Dry Chemical
27.'Frame and Flashing , ' 76. Dry Standpipe r
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.•£lectrical Power Meter-Final • . ' .80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes:
.
..'34. Final Heating & Air Conditioning I,
35. Final Gas Pipe-Test '
36. Hood or Canopy -
37. Final Factory Fireplace •
-
38. Final Plumbing •:-
1
39. Water Service-Final "' '
;40. Gas Service-Final: s .
41. Solar Domestic-Final ' •
42. Backflow Preventer .
43. Backflow Irrigation '
44. Landscape Irrigation System • .. . • - -
45. Sound Attenuation ,- '
46. Handicap.Regulations - . . '
47. FINAL STRUCTURE & BUILDING 4-7-9s C evil
48. FINAL PLANNINd ..
49. Electric Release to Edison - • - '
•
• r
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY -
No. Date
VnMLR SAN VISTA BUILDING COMPANY UAIC 10-4-67
JOB ADDRESS 198 Brook]1ne Loa BUILDING PERMIT NO. 276k5
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Att. Garage
AP No. LOT 7/ TRACT FIRE ZONE . VALUES 18,114.00
INSPECTIONS Signature Dote GROUP I & J TYPE y ZONE R -3
SOIL /Lj-{-<' /d'Ye-(47 I PERMITS ISSUED
GAS
WATER brags/12-4,-67", //� ) /� SUBCONTRACTOR
iii3 .1J 6> Date I Number I Signori.._
Plumbing
ROUGH PLUMBING re-� ) MJ."2.4 ./J-s-67 ,s-by-7a _
PROP. SWR. LINE Q HOUSE CON. [2-- 114,45-/P -0- 07 //{
SPRINKLING SYSTEM
MISCELLANEOUS /� `/
ROUGH HEATING AND AIR CONDITIONING /Y/�-S/a �J- O?
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING ��/Y.yy��. _ r .//L Heaattiigq and/Ven . //
TRENCHES FORMS ❑ STEEL RE INF. ��' " 19'-e Of/W ;1/A�.I� /-e/YJ/� ///!o 67 5-077
FLOOR SYSTEM^ C c'e, 1 6/ 111
. BOND BEAM L l STEEL REINFORCE n
.SHEATHING /,}` L` „1, -f
FRAME AND FLASHING �/�/�/� L /� /
LATHING - IN ITL.----0-UT UT �y�A Q-/ /3 (�
PLASTER. BROWN COAT 'tfL_ -FE- /�r/61.
STRUCTURAL, FINAL �/�/ // /p�lecty(�''�.>�� age.
�ys� '1
HEATING, VENT., REFRIG. AND A.C., FINAL Pin' -1a -(-7 LJtP�� t-SGC///.40. /a7/z_t7 p77
PLUMBING, FINAL AND GAS TEST n ry�/--)--r.: 11. V/�//_ ' / /1
'ELECTRIC,ILDINGFINAL IL�/ip oT���'o.�
BUILDING, FINAL
27645PAID
OCT -4-67Ei-Q0 115 ,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E
For Applicant to Fill in Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
` 3 V r� nct For Off los Us* Only
•VILDIN0 1 X✓
ADDRESS RECEIPT NO. Pl}TSLTI �
COSTA MESA. CALIFORNIA DATE [O/JIDAMEGG ''(645
//�/�P'. I /1' _TI- t /)fj
am ..� — [Z% //1-f Y
OWNER l /`�"/. V F/�'IWL %�f/ /
/�MAILBUILDING
ADDRISB_.' 1Q--115 W cu(bAI.{ „. •� ADDRESSFIRE
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CITY 5 a! '{ lte-LJ•) pLS7a-124L ZONE TYP OROUP✓'��
[///yyyjL.f/ nr^/��^ APPROVED /J /
OR ENGINEERIO wi'k NO.E, 31 17-1 BY' / DAT69�b�,
ADDRESS ciE., ///3UA . - 4 ZONING
1• ZONE.wc •-•-.; NO.Or U[[OFN[Wv .
pC J PLAN[ O OUILOINO
CONTRACTOR / 1 \ 13 /t td- Si Cwt -
LSOAL
DEACRIRIGN 1
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A.P.NO. 1 930 –0
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CITY 1 •
\` NOTE: NO DAVE OVER ANG SHALL BE LESS THAN
STATE TEL SO'TO SIDE B REAR P•L.
LIC.NO. NO.
VES
sinf�
OF LOT �C '1 I NI. eN 10 nag GLOWED (U.B.C.REQUIREMENT)
NOW ON LOT
USE OF i YARDS APPROVED YARDS APPROVED
UTI
OF ,- OG. MAIN BUILDING ACCESSORY BUILDING
NG (FROM C/L STREET)
EETSACR LINE FROM FRONT 0 FT. PT.
CENTER OF STREET REAR YARD
ErynIKWE LEFTRi R.SIDE r9 FT. FT.
DESCRIPTION OF WORK L HIDE O 7T. FT.
L
NEW II ALTERATION_ ADDITION REAR D FT FT.II DISTANCE BET. • BET.MAIN a
REPAIR MOVING DEMOLISH MAIN BLDS
G . ACCESS.BUDGE.
BUILDINtY� x NO.OR 2 VAR.* DATE
SIZE OWN ?O ROOMS STORIES C.sU.P.#[p��) }/.�j, APPROVED
CO ERIN WALL I ROOF
COVERING BT(u �V(/ I `� rflilJ7 DATE -?(-47
COVERING (!
USE OF BYILDIN$}LND WO KBE PERFORMEDili I --•
K
se
al (r"
(j/ O
f--;97.57/6BO.FT. / /D
I HEREBY ACI(NOWLE••• THAT.1 NAVE READ THIS APPLICATION THE AMOUNT SNO UNDER VALUATION IB FOR THE G
AND STATE THAT A- •VI.1/1 CORRECT AND AGREE TO CON. PURPOSE OF LISHINO A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDI • ES AND STATE LAWS REYULATINSVALUATION
BUILDING CONSTRU .ON. /JI�„p,
SIGNATUR OP A PERMIT FEE 5 (O C/
`_ $,1//y� PLAN CHECK E d - w
AUTHORIZED AO • M1`
1
TOTAL PEE $ D---