HomeMy WebLinkAbout140 BROOKLINE LN - Building Permits :ROJECT ADDRESS: 140 BROOKLINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069619
! OWNER'SNAME: LUCREZI, RICHARD W
ADDRESS: 140 BROOKLINE LN PERMIT NO; B 069619 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; ALT
ARCH/ENGINEER: REG,NO.: 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 COMMENTS; REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REQUIRED
DOWNEY CA 90241 ***************+Buff+Fir�r�6*****rer�r�r�r�ririe*******+rkrr+r�r****air*ar*�rxir�Lyr�r *****,tkE*****xa6er*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN T S
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
cc:ruc.: 05937 STATELIC.: 402536 cuss: C 39 EXP: 10/95
Date:. _ Signature:_ MAIN BUILDING ACCESSORY BUILDING
�Qa FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
WORKERS' OMP SATIONDECLARATION: 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 Ir u(yrlGe2otaaegilied copy thereof(Section 3800.Lab.c 5/1 9/9 5
POLICY NO,: OO LL 77 EXP.DATE: V
COMPANY: AIG PARKING REQ• PROV; PARCEL: 41916353 ZNE; REF NO:
CI Certified copy i hereby furnished. u'Certified copy is filed with the city Building Division. PLANNING NIST ES> •
Date: 1 j/y 7 A/11 d1" >
/ Applicant: A _ _ — *******************************************************************************
EXEMPTION P OM W AKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D EVELOPMENT 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 to become
sublect to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE:
Date: Signature: BUILDING APPROVED BY
NOTICE:IL after 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.
r �� �Q
CONSTRUCTION LENDING AGENCY: t hereby affirm that there is a construction lending agency for the pedormance of the work for APPLICATION ISSUED BY: DATE'i( ' 'i___
which this permit is issued(Section 3097,Civ.C). ************************ * O* **********************************4 r
LENDER: ************************* *****************************************************
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 SM I P/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($500).
L as owner of the property 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'State License Law TOTALS----> 54 , 50 0 , 0 0 0 . 00 54 . 50 5 9 5 0 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 bulla or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
tar the purpose of sale). 54 . 00
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 0
❑ and fessions CThe Contractors'State LienseLaw does t apply to aowner tictorsrrywho bcensmimproves thereon
and who contracts far such projects with a contraeraidoese pursuant to the Contractors'Slate License Law).l em aware
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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 certify that lam 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 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 stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
I'property for inspection purposes.
Dale'1DJO g Signature: y% ✓� O1 00170714 00170715 TOT
M Driver's License or Social Security OATS: 10/23/44 TIpE: 13:36
1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
r- ' CONSTRUCTION AND PLANNING POW.. & 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
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings58. Electrical Condwt•Undrgrnd.
2.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test f y
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, C Unargrnd.
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 FactoryFireplace • �r� •
g p APPROVALS Permit 4
21. Ducts, in Str cture 70. Underground Hydro
22. Ducts, Ventilating _ '71. Product Piping CGas 0011
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - - - 73.r Undergrnd.Storage Tank 0 Gas 0 Oil
25. Root Sheathing - 161-.-qij 614.4/ 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75, Dry Chemical
27. Frame and Flashing .• } 76. Dry Standpipe
28. Lathing & Siding • - 77-. FIXED SYSTEM FINAL
29. Insulation78. 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 1
33. Final Electric • Notes: -
34. Final Heating& Air'Cond boning
35. Final Gas Pipe-Test.
36. Hood or Canopy ,
37. Final Factory Fireplace i
38. Final Plumbing -
39. Water Service-Final '
•
40. Gas Service.Final •
41. Solar Domestic-Final
42. Backf low Preventer- •
43. Backflow Irrigation-
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations -
47- FINAL STRUCTURE & BUILDING aL7 fl 64j4
48. FINAL PLANNING // t ' .
49. Electric Release to Edison • - -
•
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY -
No. Date
Va'\LR SAN VISTA BUILDING COMPANY UMIC 1O-4-b7
JOB ADDRESS 140 Brookline Lane BUILDING PERMIT NO. 27646
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Att. Garage
AP No. LOT 714 TRACT 5160 FIRE ZONE . VALUE $ 18,114.00
INSPECTIONS Si nature Date GROUP I & J TYPE V ZONE R-3
SOIL �f/�--'�A)-r> -o'7 PERMITS ISSUED
GAS SUBCONTRACTOR
A �f624Z7 Date Number Sianof
WATER p ci0.7,?-07 /� Plumbing
ROUGH PE/WRINGA L-9 z-SA4,) YilL4.94,-1!//// /O-S--10 7 37 7.07,7
PROP. SWR. LINE ❑ HOUSE CON. M---- ltec hi/74;._G 7
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING J244-5. (Z1,--(/7
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING G��jf/� /j(, Heating and Vent.t.`� .�/�
TRENCHES FORMS n STEEL REINF. <//r ///�-(��/(�^;zeC/`�ryln/ 7- ��4?-47 .�74'CJ/7
FLOOR SYSTEM P e D 6/6.) /'� , /,A
BOND BEAM n STEEL REINFORCE n /!, A
SHEATHING C_ u /G
FRAME AND FLASHING / &Q_ / /�j
LATHING - IN
PR..._
LATHING M /v^�°•-/ r � 7
PLASTER, BROWN COAT Q //r 6C
STRUCTURAL. FINAL ��J/ ��,�JJ,,44�� lectr'
HEATING, VENT., REFRIG. AND A.C., FINAL r�i Z 421 N//Il,: . eggil/ {r./ n_u-q Z[,�J�
PLUMBING. FINAL AND GAS TEST n J S-�2e V /
ELECTRIC, FINAL _$q�,�
BUILDING, FINAL AL 7.1/S' r ie.
27646 PAID
I OCT -h-57-E,00 12C'' -...-.:-0.' 'I.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
x TYPE OR PRINT BUILDING
BUILDING /L� (o^ A _/,n,t ��_ For Office Use Only
�� ADDRESS a `(!Y9'L�''� / `CLL( P Ry�r�
RECEIPT NO. 2 I6A+6
COSTA MESA, CALIFORNIA G I VL+
2 R[C[ RT [RECEIVED IEBU D7
OWNER ,a-U l )4S \ J.F./AUetri'/ et) _ IXJ�P' .2,c67I (9/
•
'1 MAIL w7^ /� � II� f�'r1,Y1 f•M•-J{• BUILDING
ADPR. . . i- j q CtJ € iiP.Id.f J ADDRESS j, /
GROUP
1\, _� TEL ZONE TYPE
FIRE
4: CITY GE-14- �/W NO. b ��-"I271 y/
'f ARCHITECT ter CO BYPROVQD DATE `6
OR ENGINEER _
I 9 i ZONING
ADDRESS e • I Liz-,. _ '_ ��'�''�r
i ZON NO.OF �'�/ U8l or N[M�d
n I PLAN{ O I aUILDINO 1 'L",
F. CONTRACTOR 0.r........4 � TC ADDRESS COC-AAA/•--
d�r,l�r a �/ JI 11A
I
CITY aq...vi--'
' NOTE: NO EAVE OVE- ANG SHALL BE LESS THAN
STATE TEL
?I LIC.NO. �/ NO.
SIZE �]^ /\ 70
OF LOT fhW I 8.070P - • REQUIREMENT/
NOW ON LOT
YARDS APPROVED YARDS APPROVED
A UA1fQ MAIN BUILDING - -Y BUILDING
' EXISTING BLDG.
(FROM C/L STRUT)
t, SETPA
t} CENTER OP STREET
NEAR YARD
�
!: DIDE YLEFT I RIGHT SID V
AApDESCRIPTION OF WORK L.SIDK D Fr.
: NEW L--- ALTERATION ADDITION _ REAR Pt.
BET. BET.MAIN&
■REPAIR I MOVING DEMOLI:H ACCESS.SLOGS.
a BUILDING GJ ./ ^ no.or '�J VAR.* DATE
'f SIZE ,JCC)A iV ROOMS / STORIES - C.U.P.A /' APPROVED / /f
' EXTERIOR,,���YYYYY11111(((((AAAAAJJJJJ....,,,,,LLLLL I ROOF /Ite+ MFRbYEDY' r DATE / —p'-l'6D/
•j USEDCOVERER AND COV ERIN -`` SY i.d PPP"'
USE OF BUI IMO ANDW KTO B7QRFOg -'l do, C��� yenv? G
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. /3Y�80.Rr.
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I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SMO NDER VALUATION IS FOR THE 9
AND STATE THAT THE A VE.18 CORRECT AND AGREE TO COM. PURPOSE OF SHINO A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDS AND STATE LAWS REGULATING . VALUATION
BUILDING CONBTRUCIO . _ O ......-0`- HIS OF aI PERMIT FEE E C '
PERMITTER � J5,)// V �j
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f( //� PLAN CHECK S . — w
AUTHORIZED AGE
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