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Home My WebLink About144 BROOKLINE LN - Building Permits Jr • PROJECT ADDRESS: 144 BROOKLINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069617 DWNEWSNAME: THOMPSON DONNA E x. ADDRESS: 144 BROOkLINE LN PERMIT NO: B 069617 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 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 *************** roar**;r*kr�t*�F**+Fkik*�rar****arkr*****ae*+E********* **�rar *4*******+rigor*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQUIREMENTS 7010)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY tic.: 059377 STATE LIC.: 402536 q/1cuss:—C 39 EXP: 10/95 Date:.1014614-4 Signature: ` MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: (hereby affirm that lhave acenificate of consent to sell-insure or acenificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation lgstlFdrLGe2oF.aoflied copy thereof(Section 3800.Lab.CL.S/19/95 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO,: J 6 L C 7 EXP.DATE: U COMPANY. AIG PARKING REQ• PROV: PARCEL : 41916355 ZNE: REF NO: ❑ Certified copy is hereby furnished. (Certified copy is Pled with the City Building Division. PLANNING NOTES> Date' IOcoCheLlApplicant: Led/— i *************** **************************************************************** DEVELOPMENT $ ERVICES REQUIREMEN TSEXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the is for one hundred 3 g0)or less). 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 subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: BUILDING APPROVED BY NOTICE:If,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, /,y� / •7 9/ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: • !/ DATE: v D / ` which this permit is issued(Section 3097,Civ,C). *************************** ****lf********************************111�C11*FFk****��*iF*** ** 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 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 SMIP/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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FE E I. 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 5 4 , 5 0 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 sate.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED:_ 54 , 50 OVER/SHORT; . 00 improvement tpurose sold le)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIFIRE SMIP/TOT GRADING PLAN—CHECK for the puenoss of dale). ,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAK D OWN o I am exempt under Section: B.8 P.C. tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: 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 10 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 state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 01 00170728-00170729 TOT 54,-L Property for inspection purposes. DATE: 10/28/94 TIME: 13:39 Date:/o/ Signature: Id Driver's License or Social Security a: 1641-46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING PO(,_ d 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 E. .Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Condurt•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgr-d.,Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & HouseConnection 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 , „ )0. Underground Hyaro 22. Ducts, Ventilating i 71. Product Piping 7.7,Gas J Oil 23. Gas'Pipe-Rough &'Test r. 72. Underground Flush • 24. Roof Framing .. .73. Undergrnd.StorageTank 0 Gas 0 Oil 25. Roof Sheathing r-S l t) &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. Insulation „ 78. FIRE PREY. 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 • „ - • • • 41. Solar Domestic-Final '• • 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation • 46. Handicap.Regulations . - - 47. FINAL STRUCTURE & BUILDING 6-7_!`- 6 f✓6/ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Oa - • 51. CERTIFICATE OF OCCUPANCY No. Date UWNtN SAN VISTA BUILDING COMPANY UAIt 10-4-67 JOB ADDRESS 144 Brookline Lane BUILDING PERMIT NO. 27648 AP No. LOT 76 TRACT5160 FIRE ZONE VALUE$ 18,114.00 INSPECTIONS Si nature I Date I GROUP T & T TYPE ZONE R-3 SOIL O SUBCONTRACTOR PERMITS ISSUED _ GAS Date Num bar Si nature .WATE.Cj Plum bin ROUGH PLKJMBING A PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Neotin Ond Vent. TRENCHES FORMS STEEL REINF. ty Q FLOOR SYSTEM L+ BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING Q LATHING — IN OUT PLASTER, BROWN COAT I? % STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL 14-c BUILDING, FINAL COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 12M COSTA MESA, CALIFORNIA 925" For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA DESCRIPTION OF WORK WALL 1 HERRDY ACKNOWL[DOE TITAT.1 HAV[ READ TWIG APPLICATION AND STATE THAT DOVE JS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORPINANCES AND STAT[ IA" BEOULATINO DUILOINO GONSTRUCTO . SIGNATUREOF AUTHORIZED P:m T —1> 67c;v; 00 12? ... APPLICATION FOR PERMIT BUILDING For Office Use Only 2 RTt^ G , Vis/�sI YV(_ R[e61 Y DAT G -6 6 OUILDINo ADDRESS FIR[ ZONE TYP GROUP APPROVED z6'� BY, DATE ZONING SOX NO.OrUt[OF FLANK � eY1LDIN0 �(/ � / LEGAL r— ( / 7(o `_&2 DESCRIPnon 1 '!30_ O A.P.Ho. NOTE: NO EAV E OVE ANO SHALL BE LESS THAN SO• TO SIDE III REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) PR NT OFT, FT. R. SID4LT. Fr. L.SIDK FT. Fr. REAR FT. PT. DISTANCE BET. BET. MAIN e MAIN BLOGS. ACCESS. BLOGS. VAR.* DATE C. APPROVED APP OV[ 0 r DATE i3 � THE AMOUNT Z-' NDRR VALUATION IB FOR THE PIIRFOD[ OF EAT BNING A PERMIT FEE ONLY. VALUATION PERMIT FEE �/ -s��/ J TOTAL PEE 2