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HomeMy WebLinkAbout158 BROOKLINE LN - Building Permits ADDRESS OF BUILDING: 158 BROOKLINE LN UHT: CITY OF COSTA MESA — BUILDING PERMIT MINERS NAME IF KNOWN; SHEET7„ ROBERT W PERM NO: 8 072653 ADDRESS: 158 BROOKLINE LN COSTA MESA,CA 92626 PERMIT NO: 8 072653 PLAN CHECK NO: N GOVT: N SUPP : N APPL.M MING ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH MICERECT OR ENGINEER: SSC.NO.: JOB DESCRIPTION T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT; 2 , 924 ARCH.OR END'S ADDRESS: UMT: CLAIM VALUE: 2, 924 , 00 CALC—VALUE: 2, 924 . 00 GROUP OCC; R-3 / CONTRACTORS NAME STOUT ROOFING INC ( 310) 923-6775 caNmAcroNSMulaa P 0 BOX 4309 COMMENTS: UEM-z-M-+E�E ADDRESS: DOWNEY CA uc.NO.: 402536 90241 WIT: Z O N I N G REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under sem"d• that I ant licensed under provisions of Chapter 9 S ETB ACKS (commencing with Section 7000)d Division 3 of the Business and P• . • •my is in lug force and y. , ClrruC.NO.: 059377 UC.MASS: C 39 uc 0. • 0 53" EXP-/ 0/9 � MAIN BUILDING ACCESSORY BUILDING C - %F• T: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: ��� ''/ ) came«: ` _/:/i ��Jad FT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under•. • of perjury that I am exempt from the Contractors License La or the Iolowig reason(Section 7031.5 Business and Professions Code:Any city or county which requites a permit to construct.eller prove. PARKING REQ: P ROV: PARCEL: 41916410 Z N E: REF NO: demolish,or repair any structure.prior bis issuance,also requires the applicant for such Permit to file a signed statement Mal he Or she is licensed pursuant to the provisions of the Contractors License Law(Chador 9(commencing with Seen 7000)of Dhisio,3 of the PLANNING NOTES> - ' Business and Professions Codex or that he or she is exempt therefrom and the bath for the alleged exemption.My vitiation of Section > 7031.5 by any applicant for a permit pApds the applicant to a civil penalty o nor more thanfwe hundred ddWa(S503]). *******-k***lE***************************IEIE*******************IF**Ik*********7f***** ❑ I.as ovmer of the property or my employees with wages as Oath sole compensation.will do the work,and the structure is in intended D E V E L OPMEN T SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does d apply to an Owner of property who bolds or improves thereon.and who does such wok tinsel?or horse.or through he or her own employees.provided that such improvements are riot intended offered l«sae.I,however,the building improvement is sold within one yew of completion,the ZONING APPROVED BY DATE: ownerbwder will have the burden of proving he or she did riot build or improve for the purpose of sale). _ or ❑ I.as owner o the property,am exclusively contrarily with licensed contractors to construct the project(Sedionroa,Business and BUILDING APPROVED BY : DATE: • Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon and who contracts for such projects with a camractor(s)licensed pursuant to the Contractors License Law). / ❑ lamexempt under Section: B.AP.C.,fothis reason: APPLICATION ISSUED BY: 1, DATE- it ° *********************w*********** ** ******************************'YE f?'"* * Dale: Owner: LEGALI7,ATION:N F E F, . U M M A R V STRUCTURAL SEGMENT:? I do hereby certify that I ant aware of and understand the requirements of California Health end Safely Code Sections 25505,25533,and 25534,and that I or any future building occupant will will not(circle one)need to comply with said stale codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANT.0 FIRE, SM T.P/RES GRADING a permit for remlmclan or modification from the atyyMenagemem District.Residential construction appains are exempt from e provisions. ructiocmthese 54 . 00 . 50 Dale: Applicant: SMTP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally el perjury one of the following declarations: ISSUE FEE ❑ Ihave andWmaintainawnlwedoonsenttoeeiHnareMworkers'compesation,npovidedfobyRadian3700dtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAT, PAID DUE Code,tor the performance dthe work for wtich this permit'a issued.• TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 I have and win maintain workers'compensation insureewe.as required by Section 3700 el the Labor Code.for the Pedormanoa d the work for which Uhh permit is issued.My workers'compensation insurance carrier and policy number we: Carrier: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED ; 54 . 50 OVER/SHORT: . 00 Policy Number: 1144940000468 / .10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN— HECK (This°edion need no be competed I this perm/is for one hundred dollars($fool or Am) 54 . 00 . 50 ❑ I candy that in the pertor mane of the work for which this permit h' shall not any peon' manner so as to become subred to the workers'oompensalion laud California, that saho.u.ld• •...• - to the ,************************************************************** *****K********** compensation previa' d 7Labor Code.I awl awl TNDTVTD [ AIF E FBR EAKDOWN Dem: ApplkanC dr Warning:Hlunfo one Met n eonprdson coverage l unlawful,and Mall staf*C:an employe,to erinl • prvldea and TYPE QTY DESCRIPTIO N OMIT COST TOTAL COST civil Ines up to or,.hundred thousand dollars($104000A M addition to the cost of compensation,dames as prodded for in on Secti37ccolPsLaborCode intrval.andatromay'eloes. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 924 , 00 CONSTRUCTION LENDING AGENCY: I hereby effvm under penalty of perjury that then is a wnatntlion lending agay for the END OF FEES performance of the wok ler which this permit is issued(Sedan 3097.Ci,.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have reed this application and date that the above information a care.I wee to candy with at thy end county ordinances end stale laws retying to building construction and hereby authorize rrxesenMtees of this thy to enter upon the eine-mentioned property for inspection Purposes, DA NE BURFORD Ar / � an / nee: O1 00183430 OO1E3431 TOT 54,5 DATE: 06/35/9. TIP'e: 10:20 (5151 de.W P) White-Buildig A Safely;Green-Rte:C°nay-Appica t:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION 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 r 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding •5.Steel Reinforcement' 56. Rough Plumbing & Pressure Test ;l 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE , 1 7. Footings 58. Electrical Conduit-Undrgrnd. i 8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test • • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK , 11. Property Sewer Line & House Conhection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 1 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 Conditiorfirig FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts,in Structure - • - • 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test •. 72. Underground Fluth 24. Roof Framing73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing G-2J 'fs (pG✓a' 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. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System'. 45;Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /7.- 4 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date UWNCK SAN VISTA BUILDING COMPANY VAIt 10-4-by JOB ADDRESS 158 Brookline Lane BUILDING PERMIT NO. 27650 GENERAL CONTRACTOR SaMe DESCRIPTION of WORK Residence W/Att. Garage AP No. LOT q4 TRACT 160 FIRE ZONE VALUE $ 18.114.00 INSPECTIONS Signature Date GROUP I & .1 TYPE V ZONE R-3 SOIL k5/ -4--en SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATERU O -c/O11-&7 hit )) • lambing y,,,'y))))"�' ROUGH PL MBING Cr / 2_ 7 . /D-J-47 0-'07d?4C PROP. SWR. LINE Q HOUSE CON. f/U y -C-> -_ 4 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING $444 S"/L ' '- TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Pry Heatin and Vent. TRENCHES D FORMS ❑ STEEL REINF. ❑ O /i (i 7 LC/ 7'L O/ • ��_/ 6� t4'/fZJ FLOOR SYSTEM J _ BOND BEAM n STEEL REINFORCE n S!(EATHING ]d/n� . Q (IW` O . FRAME AND FLASHING / �ry? LATHING - IN IrOUT C . PLASTER, BROWN COAT c /çJ' STRUCTURAL. FINAL '--=' HEATING, VENT., REF RIG. AND A.C., FINAL /Armor F 'eavigimitan/ PLUMBING, FINAL AND GAS TEST • - ELECTRIC, FINAL ' C. . BUILDING, FINAL ierne. . C "I 1 27650 PAID OCT -4-67i:T., 00 124" ;0 'C COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRSS o y Est// t��io V"""t` For Office U» Only ADDRESS / RECEIPT NO. 2 /V'./�JO COSTA MESA. CALIFORNIA 'f ° ��S�ye {l�J�F.I�O 14-1-44-0-14-i '1�1 ' ///1�� (/��,� Rtcn y / =/' ' 7 72574747 OWNER 4‹.(4, U, 14-1.44.0-1-;( `�V eBU I 01 G ( MAIL ^ //C3 OaAtte. 7 / ADDRESS ADM, �J-YY ��//� �w/� IX.G/ 4L/ }�'TCFIRE )// ,�+O TE CITY l Vg -An NO.`/('"1 �•I ZONE TYPE I OROLIPJ1 ARCHITECT TSL�y,, APPROVED Jim DATE 4.--Zeit OR ENGINEER • © NO.l(i7 �1 /j �/ ZONING , ADDRESS % e 77/` . • r, ILA-C- IONE NO. DUI DIOF N,,a.L . ca//II -IL-4/ (�-, '�3 PLANS �-BUILDING/ CONTRACTOR �C,(�(.(�I ,( 1-614q9. 1 ,1 �}/yIw% /f�.(�/ LEGAL '[1"4`4Y-Se �a ADDRESS CAXA ti(�- O[ECRIPTION CITY nor A.P.NO. 12---71-,- �-�O — 0 3 NOTE: NO CAVE OVERHANG SHALL SE LESS THAN STATEC. TO Sr TO SIDE a REAR p.L y EAVES SIZEOF LOT `o�X?D I N0.8FaeGw�� ALLOWED (U.B.C.REQUIREMENT) NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF -A MAIN BUILDING ACCESSORY BUILDING BU Its.Bu. (FROM C/L STREET) SETBACK LINE FROM FRONT /J FT FT. CENTER OPVTREET REAR YARD �.I SIDBVlRDI LEFT RIGHT R.SIDE �rT. FT. DESCRIPTION OF WORK L.BIDS DPT rt NEW ALTERATION ADDITION REAR 0 FY. PT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS. BUILDING Vigra / "1"/ VARA DATE SIZE P�OX70 ROOMS L STORIES r C.V.P.# APPROVED EXTERIORW ROOF / QQ Wen/. '47 / ^j COVERING COVERING t-1 4Y U/•P r T/• DATE �— I SIO/ USEOFBUI SAND ORK TO BE PERFORMED (l p, / . 4.1(14.2-44 WA, . tit • / AMOUNT.rr. / %f I HEREBY ACRNOWLE E THAT.I 'AVE READ THIS APPLICATION THE AMOUNT EMO UNDER VALUATION IS FOR THE O AND STATE THAT A VII AS CORRECT AND AGREE TO CAM. PURPOSE OF WINING A PERMIT RE ONLY. PLY WITH ALL CITY 1ORDI AND STATE LAWS REGULATING VALUATION BUILDING CONBTRUCHON. o Q— m SIGNATURE OF 1 �.A PERMIT FEE s PERMITTEF - (,J/ s/�/// PLAN CHECK $345' W AUTHORIZED AGE Q .. .. ••- .. r ,_• :I TOTAL PEE $ /O /