HomeMy WebLinkAbout160 BROOKLINE LN - Building Permits •
ADDRESS OF SWUM: 160 BROOKLINE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNOWN: MC DOWE.T.,L, SAMANTHA A PERM NO: B 072654
mDREss: 160 BROOKLINE T.,N
COSTA MESA,CA 92626 PERMIT NO: B 072654 PLAN CHECK NO: N GOV'C: N S(JPP: N
APPL.MMUNG ADDRESS CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCNRECT OR ENGINEER: Lit NO.: JOB DESCRIPTION 1 T/O.FF, SHEATH & REROOF W/COMP SHINGLES SO FT: 2, 924
ARCH.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 2, 924 . 00 CALC—VALUE: 2, 924 . 00 GROUP OCC: R-3 /
CONTRACTCRSMAIF: STOUT ROOFING INC ( 310) 923-6775
COMPACTORS MARINO P 0 BOX 4309 COMMENTS: SMOKE. DETECTORS REQUIRED PER 91 UBC
ADDRESS DOWNEY CA Ut. ,: 402536 *********)Elk)tat*jtdt***l *****Tk3E+toff*itifiF***-*ik#)Ek*NTE*•%3(3Et*** **S4iEi(****iF#dEjt***N•****9E%)E3flElE
90241 UNIT: Z O N I N G REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penal • r ury that 1 em harried under pr of Chapter 9 SETB ACKS
(commenting with Section 7000)d Diviscn S of the Business and Protea • e.and my lions.is in fug lace effect.
CITY UC.NO.: 059377 uC.cusS: C 39 uc. • 025 EX 10/ 5 MAIN BUILDING ACCESSORY BUILDING
/ RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: (e % 9r Contrac71� • LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
1 OWNER BUILDER ECU ATION:1 hereby affirm under penally d perjury that I am exempt from the Contractors Limns w for the
ldlowng reason(section 7031.5 Business and Professions Cab:Any city r county whim requires a pens,it to construct. ern improve. PARKING REQ: PRO V: PARCEL: 41916411 Z NE: REF NO:
demolish,a repai any structure.prior to is issuance.also requires the applicant for such permit to file a signed Nat that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the
Business and Professions Cade)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
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7031.5 by and applicant for a permt°ubjels the applicant to advil penalty of not more than Ike hundred dollen iS500D. *******************3E3Ei(*******34*N**3E****7f****71'*IE***I('*1(*343E*************j(*****3f*iEM'
❑ I.es mmer o4 Ihe PkoPeffY kr NY employees with wages as their sole compensation,will do the wok and the structure is not intended DEVELOPMENTSERVICES RE 0 UIREMENTS
or offeredkr sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly
who bolds or improves thereon.anm d who does such work himself or feria or through his or her own employees,provided that such '
improvements are net intended or offered for sale.lf,however,the building or improvement is sold within one year d completion,the ZONING APPROVED BY DATE:
owner builder wig have the burden of proving he or she did not build or improve for the purpose of sale). •
iir
❑ I,asowser of the popeny.amexd,rsheM coalmine with licensed contractors tocnstnnproject oject(Section 7044.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Connectors License Law does not eppy to an owner d progeny Wle bode or impwm thereon and rhe /
contracts for such projects with a corctor(s)licensed pursuant to the Contractors License Law). /
0 Iamexempt under Section: B.AP.C..tor thi°reason: APPLICATION ISSUED BY: DATE:
************************************ ***************************(4 *N• * *
'°°'°' °w ac LEGALIZATION: N F E. E. S MMARY STRUCTURAL SEGMENT:Y
41 I do hereby certify that I am aware of end understand the requirements of CNlomia Health and Safety Code Sections 25505,25533,and
25534,and Nstl oreny Mum building occupant wig/wit no(drab one)need to campy with said male codes andthe requirementstor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE.S GRADING
a permit f«wnstruabn or modification Iran the As u°� y anagement District.Residential ,Nnxtion applications are exempt from these
provisions. PERMIT 54 , 00 . 50
Data: Applicant:
PLAN PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave and will mehues,a certificate of consent tosetinwmfor workers'cmpensaton,aspwided for bySection 3703oOva Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
ode,toperformance d
thep• mKeueworkfopermit issued.
TOTALS— — > 54 . 50 0 , 00 0 . 00 54 . 50 54 . 50 00
1 haw and a l mai tain workers'compensation insurance,as required by Section 3700 d the Labor Code.ler the prfor mance d the ie
work for whim this°°m'blsb'°°d'h'y works'' r°P°,s,' twunmceceni and PAM'numb°`°`°; EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Carrier EXPIRES
10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Policy Number:
(This section need not be completed ithe parmi is kw one hundred dollars IS Jr lass.! 54 . 00 . 50
❑ I certify that in One performance d the work for which this permit is I shall not employ any person in manner so an to
become subject to the workers'compensation
/ ' lawsCalifornia. .tee that it aleuldbcone
. - to the workers' ***************************************************************
****************
coi^pe^ cn ' ion 3700 of the Labor Code h. , h comply those potions INDIVIDUAL F E E BREAKDOWN
DNB /Q // Apo,. 1 kir
QTY DESCRIPTIO N UNIT COST TOTAL COST F Runt tsecure workers'compensation roar geis unlawful.and shell azalea an employer to rlmntndTYPF
clvll flits.cc to one hundred thousand dollars($104000),In add/tion to Use cost of compensation,damages provided ler In
Section 3706 of the Labor Cods,Interest and attorneys fees. SFR 2924 REROOF BY VALUE RESIDENTIAT, NOZONE 1 , 00 2 , 924 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I unify 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 relative to bullring eonstmeien and hereby authorize representatives of this dry to enter upon the above-mentioned properly
for insoeaion purDaase. D •de
HURFORD
2( µm
1ii
�� I / / 01 401F3: 03123433 r.)1 " r.'= .l
.s ure*flr/Agen ..,.. d' 6�?£: Gx:^•b- Tike: •.ni:=i ..
(5151-46.WP) Whdaaddig 8 Seldy:Green-Fye;Canary-Appicarnt;Pink-Revenue;poMeod-Assessor
111 'it
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CONSTRUCTION AND PLANNING - - - '-
POOL & SPA
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
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 UF ER 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, 0 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 GTGas OOil
23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O.Oil
25. Roof Sheathing 6 46` 6l4/ 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 PREV. FINAL - '
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Metei--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
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45. Sound Attenuation .
-46. Handicap Regulations
47. FI NAL STRUCTURE & BUILDING ` ,./3..g &"4'-
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cci
51. CERTIFICATE OF OCCUPANCY
No. Date
UWNCK SAN VISTA BUILDING COMPANY UAIL 10-4-67
JOB ADDRESS 160 Brookline Lane BUILDING PERMIT NO. 27651
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Att. Garage
AP No. LOT 95 TRACT 5 Go FIRE ZONE VALUE $18.114.00
INSPECTIONS I nature Date GROUP I & J TYPE V ZONE R -3
SOIL / S/ -c-1"7 SUBCONTRACTOR PERMITS ISSUED
GAS Date
' Number I Signal
WATERII pa/�nsr1b�s,2 Plumbing '!s
ROUGH P BING rn r r)-G) - r,�.t,//:// /0- .-6 J SDw1 ,O.Pn -.-
PROP.
PROP. SWR. LINE Q HOUSE CON. Hd� s/A -,r-G) /
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 44?-0/ (e?
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING AI d/ Heatiinn p.,and V nt.
TRENCHES ❑ FORMS d STEEL REINF. o ` .O ��n '27 / / • /J/-/h 27 5 /--
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n /I P I ><
SHEATHING 6
FRAMEHIAND NASHING r�/ �I �C , 7
2_7
LATHING IN [- T 1 1 C-%
PLASTER, BROWN COAT e-
STRUCTURAL, FINAL /�.
HEATING, VENT., REFRIG. ANO A.C., FINAL ,jam I�if rAel /61/t 7 7)r7C'
PLUMBING. FINAL AND GAS TEST n • pc_ x3“--4-7k.r
SJ
ELECTRIC, FINAL _
BUILDING, FINAL -zr
27651
Pato
COSTA MESA BUILDING-SAFETY DEPARTMENT 0".T —4-67'i„.;.00 in- ., r
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92526 -
4
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
J d For Office Use Only
BUILDING r {/!,/{/////J�� p/�//�
ADDRESS Q t,P RECEIPT NO. A�IIMy/I9�O
(It
MESA. CALIFORNIALI �. �N �q` rr [)� /q�. 2 7fl•J�/YV7e� /y
OWNER (rL 4 IJ A- 4 \L1a -i/ R[C[IVSg7}' ,/ J✓�[C/7 j[/[ ' 6
MAIL CP-2449
l.. ' 9 U 4n,--G ( J/ ,_.n . ADDRQI84 / /
FIRE
Q�,,1I -�_� TELA ZONE TYP GROUP IC
CITY C�yJ/ �.,.L�''✓fg HEOL.,/O� I' / ,./ /7
/2/L/ l� �! APPROVED �/// DAT!9 �O/
ARCHITECT / /( T BY' �/'
OR ENGINEER \_J NO. /}ZI
x(07- /ti c� �p /r p` ZONI G % )
ADDRESS �f�-61�f0 ZONE NO.OF USE OF NEW' / -�--a./
CONTRACTTQR l..('L P t t�_ L �PL e�/S .2- �L/DING��T�1-C/� /�!)�
ADORES!♦ 0w•-[-( LL/ DESCRIPTION i�/.K) V� I ( YJTV `�'IU-V
CITY
'J C(ti(..l�� A.P.NO. isty '3 O -0 a
NOTE: NO[AVE OVERIIANG SHALL SE LESS THAN
STATE TEL EO•TO HIDE B REAR r.L
LIC.NO. NO.
�ZE /1 �/ EAVES
OFSILOT (/�[../ X (� I ND O1 e�Y`ORt r ALLOWED (U.B.C.REQUIREMENT/
YARDS APPROVED YARDS APPROVED
USE Oft MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. `
_ . (FROM C41..STREET/
SCTDACII'L,nd rnvN
CENTER OFF STREET REAR YARD FRONT �')FT, RT.
SIDE YAIT I LETT I RIGHT N.SIDR Ort, FT.
DESCRIPTION OF WORK LSIDR OFT, PT.
•
NEW ALTERATION ADDITION REAR OPT, PT.
—
DISTANCE BET. BET.MAIN B
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING y •70 ROOMS '1 STORIES C.V.P•# APPROVED
SIZE /�
EXTERIOR W Poor AFFJ� vEpT�-/ ,I^� Q
COVERING I COVERING SY CJI• S L7 ( •DATE ( —2t `67
USE OF BU I LDINS AN WORK TO BE PERFORMS ���(
_ ti, 7.4e7i9 y Cain w
/37DBQ.rr.jy1/d i
I HEREBY ACHNOWLEDOE THAT., HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS FOR THE or
AND STATE THAT ABOVE JO CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALI.'C O INANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTR /
81GN%FfUNE':Y � io PERMIT FEB S C CD co
PeRMITTBL /�//�(J- �^
S PLAN CHECK A �yc..� O.
AUTHORIZED AV EH[ TOTAL FEE $ . Q