HomeMy WebLinkAbout164 BROOKLINE LN - Building PermitsAODRESS OF BOR 164 BROOKLINE LN UNIT: CITY OF COSTA MESA — BUTLDING PERMIT
GwNOTstmEDID10 SCHL.UETER, MELODY K PERM NO; H 077.656
mDREss 164 BROOKL.INE LN
COSTA MESA,CA 9267.6 PERMIT NO: B 072656 PLAN CHECK NO: N GOV'C: N SUPP: N
APDL. lw1910 ADORIM:
ARCHITECT OR M01MR:
ARCH. OR M'S ADDRESS:
(O RmTOR5NAM' STOUT ROOFING INC
CONfBACTORI NAn9A1 P O BOX 4309
ADDRESS: DOWNEY
90241
UCENSEO CONTRACTORS DECLARATION: I hereby affirm w ler pertaky r
(mmmartdlt0 volt Section 7000) d DMI10o 3 of dr Bwnem we' P
C"uc. No, 059377 uC..L�ss: C 39 uC.N
UC NO:
UNIT:
(310)923-6775
CA ucNo: 407.536
uw.
ort I em licamed u d. W.W. of Chapter 9
ad my bo ma b N 1.0 l"AM alter.
25•x6 E W. 10/95.4
Oma:L.ComraraoZ i '•
OWNER BUILDS DEC RATION: I hreby dfirnt under pmaty d per'µ, Ihw I am aawnPr Isom IM Comrwo s lic se law for Ne
Idewit9 rewmn (Setllon 7001.5 Bu oees toutRdmaona Cods: Ary cty a coumy WNot, Muires a pwmk to cert alter, vnV..
demolish, w repair my etrwtes, Prior to es issuance, eiso ro,w m tM appliram for such bests to fib a eipmd stwetnem that M w we
is licensed putouanl It the proviskwe d Ne Cadradon Lloenea Law IChepler 9 (cotnmwtdn9 with Section 7000) of Division 3 of th
Btw mase and "tweom Codel w Inco he w ane is mampl Iherekm std the bmis Iw 0r Need memgi0n. Aty violmon Of Sedi0o
]W t.5 by try appM t Iw a P.md eugecte tM appleaM to a dN pw Wel of nal man then We hMdnd ddlwe MWD.
❑ I,mowtter elle propMyw np'amMpyese eeh wepm tolls ece mnpwtsmvt. wLde dr work,eM Ne slrlwWrais mreuaMw
w c/lerad for eels (B� 1pst, Bugmm and Prdeesbne Cade: TM Cwurwon liowe Lew dose rat apply lomowwd property
im buidf w enwwaa hereon. end w1a elms swN wak . t1 w MnN w nP toe w hr own o,,e sa, provided IMt autw
imptmwnerm wa not IN, w derail ter ams. ff. he dW rv, th Witt
o, irow ingowmem v sod within am Yew d mmpMon. tlta
owmr-0u5er WII have IM dnden M Prmdra h w she d'd w ddM w improve to tM pupme of sob).
r ❑ I, mutter d IM proper,, ter esdu.K,* t,=kV wish lionised contreetm to cot,alr t IM pr.iw (Seotion 704,1, Bmutme end
Pwlesa w s Cade'. TM Cod . Licanm law does not apply to en owes d properly who b kfe w utt m ee thereat, end Wa
contracts er w pgwa wrath a wurmor(s) Omitted ptaeeara to tM CaMractwe Lwwe lav).
❑ I em eswnpd under Sedan: B. A P.C., br dee reeaan:
Owe: 0...
I de hereby cooly Nm I am ewer of awl undwewd Ne rpdrwnaMa of Cm%amia Health W Salwy Code Se lmw 25505. )SSSS. attd
P553a. eM d W I or wy' fur. Wktnq morpwo wR I veil w (d,.% err) mad to a.* eeh said met. codes ertd IM rpMrwoeMs er
e pwmd lwoowvwhon w mo&fkwl. nam lh yv�y enepwiwu Dwin .Rwwwvislmrutrtaun appirahmera eumpl ham Nese
wo,o pee.
Dme: Applo :
WORKER'S COMPMBATION DECLARATION: I hereby elfunt Itdw p,erWly of pwltey err of IM IaOOW^9 dsderwbm:
❑ I heva end wit mdmeit a catMnab d misers Ip sW+tome for wotiven' mnperumion, m prorided In by Section 3700 d Uta lobar
Cads. W Ns pwfamtenea d Ns work ter wNN INa pwnd u mued.
I hero end wilt meiwen worhwe' rarnpenmton ktatoince, m rec mad by Swim 3700 of th labor Coda. er IM Irdwmeooe of the
wok ler ettWt this pamd is issued. My wwkan' �erwaecs core's and Poky nurnt,w ors:
C.: �DelAlh EXPIRES
Poway Numlrr: 1.0 / 19 / 9 5
Ghias k,,mM cot be—pend Y the pwme he Aa om hon do0we AM]w Awwj
❑ I mIN Net o Na pMomrwa d IM work Ion wfiolt Ihb pane e I Nes w anpby eery in eery me}n�u° ,mwm/w/rlo
Mmes subject !o the workers' awnpwrmion Hews d Cefdmee� 9anpN �j ,hoes PrwALrr: u�_A // /
.p& -,W n Pais" d Swan 3700 d tM Lehr Code. n n fah
Wamin9: Fa taw Qo aacdn meows' mnpwadon a e egi lA ul{1 1, eve elWI erbfecr an amploY ft, Vrom Peeethlee aM
.jell oma rp n one hwdrw ft mwW olo re (SlOaM4 M ed0/don m Ns .1 of cootp.2laM1 darnepil as Pn yon In
Seod. 3705 of Ne Labor Cods, Inlensr, are elromaYn loam. 1
CONSTRUCTION LENDING AGENCY: I hereby mem uM Peneby of per),, IW Ihwe e e mnetrwon wm , a9wary to; the
W.. of tM work for whkh This Prem,, u seise (Section 3057, Cm C). �
LENDER'S NAME:
LENDER'S ADDRESS:
1 cath IM I hove toed Otis appfcmian end Press thm Ne slt ve Wer ktn'ts mod. I fires to comply wish a0 dry aM courtly odeertces
and we levee twwN to bddnt9 mwpyion wd hereby auth .topaesnethm of this city to www upon the �orrd PmPeny
tori"'°°"" Ps,poeee. LENE BURFOR // 9
�a P Nemo Dme:
Wlvt & na 6 Sally: Grew,-Fk: Canwr"ppirant: ftk-Rwwtue: Gddwao swmcr
CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE.: OTH
.TOB DESCRIPTION T/OFF, SHEATH 6 REROOF W/COMP SH.T.NG[.ES SO F•C: 2,97.4
CLAIM VALUE.: 2.,924.00 CALL—VALUE: 2.,97.4,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REOUT.RED PER 91 UAC
2 O N I N G R E Q 17 T R E M F N T S
S F.. T R A C K S
IF ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41916413 ZNE: REF NO:
PLANNING NOTES>
>
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D E V F. 1. O P M F. N T S E R V I C F. S R F. 0 U I R E M F., N T S
ZONING APPROVED BY DATE„:
BUILDING, APPROVED BY DATE:
APPLICATION ISSUED BY: DATE.:
LEGALI7.ATION:N F F. F. U M M A R Y STRUCTURAL SF..GMFNT-.Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RF.S GRADING
PERMIT 54,00 .50
SMIP/NON—RFS
PLAN
ISSUE FEE
BUIL.D.T.NG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 54.50 0,00 0,00 54.50 54,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT:00
HL,DG PMT PLUMBING ELECTRIC MECHANIC FIRE SM'T,P/TOT GRAD.T.NG PLAN—CHECK
54,00 .50
.T. N D I V L D 11 A T. F F. F.. B R E A K D O W N
TYPE QTY D E. S C R I P T .T. O N UNIT COST TOTAL COST
SFR 7.924 REROOF BY VALUE RFENDEOFTAT, N07.ONE 1.00 2,924.00
01 OD18343E-3310437 Tit— T
DATE! 06/05:7.`, Tip'.; iDoii
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Irnspector
1'UUL & SPA
APPROVALS . Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
o
52. Pool & Equipment Location I
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 LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
'
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, O 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 r
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. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #T-
20. Rough Factory Fireplace
-
_
21. Ducts, in Structure
-
-
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas 0011
23. Gas Pipe -Rough &Test
72. Underground Flush
24. Roof Framing
r
73. Undergrnd. Storage Tank OGas 0 -Oil
25. Roof Sheathing
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
t
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
uwilcm
umIC
LDING PERMIT
AP No. LOT 07 TRACT 516X1 FIRE ZONE . VALUE $ 18.114.00
INSPECTIONS
Signature
Date
GROUP T & J TYPE
v ZONE —
SOIL
SUBCONTRACTOR
PERMITS ISSUED
GAS
i Date Number I Si nature
WATE �/
lumbIn
R OUGNP UMBING
PROP. SWR. LINE Q HOUSE CON. ®�
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
/
h
7/
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER E]
ROUGH WIRING
Heat'no and Vent.
TRENCHES 0 FORMS ❑ STEEL REINF.
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE
SHEATHING
Q
FRAME AND FLASHINGL
LATHING — IN OUT
PLASTER, BROWN COAT
bjw—,r—
6
STRUCTURAL, FINAL
glpctr
HEATING. VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC. FINAL
r
'
BUILDING, FINAL
27653
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92820
COSTA MESA, CALIFORNIA
DESCRIPTION OF WORK
HAVE READ THIS APPLICATION
CORRECT AND ACRE[ TO CON.
AHD STATE LAWS RtGULATIMD
OCT -*57cr 00 127-'
APPLICATION FOR PERMIT
BUILDING
For Of(Ico Uw Only
RtC[IR NO.
ftzc I Sj[
RIC[I}I[D.
GT[ I UCD
BUILDING
ADORR-S
FIR[
ZONX TYP OROU
PROVED
9
X /
26
DATE
ZONING
20Ni
NO.OF
U[t OF NEW
fuNS
svILOINQ
LEGAL\
DRACRITON//''
V V
A. P. NO. U�
I-�
NO NO GVl OV
ANO -HALL B[LENS THAN
EO• TO SIDE B REAR P.
L.
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
YARDS APPROVED
YARDSAPPROVED
MAIN BUILDING
ACCESSORY BUILDING
( FROM C/LSTREET)
FRONT 0 FT,
Fr.
R. ' -ID U yr.
Fr.
L. SID4 0 FT.
Fr.
REAR U Fr.
FT.
DISTANCE BET.
BET. MAIN B
MAIN SLOGS.
ACCESS. BLOCS.
VAR.#
DATE
C.
APPROVED
AFF Y[
DAT[
je 3 //o SQ. FT.
a
THE AMOUNT S N UNDER VALUATION 18 FOR THE
PURPOSE Of ASLI[HING A PERMIT Fit ONLY.
VALUATION
PERMITFES
>z�T,,y0
30 -
TOTAL FEE