HomeMy WebLinkAbout170 BROOKLINE LN - Building Permits ADDRESS OF MEM 170 BROOKLINE LN UPC: CITY OF COSTA MESA — BUILDING PERMIT
mmursNiUEmmokk RUD, DAVID A PERM NO: B 072659
sOOea& 170 BROOKLINE LN
COSTA MESA,CA 92626 PERMIT NO: B 072659 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.SWUNG AoonES& CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHRECT ORDCIEER: LIC.NO: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2 , 924
ARCH.OR ENO.'s ADDRESS; WIT:
CLAIM VALUE: 2. , 924 , 00 CALC—VALUE: 2 , 924 . 00 GROUP OCC: R-3 /
cannACTDIrssn STOUT ROOFING INC ( 310 ) 923-6775
cc:NmACWRSM IMG P 0 BOX 4309 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
Aoonss DOWNEY CA ucNo_ 402536 ************+Ear*+f+f>E*x****sr**>t+rif****x** tit*iEif+FitzKK-*x>t>t>t*** +tz** Ear***FFiEx*+E***>E>t->E>E*>t
90241 wiT: ZONING R ROUTR EMENTS
UCENSED CONTRACTORS DECLARATION:I hereby aunder der penalty5c
y d ... . that I am etaed under prwisiwn tl Chapter 9 S E T B A C K S
ern
(oommene with Section 7000)of k,3 the Business andPMnm d sianmy license a lug force in t -
u .
sorrysic.No.: 059377 uC.CLASS: C 39 uC.NO.: Q) 253: EX:� 10/ ' MAIN BUILDING ACCESSORY BUILDING
' ^ n 4 / "NT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: LP — !/_ 9 wittedor � LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby drum under penalty al parlay that I un exempt horn the Contractors License •.w 1«the
foaming reason(Section 7031.5 Busies*and Professions Code:Any ay or coney Midi require a email to mndat. ' .improve. PARKING REQ: P ROV: PARCEL: 41916416 Z N E: REF NO:
demolish.or repel aysaudue.prvb its issuance.also requires the applicant for such permit to Se a signed statement heorsM PLANNING NOTES>
is licensed pursuant to the prowsims of the Contractors License Law[Chapter 9(oarsmen**with Sedan 7000)d Division 3 of the
Business and Professions Code]or the he a she a exempt therefrom and the beds for the aleged exemption.My violation of Section >
7031.5 by any spokes for a pare subteen the applicant lo a chi penalty not mon then free hundred dams 7.5001). ************************************************it*****it************************
❑ I,as owner d the property a my employees with wages n thei sole compensation.mi do the work and the tincture e m intended D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
or offered for sale(Section 7044.Business and Prdeasions Code:The Caaradore License Law does not appy Inflamer of properly
who builds a inpra as thereon.and who does such work himself or Mea or through he a her own employees.provided that such
improvements are not intended«offered for sale.D.however.the building orinpmameree sold within one yea d completion,the ZONING APPROVED BY DATE: '
owner-builder wag have the burin of proving he or she did not build or improve for the purpose of sale). - /
❑ I,novmerdthe progeny.amnN,sir/Aymntreding with licensed contractors tomamrwthe project(Section7044,Busianeand BUILDING APPROVED BY :
DATE: ' J//
Professions Code:The Contractors License Law does not appy b an owner d propene who builds a improve thereon and Who
M• contracts la such projects with a contactor(s)licensed pursuant to the Contractors License Law). / J �7
❑ Iatexe•npuderSealon: B.&P.C..I«INsmeson: APPLICATION ISSUED BY: DATR: L*/!/2 5,---dc—t)(
********************************* * ************************* **** ***
Dale: Oener LEGALIZATION:N FEE UMMARY STRUCTURAL SF.GME.NT:Y
ilio hereby candy that I am aware at aid udwsund the requirements of California Bean and Safely Code Sections 25505,25533,and
25534.and that I a any Nun building o0opd sill/will not(circle one)need to comply wet said ape codes and the requirements l«
a Fermi for construction a moddaelan Iran the Ai b rinalenWe Qafnt.ReOdaCV aMNClan appEatgneN exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE. SMIP/RES GRADING
Provisions. PERMIT 54 . 00 . 50
Dat Applicant: SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby elfin under penalty of prepay one d the following dee/cations: ISSUE FEE -
❑ hnaeadwamdta:aannwedmnndoee5.innrelowaa:mmpansaa.aeawdedf«bysean3ToodmeeM BUILDINGDIV > PERMIT ISSUE. PLAN—CHECK TOTALPA CD DUE.
oM.l«trop.domnhaeduh.ink l«which mita arms is inpee. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 00
I has and soil mdntaih worker'compensation mama.n required by Section 3100 d the labor Code,b the performancealIM
work lic h this;emit is issued,My waken'can icarrier insurance rrend poicy number are:j a sonCarrier:SATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 , 50 OVER/SHORT• 00
Poky Number 04494000U1bh / 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE. SMIP/TOT GRADING PLAN—CHECK
(this section reed not be completed I the panne is M one hundred duan 151001 a lent 54 . 00 . 50
❑ I may the in the performance d the work for which fhb pearl it. ,• tat employ any person'•! mariner n
wa
f • lo
become subledto thecompensation laws California. the it Mould becorre�. -. to the/ • - ***************************Mit****************)**********************************
mmpermf mom Swion 3 09 d the Labor Code,l Id/ha l• dhoti /
I N D .T. V I D U A L F F. E B RE AK D OWN
Dale: (i 2 •�(� overag a: ,T
Warning:Failure to u ran'compensation F4000),hi sod/lar ml and shall abject an employer ,pencand TYPE QTY D E S C R I P T T, O N UNIT COST 'L'O'CAL COST
caval Mu tam a huh rhe thousand dollars(11040001.M add/goes b the cost of compensation,damages • provided for In
Section 3706ollhe Labor Code Interest,and attorneys les. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 924 , 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under pnaby of peiFry that there e e ramnwtim lending agency for the END OF FEES
Performance of the work for which this pima is issued(Section 3097,Cb.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy the I have read this application and stale IM the above information is mind.I agree to canon with all dyad cony ordinances
end stale laws rattling to building conatidion and hereby authorize represnulhes of this dtY 10 Beer upon the above-mentioned property
for inspection purposes. Itgi'LENE BURFORD"'
i L re / / / '/ DATE;E0C, W-II&1E?4v3 TOT
3
I �L, i, � I. •ere: 05,I?`.rhe=, T rfi; .,:3]
.. .- d•Omaer/AgenU • trema
(5151-4C WP) White-Buidag S Spey:Green-Rle:Canary-Appiwu;Pink-Revenue;Oddnmd-#ssnv
CONSTRUCTION AND PLANNINO JL & 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 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 Conhection 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 1
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 Conditidning 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 Flush
24. Roof Framing • - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing -21-91 4k-i' 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 Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes: •
34. Final Heating & Air Conditioning t
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 /`13�gCy�(
48. FINAL PLANNING i
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No Date
UWNCK SAN VISTA BUILDING COMPANY DAIt 10-4-67
JOB ADDRESS 170 Brookline Sane BUILDING PERMIT NO. 2H-711161151116111111.1
GENERAL CONTRACTOR Same DESCRIPTION of WORK Residence W/Att. Garage
AP No. LOT 100 _TRACT 160 FIRE ZONE VALUE $ 18.11A1-.00 _
INSPECTIONS �Si nature Date GROUP 18, .T TYPE
V ZONE R —3
SOIL yy
� tc e =(n7 SUBCONTRACTOR PERMITS ISSUED
GAS
WATER((4M A4 -S(a-i�-t7 )) /) //�� �����( � pP�lumbing /l`((���� Date Number Signature
ROUGH PIAJ MBI NG 414_57 r --enataxi „.4.A.-_ irA,tLif '/✓)-5-67 r4'7.,T3 di
PROP. SWR. LINE Q HOUSE CON. �i /1/7-r 0 - o
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 211+1 /( 162
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑ y
ROUGH WIRING I- 'e r/"b'C y� eati,n3 and Vent.
TRENCHES ❑ FORMS El STEEL REINF. ❑� /o/i/%- of /-� //7ii i�'7 ,J 3L/o
FLOOR SYSTEM
. BOND BEAM n STEEL REINFORCE n
SHEATHING 0- SI,C,)LATHI ANO INASHING l G'--LATHING — IN OUT r9 _ 6�PLASTER, BROWN COAT C- f
STRUCTURAL, FINAL _
qt '
HEATING, VENT., REFRIG. AND A.C., FINAL i(/}�/S -o-ree 4 h/y/ 4,___e/ /111-6/ 47y 9
PLUMBING, FINAL AND GAS TEST n _-,�/fj�}i�j -.5.--69--
ELECTRIC,
ELECTRIC, FINAL f.ctCC5
BUILDING, FINAL y/e_ _/`(Lip ('
7. 1658
COSTA MESA BUILDING-SAFETY DEPARTMENT ICT -4-67--c::::OO lac" :'•'.,,r,
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
AODRESG 170 1 ' „ ,
ADDRESS V 4"C/4J'
RECEIPT NO. f T�cSb
COSTA MESA. CALIFORNIA
q 'n(' �//�I,,,, Ric:• �T/ .40,4767 DA'.0
•OWNER C2k V.�A R tem a /V'/ �I
1217-RISA
AIL a4q /i 1 O �/f . 1 // I ADDRSBUILDIN0
ADDR l,(/✓�(�L(!(Q 11�'G(,/S/1 ADDRHye �j/,FIRE
n
(/ rr,, � //��/ THL ZONE TYPE Y GROUP( If
CITY \ -"L( 01-K/�/ NO U i `/�/J
ARCHITECT A /. �/ //////��1���' �,)�.7p) TQL�j APPROVED ,/ 7I DATE LG, l
OR ENGINEER �yAll l % SIL[o.(c, N . /``'?11 �! 7
4nl (/r /��� ZONING
ADDRESS 4 ` ^U n-g 1 U'-LCX .A. ZOx I NO.OF ^ JI_UO[DI N[Y{
PLAN[ r I SUILDINO/P� I- _ p
d.
CONTRACTOR I '/�7 �A ��A��/<•� <
/�
LEGAL .1 to I /i n1 t J Li
ADDRESS 4C/.../
� (.I at.1 A-4,.... D[OCRIrtION Ant v
CITY I/C.../ I i A.P.NO. �NOTE: NO F.AVE id-79 �J O "- ` ,3
STATE TEL SO'TO SIDE R REAR p.L. SHALL BE LESS THAN
LIC.NO. NO.
EAVES
OFLOT � J K ZD I SLOGS
OAIDALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
oraMAIN BUILDING ACCESSORY BUILDING
EXISTING BLOC.
(FROM CM STREET)
SBTSArr I Iv..r.... FRONT C) PT. PT.
CENTER OF STREET REAR YARD
SID¢YARDI LEFT 1 RIGHT R.SIDE OFT. FT.
DESCRIPTION OF WORK L.SIDE /CD Fr. PT.
NEW I II ALTERATION ADDITION REAR V PT. FT.
�I DISTANCE BET. BET.MAIN R
REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS. • v •
BUILDING ^ y •'7 NO.OF VAR.# DATE
SIZE X ( b ROOMS STORIES C.U.
P.#4� APPROVED --7 /
EXTERIOR WALL. I ROOF COVERING PT Cif • /t i DATE
INS ! ^ i 4/�
COVERING
USE OF EU WORKJO BE PERFIOR`,p14D ��7 pD
AT
W /3VQ T�dPe
i�/�� BG.FT.
1 HERESY ACKNOLEDO TUFA NAVE READ TNI[APPLICATION THE AMOUNT SNOW UNDER VALUATION IS POR THE
AHD STATE THAT THSOY[JR CORRECT AND AGREE TO TAM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY R INANCIS AND STATE LAWS REGULATINS VALUATION
BUILDING CONSTRU O . 40�_ R
SIGNATURE OF PERMIT FEE $
PERMIT-ME- /\----.-____ $ /4"//�ii.
PLAN CHECK $ ar w
AUTHORIZE)AG l TOTAL PEE $ 90-~ ,
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