HomeMy WebLinkAbout180 BROOKLINE LN - Building PermitsADORESS Ol' BUILDING: l80 BROOKLINE 1.
ONNENSNAMEIFIDia1TL: LEIGHTON, JOHN 0
ADDRESS: l80 BROOKL.INE LN
COSTA MESA,CA
APPL. MMIDID ADDRESS:
ARONRECT OR ENOINEER:
ARCA OR ENG'$ ADDRESS:
CON UICTafsNAME: STOUT ROOFING INC
COMRACTWSMAIUNG P 0 BOX 4309
tURREss: DOWNEY
907.41
UNIT:
97.67.6
UC NO.:
UNIT:
(310)923-67'15
CA mow, 402536
UNIT:
LICENSED CONTRACTORS DECLARATION: I hereby Mkm under penally d ry that I alis licensed under IIinions d Chaplin 9
(oom manes N with Section ]000) d Division 3 d the Business e,d Pmfesaio end my II ensu e n lull b end ellen.
crrruc.NO.: 0//5__9377 uc.cusB. C 39 uc.No 4 5 6 E ; 1 /9
'�—"7 ceMredo
OWNER BUILDER DECLARATION: I Mraby sty. under pm ky d penury that I am exempt [ram the Conlradm nsa Lew Ins she
Iofich g reason (Semon 7051.5 Svkme end Wdessions Coda: My Cky or m mly Ayirh rs u a permh to ,Mer. Mpove,
demolish, a cepa my strmt.. pia, to it. issuance, also re0uiros IM applired for such pmm to Rb a egned stae sent Ihst M a and
is liomsed pursued to tM yovimms of the Conlrecdon License Law [Chapter 9 (mmmmv.p wish Setlion 7") of Division 3 d the
Busimv and Professions Cade] or IMI M a sM is exempt thmehom and the Msis for Uu mle9nd exemption. AM violation of Section
7031.5 by my applicant for a permit subjects tM applicant to a ail jemmy 0 mme then We hundred dollars [550011
I, v aw.ur of 1M Icoparly a my employees Mh wapv as 11wi nob wmpensation, Mil do By, work, and the m%ictun is cwt Mended
a dsrod lar seb (Section 10aa, B.®vss end Pmbssimu Code: TM Cmmmm Liam. Law does not appy tom owner of popery
w Wide or inpovan therson, end who does such watt IsrsseN or hen.9 or thragh M or her own employees, prvoced Ihm euch
ihs w edn ere not Mended or offmsd Ins sole. 9. lwwear, the With, or hnp,omment is soM within ov yam of mcnpW i., the
ownenWiMar will Mye tM burden of povi,g M or end did not Wild m irnp la IM puryva of eels).
I, x oma.l IM popery, em ..dudvely oommm, with Nvrwed cormsclms to oonmuot the prgen (Section Tose. Rosiness; and
Professions Cods: The Cmuansm L nose Law does m apply to m aw.w of propmy, wfio Wilde m improv them end who
contram fix such Proi with a mmm1cf(s) Bossed Wrsuam to IM Confislot n Loomed Law).
I em exempt order Section: B. 6 P.C., la this rovon:
Dote: Ownm
I W hereby cantly Net 1 am asoma Of and mdentand the n uirommn of Cathomb I h and Sdety Code Smtiw u505. P5533, and
25536, and Ihm I or my Mon Wildi,g aowpent will / sold not (cro. w) need to comPy weh said state mdv and the requinmenb Ins
apmmhIpmnmwiianpmodirrationhantMAr tytyi�anepanmt District.RmidesslommruaimappiratbroaroexemptIantMee
Provisions. .
Dere: Applice,N:
WORKER'S COMPENSATION DECLARATION: I hmeby alum under peneNy of perjury w of IM Mkwdrg dedanmbm:
ve and soil
ads,
lost perlmy,tnaceCeddNlicmead fonsr w thothis pmrcroh ulerivwokdm.a' mmgruuipn, v Proyd.e ins M Sects..3]00 d IM labor
1 have end dl mainMn waken' yampenmMn insurmos, as *uired by Sedan 3700 of the labor Code, ler IM padmmmos of the
work for which this panmk is issued. My waken' insoroncs carrier and pdiry number me:
Cww n'°@rft- EXPIRES
Ploy Number: 10/19/95
(Yids eeaion need Iwf ba omspbted a she Peal is A,r w hudnd ddbn (S1d01 or Am.)
0 I maty Nut in du pMmmvea d tM work for whish This perch b is ahe0 na employ mty pare my memsyyyr so v to
become subject !o IM wakere' mnpmeeMn Mese d CW=ia. roe tiv ANp ehmdd bets object to ty! waken'
mnpsod'd n qc tors Ssdim 3]00 the Labor Code. I shol h Pry Ilan Ihoss
Dere: Applin :
Wannhp: Fallon b oxo, wontmi compo ymd r; coo /s unbwNl, and wlW/ sub/acl en m toloym fu jell nl pmwNv end
clsil ff. W Is ora hossdinsal Im.nd dollen ($10110001 In widths. b N. cost of rompmumnom damedi W pm~ Its, In
5mdm 3]05 of du Lebo, COW, Infwset end momey's fseM.
CONSTRUCTION LENDING AGENCY: 1 Mreby at oder pmmy d perjury IMI then is e mnm,uction lerdin9 apenry Ins du
perbrmmce d Ih wok M whoa the smmk is issued (Section 5397. Civ. C).
LENDER'S NAME:
LENDERS ADDRESS:
1 cenNy 1Mt I Myo road this sppl"ratian and mate that Na above idp m, wrt is m.act. l pies to canpy wish allay and muny a,dirences
end etatelews relatn9 to WiMhg end hereby edhorea npesmtsf d lhsal' b anter upm lM above-mentioned popery
Iminspeot. urposee_ D L NE BURFORD //
(5151 4e W P) Nine -Building 6 Salary; Gn File: Cmery-Appirant: Pink-Ravrs,ue: Gddemd-Assessu,
CITY OF COSTA MESA — BUILDT.NG PERMIT
PERM NO: H 072550
PERMIT NO: B 072660 PLAN CHECK NO: N GOVT: N S(JPP: N
CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: 0TH
TOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHTNGLES SO FT: 2,924
CLAIM VALUE: 2.,924,00 CAI.C—VAI.UF: 2.,92.4,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 URC
7 0 N T. N G R E Q U T. R E M E N T S
.S' F T B A C K S
------------
MAIN
BUILDING ----------
---------
ACCESSORY BUILDING---------
FRNT:
FT IN
REAR:
FT IN
FRNT:
FT IN REAR: FT IN
LEFT:
FT IN
RIGHT:
FT IN
LEFT:
FT IN RGHT: FT IN
PARKING
REQ:
PROV:
PARCEL:
41916465
ZNE: REF NO:
PLANNING
NOTES>
>
D
F. V E T. 0
P M E N T
S E R V .T.
C E S R
F. Q 11 I R F. M F_' N T S
ZONING APPROVED BY DATE..
BUILDING APPROVED .BY : DATE..:
APPLICAT.T.ON ISSUED BY: DATE: 7
L.EGAL.I7.ATION;N F E E S U M A R Y STRUCTURAL- SF(.-
BLDG PMT PLUMBING ELECTRIC MECHANIC FT.RE SMIP/RES GRADING
PERMIT 54,00 .50
SMTP /NON—RF.,S
PLAN
ISSUE FEE
BUTL.DTNG—DT.V—> PERMIT ISSUE PLAN—CHECK TOTAT. PAID DUE.
TOTALS ---- > 54.50 0.00 0.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SHORT:00
BLDG PMT PL(IMB.T.NG ELECTRIC MECHANIC FIRE. SM.T,P/TOT GRADING PLAN—CHECK
54,00 .50
T. N DT. V I D U A T. F E F. B R E A K D O W N
TYPE OTY D E S C R I P T .T. O N UNIT COST TOTAT. COST
SFR 292.4 REROOF HY VALUE RESIDENT.T.AT, N07.ONF. 1.00 2,924,00
END OF FEES
Ot 00133•.:4—'10133445 TC07
DATE: oo"ob;19` 7:1,H 101ba
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
.-
Inspector
OL & SPA
APPROVALS • Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 1
53. Steel Reinforcement
3. Electrical Conduit Utility-Unorgrgd.
54. Forms
4. Electrical Conduit -Undrgrnd.
55. Electrical Bonding
-
S. Steel Reinforcement ,
56. Rough Plumbing & Pressure Test
-
6. Electrical UFER Grnd. -
57. APPROVAL TO COVER-GUNITE
'
7. Footings
58. Electrical Conduit-Undrgrnd-
1
8. Foundation -
59. Gas Pipe, ❑ 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 Corinection
62. Backwash & Receptor•Firial
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
64. Plumbing System - Final '
14. Rough Plumbing - i
65. Electrical -Final +
-
15. Rough Electrical -Conduit
66. Solar System -Final
16- Rough Electric Wiring
67. Fencing & Accesi Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18, Rough Electrical -T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditi6ning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21 .' Ducts, in Structure
-
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping OGas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tanf ❑Gas ❑Oil
25. Roof Sheathing
S L7
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 1 '
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 /
��3 Ll
48- FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER RAN VT4pA MITIMM COMPANY DATE 6-1-64
JOB ADDRESS lA0 RrnoklinP TxnP BUILDING PERMIT NO. 22201
GENERAL CONTRACTOR stagy VALUE$ 15.735,po
AP No. LOT 101 RACT FIRE ZONE DESCRIPTION OF WORK res Watt Rai'
INSPECTIONS Signature
IIATE GROUPMJ TYPE v ZONE Ri _
Soil
SUBCONTRACTOR
ISSUED' _
NUMBER
Gas
Water ,
DATE
DATE
Rough Com. Re ri ., D Air Cond. D
Rough Heating—
Rough Plumbing / -
— (o
Miscellaneous
Prop. Swr. Line D Rouse Con. St. Swr. ❑
EC 4 mi
S rip nklin System
Construction Pole
Underground D Power D
1
Rough Wiring
..Z _ _e9
7
Trenches ip Forms �D Steel Rend. D ,� e
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing 9 -
Frame and —Flashing o.
Frame
G
/
Lathing — In Out a
Plaster, brown coat a
6_
Refrig.D Air Con. El Final
Heating, Final /
_
Plumbing Fixtures,_ Final
/
Final Gas Test 7z
--
Electric Fixtures, Final
Building, Final
OCCUPANCY
10 -L •6,
-
221.01
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING/i('
ADDRESS (l
COSTA MESA. CALIFORNIA
CI�ARCHITECT
FEE RECEIVED
ovl0 IM
FINANCE DEPT.
LI�'i
APPWbQFF&QW&mIFSA
BUILDING
For Office Use Only
RECEIPT NO. PERMIT NO.
^n
BT
DA= RECEIVED, I —DATE 'I ED
•
ZONING
��
L
ADDRESS
ZON .� No. OF
PLANS
USE or
0 ILDIN ,
I /\
CONTRACTORS; CZIAM.
LEGAL D /
ADDRESSZI Slff— aftDESCRIPTION
A. P. NO.
CITY
NO EAVE SHALL BE LESS THAN
STATE TEL. ��
SOTTO SIDE a REAR P.
L.
LIC. NO. N
EAVES
ALLOWED
(U. B. C. REQUIREMENT)
a. Q
LOoSOFELOT W
YARDS APPROVED-YARD?]lPE>LED-
USEOF
MAIN BUILDING
6
EXISTING BLDG.
SETBACK LINE FROM JI
(FROM C/L REET)
FRONT
/ G�
CENTER OF STREET REAR YARRDD•�/_
Z
R. BIDES FT.
f�V
SIDE YARD LEFT V
RIGHT ✓
DESCRIPTION OF WORK
L. SIDE""
NEW
ALTERATION
ADDITION
REAR
FT.
!W�•
i
DISTANCE BET. BET. MAIN a
REPAIR
MOVI G
DEMOLISH
MAIN BLD 8.
ACCESS. SLOGS.
IL1
BUILDING NO. f➢
VAR.* DATE
OF
SIZE ao x 3 ROOMS STORIES .�L
C. U. P.
APPROVED
Cy
EXTERIO ROOF ' /J
COVERING COVERING .Xp
APPRO
BY l
V DATE VVV .I
USE OFBUILDING AND WORK TO BE PERFORMED
..]
a
U
W
d
/1/- AQ.
/
/J
Ny.
FT.
_
%e�
1 HEREBY ACKNOW DOE THAT'[ HAVE READ THIS APPLICATION
THE AMOUNT SHOWN
UNDER VALUATION IS FOR THE
YO
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM.
PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY.
O
{I.,
PLY WITHALL CITY DINANCS6 AND STATE LAWS RaGULATINO
BUILDING CTI
w
(�
VALUATION
COneT 1.
PERMITFEE S L//r% —
"3
SIGNATUREOF/ i /
k-A—t
PERMITTE
L %'J
i/SJ /J✓PLAN
_
CHECKL7i SO
Z
AUTHORIZED AGS
/
TOTAL FEE S 701
L