HomeMy WebLinkAbout186 BROOKLINE LN - Building PermitsADDRESS OF BMLDINO:
L(5b TJ KLJIJrl, I. N F, L,N
UNT:
ONNEWS NNIE IF 1011DAN:
MOHLER, LORIN
S
ADDRESS:
3808 ROSF.,CRANS
ST
#1.10
SAN DIF.,GO,CA
9211.0
APPL. MAILING AOORM-
MICNWECTORENGNEER:
UC. NO.:
ARCH OR ERG'S ADDRESS:
ORT:
CtNRfUUMS NL LG:
STOUT ROOFING
INC
(310)923-6775
CCMRACTOWSMNLOIG
P 0 BOX
4309
ADDRESS
DOWNEY
CA (K,„, 402536
90241 UNIT,
LICENSED CONTRACTORS DECLARATION: I hereby Wnm under pmhay e,jury that 1 em Ioeneed unAer prove, ss d Chapter B
(rvnmenenD with Basion ]oDo) d DNle'vh J d the Bum,hew ext Phew • ad, my Dune b in IW farce INn.
CrrY LIC. No.: 059377 uc. cLAss C 39 uc. 025 6 EX 10/95
Data _ CaNreeot)C
WNER BUILDER OECURAnON: I hereby affirm under papally of perj ry that 1 am sump hum the ComrmmLew for the
.mover, ,eeeon (`Section 7W 1.5 Business W Professions Code; AM cey or co my which recruiters peal to cops a.. improv,
demdleh, or repel any structure, prior to is maeopoe, abo rpuirw the appliwM for such Fetor to file a signed slmement thm M or ad,
le licensed pursuant to the provleoa of Ilia, Coptrmon Lioene• Lew IChegar S (eommanti, with Section ]000) of Division J of the
Business erH Pro.. Code) or Into M or she le esempt Ihm mm tool the beat. for the dleged eeanpton. Any volution of Section
7W t.5 by any app&au lar a permit a,bjme the epplioent to a dpi pway of nor man than Ilea hundred dalme (SSOOD.
❑ 1.esovne, of the paperty or no, amplgwa evh wages as their sale comperumion, voU do the wprk. and ON wucsun am iaaxted
or dfered for sale (SecMn 7044, Business a,xt Professions Code: TM Camracton License Lew dose not apply loan owcerd popery
wM Wide a knotovas thereon, end e4,o done ouch work Nunes or hen, or Wa,h his or her own employees. provided that suoh
unpro a,nade act m idended or ".red for ea1e, it. however, the wMing or inprwernM a sod, whhin prN Yam of completion. the
owner-0uiMer ei0 he a the louden of proving M or ad, dol not bHld or unpaa for IM pur{ase of sale).
4p I. as owner of the property. an exclusively wnnomi, ami licensed cantreclws to coneUotl the project (Semon 7Os4, Business text
Pmleuow Code: The (;oow” Loahw Lew mow not sooty to an ovener of mope" oho Inuille or unpro•es thereon tool elho
ompzre to for such, proems vrh a apramor(s) licewed puma, to the Coarmprs Liroroe Lae).
❑ 1 am atempt ads Semon: B. 8 P.C.. or Nb nesan:
Dope: Owwc.
1 do Ineppy candy Out I an a. d a,l nHmsbM Ns racuinmam d C cwnie IlsaWn ext Salary Code Seciow 25505, tS5]J, ext
255J4, ad then I or tory, Mtn building occupant well / wO m (title ore) ,sed to oaepty Mh said state cedes end the recuinmeme or
e permXlermmtroctionwmod'RhwlionhamlMAr ilyyW.-.egwva DWW. Reekemiel conmmdion appiwlow an esempt Iron thew
provisioru.
Dope: Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby affirm under panehy of parmry era of the /dowi„ d.daatow:
❑ have ext Wmeir,teihewntlicetedmhwutovatlirwrs for wwkas'mrhperhWon,w prwitlM la by Section JTW dtM labs
Cada, la IM padopnmca d Ne wcvk for which Na perm! a a•ued.
I hew ext W mermen w ' c ropenemloh uuurence, es heaved by Smlw 37M m the Lobar Code. or the pedorow nes d the
work la which the perms o issued. MY worker' campeneaion inarencs carrier end po4ry number are:
/
carriffln. STATE EXPIRES
Polio, Number. Q44j4LJQUQ4b8 10/1.9/95
(Thea apothm wed not be oanplared l tlN permk he b as hundred dozen /stool or hes,j
❑ I cenly Ihm M IM pMprma,e d IM work for which thio perms a shell opt ernoo cry oanw in y tomer es to
t ecwr abject kavee to the wuns' comwmmion led CeMor,te, es Net it ahwM becomes b to the w
corn ,n pin+ai ns of Sooliio�n, J cO_,, .Me Lebo Code. I ahapry IMw Pat eemat
:
Dope`% C APpIomX .
Wemlr,: Falun o secure wodren'rorrpensetlon ccvenge la unlawful, and ahtll errbper en e,rLvloyer ro crlMrW p tlw end
dHl flow W ro oto hNrdrM fMNwrN ddYn (FIOO,OapA M MNrbn ro M• cwt o1 rompmeefron Wmegse w rldM Ion In
CONSTRUCTION LIENOING AGENCY: 1 hereby affl. them Mouthy d perjury that there Is e construction lelxtirg agmhcy for the
padormare
of the work for w this perml is mued (Becton J . Civ. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I tend, thin I hev read this appirmion axt tome Into Ne above information is oonmi. I agn t Io.* ehh all car ext county ordiwnow
ext sure leew,dmk, to building construction end hereby authorize repreawredvae d this cy to enter niton the aban mmonea property
1or,wpmanparpowe. DANE BURFORD
(515146.W P) WMe-Buick, & Sae y; Grw,,Fle; Canary-Appiwnt: Rok-R..; Oaldenrod-Aaseeeor
CITY OF COSTA MESA — HUIT,DTNG PERMIT
PERM NO: R 072663
PERMIT NO: 9 072663 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTROCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
,709 DESCRIPTION T/OFF, SHEATH & REROOF N/COMP SHINGr,F.S SO FT: 7.,97.4
CLAIM VALUE: 7.,924.00 CALC—VALUE: 2,97.4,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS RF.QUIRF,D PER 91 UBC
7, O N I N G R F. 0 U I R E M E N T S
S F, T R A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
ORNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RIGHT: FT IN LEFT: FT IN RIGHT: FT IN
PARKING REO: PROV: PARCEL: 41916468 ZNE: REF NO:
PLANNING NOTES>
>
D E V E L. O P M F. N T S F. R V T C E S R F. 0 U I R F, M F. N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BYDATE.:
APPLICATION ISSUED BY: DATE: / 4
LEGALI7,ATTON:N F E F.. S M M A R Y STRUCTURAT; SCF..GMF.NT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC F.TRF SMTP/RES GRADING
PERMIT 54,00 ,50
SMTP/NON—RES
PLAN
ISSUE FEE
BTTILOING—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
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE. SMIP/TOT GRADENG PT,AN—CHECK
54,00 ,50
I/ T N 0 I V I D U A I, F E E H R F, A K 0 0 W N
TYPE QTY D E S C R I P T I. O N UNIT COST TOTAL, COST
SFR 2924 REROOF AY VALUE RESIDENTIAL N07,ONE 1,00 2,91.4,00
END OF FEES
DATEU1834-0/C0183451 T23T 5h.K
ME: 10:35
CONSTRUCTION AND PLANNING
APPROVALS Permit #
f
Date
Inspector
1, iL & SPA
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
1
6. Electrical LIFER 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 -Finial
'
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. POOLISPASYSTEMS FINAL
19. Rough Heating & Air Conditiontng
FIRE DEPT. REQUIfiItMtNT
APPROVALS Permit #
r
20. Rough Factory Fireplace _ _
21. Ducts, in Structure
70. Underground Hydro '
22. Ducts, Ventilating -
71. Product Piping ElGas CI Oil
23. Gas Pipe -Rough & Test-
-
,
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0 Oil
25. Roof Sheathing�-�-
7
ham&
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
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
l
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 186 Rrook] i ne Tane BUILDING PERMIT NO.22204
AT No, LOT 104 TRACT60 FIRE ZONE DESCRIPTION OF WORK Te
INSPECTIONS 'nature
DATE IGROUP MJ TYPE V ZONE R1
Soil
Gas
SUBCONTRACTOR
PERMITS
ISSUED _
NUMBEI _
DATE
Water �/�
Rough Com. Refrtg. D eiir Cond.
Rough Heating
Rough Plumbing
-z_6,/
-1
Miscellaneous
Prop. Swr. Line ❑ House Con. St. Swr.❑
'eXy t
EC 9 1963
S riip �kling System
Construction Pole
SI
Underground D Power ',p
Rough Wiring–
–
Trenches 0 Forms p Steel Reinf. p
e
6
Floor System
Bond Beam ❑ Steel Reinforce ❑
i
Sheathing
eev
Frame and Fla hing
6
Lathing — In Out a.
Plaster, brown coat v (It IV
—
Refrig. ❑ Air Con, ,D Final
_
Heating, Final
Plumbing Fixtures, Final
_
Final Gas Test S
_
_'
Electric Fixtures, Final p y G
_
Building, Final
OCCUPANCY
22204
COSTA MESA BUILD II §A EiTY DEPARTMENT
P. O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS
COSTA MESA, CALIFORNIA
■ MAIL
STATE
LIC. NO.
SIZE
OF LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM
F
FEE RECEIVED
WAY 1 9
FINANCE DEPT.
APPL((iT11M f6kTOEAHA
BUILDING
For Office Use Only
RBCHRT NO. P RMIT NO.
Y Dyes PVS7 J,QNre ISSUED
1964
/'1 ZONING
I ZO / , 0 I NO. OF 1) I USE OF NBA
PLANS BU ILDINQy
1 DESCRIPTION OF WORK ■
BUILDING
SIZE
EXTERIOR
II HEREBY /
AND STATE
PLY WITH ,
BUILDING C
SIGNATUF
32
AND%
GE THAT I HAVE READ THIS APPLICATION
ABOVE IB CORRECT AND AGREE TO COM.
EDINANCES AND STATE LAWS REGULATING
I
A. P. NO. .J vNOTE:
FT.
NO EAVE OVERHANG SHALL B LESS THAN
SO" TO SIDE a REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
MN-OW
y
REAR FT.
ARDSAPPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
.z
(FROM C/L STREET), I/
STANCE BET.
1 DESCRIPTION OF WORK ■
BUILDING
SIZE
EXTERIOR
II HEREBY /
AND STATE
PLY WITH ,
BUILDING C
SIGNATUF
32
AND%
GE THAT I HAVE READ THIS APPLICATION
ABOVE IB CORRECT AND AGREE TO COM.
EDINANCES AND STATE LAWS REGULATING
I
L. SIDE `J FT.
FT.
y
REAR FT.
FT.
.z
Z
STANCE BET.
BET. MAIN e
IN SLOGS.
ACCESS. BLD69.
VAR.#
DATE
(l.I
C. u. F.
APPROVED
APPR V D
G
BY
DATE
d
LI
N "'
P i36 dao p
SO. Fr.
°
Ln
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
F
PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY.
0 O
VALUATION�%
m p,.
PERMIT_
FES / /
-
m
��✓
$ fA-/ -/
PLAN CHECK$
o ,O=
TOTAL FEE