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HomeMy WebLinkAbout190 BROOKLINE LN - Building Permits PROJECT ADDRESS: UNIT: OWNER'S NAME: A190 BROOKLINETHMS LN CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05163; F�.RRIER, THOMAS JR TR ADDRESS: 521 S BIRCH ST PERMIT NO: B 051637 PLAN CHECK NO: 01230-91 S GOVT; N SUPP; N SANTA ANA, CA 92701. CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCH/ENGINEER: 557-6311 REG.NO.: JOB DESCRIPTION : REPAIR SLAB CRACKS AS PER ENGINEER'S REC SQ FT: 1 , 000 ADDRESS: UNIT: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 000 . 00 GROUP OCC: R-3 / PERMITTEE: NEW WEST BUILDERS ( 714 )640-8218 ADDRESS: 2216 BRINDISI COMMENTS: NO FOOTING REPAIR PERMITTED NEWPORT BEACH CA 92660 4444444(4444444F14#X4444*k>F+;>E***44444F4e:FB* *** 4****+l*>E;F***sc4(4.4*>E>E*k4(44,****4-44F;4c******44wFEv>Fx*44 LICENSED CONTRACTOR DECLARATION: I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONI NG R E Q U I R EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. : .r B A (. K S CITY tic.: 018223 STATE MC.,469416 CLASS: B—1 Dale: Lr 14 1 l Signature: 65-4442),..._. L. ------ / ,MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I e certmN cate of consent to self.insure or a certificate of Workers' FBA : FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation Insurance,or a certified coot'thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGH T: FT IN , POLICY NO.: 1 137651-90 EXP.DATE: 07/01 /91 COMPANY: STATE PARKING REQ: PROV; PARCEL: 14133304 ZNE: R REF NO: J Certified copy is hereby tarnished. Certified copy iS,Med with the city Building Division. PLANNING N i ES> �// /I ` T > Date: -1 t,Lb I4.( Applicant: � \ -K. **1)E*3434***IF*******?E*31)*X!F Y.-'14)4(**#iEIE)e*3E****144.2#3c*3e3ER'*k-*31)404****) Fir*44***3:ii***34*x*?(.4***a:}'. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thlssedion need not be completed if the permit is for one hundred(5100)or less). DE VEL OPMENT SERVICES REQUIR EMENTS I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. - ZONING APPROVED BY . . • DATE: Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y a ---8fC3 which this permit is issued(Section 3097,Civ.Cl. 1E*******)E*)FN*********4****)E%*T:)E*)E#K **)F*Y,********* *****1)E*)E*)(.DAT}**.*• . r Ve** LENDER: *)E)E*****)i*********)(*)E******)E)!.V****M*)Eii*)FY******}:)E****)F****)f•******1)E*3r1)E*)r*)E**)F*)fY- ADOREss: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason _ 25 , 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING P_ (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or . 50 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed cRM I t pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 16 . 25 any applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as'owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 25 . 50 0 . 0 0 16 . 25 41 . 75 41 . 75 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or I • improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED : 41 . 75 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25 . 00 . 50 16 . 25 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware ************r N.)E*.1E.3P)(.)i.)f.*#*.yr*****31).****)E##**?rif***)F•*****Y,^**:R*******)EV**)E******IF***#*5 that proof of their Worker's Compensation insurance should be provided to me. o I am exempt under Section: B.&P.C. I N D I V I D U A L FEE BREAKDOWN Mr this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: SFR 1000 STRUCTURAL BY VALUE PER $1 . 00 1 . 00 1 , 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from / these provisions. {,//// Date: Applicant. I hereby certify that I have read this applic Iron and state that the above information ist correct.I agree to comply with all city and county , ordinances and slate laws relating to buildi g construction and hereby authorize representatives of this city to enter upon the above-ment d property for inspection purposes. [ Bl-r.:Is�tJ3r - ^ ^��t- .ti:�f Date: (4(4 4 ( Signature: �"l 0♦ .. tT.'.:i .. 5. DATE' G4/..1/0 1 uric' 15: a'• Driver's License or Social Security 4: 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING PC ' SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service of Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Un&grnd. 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 - ,,-j _#ir 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 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 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 "I .-t( 5- ,`ieded. 61 4 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 Lj_j qj (mow 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date (t�(Zc�u1�+-t" {At^�Y� N G 0 • APE lOVED City of Costa h n .....;;;;-41 g apt. eno BY S(\-• DATE i( (0 19 `IV, THESE PLANS MUST BEI)N ,i0B AT ALL TIMES Mt C • NO CHANGES WITHOUT F iIOR P.PftO� OF DEPT THE ISSUANCE OR GRANTING 7 A PERMIT OP APPROVAL PLANS AND SPECIFICATIONS SHA L NOT BE CONSTHE»_D TO BE A PERMIT FOR, OR AN APPROVAL. )F, ANY VIOLATION OF ANY J THE PROVISIONS OF THIS CODE F 0 PERMIT PRESUMING TO GE, eSiO�H`C� ALITHC'RITY TO VIOLATE OR CAN,'EL THE FROVISIONS OF TN z R CODE SHALL HE VALID EXCEPT IN '0 FAR AS THE WORK OR US• t�- 1/40 WHICH IT AUTHORIZES IS LAWFUL. e_ • THE ISSUANCE OF A FERMI EASED UPON PLANS ANC • SPECIFICATIONS SHALL NOT PREY:NT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS AND SPECIFICATION i OR FROM PREVENTING BUILDING OPERATIONS BEING CARP ED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ‘NY OTHER ORDINANCE OF 0itA:1/4A-eRAc S THE CITY. . 23` N1 I DO NAM Wiwi t.6to t5�.00lra+t�� SHUCRI (CHUCK) I. Y A G H I 112 E. Chapman Ave. #E Orange, Ca 92666 ' (714) 973-4597 FAX (714) 744-3676 STRUCTURAL CALCULATIONS JO UMBER: ca j-7 OATE i 4/$/9 / PROJECT: / el o ,B R OOk"C CNA: L A/ . �� '5 G O 51- A Me S A CA • BY City Of Costa P,AEsa Build n° pept. CLIENT: TOM MOot?G ---_._ SS 2 CS TN=�� P , oAr- 7 Q- �,�, �r�s fau�r ._ __�s_ „ES W"iTHOUT NiP ` NT ALL 71,MES?EA ,- 0, r BUILDING CODE: 1988 Edition U. B.<C:gN� �,ct ? F< „ct,,. , cPL MATERIALS: Except as "othe pise'�specl"i� �°d�hereiPr ri�, ^���� �Oo"�oF `Cn-�Sh:�L�1O VOLAT �-?r)AkI�4_P'��41LF RFSI d1� 4 y_GF Concrete 2 , 000 PSI atH28u,dayss�sL E, i 1n s , „, , „ ,, $}s Concrete Block Grade N. Ltw,t. , mutat ASTM C-90''"L sOil::oRUs, Brick Masonry Grade MW 52,500 ?SIcUnits,, ,_ ASTM C-62 Rein!. Steel 20, 000 P I,;%(ASTM�7A�;LSL;�'Grade ,4'0) ° rLNs Ah,D r Structural Steel 24, 000 P $n�(Coropact),EE(A'STM;�A 86)`'N'� ; t -Fc1"L Structural Pipe 22, 000 '101,r ASTM'F4°t59; Gr`d: "B1)A P VFHYE 1 Plywood Sheathing D. F. P. A.L,_S`ti'uotural "II, 'INTR.i,�L;P 'S. R 1-74 Glu-Lam Beams 2,400 PSI (D F:=—Laarch,_ Comb. "A"` or's c' ,' • Comb. 24F) I Lumber Grade Marked D: F. - •Larch, W. C. L. B. Grdg. Rule 16 • . Soil Pressure DESIGN REFERENCE, including Charts and Tables from: Lumber & Timber Wood Structural Design Data (Volume I) National Lumber Manufacturers Assn. Steel Manual of Steel Construction, AISC Concrete Reinforced Concrete Design Handbook, ACI: Ultimate Strength Design Handbook, ' ACI Concrete Block Masonry Design Manual, byumber Ma • pc SSW). & Brick Industry Advertising Committee Iwo. Jc '/ /* -;— co "1 le.43205 - o 1 � 3-31 —4 -t. • 446FCA00 IIr1 -I. I JO _ 'r I I`-I . I _ 'f I L-I 11. 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" �9 (u'D�� �'� �i I /4t1 .-RC �ATI&V-" Lig41 l L 1 .1 I - dl Cr: �r -1'` I 'r P 1 I 1 ( 1 I I;i' 1 . , d I-1-1 11 1-,--rl 1 ! r-I — -1 - I - - 1-LL1 9 y•EtFh1PA�N74/1 0, li.-ITN E I is 1NU�Tfr,�1Rte, . 1.TREY& •1 - 1--,- - - pEcoMMGN�ATIov3 SRC ,s, tv pN ' -1-1_}QAI- ---1 ■JJ -I 1 1 .1 1 1 I -16,045,14) , 1 1 ; 1 1 _ i 1- -,-I-1-1----_._ y --1 --j- iii 4L-4-,?T(: i ( 'erig l,�4 -; pe Ac licds;- ANv I )0(Ri-EriLc i _ -, I I , I 1 11_ I 1_ _ ! .1 1 .1. 1 .1_I L -1-ii- 1- - I k ! 1-I-1-. _ f -As1 you k1K,ow l kJ -_r6n*I 4 ? � -.- - - - -� ---- I ; I I ,-1 - -- 1- o rGrNac u�"14s, df•.' : IT 1.-1 I L VI I-I 1 I :1 1 Liu 1-_I. 1 I- - -1 ; I _ I I LI- _ _ a�)-- I- 1 - -� -- � I� 1 PPM I._HAv�_ ]kN sa/Js.__pvFoMln;aala�_�-T�Jeak�if�'t I--� ----- � --_�---_ _;1-611::1137-1-114-1T11- I_I 11_ ,_ 1 � I-I 1 I__I IMF. I - I� 1 � iI -I---tf -i is No11::11 5-1.w ll-611 1 1-1aPelren�a l_. �fP111.501-1-d-1-. htire_!.-Iei`:14 - j.,-j ADDRESS OF e111L10I0: 190 BROOKLINE LN LINT: CITY OF COSTA MESA — BUILDING PERMIT ' OTMERSNAMEIF w: FERRIE.R, THOMAS JR 1 PERM NO: H 072.665 mass: 521 S BIRCH ST SANTA ANA,CA 92701 PERMIT NO: B 072665 PLAN CHECK NO: N GOVT: N SUPP: N APPL.IMMO ADDRESS: CONSTRUCTION TYPE; VN PERMIT TYPE: STR PURPOSE: OTH ARCHITECT DR ENGINEER: LIG N0.: JOB DESCRIPTION : T/OFF, SHEATH F RF.ROOF W/COMP SHINGLES SQ FT: 2 , 924 ARCH.OR END'S ADDRESS: WIT: CLAIM VALUE: 2. , 924 . 00 CALC—VALUE: 2. , 924 . 00 GROUP OCC : R-3 / caITRACTafsNAlt STOUT ROOFING INC ( 310 ) 923-6775 CONTRAOTORS MAO P 0 BOX 4309 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UAC ADDRESS: DOWNEY CA L1GN0: 402536 #####kk#####kk##kk###k#k#k##kkkk#kkkkkkkk####kkkkkk#k##kid#kkk##k##k#######k###k 90241 LINT: 7. 0 N I N G REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under penaly ' Chas I en rceneed under provisions d Chapter 9 S E T B A C K 5 (commencing with SMion 7000)d Dlveen 3 d the Business and and my license u in f� effect. CRYLIC.NO.: 059377 uc.cLASS: C 39 uc.N .: 025 6 E 10 95 MAIN BUILDING ACCESSORY BUILDING �r FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN e.: capeda LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm wider Andy Of pejny the I un sump from the Contractors ' Law fa the fo0owkg renal(Section 70313 Stento and Pmfeaeione Code:Any sly or county which rewires a permit to ,ahem.improve, PARKING REQ: PROV: PARCEL: 41916470 ZNE: REF NO: demdch.or repo any.uucture.prier bEs issuance.elserequiresorequires the applicant for soh pets to file a signed stet thin or he she PLANNING NOTES> is licensed pursuant to the provisions d the Cowman license Law(Chapter 9(commencing with Section 7003)d DNedn 3 d the Business and Professions Code)Of that he or she is exempt tlerehom and the basis for the aieged exemption.My violation d Section > • 7031.5 by annyapplma for a permit subjects theapprare to a civil penalty of net mote than Me hundred dans MSSOOD. k##k##k##1E#fE###iEk##k###k####iEk#iE#k#k#iE####k##kid#k#k#####kid####k#k####k###k##k#iE ❑ I,as owner dthe popery ormyemployees wihwages asthei*Se compensation.vel dolhewk.andthe svWureamtintended D E V E. L O P M E N T S E R V .T. C E S R E or offered for sale(Seb44 n 70 ,Business and PrdeseiaCarted=Code:TheCarted=License Law does not appy to an Owner&properly M F. N T' d who hoicks or inprovee thereon,end who na does such work Pen herself or through his or her own employees,provided that such &intended improvements ere not&feted for male.tl,however.the building npr dng arkaes m&i sold within one year ol the e ZONING APPROVED BY : DATE: . ownerbulder will have the burden d proving he or she did rice build or improve for the purpose d sole). aI.asownerdthepropeny.amudusivdymmredigvett'fimmManhactm.”tai„dthePmged(Sadion7044.Businesaend BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law doss rd apply ban owner d property who builds or improves thereon end wfio I contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). p Iamexemptunder Seance: B.AP.C..for the reason: APPLICATION ISSUED BY: DATE; e k °p°' Owner: LF_GALIZATI0N:N FE , SUMMARY STRUCTURAL SEGMENT: Y I do hereby certify the I em awers d and understand the requirements d California Heath and Safety Code Sections 25505,25533,end 25534.andthl la any Murebuiking axepent wet/wR NH cos)need tocpmply with saidsee codes end thereeuiremenb for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification hen the Altalik7 anagenem District.Residential wWiudion applications eta exempt from these PERMIT 54 . 00 . 50 provisions. Data. Applicant: SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby WMnn under per.hy Of perjury one d the following declarations: ISSUE FEE ❑ I have and will maintain a soaked.ol consent lo 1*P-insure tor*eskers'cam:emotion.as provided for by Section 3700°Rh°Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ode,for the pwmw .&thwwkfaw.NthnnemeMmued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 I have and will maintain workers'compensation imnanee,es required by Seotion 3700 of the Labor Code.ler the performance d IM work for whet this permit is issued.My waken'compensation Insurance le/ surance conies and poky number are: Canker STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT; 00 Policy Number: 044S400004bS / 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section new nor be cempew d the perm is for iter;;embed down/StOOl pr Mn) 54 , 00 . 50 ❑ i aeiy uW n the"damance a the work ler witch Uus Prins.. . I Nal tin employ any Per • ' any manner so n to become subjecto the workers'conroensation laws d Catfornts. '�• egret ilst'ouM tot ###kidkk#k####k##############kid###k#kkk####kkk##kid#kkkkkkkid##kkkk##kkk*kkk#k IE#kid campen/pxn� '°”' d Ne Labcr I ' 'y• cam wN thgee INDIVIDUAL F E E BREAKDOWN Date: l t App r Warning:Falun warners'compensation . - Is unlawful and shell etjactan ernoloyer to pewsnsnd TYPE QTY DESCRIPTION UNIT COST TOTAL COST Gull fines up to one hundred thousand dollars(5104000).In addldon to the coat of compansatbn, ea prodded for In secdon3706oidmLabor Code,lntewstand atbmeyalees. SFR 2924 REROOF BY VALUE RESIDENTIAL N070NE 1 . 00 2, 924 . 00 ' CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty ol perjury Obi there is a censnMnn lending agency for the END OF FEES performance of the work for which this pent t a issued(Section:3097.Civ.C). • LENDER'S NAME: LENDER'S ADDRESS: I certify the I have read this applFatnn and gats that the above i nor m:in is comM.l agree to comply with redly end county ordinances and stele Lave relating to bldiq construction and hereby at.orize representatives d this ON to ewer upon the abovamwmkned Properly IanepmenprcP3ses RL ENE BURFORD / AF -,'��%mo i ly , ______L �/ BATEJ10&/0¢,95183455 TOT TIME: 10:40 53.5 A /� .VLL`T�_�if1i Date: SNneture d- -/Agenaleekan -.. reds (5151-44.WP) W rte-B ldig A Soley:Green-nit:Can ey-Appfum;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNII.,, L., 700C & 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 OF ER Grnd. 57. APPROVAL TO COVER•GUNITE I 7. Footings 58. Electrical Conduit-Undrgrnd. I 8. Foundation 59. Gas Pipe, D Undrgrnd., Test. 1 l 9. Water Pipe-Undrgrnd. , 60. Backwash Lines,P-Trap, O 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 1 65. Electrical-Final r 15. Rough Electrical.Conduit 66. Solar System-Final ' 16. Rough Electric Wiring - 67. Fencing & Access Approval • J • 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 t 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 l 24. Roof Framing • •• 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing . G-75--f5" a"4 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 ElectricNotes: 34. Final Heating & AirConditioning 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 1 46. .Handicap Regulations 47. FINAL STRUCTURE & BUILDING / 13-gel 61.4/-t _ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY r No Date l I • - OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64_ JOB ADDRESS 190 Brookline Lane BUILDING PERMIT NO. 22206 GENERAL CONTRACTOR same VALUE $ 12,635.00 AP No. LOT 106 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res Watt Ear INSPECTIONS Signat re DATE GROUP Ig4J TYPE V ZONE Soil 1�/J. ff`I SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water a' t/j7/C4 Rough om. Re ig. ❑ Air Cond. 0 Rough Heating G /.��i�� & -."- �...-., . .1-)--,//6 ye 3 3 e' 6 Rough Plumbing V Ai7fl//J EWAY:_, 7j'_ 1-/-ov a -3 Vo 11 — Prop.llaneous 001 . Swr. Line 0 House Con. St. Swr. ❑r 7j�©/„ - . DEC 9 1963 4 0 S AU Sprinklin_ System Jot Construction Pole li. Underground 0 Power C Rough Wiring przt ���}•J C . Y - 7,47Ay a od'/ Trenches O Forms 0 Steel Reinf. 0 , j..n/a /Ear Floor System _/_$i c- G /N7 G - aIt Bond Beam 0 Steel Reinforce 0 awl Sheathing Vfl • l N. Frame and Flashing «•in f� W AlIfli ,Y Lathing —In,G out ir0.: ray1����� Iv /r _ Plaster brown coat I(/r 4E_'/_L_'�_ 7 l Refrig. 0 Air Con. El Final -1_ I / _ Heating, Final rai_ _ Plumbing Fixtures, Final ralIFEW" ez Final Gas Test 0 e-- PA"Zi a Electric Fixtures, Final ' •-L - L Buildin_ Final :4: - - et- OCCUPANCY •%r I • Form BU4-5M-3-63—S-B P 22206 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT in 1 a Igett P.O.BOX Si? COSTA MESA,CALIFORNIA FINANCE DEPT. \ rr''TTyy &i R�TI4A For Applicant to Fill In Completely APPLICATI TYPE OR PRINT BUILDING l90 da..-v•-ft., For Office Use Only BUILDING / ADDRESS RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA OWNER + , (�� Racal Y ieOE'VID DATTt �� 0 eA_ \RCs �/7� GGA/ JUN 1 1964 MAIL yr1J_ _ (1/ ADD NO / yr ADDRESS ADDRESS i - ---,_/7 FIRE V. GROUP, j 44 CITY " 'At // NE 27/ep / ZONE TYPE �'{ �KAPPROVED ARCHITECT✓1 TELA/q� BY DATE OR ENGINEER C p�-o/�`'¢iY�{�I�p„ NO. %0/0• / •7'/ I.�µt���!q}//�-(1/' _ZONING ADDRESS V-r3.�v�v�.0 •�Y�t , 1 CONTRACTOR S CIL/K. !-+LCA.. r`.A1 •• 0-8 �r - _ r , A d .. ADDRESS //�(pI 6 (; r s-2-44 I 2 ; CITY ?t �4,- // A.P.NO. f�/��.� `/✓ � L O/ NOTE: NO EAVE OVERHANG SHALL BE ESS THAN STATE IQn n2"2 T454_ /7/f/7 30"TO SIDE&REAR P.L LIC.NO. //O`er / �'�(� SIZE •0/� 7J NO.OF 13 05. A•-� ALLOWEDEAVES (U.B.C.REQUIREMENT) OF LOT •-Oo x / O NOW ON LOT tJ o �� ^ YARDS APPROVED YARDS APPROVED \ USETI ' / _- -� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L`Sy/BEET) o)` SETBACK LINE FROM / 'J / FRONT 1 /FT. FT. CENTER OF STREET lJ REAR YARD I//�/ v SIDE YARD LEFT CO 0R.SIDE FT. FT. p I RIGHT J DESCRIPTION OF WORK L.SIDE 0 Fr. Fr. (n E 02 IS NEW 1 ALTERATION _ ADDITION REAR FT. FT. DISTANCE BET. BET. MAIN O u MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING Dr ISH •G BUILDING NO.OF / VAR'# DATE SIZE c7O /V 27 ROOMS S STORIESe2 C.U.P.#� / APPROVED / C EXTERIOR' I ROOF [�j / APP • I D " c(,S 1 71 1 C COVERIN f COVERINGCY/L4X.' BY I �� '' DATE / USE OF BUILDING AND WORK TO BE PERFORMED 1\�,^ 4l iir= �1 i l W 4....-151, - ii e.a V' SO.FT. Air IO D D 1 I HEREBY ACKNO 'L '•E THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE 1 AND STATE THA THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. F PLY WITH ALL CITY -OINANCEB AND STATE LAWS REGULATING VALUATION p BUILDING CONSTRUCT ON. N SIGNATURE OF PERMIT FEE $ �� 1 PERMITTE Lsr.. / ��II R I' $ / /3S - ANC C c27-- O Y • AUTHORIZED AG NT / TOTAL FEE 5 .✓ '�