HomeMy WebLinkAbout192 BROOKLINE LN - Building Permits •
ADDRESS OF BUMPING: 192 BROOKLINE LN uMT: CITY OF COSTA MESA - BUILDING PERMIT
wWERSNAmEIF@myN: THORNTON, GAYLE MARIE PERM NO: H 072666
ADDRESS 192 BROOKLINE LN
COSTA MESA,CA 92626 PERMIT NO: B 072666 PT,AN CHECK NO: N GOVT: N S11PP": N
APPL.IIABDCADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UG NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 924
ARCH.OR ENG'S ADDRESS: UHT: CLAIM VALUE: 2., 924 . 00 CALC-VALUE: 2, 924 , 00 GROUP OCC: R-3 /
cowmAttars NAME: STOUT ROOFING INC ( 3 1 0 ) 923-6.775
CONTRACTORS MAIM P 0 PDX 4309 COMMENTS : SMOKE DETECTORS REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA tic.NO.: 402536 *********NiFlEiFk***l(***7fiElEREiE1 ***IF***It***1EiF** fib****x-* f%R(**** E***NiFjEjE3FiF** 1EN)Ex-M1 ***
90241 Wit ZONING R EQO I R EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby alfkm under pronely ort perjury that I em licensed under p• • ..of Chapter 9 SE TB AC K S
(commenting with Section 7000)d Division 3 d the Business and Professions..:
CONSTRUCTION AND PLANNIN,- . ^-.- . SOL& 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-Undrgrnti. 54. Forms •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test r
6. Electrical UFER 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 & Hose Connection 62. Backwash & Receptor-Final i
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains � 64. Plumbing System - Final •
14. Rough Plumbing 9 'i 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 OOil
25. Roof Sheathing �/f-q9' �wP 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 . I 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. Backf low Preventer
43. Backflow Irrigation,
44. Landscape Irrigation System- '
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /1_�3.�sa(,v,
48. FINAL PLANNING { _ 6
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
. 01 ,2 a o 7 FEE RECEIVED
COSTA MESA BUILDI� DEPARTMENT ° 1 a SIM
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT.
CITY Of COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
/ /j [j��, �� �`-7)� For Office Use Only
BUILDING/ �i�- ��S�SI 'Ic^^'r��l !J"�*i•.—'�_
ADDRE$$ RECEIPT NO. p�{{T(�
CCOSTA MESA. CALIFORNIA�( CO {{�����, gp,dai I
OWNER SIN\ L 1-Zola . LyQX) 1' RECHLBY E [ $IV p y JIINDATE ISSUED54
MAIL // J cc!, _ i r C _P-- ABUILDDDRESS /(7�� (G/�
ADDRESS (J (+, �.J S�y��IJ� /y�
--
CITY 'j! ‘0.7. 7/ T4E44 39/!r% ZONE TYPE 11 GROURi •�
ARCHITECT tY� Win" TELa�U,/I}�-. "f APPROVED DATE
OR ENGINES (/17� NO. '/O�O
343 2 :. c ZONING wit ^ AI dab»
ADDRESS •
20N- NO. . I USE OFN6Yr( k
/-�� � � `` ``�I��� ,, , •.1 PLANE BW LDIN•
CONTRACTOR _c C`-'"1 L)-La't •.% t •
//'/ // aJ . LEGAL ' /�o J Q
ADDRESS // 6 •f'- . d'" s1 •••'1 DESCRIPTION! 0 (�2 7
CITY �! e/ . f � / A.P.NO. 1' I V •/ Z" r/
STATE / q 2_n 2 NQ r1jy 24617' SOT TO SIDE B REAR P.E: NO EAVE OVERHANG SHALL B LESS THAN
LID.NO. / / E- C 1//CL J!/a
0 X 70 NOW ON LOT 0EAVES
SIZE No.Or BLOGH. ALLOWED (U.B.C.REQUIREMENT)
OF LOT
YARDS APPROVED YARDS APPROVED
USE OFMAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. a (FROM C/ TREET) F—'
SETBACK LINE FROM FRONT tai cl
/ FT. FT. g
CENTER OF STREET / REAR YARD -4
/��
SIDE YARD I LEFT O I RIGHT R.SIDE 0 FT. FT.
DESCRIPTION OF WORKL.SIDE C0 FT. Fr.
NEW k. ALTERATION _ ADDITIQN REAR L J PT. FT. La
DISTANCE BET. BET.MAIN S it...
REPAIR _MOVING PE), ISH MAIN SLOGS. ACCESS.OLDGS. ,
BUILDING NO.OF / (/ VAR.# DATE
SIZE OCO X .3.Z ROOMS.D STORIES j. C.U.P. APPROVED IdId
EXTERIOR ROOF 1(�•/ de /J APPRO -/c-/' / a
COVERING� I COVERING JJ.f.J//'�r/ _ BY .I � DATE � b/`/`!
USE OF BU ING AND WORK TO BE PERFORMED ('� •a
^ VI . Ui
v Q
(.,� ft.- i J� SQ.FT. 7o/t) Prd c m
I HEREBY ACKNO . •GE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE F ta
AND STATE THAT HE BOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL C TY O-.•INANCES AND STATE LAWS REGULATING
Cie
BUILDING CONS -UCTI• VALUATION �/} n
PERMIT FEE U.
-- !/Y
SAE OF �z l'I/a �/ �(�T/, m W
PERIGNMITURE
TTE
0
AUTHORIZED AGE•T ji l I. I[�•�.
TOTAL FEE 5 7a r
OWNER SAN VISPA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 192 Brookline Lane BUILDING PERMIT NO. 22207
GENERAL CONTRACTOR same VALUE $ 14,835.00
AP No. LOT )07 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res Watt ROI
INSPECTIONS Signal a DATEGROUP lea TYPE V ZONE RI
Soil 7-77/ew_ PERMITS ISSUED
SUBCONTRACTOR
Gas _ I DATE NUMBEF
Water my-077 SCA: _
Rough om. Refrig. ■ Air Cond. 0
Rough Heating //f /7 , //1 ..." e j . �jf /6 se 3 3 0 7 -
12ough Plumbing ,'7 r3 -i ••f/h --f / - - j 4, -/-ce 51 d 3 VO S —
Miscellaneous �� /// / 4 U ti' 8 �"'
Prop. Swr. Line D House Con. (Vet. Swr. 0 1 ' %�'P ,�, ate_,- X. . DEC 9 i �,
Sprinkling System
Construction Pole 1</ f
Underground Q Power ❑ 1
Rough Wiring 2M—.... 7/25/.i 0 8Z —
Trenches 0 Forms 0 Steel Reinf. 0 c G -/ L L 6‘i,
Floor System c G/ /f"/G cr
ta,
Bond Beam 0 Steel Reinforce 0
Sheathing f7)e_ ?It? / K
Frame and Flashing _ i+ @ 'r6
Lathing- In,[f-�'Out a CI- -� 4 7
Plaster brown coat iiI. _ "1�1��e/1 Refrig..D Air Con. ❑ Final //Heating, FinalQIC/t Gtr If _
Plumbing Fixtures, Final ✓ /U/ ' 1
Final Gas Test /Pr it / /a) I f/ 1
Electric Fixtures, Final JO.2•. (..,L
! I -
Building, Final 1 • //- 1/-/cc —
OCCUPANCY . p-4/-‘Y
Form BI/4-5M-343—S-B P