HomeMy WebLinkAbout194 BROOKLINE LN - Building Permits 1
ADDRESS OF 9MLMNG: 194 BROOKLINE LN UMT: CITY OF COSTA MESA — BUILDING PERMIT
ONNEWSNWENIDI01s% WATTON, GERALD C PERM NO: 8 072667
ADDRESS: WATTON, STEPHANIE C
194 BROOKLINE PERMIT NO: B 072667 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
APPL.MMUNG ADDRESS CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ F'(.': 2 , 924
ARCK OR ENG.'S ADDRESS: UHT: '
CLAIM VALUE: 2, 924 . 00 CALC—VALUE; 2,92.4 , 00 GROUP OCC : R-3 /
CONTRACTORS NAME: STOUT ROOFING INC ( 310 ) 923-6775
CCNINACTOWSMMIWG P 0 BOX 4309 COMMENTS; SMOKE DETECTORS REQUIRED PER 91 UBC
AOORESS: DOWNEY CA utsea, 402536 ******DE*******ffi*****>FX***Dr**RE****>Ear*****x-**ffi**ffi**it*YE*****DEDE**-xffi*****DHDc*RI****if**
90241 WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaky of perjury that I am licensed under provisions of Chapter 9 SETBACKS
commencing with Section 7000)of Division 3 of the Business and Professions Code.end my license is in Mug force and effect.
CITYLIc.No.: 059377 uC.cuss: C 39 Uc.No.: 402536 EXP: 10/95 MAIN BUILDING ACCESSORY BUILDING
�7 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dew Co --,9'Dat --95-
9S Contray LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
igBUnDECLARATION: esPreof that y exempt from thto e License Law
reason( n701Biess� oos� :Atyonunwaprmroa � � PARKING REQ: PROV: PARCEL: 41916472 ZNE: REF NO:
demolish,or repai any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code(or that he or she is exempt Ihereh«n and the basis for the alleged exemption.My vitiation of Section >
7031.5 by any applicant for a permit subjeds the applicant to a civil penalty of not more than live hundred dollars($5001). ***K*KK54**********K**K*K****K**********K******fit*K*K**K*****KKK*K******X K*******
El I,nowner dthe propenyormyemployeeswihwages atheir sole compensation,will do the work,and the structure anaintended D E V E L. O P M E. N T SERVICES R E Q U I R F M E N ,'C S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of Konen,/who bolds or improves thereon.and who does such work himself or herself or Dump his or her own employees,provided that such
improvements are not intended or offered for sale.it,however,the building or improvement is sold within oat year of completion,the ZONING APPROVED BY DATE:
owner-builder will have the burden d proving he or she did not build or improve for the purpose of sale). •
ID I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : DATE:
_ Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who R
contracts for such prcacts with a contractor(s)licensed pursuant to the Contractors License Law). /
IamexemptunderSection: B.AP.C_forthisreason: APPLICATION ISSUED BY: DATE; /ll..((/�^^ ////����
*********K***********K*K*********(4? MM
float O"°" LEGALIZATI.ON:N F E A R Y STRUCTURAL S ,GMENT: Y
I do hereby caddy that I am aware of and understand the requirements of Caliomia Health and Safely Code Sections 25505,2aell.and
25534,and that or any future building occupant wiil/wit not(drele one)need to campy with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMLP/RES GRADING
a permit for construction or modification from the At Quality Management District.Residential construction appicaltons are exempt from these
provisions. PERMIT 54 , 00 . 50
Date: Applicant: SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the Mellowing declarations: ISSUE FEE
El have arc coir merman ecenRlcetedmment to self-insure waken compensation, provided Section 3700dlfw labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
^—////Code,for the performance o the work for which this permit a issued.
s( I have and wit maintain workers'compensation insurance.n required by Section 3700 of the Labor Code,for the parf«manoe of the
TOTALhS----> 54 . 50 0 . 00 0 . 00 54 , 50 54 . 50 . 00
work for which this permit is issued.My workers'coon sation insurance carer and policy number are:
Carrier: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 54 , 50 OVER/SHORT; 00
/ Policy Number: 044'.14u0004687 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE, SMTP/'COT GRADING PLAN—CHECK
(This section need not be completed it the perm(is for one hundred dollars p$10O1 or ren) 54 . 00 . 50
0 I catty that in the performance of the work for which this permit is issued.I shall not employ any person in any manner to as to
become subject to the ws.kers'compensation laws d California. and agree that R I should become skied to the workers' *******************************K**********KKK**************K******K************
c m nation provisions of Section 37 of the Labor Code,I shall forthwith comply with those provisions. IND IVIDUA I. F E E BREAKDOWN
Date: ° 70 — 2 9 _ Applcant
Warning;Failure to secure workers'conpewdon coverage i unWNl,and shall subject an erp/oyerro«latera/penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages as provided for In
Secuon3706 of the Labor Cods,Interest,and attorney's fees SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 924 , 00
• CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permi is issued(Section 3097.civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application and stale that the above information is correct.I agree to comply with at city and county ordinances
and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property
for inspection purposes. DARLENE BURFORD
Paint Name (ill
/
t �e/!�f 9 DATE0106/05,95J£TIME: 1TnT
0:42 54.50
Dale: /
Signature oFBarrer/AgenUAppII�nVConlreda 1��lis
(5151<6.WP) White-Building&Safety:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING _AS_. L & 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
1 ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
' 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding - -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
. i
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-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 • 1
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' UndergroOnd Hydro
22.,Ducts, Ventilating 71. Product:Piping'0 Gas p Oil
23. Gas Pipe-Rough & Test - _ 72. Underground Flush
24. Roof Framing 7,3. Undergrnd.Storage Tank OGas 0-Oil
25. Roof Sheathing 0-m-14-664i 74. Overhead Hydro •
26. T-Bar Ceiling (Structural) & Monocoat _ 75. Dry Chemical •
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding - f • ' • 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 1
33. Final Electric T '. ' 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 /(- 3-95 6/.44
48. FINAL PLANNING ..
49. Electric Release to Edison • .
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY I '
N0. Date
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 144 Brookline Lane BUILDING PERMIT NO. 22208
GENERAL CONTRACTOR Bnme VALUE $ 15,735.00
AP No. LOT 108 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK MB Watt gar
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE B3
Soil ¢.,c fp��Lsf SUBCONTRACTOR PERMITS ISSUED _
J'
Gas DATE NUMBE
Water 4/,,j,W -/,
Rough Com. Refrig. ❑ Cond. 0
Rough Heating i� �fl ` ' 1 . .i
Rough Plumbing ' 1 I tx -7/ _ 3 S/O
Miscellaneous / ��°
Prop. Swr. Line p House Con. �t. Swr. • /-/, / i �
. _ DEC 9 4 0 6 8�a
t,
/AA,,.
Sprinkling System i(64
Construction Pole I'—
%Unde Power r . i-- SPJ C _- -
Rou h Wiring r 10%1 ip' /may .927 u V a 30,PR
Trenches ❑ Forms 0 Steel Reinf. 0 'i P7'- a
Floor System - , c F /i8 G .
Bond Beam 0 Steel Reinforce 0
Sheathing g 9 e a 9 / ce. e //
Frame and Flash'._• t £{ 7 G pi
IS
Lathing— In ' Out R /it o' . .y` ;, '
Plaster, brown coat r a- If i f e '- a' n
Refrig. p Air Con. ❑ Final
Heating, Final4.111Zi lj,(J,zr
Plumbing Fixtures, Final / % /7S (�
Final Gas Test , -
Ifin. i, ,
Electric Fixtures, Final • /.-r. 6 I
Building, Final , ' (f y4'�1
P.OCCUPANCY /A y-6 y
--
Form BU4-5M-3-63S-B P /TOW t SPECIAL REOUIREMFNTS
4, 22208 FEE RECEIVED
@OSTA MESA BUILDING-SAFETY DEPARTMENT MAY 1 9 1904
P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT.
W ME
For Applicant to Fill In Completely APRAT QSNCgIA P RMRSA
TYPE OR PRINT .�O+•'V--
// BUILDING
CJZ� CN For Office Use Only
BUILDING ////
ADDRESS �/.
RECEIPT NO.
COSTA MESA. CALIFORNIA y•72CJUU1113
IiJl
C^ �/\�� /�Lr
REM /•DY DATE RBCEI ED DATE ISSUED
OWNER CSM 0 V-J�a VGJ / -4'It' • . .
_ ['LI�/n BUILDING
ADDRESS /f 6 6 a• Sit I•'/0 ADDRESSFIRE
! 1
CITY C. // Tis* 9/Q ZONE TYPE^• GROUPrkI,
l^^�/ APPROVED
ARCHITECT V NO.
ZONING BY DATE
OR ENGINEER Vd_ NO.J O 0
•1 or
, , _ ZONING - 4 r .
ADDRESS C- �o!•„J. oyi 7 _
1 at` L1.
CONTRACTOR le ._. ,e 1 • 1 ���� pr l_JI y/�•[.!'
r t4 / DESCRIPTION • U / O • ✓I /B(J
ADDRESS i as. - - 4�
CITY L ' �r // A.P.NO. � Ill .' 3 R
STATE NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO. 4_ I NO. ,//�. , 3O•TO SIDE C REAR P.L
EAVES
SIZE NO.Or BLDGS. !!'�� ALLOWED (U.B.C.REQUIREMENT)
OF LOT (72(7 y ?O I NOW ON LOT v YARDS APPROVED YARDS APPROVED ��((
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG, AA a IFROM C/L FREET) // •�o(!
SETBACK LINE FROM / f FRONT .} FT. At FT.
CENTER OF STREET ///11��L� REAR YARD `/ (�
SIDE YARD I LEFT (/ I RIGHT O R.SIDE . Fr. F+
DESCRIPTION OF WORK L.SIDE OFT. FT.
v J K // ILI
Ed
NEW A ALTERATION _ ADDITION REAR ` FT. Ff.
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. d
BUILDING NO.OF J �� 41 VAR.# DATE Ed
_SIZE 27 x 3I ROOMS A STORIES a C.U.P.# ■` APPROVED / a
EXTERIOR MQ� ROOF •
/ AFPRO '�• h��• /(
COVERING COVERING - BY F, [, ti r,•ATfi W
USE OF BUILDING AND WORK TO BE PERFORMED .)I
0.4
a
IX
ta_Thc
S.
- .
/ O
4I / V / N U.
7N
�, 71/5;11;0.FT.� yao fa
I HEREBY ACK WLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL • TY •-DINANCES AND STATE LAWS REGULATING
VALUATION G
BUILDING CONSjUCT r•N.
PERMIT FEE $ O
SIGNATURE OFA/ �`/ /57 �7 S
PERMITTE Sp.-. $ 733 C C of `}d
n
AUTHORIZED GE T $ 74,S6
TOTAL PEE
OWNER GRIFFITH DATE 2-11-80
JOB ADDRESS 194 Brookline Lane BUILDING PERMIT NO. 49655
GENERAL CONTRACTOR , (instruction Co DESCRIPTION of WORK Fire Damaee
AP No. 141-343-04 LOT TRACT 5160 FIRE ZONE VALUES 28,000.00
INSPECTIONS Signature Date TYPE V GROUP I & J ZONE R-3
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS
Date I Number I
Signature
WATER Plumbing
ROUGH PLUMBING 41a. s , ,�.1/-Qa 7'1652.
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER 0
ROUGH WIRING Heating and Vent. •
TRENCHES n FORMS fl STEEL REINF. U
FLOOR SYSTEM
•
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL. FINAL ir x. 41-15-10, :zzd�"� 1�n 7
HEATING, VENT.. REFRIG. AND A.C...I FINAL JJ o ar j�js�y.«i ��/(-pv Aj ./0
PLUMBING. FINAL AND GAS TEST � (/t Wit O 11-2O
ELECTRIC. FINAL / 7 JM
BUILDING. FINAL _ _ fes/ 44-'110
- 4(...)(1-1
�'�:`COSTA MESA BUILDING-SA. _IV DEPARTMENT APPLICATION FuR STRUCTURAL PERMIT
`o,; :P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -
- • RECEIVED BY PERMIT
r ..,,w,....,,..,.,-...»:.:,.., .f.....,....... . ......m,.....®..,..r.M....,,._,a.,....��
•
. • -For Applicant to Fill m Completely —Use Ink Only v'-t/1/ '1l,i i "• 965'5
s BUILDING
I =i ",:,4-, • . 1' - - . 4 A.PNO. LI_J c1 —
r ' -
r
/ BUILDING Y-� - rt 121-/,,,„..,,
,�
1 :! OWNERORt --.42,44: t^ n ` ADDRESS / J' J- 1�S'""Dy ��i`,L. ,Cr.H r
TENANT414.,./__„;•--2- , ✓ R
MAILING 'S c rft! -int 1 ' + " SPAICENO, ', 4 ';'4'1-c. re_ rt I Y .
ADDRESS / :G!"- / • 4G4.4. ..r'' / I:.-
i _ " ' - TR.NO. LOT ? c V BLK.
. 1 tTEL.'� a• r - Y >:' j'.- .
, t CITY (f-t,--:L.4=1,_ / • s :r<,� NO. -i`: i l Ld . J�f� -
CONSiRUCTION •., - -• - NEW ADD ALTER REPAIRMOVING DEMOLISH±
LENDER
•
4 BRANCH 1 ._ r~• " OWNER 77t,e, eI"
l,, , • ' I / { r1 "'v . .
ADDRESSr /t�, ` P • VALUE )(�;1%
ARCHITECT TELE J i.'i +LFtir'l�Ilf deli �' E'y `"D` `
• OR ENGINEER - NO. ,.-w.c c ,,,,,.s zimca•.-n,asa..�-.,n.„,,,.. ab -ns'.,
a
i ADDRESS - • ZONE ! i .-71- TYPE GROUP„.4.44.1...... -
'° 1 _ 1 APPROVED
t CONTRACTOR > l n r Y" _te t• <<l '('� BV DATE -
• ,
+ ADDRESS ,.', 'J i� f __ _ L
- .�_ 7V ...
,,. -C rJ' .• .
R �
- TEL. o- •
_, CITY NO..7) + .li-.' '� /' - . .•'V -
E•• STATE ' CITY - . -fi i APPROVED SETBACKS •
`� -..
k1 '� SIZE - _ NO.OF BLDGS. (FROMC/L STREET) . . - • _
v
•
' M. OF LOT _ • NOW ON LOT FRONT F ' - FT. .. . .
Q Qp -. r".. ;`�,:':::•F-C4.4"---941•L
N.r EXISTING BLDG,• '
•-Vi I _ RSIDF f.,FT � {� '� - ...-
I
F 3 Separate permits are required for L.SIDE ' FT J '
• electric,plumbing and heating work. '
- REAR := F4.y. ..• -` -.1,-.. . _
om, 9 USE OF BUILDING AND WORK TO BE PERFORMED `
t. PLANNING ACTION I 'n, ',-. .
i r;• .z.:: S_ ,. • ‘7.'''"5:7-.'' ..-Ci ' 4 1s APPROVED - ,
V .
.r` > -
- - APPROVED
..1 ,
W iffi,Yitiii i .Mr R .!'t _-cr:m-m+:.2. .?vZYta712r-:"1.Yli:'' r • \
i I hereby acknowledge that I have read this application and state ••4 ♦., '=s'
a : that the above'information is correct and agree to comply with 3 ' ti
M. t all laws regulating building construction, and I shall not employ j - c tN " - r , • �- -
Z =. any person in violation of the workman s compensation laws of 'J .' e'' '_F 1. 4;---J- r - +e 1.l,: + 1 2
...„4:,:-'TZ., J the State of CahiornIa t 4.'e.s§ T. t 3_•t ..--:,......-;•4's-tt .'°C'r ti-+h."44,t.Y°:l'3v t:' .cv +f'- r - co 't
3 r x 'ce En .. y,. - ti,. .a: ..1 � a
3 I hereb•/ certltY,that 1.am properly.licensetl as a contr'ac`tor under '
2'"• n" the State of California Business and Professions Code, Division 3, 1 •THE AMOUNT SHOWN UNDER VALUATION IS FOR m cry
Chapter 9,and-that such licenses"are in full force and effect,or I j ESTABLISHING PURPOSE OF A PERMIT FEE ONLY:' i:' 1.1 _
am exempt from the provisions ofthe State of California Business .? - -
" ., VALUATION ,:,ry:t PERMIT FEE i E 4
1. and Professions,Code Division 3 Chapter 9 'i e VV /fat0,0- ea
PLAN CHECK E • ") o
P �/ ( � �V�l 1 - ,. ry/fs: U
// 9
Authorized Agent Date TOTAL PAID E l �Jj
i LL
_ .. .. ._