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Home My WebLink About105 CLEARBROOK LN - Building PermitsPROJECT WNE ADDRESS: 105 CLEARBROOK LN UNIT: OWNER'S ADDRESS: SIERRA MANAGEMENT AODflE55: 409 TUSTIN SA 1tRCN/ENGINEER: 5501410 REG.NO.: ADDRESS: UNIT: PERMITTEE: TOD OUTZEN (714)590-4208 ADDRESS: 11378 KIMBERLY AVE POMONA CA 91766 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. CITY LIC.: 0564STATE LIC. 519812 BE: C-39 Date Signature: \WORKEFIS' COMPENSATION DECLARATION: hereby affirm at I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Septi '3800. Lab. C). -OLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division, Dale: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section neWb,CCmp itthe permit isfor one hundred($10o) or less)I perly that in the performance of the work for which this permit iS is any, person in any manner so as to become subject to the Workers' C�oampensation Laws of ignCalifornia.u Dale:-Z—/ L Signature: NOTICE: It. after making this declaration. you should Come subject to the Wpik s' Compensation provisions of the Labor Code. you must forthwith comply with such prpvisi 'dr This permit shall be de metl revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction I ding agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code. Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500(. I. as owner of the property or myemployees with wages as their sole compensation, will do the work, and the El structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law 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 improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ 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 a contractors) license pursuant to the Contractors' State License Law),I am aware .that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 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 tram these provisions. Date: Applicant: I hereby certify that I have read this application and state that the ordinances and state laws relating to building construction and her property Or inspection our Ses, Data Signature 'Driver's License or Social Security to comply with all city and county coon the above-mentioned 164146 While—Bwidmg', Green—Code EnlomeAm, Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 05787 PERMIT NO; B 057872 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH JOB DESCRIPTION ; REROOF 3900 SF FLAT ROOF SQ FT; 5,500 CLAIM VALUE: 5,500.00 CALC-VALUE: 5,500.00 GROUP OCC: R-1 / COMMENTS: RE ROOF SMOKE DET. RE BE BE BF4EBEa jf dF BE BF iE-)E#lE-%3F jE iE iE iFdf iEiE 3F iE4E+EiFBE iFiF iFN-1EIFjF i(-iE jE iF jE iE BEiE iE iF iE iE iF1E iE ]fjF#if if iFiE iE iE if 3F iE 1E 3E 1E iE iE tE iE iE)EdE if +E iEiE lE Z O N I N G R E Q U I R E M E N T S S E 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 RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ: PROV; PARCEL; 41914122 ZNE; REF NO; PLANNING NOTES> > iP iF -0F iE IE iE 1FRE 3F iE iEiE BE * iE BF iE iE BE * * * if iE iE iF BF BE IE BP i! if * iE if BE 4E BE BE iE iE iF k iF BF BE 3E 9f iF iE iE BE iE iFBE iE iE 9E if iF 1E B( -BE iFRF BE BE BF 1F BFif iE BF * BE * iF iE BE D E V E`L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY DATE; APPLICATION ISSUED BY: _ p DATE, 1E -IE BF iE 9f 1k iE 9f iF ie BF ik BF 14 iflE BE fEiE 1E 1E IF'iFiFi.it iE 1f 1FiE iE iE it if iE BE�£iF #E iF iE iE iE iE ik iE * iE 1f BE BE BE 9E 1E BF aE 1E it iE ikiE BE iE iE BE iE iE iE it iE BE iE BE BF iE * iE BF if BE # BE k BE iE BE BE iE BE BE iF Bf BE Bt BF iE BE iE iFjE iE iE i6 it BE �E iE aF iE * iE iF ik it iE it Bf iE iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 81,00 ,55 SMIP/NON°'-RES PLAN ISSUE FEE �f•t BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID �,. DUE TOTALS ---- > 81,55 0.00 0.00 81,55 81.55,:;_' ,00 1r, REVENUE DIVISION TOTALS--> COLLECTED: 81.55 OVER/SHORT; `y .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 81.00 ,55 f iF if iE iE * iF BE * iF BE iE Bf iFRE iF Bf 3E f6 BE iF iF iE IF BF BE * Bt iE jE iE Bf BE RE BE BE �E i'E iE iE it iE * 1E iE iF if Bf iE if iE Bk BE iE iE BF BE iE iEBf if BF iE BE iE BF B4 iE iF; iF,iFiEiF fF+E BFRE IE iE ik I N D I V I D U L F E E B R E A K D O W N "I TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,500,00 END OF FEES EXPIRED Incomplete Inspections 01 00117556-010117357 E `" tJete - Sig DATE: 06/22/92 TSoE: 11;23 CONSTRUCTION AND PLANNING' API ROVALS Permit -, Date Inspector _ f_ -L & 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 UtHity-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-- '-7' Footings 58. Electrical Conduit-Undrgrnd. -8. Foundation `9. 59. Gas Pipe, D Undrgrnd., Test Water Pipe-Undrgrnd. •' 60. Backwash Lines, P -Trap, D Undrgrnd. T0. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line-& House Connection 62. Backwash & Receptor -Final .i ' 12. Sewer Cap _ 63. Heater & Vent -Final 13. Roof Drains- 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 1 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 APPROVALS %J Permit # r 20. Rough Factory Fireplace - _ - 27. Ducts', inStructura 70. Underground Hydro - 22. Ducts, Ventilating 1 - _ r _ �i 71, Product Piping 0Gas 0Oil 23.'Gas Pipe --Rough &Test 72. Underground; Flush. 24. Roof:Framing - - - 73."Underg rndrStorage TTank O Gas D Oil' 25. Roof Sheathing 74. Overhead Hydro' 5 26. T -Bar Ceiling (Svucturall & Monocoat - 75. Dry Chemical 27..Frame and Flashing, 76. Dry Standgpe ' 28. Lathing & Siding - - r 77•_'FIXED SYSTEM�FINAL J 29, Insulation 78. FIRE PREV. FINAL 30. Drywall•Nailing - I I HEALTH DEPT. -REQUIREMENT - 31. Plaster Brown Coat - - �" - 79. `FINAL INSPECTION 32. Electrical Power MreteFinal ; 80. FOOD CERTIFICATE ISSUED 33. Final'Electric 'r• 1' ` 'Notes: - P:' X34. Final He & Air Conditioning_ -� I ' , - ` 35. Final Gas Pipe -Test - - I •' S ` r ``' .36. Hood or Canopy 37. Final Factory Fireplace 38. Final -Plumbing - - - , , ,r - 39. Water Service -Final - -- _ 40. Gas Service-F`nal- 41. Solar Domestic -Final _ •t 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System �/, •; ,� -,, - I+ 45. Sound Attenuation ' _B-E D 46. Handicap Regulations .. Incon plete InSpedtio1115 47. FINAL STRUCTURE & BUILDING c+ 2 - 48. FINAL PLANNING 49. Electric Release to Edison t " 50. Gas Release to Southern California Gas Co :51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa - Building Safety Department CERTIFICATE OF OCCUPANCY N? 2181 C P. o. Box 317 Costo Meso, Colifornio The Building located at 105 Clearbrook Liamc?. Units A= 13. • C — has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group _ Ti It'd: Occupancy. Use of Building ssr`7 lr� x eait23 Legal Description (See reverse side for Metes and Bounds) Building Permit No. ' 228AR. Electrical Permit No. -22CA Plumbing Permit No. Lll Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. — required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and/or guest rooms ISSUED TO: Building Official CLE.uME MY 1A21E� C01VORtalON by��-- Date � 1`�'t'k+ 25. 1y65 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fora, so34-1m-11-cs--s-e r • 22831 FEE RECEIVED COSTA MESA BUILDING -SAFETY DEPARTMENT AUG 17 1964 P.O.BOX917.' COSTA MESA, CALIFORNIA . FINANCE DEPT. For Applicant to 'll In CoI AP@JM1ibr fPAF pT TYP PRINT BUILDING For Office Use Only BUILDING n C ADDRESS ; _ REC8IPT NO, PERMIT NO. COSTA MESA. CALIFOR - RHCEI Y RECHI HD DATEIBSUED' OWNER k C - - BUILDING - ADDMAIttADDRESS ADDRESS JO � p(ihF 42 FIRE -13-1-140 ZONE TYP -,GROUP CITY E L9 C APPROVED ARCHITECT OR ENGINEER LA V BY DATE 32- - ZONING - �Ld DRESS O O 0 eZO NO. OFUSEOPNEWlo PLANB BUILDING CONTRACTOR IdO Ga v . (mo 1ADDRESS �1LEGAL /O S rl O QDEBCRIP IONL 31 CITY' R C C /A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THANvSTATE .TEL. -T80" NO. 7. —1w7 TO SIDE 8 REAR P. L. LIC. NO. z SIZE 1 / ) NO. OF BLDGB. ��( D I RAVES ALLOWED (U. B..C. REQUIREMENT) OF LOT .� NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) a SETBACK LINE FROM / O U FRONT �FT. FT. CENTER OF STREET REAR YARD - ' / - I I R: SIDE FT. F•r. a♦ SIDE YARD LEFT RIGHT. A^ DESCRIPTION OF WORK L. s1DEIO Pr. Fr. a I'I Li EAR . FT. NEWALTERATION ADDITION _ DISTANCEBET. BET. MAIN B MAIN BLDGS. ACCESS. BLDGB. � REPAIR MOVING DEMOLISH VAR. # DATE BUILDING rIO. OF IS. & SIZE n/-�"x' 9.9 txooms STORIES C.U.P.# APPROVED EXTERIOR WAL ROOF - - I APPROVE i7 COVERING Y,GCLO COVERING O C BY DATE USE OF BUILDING AND WORKTO B EI,,PERFORiM ED / l ` C M.n{ � a A -7 3w 1 G' TT c h 12 h 7 EQ. FT. 1 XEREBY A NOWLEDGH THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE E AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G - PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION • e� N PERMIT FEE $ s SIGNATURE OF PERMITTE ^ m PLAN CHECK 5 O AUTHORIZED AGENT '��'//,• TOTAL FEE