HomeMy WebLinkAbout125 CLEARBROOK LN - Building Permits t.PRNECT ADDRESS: 125 CLEARBROOK LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05574E
OWNER'S NAME: BROWN STEPHEN M
ADDRESS: PARTIDA JOSE PERMIT NO: P 055746 PLAN CHECK NO: N GOVT; N SUPP; N
M
1006 W OORE AVE
, SANTA ANA, CA 92707 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: 2419789 REG.NO.:
JOB DESCRIPTION : ADD TWO MEETERS TO 3 UNIT APT BLDG SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: . GROUP OCC: R-1 /
PERMITTEE: JOSE PARTIDA ( 714 ) 241-9789
ADDRESS: 1006 W MOORE COMMENTS: CHANGE / ONE HOUSE METER TO 3 INDIVIDUAL
SANTA ANA CA 92707 **************** *****y6>E******yt**************************yE*** -x-aF******it*x-*>E****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I N G, REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS:
Dale: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate 01 consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV; PARCEL : 41914115 ZNE: REF NO:
0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: Applicant: ***************************************.*******.*********************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT SER V'1I C E Ste' REQUIREMENTS
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 ifr,
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY i. !/I DATE:
Date: Signature: 1/
i NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions at the Labor BUILDING APPROVED BY /a n 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 BY• �► � DATE: Rata—hr
which this permit is issued(Section 3097.Civ.Cl. *********************3F --'cc=;unr:-_= •,3+•+--•-----•---•—•----
- LENDER: **************************************** **************************************
ADDRESS: LEGALIZATION;N F E E S , M M A R Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRII MECHANIC FIRE SMIP/RES GRADING-
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 4 00
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 Z .--- SMIP/NON—RES
pursuant to the provisions of the Contractors'State 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 PLAN --
any applicant for a permit subjects the applicant to a civil penalty o1 not more than five hundred dollars($500). ISSUE FEE 3. 00 -'
I. as owner of the properly 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---—> 4 • 00 3, 00a 0, 00 7. 00 7• 00 . 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 sato improvements are not intended or offered for salt If.however the building or REVENUE DIVISION TOTALS--> COLI;EC TED• 7, 00 OVER/SHORT• . 00
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). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
7. 00 /?
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 71
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware **********************************,***************************************.****.**
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A -L F E E BREAKDOWN
® I am exempt under Section:BP 7044 B.8 P.C. {:
mrthis reason: TALL WORK BY 7ANER TYPE QTY D E S C R I P T I NO N UNIT COST TOTAL COST
Date. i- /�9,Y �paP � o owner. , P r�� PLU 2 GAS SERVICE �s 2 . 00 4 , 00
I do hereby certify that I am awa of and understand the requirements of CalifKrma 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 r.
permit far construction or modification from the Air Quality Management District.Residential construction applications are exempt from 'n
these provisions. r
7
Date: Applicant: • 1
I hereby certify that I have read This application and state that the above information is correct.I agree to comply with all city and county /S7
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned if 01 03106003-03106CD9 VC. i
property for inspection purposes. 6 DATE: 01,'10!92 T TGF.u t%'32
, Date: I` La - 9.0 Signature:
Driver's License or Social Security a:
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
•
•
i CONSTRUCTION AND PLANNING .. PO�c & SPA . - -
APPROVALS Permit# - Date: Inspector APPROVALS Permit # . . Date Inspector
-
.1. Temporary Electrical Service or Pole , 52. Pool &&Equipment Location -
r - .
•
•2.'•Soil Wipe•Undrgrnd. .:. - 53. Steel-Reinforcement
• 3.'Electrical Conduit Utility-Undrgrnd. 54. Forms c`,-
.
• 4. Electrical Conduit-Undrgrnd. t 55. Electrical Bonding -
5. Steel'Reinforcement 56. Rough'Plumbing & Pressure Test;
6. Electrical UF ER Grnd. - 57. APPROVAL TO COVE R-GUNIT_E
7. Footings - _ ' . 58. Electrical Conduit-Undrgrnd. ,
8. Fbundation 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 O Gas O.OiI
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
5
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 , 17 79. -FINAL'INSPECTION '
32. Electrical Power Meter-Final 80. -FOOD CERTIFICATE ISSUED I}
33. Final Electric ' - j, ;i Notes://17/Q2,- wkc oe -'NOT':SYAani.t
34.-Final Heating& Air.Conditioning . " i
35.'Final Gas Pipe-Test 1/17/7.4 C=EO t -
�l t..=
36. Hood or Canopy _ - :I.
37. Final Factory Fireplace- ' ' - y : •• 1'71 - '
_
38. Final Plumbing - //i;/ C -': j -
-39. Water Service-Final• ..t 1 j I - '•
40. Gas Service-Final , , it -it
.41. Solar Domestic-Final - 1 li ' -
i
42. Backflow Preventer - j I i 1 - -
43. Backflow Irrigation - _
,44. Landscape Irrigation System,, , . - - - _ -i
45_•Sound Attenuation r'• r . ,
46. Handicap Regulations - • '
47. FINAL STRUCTURE & BUILDINGt • -
48. FINAL PLANNING - -} ,`, c
. 49. -Electric Release to Edison
r
50. Gas Release to Southern California Gas Co i I Vii ' - -
51. CERTIFICATE OF OCCUPANCY -
No. Date
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N° 2185 C
p. Q. Box 317
Costa Mesa, California
The Building located at 125 Cle^sbrQ Tnx'e, •Units AI Br• C
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R Ss'J Occupancy.
Use of Building - _ _ _ —
Legal Description 141-343-03
(See reverse side for Metes and Bounds)
Building Permit No. • P9R?6 Electrical Permit No. 23P59 Plumbing Permit No. LiIO
Floor Load Signs have been installed as Room Capacity Signs have been instated 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— 3 and/or guest rooms
ISSUED TO: Building Official
CLEAHSRCZ TALE CORPORATION
Date bitb 2: 1965
• 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. Form BU34—IM_11_63—s_s P
4
J+
22826FtAU67�1964 k U
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 917 COSTA MESA.CALIFORNIA
- CM OF. COSTA MESP
For Applicar }b- Fill In Completely APPLICATION FOR PERMIT
LBUILDING
OR PRINT • n,
i,) C VJQ 'i k For.Office Use Only
BUILDING I bitAA
ADDRESS - - - -
RECEIPT NO. P22B26
COSTA MESA, CALIFORNIA L/!L/l}JS G/l}l�
r ,, REC61 BY DAT EMU -O ^A.�,ZE Ip,SIIE:D•^64
OWNER('/BARAf'ODK LANE FnRfrR#Ti'DM / ARE
Nl4 I1�/J
•
MAIL BUILDING .
ADDRESS /Dqt TAM bo R eg_ ADDRESS ,r •
FIRE r! 4:3—
TEL. ZONE fR3 TYPE GROUP \\\«`
a7YNeWFok7- Reifch' No.67T-/2 IA
in
APPROVED
ARCHITECTp�'). TEL. BY DATE h
OR ENGINEER LAPAWAt/S No.(o73-9D/c - ZONING Z
adoiEE SI):A Op°Rio .Ve.W hor ReALh im
ZO NO.OP UBE OF NEWCU
l f I PLANS BDILDINO/� SII %
CONTRACTORL)C 0 cants TT" C.,O, )
L eLEGAL
ADDRESS )o4C , 0 A e. _
�j}-1% hDESCRIPTION I A,g T_/Z S 6 / w
CC
y A.P.NO.
CITY Ne WpoR I 8 at:�]' � �� ea
NOSTATE - TEL // ' / 90?TO HOEA E IDE 8 REAR P.OVERHANG SHALL BE LESS THAN s,
LIC.NO. /$'7 IS' .NO./�J7.3 J.2i u U
SIZE NO,DF BLDDe`.1(�J�� ALLOWED (U..B.C.REQUIREMENT) 0.
OF LOT),,2_‘'.80 g•
/� S/� I NOW ON LOT 1yV 6
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING �i
T)
/ kr FRONT SOFT 4 FT. ((,�
SETBACK-LINE FROM 7 REAR YARD SQA T
CENTER OF STREET ) ��/ /
SIDE YARD I LEFT 0IR
l0 / 'I RIGHT /Q' G / R.SIDE l`O FT. FT. .
DESCRIPTION OF WORK n->L."SIDE ['6/FT. FT.
NEW `/ ALTERATION • ADDITION AR 'J FT' FT.
DISTANCE BET. BET.MAIN S
REPAIR MOVING DEMOLISH MAIN BLOGB. ACCESS.BLDGS.
BUILDINQQ ✓ �p //NO.OF
VAR.# - DATE
SIZE /Q/_�/ X `+ -9 ROOMS /C STORIES. 1 C.U.P.# ' per,) APPROVED
/
EXTERIOR WALL . I ROOF RDGK APPROVED ( W1 v, �I p_[` .��-bcf
COVERING STOLL0 COVERING BY lJ� l�°7 'DATE l 7
USE OF BUILDING AND WORIVIQ LAD B PERFORMED i'1 rt
. e [�'/ /
79.
TR i p kel 3LAI e1- L iA/g •
g'A-KAe it ri4C-heb ;2497 SO.FT. ?c7 213-• 3�l -x4
I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE $
AND STATE THAT THE ABOVE IB CORRECT'AND AGREE TO COM• • PURPOSE OP ESTABLISHING A PERMIT FEE ONLY., O
FLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION R
BUILDING CONSTRUCTION, Q`JJ•c m
SIGNATURE OF - - PERMIT FEE $ e. j
re M
PERMITTER • /'/I
$ 16i 117 PLAN CHECK $ t
AUTHORIZED.AGENT R 6, . . •�.[.//( O
TOTAL FEE $
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