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HomeMy WebLinkAbout131 CLEARBROOK LN - Building Permits ti . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - I- - BOO I I /07/814 CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO., UNIT NO. ' ' • "' - ■�� TLS fleet Address ?3 ,L. d .t ' � ' O� 'LJ� : . Applicant's Mailing Address •_ / - TYPE OF CONSTRUCTION IJ NEW U ADD U ALTERATION LI REPAIR - • • / Owner's Name r��� ASC/ Phone 7.T/r�J 3� '❑ CONVERSION ❑ DEMOLISH ❑ OTHER - p,p # - Zone Address DESCRIPTION OF WORK/USE OF BLDG. S Maid Building: Accessory Building: Arch/Eng. ' - License No. • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL , T Front p • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N Address •• _ A Rear - ^ .C� /, ❑ OTHER • Contractor's Name A 441 pI/`1 phone/ � �� - _ C Right _ N Address(mailing) �SZ7G Q��Gvf T�/t/.t PROJECT DESCRIPTION SQ. FT. OCCUPANCY - K _, CONSTRUCTION TYPE VALUATION$ ' S Left I • G City License No. I • - R LICENSED CONTRACTOR DECLARATION • ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E Q Lith section affirm that I am licensed under provisions of Charter 9 ns Cade, Remarks: ) ( Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and i T my license is in full ford and,effect. 1 I $ License Class f No • , -T Date — —W Signature • PLUMBING FEES - WORKERS'COMP NSATION DECLARATION Bai Sink Showers • ELECTRICAL - FEES I herebyaffirm that have a certificate of consent to self-insure or a certificate of Workers' compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW 3800, Lab. C.) Policy No. ' Company Backflow Irrigation � $ewer •' ❑ 50+ KW 9 Certified copy is hereby furnished. Cap I I , Construction Pole Sub. , Certified copy is filed with the city Building Division. I Bathtubs I • i $ew¢!COnn¢etiOn Cooking Unit Meter Dup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION t- Clarifiers • I - _ Solar Collectors - Dishwasher Meter ❑over4100 amps . (This section need not be completed if the permit is for one hundred ($100) or less). - Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is-issued, I - , shall not employ any person in any man r s as to ec a subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011,4-8 Worke�' Compen�ati n Laws of Califg�l e Date 7 -• 1' Signature _v Floor Drains Swimming Pool w/Spa F.A.U. inc.Solar 09-15 HP 016-15+ NOTICE: If,after m king this declaration, you should become subject to the - • Workers' Compensation provisions of the Labor Code, you must forthwith-, Floor Sinks - - - Urinal- Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. - - • CONSTRUCTION LENDING AGENCY Gas Service <- Outlets Water ClosetI ' I hereby affirm that there is a nstruction lending agency for the performance / �� D¢vice Boxes Pole Light of dtheer work for ch-iyFe pe ssuetl (Seco n 3097 Civ. C.) - Lender's Name - `sP</f/felt.rL Interceptors Water Heater Outlets Range • Lender's Address .ZATId' / — KitcM1en Sink - -. Water Service Switches Sign OWNER BUILDER DECLARATION g I hereby affirm that I am exempt from the Contractor's License Law for the ` Lavatories - ' i - Garbage Disposal 'Standing Sections ' following reason (Section 7031,5 Business and Professional Code: Any city or _ -• county which requires a permit to construct„alter,improve,demolish or repair: p—Trap Generator 00-5 KW 05.15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit ' ®' p • to file a signed statement that.he/she Is licensed pursuant to the provisions of _ Roof Drains - the Contractor's License Law (Chapter 9 co(commencing with Sectionsx) of , therefrom 3 of the basis and Professionsd Code) or that 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 LIenalty of not more than five hundred dollars($500).) j. ) _ - • - I, as owner of the property or my.employees with wages as their sole Reinspection Fee'' $15 Issue Fee , $ 3 , compensation, will do the work,and the structure is'not intended or offered - • Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL I FEES 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 DEVELOPMENT SERVICES REQUIREMENTS: ' ' employees, provided that such improvements are not intended or offered for ' sale. If, however, the building or improvement is sold within one year of com- opyype Zoning Approved By Date piption, the owner will have the burden of proving he/she did not build or im- . ■ Building Approved By Date • Trove for the purpose of sale). ��'e tom,, IJ I, as owner of the property, am exclusively contracting with licensed con- ■ •- Application Issued Byl�) Data tractors to construct the project (Section 7044,Business and Professions Code: k/ The Contractor's License Law does not apply to antowner of'property who ; ■ • 00-100,000 BTU 0100,006 SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatstem BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK • • $ 'PERMIT 0 I am exempt under Section 8.& P.C.for this reason :■ # PLUMBING - $ S (,Q ISSUANCE $ Date owner - • Heating System& Ducting PLAN CHECK 25% $ - ENERGY P.C. $ I hereby certify that I have read this application and state that the above ' 0o-100,000 BTU 0100;00067 ELECTRICAL $ GRADING $ information is correct. I agree to-comply with all city and county ordinances i • and state laws relating'to building construction,and hereby authorize repre- i . PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter on the above-mentioned property for - • • Inspection pys / �/ /�+, 7J MECHANICAL $ TOTAL FEE $ 5,oc Signature (/ �Ltt Date Drivers' License or SS Reinspection Fee $15, Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod -Assessor 1 INSTRUCTION AND PLANNING , OL&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.•Eledtrical Conduit Utility-Undrgrnd. , - ' 54. Forms . - ' 4. Electrical Conduit-Undrgrnd. . - 55. Electrical Bonding . - • , •5, Steel Reinforcement • - - - "56. Rough Plumbing & Pressure Test ' J 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE o _ 7. Footings 7 ,J, 58. Electrical-Conduit-Undrgrnd. 8. Foundation - - 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap;0 Undrgrnd: 10. Structural Floor System ' 1 - - ; 61. APPROVAL-TO DECKS - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • _ 63. Heater & Vent-Final .13. Roof'Drains1 64. Plumbing System - Final" - 14. Rough-Plumbing ' 65. Electrical-Final - 15. Rough Electrical-Conduit - - - - • . - '66. Solar System-Final - - -- - - - - - 16. R6ugh Electric Wiring 67. Fencing & Access-Approval - ' 17. Rough Wiring Sign ,' - v - - 68. APPROVED FOR PLASTERING - 18. Rough Elecirical-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 Sheathing74. Overhead Hydro i . 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 /Wit GSD V { ' ' 36..Hood or Canopy . - , . - 37. Final Factory Fireplace - . 38. Final Plumbing • 39. Water Service-Final • 40. Gas Service-Final I ' - 41. Solar.Dornestic-Final 42. Backflow'Preventer ' - 43. Backflow•Irrigation; - .- . . - i 44. .Landscape Irrigation System ' 45. Sound Attenuation - - . • 46. Handicap,Regulations : � ' . - - 47. FINAL STRUCTURE & BUILDING A • 48. Special Requirements Completed i . 49. Electric Release to Edison - •� - ' - _- . . '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° 2186 C P. O. Box 317 Costa Mesa, California The Building located at 131 Clearbroolt tome, Umitn A, B, C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group H & 3 Occupancy. Use of Building Trinit+x *frith attrrbed vttace- Legal Description 1111-313^O3 (See reverse side for Metes and Bounds) Building Permit No. 22824 Electrical Permit No._ 235557 Plumbing Permit No. Wont; 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 Ft 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 CLEARBBOOK isfUE COBP01?ATTON by V- Date (March 25, 7465 ., 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_I1_63—ss r 22824 FEE RECEIVED ,COSTA"MESA BUILDING-SAFETY DEPARTMENT AUG 1 7 1964, . • P.O.BOX 917 COSTA MESA,CALIFORNIA FINANCE DEPT. - , - �7y nF rneT� MFCp For Appli I.tjt to Fill In Completely RPPLICATIOW FOR"PFRMR 1 r• •VE OR PRINT_ " BUILDING .For Office Use Only BUILDING t 3I 1 L.0-&-L. { (�•iTh !'I ADDRESS (`V,/1/�1/ RECEIPT NO. • COSTA MESA:CALIFORNIA //�� 22824 ' . _ REC[ sv [c fAu 271964 OWNERE.LP N R d?nnKJ-MFT Co,cpo/R R-T//6/4 (TIG �� 6 u [} MAIL r ^� yf L ` BUILDING ADDRESS '/Oi/J J // AA h6P 'E e , ADDRESS - TEL. f ZONE 3 TYPE" �/��--/�• GROUP/442- CITY Ne IN pc RT ReAC h NO.6737a4/U F APPROVED ARCHITECT / net, TEL ' BY DATE OR ENGINEERF.urn%R'OS No.b/L-l0/j1 - , 3 '3a ZONING ADDRESS /A , /DS O A � s � V , [ 'T se, . Er NO.OP USE OF NEW V.v(IV��(-y� �� I PLANe BUILDITIII C/b'/ y • CONTRACTOR I LI AcAIST, 6o i JLEGAL �" PO /ly- ( �I 64 DESCRIPTION I,L 0 I / V 'rJ�'J / / • z ADDRESS boys J �1M- 6b RE E— • A.P.NO. / �/ - Jtu CITYyI&WyOR7 RPMCf W. -7 • NOTE: NO EAVE OVERHANG SHALL BE LESS THAN D: STATETEL ID.N /r7 9 /� NO. ,973•- I NO • SO'TO SIDE a REAR P.L. LIC.NO. V • / �J W EAVESCY OF LOT .�� �)+ ��H / I NO.OF BLDGS. ALLOWED (U.B.C.REQUIREMENT/ w NOW ON LOT YARDS APPROVED YARDS APPROVED., D: USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. "'� (FROM C/L STREET) Q SETBACK LINE FROM „To/ `/ L CENTER OF STREET {+) (J REAR YARD /AA FRONT �FT. PT. W /^ SIDE YARD I LEFT JO/ I RIGHT 6 / R.SIDE I SIFT. FT. _ •{4/j DESCRIPTION OF WORK / L.SIDE I T FT. FT. p I. NEW L/ ALTERATION ADDITION -EAR FT. DISTANCE BET. BET. MAIN 8 Q MAIN BLDGS. ACCESS.BLOCS. REPAIR MOVING DEMOLISH BUILDIN / / O.O 'VAR.# 'DATE SIZE gni-7'') 35OOMS /C- STORIES / C.U.P.# APPROVED - EXTERIOR WA ROOF - APPROVED COVERING 'SLYl/u-a I COVERING RoeR BY DATE USE OF BUILDING AND 1rBE PE*ORMED �F. —542_o j iZ S ' /7 dPD IM`{\\l l\I l 7-ifLEX hWtLl- W Ke7 3� I HEREBY A OWLEDGE THAT I HAVE READ moilTN APPLICATION �'TH �UNT SHOWN UNDER��VALUATION 18FOR�OTHE �f • - AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING - VALUATION 53 — m BUILDING CONSTRUCTION, • N SIGNATURE OF `^ 7 PERMIT FEE j .PERMITTED • $ 2V/ //( _. �( 'rpe J AUTHORIZED AGENT g I / V.� ' I` �J��/JJJ���� 111JJJ"' TOTAL FEE $ /z y 2312n FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 21 1964 �t1�1 P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely CiaLICATf6ATPOR EWRMIT • TYPE OR PRINT BUILDING BUILDING 'l , �� .For Office Use Only ADDRESS RECEIPT NO. PERMIT NO. .COSTA MESA, CALIFORNIA - _ _ 'L 3,r7j RECEI D BY DATE ECEI D DAT IEEU OWNER Clearbrook Lane Corporation _ • /0/2a/e,,,, j�1O7o 6V ADDRESS [ /r'/4/Z JREo�I/V MAIL 1045 Jamboree Road 3 ADDRESS TELFIRE CITY ' No Newport Beach . 673-1240. ZONE 73 TYPE GROUP / APPROVED �/9 '_LJJ/`4 ARCHITECT TEL. BY---- \/// T •ATE / OR ENGINEER NO. NING ADDRESS ---- Z NO.OP .� USE OFINNEV�� {1{, PLANS ✓/ BUILDG CONTRACTOR D. C. Head V\ .rt �J� 1307LEGAL i O ��[o ( @' ADDRESS 7-3072 Bluespruce DESCRIPTION CITY Garden Grove A.P.NO.NOTE: NO EAVE - ��� / STATE 1456C7 TEL. Je 7-8885. 90"TO SIDE @ REAR P.LNG SHALL BE LESS THAN LIC.NO. � NO. SIZE I NO.OF BLAOE CS. ALLOWVES ED (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) SETBACK LINE FROM FRONT CENTER OF STREET REAR YARD • SIDE YARDI LEFT 1. RIGHT R.SIDE FT.' 0 Fr. DESCRIPTION OF WORK L.SIDE FT. ' ©FT. NEW _XCALTERATION _ ADDITION REAR FT. FT, DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH _MAIN BLDSaS. ACCESS.BLDGS. VAR.# DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.# fir � ��,AAAAAAAPPROVED EXTERIOR WALL I COVVERING BYPROVED (/ Y (IJ T�I a/� �'(� COVERING D l USE OF BUILDING AND WORK TO BEP RFORm�q ';� 3D L/,1, .'of ' // /`�oc_he N • SQ. FT. m I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTAB LI SH I NG A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE STA�TE�/LAWS REGULATING VALUATION to 41C 4 BUILDING CORE OF UCT)))�{I i/�' // /� - PERMIT FEE $ / N SPERMITTEE OF /y I ea m 52_ 500 -__. . C. . 60 Xcc AUTHORIZED AGENT / [� a• II• fes• a TOTAL FEE $ o