HomeMy WebLinkAbout132 CLEARBROOK LN - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PEEWIT NO. TRACT NO. LOT NO.• UNIT NO.
15535
Pr6kik'ddesslgZ Czen �B/Zo oL f1 '9347 10/03/84 5.00 TL'
Applicant's Mailing Address TYPE OF CONSTRUCTION LI NEW LJ ADD U ALTERATION H REPAIR ' -'- - • '
Owner's Name 512 a. A A4 AA , fC 22 isc Phone`�/�1.76 ❑ CONVERSION ❑ DEMOLISH ,❑ OTHER • A.P.# - Zone
DESCRIPTION OF WORK/USE OF BLDG. • -
AddressS Main Building:. Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING T 'O
M ❑ FOUNDATION ❑ STRUCTURAL Front
I Address ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear . N
' ' Contractor's Name A A / N /3 phoh t '{<I i' ` ❑ OTHER C Ri ht • . N
PROJECT DESCRIPTION SQ. FT. OCCUPANCY g
Address(mailing) =-r) ...7 G5 R /(h7j%1/L 0 P I .
CONSTRUCTION TYPE 'VALUATION$ S Left G
City License No. ZONE - GRADING CU.YDS. ACRESR
LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Parking Req./Provided E
I hereby affirm that lam licensed under provisions of Charter 9 (commencing Remarks: 1 ' • - . Planning Notes: M
X with section 7000) of Division 3 of the Business and Professions
Code, and
my license is in full for e and effect. 6Rdl�<•r/V�( . -
T
License Class Lic l' S.
Date/0 - ,�'r'/ Signature .� PLUMBING FEES 1 1 . • k
WORKERS'COMPENSATION DECLARATION I -
I hereby affirm that I have a certificate'of consent to self-insure or a certificate Bar Sink .,I Showers , ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section .gackflow Preventer - Service Sink - - • •
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
Policy No. ' Company Backflow Irrigation • ❑ 50+ KW
I\ 9 Sewer Cap Construction Pole Sub.
c. e Certified copy is hereby furnished. —_
l
Certified copy is filed with the city Building Division. I Bathtubs Sewer Connection • Cooking Unit 1 Meter ❑up to 100 amps
Date Applicant , -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION _ - Clarifiers Solar Collectors • _ Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or - - -
less). Dishwasher Solar Piping Dryers OG as ❑Electric I Sub Panel ,
I certify that kin the performance of the work for hich this permit is issued, I
shall not employ any person in any manner so s ti,:,),b c subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1%-8
Workers'.-�Q pensation Laws of Calif$(nt // '
Date bA Signature i." - "'r Flbor Drains 1 Swimming Pool w/Spa - F.A.U.
NOTICf,after making this declaration, you should' ecame subject to the _ , Inc.Solar ❑9-15 HP 016-15+
\\--• E:Workers','Compensation provisions of the Labor Code, you must forthwith Floor Sinks - -'— Urinal - - - - -
comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave
•
CONSTRUCTIONI LENDING AGENCY • ( Gas Service LF.Outlets Water Closet ' Z Device Boxes
1 hereby affirm that there,s a onstruction lending agency for the performance Pole Light •
of the work fp.., hic is p i is i ed .(Section 3097 Civ. C.) Interceptors "Water Heater Outlets - . Range .
Lender's-Name-
Lender's Address 1�' 7 �.c fl NF A Kitchen Sink Water ServiceSwitches Sign
OWNER BUILDER DECLARATION -- - - - -
I hereby affirm that I am exempt from the Contractor's License Law for.the Lavatories - ' Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P 'Standing Sections
county which requires a permit t0 construct,alter,improve,demolish or repair P—Trap - ,
any structure, prior to its issuance, also requires the applicant for such permit • Generator ❑0-5 KW❑5-15 KW Trash Compactor •
.4 -to file a signed statement that he/she is licensed,pursuant to.the provisions of Roof Drains
' the Contractor's License Law(Chapter 9 (commencing with Section 7000) of - _
Division 3 of the Business and Professions Code) or that he/she is exempt - .. 1 . • -
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 _ - ,
malty of not more than five hundred dollars($500).
1, as owner of the property or.my employees with wages as their sole Reinspection Fee I $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 - FEES
I 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 Boiler , Hood or Type I ❑
sale. If, however,the building or improvement is sold within one year of com- ' Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved ByDate
LIrove for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ' - 00-100,000 BTU •0100,000 BTU 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 that - BUILDING.PERMIT $ - .SMIP $
proof of their Worker's Compensation insurance should be provided to me. Exhau St System 0 Multiple 0 System Repair/Alteration
PERMIT
al am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# P,LANCHECK $
j.Qc ISSUANCE $
• PLUMBING $ ,
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 00-100,000 BTU 0100,000 BT ELECTRICAL $ • GRADING $
information is correct. I agree to comply with all city and'county ordinances
and state laws relating to building construction, and hereby authorize repre-
sentatives of this city o enter .s on the above-mentioned property for x'
inspection pur o s. / MECHANICAL $ 'TOTAL FEE $ �'�
Signature �jlr S A-I Datw't9-,P-,�i! Reinspection Fee $15 Issue Fee - $ 3 PLAN CHECK 25% $
IS
X Drivers' License or SS#
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
k. CONSTRUCTION AND PLANNING' - • . ' . - JOL &SPA
Date Inspector - Date Inspector-
APPROVALS Permit# ' - APPROVALS Permit#
TiYTemporary Electrical Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53.. Steel Reinforcement - '
' 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms •
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ .
•
5. Steel Reinforcement i I' 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - - 58. Electrical Conduit-Undrgrnd.
•
8. Foundation 59. Gas Pipe, O Undrgrnd.,Test: ' •
9. Water Pipe-Undrgrnd. • ' 60. Backwash Lines, P-Trap;D'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 1 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 0 Gas 0 Oil '
.,23. Gas Pipe-Rough & Test - 72. Underground Flush
24. Roof'Framing 73. Undergrnd.Storage Tank a Gas 0 Oil
•
• 25. Roof Sheathing - . ' - 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 PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT I - '
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •
33. Final Electric Notes: V .
34. Final Heating & Air Conditioning ,
•
35. Final Gas Pipe-Test , jo1/9/141 LAD.
36. Hood or Canopy: I - - •
• .
37.-Final Factory Fireplace •
38. Final Plumbing -
39. Water Service-Final ,
40. Gas Service-Final - .
41. Solar Domestic-Final ' . .
42. Backflow Preventer .
43. Backflow.Irrigation. . - , -
44. .Landscape Irrigation System • _ -
•
45. Sound Attenuation , '
46. Handicap Regulations • ,
.
47. FINAL STRUCTURE& BUILDING - • .
48. Special Requirements Completed - I
49?Electric Release to Edison - - - - -
501.Gas Release to Southern California Gas Co • '
51. CERTIFICATE OF OCCUPANCY • -
No. Date•
e '
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY No•
2187 C
P. 0. Box 317 •
Costa Mesa, California • •
The Building located at 132 Clr'9T't�'rt:k Lezia_ Unita 8, Be C
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group l; & J Occupancy.
Use of Building 1'rINat w.Lth atta^hed gars rt
Legal Description 1h0..3)13_n3
(See reverse side for Metes and Bounds)
Building Permit No. 22R23 Electrical Permit No. P3?56 Plumbing Permit No. 141+074
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 •
C' IlCOY. TAM CORPORA210N by _ _
Date tMrad% C5, 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 BU34-1M-11_G3__,q_B F
UYFNCN MC BRIAN, S. v~IC 7-6-76
)JOB ADDRESS 112 f laarhrnnke Tana BUILDING PERMIT NO. 42235
e GENERAL CONTRACTOR Harbor Roof DESCRIPTION of WORK Re-Roof
AP No: 141-711-11 LOT TRACT FIRE ZONE VALUE $1,180.00 •
`INSPECTIONS Signature Date TYPE V GROUP J ZONE R-3
SOIL SUBCONTRACTOR • PERMITS ISSUED
GAS Date Number Signori.
G1 WATER _ _ _ Plumbing
•
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND LJ POWER ❑
ROUGH WIRING Heating and Vent.
TRENCHES 7 FORMS 0 STEEL REINF.
FLOOR SYSTEM •
'
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING •
LATHING - IN n OUT n
PLASTER, BROWN COAT
I STRUCTURAL, FINAL Electric '
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL o
BUILDING, FINAL _,„t,44(4 3-I-)j'
SPECIAL REQUIREMENTS
a
• O42235 fii —6-7a 4O397z ****18.50
r ,
•
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A PLI ATI N FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely—Use I O jJY�
/y' /�//�/� RE E A _DATE RECEIVED DATE ISSUED,
ADDRESS /32..
/3 Z+ \ LQF/A�7! //[/r(/QJ(rJ / 'n•�1] (4, �� D 7t%
OWNER '✓ e et i A.P. NO. /9/ -71/—/1 I PERMIT NO.
ADD ',WI—/c'a I � 1 SS i ViLeto
MADRESS,t/ R �f yrs (�/
CITY , S/yce� r CM-c � NO. yeg`.-7 TRACT$IPI LOT 1 BLOCK
CONSTRUCTION ^� NEW ADD ALTER` - REPAIR MOVING DFMOI ISH
LENDER % `
BRANCH NA t,gnl�
---r--------' OWNER 1V •
ADDRESS ^y ,,M)cW •
VALUE /�
ARCHITECT TEL. USER tfrir$
OR ENGINEER NO.
FIRE �l/
I// /
ADDRESS ZONE TYPE GROUP G
APPROVEDIL ,r GGGG
CONTRACTOR if 00 BY . DATE "/J ��
�
I`
9aADDRESS 7 5 f Ai rnV •
Zs •i NO.OF USEOFN-
CITY 7,r-- AV dr • NO.TEL� J-SD ad PLA "4.. BUILDING Y - nh
i .
STATEa CITY 's APPROVED YARDS APPROVED
LIC. NO./ /l�J LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Ch.STREET)
SIZE NO.OF BLDGS. (FROM
IA
P. OF LOT INOW ON LOT RONT FT. FT.
mUSE OF
EXISTING BLDG. 5/1.------ R • ` FT. FT,
V 1
FSeparate permits are required for L.SIDE\ FT. FT.
Cl-
electric,plumbing and heating work. . REAR FT. FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAINS:
Q MAIN BLDGS. ACCESS. SLOGS.
GI giia' jQPT • VAR.#
C.U.P.#
DATE
_BY
APPROVED
> 7- IQ
'
>• AILJIt Pb pNI DATF
CL
W
a. I hereby acknowledge that I-have read this application and state
in
that the above Information is correct and agree to comply with
p+ all laws regulating building construction, and I shall not employ i
i
Z any person in violation of the workman's compensation laws of m
LLI_ the State of California.xio m
I hereby certify that I am properly licensed as a contractor under SQ. FT. 91
the State of Calif n siness and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D
Chapter 9, and ay( licenses are in full force and effect,or I THE PURPCBE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt frem'th - revisions of the State - Ilfornia Business VALUATION e
and Professio C•2.,Pivision 37Chapter ' PERMIT FEE $ /�1'y� N
ro
��� . �� PLAN CHECK $ /J'�Lr o
Signature of
Permittee -L S I i 7 o TAX $ 5 d U
Authorize' Agent • O TOTAL PAID $ ,i---c-n
22823 FEciupfp1yED
COSTA MESA BUILDING-SAFETY DEPARTMENT
•P.O.BOX 917 COSTA MESA.CALIFORNIA rr1177FIINnnAFFNCEEn�DppEP,nT..¢e
For Applicant to Fill•In Completely APPLICAttON'FOR'PERMf'
(T{p'�IQILOR PRINTClicon ` BUILDING
BUILDING I��411•- i`�� „- QJ/�I`(c6) For Office Use Only
ADDRESS Y y�S (JSCT'�T` W,4_ RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA 22R1. 7,2g—,
/'-' 4 IA_T 1��17 (`
RECEOr D >. 2g /Iir2 3E I�U 1
OWNEReLeA RbROak .RNP CO/PPC Wiley • / `/
/( L� BUILDING
MAIL
ADDRESS /04r t1 MM (60/y ee ADDRESS
�{',{f .
TEL ZONE FIRE 3TYPE / GROUP 1.-+T'
cm',NeWphRT„Reich N0.C61341 do
Acv �1 I�1 APPROVED Z
OR ENGINEER/. /1'��•�f s NO.403.4O/Q BY DATE w
31/30- ZONING
ADDRESS 1//!1 9on11T0 Mewp A'r 3.aACh
20,c3 NO.OF USE OF NEW ^O • IM
61x1 n CONS7. Go. I PLANS BUILD'NGI)u
CONTRACTOR i___.0
- 91--R. --. /
-' /,
�{\- �] L p p LEGAL
ADDRESS ,11bI WS 3 ,gyp/]AA ho R` e DESCRIPTION J �/ 7 •
a
CITY NeyY QJRT Re ALr/ A.P.NO. /V( -3 3 — ]
1.7
STATE / Q TEL 30- "TO SIDEAVE E B REAR pH LNG SHALL BE LESS THAN
LIC.NO. J 5771 S NO.•6771-12 y V
EAVES
SIZE /`�_yI /..// NO.OP BLDOS ALLOWED (U.B.C.REQUIREMENT)
OF LOT/a.�/SV /` / NOW ON LOT 14
YARDS APPROVED YARDS APPROVED
USE OF . MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM rSD/ REAR YARD G 1S/ FRONT C OFT. FT.
CENTER OF STREET / .�
SIDE YARD I LEFT / - . . I' RIGHT JO/ ' R.SIDE \o FT. FT, (
DESCRIPTION OF WORK L.SIDE /0 Fr. FT.
1i // I
NEW v I ALTERATION _ ADDITION ?E�EAR .} FT. FT. I
JII DISTANCE BET. ' BET.MAIN&.
REPAIR MOVING DEMOLISH MAIN/SLOGS. ACCESS.BUGS.
BUILDIN�1G ^/1�{ �G�/fJO.OF ['-� �/ VAR.#. DATE , •
SIZE /Q)-/ A 3' / ROOMS / 3 STORIES J C.U.P.# APPROVED
EXTERIOR W Lam, ROOFAPPROVED
COVERING /GCCO 1 COVERING /OCR
BY' DATE ���///
USE OF BUILDING AND W•y:� =,PERFO MF�D
�_ • C
4 w A --. /
•7Rir/..ek po.) L /nye �I \.
. fR#�.p fir-fgt./Jen .0 BKPT. 5c f �i e 3aprIL
I HEREBY AC OWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE $
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING' VALUATION -
p
BUILDING CONSTRUCTION. PERMIT FEE $ N
SIGNATURE OF D
PERMITTEE - $ a6 1 7 - I r • X .
•
AUTHORIZED AGENT / \ f A�I�./Li - ' ) J • d
X / y/
TOTAL FEE $'-F
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