HomeMy WebLinkAbout3070 YELLOWSTONE DR - Building Permits el
13601 e-EE R'1ULD°4 C®
COSTA MESA BUILDING-SAFETY DEPARTMENT � JAN 1 01231
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
FOR APPLICANT TO FILL IN COMPLETELY APPLICATIONCFOR)EPERMITMESA
TYPE OR PRINT BUILDING
• BUILDING
ADDRESS 3070 YELLOWSTONE R cD1-, yZ
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. I1 2n10.
OWNER KWK CONSTRUCTION Co .. INC. ,)'�YVV
MAIL , RECE1VED BY DATE PEC VE DATE ISSUED
ADDRESS 1555 PLACENT IA AVENUE [�� I .-�/ I Au
1 S 1961
TEL.
CITY NEWPORT BEACH CALIF No.6-3 7 BUILDINGADDRESS
ARC""ECT LIC.
: OR 'NEER NO. COSTA MESA, CALIFORNIA
FIRE �/
ADDRESS ZONEIRTYPE GROUP ,...../.I--
CONTRACTOR K . W. KOLL. LIC,STATN0.61195 BY DATE
ADDRESS t PLA CENT IA NEWPO�RT BEACH ZONING y
_ LEGAL LOT 28 04 41 ZONE NO.OF USE OF NEW bin@1 ram
DESCRIPTION I NO. I BLOCK I TRACT R-1 I PLANS I BUILDINL'_/ att 8a•
A.P.NO. 1 S 4- APPROVED W.L.D.2,D�7 DATE 1-6-61
SIZE I NO.OF SLUGS. YARDS (Cfi /EVES
OF LOT 60X100 NOW ON LOT 0 REQUIRED ALLOWED
USE OF (CENTER LINE ST.) OR Q :3
EXISTING BLDG. `FRONT - PT. 1 IN.
SETBACK LINE FROM 4o I351 '
• CENTER OP STREET REAR YARD • R.SIDE FT. IN.
t 1 5SIDE YARD I LEFT 5 RIGHT 5 L.SIDE FT. IN.
DESCRIPTION OF WORK
REAR FT. IN.
NEV I X II ALTERATION I II ADDITION I •
REPAIR I II MOVING I II DEMOLISH
S
T.LI4-DINGG 1320SF NO.OF
ROOMS 6 STORIES 1
EXTERIOR WAL,I, ROOF RED CEDAR I
COVERING JTUCCD ICOVERING SHINGLES .. il
USE OF BUILDING AND WORK TO BE PERFORMED SI�i
SINGLE FAHLLY RESIDENCE AND .. Kl
ATTAYHED GARAGE PLAN NO . 1-C
I HEREBY ACKNOWLEPGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ND AGRE TO COM. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY O DIN:• 9 AND ST LAW9 ULATING PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCT N.1 ` - VALUATION �(
., SIGNATURE OF PERMIT FEE $ ✓5��-
PERMITTEE ,- /1 / l
$ / i� 7o2-' PLAN CHECK $ /6--
•
AUTHORIZED AGENT r�-
TOTAL FEE $ d
UerNC
JOB gTT 30, MAX DATE ERMIT
,,ct
JOB ADDRESS 3070: Yellowstone Dr. BUILDING PERMIT N0. 39203
GENERAL CONTRACTOR Insurance Repair Inc, DESCRIPTION of WORK Fire Repair Dam.to Res.
AP No. 141-072-15 LOT TRACT FIRE ZONE VALUE $ 5
4INy ,l.,d. I:cTIONS Signature Date TYPE V GROUP I ZONE Ri.
so''' . SUBCONTRACTOR PERMITS ISSL ED
GASDate l
Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES [_] FORMS Q STEEL REINF. n
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE in
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL. FINAL Electric
HEA' VENT.. REFRIG. AND A.C., FINAL
PLU .G, FINAL AND GAS TEST n _
ELECTRIC,ILDINGFINAL
BUILDING, FINAL a / / • 7 7 i
lk
39203 P."'
"71 -8-71iri;S,00 295'- **xr:s:5,50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
/FJor Applicant to Fill in Completely
/
BUILDING ADDRESS ..0701 yELioa/S�isa r , REC EfVEy BV/ DATE F]€C'IV DI O�� IS$}/ED ,
tai
OWNER/rIH I GGS _A.P.C�N OO// s ! . 0/9^ is-t PERn• *0'3
MAI LZZl7.e 0.vr/NErd n91 �1' BUILDING Ak o / /
��`� � ADDRESS vJ
ADDRESS 3'Pr/SL'eSc� ��Cz
us ui
''I'' _ _moi . I'/ 1.�z
TT NO. 67e'j`(rrTf TRACT J/ LOT�7 BLOCK
d U CITY C o A n9CSR
Z NEW ADD ALTER REPAIR MOVING; DFMGILISH
Z Q CONSTRUCTION _
OI- LENDER Al0AlE \/
aNm /J�i I
_in BRANCH '
fib OWNER
ADDRESS a.//�� ALUE J�'���/
J d ARCHITECT TEL USE la a$v.. /!c
OR ENGINEER NO.
U FIRE
W a ADDRESS ZONE2TkATE//
GROUPawo(�AAPPROVED
% g/ !ICONTRACTOR .' /JCG /l ELC 7NC BY -d7 /
L/
7
J O
mz
Wcc ADDRESS /3a r7 E, 7omorb9 k P / ,T
W W Z NE NO.OF USE OF NE //�{,J
ZF CITY �Hal7�+ /�,�/i NO. ls-'///7 ' PLANS 0 BUILDING g Vin
W 0 STATE n q CITY YARDS APPROVED YARDS APPROVED Cl-�
co O LIC. NO.a 6l dle9 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. Dc ja't•L./WO - a ,,V FT,
I� SIZE OF NO.OF I / J L
2 NEW BLDG. ROOMS STORIES L.SIDE FT.
C EXTERIOR WALL ROOF C/ ///
CC.) COVERING (COVERING REAR F FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
/L e70/9-/.e• F/R-E DA1Y119OE' MAIN BLDGS. ACCESS.BLDGS.
Q VAR.# DATE
0 C.U.P.# APPROVED
F APPROVE�/ J1 Pe
C/) _AP (/ c0 DATE /T f
OI hereby acknowledge that I have read this application and state / JIATE
D that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employli
Kt fI- any person in violation of the workman's compensation laws of 1hthe State of California. co
? I hereby certify that I em properly licensed as a contractor underSO. FT. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: •
am exempt from the provisions of the State of California Business �• 0:
and Professions Code, Division 3,Chapter 9. VALUATION «h /J m
/,� PERMIT FEE $ e G+(J a.
Signature of� ///04 �,4� � .� a/� O
C/L.LY�JL�.�/ ' t t.tG• m
Permittee $ �� PLAN CHECK $ ^—t 16
Authorized Agent u.
TOTAL FEE $