HomeMy WebLinkAbout580 YORKSHIRE ST - Building Permits_ « �
(714) 754-5273 • F� (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
Contractor:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a �
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Molors ro 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
580 YORKSHIRE ST
SIDE OF HOUSE
42213313
QUIJANO, MIGUEL
580 YORKSHIRE ST
COSTA MESA
QUIJANO, MIGUEL
580 YORKSHIRE ST
COSTA MESA
OWNER-BUILDER
Phone: (949)696-5734
Zip: 92627
Phone: (949)646-5734
2ip: 92627
Phone:
Zip:
License: 0
SCOPE OF PERMIT
CHANGEOUT EXISTING ELECTRICAL SERVICE. �
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
so.00
$0.00
$0.00
$30.50
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
0
1�
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
7
Temp Dist System / Lighting
Busway/i00ft
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kvalkw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misa Conductor �
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 05/29/2001
Issued: 05/29/2001
ISSUED BY:
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 ', 0
50.00 " 0
$0.00 0
$0.00 0
$0.00 0
so.00 0
50.00
$0.00
50.00
$0.00
TOTAL CALCULATED FEES E54.00
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorizetl under Ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeotions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit.
FOR INSPECTIONS CALL: (7/4) 7545626
zaassa la�oo)
�
WORKERS' COMPENSATION DECLARATION:
I �ereby ettirm under penalty of perjury one of the following tleclarations:
❑ I have end will malntain e certiNcate of consent to self-Insure br workers' compensation, as proNded for by saction 3700 0l the Lehor Code, tor the pertortnence of ihe
work tor which this pertnit is issuetl.
� I have antl will mainWin workers' compensation insurance, as required by section 3700 ot iha Labor Cotle, for ��e peAortnance ot ihe vrork for which this pertnit is issuetl.
My workers' compensailon Insurence carrier end policy number are:
Cartier: Policy Number:
(This secfion need nof be comp/eted il the permif Is velued et one huntlred tlW/ars (5100) or less.)
❑ I certily that in the peAortnanca of the work for w�ich this permit is issueA, I shall not employ eny person in eny manner so es to become sublect to t�e workers'
compensation laws oi Celitomia, entl egree t�at il I should hecome sublect lo Ne workars' compensatlon provislons ot Sectlon 3700 ot the LeDor Code, I s�all forthwith
comply with Ihese provisions.
Applicant Signeture: Dete:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL M!D SHALL SUBIECT AN EMttOYER TO CRIMIW�L PENALTIESlwD GVIL FlNES UP TOONE HUNDRED
THOUSMD DOLLARE (5100.000�, IN ADDfiION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED fOR IN SEGiION 31080F THE LABOR CODE, INTEREST, AND ATTORNE`f5 FEES.
,�,
LICENSED CONTRACTORS DECLARATON:
I �ereby aNirtn that I am licensetl under provisions of C�epter 9(commencing with Section 7000) ot Dlvision 3 of the Businass and Professlons Cotle, end my license is in tull �
force antl ettect. Lic. N Cless q ��
Contrectols SignaWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn thei Ihere is a conslruciion lentling agency for the pertormance of ihe work for w�ich ihis permit is issuetl. (Sec. 3097, Civil Code).
Lendefs Nama: Lendefs Address:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirtn that under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business entl Professions
Code: Any city or counry which requires e pertnit to consiruc�, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires �he epplicant for such pertnit
to file e signed statement thet he or she Is Ilcensed pursuen� to the proNsions ol the Contractors License Lew (Chepter 9(cammencing with Sectlon 7000) of DlNsion 3 of Ihe
Business end Profeuions Code) or ihet he or she I5 exempt therefrom entl the besis for Ihe allaged ezemption. Any Nolation of Sectian 7031.5 by eny epplicant for a permit
subjects the epplicaN to e cNil penelty of not more than Ove hundred dollers (5500).):
❑ I, es ownar oF the pioperry, or my employees wlih weges as Iheir sole compensation, WILL DO 7HE WORK, end the sWcture Is not imentletl or ottered tor sale (Sec.
7044, Business and Pmtessions Code: The Contradors License Lew dces not appty to an owner at properry who builds ar improves thereon, end who does such work
himselt or herseli or ihrougli his or lie%own employees, provided ihat such improvemenis are not in�entled or oHered lor sale. If, however, the builtling or improvement is
rj� Itl within one year of completion,ltie ownar-builder will have ihe burden of proving that he or she ditl not build or improve br purpose of sale.).
� I,.as owner of Ihe property, am EXCLUSIVELY�CONTRACTING WITH LICENSED CONTRAC70RS to conslruct the pro�ect (Sec. 7044, Business and Pwfessions
Cotle: The contraaors License Lew does no(epply to en owner of property who bullds or improves thereon, antl who comrects for such pro�ea with a contracmr(s)
license pursuant to the Contr tor License Laws.).
❑ I am exe ��j� ec. �� Business end Pmfessions Cotle tor this reason:
:c���m��.A� ��s:1'//�_ . .�— /- � nam� _ ' �
�e ❑ Yes ❑ No (Orivefs License No.. � / /� �Expires:
of document, i.e. - pmpeny tac bill or deed): -
DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION:
❑ I hareby certiy Ihat no excavation five (5) or more feet in depth into which e person is required to descend, wili ba metle In connectlon wit� work au�horized by t�is
pertnit, antl t�at no builtling sirucWre, scaHolding, lalsework, or demolition or dismantling �hereof, will De more then thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Calitomla Administretive Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit from ihe Oivision of Industriel Sefety, as noted ebove, unlass such parson has e
permit to do such work irom the division.
Signature: Date:
Division ot Indusinal Satery Permi� Numbec
CODE �. INSPECTIONTYPE
1616 Fi:ed System Final Fira Prevemion
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Fattory Fire PlaCe
203 Finel Sign
204 Finel Demolition
QajE �� EQj�I INSVECTIONTYPE
206 Final Mechanical
20B Final Plumhing
210 Final Elec�rical
212 Final Fire Prevention
220 Final Planning Appmval
222 Final Site
250 Finai 8uildinq/Occupancy
Q�� INTRiRLS
(714) 754-5273 • Fa�c (714) 754-4856
CITY OF COSTA MESA
dU/LDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 580 YORKSHIREST
Suite:
Vicinity: REAR OF PROPERTY
Parcel Number: 42213313
BUILDING PERMIT
Zoning:
npp�icant: QUIJANO, MIGUEL & VIRGINIA
Address: 580 YORKSHIRE ST.
CA Phone: (949)646-5734
COSTA MESA Zip: 92627
owner: QUIJANO, MIGUEL 8 VIRGINIA
Address 580 YORKSHIRE ST.
CA Phone: (949) 646-5734
COSTA MESA Zip: 92627
Contractor. 0��./V ��
Address
Zip:
Arch :
Address:
Zip:
!.
Phone:
License:
i
Eng:
Address:
Phone:
License:
NUMBER
77 FAIfl ORIVE, COSTA MESA, CA 92626
ISSUED BY:
r
Status: ISSUED
Applied: 7/14/1999
Issued: 10/13/1999
Phone:
License:
SCOPE OF PERMIT
LEGALIZE ENCLOSURE OF EXISTING PATIO TO CREATE 300 SQ. FT. FAMILY ROOM AT REAR OF PROPERTY, AND
CONSTRUCT NEW 213 SQ. FT. COVERED PATIO ATfACHED TO NEW FAMILY ROOM.
EXISTING GARAGE IS 2-CAR IN SIZE BUT THERE HAS NEVER BEEN ACCESS TO MORE THAN ONE SPACE BECAUSE OF
THE EXISTING CONFIGURATION OF THE HOUSE IN FRONT OF THE GARAGE AND THE PATIO COVER BETWEEN THE
HOUSE AND THE GARAGE. THE APPROVAL OF THE ROOM ADDITION WILL NOT CAUSE THE ALLOWABLE GARAGE AREA TO
BECOME MORE NONCONFORMING. WBK
Plan Check: $244.89
Permit: $376.75
SMIP Res: $2.79
SMIP Com: $0.00
Other: $376.75
Inspection: $0.00
Total: $1,001.18
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
Rear 0- 0
Rear 0- 0
FEE SUMMARY
Calc Valuation: sz�,sa3ss
Claim Valuation: $2�,ae3.ss
PLANNING & ZONING
Left 15-0 Right
left 0-0 Right
20- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or it work is suspended or abandoned
for a penod of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with ell applicable codes, and all
required Inepectiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
L
WORKERS' COMPENSATON DECLARATI(iN:
I hereby aMirm untler penalry oi perjury one of t�e following declaratians:
❑ I have antl will malntain a certificate of consent to self�lnsure for workers' compensation, as provitled for by section 3700 ot the Labor Cotle, for the pedormance of the
work for which �his permit is issueA.
❑ I have antl will mainiain workers' compensation insurance, as required by sectlon 3700 oi the Labor Code, lor the peAortnanca af the work for which this pertnit is issued.
My workers' compeusation Insurance carrier and policy numher ara:
Cerrier: Policy Number:
(This section need no( be completed i/ the pertnit is velueo et one hundred dollars ($100) or less.)
❑ I certify that In the peAormance of ihe work for which ihis pertnic is issuetl, I shall not employ any person in eny manner so as to become subject to ihe workers'
compensation laws of Calitornia, and agree that if I should become subject to Ihe workers' compensation provislons of Section 3700 of the Labor Code, I shall forthwith
comply with ihese provisions.
Appliwnt Signeture: Date:
WNRNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNL4WFUL AN� SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FINES UP TOONE HUNDRED
TMOVSAND OOLLARE (5100,000), IN ADDfTION TO THE C0.ST OF COMPENSATION, OAMAGES PS PROVIOED FOR IN SECiION 3]W OF THE LABOF CODE. IMEREST. AND ATTOfiNEI"5 FEES.
LILENSED CONTRACTORS DECLARATION:
I hereby aHirtn tha! I am licensetl untler provisions of Chapier 9(commencing with Section 7000) ot Division 3 of Ihe Business antl Professions Code, and my license is in tull
force antl etteci. Lic. N Class a
ConlractoYs Signature: Data:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aNirm ihat there is a consWction lending agency tor the pertortnance ot the work tor which Ihis permil is issued. (Sec. 3097, Civil Code).
Lender's Name: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATONS:
I hereby aHirm t�at untler penalry'of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions
CoCe: Any ciry or counry which requires a permit to construd, alter, improve, demolish, or repair any stmcture, prior to Its Issuance, elso requires tha applicant for such permit
to file a signed stetement Ihat he or she is licensed pursuant to ihe provisions of ihe Contractors License lew (Chepter 9(commencing wlth Section 7000) of Division 3 of the
Busin s and Proteuions Code) or that he or she is e:empt iherefrom and the basis for the ellegetl ezemption. Any vloletlon of Section 7031.5 by any applicant for a permit
sub cts the applicant to a civil penalry of not more than five huntlred dollars ($500).):
I, as owner of the properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is nol intendetl or oMered for sale (Sec.
7044, Business antl Professions Cotle: The Contractors License Law does not apply �o an owner oi property who builds or improves thareon, antl who does such work
�imself or herself or through his or her own employees, provided Ihat such improvemems are not intentletl or oHeretl for sale. If, however, ihe building or improvement is
sold within one year of completioq the owner-builtler will have ihe burden of proving ihet he or sha did not build or improve for purpose ot sale.).
❑ I, as owner of Ihe pmperty, em EXLLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruct the project (Sec. 7044, Business end Professions
Cotle: The contractors Licens aw tloes not apply to an owner of property who 6uiltls or improves ihereon, and who contracis for such project with a contractor(s)
license pursuent ta ihe Con lor;k¢ense Laws.).
❑ lem
Owner
end Pr01e55ions COdelOrthiSreason:
�Y ❑ Yes ❑ No Drivar's License No.
of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certily Ihai no excavalion tive (5) or more feet in depth inlo which a person is required to descend, will be made in connection with work authodzed by this
permit antl t�at no building structura, scaHolding, talsework, or demolition or dismantling thereot, will be more then ihirty-siz (36) feet hiqh. (Chap. 3.2, Gry 2, An 2, Sec.
341, Ttle 8, Celifomia Atlminisire�ive Code).
❑ As ownea6uiltler, I will not employ anyone to do work which would require a permit from ihe Division of Industrial Safety, as no�etl above, unless such person has a
pertnit to do such work from �he divi5ion.
SignaWre:
Division ot Indusirial Setety Permit Number:
Date:
CODE I, INSVECTIONTYPE
1816 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re-Roof
201 Finel BIocWRetaining Wall
202
203
Finel Fectory Fire Place
Final Sign
204 Final Demolition
pAj( IHi1T
COOE I INSGECTION 7YPE
206 Final Mechanicel
20B Final Plumbinq
210 Final Electrical
212 Final Fire Prevention
220 Final Planning ApO�oval
222 Final Site
250 Final Building/Oaupancy
��TF IMRIALS
� .
� CITY OF COSTA MESA
„ �`- _ � BUILDING DIVISION
� DEVELOPMENT SERVICES DEPARTMENT B98-00937
�• PERMIT PERMIT NUMBER
�'�
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 580 YORKSHIREST
Suite:
Vicinity:
ParcelNunmber: 42213313
Applicant: CFIRISTIAN, TODD
Address:
owner: MORICI, PIETRO
Address MORICI, BIANCA R
ELCAJON,CA �
3407 DEHESA RD
Zoning:
Phone:
Zip:
Phone:
Zip: 92019
Contractor: ANGELO TERMITE CONSTRUCTION
Address: 26062 MERIT CI
107 Phone: 347-7999
LAGUNA HILLS, CA Zip: 92653
License: 404423
Arch I Eng :
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
T/O EXISTING DAMAGED SHEATHING & REROOF WITH COMP. SHINGLE - HOUSE ONLY.
Plan Check: $0.00
Permit: $56.75
Other: $0.00
Inspection: $0.00
Total: $57.25
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING existinq: o
NOTES:
Rear 0-0
Rear 0-0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
StaWs: ISSUED �(;j
Applied: 06/01/1998
Issued: O6/01/1998
Calc Valuation: S�,soo.00
Claimed Valuation: S�,aoo.00
Right 0- 0
Right 0- 0
E�i�ED
o�
DATE t Z% I�. ��""'�
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzetl under this permit to be considered legal, such work must comply with all applicable codes, and all
required inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSA710N DECLAAATION:
I hareby attirm untler penalty of perjury ane of Iha following daclaretions: �
❑ I have and will maintein a certificete of consent m setl-Insure for workers' compensation, es provided for by section 3700 at the Labor Cale, for the pedortnence of the
work for which ihis pertnit is issued.
❑ I have and will maintain workers' compenseGon insurance, as requirea by seclion 3700 of the Lebor Code, tor Ne perfortnence of ihe work far which Ihis peimit is issued.
My workers' compensetion Insurance wrtler entl policy number are:
Carrier. Policy Numbec
(7hfs secf/on need not be comp/eted il (he peimit 15 velued ef one hundred dollers ($f 00J or less.)
❑ I certify that in the pedortnance of ihe work for which this permit is issuetl, I shall not employ any pereon in any manner so as ro become subject to the workers'
compensetion laws of Cellfomia, end egree that il I should become subjecl to Ihe workers' compensatlon provislons of Sectio 700 f the Lebor Cotl , I shell forthwith
comply with th�cse.e•�°°� .�
Applicent Signature: \ / i ��J�� � Date:
WARNINGFAILURETOSECU E ORKERSCOMPEN9q710NCOVERA6EISUNLAWFULANDSHALLSU&IEGTANEMPLOYERTOCRIMI PEN TIESANDCI ILFINESUPTOONEHUNDqED
i1qUSAND DOLLARE ($100,000), IN ADOITION TO TNE CpST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR C DE, IPIrEREST, AND ATTORNEV'S FEES.
LICENSEO CON7RACTORS DECLARATION:
I hereby eftirm Ihat I am licensed under provisions of Chap�ar 9(commencing wilh Saction 7000) ot Divlsion 3 0� ihe 8usiness entl Pmtassions Code, en�.lny IlCense is in tull
force and effacL Li�
Contractofs Signatur '
Class #
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that Ihere is a consUuc�ion lending agency for Ihe performance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Neme: Lenders Address:
Signature:
OWNER-BUILDER DECLARA710NS:
Date:
I hereby affirm that under penalry of pehury ihet I em E%EMPT PROM 7HE CON7RAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Protessions
Code: Any city or county whiCh requires e pertnit lo construct, alter, improve, tlemolish, or repair eny structura, pnor lo its iuuance, also requires the applicant tor such pertnil
to file e signetl statement thet he or she Is Ilcensed pursuant to ihe provislons ot the Contrectors License Lew (Chepter 9(commencing with Section 7000) of Dlvision 3 ai the
Business and Professions Cotle) or Ihat he or sh0 is exempt therefrom and the basis tor the alleged exemption. Any violetion of Sedion 7031.5 by eny applicant for e pertnit
subjeds the eppliwnt to e civil penelry of not mor� then five hundred dollars ($500).): '
❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl t�e structure is not intended or ollered for sele (Sec.
7044, Business and Protessions Code: The Cantrectors License Law does not epply to an owner af proparty who builds or impraves thereon, end who does such work
himselt or herself or through his or her own gmployees, provitletl that such improvements ere nol Intendad or oHered for sale. If, however, the bullding or Improvement is
sold within one year oi completion, t�e ownar-builder wiil have Ihe burtlen oi proving ihat he or she did not build or improve for purpose ot sale.).
❑ I, es owner of tha propetly, am EXCWSIVELV CONTRACTING WI7H LICENSEO CONTFACT08S to consiruct ihe project (Sec. 7044, Business and Professions
Code: The contractors License Lew does not appty to an owner oi property who builds or improves thereon, and who conirecis for such pro�ect wlth a contrector(s)
license pureuant to the Contractors License Laws.).
❑ I am exempt untler sec.
SignaNre:
Owner ID verified by tlrivers license. ❑ Yes � No
Business and Professions Code for ihis reason:
Verifcation of Ownarship by (type of document, 1.0. - properry taa hill or deed):
Drivefs License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CEqTIFICATION:
❑ I �areby certity Ihat no excavatlon five (5)�br more teet in depih inro which e person is requlretl ro tlescend, will be matle in connection with work euthodzetl by Ihis
permit, and that no building structure, scaHolding, telsework, or demolition or dismantling thereof, will be mare than thirry-six (36) feet high. (Chep. 32, Grp 2, Atl 2, Sec.
341, Title 8, Celifomia Atlministretive Code),
❑ As ownervbuilder, I will not employ anyone tb tlo work which woultl require a pertnit irom Ihe Division oi Indusinal SaFery, as no[etl above, unless such pereon has e
permit [o do such work from ihe division.
SigneNre: Date:
Division of Industnal Safety Permit Numher: -
CERTIFlCATE OF COMPLIANCE AND AUTHOR4AT10N OF ENTRY: I certify under penalty ot perjury thet I heve read this application and state ihat the information given is
correct. I egree to comply,�witfi�all state lews end ciry ordinences relating to building constructioq end authorize representatives ot the Ciry ot Costa Mesa to enter upon the
above-tlescribed property focinspe'ction Ouryoses. I�agree not to occupy or allow occupancy ot any building euthorized by this pertnit until final inspection.
, ral��� .
CO�E I. INSPECTIONTYPE
1616 Fized Systam Finel Fira Prevention
1266 Pool Spe Final
200 Finel RaRaof
201 Final BIaWRetaining Wall
202 � Final Fectory Fire Plece
203 Final Sign
204 Final Demolition
2a48db
QAtE U1i�96S
�Qp� INSPECTIONTYPE
206 Finel Mechenicel
208 Finel Plumbing
210 Finel Eleddwl
212 Final Fire Prevention
220 Finel Plenning Approval
222
250
Flnel Site
Finel Building/Occupency
UAiE V�9W
^ �^ JVIILV L�. TW1Vl1[�11V
JOB ADDRESS 580 Yorkshir
GENERAL CONTRqCTOR O,an
AP No. 422-133-13 LOT
I ECTIONS
5.
GAS
WRTER
ROUGN PLUMBING
PROP. SM'A. LINE � NOUSE CON. �
SPRINKLING SYSTEM
MISCELLaNE0U5
ROUGN NE�T�nG nHO A�q CONOITIONING
TEMPORnRY SERVICE OF POLE
UNOERGROUNO � pOWER �
ROl1GH WIRING
TRENCNES � FORMS STEEL RE
FLOOR SVSTEM
BOND BEnM [� STEEL REINFORCE �
SHEATMING
FRRME RN� FLASHING
LATNING — IN OUT n
PL�STEF. BROWN COnT
STPUCTURAL. FINAL
1 NG, VENT., REFh�G. �NO A.C�.,1FI
P�_ %�BING. FIN4l AN� G�5 TEST L,
ELECTFIC. FiN�L
BUILOING. FINAL
SPECIRL REOUIREMENTS
r.ua
VALUE S 25b4.
SUBCONTRACTOR
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92E
For Applicant to Fill in Completely — Use Ink C
ADIDRESS ,�') p�J vURKS/+I^�
OWNERORJrN�( L• L� /
TENANT � O U�V G. I` �
MAIIING � �O � K� I� I p c
ADDRE55� �;) f\ ��
CITV �.�' s�� Mr S/1 • NOL •J
�
CONSTRUCTION ,�� �� � �
BRANCH
ADDFESI
AODRESS
i
ADDRESS
TEL.
CITV NO.
F STATE CITV
� UC. NO. UC. NO.
{,y SIZE NO.OF BLDGS.
�. OF LOT NOW ON LOT
9972 I/16/80 18.50 TL
APPLICATION FOR S'IRUCTURAL PERMIT
RECEIVE V PERMIT Ai0 49498
1 �l
A.P. NO. �
BUILDING
ADDRE55 S � �
VNIT OR
SPACE NO.
NEW ADD ALTER REPAIR MOVING DEMOLI
JWf�ER � O 'ti� Q �( /�1,
� `�m- /
USE pf.�lAl��(A. / E �Ih�.
APPROVED
APPROVED
a USE OF
.,�,� EXISTING BLDG.
h �
FSeparate permits are required for � sio Fr.
Q electric, plumbing and heating work. aena / FT.
�.W. USE OF BUILDING AND WOFiK TO BE PERFORMED � PLqryNING ACTION
.n / �7 / � � / ^7
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a I hereby acknowletlpe xhat I hava reatl this epplleation antl state
�
� the[ ihe abova Information iz correct entl apree to comply with
a ell laws re9ulatinp builtllnB �onstruetion, antl I shall not amploy
Z nny parsan In vlolaUon of the workmen's compensetion lewz ot
� tha Stata of Celltornia. / �
3 I heraby ceriify that I em properly licansetl as a eontreetor untlor �
the State of California Buslness antl Protaulona Cotle, Division 3, THE AMO
Choptar 9, antl t�nt euch Iicansas ere in f�ll foree end eitect, or I THE PUR%
nm exempt from tha ptovislons of the State of Celifornia Business VALUATION
antl Protossiona Cotlo, Division 3, Chapter 9.
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Slgneturo of �.�,/ j/�J
Permlttae )TiLf � li � _ $�
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or U /� �/
Authorizetl P.pent Dat�jr ' G j�[/7�
�
DATE
I
n
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r
Q. FT. -� �m`+
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JNT SHOWN UNDER VALUATION IS FOR m
SE OF ESTABLISHING A PERMIT FEE ONLV: �
VERMIT FEE E ` P
PLAN CHECK S �. �^
1 LL
TAX S � �O f
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TOTALPAID b � ..\ (�
vm�� illlluv i�. aWlVll[�11Y .� .__
JOB ADDRESS �' �'e � BUILDING PERMIT N0.
SUBCONTRACTOR
ROUGH P�UMBI
MISCELLANEOUS
ROUGH HEITING AND �IH COHOITIONI�
TEMPORARV SERVICE OR POLE
UN�ERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS STEELI
FLOOR SYSTEM
BONO BEAM (�, STEEL REIN�ORCE
SNEATNING
FRqME ANO FLRSHING
LATMING - IN n OU'
PLRSTER,BROWN COAT
STUUCTUHPL, FIN�L
I NG. VEHT., REFRIG.
P�_.ABING. FIN4L AN� G♦
EIECTRIC. FINAL
BUILDING. FIN4L
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' ' �STA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
eui�oiNc .., C� ' a �'. (� S ( �� -'
ADDFESS <'
T� NANT RJy � L % G Ii I��
ADDRE 5 S� 'jf �'��Jrt � f �/LE
_ / /. TEL.��
CITV �[i � YI{ A/I � SH NO. LL '7 �l e
BRANCH
ADDRESS
ARCHITECT
9973 I/16/80 20.5D TL
APPLICATION FOR STRUCNRAL PERMIT
REC �uEf�BV PERMIT Af0 49499
x. �.
A.P. NO.
BWIDING�
A�ORE55
VNIT OR
SPACE NO.
OWNER
TEL. USE
ADDRESS
CONTRACTOR D WM�Gr
ADORESS
TEL.
CITV NO.
STATE CITV
LIC. NO. � � LIC. NO.
SIZE � NO.OF BLOGS.
OF LOT Gi �� q 9 I NOW ON LOT
VSE OF I
EXISfINGBLDG. RC.Sl�QM.YIW
Separa[e permits are required for
electric, plumbing and heating work.
USE OF BUIIDING AND WORK T BE PERFO MED
n ��ve�-- �' l eL,..l,��..��
—�. ���1�:�
_ � / / //
I heraby acknowletlge that I hava �eatl this application antl state
ihat the ebove information is correct and agree to comply with
ell laws regulating building consttuction, entl I shall not employ
any person in violaSion of the workmen's compensation lews of
tha State of Celifornie.
1 hereby certify that I am properly licensed as a contractor under
ihe State of California Businass antl Protessions Coda, Division 3,
Chapter 9, and that such licanses are in tull force an0 effect, or I
am ezempt trom ihe provislons of the State of California Business
antl Protessions Cotle, Division 3, Chapter� �.
) ,(� � �
Si8^atureot ���/9�
Permittee � '� ��
o� ��. � �d
Auffiorized Agent Date
ADD
—' [,3. 5 '- /`S
�or k s�1,i Y'a�
.� BLI
: �REPAIR MOVING DEMOLI
nOvc�/ VALUE$
� � �
APPROVEDSETBACKS
(FFOM C/L STRE.ET)
l
PLANNING ACTION
DATE
APPROVED
�
�
GI i Z e d
'^ � �
� iQQ. FT. V • n
7
THE AMOUNT SHOWN UNDER VALUATION IS FOq m
THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: ��p
VALUATION PERMITFEE $ O,� I,x�
�
(/�� PLAN CHECK $ �� o
5� /60 �� TAX S o.3 0 �
U
TOTAL PAIO $ 7�, l�}>
:a B.B.K.RIi., Inc
TE
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JOB ADDRESS S80 Yorkshire Street BUILDING PERMIT NO. 955
GENERAL CONTRACTOR Dike & ColeQrove VALUE $$� QQO.00
�' � BLOCK TRACT
2'�� R e_��idPnra and Carnnrt
GROUP I TVPE V ZONE RII FIRE DISTRICT 9()%
PERMITS ISSUED
INSPECTIONS D�E � SUBCONTRACTOR I
DATE NUMBER
.FootingTrench ,1' „ 3' �
Foundation Forms and Grade to Garaoe
Plumbi
t
Wiri
-. ue��
Final /GC �"�- 1s� ],� Cfbsl, _�,.�..._ L(1'1 _ I.3_ i7_
Septic Tank or Cesspool if/r. -.G
La"�n9 %'� .� �
P ring � �
Plumbing, Final, Fixiures Complete%!( (,- �_- s
Plumbing, Final Gas Test /,5 7/-f��' -b s-„j
Wiring,Final Y�(�(� �"Z.Jr '
Occupancy GG / —%-J
Pw�m 210 C-H ID1 12•68
. Co�ta MeSa Building Department . ���y PLICATION FOR PERMI'i'
� •• 1N EAST 20th STREET , �7V � g U I L D �t N G �
�. '� �'�'COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receip! No. PermiS N
Building �} r��
Address 80 Yorkshire Stre � �
Costa Mesa, �'ie,Gi01711a, Received by at Rec'd. Date Issu
Nea�est w� —� ��
CrossSt. H2mi.ltOri Building
Addre59 41y L. t ILn J'G. ,
Tel.
cicy Costa Mesa No.
Architector AY' 90❑ Lic.
Enginee� M; rlrll ahrnnk No.
' 'dress Gnrden Grove, Calif
� cte;
i,ontractorDj]ce & Coleerove rvo.
i I �ox 5
tlon No.
Metes and Bo
Existing Bldg.
Setback Linefrom
c...�....� e...w Sll �
■ New
X IA
Bloek I Tract
No.of I No.of
Famliles Rooms
Rear Yard . <
Address
Costa Mesa, California
Nearest
Cross St.
Zone �J No. ot Type � I
�/� Plans �
Approved
by D:
CORRECTIONS
�
�'ee $ .ft. Rooms Stories
erior Wall Roof ApP�vE�.s
_,oering S"tuCCo Covering COip
Use of New Faundatlon Loeatfon Inspeelo�
Buflding Residence and Carport Farms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolta
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is rnrreM and agree to rnmply Lath. Ext.
with all City Ordinances and State Iaws regulating
building construction.
Signatureof Plaster, Int.
Permittee
Plaster, Ext
Authorized Agt.
, Masonry Reinforced
Valuation Permit Fee $ ,Z a
$ 8i���•�� TotalCheck $ j Bond Beam
Fee $ �.3 FINAL
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Show locatlon and distances from
property line and hetween buiidings.
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