HomeMy WebLinkAbout585 YORKSHIRE ST - Building Permits• CITY OF COSTA MESA �
BI/ILD/NG D/V/S/ON
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER:
PERMIT TYPE B MISC STATUS:
DATE ISSUED:
ISSUED BY:
JOB ADDRESS: 585 YORKSHIRE ST CM Suite/Unit:
Vicinity: REAR OF GARAGE Primary Occ:
��
SQ. FT: 0 , Valuation: $100.00
Bxo%-oo0%2
ISSUED
08/1012007
CAC
Const Type
SCOPE OF WORK: CREATE AN OPENING TOINSTALL A NEW EXTERIOR DOOR AT THE REAR BACK
OF GARAGE.
OWNER: MC GEHEE, MILDRED SHELTON Address:: TR Unit COSTA
MESA, CA '
CitylState: 585 YORKSHIRE ST` Zip Code: 92627-2628
Phone:
APPLICANT: BETTY MCGEHEE
MESA, CA
City/Stale: 585 YORKSHIRE ST
Phone: 714-548-5594
CONTRAC70R: OW NER-BUILDER
Address:
City/State:
Zip Code:
ARCHITECT:
Phone
ENGINEER:
Phone
Building Plan Check:
Building Permit:
Electrical Permit:
SMIP Residential
SMIP Commercial
$O.00TOTAL FEES
Address:
Zip Code: 92627-2628
Unit: COSTA
License No. 000000'
Phone
License No.
License No.
FEE SUMMARY
$15.28 -
$23.50
$0.00
$0.00
$0.00
$38.78
Unit:
Cell:
v r �
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'�
/ • I'��
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (O�d. No. 92-28, § 1, 12-21-92)
EXPIRATION; PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
GO�Et INSPECTIONTYPE DRTE IN71npL5� COOEJ INSPECPONTYPE ORTE IN1111RL
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electncal
2�t Final Blak/Re�aining Wall 212 Final Pire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
20a Final Demolilion 250 Final Building/Ottupancy
WORKERS' COMPENSA710N DECLARATIOM:. . ".
I hereby affirm under penalry o( perjury one o( Ihe (ollowing Ceclaralions:
❑ I have and will maintain a certificate of wnsent to sel(-Insure (or v,orkers'
Compensation, as provitletl (or by section 3700 of the Labor Code, (or the
peAormance of the work for which this permit is issued.
❑ I have and vrill maintain workers' compensation insurance, as required by
section 3700 of the Labor Cotle, for lhe peAortnance of the wurk tw which this
permil is issued. My workers' compensation Insurance carner antl po!'rcy
number are:
Carrier
(This sectpn neetl rro1 pe cqmdefetl d Me permR is valued at one hundretl �llars (5100� a less.)
policy Number:
❑ I cehify tha[ in Ihe pertormance of the work for which Ihis permit is
issuetl, I shall not employ any person in any manner so as lo Decome subject
to the vrorkers' compensation laws of Califomia, and agree that it I s�ould
become subject to the vrorkers' compensation provisions ol Section 3700 of
the Labor Code, I shall foAhvnth comply with lhese provisions.
Appliwnfs SignaWre
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALI. SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aRirm that I am licensed untler pmvisions of Chapfer 9(commencing
with Section 7000) of Division 3 of lhe Business antl Professions Cotle, and
my license is in full force and eflect.
Lic. # Class #
Contractor's Signalure Date
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby aKrm that there is a construction lending agency for the
pedwmance of the v.ork for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER-BUILDER DECLARA710N5:
I hereby affrm lhal under penalty of perjury ihat I am EXEMPT FROM THE
CONTRACTORS UCENSE LAW for the (ollowing reaSon (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit ro
construct, alter, improve, demolish, or repair any sWCWre, prior lo its
issuance, also requires the applicant for such permit ro(le a signetl slatement
thal he or she is licensed pursuant to the provisions of �he Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempl Nerefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicam for a permit subjects the applicant to a civil penalry of not more Ihan
fve hundretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensa6on, WILL DO THE WORK, and lhe strucWre is not inteneed or
offered for sale (Sec. 7044, Business and Professions Code: The Conlractors
License Law does not apply to an owner of property who builds or improves
thereon, antl who tices such work himself or herself or through his or her ovm
employees, provitled that such improvements are not intended or offered for
sale. If, however, the building or impmvement is sold wilhin one year of
complelion, Ihe ovmeo-builder will have the burtlen of pmving that he or she
did not build or improve for purpose of Sale.). .
❑ I, aS ovmer of the pmperty, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS ro constmc� the pmject (Sec. 7044, Business antl
Professbns Code: The contrectas License Law dces not apply to an owner of S�gnawre oaie
propertywhobuildswimprovesthereort,andwhocontracts7wsuchprojectudth CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
�a c tracta ' ant to Ihe Coniractors Ucense Lavs.). certify under penalry of perjury that I have read Ihis application and state that
I a exempt und c. � lhe information given is correcL I agree [o comply with all state laws and city
ordinances relating to builtling construction, antl aulhorize representatives of
Business and Professions Code for this reason: the Ciry o( Costa Mesa ro enler upon lhe above-described property (or
inspection purposes. I agree nol to occupy or allow occupancy ot any building
authorized 6y this permit until lnal inspection.
� (a / ure of L al pwner(s) D te
SignaWre Da
305]-a6 (3ro)7
M�IOi Aulboni24 ApPlicanl Date
Owner I ' ied by tlriv�se. Yes ❑ No �
rivers Licens o: �����.�.�� Expires: � S-� '.
n o( , i.e. - property taz, bill or deetl�:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation frve (5) or mwe teet in depth into v.fiich a
person is required ro descend. will be made in connectbn vrith work authorized
by this pertnit, and that no building structure, scaffdding, talsev.ork, a tlemolilion
or dismantling ihereof, will be more ihan ihirty-six (36) feet high. (Chap. 32, Gry
2, Art 2, Sec. 347, Tille B, Cali(omia Administrative Code).
❑ As owner-builder, I will nol employ anyone to do work which vrould
require permit from the Division of Industrial Safery, as noted above, unless
SUCh 5o a pe7W i lo d ch work from Me tlivisiO�/ j �
�J ,� v o �
OMiwm's Signylure Oate
Division of Industrial Salety Pelmi! Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuWre builtling occupant neetl to file and
certify a Business Plan for emergency response to release or threatened
release o( a hazardous matenal't ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, with some
exceptions, that a Business Plan be fled with the Cosla Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantity of hazardous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperaWre and Dressure).
2. Does or will the appliwnt or present or future building occupant neetl to file
a registration (ortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Sa(ery Code, with some
excepfions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous matenals equal ro or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic (eet of compressed gas at stantlard
temperemre and pressure).
3. Does or will lhe applicant or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials�7 ❑ Yes ❑ No
(Section 25534 of Ihe California Health and Safety Code pmvitles that the
Costa Mesa Fire Department may require the preparation, certifca[ion antl
fling with the Fire DepaAment of an RMPP by businesses which are requiretl
to register awtely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 0( Ihe California
Health and Sa(ely Code been (ully wmplied with? ❑ Yes ❑ No
5. Does or vrill the appliwnt or present or future buildinq occupant require lor
Ihe work whiCh i5 lhe SUbjet� o/ this 2pplicaliOn a permit fof SUGh conSWGIi00
or motlification from the South Coast Air Quality Management District or from
any other air pollution control disMct or agency? ❑ Ves ❑ No
(Sectan 658502 of the Cali�pmia Govemment Code requ'ves that the requestetl
information be fumishetl on applications for nomresidential building pertnits�.
6. Will any part of the facilily to 6e constructed under this permit be within
1000 feet from the outer boundanes of a school? ❑ Yes ❑ No
(I( "yes", the faciliry musl meet the requirement of Sections 25534 and 42303
ot the California Health anq Safely Cotle�.
Z If a pertnit from Ihe South Coast Air Quality Management DisVict or other
air polNtion control distncl or agenCy is required !or lhe work which is Ihe
subject of this application, have all of ihe disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. pf yes", attach certificate of wmpliance from the appropriate air polWtion
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is cortect. I agree ro comply with all state lavrs and
ciry ordinances regarding Hazardous Matenals and Emissions.
a
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CITY GP COSTA M�� � /i/
PL.F.N�ING DIVISI(��`"
SUBJECT"tO:BLDG. DL•P7. I<GG.
NOTE: P.DDITIONS, DEL.%.TIONS, •
GR COR't.ECTiONS Sh(ALI., itli � t
APPI:UVED B`i THE Pi.AiININC; llIV.
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D�O�F BUILDING SAFETY
1 �I OF COST� MESA
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�"� �ate 6 ( c�
Ths set � cificatiais MUST be kept or ihb pb 8�all times and'A is unlaNful to
� make a aCerBtior�s on ume wdhoN wruten ppmssion han the DiJsiai of BWdrg
, Ciry o a Mesa.
ig of ' plan SHALL NOT 6e held to pertnA or ro be an appioval
of ��of ovisions of any at CosW Mesa ONinarke andlor State lar:
ard pe d sha� e�ire by IimdaC and bemrtie nutl aiM vad A the bwld�j M
a and w�itained aaire uBC 4� (d) vAl� t80 days d�.
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PERMIT TYPE
� CITY OF COSTA MESA � ' '
BUILDING DIV/SION
77 FAIR DRIVE, COSTA MESA, CA 92626 • pt4) 754-5273 • Fax p14) 754-4856 • www.ci.wsta-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626 �
PERMIT NUMBER B07-01017
B_ROOF2 STATUS: ISSUED
DATE ISSUED: 1110812007
; ISSUED BY: RMD
JOB ADDRESS: 585 YORKSHIRE'ST CM Suite/Unif: '--
Vicinity: HOUSE ONLY _ � . , , ,
Squares: 900 ' � � -� � � Valuation: � $2,000.00
,-'�1 �.� , . . : . . .. . ' . _
SCOPE OF WORK: TEAR OFF�(E) ROOF MATERIALS AND INSTALL A MINIMUM OF 2 LAYER OF 158# FELT ON A 2:12 PITCHED
ROOF AND REROOF WITH 30 YEAR COMP SHINGLES ON HOUSE ONIY, APPROX 900SF. REPAIR AND REPLACE
SHEATHING AS NEEDED. � �� „ . � ,,
OWNER: MCGEHEE, BETTYZ . �' ' Address: �, 585 YORKSHIRE -�- Unit:
PHONE: 714-546-5594�' ' � ' - 'CitylStatelZip; COSTA MESA, CA _ '
APPLICANT: MCGEHEE, BETTY Z . Address: 585 YORKSHIRE' � �� � - ' Unit: :
PHONE: 714-548-5594 � � � � � �-
CONTRACTOR: OWNEFt-BUILDER
Address: Unit: �
City/State/Zip: � '
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
' $o.00
$6925 '
$O.OQ. ,,.' �
$69.25
CRy/State/Zip. COSTA MESA, CA � � �
� � �-" '� - � - ' License�No. 000000
PHONE: , - ��" .
CELL:
License No. � � � , �PHONE: � �
License No. . � PHONE: '-�
s�
NOTICE: The work authorized by this permit shall comply with all applicable handicap �access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) , �
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . �
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and f nal approval will result in the expiration of this permit.
OER INSPECTION7YPE DATE INi1TIr1L5 CODER INSPECTIONTYPE � 04TE INTITIpLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final � 208 Finai Plumbing
200 Final Re-Roof � 210 Final Electrical
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site '
204 Final Demolition ' 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION�
I hereby aHlrm under penalty of perjury one of the following declarations:
❑ I have antl will maintain a certifwte of consent to self-Insure for vrorkers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of [he work for which Ihis permit is issuea.
❑ I have and will maintain workers' compensation insurance. as required by
sectbn 3700 of the Labor Code, for Ihe pedortnance of the work for which this
pertnit i5 issued. My workers' compensalion Insurance carrier antl policy
number are:
Carrier.
(This secl.on need irot be camplete0 d(he peimd is valuetl af one �wWredWllars (5100) w less J
Policy Number:
�I certify that in the pedormance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws o( California, and agree lhat if I should
become ject to Ihe workers' com ensation provisions of Section 3700 0(
the Lab � ode I shall forth ith co with these provisioni�,�
Appli _Cs Signalur �f �ate O
li
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm Ihat I am licensed under provisions 01 Chapter 9(commencing
with Section 7000) of Division 3 of Ihe Business and Pmfessions Code, and
my license is in full force and effect.
Lic. # Class #
Conhacmr s Signa W re Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that there is a constructan lentling agency for the
peAortnance of the v.ork (a vfiich this permil is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address ��'�
SignaWre � Date
OWNER-BUILDER DECLARATIONS�
I hereby affrm that under penalty.of perjury that I am E7(EMPT FROM THE
CONTRAC70RS UCENSE LAW for' the following reason (Sec. 7031.5.
Business and Professions Code: Any city or county which requires a permit to
construct. alter, improve, demolish, or repair �aoyr'structure, prior to its
issuance, also requires the applicant (or such permit to (le a�signed stalement
that he or she is licensed pursuant to the provisions of�the`.Contractors
License Law (Chapter 9(commencing with Section 7000) of,Division 3 of the
Business and Professions Code) or that he or she is exempf �therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicaM for a permit subjects the applicant to a civil penalty of not more than
five hundred dollars ($500).�:
f--- )
�—I: as owner of the property, or my employees vnth wages as their sole
compensation, WILL DO THE WORK, and [he stmcture is not intendetl or
oHered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
[hereon, and who does such work himself or herself or through his or her own
employees, provided that such imp�ovements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder vrill have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCIUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professbns Code: The cont2ctors License Law does not apply to an owner of
property who builds or improves [hereon, and who contracts for such prqect with
a cont2ctor(s) license pursuanl lo the Cont2ctors License Laws.).
❑ I am exempt untler sec.
Business and Professions Code for this reason:
�/ 0�,�{�_ _
�SIB�aWre � ate
305]-46 (3I0])
..
Ovmer ID verifed by driv�. Yes ❑ N� J I
Driv'er's License No. (���
Verification of Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAI SAFETV PERMIT CERTIFICATION:
❑ I hereby cert'rfy that no excavation fve (5) or more feet in depth into which a
person is required to descenQ will be made in connection with work authonzea
by ihis permit, and Ihat no building structure, scaffolding, falseurork, a demolition
or dismantling lhereof, will be more than thiRy-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title 8, Cali(omia Administ2tive Cotle).
❑ As ovmer-builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a permit to do such vrork from the division.
Applicam5 Signa W re
Division of Indus[rial Safery Permi[ Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or future building occupant need to fle antl
certify a Business Plan for emergency response to release or threa[ened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safery Code requires, with some
exceptions, tha[ a Business Plan be fled with Ihe Costa Mesa Fire
Department by every business which has at any one [ime during a reported
year a quantiry of hazardous materials equal to or greater ihan a weighc of
500 pounds, or a volume of 55 gallons, or 200 cubic /eet o( compressed gas
at standard tempereture and pressure).
2. Does or will Ihe applicant or present or Future building occupant need to fle
a registration form for acu[ely hazardous materials? ❑ Yes ❑ No
(Sec[ion 25533 of [he California Health and Sa(ety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantity of acutely
haZardous matefials equal [0 or greater Nan a weigh[ of 500 p0und5, or a
volume of 55 gallons, or 200 cubic teet of compressed gas at standard
temperamre and pressure�.
3. Does or will the applican[ or present or tuture builtling occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certifcation and
fling with the Fire Department of an RMPP by businesses which are requiretl
to register acutely hazardous materials vrith the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Cali(omia
Healih and Sa(ety Code been tully complied with? ❑ Yes ❑ No
5. Does or will [he applicant or present or fuWre building occupant require for
the vrork which is the subjec[ of [his application a permit for such construction
or modifcation trom Ihe South Coast Air Quality Management Districl or from
any other air polWtion control dis[nct or agency? ❑ Ye5 ❑ No
(Seclion 658502 of the Califomia Govemment Code requires that the requestetl
infortnation be tumished on applications for non-residential building permits).
6. Will any part of the (acility to be constructed under this permit be within
1000 feet fmm the outer boundanes of a school? � Yes ❑ No
Qf "yes", the facility must meet the requirement of Sections 25534 and 42303
o( Ihe Califomia Health and Sa(ety Code).
7. If a pertnit from the South Coast Air Quality Management DisMct or other
air polWtion control dis[rict or agency is required for the work which is Ihe
subject of this applicatioq have all of the discbsures prescnbed by California
Health and Safery Code Section 42303 been made7 ❑ Yes ❑ No
8. Qf'yes", attach certificate of compliance fmm the appropnate air polWtion
contml officer�. ,
CERTIFICATE OF COMPLIANCE: I certify [hat under penalty of perjury the
information given above is correcL I agree to comply with all s[ate laws and
city ordinances regarding Hazardous Materials and Emissions. '
SgnaWre Dale
CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry ot perjury that I have read Ihis application and state that
the information given is correcL I agree to comply with all state lavrs and city
ordinances relating to building construction, and authorize representatives of
ihe City of Cos[a Mesa to enter upon the above-described property for
inspection purposes. I agree not [o occupy or allow occupancy o( any building
authorized by this permit until finai inspeclion. .
�gnaWreofLegalOwner �) Date
` MIorA f5� zetlA pliWn // LDale .,
PflOJEtTA00PESS: SES YORKSHIRE ST
OWNEH'SNAME: M(' GEH�E, MII.DRED S
aooness: MC GEHEE MII,DRED S TR
SRS YOAKS�HIRF ST
COSTA MESA,CA 92627
ANCH/ENGINEEH:
nooxess:
PEflMITTEE: J L H 5PA5
nooaess � 512 � BEACH HL
MIDWAY CA
LILENSED CONTBRC70P DECNNRTION:�` � �eieoy auir a'am licensea unCer
7000� ot �',ion 3 0l �he Busin¢ss �olessions C •. antl �'; nse i. . il ,
cirruc/�� �g� s ic�794 cuss:
`;t¢; _^`''`,�V� r/ Signamre: _ —
OflKEFS' LOMPEN�EL flAT10N: I �ereby af rm Ih 1 I have a certilica�e o' n
Jompensa�ion Insurance. or a cetli�ietl cuoY thereo� (S Iian 00. Lab. C�. �
POLICY NO.: . ORTE: �%
COMPRNV:
❑ Cenifie0 copy is hereby lumished. ❑ Cenified capy is filetl wilh ihe ciry BuilAing
Oate:
flEG.NO.:
UNIT: • CITY OF COSTA MESA\A HJILDING PtRMIT
PERMIT NO: J51268 PLAN CHECK NO: l N
COtJSTRUCTIC... ,YPE: PERMIT TYPE: zLc PLU
uxir: JOB DESCRIPTION �: PORTABLE rIHaRGLASS SPA
(714)A92-79l5
�2685
>ns o� Chapier 9(commencing wi�h Section
and ettec�. A
PERM A70: EP 05126
GOVT: N SUPP: N
PI7RPOSE: OTH
SQ r'T ;
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS: X
1f it i�' 1f')E'7F iE�%IF'iF iF if IF iE 1F 1f iF M if iE if if iE iF �% IF il' if 3h i: iF iE if if'lE iF iF 1f 1f iE il' IE 1f if Y.Ic iF if �t iEiE if i!� IE if if �(' IE if If 1F iE iF if iE Y.' 1i' 1% if iE 1f ?E � iF If if i� IE {�'
Z O N I N G R E Q U I R E N E N T S
� S E T H A C K S
ti✓ �\
------------'h4AIN HUIiDING ----------
m sen-insure or a cenmcate oi Workers' FRNT : t T IN REAR , FT I N
LEFT; FT� IN RGHT; FT ZN
I certily Ur/� i/e pe�m���ce �mef/�k m�y�cn m:�p�r�,�� ��s�ee. i snara� e¢ry�y a�y
Oate: � (�1 Sign
NO ICE: I�. afte making Ihis eclara�ion, you
Cotle, you musl lort�wil� Comply with sucT F
CONSTBUCTION LENOING RGENCY: I hereby a��
which t�is permn is issu¢tl (Sec�ion 3097. Civ. C�.
LENOEP: I
FDDNESS:
larane
'��?ARKZNG REQ•
�F;ANNING NZSTES
#��i� if if'�f if ie �f �)f If iF
,�,�. E; D E V E
�me
� ZONING APPROVE
--------- ACCESSORY BUILDING ---------
FRNT: FT IN REP32: FT IN
LEFT: FT IN RGiiT; FT IN
� PRO��I�: PARCEL; 42223107 ZNE: REF NO:.
, � . I
�K ..��.,R � . '
i(�ik . �ifi!#IEk!EiEiEiFiFiFlfatiFiFlt+tifiEifi�IfifiEit±tiEiElEiE7Efbi4±�.Y�161fiFiFY.�ki!�iF*1tlfiE�liPiElf�iliFiF%��lf-i!if1EiF
L O P M E��N T S E R V I C E S R E Q U I R E, M E N Tj S
BY,�� • ' � DATE:
uio beco subject to me t�orkers' Camoens ian pr iswns ol me Lanor BUIT.LIING APPRO �$D BY : ' DATE :
sions or' is permit s�atl be deeme0 revoke �
matin isawnsimc6oniendngagency. epedormanceoftnewaneior APPI.ICATION ISSUED BY: �C� DATE;
si�**ie*+�+���tic*it�tf�*�i�**i�i�* � i�;h*��r���t#�� .. . - �aic
1F if af �E M if �F i( �1Fif+k iF iE iF lf ib iE IR if ih i� ff ff iE K 1F 1!� Y.� Y� iF 1F �E 3f if iE M� if if iE 3F IF if� if jE 1f iE i(� 1�- if 1E iF aF iF IE aE iR �lE iF If� 1F IF iF i!� iF af )f 1E 1F �4 i6 iE �K �Y if 1E i!� iF if K
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N,'
IOWNEBBUILOEBDECIARATION: Iher6bya�li�m�hatlamexemptlwm�heConVaclor5'SiateLicenseLaw�orineronowinAreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/RF.S GRADIT�IG ��
�Seclion 7031.5 Business ana Pm�essional Coae: Any cily oi county which requires a permii to con5imct, alier, impmve, demolish, or � ERM j T � Q Q 6 9 � �
repair any S�mdur¢. O��Or �0 ils issuan[e, als0 re0uire5 Ihe applicani lor SUCh p¢rmii lo Iile a Siqn¢a S�a�emg 91.16a1.1,�elshe is ficensed .
uursuant to ihe pmNsions ol me Comracm�s' $late License Law (Chapler 9(commencinp wil� 5¢EGof��7BOQ�'MT7� $al ihe�Bus�n2i5 - 2 S R S � Y $M I P/N�N—Fi ES
� Prolessions Code) or Ihat �elshe is exem0� Iherefrom ana the basis lor the alleBeE exemp�ian. Any violation of Section 7031.5 by p I,[{{rj '
� applicam lor a permi� su0lecis Ihe applicanl Io a civil penal�y oi nol more ��an live hundreE Eollars (5500). I SSUE F$Y. j, � Q 1 5, � �
� i. as owner oi tne pwpeny o� my empioyees wi�h wages as ineh soie campensation, wiil tlo lhe� entl �he BUILDING—AIC'—> PERMIZ' ISSUE PLF:N—CHECIi TOTPaL PAIA DO$
''-L7 stmctureisnolintenCeEoroflered�arsale�5eciion70aa.8usineuanUPmfeuianalCOAe: T�eContractors'Sute�icensetaw � TOTALS----> 71,00 18,00 "' 0.00 89,00 89,0� ,00
does nol apDN �o an owner al a OmOeny wtq builtls or improves tAereon, anA who Aces such work himself/herself or t�roug� , i .=
his or her own empl0yees, pmviAeA tAat such impmvemenis are nol inlentlea ar aifeBA far sate. Ii, Mwever Ihe builainA or
improv¢men1i55aldwilhinoneyearolcompletion.�heownervnllhavethe6urJenolO�a��ng�e/5he0itlno�6uiltl4rlrtipmue REVENUE DIVI$ION T�TAI.i$--> COLLECTED; 89.00 OVER/SHORT; 00 �
mnneo��poseoiuiel. BLDG PMT PLUMBING ELECTRIC 13ECHANIC FiRc SMIP/TOT GRADING PLAN•-CHECK
I. as owner ol ihe pmDeny. am exdusively caniracting wiih Iicense0 conlractors lo canslNcl �he pmleci (Seciion 7044, Business 5, 0 � ^ 8 9. 0 0 .
❑ antl Pmleuions Coae: The Contr3cmrs' State Licenu law tices nol aDOW to an owner ol DmDe�y �o Umlds or impmves �hereon h .�. �
anaw�oconlrac�slorsuc�Oralec�swit�acon�raclorlsllicensePursuanllolAeComracloK5lateLicenseLaw).lamaware .K.{(.{fac*{(..�**.K.�(.{f}(.*{E{t{(.K.{p{F{p{(%.{F{�.*{E{(..K.{�.**.�.{�.�(.�(.{�.�.�..K1,.�.*.�..K.K.{E{�.*.��r.K.�.*{�..��.{�,�.y.�.�.�.jtaF*�.K.y.y,.�y,�,�sa;,*y,�{��,
mat piooi oi meir workcr's Compensatian insurance shou�e ne Pmvined m me. I N D`Z� V I D�.1 A L F�E E B R E A I( D O W N
'_ � I am exempt under Seciion: B. 8 P. C. ��
m� ims reaso�: TYPE (�TY D E 5 C R T P T I O f
Oate: Owner:
I �o hereby cetlily Ihal I am aware of antl untlers�antl ��e repuiremenls a� Calilornia Neal�h and $2fery Code Sections 25505, 25533, antl
2553a antl thai I or any Iwme Ouiltling acupam wiNwiil not (circle one� nee0 ta compty vntA saiG siate cotles anA �he requiremems for a
permit for cons�mction or modilication IrOmlhe Nir Oualily Managemen� DisVicl. Re5i0eniial consimclion ap0licaiions are exem0� ��om
Ihese pmvisions. -
Oaie:
I hereby c[/�i// I,�t I nave reaa Inis
Oate:_ V �'��r
Driver , license ar Social Securiiy x: �
i6at-a6 w�ne—euntlmg: Grem—Cotle
C�. I ag�ee �a compty vn' II ciiy anA coumy
ollhi5cityloenterup 1 aEove�memionetl
`
�enue: Golaenroo—Assessor
N�,{ UNIT COST TOiAL COST
v�
ELE 4 RECEPT/OUTL'E1' 1. ST 20 EA, 7S 3,OU.
EL�E 1 SERVICES�.E'EiOW 600 V 6 BELOW 201 AMP 18,50 18,SQ
ELE 2 SUB—PANEL�' 1].00 22 00
ELE 1 MOTOR/POWR APPARATUS 0,0 — 1.0 HP 3,00 3,00
ELE 3 MOTOR/POWR APPARATUS 1.1 — 50.0 HP 7,50 :.'2.50
PLU 1 GAS PIPING SYS UF 1 TO 4 OUTLETS 2,00 2,00
END OF FEES
�
�
�ll. (JdJLG:.�-�VU�ry1+�.2� �.�_.__
^h'.;: b'�C�/°i 7IriE 1}�:2
CONSTRUCTION AND PLAM.,.,aG :OOL & SPA
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Vermit # -
- ` � ""
i. Temporary Electrical Service:oi Pole �- = 52. Pool & Equipment Location s R��
2. Soil Pipe-Undrgrnd. " � 53. Steel Reinforcement -���
3. Electrical Conduit Utility-Undrgrnd. , - 54. Forms ".
4..Electrical Conduit-Undrgrndj._ � • ry�-� 55. Electrical Bonding -•-•
5. S[eel Reinforcement '`� J 56. Rough Plumbing & Pressure Test ��
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE
7. Footings _ . 58. Electrical Conduit-Undrgrnd. 3 �
8. Foundation �� - � _�� 59. Gas Pipe, Undrgrnd., Tesi
9. Water Pipe�Undrgrnd. ' � 60. Backwash Lines, P�Trap, O Undrgrnd. /
10. Structural Floor SYstem + ,� 61. APPROVAL TO DECK�, �
11. Property Sewer Line & Housa Connection ' 62. Backwash & Receptor-Final ' -
�y_
12. Sewer Cap - � 63. Heater & Vent-Final � �`'�I
� ;.
13. Roof Drains �t 64. Plumbing SYstem - Final �/
74. RoughPlumbing �� � 65. Electrical-Final �� �
15. Rough Electriwl-Conduit� �� � 66. Solar System-Final ��--'
16. Rough Electric Wiring �� 67. Fencing & Access ApP�oval '
77. Rough Wiring Sign i' ! 68. APPROVED FOR PLASTERING r'
18. Rough Electrical-T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL (.8 J
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. �Rough Factory FiFeplace �• � � � - APPROVALS Permit #
21. Dutts, in Structure � ... � - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O`Gas OOiI
23. Gas Pipe=Rough & Test 72. Underground Flush
Framing �� 73.'Undergrnd.StorageTank OGas ❑Oil
f Sheathing � � - 74, Overhead Hydro
` � 26. T-Bar Ceil�g 1Structuraq & Monocoat - 75:'Dry Chemical '
27. Frame and Flashing; , _ 76. Dry Standpipe ', � .
28. Lathing & Siding . ' 77. FIXED SYSTEM FINAL
29. Insulation � . � 78.>FIRE PREV. FINA�L .
30. Drywall Nailing � HEALTH DEPT: REQUIREMENT � ,
31. Plaster Biown Coat . � � 79. FINAL INSPECTION
32. Electrical Power Meter-Final o • �50. FOOD CERTIFICATE ISSUED �'
33. Final Electric' ' Notes: " ' .
34. Final Heating & Air�Conditioning -� � . � �
35. Final Gas Pipe�Test • � �
36. Hood or-Canopy . � -
37. Final Factory Fireplace ' ' i ' . " ,
38. Final Plumbing � � � . - . �
39. Water Service�Final� ' ' ' ' -
�
40. Gas Service�Final . , . . "
41. Solar pomestic�Final - _ -
42. Backflow Preventer
43. Backflow Irrigation � �
44. Landscape Irrigation SYstem - �� � _ -
45. Sound Attenuation � •
46. Handicap Regulations - � - " �
47. FINAL STRUCTURE & BUILDING � - � .
48. FINALPLANNING � - �
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co - M �
51. CERTIFICATE OF OCCUPANCY .
No. Date
�
,._�
aecrnoosess: 585 YORKSHIftE ST
OWNEfl'SNAME: MC GEHEE, MILDRED S
ADDNESS: MC GEHEc, MILDRED S TR
S85 YORKSHIRE S1
COSTA MESA CA 92627
(714)631-1528
FHCH/ENGINEEfl: NEG.NO.:
ADONESS:
uNiT:
uxiT:
PEflMITTEE: ()U�CER SPACE CONSTRUCTION ( 714 ) 779-6909
aooaess: 5330 VIA APOLINA
YORBA LINDA CA 92686
LICENSED CONTHpCTOP UECIAflFTION: I �ereby aifirm �hal I am Iicense0 un0er pmvisions ol Chapler 9(commencing wiN Seclion
]000) oi �ivision 3 oi tAe Business antl Pmiessions Co�e, an� my lir.ensn is in full tarce and e��ect.
cirvuc.:U5257p0 sTn.euc.:51058���ss:
'�ate:.3��`—, SlgnaWre?� _ _ _
iOflREPS'LOMPENSATIONDECLAPATION: IhereOyal_r all�avi ce...iw�eoimnsenitosel4insureoraceni�iw�eo�Workers'
Compensation InSuran[e. or a cerlilie� copy thereo� (Se[Iion 3800. Lab. C).
IPOLICY NO.: E%P. ORTE:
COMPANY:
❑ Cenifie0 coDY is hereby lumishetl. ❑ Cenifie0 coOY is filetl witn ihe city Builaing Oivision.
Oate: ApDlicant:
E%EMPiION FpOM WOflNENS' COMPENSATION OECUPRTION: Qhis se �' A nol be compleleA il Ihe permi� R lor one �undretl �5100) ot I¢55�.
I certify I�ai in Ihe Dedormance ol Ihe work �or which IhiS permi� i, 'sue ,�all no� employ pe manner sa as to �ecome
suble�� �o Ihe Workers' Comppensation Laws ai CaliPomia.
Oate: � � � � � / / Signature: X
NOTICE: II, aller making IAis Oeciaralion. you ShoWC Oecame suhlect lo e rkef5' Compensa�ion provisions ol lhe Labor
COUe. y0u musl farihwilh wm01y wilA Suc� pmvi5ion5 or I�iS Dermil 5hall Oe tleemetl revoke0.
CONSTBULTIDN LENOING AGENCY: I hereby affirm that there is a constmction lenaing apency lor ihe De�ormance ol Ihe wark br
whicn this permil is issuetl (Seciion 3W7. Civ. C).
LENOEfl:
nooeess:
OWNEN BWLDEB UECIABATION: I �¢re�y atlirm Ihaf I am exempi Imm ��e fAnirattors' Stale License Law for the follovnnp reason
(Section 7037.5 Buvness an0 Prolessional Code: Any city oi caunly w�ic� requires a permit lo con9mct, alter. impmve, Oemalis4 or
re0air any simcture. O�ior lo its i55uante, also reQuir¢5 Ihe ap0�icant �or suc� permi� lo �ile a SiAnetl s�a�ement ihal A�JShe is licensetl
pursuant lol�e pmvisions olihe Conlractors' State License Law�Chapler9�commencing wilA Section 7000�af0ivision 3 o���e BuSineSs
ana Pmlessions Coeel or ihal ne/sne is exemD� inerefrom antl ine basis for Ine allegetl exemption. Any violation of Section 70.31.5 Uy
my apDlicam lor a Dermit su�jec�s the apD�icantia a civil penalry ol not more t�an Irve hunAred tlollars (5500�.
I, as owner of Ine DroDeny or my emo�%'ees witn wages as ineir sole fAmpEnsation, vAll tlo ine wOrk, antl Ihe
❑ stmmure is not intendeU ar oHeree tor sale (Section 7044, Busmess anE Prolessional Code: T�e Contractars' State License Law
aoes nol apply to an owner of a pmpeny wno UuilAs or impmves Ihereon, antl who tloes such woM himselfl�erself or Ihmuph
�is or �er own employeei pmvitletl �hal such impmvemenis are no� in�entletl or oiferetl lor sale. It, however Ihe builJing or
improvemenl is soltl wilhin one year o� comple�ion. Ihe owner will have Ihe UurUen ol proving he/she tlid not build or impmve
for Ihe purpose ol sale).
I. a5 Owner ol �he pmperty, am exclusively comracting wiih Iicen5e0 coniracbrs m conslmci �he pmlec� (Sec�ion 7044, Business
❑ anG Pmlessions Code: T�e Caniractors' State License Law does nol apply lo an owner al pmpeM �*'�o bmltls or impmves �herean
antl wh0 Conlratl5 �ar SUC� prolet�s wiih a con�rat�oqs�lit¢n5e Oursuan�lo I�¢ Conlratlor5' Siate LiCense Law),I am awaf¢
Ihat pmof ol their Worker'S Compensation insurance shoultl be D�ovitled to me.
� I am e.empl untler Seclion: B. 8 P. C.
Ior inis reason:
Da�e: Qvmer.
I Oo nereoy cenily tnat I am aware ol ana unders�ane ine requiremenis ol Calilomia Healih and $alery Code Settions 25505. 2553J, anC
2553a antl Ihal I or any INwe Ouiltling acupant willlwill not �circle one) nee0lo camply witn saia state co0es antl ine reQuiremenls lar a
permi� lor consimclion or modilicalion Iwm ihe Fir Duab�y Managemenl Oislric�, qesi0ential consVuc�ion aDPlicalions are eKempt �mm
ihese pmvisions.
Oaie: Applicant:
1 hereoy cetldy ihat I have rea0lhis application and stale ihal ihe a�ave inlormation is correcl. 1 agree lo comply wilh all city an0 county
ordmances:mASlalelawsrelalinglobuJUmgcons�mciionantlherebyau rirerepresentaliveso�thisciryt enleruDontheahove�men�ionetl
pmperry �or inspection purpasGes.
Oaie' � _ I � � `/ Signatur�
orrver's Lrtense o� Sociai Seanry x,-
—Appl¢anl; Pink—Revenue: GolGenroO—Assessor
CITY OF COSTA MESA — BOILDING PERMIT PERM NO: HE 051321
PERMZT NO: BE 051321 PLAN CHECK NO: 00891-91 S GOVT; N SUPP: N
CONSTRUCTION TYPE: S—N PERMIT TYPE: ELE STR PURPOSn: ALT
JOH DESCRIPTION : 3521t SQ FT PATIO ENCLOSURE (iCBO1t2621P) SQ FT; 352
CLAIM VALUE: CALC—VALi7E: 12,812,SU GROUP OCC: R-3 /
COMMENTS: STRICTLY A NON—HABITABLE STRUCTURE!
iF iE If lE M if if� K�' iF if ii� )f ?I' IF ?f I4 iF iR �E If If 3F iF IE'1' IE iF IE if ±E 1E iF Y Y. IE iF iF a:� Y. II� iE N� if iE iF iF �F iE ii� iF if 1F iE �1±� if iE IE K iE 1' �E iE If ,Y,, iF iF * iE 1E iE i? iF if M�1E AL {I' IF
Z O N I N G R E Q U I R E M E N T S
S F. T B A C K S
------------ MAIN BUILDING --------- -------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REp• PROV; PARCEL: 42213404 ZNE: R1 REF NO:
PLANNING Nt5'I'ES> FOR THE ADDITION OF A 352 SQ FT. ALUMiNUM PATIO ENCLOSURE
> ATTACHaD TO EXISTING HOUSE, 6' FROM GARAGE. NEEDS L,U.RES,
�F #? if i! iE iP'li iE 1f iE �'IF if jF iF if iI' if iE iE iE'Y.� �I' �i iE'1E iE Y.� Y.� iE iI"Y.� iE i� K' i%iE �E iE iE'IE iF if iE IF iE 3E if lf if iE'Y.� iE Y ih V� IE M#')f Ai iP ih 1S' if 1F iE'✓.' 3E iE i( i!� J: if i!� iE Y �t { f
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N'T,S
'LONING APPROVED BY (9—..�. • DATE: ' !�2 Y_
BUILDING APPROVED BY : /' _ DATE: 3/2- !
APPLICATION ISSUED BY: � DATE: 3� /
afit�EiEiFlfiEiFiF#�ifiEiflERiPiliflflEifiE . . .. 'i�'' . .. iei!ie#i('ifa('?!�')1E. . T�F�iF'?i.
1fiEiEa�iEiflhlFifiFit-)f�ifififfflf�if##1f�?P�EiEaEiEiEiPlFiEiE�f3EibifiEiE 1fM� . .if3FK•iE1E#iEifiFiE3fi!�iE1kY�:KiEiEki!�1EfP%�i4iE#fkiflEitiEifiE1EY.��if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGNENT;Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 149,00 4.50 90
50% SMIP/NON—RE5
PlAN 93.60
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ZSSUE PLAN—CFiECK TOTAI. P[iID DUE
'PUTALS----> 149.40 ±5,00 93.60 258,00 258.00 .00
REVEN[iE DIVISIC)N TOTALS--> COLI�ECTEI): 258 , 00 UVF..R/SHOR i: .00
BLDG PM't PLUM&TNG ELECTRIC MECHANTC FIRE 5MZP/TOT GRADING PI,AN—CfiECH
I44.00 19.50 .90 93.60
�If if #E �Y. �%�M ?f if �lf fE iE �1F�IF-k iE •%��If il�iE 4f 1� �Y.� if iF iE �Y.� �� iE iE iE 9f �%�)f k�IEiE if �It if� iE �k �}4 iF �1F �K �IR if #-IE iF iE dE if �k it # k iE if �Y.� iF if �fh dF }E �)f i( dF if-if i4iE if iE?E.�s iF :Y fi
I N D I V I D li A L F E E B R E A R D 0 W N
'tYPE QTY ll E S C R I P T I O N UNZT COST TUTAL COST
SFR 352 P.ES—PATIO COVER—ENCiOSED PATIO
F..I.E 1 FIXTURES LIGHTING 1 ST 20 EA.
Ei.E 4 RECEPT/OETiLET 1 ST ZO EA.
ELE 1 RECEPT/SWITCFi 1 ST .'.0 EA.
END OF FEES
�— �
36.40 i2,812.80
.75 75
.75 3.75
�I (;U��(^ —i r1����Ly' ' �,�' r'��
�AiE' 03; i3,''1 TI�`-• i]. .. v�
ni Ql7�d.: ��'.— li_ I �^�i;" " _ _ �
Ch'[: :'!s'.'�C''' Tiri:� ;��•.
.
CONSTRUCTION AND PLANi�iNG POOL & SPA
��• APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
�
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undigrnd. 54. Forms '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFEfi Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electrical Conduit-Undrgmd. �
� 8. Foundation ��'! ' 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Undrgmd. ��j , - +�' 60. Backwash Lines, P�Trap, O Undrgrnd. �
10. Structural Floor System � � . 61. APPROVAL TO DECK
11. Property Sewer Line & House�Connection . 62. Backwash & Receptor-Pinal
12. Sewer Cap ' ' 63. Heater & Vent-Final .���%
13. Roof Drains . . 64. Plumbing System - Final �`�
14. Rough Plumbing 65. Electrical-Final 1
15. Rough Electrical-Conduii 66. Solar System-Final
76. 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 Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT I
20. Rough Factory Fireplace APPROVALS, Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts,Ventilating 77. Product'PipingOGas ❑Oil
23. Gas Pipe-Rough & Test . � � 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
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 � � �. �. ,r �� . 78. FIRE PREV. FINAL
•30. Drywall Nailing /:' � HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat , �. . FINAL INSPECTION
32. Electrical Power Meter�Final ,��" 0. FOOD CERTIFICATE ISSUED
33. Final Electric , Notes:
34. Final Heating & Air Conditioning . j
i,
35. Final Gas Pipe-Test - ' ' /1
36. Hood or Canopy " - i �/f
�
37.�Final Factory Fireplace .� �
38. _Final Plumbin9 . ,
39. Water Service-Final
.40. Gas Service-Final �
�41. Solar pomestic-Final -
42. Backflow Preventer - . .�
43. Backflow Irrigation • � .
44. landscape Irrigation System , . , - .
45. Sound Attenuation � � -
46. Handicap Regulations � � - �
47. FINALSTRUCTURE&BUILDING -'
48. FINALPLANNING . i , . � .
49. Electric Release to Edison � , �
,.
50. Gas Release to Southern California Gas Co � '
51. CERTIFICATE OF OCCUPANCY
No. Date
�
eooeess: 585 YORKSiiIRE 5T
i�s xnrne: STONE BET'I'Y
aooeess: 585 Y�RSH3RE S'T.
COs'YA MESA, CA
UNR:
pRCNIENGINEEfl: REG.NO.:
ROOBESS: ' . UNIT:
� PEflMITTEE: LEE ROOFZNG (�14)6h2-7223
nooeess: CM653 SIJPERIOR CA 92627
LICENSEU CONTMCTOP DECUMTIDN: I hereby affirm [�a[ I am lic Cuc9rorMalrl�Aapter 9(commencinp with Section
7000) ot Division 3 ot I�e 9usiness antl ProfeSslons y�,' se is in full force e� ect.
cmuc.: 028751 sr�rEuc.: 3 9 cuss: C-.
i � �J /�
Date: u�/ —�r / SiAnature: _
WOBKEBS' COMPENSATION �EIXAMTION: I hereby attirm IAat 1 have ertiticate ot consem ro seli-insure or a certificate oi Workers'
Compansation In�r�r,¢,�ria �e����o�y inereoi (Section 3eoo, . C� � � 3 O/ 91
roucxxa.: USF&G�CO, �P opTE:
COMPFNY: y
3 Certifie0 oDY �s hereby Iumishe0. Lf �CetlAied I ihe ciry BuilOing Di io�/
Oate: ADD�icant: "
F%EMPfION FflOM WOPIIEflS' COMPENSITION DiCIAN�TION: (iAis stttion nee0 � Oe complete0 N N mN is fa ane huntlreA (510� a kss�.
I cerlity that in tAe pedormance af the vrork for which t�is permit is issued, all not employ any person in any manner sa as ro became
sublect ro tAe Workers' Campensation Laws o� Califomia.
Da�e: Signature:
NOlICE: If, atter makinA �his declaration, you shoultl become su�lect to t�e Workers' ComDensation pmvisions oi tha LaOor
Cotle, you must tarihwith comply with such provisions or t�is Dermit shall be Ueeme� revoke0.
CONSTBUCfiON 1FN01N01GENCY: I hereby attirm that there is a construction IenEinp apancy lor t�e Oertormance ol t�e vrork for
whichthis Dermitis issued (Section �097, CH. C�. ,
LENOER:
eooness:
OWNEN BUIIDEB OECUMTION: I hereby at��m ihat I am exempt irom IAe Coniractars' State License Law for the followin0 reazan
.(Section 7031.5 Business an0 Professional Cotle: MY ciry of counry which requires a permit ro consimct, alter, improve, Eemolish, or
� ie0air any sfructure, pnor to its issuance, also requires Ihe aDPlicant for sucA permit to file a slpne0 statement that ha/she is Iicense0
pursuant ro the pmvisions of the Contractors' Slate License Law (Chapter 9(commencinp with Saction 7000) of Division 3 ai tAe Buslness
antl Professions Code) or Ihat �e/she is exempt iherelmm antl ihe 6asis tor ihe allege0 exemption. Any violation of Sedlon 7031.5 by
any a001icant tor a Dermh su6lects t�e aDD�icant ta a ciNl penalry oi not more than five hunAreE Eollars (5500).
I, as owner af t�e Omperty ar my em loyees vntA wapes as their sole camDensation, will Eo t�e work, and Ihe
❑ stmcNre is not inten0e0 or oifereA for 4�e (��on 70A4, Business an0 Professional CoOe: The Contracrors' Sute License Law
Oaes not aD7N �o an owner ai a DropeRY w�o 6uiIE5 or Impmves tAereon, anE who does suc� work himsetl/herself or IAroug�
his or �er own emDloyees, O�oNdeA tnat suc� imDrwements are not mtended or oBeretl lo� ule. If, �owever [�e buil0inp or
improvement is solA witAin ane year o� complation, [�e owner will have �he GurEen ol DrotinB he/she Oi0 not huilU or improve
for the DurDase ol sale�. .
I, as owner of tha propeM, am exclusiVely con[ractin0 witA licensed comracrors to constmct the Omlea 1Section 704a, Business
❑ an0 Pmfessions Catle: Tha ComracroK state License Law daes not ap01y to an owner of proDerry w�a bwlUs or impmves Iherean
anA who coniracis for such Omlecis �j�h a contractor(s) license Dursuant to tha Contractors' State License Law). I am aware
tAat proof of their Warker's ComDenssEion msurance sAoultl Ee pmviJeO ro me.
� I am exemD� un0er Section: B. 8 P. C.
for Ihis reason:
Daro: owner.
I Oo �ereEy certity that I am awaa al antl unGetstanA the requirements of Califomia HeaIN an0 Satety CoOe Sections 25505, 25533, an0
25534 an0 t�a[ I or any fuWre 6uildinp occupan� wllUwill not (circle ane) neea to camply wit� sai0 state codes and the repuiremenis lor a
permit for cansiructwn or mo0ification irom Ihe Nir Oualiry Manapement Distnct. FesiAential consimctian apDlicatians are exempt Irom
these pmvisions. �
Daie:� ppp�icanC
I hereby certity that I hava reatl tAis apD�ication and sta at�on is corrad. I a o comDty wdh a0 ciry an0 counry
orGinances a� state Wws relaiinp to Guiltlinq c �Y-� � �wes oi ' ro e upon tAe above-menUoneO
prope r inspection puiposes.
/ _ �� _ /`/
Date: `7 Signatur .
onver's �icense or Sociai Secunry x:
1841-06 W�ite—Builtllnq; Grean—Cotle En�orcemeM; Cenery—Applicant; Pink—Revanue; Goltle�rotl—Assesaor
CiTY OF COSTA MESA — BUILD.ING PERMIT PERM NO: $ 05'1910
PERMIT NO; B 052910 PLAN CHECK NO: N GOVT: N SiiPP; N
CONSTRUCTION TYPE: V—N PERN,IT TYPE: STR pi7RPOSE: ALT
JOB DESCRIPTIOA' : T:OFF REROOF W/COMP. SHINGiES SQ FT; 2,SU0
CLAL�I VALUE; 2,SOO,OU CALC—VALUE; 2,500,00 GROUP OCC: R-3 /
CON!NENTS: SNOKE DETECTOR RE(�IUIRED IN THE AOME
#'�3f1fIFaF�Y��FiFih�KiEi�'3(�1f3fi't3f#if3E�E�1FifiElfiEiE �1Fif*iE1FiF�1flE�biflhi(•Y�if3EKi(�i(�ifaf-iFk�afiti4'1e3f�3Eit�iEiEd'r3(�i4jFlfi4iPiFIFaF?E+f�FiEii�Y;df�iE�f�# �
. Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN bUIiDING ---------- -------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR; FT IN
LEFT: FT IN RGiIT: FT IN LEFT: FT TN RGHT: FT IN
FARKING REp• PRUV; PARCEL: 92213404 7NE; REF NO:
PLANNING 13C1T:'S>
�
ih �k 1'r fF iF?F ii # Y� #� R�7E �F if� iE iF?F iF i4 if 1E i: If iF i4 k jE r. i� **:4 iE fE iF iE k�?f 3E %�14 jE iflE 1e ii� }�}F 1't iEdE?f 3F �Y� i� iF ii� !i� if iF-1F iE ii• ii� ib if 7E 1F ib`�F 3E?F #: i't iE'r, iE 1! #f
D E V E L O P M E N T � E R V I C E S R E Q U I R E M n N E S
ZONING APPROVED BY llATE:
$UILDING APPRUVED BY ; __ DATE; -.
APPLICATION iSSUED HY; DATH• �
}EieiE#N�iE#EfEN�dERiE1EiE9flEifiEiE#ENiEiFiFlFiF�FiF��iTc3FirS4 � iL?i"iFiFGiCi,'7i.�iFi�.��f9c1E14%�E1RK�#i(� Ie _�r i(fE
iFiE�l'r7fiFi4lFifiFii�iFieiEifiE3EkiPieli3Eif�lE�7(�7Fii�ifh�iFielF�EiE�FiEie?Eiciki'rif : " if3EiE3EiEi't3fi:if�ciE�7fjEiF3Eii�iEib�lhiFlEi(�iE?'tieii�iE':Z�#fE
LEGALIZATION:N F E E S U M M A A Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRTC MECHANIC FIRE SMIP/R�S GRADZNG
PERMIT 54.OU .50
•� SMIP/NON—RnS
PT,AN =
ISSUE FEE "
BUII,DING—DIV—> PERMIT ISSUE PF.AN—CHECK T"OTAL PAID DUE
T'OTALS----> 54.50 0.00 0,00 54.�U 54,50 .UU
• t
REVENUE DIVZSION TOTALS--> COLDECT'ED: 54.50 OVER/SiiORT- 00
BLDG P;�T PLUNBING ?�TRIC McCHANIC FIRE SMIP/TOT GRADTNG PLAN—CHECK
54.00 ,50
�I' iE �' 1E iE"1(")h 1'r 1F iI' iE' #6 iE' i(' iF iE M")E' if' IF i{''R' Y,' it k iE' I'r'N"N' iE K' N' iS' K' IE'IE iI' iE IE"% iI"IE' i6 K' {E"X-iE iE if II"Ih iF Mi 1E if' iF Y.-iF {C' 7(' Ii' iF it Y�� Y' 1E-1F ii' ie if' I'r 3f ?i} IE iE'Y.• iI' A' K'
I N ll I V I U U A 75 F E E B R E A R D O i� N
>�.
TYPE QTY D E 5 C R:I P T I O,N IINIT COST TOTAL COST
SFR 2500 REROOF BY VALiJE RESTDENIAL NOZONE 1,00 2,500.00
END OF FEES
V
CAiF3 !tc�.: :�='4`rz-� :
i
CONSTRUCTION AND PLANNING POO. SPA
APPROVALS Permit # � Date Inspector qppROVAIS Permit #
1. Temporary 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 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation ' ` ' . 59. Gas.Pipe, � Undrgrnd., Test
9. Water Pipe-Undr9rnd. � � � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Struciural Floor System 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap • , 63. Heater & Vent�Final
13. Roof Droins � 1 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SVstem�Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wirinq 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. Dutts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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
31. Plaster Brown Coat 79. FINAL INSPECTION
i
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric ' Notes: b
34. Final Heating & Air Conditioning
-35. Final Gas Pipe-Test
36. Hood or Canopy .
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
, 45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �Q �
48. FINAL PLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
I
.�lwlP
H. �/. L�IWAOIASYBR � CO. � IfdC.
!0 MAIN STREET — STANTON, CALIFORNIA �zCMS-705P-002
828-8040
XXX
Fleld Dete on Test Specimena . Cora Concrate Gunit� Grout/Morter
Pro(ect E.T. Redd Poo: Fermit No 3d20a
Projact
LocaTion 585 Yorks iire, Costa Mesa
Confractor Anthony Poo..e Architect
Locatlon in Sfructure Englneer
Date Moulded 3/20/72 No of Specfinens 6
Slump Specimens Merked`
Sp�ified Sfrergth at 28 lays 2000 p,S.L �'Nix Designation
Age to be tasted 7 de�n� Z9 �+eys day'� days
READY MIX PLANT AGGREGATE SOURCE
Weather Conditlon Cool 1 Yd. _Yd. Ratch
Cement Coltan TYPE' Cament, Ibs.
Admix Sand 30 tons
mede
Data by
Delivered by
Date Deliverad
REAAARKS:
Leb. No.
Dete of Test
�
� Specimen Dimenalons
Area
Ultimate Load
lbs. per eq. In. -
H/D Corrected
FOHM M - O15
H.Hansen
,�
7
3/27
6.09 X 11.8
29.13
86,000
2.952
#4
#3
#2
#
Water, Gals.
Test
3.1
RCE�6207
QCi� 1 .
f...,r, 2 b 1Jl2
�-C��._ 'f" C.. . w�
owxEx DE CA1dT, LINUS ' nnT�4-19-61
JOB ADDRESS Yorkshire St. - BUILDING PERD4IT N0.1�316
F- 'ERAL CONTRACTOR Owner-Bldr. VALUE $ 1�300.0� �
A_ ..Vo. LOT TRACT FIRE ZONE DESCRIPTION OF WORK e.. . aT.
INSPECTIONS I DATE I (:Rf1TTP J TVPF. V
SUBCONTRACTOR
Form
.�
��a��
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA. CALIFORNIA
For Applieanf io Fill In Completely
TYPE OR PRINT
MESA CALIFORNIA
� De C,aivt
�/n r K s/� i r e :S�
v
TEI..
I�►esa. No.Lr8
TEL.
NO.
NEr g��'/d er
� m r Ks /� i r� st.
Mesa
TE�.
No. �i,-8o3a
/1 � .. w I NO. OP B1D09.
� 6ETBACK LINB FROM
DESCRIPTION OF WORK
nulLulrvG no. Vr
s��E ao a RooMs �oF
EXTERIOR WALL ��N� ROOF
COYERING SIdING� COVERING R� C J
USH OR BU�LDING AND WORK TO BE PERFORMED
1 HEHBBY �CNNOWLE�aB TMAT I HAVE READ THIB �PPLIGTION
AND 6TAT8 THAT THE ABOVB IB COPNECT AND AOAHe TO COM-
PlY WITH ALL QTY OROINANCE6 �ND AT6 LAW9 REOULATINO
BUILDINO CON9TRUGT N.
/
BIGNATURE OF . ,. . �. � i/ ..�.�
�AUTHORIZED AGENT
�
FEE RECEI��D
�PRzo ;.sl
� FINANCE DEPT.
CITY OF COSTA ME3A
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
MCClIPT NO. P,$Pplly_Tlp. _
ev
COSTA MESA.
APPROVED
ZONING
ZONH / I NO. OP �UBE OP N8W
�'` rurvs emtuu+o
L80�L / � "}� [
D88CPIPTIO ' ( � � •
A. P. NO. /( S—' �/�_ Q�
YARDS EVES
APPROVED XLLOWED
(CHMHP LINC BT.1 / /� � �
FRONT (L /FT. I�/)
R_ SIDF �' T FT
A�PPROVED `�/ z
/
n
J
TX8 AMOl1NT 6HOWN UNDER V�LUATION 19 PON THH
PURPOBE OP EBTABL�BH�NO A PEHMIT F8E ONLY.
VA�UATION /+`
/ � ` � PERMIT FEE $ ��
C , �'//—
S � PV.N CHECK $ /
TOTAL FEE /
i
4
OWNER DE CANT, LINUS DATE 4-13-61
JOB ADDRESS S8� Yorkshire St. BU[LDING PERM[T N0. 1 �2 2
GFNERAL CONTRACTOR OWRBP
( VUI+/ l
INSPECTIONS
Test
Form
on7E � GROUP � TYPE ZONE
—I SUBCONTRACTOR I PERMITSISSUI
.N� �r�N oh s�,s ,�5 a�,- �=�
. � ���2 ,�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 CoBTA MHBA. CALIPORNIA
For Applieanf fo Fill In Compleiely
TYPE OR PRINT
BUILOING '
ADDRE6S S s �•
CASTA MESA. CALIFORNI/A
1 MAIL
TEL.
FEE �EC�IUED
AP 141
"' FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For O#ice Use Only
COSTA MESA. CALIFORNIA
t
TEL.
NO. OP BLD68.
eem�cK uxe vnoM
CeNTBR OP HTH[8� REAR YAR[
SIDE YARD LE� I RIGHT
DESCRIPTION OF WORK
EX7ERIOR WALL ROOI
COVEPING S�0.CCD COVF
� USH OF BUIlDlF1G AND W�RK T�
FIRE
ZONE
qPp i
BY�
_iL
ZONe
L80AL
" ZONING
NO.OP �UBe OP N8W
PLANB s��. BYILDINO
�
—3 /S—
BYPROVED �'�. O. D�A�7
�'/'�
S S O
1 XBPHBY ACNNOM�LEGGe THAT 1 XAVE RGO TXIB MPLIWTION {H8 AMOUNT BHOWN UNDBH VALU�TION IB POR THH
AND BTATH TXAT TXE AlOVC 18 CORRBGT I�ND AOPl6 TO COM- pUN09H OR E6TABIJ9HIN0 � PBqMIT I88 ONLY.
PLY WITN ALL CITY OAC111ANtE6 AHD 6TAT8 LAWB q86UUTN6
Bu1tDINo coNeIRUGTI N. VALUATION .G.Q
BIGNATURH OF � PERMIT FEE S
PERMITTE
/�� '/ PLAN CHECK $
AUTHORIZED AGENT —
iOTAL FEE
owN�s DE CANT, LINUS • DATE �-12-61
JOB ADDRESSSBS YatkSh�1T'6 St; ' BUILDING PERMIT NO. 1�F266
C^'VERAL CONTRACTOR Owner-Bldr, VALUE $�pp pp
, Jn 11 -31 -0 i.OT TRACT FIRE ZONE DESCRIPTION OF WORK Ac�d Fi ranl arb +.
INSPECTIONS I DATE I GROUP �- TYPE
SU6CONTRACTOR
; 1�.�r�;
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOi 9f7 COBTA MEBA. CALIPORNIA
For Applieant fo Fill In Complefely
`/ TYPE OR PRINT
BUILDING ['�y (� �
ADDRESS J �J ✓
CO ESA CALIFORNIA
// . l. _ "
� MAII
■ STATE
TEL.
NO,.
TEL.
TEL.
NO.
Y I NO.OF BLDce.
N[]W (tN LOT
USE OF
E%ISTING BLDG
BETBACK LINB FROM
GENT¢R OP Billeei REAR YARI
61DE YARD ILEFT IRIGHT
DESCRIPTION OF WORK
NEW II A4TERATION I II ADDIT�C
REPAIR I IIMOVING I IIDEMOLi:
BUILDING NO. OF
SIZE ROOMS STOf
EXTERIOR WALL ROOF
COVERING COVERING
USE OP BUILDING AND W�RK TO BE PERFORMEO
. _ A
FIRE
FEE RECEIVED
��' APR 121.,�Y
FINANCE DEPl
• CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
HECEIPT NO. f�T f10�
/ [r
/ I O 1 � �/� � G{�EL�UBO�I
COSTA MESA. GALIFORNIA
=�I
NO.OP. U86 OP N¢W �
PLANB BUILOINO �
-U l� %0 %� %-
lf� _1i� -v
YARDS
APPROVED
(C6NT6H YNH BTJ
v
%/' �
1 HEPEBY ACKNOWLCOGB THAT 1 H�VH READ TM19 APPLIGTION TH8 AMOUM 9HOWN tINDER VALUATION 18 FOR TXH
AND BTATE THAT THH A90VE IB CORA¢LT AND AGREE TO COM- pUiiP08B OP HBTA9L19HING • PERM�T FE¢ ONLY.
PLV WITX ALL CIiY OfiDINANCG6 AND BTAT¢ LAWB REOULATNG �
61GNA'TURE O�urnow L vAL�ON �
PERM17 FEE $ �
PERMITTE . $ . ^ n� � _
J �� PLAN CHECK $
AUTHORIZED AGENT � _
TOTAL FEE
OWNER De CANT� Linus DATE 6-19-57 _
JOB ADDRESS 585 Yorkshire BUILDING PERMIT NO. 5 Q$
G NER CONTRACTOR Owner-Builde VALllE $$2$ 00
o. LOT lp TRACT 2313 P�E ZONE DESCRIPTION OF WORK EnC1oS0 CaT�noTt
GROUP I TYPE V ZONE R)� PLAN NO. CZ7� � -
coat
Final
SUBCONTRACTOR
PERMITSISSUED
r�no
J.. . .r. �
,, •
.'�,, � 53'73
, �.COSiA MESA BUILDING DEPARTMENT
\ � P.O. BOX 31� �
�� COSTA MESA, CALIFORNIA
FOR
eui�oiN�
AODRESS J
OWNER
�
MAIL
A�DRE55
CITV ��'(/
AftCHITECT
OR ENGWEER
TO FILL IN
A MESA. CALIFORNIA
CONTRAGTOR�` �n'
AODRE55
LEGNL — LOT /�
oescaianorv NO. ,
A.P. NO. / / � �
//� /
sizE In � X 7
OF LOT
tXI511NG tlLUG.
SETB<CK LINE FROM C
CENTER OF STREET [ 'X. �
NEW
REPAIR
TEL.
NO.
LIC.
NO.
ITV LIC.
NO.
TEL.
/ NO.
VOr TRACT
NO.�OF BL�GS.
Now orv Loi
REAR YARD
�'G'
RIGHT LEFT J
DESCRIPTION OF WORK
ALTERATION ADDITION
MOVING � DEMOLISH
NO. OF
V ROOMS STORIES
EXTERIOR WALL ROOF
COVERING " COVERING
USE OF NEW I A /1 i �
SYATE THAT THE /
CITY OROINPNCES
ilorv.
SIGNATURE OF
ZED AGENT
�. . (
,
F E RECEIVE�� �
.:.� �'�, t �� ��'_�^
ANCE DEPT.
APPLI��.Tl�fl�p�f�j�.&FERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. PEFMIT NO.
.5�� .;� �'
RECEIVEO 6Y Dl�TE RECEIVED OATE ISSVED
� �- _ s 6- �<_ �-�
BUILDING
COSTA MESA. CALIFORNIA
ZONE N . .OY TYpE GROVP
(L PLANS
�Y / // .
APPROVE�/ !%L�•(/ f'�l�C/�
BY L%.1�:/� LL/�� G_ DATE �� l%
J,�
IMAT I MAVE/fEAO TXIS APPLICATION AND
CORPECT ANU AGREE TO COMPLY WITH FLL
TE LA�NS REG}(LATING BVIL[IING CONSTRl1C- —_
i% ; VALUATION /
r� PERMIT FEE $ �0
•�/�O � 9 a
� !1 / PLAN CHECK $
$ V /
TOTAL FEE $ tp " �a'��
t,^WNER REED� E. T.
_ B ADDRESS 585 Yor
AY No. 117-31}-U4 LOl
INSPECTIONS
SOIL
GAS
14aFET^ ,`i 1S4f'+'L -in•H�
ROUGH Pl.UM91NG
PROP. $WR. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH MEATING ANO AIR CONOITI
TEMPORARY SEftVICE OR POLE �
UN�ERGft0UN0 � POWER �
FOUGH WIRING
TRENCHES � FORMS � STE
FLOOR SYSTEM
BOND BEAM � STEEL REINF(
5"-+THING
E AND FLASHING
LPi MING - IN ❑ OUi n
PLASTER,BROWN COAT
STRUCTUfiAL, FINAL
HEATING, VENT., REFRIG. ANO A.
PWMBIN0. PINAL ANO GAS TEST
DATE 2_lly_-�
BUILDING PERMIT N0.
SUBCONTRACTOR
� 34208 Pn�e
-^ t�a—���;,5•00 590'+ *�*�3U.50
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fi!l in Completely
FECEI ED 8 DA^E REC�EIVED DATE ISSU`E
ADORESS Y(&2ICSHIRE ST / �, ' / Z � /
OWNEF E T REED ./I� /� —/�y PERMITNO.
A.P. N
MAI L BVIIDING
Z . y �y
A�DRESS ADDRESS 8 Y�
W W TEI. TRACT 2/1J
a U CITV NO.
rZ
Z Q CONSTFUCTION CASH
O � LENDER v
a m ��
J � BRANCH
J� OWNER E T REED
a w AD�RESS
m a OR ENGINEER R KOIAIYLIEJ NE �' SP 3'z'Zl S �M POOL
W¢ AD�fiESS 5871 ��ONE BLVD• FIRE
20NE TVI
a w APPROVED
J O CONTRACTOR jiNPHONY POOIS BY
m� nooaess 5i81 FIRSSTONE BLVD
LOT lO
VALUE 'Z(bO�OO
W w TE ZO NO.OF VSE OF NEW
z� CITV SO GATE NO�P 32�� � I P�'� � BUILDING
W � STATE CITY YF.FlDS APPROVED VAFDS Ai
�� LIC. NO. LIC. NO. MAIN BVILDING ACCESSOR'
7O (FROMGLSTREET) �
512E NO.OF BLOGS.
OF LOT 3�C Q D NOW ON LOT NT FT.
USE OF
E%ISfING BLDG.
Z N WBL�. 353 ROOMS STORIES L.SIDE FT,
U EMERIOR WALL ROOF
COVERING COVERING FEAR FT.
J USE OF BUI�DING AND WORK TO 8E PERFORMED OISTANCE BET.
d MAIN BLDGS.
a
Q VAR. aW
Q F c.u.P.9w
� APPPOVE
N
z
�
VI hereby acknowladBe [het 1 hava reatl this application antl itata
� thet the abova InformaUon Is correct antl apree 2o camply wiM
� n�l laws repulacinp builtlinB eoncttuction, enG I shell not amploy
� eny pnrson in vlolacion of Me workman's compensallon laws oi
y tha Smta of Ca�itomia.
? I haroby certily that I am p�opeily licensotl es a conttecto� untla� $�. F7
the Stata ot Califarn(e Businosz antl Professions Cotle, Divisicn 3, THE AMOUNT 5
Chepter 9, antl th e ieenms ara In full forea and effeet, or I THE PURP06E OI
am exompt iro Me provlsions of iha 5iat Cali ornia Businass VALUATION
end Profossi a Cotlo, Division 3, Chepier
Sipnaturo 1 2`�Q�Q�
Pormlttao S
Authorizatl Apant Q�
BET. MAIN &
ACCESS.BLd
DATE
ON IS FOR �
FEE ONLV: Q
� H
� 7
m
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LL
.
OWNER R"R"L("R.H• _5;1�� _ / DATE 2-
JOBADDRESS 58$ Yorkshire Street V BUILDINGPERMITNO. 96O
G�..ERALCONTRACTOR Dike & Colegrove VALUE $ 8f00�•��
LOT ].� BLOCK TRACT 2313 Residence & carport
GROUP i TYPE �� ZONE i`µ FIRE DISTRICT %%2
' PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
. _ _ . DATE I NUMBER
Foundation Forms
ab
Wi
He>�i
S
Plumbina. Final Gas
ibrm L10 G IIS 12-69
.�7_
Q�
� Costa Mesa Building Department / APPLICATION FOR PERMIT
�
' COSTA MESA?CAL FORNIA �7LIL� _ _B_U..I_L.D��..N..G_._.___'�..
Y+'OR APPLICANT TO I+ILL IN ' Y'' OR OI'FICE USE O1�TLY. '•
� ! � ` ,R'eSm No. Permit,No. �
Building ! � _ I l/ �L�(�U ii�%1 �
Address 565 Yorkshire Street r 1 !�� '
Costa Mesa, California Received b^ Date Rec'd. Date IssuM �
Nearest � � p I� � � _S+
Cross St. JieTRll'tOri Buililing � �
owner B•B•K. & H.� Tnc.
adareu 4�-9 E. 17th St.,
c;t„ Costa Mesa N;�Li 8-1159
Address Garden Grove, Calif
CitY1.�G,1
cont�actor Dike & Colegrovs No. 1 u
Address 419 E. 17th St., Costa Mesa
Legal � Lot �
Deacriotion i No. 1� I Block Tract2
Setback Lin6 from
Center of Street 50 �
DESCRIP77
New I X I plter
Repair I I Movir
Bullding
Size 98G gq,ft.
Exterior Wall
N o. of
F,amili
Rear
No. oT
Rooms
I Rooi
Demolish
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comp]y
with all City Ordinances and State Laws regulating
building construction.
Signature of ^
Permittee n / /—
Valuation Permit Fee
s 5�000.00 Total heck
Fee
n„�,„ rzoa �.- tnt iz-ca
�
�
Mesa, California
� Date '
+ CORRECTIONS
, •J��.c
•" APPROVALS
Foundation Location Inspector
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Plaster, Int.
Plaster, Ext.
Masonry Reinforced
Bond Beam
D.ate
�1
�
O
S
41
2
D
0
C
J
•.O
�
6
IStreet
� PLOT PLAN '
Show loeatfon and distanees irom
. property line and between 6uildings.
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