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HomeMy WebLinkAbout106 YORKTOWN LN - Building Permits 4`p5� 9 CITY OF COSTA MESA _, BUILDING DIVISION q4 DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER PERMIT �.qy� -` o.nrry 6. M00-00476 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 106 YORKTOWN LN Status: ISSUED Suite No Applied: 10/30/2000 Issued: 10/30/2000 Vicinity: IN ATTIC Parcel Number: 41916237 �7 / ISSUED BY: Applicant: DIAZ, FRANCISCO Address: 2020 E HOWELL AVE#J Phone: (714)634-8860 ANAHEIM,CA Zip: 92806 Owner: ALESON, DAWN-MARIE Address: 106 YORKTOWN LN Phone: COSTA MESA,CA Zip: 92626 Contractor: ALPS AIR CONDITIONING & HEATING Address: 2020 E HOWELL AVE#J Phone: (714)634-8860 ANAHEIM,CA Zip: 92806 License: 667953 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT REMOVE&REPLACE EXISTING FORCED AIR UNIT IN SINGLE FAMILY RESIDENCE. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 COMMENTS /SPECIAL CONDITIONS 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned fora period of 180 days. INSPECTIONS: In order for the work authorized 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. _0-1-have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. �My.worker{'comped tion Insurance carder and policy number are: _Carrier:—I.OeMl(41 Ihs Uf ance rPolkyNumber:—'NSC- 0/ogfJ —CO `(Thissealamneed not be completed it the permit is valued at one hundred dollars($100)or less) ❑ I certify that in the performance 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 of Califomia,and agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisio s. {� ,Appkcanl'Signature:�---r '(? 1 / Date: 00 -WARNING-FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF TME LABOR CODE.INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed and r provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and P ofessions QQod� and my license is in full force and effecYLic.q �'6 7� Class,a._�i A O (' 1 C Contractor sStgn4 e: — 20.�4�, male/ID r- Z CONSTRUCTION LENDING AGENCY: O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: ' Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE 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 any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement 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 exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business end Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. _ _ Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required t0 descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-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 work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous • material? 0 Yes ❑No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials 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 temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this implication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the Califomia Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No T (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signatur99f Legal Owner(s) O ' Date 4-4/24/4-1/1-7 n /o -.�?a x-00 ,_And/or Authorized Applicant' - _ -�Dete - CODE r. INSPECTION TYPE Qr (((��� INTRIAL$ CODEI INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 206 Final Mechanical "./ /7 i 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining 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 PROJECT ADDRESS: 106 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069469 • OWNER'S NAME: FIX, MARY M ADDRESS: 106 YORKTOWN LN PERMIT NO; B 069469 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 • CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE; ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/OGPM & HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: CLAIM VALUE: 2, 508 , 00 CALC—VALUE cAMP 2, 508 .00 GROUP OCC: R-1 / PERMITTEE: STOUT ROOFING, INC. ( 310 ) 923-6775 ADDRESS: 9700 WASBURN RD COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REQUIRED DOWNEY CA 90241 +e********************Tr********ie*ir*******fir**********************************+E** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I N G R E Q U I R E M E N T S 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S CITY LIC.: 059 77 STATE 1.10.: 402536 q/��c,ut�ss�:, �CT-3�9 EXP:� 10/95 e signature: /fl/tot " MAIN BUILDING ACCESSORY BUILDING FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN RNERS' OMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN .Compensation l tffega2%41§tified copy thereof(Section 3800,Lab.[{.5/19 19/95 POIILY NO.: .lvLLD EXP.DATE: v CONPAxy: AIG PARKING REQ• PROV: PARCEL: 41916237 ZNE: REF NO: 7 Certified copy is hereby furnished. Cc Certified copy is filed with the city Building Division. PLANNING NOTES> ‘10(41L/ Applicant: i - ***************** ************************************************************** _/�� �i� c DEVELOPMENT SERVICES REQUIREMENTS MPTION MOM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become sublecl to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE; Date: Signature: BUILDING APPROVED BY • NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor _ _ DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. //v_�— q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: GFW iF DATE- L� which this permit is issued(Section 3097,Civ.C). *********************************** *************************** LENDER: ********************************************************************** ******** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the lotowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 , 00 5 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my em toyees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(,ection7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 00 0 , 00 54 . 50 54 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 54 .50 OVER/SHORT: 00 improvement is of sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK for the purpose o1 salle). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 , 00 , 50 ❑ and Professions Code: The projects with License Law does not apply to an owner of properly who builds or improves thereon ******************************************************************************* and who contracts for such with a e Lice crags)license pursuant to the ContractorsState License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 508 . 00 . I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification Irom the Air Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 01 00170718-00170719 TOT 55.50 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned DATE: 10/28/94 TIME: 13:36 rty`U for ins ection p rposes. /t 01 Signature: Driver's License or Social Security x: 1641.46 white—Buildmy:Green—Code Enforcement:Canary—Applicant;Pink—Revenuo;Goldenrod—Assessor CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53 . Steel Reinforcement F-3.;Electrical Conduit Utility,Undrgrnd. 54. Forms ;,. 5. Electrical Conduit;Undrgrnd. 55. Electrical Bonding • q.-Steel Reinforc ment 56. Rough Plumbing & Pressure Test r1;; -'6,-Electrical OF 8Ff,, rnd. 57. APPROVAL TO COVER-GUNITE 7='f9otings 58. Electrical Conduit-Undrgrnd. J. 1 8..Foundation ",. 59. Gas Pipe, 0 Undrgrnd.,Test . • 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Plpperty Sewer Line & House Connection 62. Backwash & Receptor-Final 12. SAver Cap 63. Heater &Vent-Final _, • 13. Roof Drains r 64. Plumbing System - Final 14. Rough Plumbing ..'4 65. Electrical-Final 15. Rough 'Electrical-Conduit_ 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20,.fiough Factory Fireplace • r,.- ' T• , -APPROVALS 3.`Permit # '.• 'T' �Ducys,in1Strtictob:e' ; ; "' �_ -t r ' 21. '" •.t ... .i +• . ;70. U.ndergeoSmd Hyjlro Y 22. Ducts, Ventilating '-5._ -v : 171. Product'Pjping OSas B!Oil 23:-Gas Pipe'-Rough &Test 1 ' - -" ' r ' '- , a ; ,_,a Y a72. Underground Flier.; - 24.•Roof Framing ;.i .- .r + Y z73.•?Undergrnd.StoragiTank'0Gas 0Oil �r t' l Y .. n,- 25. Roof Skiaathing - -f' (z-lY-4r/ -4w. -74;,Overhead''Hydro:;^ 26.•iT Bar Ceiling (St uctural) &+tvlonocoatr 1 ty: r 757Dry Chemical _1_ ^ l: • y , • -. 27.-Frame and FlashTrl ' @ r „ . j ' 76.'6ry Stan Alpe 2..� ¢ ._ ., a .28. g Siding.; `Latiin & : : •C., *X • - a 77. FIXED SYSTEM SINAL - '29. Insulation •• • .. ` i : 1', 78"FIRE PR EV. F1b611. - -30. Drywall-Nailing ^1• I �` ' •-1 HEALTHrOEPT. REQUIREMENT h ,31. Plaster Brown Cabe, . (, , 79. 'FINAL INSP,FCTIUN ', r' .32.-Electrical;Powerdy�later-Final, ". I '. . :80.,,FOOD CERTIFICATE ISSUED- '33 Pinar Electric -- " , IN '•Ndies: L ~5- - .-11 - m t _. . .t, t : ;34.,"Final Heating& Air Conditioning" i ;• - u; _- :,::: • 35.-'Final Ga Pipe-Test' o' •. ^-' + ' b- _ - 36. Hood or•Canopy„1 , Ic a rq < I:. _. . I` . w 7'C' f rl+ ,-: -37. *Final FaLtory Fireplace ' ,=,'• ' ^' ' ,: .. • CI 1 a L. • IY • 38, Final Plumbing -t,'"' ,: - , I s _, "39, Water Service•Fina1 47. 1' ' . n ' X 7 -,40. Gas Service-Final',; - r ' I 1, T n•-_ ^Jar 41, Solar Domestic-Final. , ' • . �• - r _• 42, -Backflow Preventer. I: Y _+ ~ , 43• Backflow Irrigation u;:_ " .• ` '.; 4 - ' ,. • x T • ;44. Landscape licigatiorr System; ,j ; _ ;+, , -- v J7 a:.` - 01 45,Sound Attenuation -,' .. ,• • - •. -•, . u1.•-...1 ' ,• , . .. ,iA3 r •_ - 1-. _ : - _1 i :46. Nandicap,'Reaulanon , s ;-; ; ..-*- i C., ' 47. EIN-AL STRUCTURE& BUILDING 6-11-95-- i • _ • „ T 48. FlraL PLANNING r - '- • , 1 J _ r PI in t [._ .-. .49. .Electric Release to Edison i I, r T d• 1 . ^ - - 1 .n 50. Gas Release to Sou{}ern California Gas Cn . `'.,: • OWNER S prama BIJTLDTlar r_.0)t alY DATE 6-1-64 JOB ADDRESS 106 Yorktown Lane BUILDING PERMIT NO. 22282 GENERAL CONTRACTOR same VALUE $ 14,835.00 AW1o. LOT 299 TRACT 160 FIRE ZONE DESCRIPTION OF WORK res Win I �">ECTIONS Signature DATE GROUP ) TYPE `I ZONE R3 Sou a. V-71- SUBCONTRACTOR PERMITS ISSUED Gas /.// ,Birt DATE NUMBER Rough Co Re 7 t� Cond. 0 ,/ Rough Heating �of c stir" /[- , 7{D; /,�,, y- /-G4E 344g-oil "- Rough Plumbing f rs { ti L'� "- "/N/ -l-/-/ '-1 Iii CJ: b� Miscellaneous q yyv f,/' Prop. Swr. Line House Con. Pld'St. Swr. ❑ /e� 9//`Gd L' - e,- - -e. DEC 9 1963 4 0 8 2 Sprinkling System / A' Construction Construction Pole Underground 0 Power .❑ Rough Wiring :f_1411.111C- - S War. le //Ma ?-/es-d 6,13 44,g - Trenches 0 Forms 0 Steel Reinf. .0 'Mc,- y C Floor System Bond Beam 0 Steel Reinforce 0 aeing ta, $ > 6/i. Frame and nlashigg' ,L /0 7779 ,c 3/ Lathing— In O /0 - / 3 E'-Erier, brown coat /0/ ' 67- fi`-'..:'tg. ❑ Air Con. ❑ Final . Heating, Final �j, 1 'r Planning e,,�. Plumbing Fixtures, Final /' 6Rr.Re..Sativl' Final Gas Test C arse: _.-i-. TSina Electric Fixtures, Final .� •t '� Building, Final /t4 OCCUPANCY Form BU4—SM—a-63—S-a P _�.. coF('TAL RbQUIREM ~" 22282 FEE RECEIVED • COSTA MESA BUILDING-SAFETY DEPARTMENT �� 8 taS P.O.BOX 317 COSTA MESA.CALIFORNIA rr��TTFyIINn�AFFNCEneDpEPMT..�� 0 For Applicant to Fill In Completely APPLYCATION FC1RT'PERNff A , TYPE OR PRINT BUILDING BUILDING For Office Use Only ADDRESS 106 Yorktown Lane RECEIPT NO. P COSTA MESA. CALIFORNIA Milt EY DATE RECEIVED DATE ISSUED San Vista Building Co. •'5=1/ ‘?/ MN 1 1964 OWNER BUILDING ADDRESS 1166 E. 58th StreetFIRE ADDRESS AY TEL GROUP.0 �1 TA emir Los Angeles 11, Cal. NG• AD 37187 ZONE TYPE APPROVED ARCHITECT TEL. BY DATE' OR". GINEERRa road Levanas NO. on 97010 AODRESs 3432 Via Oporto, Newport Beath NWG , { 5 NO.OF 1 USE OF N (�L" CONTRACTOR San Vista Buildin• Co. PIANS SWLDIN -� r� ON. / LEGAL (� 1166 E. 58th Street DH¢DRIPTION Tract 5160 Lot 299 ADDRESS �' CITY Los Angeles 11, Calif. A.P.NO. /LTi - 2, � — Jli �" NOTE: NO EAVE OVERHANG SHALL BE LESS THAN �r iic.TNo. 192782 TEL• AD 37187 SO'TO SIDE B REAR P.L EAVES SIZE I NO.OF HLDOS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 20 x 70 NOW ON LOT O YARDS APPROVED YARDS APPROVED USE OF EXISTING BLDG. None MAIN BUILDING ACCESSORY BUILDING SETBACK LINE FROM , `_ - g(FROM C/I fSTREET/)/• 1/ CENTER OF STREET 13 REAR YARD FRONT / PT. FT. - SIDE YARD I LEFT © RIGHT 0 R.HIDE !l OFT. FT. ITT DESCRIPTION OF WORK L.SIDE OFT. FT. NEI X ALTERATION ADDITION REAR 0 FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING T.D� D DEMOLISH MAIN SLOGS. ACCESS.SLGS. IL BUILDING NO OF-n�Iy♦��w R3 t VAR.# DATES X SIZE • O 4 ZC. ROOMS STORIES C.U.P. • y APPROVED /O 6 cim EXTERIORWALL ROOF APPR• A: ^ ir �' COVERING tUCCO I COVERING hin•le BY 1 p4�. DATE01 USE OF BUILDING AND WORK TO BE PERFORMED I JJ - ni Residence - VVV adpbe/ cc /w° A dao °' N D 80.FT. MI I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC4ygysc THE AMOUNT SHOWN DER VALUATION IS FOR THE E' U) AND STATE THAT E ABOVE IS CORRECT AND AGREE TO PURPOSE OF BBTAB SHINO A PERMIT FEH ONLY.PLY WITH ALL TY RDINANCES AND STAT{LAWS R{OUMBUILDING CONBTRU ON. ALUATIONPERMIT FEE 8 / ; 4. SIGNATURE0PERMITTEE -4..( L 1 •C� --L/A PLAN CHECK S LL D 0 AUTHORIZE AG T TOTAL FEE 5 7c2 ----