HomeMy WebLinkAbout107 YORKTOWN LN - Building Permits - .
•
pWMJECTADaTESS: 107 YORKTOWN LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 052650
OWNER'S NAME: WEBBER, EDWARD WILLIAM - I
ADDRESS: WEBBER DIANA L PERMIT NO: P 052650 PLAN CHECK NO: N GOVT: N SUPP: N 1
107 YORKTOWN LN
COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
552-0221
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CHANGE OUT WATER HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
PERMITTEE: NOCK PLUMBING ( 714 )895-1246
ADDRESS: 11610 SEABOARD CIR COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
STANTON CA 90680 +t*****�E�r*****�E�k�E*�E�E+t�E�E�E**�E*B **********+E********************************+t*+E*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 1
7000)of Division 3 of the Business and Professions Code.and my Ii nse is in full force and effect. SETBACK S
CITY LIC.: 05038 STATE LtC.: 511971 CLASS: C 6
-110! 7- 1 1 ' R� Signature: _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate sell-insure or a or a certificateFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.ora certified copy thereof(Section 3800,Lab.C) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLIcyND.: 116799290 EXP.DATE: 03/01 /92
COMPANY: STATE r'� Division.
PARKING REQ: PROV: PARCEL: 41916240 ZNE: REF NO:
❑ Certified copy is hereby furnished. yL Certified copy is file with the city ilding Division. PLANNING NOTES>
7 - 0 - 7/ ,'/ >
•
le Applicant: _�OLl W' *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be CCompleted if he permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
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 California. ZONING APPROVED BY
t DATE:
Date: Signature: '
I
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY :
Code,you must forthwith comply with such provisions or this permit shaft be deemed revoked. DATE:
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• •'
DATE:
*..x.*.*..x..* �- F
which this permit is issued(Section 3097.Civ. C). **************.*****. ******.7(.***3F*�i'1)(.iF******.****.***************.N. *..k.
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N FEE .-S'TU M M A R Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMB ING ELECTRIC' MECHANIC FIRE SMIP/RES GRAD ING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 00 :-• •4r
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5% _ /- tra`' SMIP/NON-RES
purspant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Oivision 3 of the Business tn
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLANr
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3. 00 • s;
I. as owner of the property or my employees 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(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 2 .00 3.0 0 'r, '0 .00 5 .00 5 ,00 .00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through f
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or a
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 5. 00 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 5. 00 —
❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereonq ..
and who contracts for such protects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******.****************.**.**********jE*** ****.***********************.**************
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L ' FEE BREAKDOWN
❑ I am exempt under Section: B.&P.C. ' .
for this reason: TYPE QTY D E S C R I P T I -O N' - UNIT COST TOTAL COST
e. ,.1 1; r
Dale: Owner_ PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 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 from the Air Duality Management District.Residential construction applications are exempt from i.
(//
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
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter a the above-mentioned .
property for inspection purposes.( ttr. .i< [�. 0T��O'I(.9!_�1r�i�r'..:E .e_
! 7a1;\ 1 — 11 -CI / Signature: tC2 J`ic: �:, c, ` . ...
i .t 'ILI' :Ji ,
Driver's License or Social Security x:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
. ,e CONSTRUCTION AND PLANNING t' POOL 'A
APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector
t 1. Temporary Electrical Serv}ee or Pole t., - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -41--. 53. Steel Reinforcement
. f.
_$:`plot j?al CondLT't`•.UbIity-Undrgrnd? tul 54. Forms
4:,fi�cttical Conduit_ljndrgrnd• r • 55. Electrical Bonding
>5: Stk'ej,Reinforceme�ni 56. Rough Plumbing & Pressure Test
a',A:,
d�-..-..-e U
-Eteetrical UFE*arnd. U 57. APPROVAL TO COVER•GUNITE .
- , ,
C. 7 F6otings Sc a'' 58. Electrical Conduit-Undrgrnd. '-
r'
8. FoUndation 59. Gas Pipe, 0 Undrgrnd.,Test w
-,
9, Water Pipe-Undrg rnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10: Structural Floor System ;� 61. APPROVAL TO DECK
'It Property Sewer Linr& House Connection - 62. Backwash & Receptor-Final
ce ..
12. Sevier Cap c�
at 63. Heater & Vent-Final
13. Roof Drains yr. 64. Plumbing System • Final
14. Rough Plumbirry ° 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough ElectridWiring 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
,i .:'r-i Zr '- .r: L. r
20 •Rough Factoy Rireplace ! b,in v.r. -t * r_-. _ rAPPROVALSI^CPn >
enit # * `
, te . r - ' 'ss^- 'x'4 x- ;- C- :t* "' C: '..r....-0 -r-- - r
I i-' 7::5.... -t t21._Ducts, i StryctU5?r .. .. Fr: S _ tJa ' 0. U�nderg-ropdHro
22. Ducts, Ventilating:- i ,S :? -S <*ic s -'71• , ProducttR�iing D•Qas D'Oil
23CGas Pip Rough &'rest rS r , ,< e* ; ,72, Underge6un4 Flush- s
Cr- ,4. , , ..f. ,y, -' ✓ _ ..
24:_rRoof Framing +' r - -, S73!NUndergrnd:Storag&Tank U Gas--0 0+4
25. RO f S
._
athin "`' >. �' ' 'r1 �'• r'" S O - x
g 9 ",,. �' -, `, c'u;I 74,,Overhead'HydroO ,
26.%T-Bar Ceiling (Stdetural) S vlonocoat e at C c'n * 75,aDry Chemical 7 •
:4 Y _ " C '> ^Y' *' $- 'J -P v" ,
27.7Frdtne and Flashir tr,x * 7 .t.� x 76`Dry Standjpe .2.)r., :n
1-28-Lathin Sidin t- -- tit
ix '. S r.x :e r
7. B - 77� FIXED S_r, .,r•-•-:'
:-29. Insulatiirn s r ` " '' '- 5 t s :: 78�FIRE PREY. FINAL Y". a tx• "f
Cc
rr30. Drywall'_Nailing •r•* - r :x ,G: µ•HEALTH'DEPT& R-EQUIR5MENT
' fC S 31. Plaster brown Cn I ( :_x : r.7gr151N'AL`I'IQS`Rw ECT10.N " -
: 32cElectricaAf Power;MeteL-Finap * ;.n r. :•80.-.FOOD CE•ATIFI,CATE ISSUED- a
.33 irigl E ctri4 ._ .n rr .� ', x. "Notes• ' 7'Z9�°►( N OM'E-t L-Lg7"t,a o-_ .61
34:--,Fin HOtin•g-& /iiftConditionr,g; ,s•• :t . * // r- eQ
tr •w _k;: . l�1 i I RMt�i el(- Re' `46' pet s
35.JFirial G Pioe-Test to ( fri¢ J�',(Jr pc...... tr.c...aD T,
_t �,
• i36.lio9d orr Canopy,y -- i - .:. ' C I '. 7 a F ro ..' , n r
p
-37-Final Factory Firgdlac$,. i Vit'' '- �� '� iJ
.. .. - - .i --
38. Fingl Plumbing I t
T
:739. Water Service-Final- - a * ! * 111 * x
x s' i : Cr, ; I * v '. *
:.40. Gas Service-Final :,: . * _
2'41. Solar Domestic-FirmlS •- t :•i L ' '4'- F. a
in s I I k' s ;r "10 ? r
-42"Backflow Prevente7 ` ;j r J * :t �' S
Y
43. Backflow IrP atiort a:S 5 _' •x:- * _ r
_,44. Landscape I5)igatipn Systern,r-,--• a: - ;r� r� * p! -c. a. " co r:.j
C. r r0 t{: _
-5.45CSound Atteouatiot i 0:E-. * 7 = F•• - *- *' ,-r --7- a;.cr *
' :-.46.,Handicap Regulatigns • i lx- N 72
47r:FINAL STRIjCTL[RE & BUttDING 1• ' x = .'3 : *-
u' 1 a > x t -
7.
48C"FIN�,AL PI-ANNIN(; •, '..--4:- :f : <
.1; I ' n 9
c49v'EIQctric Release to4Edison ' x I - i. d > Ir; ' - _•
'i,50.,Gas-Release to Southern California Gas Co . I ; v i - -
v
651. CERTIFICATE OF7OCCUPANCt j :t Y s .T1 C- r o
• No. Date
PROJECT ADDRESS: 107 YORKTOWN LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 069471
Aft• OWNER'SNAME: WEBBER, EDWARD WILLIAM
ADDRESS: WEBBER DIANA L PERMIT NO: B 069471 PLAN CHECK NO: N GOVT: N SUPP : N
107 YORKTOWN LN
COSTA MESA,CA 92626 CONSTRUCTION TYPE; V-N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/O RESTH & REROOF W/OOP& & HOT MOP SQ FT: 2, 508
ADDRESS: UNIT: cofrqo
CLAIM VALUE; 2, 508 . 00 CALC-VALUE: 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 DETEREQUIRED
DOWNEY CA 90241 ***�r*ir+t*4***�r*** *AH*******irir�H******�r*x***aH****ir*�r*�L*********4*** ********i(*ir***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
SETBACK S
CITY LIC.: 0593 7. }STATEuc.: 402536 c is:: - • EXP• 0/95
,JP IDS 9 _ Signature: MAIN BUILDING ACCESSORY BUILDING
WKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
r
Compensationlnu;anlre or a certified copy thereof(Section 3800.Lab,CI.
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO,: DtO`2699 EXP. DATE:
COMPANY: AIG PARKING REQ; PROV; PARCEL : 41916240 ZNE: REF NO;
❑ Certified copy is hereby furnished. EN Certified copy is filed with the city Building Division. PLANNING NOTES>
I t01day '
Applicant: *********'**********************************************************************
/ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the perm)is for one hundred($101)or less). D E V E 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 T S
certifyI that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY ,
DATE:
Date: Signature: BUILDING APPROVED BY
Code.y:uL after making this declaration,yhSyou should become subjectmithe Workers'mrempensation provisions of the Labor DATE; ,
Cade.you must forthwith comply with sato provisions or this permit shall be deemed revoked. � /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; rlH'# DATE; J f e P4
which this permit is issued(Section 3097.Civ. *********************************** ***************************** ** **
LENDER: ********************************************************************** ********
ADDRESS: LEGALIZATION;N F E E SUMMAR Y STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/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
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SM I P/NON-RES
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($5001. ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure S not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
TOTALS----> 5 4 . 50 0 .00
0 . 0 0
54 . 50 5 4 . 5 0 . 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 coerce for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 5 4 . 50 OVER/SHORT• 0 0
improvement is 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 SMIP/TOT GRADING PLAN-CHECK
for the purpose of sale).
I.as owner of the property,am tr ctorse(y contracting with licensed contractors to construct the project(Section 7044,Business
54 . 00 rj 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a coniraciorls)license pursuant to the Contractors'State License Law),lam aware **********************************************************************.*********
that proof of(heir Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BREAKDOWN
❑ I am exempt under Section: 8.8 P.C.
for th¢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 l 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 from the Air Quality 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
ordinances and state laws relating to building Construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. 0100 6
17071- 00170I 17: 13:26
I 54.50
I>)1C�� Signature /1
/r I� V(/
Driver's License or Social Security a:
164446 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
A
CONSTRUCTION AND PLANNING POOL °A •
APPROVALS Permit# 'Date Inspector APPROVALS Pernnt # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. �: ' 53. Steel Reinforcement
EiDEleptrical Condt"t'(3,tility-Undrgrnq 54. Forms
{3 ,Electrical Cond igindrgrnd. 55. Electrical Bonding
>1 5. Sib tt Reinforcement 56. Rough Plumbing & Pressure Test
-,
;:`6.-Elgctrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
c.
r.
tiotings 58. Electrical Conduit•Undrgrnd. o• ,
S A`.F.Vundation '� 59. Gas Pipe, 0 Undrgrnd.,Test
:„'9. Water Pipe-Undtgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd.
10. Structural Floor'System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
.n - 1•
13. Roof Drains i 64. Plumbing System - Final
14. Rough Plumbing • ' _. 65. Electrical-Final
15. Rough Electrical-Conduit _ 66. Solar System-Final
16. Rough Electric-Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.;Rough Ffctory Fireplace• I `w re =- r ;? :s ^ ,APPROVAt8:aCpermit#
n, T.. .=. •~'i -1 . r 1. --
s- ... 1 E,... 7'r. i 1 `1< r X. Y '7".:4'-- _ r - ,a
21-Ducki, ip,Structure y., z ty -, ; t, --70. t}ni derapundj Hydro
•{
22.`Ducts, Ventilating: : .14 T: . K; <c.$ . ,171. Product'Pgiing C1'Gi,s 0,04
23.=Gas Pipe Rough &'Test `t a m c, _,v . ,.72, Underground Flusl*, , t
24.Roo{ Framing r ..r: : . * 73 d'Undergrnd.Storag2 Tank C Gas ❑Oit
-. - .. M 1 1' . i
25. flooj Sheathing l' ' firie.-drif :4s.41� -74 Ayer head Hydro 4' '
26."T- Bar Ceiling IStructurall &dvlonocoatt .441t d:i to " 75 tory Chemical ' ' • -. n'
27. Frame and Flashin " ` - .';
-. �' ow. Lr r 76: Dry Standl��, e ,.,,.,
_28. Lathing.& Siding,; • ..--;;e,;,;j ••s ' 77.L FIXED SYSTEM 4ENAL
'29. Insulatiop ' t - ' - r' I ,y r 78.IFIRE PREV. FIA-1. 1
;:30. Drywall Nailing Ft;: - : -• HEALTH-DEPT. REQUIREMENT
- .r
31. Plaster Brown.Coat: <- ' I ' 11 ' 79. FINAL INSB€CTIbN 1
.32.;Electrical;aPoWer (deter-Final, ,t II ;I i. r30.LIF
00D CERTIFICATE ISSUEDi
` t
.33.fina•IElectric "t '1 i + + 'Nous:
•- ti _
1• t - f-1
l'34.-Finl Heating-'8; Air_Crtitionng- _ Y
1. a •r - � 10; a _F7
35. Final Gad Pipe-Test;' -i • I r: " '_ " -='J
736. Hood or�anoPY - , _r C'' I V.I •
,tr •. j %;.c. •. : •,; -
1' 'tti i I ll 2 : r * . .
-37. Fina'!Factory Fireplace Ss' • ' "' 1' ` - :' t •
C
1 I! . ,
u P e •y -
:$8. Fina4 Plumbing 2- I I: t �� -s -t v D
39. Water Service-Final • _. _ i . * r'1 C. -r. ' .:
40. Gas Service-Final-T.; _2 t
= Ft
r "
rri
.
X41. Solar Domestic-Final - i. II I:
tBackflow Preventer' r' 'E,."1 ,, I :•r,.' t ''
"42.
Cl Ear . . p ..
43. Backflow Irrigation" S * a , 0:r-•_ a •'--1
-:
44. Landsca Irri atiop System-,' '' ' � ~ '~ • y
,ry DC gz^:J Y dt r, I. T 11 JI - • C_
a45.t$ound Attenuatiow --i'r * ,,n t . t-- = • > 1 Y C - '•t -
1 - . rr 'r .11, r _ r'
R6.-;Handicap;Regular t T ps a '1 " * t rc , - •
47. FINAL STRUCTURE & BUILDING -4-.19-14-44q/: '
9 o `4 �sce. " ' ''..±
48.•FINALPLANNING; ' "•t" Rt ' - -
_49. Electric Release to Edison I • + 1' . 1
1. Cr. r
;S0..Gas Release to Soutbern CaliforMia,Gas Co t t r. .
'51. CERTIFICATE OF OCCUPANCY + _ -- ,
No. Date
I
OWNER SAN VISTA Building Co. DATE (ICT 3 0 10S2
JOB ADDRESS 107 Yorktown Lane BUILDING PERMIT NO. 20686
GENERAL CONTRACTOR San_nsta Ri 11 ding Ca. VALUE $ 11k,8355 00
AP No. LOT 29 TRACT 5 Fin FIRE ZONE DESCRIPTION OF WORK Ren.Watt—gar.
INSPECTIONS Signature DATE GROUP TR-.7 TYPE V ZONE B_1
KI', 2e-if PERMITS ISSUED
(Tt_, SUBCONTRACTOR DATE NUMBER
/
Water - /Z-�''G3�
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating t . 1 �_ -\< ' ct- }\ `S th
Rough Plumbing /0 3-/3.-4 ' a /SC.).-- //--/- C ), 3 j' 77/ —
Miscellaneous _
�SpriProp. Swr. Line ❑ House Con. ifrSt. Swr. ❑/Q-et 3-/9("/ <_._.r /�e C"n cs t Nov 1 3 1964 aDiln 4.--
Sprinkling
nkling System ,4, i
Construction Pole I�R
Underground 0 Power 0
Rough Wiring �I `r s'SSL Iii' " c •. , _2_4. _/o 9 y / 77$
Trenches 0Forms 0 Steel Reinf. 0 f �SYY/ a— /a S- -. — 3
Floor System ✓"II
Bond Beam 0 Steel Reinforce 0 'I' .."-`r`
FrShamea �c 2 — 27 I1fi
Frame and Flashing...--- Z C 5 I r
Lathing — In Out � c:L 1/7".e f . ,n/ '
Plaster, brown coat �a ,S".- /3 / G-F �i
Re 5k0 Air Con. 0 Final _ •
Hcy, ""'„ Final �iSj�
Plui mg Fixtures, Final F F-
Final Gas Test/ !j '
Electric Fixtures, Final /I A- /�^^ a� 2z/CP __114 ,
Building, Final (/}/ ✓ I
OCCUPANCY ✓ /
Form BU4-5M-3-53--S-B P .'en n nn.. nn-r.A A ............+....'....w
•
I-LE KECEIVED
20686 SEP z s
igg
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA
\ CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT - LOt 296 BUILDING
BUILDING For Office Use Only
ADDRESS 107 YnrktaZ.nt Tape RECEIPT NO. PEghi/i/.{y,�e-.
COSTA MESA, CALIFORNIA •L)(A/IfV�Y16w
RECEIVED YyQ�T[RECEIVED DATE ISSUED
OWNER San Vista Building Co. / .2.J- 1 OCT 30 1963
BUILDING /Q7tGROUP
MAIL 1166 E. 58th Street ADDRESSADDRE88
PIREcITY Los Angeles ll NoAD 37187 ZONE
APPROVED
OR ENIGINEER Raymond Levans NJ OR 37010 BY DATE
ZONING
ADDRESS 3432 Via Oporto, Ne •ort Beach , NO.o- - -P ''t I
CONTRACTOR San Vista Building Co. ' ;- PUNK EDI err V A ',
DESCRIPTION LEGA Tract 5160 - Lit 296 '-'-
3
ADDRESS 1166 E. 58th Street - �l ` ,... ---t
� � � /
CITY Los Angeles 11 A.P.NO. l
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SIG
STATE
192782 TOL. AD 37187 30"TO SIDE$REAR P.L.
NEAVES
SIZE 20 x 70 I NO.OF BLDGs. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF None MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET/
SETBACK LINE CENTER OF STREETM 13'_ I REAR YARD 6'10" FRONT
SIDE YARD I LEFT 0 L RIGHT 0 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE FT.
t
NEW X ALTERATION ADDITION REAR
DISTANCE BET. BET.MAIN a
REPAIR MOVING 4JEMOLI�Stl MAIN BLDGS. ACCESS.BLDGS.
BUILDING 20 x 32 NO.OFS Yrs
iVAR.?F DATE
SIZE ROOMS' STORIES C.U.P. iftAPPROVED /� ! 7
EXTERIOR WALL StUCCO I ROOF Shingle APP '�4 ig-±:3
Q r
COVERING COVERING BY 0 ' DATE V
USE OF BUILDING AND WORK TO BE PERFORMED
Ra4idanCa and Carport
1.36 i yea N
6q.FT. -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO NDER VALUATION IS FOR THE 5
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF EGTA- ISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION n
BUILDING CONSTRU
SIGNATURE OF `S• ,V=STA BUILDING CO � 45/913-5—
/91 PERMIT FEE $ J �� S
PERMITTEE ,/ r
/L.:" 3� LAN CHECK a E
AUTHORIZED AGE / James N. Starbird J- TOTAL FEE ��_�