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112 YORKTOWN LN - Building Permits
F PROJECT ADDRESS: 112 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069479 OWNER'S NAME CULVER VIRGINIA B ADDRESS: 112 YORKTOWN LN PERMIT NO: B 069479 PLAN CHECK NO; N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/O RESTH & REROOF W/€e M & HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: coMp 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 DETE. REQUIRED DOWNEY CA 90241 **************ars¢*******************%I**s1-**+¢+¢a¢a1-*****a6*%E*****%¢a¢**ar*a¢************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITYLIC.: 059377 STATELIC.: 40253 cuss: C-39 EXP; 10 ' 5 qe(e:_1_0_191/it-1 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm that have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN Compensation lste eZtnayVilied copy thereof(Section 3800.Lab.H.5/19 /95 POLICY NO.: EXP.DATE: li COMPANY: ,.yy PARKING REQ: PROV; PARCEL; 41916234 INE; REF NO; r 111 Certified copy is hereby furnished. 1-7 Certified Date: copy/iss[•fi�led with the city Building Division. PLANNING NOTES> > ��I� VI� Applicant: L ******************************************************************************* EXEMPTION FROM WO K/n�ERS'COMPENSATION DECUBATION: (This section need not be completed it the punkt is(prone hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N T S I certify That in the penormance 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 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; a Code.you must forthwith comply with such provisions or this permit shalt 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: DATE; 15/11( 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 I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit 10 construct,alter,improve,demolish,or PERMIT 54 , 00 , 50 repair any structure.prior to its issuance.also requires the applicant for such permit to tile 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 Cade)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 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 54 , 50 0 , 00 0 ,00 54 . 50 54 . 50 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law improves not apply to an owner of a property who builds or 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 rpot is of is sold within t. one year of completion.the owner will have Inc burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK for the puensale). I.as owner of the prepeny.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 , 00 50 ❑ 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 contractor(s)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.8 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 luture 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 JJ•p/p/�u��rposes. I/f/ — 84TE0i10461-00i7©I62 12709 54.50 /Gate: (of C7111"l Signature'.` V I1 Driver's License or SocialLSecurity a: /1641-46 White—Building:Green—Code Enlarcement Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL .,. SPA APPROVALS Permit# Date Inspector APPROVALS Permit 3k Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.'Electrical Conduit�✓:ltilitylcUndrgrnd. 54. Forms 4.,Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5."Sfeel Reinforcement 56. Rough Plumbing & Pressure Test _co- L. . ';_6.:ElectricalUFBRtrnd. 57. APPROVAL TO COVER-GUNITE 7.° .botings • _ 58. Electrical Conduit-Undrgrnd. ' F$;.Foundation 59. Gas Pipe, 0 Undrgrnd., Test "g. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Flooi System - 61. APPROVAL TO DECK _ 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains r 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 Factory Fireplace •:.-,- •,•-; ; Q o r~ s : 'APPR_OVALS 7C:Permit # r -� `' .. .,-x r,•,* .. r„* . l r Ut-,:K + r-• r 21,:-.-D- ucts,in,Structgre• - " -i _1.1 ' . i7 t �'t�t ct - "' _ t i _ a 7 0. >`Indergapu. Hy lro • 22. Ducts, Vent9ating t e r r ^ : +3,71. ProductFV1 ig 01 Gas D'Oil 23. Gas Pioe-Ro h& Test ' n• r � ' ' r' ? "r'' 1" r _' r!9 „r,y , _ r , „72. Underground Flush ,� ; r 24..Rodf Framing1.. - --3 ti 4 n 1:73PUndergrndt.Storugrrank OGas 0 Oil 25. Roo` Sheathing ', •. r i '1 '74SOver head clydro r,0 , [zz-12. - c�`� 26.;,-Bar Ceiling (Structural) &_Monocoat I * r . ' T + '• 757Dry Chemical - * -• < 1. M n : : n; 27'Frame and FlashingP�, ` -v • * `'�' p " J't ; - ' o: ..q ,. t r, �i i 76: Dry StancTpipe c:.11 f Q 28°LathingE. Siding• -i . 'i; k r• , ••a •- 77Y FIXED S.'/STEM FINAL' rt:'' 29. Insulation ••t ; - - •• - • t z1 I I 178-FIRE PREY. FIMAL a i. • ` a 30. Drywall_Nailin •g m ( I �' HEALTHriDEPT's REQUIREiV1ENT ,31. Piaster Brown Coat; _. r. . I I ii c 79' •FINAL IIV�SP!CTIQN y -, .. 132:_Electriwt PowerSeter•Final ' r it I I I: c, m80,nFOOD CERTIFICATE ISSUED, ;33._Final Electric - • r ; •n 1 I I: # 1iNat s: M -1;. fi - I' s -,�34.,lino' H4atin`g'& Qi Conditioning, r l I '-;J• r _, 35.1Final Gal Pipe-Testy 1' • s � I .•Is * !t -t in S. y 't' ' r I 4U C�' F+. 36'Hood oi.Canopy, I I •• " ' s : 37. :Final Factory FiFdpiace _ I ' ' z1 ( w : P -. -38. Final Plumbing ,u.., >> � I is . .:y e h• 39. Water Setvice-Final^ - �-- I I t 4 ;ult.,rc ( • '40. Gas Service-FjnaL ; s kn j s nil. •[ 441. Solar Ddmestic-Final t t• f; + r42.1Backflow Preventer, r i 1 17ri• i ,r r _ 43. Backflow Irrigation; ir : r. ' • 1,r•=' ' _ •,44. Landscape Irr'gatin System _ -i ,.1 - . " m =, C. .-- .. --45. :Sound Attenuation - t- - F" . -; '-I - * •- . 't 1 • .46. Handicap;Regulations .i ° r •• •• ' r.c _ 47.-FINALSTRUCT..URE & BUILDING 1' 0W66 "10 a r 46. •FINAL PLANNING '" ,. I I j' ,j _, -49. Electric Release to Edison , I i I* ' S_ '50. Gas Release to Southern California Gas Co x Y'' Ir �t ' 7 • 'qtr: P i _ 51. CERTIFICATE OF OCCUPANCY r . „ No. Date OWNER SAN VISTA BUILDING COMPANY DATE 6-1-614 JOB ADDRESS 112 Yorktown Lane BUILDING PERMIT NO. 22285 GENERAL CONTRACTOR saw VALUE $ 114,835.00 AP No. LOT 302 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res wiettr_ger INSPECTIONS Signature DATE GROUP _ TYPE ZONE ; :gi+; � J W - ASUBCONTRACTOR PERMITS ISSUED . at, ?i/ Ct// DATE NUMBER Water a 49J-f Rough Corn. Ytefrig ❑7 Cond. ❑ / Rough Heating /J( S �. AV' 4 ,. ' /fes, //-Gi jTy Rough Plumbing %i�f r%7 �.- ,4 644ti , G ,.'�, _/_le V <15 S64j/ Miscellaneous --// ViSt. / e is ,a Prop. S . Line I�House Con. pd'St. Swr. ❑9t/(4 t��//6 • C,r..�ti �,ey-z,C. D.0 9 1963 4083 Cl ca�AN Sprinkling System Construction Pole iA/i,4y Underground ❑ Power .0 Listgl h Wiring - ear ' ' Trenches 0 Forms 0 Steel Reinf. 0 107 c C G Floor'System Bond Beam 0 Steel Reinforce 0 Sheathing /,_.. c Frame and Fla hin 4 e 9 .�aLathing—In Out „ a / 0 / •l//-i< Plaster, brown coat c /0 }o &Y KO. 0 Air Con. 0 Final 6 144,44g, Final % ?- - c....,...... Pl `ifbing Fixtures, Final .,� ` N pt:.Keg."' Final Gas Test �, L�.r. //7 �'- Ara Electric Electric Fixtures, Final -%zf" _ _ 'ate Building, Final i,I_ 0. OCCUPANCY ....-.r • Form BU4-6M-3-63-S-B P HOLD • ' -'- ' - - - - 22285 ir FEE RECEIVED Etna itli COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT. � R, For Applicant to Fill In Completely AP kW TQNC'ARA PME A TYPE OR PRINT BUILDING . For Office Use Only BUILDING 112 Yorktown Lane ADDRESS _ - RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA 'j77 RECEI BY DATE R[06{io� JVpIIITE•1151 ,� 4 OWNER San Vista Building Co. BUILD '`//G 1 NG MAIL ADDRESS ADESS 1166 E. 58th Street FIRE el- CITY Los Angeles 11, Calif.NAD 37187 ZONE TYPE ' GROUPTtL_ - APPROVED ARCHITECT GINEER Raymond Levanas no'OR 37010 BY DATE ORFN �/(��' Au_.ess 3432 Via Oporto, Newport Beach 6ZONING „G.DFDBE GFN1 ' '$an VlSta Buildin Co. _ PLANS. / I EDILDOf •CONTRACTOR g — EGAL Tract 5160 - lLo 302 —' DESCRIPTION AD¢(FRESS 1166 F 58th Street Pit- �� �_ CITY Los Angeles 11, Calif. A.P.No. NOTE: NO EAVE OVERHANG SHALL BE LESS T AN STATE TEL. 90”TO SIDE&REAR P.L. LIC.NO. 192782 NO. AD 37187 EAVES OSIZE F LOT 20 x 70 NO.OF BLDG°. ALLOWED (U.B.C.REQUIREMENT) I 0 NOW ON LOT USE OF YARDS APPROVED YARDS APPROVED ' EXISTING BLDG. None MAIN BUILDING ACCESSORY BUILDING (FROM C,CLREET)/' f/ ty, • SETBACK LINE RROM13 ']1 REAR YARD FRONT FT. & FT. 1 CENTER OF STREET .J y SIDE YARD I LEFT RIGHT 0 0 R.SIDE CI FT. FT. DESCRIPTION OF WORK _L.SIDE 0 FT. FT. v. N R ALTERATION ADDITION REAR0 FT. FT. Z. DISTANCE BET. BET.MAIN& < REPAIR MOVING DEMOLISH MAIN BLD¢S. ACCESS.SLOGS. ))) CC BUILDING n A ^/1 NO.OF 1i3F VAR.#' DATE 6/;‘,3 / SIZE �0 3A ROOMS STORIES 2 C:U.P. ti. '(L-/ APPROVED 6A6/d- EXTERIOR WALL StUCC ROOF Shingle Gyff��.RR.. M /CS LL a COVERING 4 COVERING Gy �1' DATE - / USE OF BUILDING AND WORK TO BE PERFORMED `l V �� Residence k. C/ 9BS fnttf r a ,. ._/....la rQ 070 l' < `� BQ.Ft. ix I HEREBY ACKNOVILEOGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE F 0 AND STATE THAT/THEE. ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTAB HI NG A PERMIT FEE ONLY. O It, PLY WITH ALL EIITY ORDINANCES AND STATE LAWS REGULATING VALUATION U N Q BUILDING CONSTRUCTION.SIGNATURPERMIT FEE $ / �r , PERMITTEE/�\ �(r LL -I /C--A-44-44-4.4-/--1. �j//�J� CHE AUTHORIZED AG T 7 -702 0 I` �. TOTAL FEE 5 / ✓` OWNER CULVER, Virginia & PURVINE, Nancy DATE 3-5-72 'JJOB ADDRESS 112 yorktown Lane BUILDING PERMIT NO. 34352 ,4 GENERAL CONTRACTOR Owner-Eldr. DESCRIPTION of WORK Patio Cover 10.141-701-03 LOT TRACT FIRE ZONE VALUE $ 200.00 �IT,_?ECTIONS Signature Date GROUP J TYPE V ZONE R3 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature afore WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM^ BOND BEAM L l STEEL REINFORCE in SHEATHING FRAME AND FLASHING ��[�R, J . - -9t-- LATHING — IN ❑ OUT PL/"TER, BROWN COAT 'URAL. FINAL Electric HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST In ELECTRIC, FINAL 34352 PA,coo 128 v *'* COSTA MESA BUILDING-SAFETY DEPARTMENT - -7�r''<' 'tS.GO P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely Al /n• u RECEIVED : DATE RECEIVEDBURATE ISSU ADDRESS AT ♦w A 1 i4&4 - I A •/ 3- 3-7 �---S —it OWNER V, 2 C ly O3 PERMIT NO. / �1 N1/} !t CIt �� [frll%�/�f'.• A.P. N!./1//-76/-. MAIL Dp y y� p,/ BUILDING /J Z ADDRESS 1/2 �D,R Kla Gov 4&tc 4.t¢r ('4 )( ADDRESS/f p� �/ ,� Li,ai 0_Z CITY 0011-81 j"tei 4 TENOLJ T4 .l/7! TRACT'�J(QLv LOT�� �LBt9Nf dm Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH O N LENDER .' /vX/_ tL m JM BRANCH �jJ 1y',— ''.r�9 • J to OWN E R`/4,2'St/.N 0 ./�V•'' L2r c ADDRESS 66 VALUE lei' . / j< ARCHITECT TEL. USE $ t -• N OR ENGINEER NO. O Q FIRE w¢ ADDRESS ZONE TYPE GROUP d W APPROVED If /J' /CONTRACTOR ia,j/Je itBY 'DA.TE 3 _ -/ -W Z J O mZ J lY ADDRESS ZW W TEL. ZOgp�' PLANS USE OF NEW = CITY NO. K i (PLANS BUILDIN I H W- 0 STATE CITY YARDS APPROVED YARDS APP OVED V) Ir LIC. NO. LIC.NO. . MAIN BUILDING ACCESSORY BUILDING D SIZE NO.OF BLDGS. (FROM C//L sTjg EET) OF LOT I NOW ON LOT FRONT /7// I'-T. FT. USE OF 3 2 3//1 EXISTING BLDG. R,SIDE FT FT. I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE 2_ FT. FT. a EXTERIOR V COVERING WALL I COVERING 9X hOT /IJ REAR /4 7W% FT. l USE OF BUILDING AND WORK TO BE PERFORMED • DISTANCE BET. BET. MAIN& '^/ p�'r MAIN BLDGS. ACCESS.BLDGS. VAR.* DATE O / 4I;Q ik00 f/vet ahir C.U.P.# APPROVED H / J n zeo u.eRd ivi • NX I e4 4. QoZ t h. /IA,/Ca _ BPPPROVED DATE 3—3 —7 k- 0 UI hereby acknowledge that I have read this application and state D 'that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F„ any person in violation of the workman's compensation laws of t/g the State of California. co — I hereby certify that I am properly licensed as a ontractor under SO. FT. o ' . the State of California Bus'-ass -•. ion Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such cens-s are in full and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a, cr am exempt from the •r• isions •f the State .fornia Business S co and Professions Code, • vision 3, taint- f VALUATION _/j PERMIT FEE $ n ignature oft /a ( / D !LN�L !Y co Per Awl $ G) /J7/ PLAN CHECK $ E 0(.t/t� O Authorized Agent u TOTAL FEE $