HomeMy WebLinkAbout117 YORKTOWN LN - Building Permits . �*
4`,64,9 CITY OF COSTA MESA
BUILDING DIVISION
Fi.g, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
J PERMIT
Jdikbe,oRrnsoMs P01-00319
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 117 YORKTOWN LN Status: ISSUED
Suite No Applied: 05/30/2001
Issued: 05/30/2001
Vicinity:
Parcel Nunmber: 41916245 ISSUED BY: )
Applicant: SELL, SCOTT
Address:
Phone: 562-986-5511
Zip: \LI
Owner: MEYER, ESTHER M TR0
\
Address 18 VISTA ENCANTA
Phone:
SAN CLEMENTE,CA Zip: 92672
Contractor: APPLIANCE INSTALLERS, INC
Address: 3823 INDUSTRY AVE
Phone: (562)595-4500
LAKEWOOD,CA Zip: 90712
License: 594282
Arch / Eng :
Address: •
Phone:
Zip:
License:
SCOPE OF PERMIT
DISHWASHER CHANGE-OUT.
FEE SUMMARY
AMT QTY . AMT QTY - - . - AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 .Sump Pump $0.00 0
Backflow irrigation $0.00 ,0:- Landscape Irrigation $0.00 0 , Swimming Pool $0.00 0
Backflow Preventer $0.00 ' 0' P-Trap $0.00 0 - -Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 • Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 - Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 ' Wash Basin $0.00 0
Dishwasher $9.80 1 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 - Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $33.30
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
for a 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 ail
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
w for which this permit is issued.
ave and will maintain works coal nation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'compo tion I tanduren�y�epolicy number are:
Carrier: !�� Policy Number:
(This section need not b cf ',the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performs 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 Califo nd agree that If I should become subject to the workers'compensation provisions of Section 37 the La Code,I shall forthwith
comply with these provisions. O61 a
Applicant Signature: '/yii� Date: .)3
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL Me SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNI FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000).IN ADDION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3105 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter m cint 'th Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect. t # Class# /11
V
Contractors Signaatuure: / '0� Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,CMI 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 for a 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 and 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 driver's license. 0 Yes ❑No Driver's 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 to 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 then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California 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:
1 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 0 No
(Section 25505 of the California 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,ora 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 ❑No
(Section 25533 of the California 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 California 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 application 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? Li Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pert of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 California 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 MID 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 permitmmmuntil final inspection.
' a r Of Legal Owner(s) / D U I
And/Or Authorized Applicant / ate
CODE 4 INSPECTION TYPE QATE INTITIALS CODE I INSPECTION TYPE RAE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
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: 117 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069487
DWNER'SNAME: MEYER, ESTHER M TR
ADDREss: 320 N PARK VISTA SP 59 PERMIT NO: B 069487 PLAN CHECK NO: N GOVT: N SUPP: N
ANAHEIM,CA 92806
it CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH 6 REROOF W/COPM7 6 HOT MOP SQ FT: 2, 508
ADDRESS: UNIT:
CLAIM VALUE: 2, 508 ,00 CALC—VALUE:��� 2, 508 . 00 GROUP OCC: R-1 /
PERMITTEE: STOUT ROOFING, INC. ( 310 ) 923-6775
ADDRESS:
D9700YWASBURN RD CA 90241 COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED
***************miff*************************************************************
LICENSED CONTRACTOR DECLARATION: I hereby atlirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
700)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITYLIc1.: 059377.ap' /A� STATE uc.: 402536 cuss: C-39 EXP: 10/95
"aate:l�Df 2S/ '"t Signature:\illMAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
Compensation IstineytIvilied copy thereof(Section 3800,Lab.R.5/1 9/9 5
POLICY ND.: AIG CDtl EXP. PARKING REQ: PROV: PARCEL: 41916245 ZNE: REF NO:
COMPANY:• OF
0 Certified copy is hereby furnished. L?Certified copy is�filed with the city Building Division. PLANNING NOTES> •
Date:LD/(} N Applicant:_�V — ********************************************************************it**********
/ EXEMPTION ROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)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
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 DATE: n
•
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 torthvMh comply with such provisions or this permit shall be deemed revoked.
APPLICATION ISSUED B Y:
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for *,************.*.N,*,******,******,****,***, **********************D***** . —
LI
which this permit is issued(Section 3097.Civ.C). ***********************iE**************************************.****** * ********
LENDER:
ADDRESS:
LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: (hereby affirm than lam exempt from the Contractors'State License Law for the following 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 ('I D1 ) ( '° n . 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 54 . 00
SHIP/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 properly 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 7944,Business and Professional Code: The Contractors'State License Law TOTALS----> 54 , 50 0 , 0 0 0 .00 5 4 , 5 0 54 . 50 , 0 0
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. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: 00
improvement is sold one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose off sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
54 , 00 50
I. Professions
f owner of ts C depeTh,amCo etr axis'Sy tecontractingLicnwithw licensed not contractors to construct o ert project hb ills or ov, thereon
❑ and who contractstlo The ojectsowth StateLicense does purasuly atoo ownerteotfctors'Scnsor improvesIathereon *******************************************************************************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State 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.
torthisreason: 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 from the Air Ouahty 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 u''. ' ' ' cloned"
property for inspec on pure sex. • 01 170170;91-00170492 TOT 54.50
te:10`a Signature: DATE: 10/28/94 TIME: 12:23
Drivers License or Social Security r:
164146 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL ,PA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
• i
2. Soil Pipe-Undrgrnd. •.•) 53. Steel Reinforcement
•3. Electrical Conduli.UtilityUndrgrnd-. 54. Forms
,4.-.Electrical Condutt,trindrgrnd. 55. Electrical Bonding
.> 5.-"Steel Reinforcemjnt 56. Rough Plumbing & Pressure Test =
n:
_6.rEr4ectrical OF€R.Grnd. , 57. APPROVAL TO COVER-GUNITE
7• ::Footings c• 58. Electrical Conduit-Undrgrnd. -
:13s-foundation ' 't 59. Gas Pipe, 0 Undrgrnd., Test
.9.-Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10:Structural Roth System = 61. APPROVAL TO DECK
11. Pr'operty Sewer Line & House Connection 62. Backwash & Receptor-Final
r
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains 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
• 1 _.1,..
20r--Rocgh Factory Fireplace :- V-1 t J • c "cAPPROVALSDJPermit# +
1. .- -rn -rte 1
..
F :.• 4 : _ ' . ' p• ,t21!-0ucts,in Structt Le: s • 70. Updergrrounis Hyyo •-
22.rDuc2s, Ventylati gr ' t,' • , 71. ProducirPiping 0Gas 000
23: Gas 0ioe-Rough &Test [ s - - 72. Undergibund Fltisti• . ,:• -
L" .
24.sRoak Framing ,�, i . '-F y • . • 73. Undergrnd•.StoragctTank 0 Gas D Oil
25. Roo` ShQathing,:.i , 72,.-a-elk 6Ct r 74-., Overhead Hydro. • -
26.:T-Bar Ceiling (Sfructural) &:Monocoat - 75; Dry Chemical J
27.-Frame and FlashiTngi II, C it .u, 76. Dry Stan4jpe `; •
- <. . t Je •
_28. Lathing-& Siding"-, - .y.c": u; •• •• •• 77- FIXEDS,(STT
EMFINAL; -
.
•
•
'29. Insulatilcp n •• • "• ''1 I 78:. FIRE PREV. FINAL t > r n
-30. Drywal[_Nai6ng . J . p : HEALTH.OEPT. REQUIREMENT
'31. Plaster Brown Cd'att , I ` , 79. FINAL INSPECTION - t 7
b {• t "� J
•.32.•Electrical Power Metet,Final�, • to Is _ [180n FOOD CERTIFICATE ISSUED
33.-Final Electric - - ' ! ' ' Notes: t ,
-34., Final Heating&Air,Clonditioning- , I • • -,•1• .. r
-35. Final Gas Pipe-Test v 31 I 1 r ^' -
36. Hood oi-Canopv -,. '' , t .. ( 1!. I. -. fm _. .. '
37.-Final Factory Fireplace 'n' ' - I �� ^t
:38. Final Plumbing -- : • ' 1 i • m i
"39. Water Service-Finale r - '
=40. Gas Service-Final- : '"
tnt ... t .. I .. ,a1
--41. Solar Dornestic-Final_ t
C 1'. + .
. .,
• .�
42.=8ackflow Preventers r• I 1- -, f.
1 -
43. Backflow Irrigatforr• . . -. . '
-44. Landscape Irsigaticil System.,.rt -,• r 7e . '1j -) t s
'45..Sound Attenuation ? %:t- Zr
:
r¢
.. .. -r :i rc • . -4 I' _ .2 . .n
46. Handicap:Redulatydns .. .
47. FINAL STRUCTURE & BUT[.DING 6►,/G 4 6c'-ft' - i
48. INAL PLANNING , ,9- l"4 (� •
9._-Electric Release to Edison •
r 1+ • f; ';
y • i
'SO.Sas Release to Southern Califorwi3 Gas Co • I !- . - -
51. CEP- IFICATE OF:OCCUPANCY' . - -
No. Date
•
OWNER SAN VISTA Building Co. DATE OCT 3 0 1963 .
JOB ADDRESS 117 ynrlrtown Lane BUILDING PERMIT NO. 20681
GENERAL CONTRACTOR san Vista Building Co. VALUE $ 11895.00
AP No. LOT 29) TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Res.w tt.gar
IT cCTIONS Signature DATE GROUP TRT TYPE V ZONE R-3
!i/
Si. 777;17-Z3 PERMITS ISSUED
Gas -43SUBCONTRACTOR
1-/;-6-,1 DATE NUMBER
Water _ 'sl- /).-//-4.;
Rough Com. Refrig. 0 Air Cond. 0 '
Rough Heating , 2 -(s//9 ' A i . '. -tij . 2—\`(--(Qy •►
Rough Plumbing
dO . ,3-/3-- . Av/.r /4,. //-i-6 a
Miscellaneous d
Prop. Swr. Line!D House Con. pg'St. Swr. ❑ f (J��� (2„__z NOV 3 9. 4-LialliNi ly
Sprinkling System - /
Construction Pole /" J)
Underground 0 Power ❑ arll
Rough Wiringy 54 " rr- e /'4 . .6�, . „7-/-m V
Trenches'❑ Forms❑ Steel Reinf. ❑ tY o- / .2 - Ys 6
Floor System
Bond Beam 0 Steel Reinforce 0 i .n)
Sheathing m o- n - S /G et a .,/ 0
Frame and Flashing c 3— 2 7/6,54 illi AAP'
Lathing — In [qi Out ( t- 44— f ?`G rte- pp/
P1aeter, brown coat e .r- / 3 /479c
1 HO Air Con. ID Final 1
l-r....,mg, Final I ,3, Lq
Plumbing Fixtures, Final / 7/hi
Final Gas Test pi* L /�
Electric Fixtures, Final �.0•� � 7/3/4, b.'
Building, Final r G
OCCUPANCY I .
,
Form BU4—SM-3-63—S-B P HOLD FOR SPECIAL REOLIIRRMRNTS
•
�. 20s8) FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
SSP 9; 61664
P.O.BOX 817 COSTA MESA,CALIFORNIA rI����TFyIINnnAFFNC�E����TTDeeEPMMT�..����
For Applicant to Fill In Completely APPYIEATIONCPOR'PERAf1T
TYPE OR PRINT Lot 291 BUILDING
For Office Use Only
BUILDING
ADDRESS 117 Yorktown orkty
own Lane RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA
RECEIVy�°Y DATE RECEIVED —132Q23-1--
OWNER San Vista Building Co. {� _ 9-; -63 OCT 3 0 1963.
MAIL BUILDING /, � 0,, .1
ADDRESS 1166 E. 58th Street ADDRESS // /�/ I� /
FIRE 7 I/
CITY Los Angeles No AD 37187 ZONE PE ✓ GROUP'_ /-U/y
TEL APPROVED
ARCHITECT
OR C^IGINEHR Raymond Levanas No OR 37010 BY DATE
ADL...6SS 3432 Via Oporto, Newport Beach ZONING - l
NO.OP USOF , I
i
San Vista BuildingCONTRACTOR Co. I PLA"°� I °°E`DI
1166 E. 58th Street DESCRIPTION Tract 5160 - Lot 291 ' Oz
ADDRESS /�`//2
CITY Los Angeles 11 A.P.NO. ' �� L7 J / ti!-
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LSTATEIC.NO. 192782 TEL.TO AD 37187 90'TO SIDE @REAR P.L.
EAVES
SIZE 20 X70 I NO.OF BLOCS. 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
OF LINE BTRE6'I 1 FROM 1 31 REAR YARD 514" FRONT/ FT. /1/I/ FT.
SIDE YARD I LEFT I RIGHT O R.SID FT.
DESCRIPTION OF WORK L.SI E Fr.
NF X ALTERATION ADDITION REAR
DISTANCE BET. BET.MAIN @
MAIN SLOGS. ACCESS.BLDGS.
REPAIR MOVING f MO��j1$H
BUILDING NO.OF plan ' 1 VAR.Sk DATE
SIZE 20 X 33 ROOMS5 STORIES 2 I APPROVED ,,,,,(([(( //��
EXTERIOR WALL Stucco l ROOF Shingle /�y,r!.COVERING COVERINoov-• t DATE (1D
USE OF BUILDING AND WORK TO BE PERFORMED41 411'
RP g;denre and Carport �. ��
' / ,"/
,.i /a7/
BQ.PT. j VA?a al
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO 'UNDER VALUATION IS POR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION _
BUILDING CONS CTION. U n
AN VISTA BUILDING CO. PERMIT FEE $ / 5 —
PERMITTEF � D
SERMITUEE � �-^ G
5/3,- 9"� PLAN CHECK S ,�--SO o
AUTHORIZED E James N. Starbird \ / /'7 7. -�
.i \ TOTAL FEE $ !A
\OWNER MEYER. E. DATE 11-7-69
JOB ADDRESS 117 Yorktown Lane BUILDING PERMIT NO. 31075
GENERAL CONTRACTOR Santa Ana Tent & Awning DESCRIPTION of WORK Patio Cover
A `• 141-701-03 LOT 291 TRACT 5160 FIRE ZONE VALUE $ 260.00
IN.... ECTIONS Signature Date GROUP J TYPE IV ZONE R-3
�s01L SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
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 0 FORMS Ei STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PI "TER, BROWN COAT
T URAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n _
ELECTRIC, FINAL ))��
BUILDING, FINAL 40 //' /� [/
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`` '`" 31075
NOV -7-696sp00 260 0*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely G
V y j RECEI DAT, RE IV D D/yT ISSUE /
ADDRESS BUILDING ' i 7 C A R� I A W IV L AIt/C- /�✓
1J PERMITp+,
OWNER 16a S F M F yER• A.P. O. (I7930_ o) 4I
MAIL BUILDING
ADDRESS 117 a RkT o wtJ L ANT ADDRESS /17 YaRK7o"�/' L �tiP_
/� r', TRACT S/t�O LOTa9 BLOCK
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J Q ARCHITECT TEL. USE L/O--C $
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J O CONTRACTOR ! BY / DATE �-
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W lL �"—" /� I ��T S f ZOIC( 7 NO.OF ^7 USE OF NEW Syy�j44,
ZF CITY LSA PJ - A A 1U A NO.,ctI<,Co 49 -` 3 PLANS L BUILDING
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O STATE / t� CITY YARDS APPROVED YARDS APPROVED
j X LIC. NO. l 9 (� Ln 6 LIC LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE a LIC.OF BLOrZS. (FROM C/LST_R/ERE ) _
OF LOT NOW ON LOT FRONT 4' ' FT. —t /� Fxr'FT.
USE OF
EXISTING BLDG. EIS i V F yv C E ' R SIDE 0 FT, FT,
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE O FT. FT.
UEXTERIOR WALL ROOF
_ COVERING I COVERING REAR // FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
MAIN BLDGS. ACCESS. BLDGS.
0
KL 11 WI SII Ai S i4a4-0 _ . VAR.# DATE
C.U.P.# APPROVED
I— APPROVED 7-6 9
v) �Y DATE /�
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C.) I 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
Ln the State of California. co
? I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
am exempt from the provisions of the State of California Business ¢
and Professions Code,Diyis�on 3, hapter 9. VALUATION _— m
I\/Y� PERMIT FEE $ N
J
Signature of m
Permittee $ V 60 l PLAN CHECK $ E
LL
Authorized Agent TOTAL FEE $ /