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Home My WebLink About119 YORKTOWN LN - Building Permits PROJECT ADDRESS: 119 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069490 OWNER'S NAME: FULSEBAKKE, KRISTIAN M ADDRESS: 119 YORKTOWN LN PERMIT NO; B 069490 PLAN CHECK NO: N GOVT: N SUPP: N \E' COSTA MESA,CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/0 RESTH & REROOF W/G0i44 & HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: C.07„p CLAIM VALUE: 2, 508 , 00 CALL—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 *+H******4****err*4r�aarar****ar�reF****************�6*******�F�r� ******** *4*************kr LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 059 7 STATE LIC.: 402536 GLASS: C-39 EXP ; 10/95 lel_LO signature:_` MAIN BUILDING ACCESSORY BUILDING WORKERS'C MPEN ATION DECLARATION: I hereby affirm that thave acertificate of consent to self insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation) uane or a certified copy thereof(Section 3800,Lab.G). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN 8 POLICY NO.: 042699 EXP.DATE: 05/19/95 COMPANY: AIG PARKING REQ: PROV; PARCEL; 41916246 ZNE: REF NO; 0 Certified copy i ereby furnished. CX Certified copy is filed the ity Building Division. PLANNING NOTES> iOf qLP with > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MOO)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 •• DATE: _ Date: Signature: BUILDING APPROVED BY NOTICE:y:II,gust Making this declaration,wiyou should seoome subject the a Workers' empensation provisions of the Labor : DATE Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 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; /%� DATE; Ia 2 Y /y which this permit is issued(Section 3097.Civ.C). *************************************** st************************* ** 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 followingreason 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 SMIP/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(S500). ISSUE FEE I. as owner of the properly or my employees with wages as their sole compensation, wit ao 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----> 54 . 50 0, 00 0 . 00 54 • 50 54 . 50 00 does not apply to an owner of a properly 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 Within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 54 0 0 5 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 contractors)license pursuant to the Contractors'Slate License Law).lam aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o 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 . 002, 508 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Salety 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 r above-mentioned property forspectio purpos s. ate: b[ / 4 Signature' A 01 00170489-00170490 TOT 54.50 Driver's License or Social Security a: DATE: 1D/23/94 TIRE? 12:22 1641.46 White—Building:Green—Code Enlorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION ANO PLANNING POOL °A APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector I I 1. Temporary Electrical Service or Pole ^ 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement '3: Electrical Conduit Utility-Undrgrndl., 54. Forms (i.,Electrical Condtiit-Undrgrnd. 55. Electrical Bonding , S STeel Reinforcement 56. Rough Plumbing & Pressure Test r • -j'0,[;Ekctrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - f3: Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 16. Structural Floor'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 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-I-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20.,iRough Factory Fireplace - ;L:".; 7 :- * 'APPRQVA'tS:tJ'Permit # s -H m 21.7Duct,in StrOtture' " = j ' s • .70. cicder (quM H:caro k 22._Duefs, Ventilating, - ,_ - _ _ :1: :71. Product:Pi'ting C Cis Dal i r • 23. Gas`Pipet•Rough & Test n• '' ''t ' X72. Under ,dun FluTh . "' ' 24. Root Framing. . -, `- r n __73RUndergrnd•.Storage:Tank C Gas 0 Ow 25. Roof Sheathing : �2-241-Tee• t "74: Overhead AAydro , 26.T-Bar Ceiling (Structural) &1Monocoat - I; r Ti k t 75:-Dry Chemical v `-• r C• ';' 27. Frame and Flashing" y 76. D Standjile -28. Lathing& Siding:, *-• J; i. • r r 77r+FIXED SYSTEM FJNAL* 29. Insulatigp " ;, ' ' I h t 782.FIRE PREY. FINAL , �. :•30. Drywall-Nailing I �- e HEALTH•13. DEPT . REQUIREMENT 31. Plaster Brown Coal: ,• „ i ; ; ,79. -FINAL INPFCTIC�N t -= - 32. Electrics}Pow`er Meter-Final I 750.;.FOOD CERTIFICATE ISSUED I 33. _Final Electric ' • r I ''Nous: 7 -yit••. • - _, ..- ,34. -Einat Heating pi Air Conditioning; , _ - .- r;k7 Tr 35. Final Gas Pipe,Test ? ; _ ' 1. ' . _ 'n -/ •t ' 36. H000 or;Canopy •. 1, - Y' _ C,,- l. r - rr• 4 11 -! 37. Final Factory Fireplace - • /I it - 'i . . • i I i :38. final Plumbing i, _ ir. , `39. Water Service-Final - I, . �! r7- I I � �. '1 _ :40. Gas Service-Final ' : •' 41. Solar Doi-nestle-Final L •• I ik kms" 42. Backflow Preventer ,i ' 'i ' ` 1-. a ` 43. Backflow Irrigation' -. It: ' t• lil( ,;44. Landscape Irrigation SYstem;,,: ' , n _ . . ,• cc`. +'45.'Sound Attenuation- -,,..: t 3: r ...a . i, -+ •-' r-• . ., .. to» . r., - t:, . . 46. Handicap.Regulations 47. FINAL STRUCTURE & BUILDING 0-'f? 6644,i: 3 nines 48. FINAL PLANNING j 49. Electric Release to Edison 1 ' . _ - 1 0. Gas Release to Southern California Gas Co t X51 CERTIFICATE OF OCCUPANCY _ -: ` - No. Date OWNER SAN VTSTA Building Co DATE OCT 3 0 1963 JOB ADDRESS 31q Yorktown tam= BUILDING PERMIT NO. POSAO GENERAL CONTRACTOR gntrl.ista_Buildine C VALUE $ 11I,B35 00 AP No. LOT 290 TRACT 51b0 FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar INSPECTIONS Signature DATE GROUP jscsj TYPE V ZONE R-3 S 24-L7 PERMITS ISSUED G. 3Y �/ SUBCONTRACTOR DATE NUMBER Water 9. /1-//--4r Rough Com. Refrig. 0 Air Cond. 0 Rough Heating ^ - a �- Rough Plumbing / /, 3- 5- ..S ti„,-��\�_ 3 ` - Miscellaneous �„ Prop. Swr. Line❑ House Con. WSt. Swr. ❑ i�ti� en„_,,,___7: NOV 1 3 1963 a. _nik J Sprinkling System '�� Construction Pole - 14 Underground 0 Power 0 Rough Wiring ,0f et'3 ,Y•.. r g,c. £-ice. J2,-,-e. 2-,' -vH �- Trenches 0 Forms 0 Steel Reinf. 0 oa"nj Q-- '/02- (St- Co ; Floor System Bond Beam 0 Steel Reinforce 0 Al. Sheathing ¢ Z_ ,5- C 9- n di V Frame and Flashin / vs- 27 /(o Ain g 7 Lathing - In Out [+J/ Re- 3 / St .' N r Plaster, brown coat to V / ,j ro f` d I i I" Ref rig. 0 Air Con.0Final 11 1 ig, Final !� !/ Plumbing Fixtures, Final i it- yElecl Gas xtur s, !fir, - d.0 7�y/G f' I' Electric Fixtures, Final ' Building, Final . 3Y/ OCCUPANCY gcirlrF(lR YjaWr IAT_ RPfli iiRhMFNTM • ��o FEE RECEIVED • COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 2 6 1963 P.O.BOX 317 COSTA MESA,CALIFORNIA . FINANCEyDEPT�.� For Applicant to Fill In Completely APRICAfgN gft PERlOIfi TYPE OR PRINT Lot 290 BUILDING BUILDING For Office Use Only ADDRESS 119 Yorktown lane RECEIPT NO. PEgy'LlVZ gp� COSTA MESA. CALIFORNIA RECEIVE BY DATEqRECEIVED DATE ISSUED OWNER San Vista Building Co. /.?a=/o3 OCT 3 n 1963 MAIL BUILDING ADDRESS 1166 E. 58th StreetFIRE ADDRESS �� / ; �1/ TEL. ZONE TYPE / GROUP /� CITY Los Angeles 11 NO. Al) 37187 ARCHITECT OR ENGINEER Raymond Levanas TEL OR 37010 BYPROVED DATE NO. ZONING AL ss 3432 Via Oporto, Newport Beach µye, ZOy{'�) - NO.OF SP� 'FNi.Al 1 d— K II PLANS 1 .,1 • E CONTRACTOR San Vista Building Co. lb LEGAL 1166 E. 58th Street DESCRIPTION Tract 5160 - Li* 290 `Z S ADDRESS � �L `�.(� CITY Los Angeles 11 A.P.NO. G 7 C— 3(1?-----? / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE 192782 T L AD 37187 SO'TO SIDE a REAR P.L. LIC. EAVES SIZENO.OP BLDOS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 20 x 70 I Q NOW Dry LOT YARDS APPROVED ' YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. None (FROM C/L STREET) SETBAcK LINE CENTER OF STREETM 13' REAR YARD 6 11011 FRONT FT. SIDE YARD I LEFT 0 I RIGHT 0 R.SIDE DESCRIPTION OF WORK L.SIDE FT. Fr. NEW X ALTERATION ADDITION REAR FT. DISTANCE BET. BET.MAIN a MAIN BLDQS. ACCESS.BLDGS. REPA... MOVING DEMOLISH _ BUILDING 20 x 32 NO.OF 5 18n .I 2 VAR.* DATE SIZE ROOMS STQRISS C.U.P. _ APPROVED L EXTERIOR WALL:StUCCO ROOF 1 Shingle �' 9-i p'u COVERING COVERING ST DATE USE OF BUILDRIe1I�j estaence G D Kano TO GE c EcparportMMEED •� &t ``4 GV i t, J /36t s/a Fr. I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS FOR THE F' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY NANCES AND STATE LAWS REGULATING BUILDING cONBTRU VALUATION ‘1,--- S VISTA BUILDING CO. PERMIT FEE $ SIGNATURE OF PERMITTEE B (AA A $ /y 13 s-- L C a �— IC AUTHORIZED AG NT James N. Starbird \ 7a A