HomeMy WebLinkAbout121 YORKTOWN LN - Building Permits'Cc
PROJECT ADDRESS: 121 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069494
F OWNER'S NAME: PUGA, EDWARDO
I
ADDRESS: 121 YORKTOWN LN PERMIT NO; B 069494 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/COPM -6 HOT MOP SQ FT; 2, 508
ADDRESS: UNIT: COM O
CLAIM VALUE: 2, 508 . 00 CALL—VALUE; 2, 508 , 00 GROUP OCC; R-1 /
PERMITTEE: STOUT ROOFING INC ( 310 ) 923-6775
ADDRESS: P 0 BOX 4309 COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED
DOWNEY CA 90241 ****************+rdE**********dr*****r*******************dE***************dr** -****Rr
LICENSED CONTRACTOR DECLARATION: I hereby affirm that t am licensed under provisions of Chapter 9(commencing with Section 2 ONING REQUIREMENTS
• 7000)of Division 3 of the Business and Professions Code.and my license is in full force and eftect. SETBACKS
CITYUC.: 059 7 STATEuc.: 402536 cuss: C 39 EXP; 10/95
l �r/ MAIN BUILDING ACCESSORY BUILDING
e'. f(�� Signature:—` FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
ORKERS' MPE SATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers'
Compensation Irysu;r ce,2of�a4egfied copy thereof(Section 3600,Lab.C.L. LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 77 tl L b6 99 EKP.OATS: 05/19/95
COMPANY: AIG ,--vv PARKING REQ: PROV; PARCEL: 41916247 ZNE; REF NO;
CI Certified copy i hereby furnished. L4 Certified copy is filed with the city Building Division. PLANNING NOTES>
/7� >
le: 0 • Applicant: / �/�'✓ �� *********************************************************************!F*********
EXEMPTION ROM ORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES 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;
Date: Signature' BUILDING APPROVED BY "
ode.NOTICE:u,after making this declaration,you should become i subjectemithe Workers'mrempensation provisions of the Labor DATE:
Code.you must forthwith comply with such 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; � DATE; J I
which this permit is issued(Section3097.Civ.C). ********************************* iF *************************** Mcf
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 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 , 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLS 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($500). ISSUE FEE
I, as owner of the property or my em loyees 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----> 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
iswithin one year of completion,the owner wilt have the burden of proving he/she did not build or improve
for the ens of ).
improvement sold BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
Sale).
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 O O 5 O
❑ 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 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.&P.C.
for 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 Safely 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 01 G01704E7-001704E° "TOY 54.SQ
ordinances and state lawsppprelating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned v
propenyl or pectin purposes. DATE; 10/22/94 TIME: 12:21
ate:_Ln /17/ Signature:
Driver's License or Social Security u:
1641-46 While—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING • POOL TA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
S° -'
2, Soil Pipe-Undrgrnd. 53, Steel Reinforcement
3-'Electrical Conduit Utility-Undrgrnd_. 54. Forms
.! 4.-,Electrical Conduit-Undrgrnd. 55. Electrical Bonding
>•'6..Steel Reinforcerttent 56. Rough Plumbing & Pressure Test -
': 6:;Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
- '7 Footings ., 58. Electrical Conduit•Undrgrnd.
- 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. Pioperty 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
I
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
113 Rough Electrical-T Bar Ceiling 9 69. POOL;SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.;- •• Factory Fireplace : i; -j ti =t 0 ;,-, :RPPROVFktS�,':Perazrit = '
21:.Din,Structure `
.. . .70. Under'gr, enE.l Hygro a.
22. Ducts, Ventilating. _�_: • • _; QC.± i --'71. Product'Piping CTObs ❑'Oil
23: Gas-PipelRough &'Test . r, „ O e A :72, UndergroSnii Flu fl..,., ,• '
-
24.,Roof Framing - --. --i--. . ;r 7.. - t �73F„Undergrnft..Storage.-Tank 0 Gas 0 Oil
25. Roof Sheathing a' t./2'-Zp .y ""''' •
--17`:� '[w/ r 74i Overhead Hydro-1,'
26.:7-Bar Ceiling (Structural) &'Monocoat * m •:1 m? • 75•='Dry Chemical r ' '
27. Frame and Flashingt ''3 ~ : f•-' - ' r -•
- .t _ ! ._, .a , 76. Dry Stana�ipe
8.2lathing & Siding, .,,Y -1• -* < r . 77...FIXED SYSTEM'FINAL J
.. .. ..fit 1
•29. Insulation . - _ • '' I f, c 78,,FIRE PREV. FINA}. •
.30. DrywallsNailing - • I (= ; HEALTH�DEPT. REQUIREMENT
ct
31. Plaster Brown Coat- I It i ;79`FINAL Ir$RpCTIQN ', ' 1 n
.32.: sv
Electricaf,Poer Meter-Final: '- ns I I I{ ; •:B0..,FOOD CERTIFICATE ISSUED 71 '
z. • r -
33. -Final Electrc ,r n _ � lx '.No s. '=, j,� ;121
:34. Final Heating:& Aix Conditioning •r R r,. i I•_ a -r J c- ; , -
. . _ r . 1 I I, i - �• .. • -
35. :hnai Gas Pipe-Test s
,36. Hood or Cano _ .�l •` • r,•
PY x . I
-37.•:Final,Factory Fireplace, , 7 n' -I; - ;r I I V r ^: '1
•38. Final-Plumbing I. t S.
39. Water Service-final i i. r I Ir c r t . ,.gyp ' ?:
.
;40. Gas Service-Final.. ' ..n,'.. •# I I it r ?
x
t ~
:41. Solar Domestc-Final _ • • t - I I ie
., I
'i
42.`Backflow Preventer - , �y r 1. s ' ,
-- ? 1
43. Backflow Irrigation
,44. Landscape Irrigation System, .. , n 1:1 « tr -J; ,t n; s1
"45. Sound Attenuation r� -. * .' r t� • t - - . .its
r ♦ ;r, r:; '9 x x Cr - - I
46.'Handicap Regulations - "'' '• # _0
47. FINAL STRUCTURE & BUfLDING - "-.4‘..:-,19-- 04.*, . "3r,.-, - .
48.'FINTjL PLANNING ' "'t" r r . : ,x V
49. 'Electric Release to Edison I I i. ; ;r.. ' r
1 4 i'
50. Gas Release to Southern California.Gas Co ` I I tr ' • - ', '
1 f i C.n1 R
51. CERTIFICATE OF OCCUPANCY = , -. .
No. Date
OWNER • A &, p , ,c . DATE OCT 3 0 1963
JOB ADDRESS 121 Yorktm_J ne BUILDING PERMIT NO. 20679
GENERAL CONTRACTOR San Vista- VALUE $ 15,735.00
AP No. LOT 289 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Res.w/a'tt.gar
JSCTIONS Signature DATE GROUP I&J TYPE a60 ZONE
R-3
_ SUBCONTRACTOR PERMITS ISSUED
Gas '7�-/j e� DATE NUMBER
Water 't//- G7
Rough Corn. Refrig. 0 Air Cond.
Rough Heating ...e.,- .. AilrAlC G� flt 2-\_-( 2CC _��
Rough Plumbing n _ ____ Sr - j,-,- 6 3 39 7a 4,
Miscellaneous _ W
Prop. Swr. Line 0 House Con.:L St. Swr. 0 APS AM. �� NOV 1 3 1963 !i
Sprinkling System hA a
Construction Pole / /" f
Underground 0 Power7�3�64
0
Rough WiringCom/' 3'j{ ' '/ c/ i. . :. /2/974
Trenches 0 Forms 0 Steel Reinf. 0 ta- /2 --Floor System e ,? 8` 9 — 9 7 0r -r�
Bond Beam 0 Steel Reinforce 0 9, .A" a
Sheathing 4/ "C- „2- SA 54 i�,(�/"
Frame and Flashinr - / e 3 -,2 7 l y y _,✓�/ /
Lathing - In,11.r- Out•[� / 0 o- - / 7 /cr si- C ,✓" ,f
�P s brown coat e ,r'- / 3769 \�,�� /
❑ Air Con. ❑ Final ( ,yn cY
, Final
90* ti Plumbing Fixtures, Final � v b
Final Gas Test �J a-
Electric Fixtures, Final
Building, Final "7-ffill
OCCUPANCY
Form 13U4-5M-3-63—S-n P HOLD FOR SPECIAL RPM fiprnfnrre
20679 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 2 6 1963
P.O.BOX 317 COSTA MESA.CALIFORNIA rr''��FIINnnAFFNCEnn TDEPT.
For Applicant to Fill In Completely XPPLICA7IQKlSFOR--IA•RMR
TYPE OR PRINT Lot 289 BUILDING
For Office Use Only
BUILDING
ADDRESS 121 York osIm Lan^ RECEIPT NO. PERM
COSTA MESA. CALIFORNIA L�J�J `
RECEIVE sr DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co. g-20--Z-.9OCT 3 0 19Ra
BUILDING y �
MAIL 1166 E. 58th Street ADDRESS X02 ollUCa/
ADDRESS
FIRE
CITLos Angeles 11 TEL
1/
TEL NO. 37187 ZONE TYPE l/ GROUP y/`'nk
APPROVED
OER Raymond Levanas ryo' OR 3701C BY DATE • J'
R ENIG NE
ADDRESS 3432 Via Oporto, Newport Beat ZONING
NO.OWM OF :
CONTRACTOR San Vista Building Co. � - _ I PLAN < BUa -- Q Ir •t ll. .
LEGAL Tract 5160 - Lo 289 '-' 'li.. .2 3
ADDRESS
1166 E. 58th Street DESCRIPTION
//"3j -
CITY Los Angeles 11 A.P.NO. / L/( C/
- /
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL.
LIC.NO. 192782 NO. AD 37187 30.TO SIDE&REAR P.L.
EAVES
SIZE 20 X 70I NO.of BLDGs. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT 'NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. None
I FROM C/L STREET)
SETBACK LINE PROM I 11 FRONT FT.
CENTER OF STREET 13' REAR YARD Z 2
SIDE YARD I LEFT 0 I RIGHT 0 ' R.SIDE FT. FT.
DESCRIPTION OF WORK L.SI• FT. Fr.
I
NEW % ALTERATION ADDITION R FT.
DI ANC— . BET.MAIN&
REPAIR MOVING qEMOL
MA - •GS. ACCESS.BLDGS.
BUILDING 20 x 34 NO.OF 6 Illmi 2 VAR.SC DATE
SIZE ROOMS STORIES C.U P. APPRO�V�-/{,D �� /t
COVERINGEXTERIOR WALLS CUCCO I COVERING Shingle BYP D DATE f ��
USE OF BUILDING AND WORK TO BE PERFORMED
Residence and Carport
------ /LiC tit";/
dr .. fide
J `y D2so.Fr. VD
I HEREBY THAT .E I HAVE READ THIS APPLICATION THE AMOUNT UNDER VALUATION IS FOR THE F
AND STATE THAT T.8 ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D
PLY WITH ALL CI DINANCES AND LAWS REGULATING VALUATION _ -
BUILDING CONST' •
VISTA BUILDING CO. PERMIT FEE $ 17 /^ ei
SIGNATURE OF
PERMITTE- / (_ L m
—,-,e, �� - -- -_ � VC 73,5 _/ S-5 Oo
IL
AUTHORIZED GE James N. Starbird 77 �p•>r-D
/ TOTAL FEE $