HomeMy WebLinkAbout137 YORKTOWN LN - Building Permits 4—o0‘DDRLs Of BUILMNO: 137 YORKTOWN LN UMT: CITY OF COSTA MESA — BUILDING PERMIT
OWNER'S NAME IF KNOWN: JACOBS, KARL W TR PERM NO: B 073597
ADDRESS: 2006 PRISCILLA DR
MARYVILLE,TN 37801 PERMIT NO: B 073597 PLAN CHECK NO: N GOVT: N SUPP : N
APR..MUIUNGADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ARCH.OR ENG.'S ADDRESS: UNT:
CLAIM VALUE: 2, 999 .00 CALC—VALUE: 2, 999 . 00 GROUP OCC: R-3 /
CONTRACTORS NAME: STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTOR'SMNUNG P O BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS DOWNEY CA uc.NO.: 402536 1EdE9EiE9ERPiEEE9EiklEdEikiEiE9ERFRE9E#ifltlFitif#iE1E#iFif1E dEdESfdEib9FdESEEE9F1EdESERE9EIERFSE9ESb RNiE9EiEdbdE96iFiEdtdE9ERE9E9E9EdEdEREdfiEiflE9EAERE
90241 UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under ponelly of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Proles ode.and my license is in full force end effect.
cm Llc.NO.: 0 377 arc.ctt.% C 39 uc.N .: 4 25 6 EX 10/ 5O MAIN BUILDING ACCESSORY BUILDING
9� ,FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: —' Contractor: J LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors Linens law for the
following reason(Section 7031.5 Busses.and Professions Code:Any cry or county which requires a permit to construct, en,improve, PARKING REQ: PROV: PARCEL: 41916251 Z N E: REF NO:
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
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING N T E S>.
isinese and Professions Code]or that he cc she is exempt therefrom and the basis for the alleged exemption.My violation of Section ,> •
/031.5 by any applicant fora Permit subjeds the applcam to a evil penalty of est more than five hundred dollars(5500]). **************,*********M M*49E 9E 9E 9E SE 9E dE 9E SE 9E 4 dE*EE*dF 9E 9E SE***RE SE*EE 9E**iE dE*#*iE dE*dE RE 9E 9E*3E*dk*RE****#
❑ I.
or�eredowneforsatee(S�ection70NB nessandProfessinsCode:TheConloyees WM wages as that sole tratorsLicensei wdooeesnnootdte�toanovnerrWmrrooppeeny D E V E�L O P MEN T SERV ICES REQUIREMENTS
who buids or improves thereon,end who does such work himself or Mrs.'or through his or her own employees,provided shat such "it ,1.
or
improvements/me nor intendedoffered for sale.II.however,the building or improvement w sold within ono year of completion.the ZONING APPROVED" BY DATE:
owner-butler will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ vr�Ie�rcme.T"operty.am exclusively`tia°:teoeeatwith apply liossed ta�tractorsOWner wpconstruct moertywWtua".°« pr�erre7544.alm�ani�ewand
ro BUILDING APPROVED BY : DATE: "1'
contracts for a projects with a Cgarador(s)licensed pursuant to the Contractors License Law). . .
❑ Iamexempt tinder Section: B.AP.C..for this reason: APPLICATION ISSUED BY: / DATE:
********************************* ** tE RE #lffdESEREdEiEdEiE#iEdESEEEdEREdE1EdEdE9EiEdEiEdt
Date: Owner: LEGALIZATION:N FEE MMARY STRUCTURAL SEGMENT :Y
I do hereby certify that I am aware of and understand the requirements of Calf omia/leash and Safety Code Sections 25505.25533.end
25534.and that I or any tenure building occupant.will/wR not(circle one)need to comply oath said slats codes and the requirements ler
a permit for construction or mediationfromthe Ar Quaky Management Upt.lnResidential nnn alcationsen exempt from thea BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Dale: Applicant: SM I P/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby alfa under pealyof perjury one of the following declarations: ISSUE FEE
❑ Ihave and wiamaintain acertificate dconsent tosw;n:ural«workers'compensation.aproved
idforadtheab«
bySist3700ofLBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
d« ac
Code.I«the p. m. adthe work for which this md
permit is TOTALS----> 54 . 50 0 .00 0 .00 54 . 50 54 . 50 . 00
Cl I have and wire maintain w
workers'compensation insurance.as required by Section 3700 of the Labor Code.lor the performance of the
7S' work for which the permit is Sued.My workers'compensation insurance carrier and policy number are:
Cartier: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Prfloy Number: 04494U000468 / 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed 4 the pemd is for one hundred dollars!1001 or lass) 54 . 00 . 50
o I runty thel in the performance of the work for with this permit S'4.,I shall not employ any person' manner so es to
become subject to the workers'compenation Laws o CaMoia, ,.•ree that/ lehould . .. '/'." to the . . ' if9E##iEEElE1E1EIE#iEiEiE#1f#1E1E1f1fiE#1ENIE1EjEiF1E1EiEkiEiElfiE#1E1E1E1EiEiE1E1ElE1PiEiElEiElElEltihlElhiElElElElElElEiffEfFiEiEiEiEiElEiEiFlEif1E
a«mpeneatlom pns of J 3roo d Code.I. .C °Iy' up... . ii / / if INDIVIDUAL F E E BREAKDOWN
(�
Date: � ` Applicant:
Warning:Failure to secure workers'compensation coverage is unlawful,and shallsublect an employer to crfMna •enmities and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Imes up to one hundred thousand dollars($104000).In addldon to the cost of compensation damages as• •aided ler/n
Section no37ofine LaborCode,lnantm
Interest, af»a. SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 999 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a omslnwian lending agency for the END OF FEES
performance of the work for which this permit S issued(Section 3097.Cit C).
LENDER'S NAME:
LENDER'S ADDRESS:
I cents that I have read this application and state that the above information S covet.I agree to comply with all city and county ordinances •
and state laws relating la building construction and hereby authorize representatives of this city to enter upon the abovermentimnd properly
for inspection purposes. DAR ENE BURFO'D
•
1i� qN71 TOT ;4.5i1
Pana Name Al Date:. / 01 0013767G 0[118DATE: G8/04/95 TINE: 09:17
Signature of Owner/Agent/Applicant/Contractor '
(5151-48 WPI While-Building A Safety:Green-File:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL 'PA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
nte
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ;
c3,F,fectrical Conduit Utility-Undrgrnd. 54. Forms - -
-C4PElectrical Conduit-Uridrgrnd. 55. Electrical Bonding - _
r •
`d:-.,.Steel Reinforcenienf • 56. Rough Plumbing & Pressure Test
SJElectrical UFER, rnd. r 57. APPROVAL TO COVE R-GUNITE -
•
_7�Footings S 58. Electrical Conduit-Undrgrnd.
&'Foundation ♦� � " c 59. Gas Pipe, 0 Undrgrnd.,Test
r .9.4W •
ater Pipe-Undrilttd. "' •• 60. Backwash Lines, P-Trap, C#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
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.Approvalr
.
17. Rough Wiring Sign i68. APPROVED FC FI PLASTERING
18. Rough Electrica0" Bar Ceiling" ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning r 47r' FURE DEPT. REQUIREMENT
20. apu4 FatdtoryFiieplace c "-r", 'Sr �' ; °' '' CAPPFOV(xt�S,,,^ Permit# t
•
21. Ducts,in:StrUCtura+ " S -. -' "1 70. %Indergro'pd Hydro " ' -
22. Ctucts; Vet�tila�ingt;t, • •l r,, a - 'd„ .. , r -
C < 1 E-,* ., 71. Produet Pjping CJ,
Gas 0Oil
23. Gas Pipe-Rough & Test T7` * -4 c a: 0* - 72. Underground Ftosil '
n • ' Y--• ` - 1-• 1-' - ,, - L.
24. Roof-FraSYling" nw - ♦ "`' • C' 7 ` -. 731 Undergrn"d.StorageT-ank,,OGas DOil
25. Root.Shegthing -1, e 6j3•(..,,Qt^ . 74;9verhead Hydror._ _ _ _ .. . . ..
26. T-Bar Ceiling (Struitiirall & IWwto oat4 - 't - ,e
i 7 ry Chemical
F a
27. Frame and Flashing . 1_ - ' 76. Dry Stan-Volpe t-^m I-
: 28. Lathing &Sidjng `"` �• _(�J _ * =- " " +rt 7X FIXED SYST IC IN C._ •
y 29. Insulation u 'r e ` c `• 70: FIRE PREY. FINAL ' - .--
r
. s •
t 30. Drywall Bailing r t . _ ;FIFA LTH•DEPT.`FiEOGiREMENT
31. Plaster BrowrvCoazr il . S - z 79. FINAL INSPECTION *
r. 32. Electrical-lPov dr Ag"etbr Final a u :IT ;1 BC FOOD CERTIFICATE ISSUED
33. FinafileCtric- -.r -. + ', r 1 Notes: ^z' . .
. 34. FinaFl-leating& ATP Conditionings �` ^' _; -• -
Y: ii '-f .
35. Final Gas`Pipe:Test - i .. L- • • .
iT
36. Hood or Canopy x'•* _I ?" �• ' _, • - - . r•-• JZ
Y ,-
37. EinalFactgry Fireplace w I Com_, .; ;* RI _c'
AS r -
, 38. Final'Pluinbing_ = `c1 _ 4. - '�
_
39. Water'Service-Final - y
40. Gas Service-Final ir m _ _ - • ° "• -_
41. Solar Domest2•Finat :' :,. •• o - r.
42. Backflow-preventer - - ' '
i II: 7 r • -
*
43. Backflow Irrigation . ;
iiaECTADDREss: 137 YORKTOWN LN �( o ° 131 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 047735 I
- OWNER'S NAME: MONTICELLO HOME OWN ,ASSO
ADDRESS: SAME AS ABOVE ��� PERMIT NO: B 047735 PLAN CHECK NO: N GOVT: N SUPP : N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
714 /979-9336
ARCH/ENGINEER: EO.NO.: JOB DESCRIPTION : T/O, RESHEET, INSTALL ELASTOMERIC ROOF SQ FT: 850
ADDRESS: UNIT:
CLAIM VALUE: 850 . 00 CALC—VALUE: 850 . 00 GROUP OCC: R-3 /
PERMITTEE: J ALAN ARMOUR CO. ( 714 ) 979-9336 ..
ADDRESS: 116 YORKTOWN LANE COMMENTS :
COSTA MESA CA 92626 ***** d ****+H**gyp*it**it******xdf*draf** ***dr****+e*******************+S******+F********
UCENSEO CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and el SETBACKS
mum: g 7/l STATE uc.:99804 F °„sj�ri'-3�
•
e—Date:' /__n Signature: _a- _ a . / MAIN BUILDING ACCESSORY BUILDING
WORSEdddSSS COMP RATION DECLARATION: Iherebya°i atl h.•:a certificate al consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Secti. 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POUCY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL: 41916251 ZNE: REF NO:
7 Certified copy is hereby furnished. D Certified copy is filed with the city Balding Division. PLANNING N T ES>
> . -
Cate: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need n' �•�c(ompleted if the permit is for one hundred($100)or less). D E V E 'L O P M E N T, SERVICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I ./ mployn in any manner so as to become - ,
subject to the orkers'?mpensation Laws of Califomi . ZONING APPROVED' BY DATE:
Date: 6 �/ Q ure: - I rirdr '��^� •
N° CE:If,sheyous
making this declaration,you s me gest to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code,you must forthwith comply with such p ns or thi permit shall be deemed revoked. x
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: /j /"'a
which this permit is issued(Section 3097,Civ.C). ************************************** ************************** iF***IiTiFF *
LENDER: • ********************************************************************9F********** _
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURALiSEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l 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: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 23 .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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/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 P LAN j
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 employees with wapes as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLIAN—CHECK TOTAL PAID DUE
❑ tructure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS--——> 23 . 50 0 . 00 0 . 00 23 . 50 23 . 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
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: 23 , 50 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 23 , 00 ". . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
andwho contractslor suchprojecs vsth a contracterls)license pursuant to the Contractors'State License Law),l am aware **************.)t*.)f***.*.*..)f.N.**.**.****.**.*.N.**.N.*.*******.**.*****.*********.****.****.N.*•)E***.**.
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.6 P.C. INDIVIDUA I, F E E BREAKDOWN •
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 850
.REROOF BY VALUE RESIDENIAL NOZONE 1 , 00 850 . 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 ar uality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: 02 CD063214 07063214 1-15C:081-1 C$T
I hereby certify that I have read this application and state that the above information is correct.I a.ee to comply with all city and county DRTE: 06/13/90 TIt1E: 255 D 2 °50
ordinances and state laws relating to building construction and he'by authorize re• 'dues of Y/ty to enter upon the above-mentioned '
property for inap•ction purp•ses. / !i
"Date: . / Signature: �� .4L i0 —L"l'�"'GOL + 9 " 01
164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OF 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. 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-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
.4
25. Roof Sheathing > " 4b 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM ANAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat '79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED y,/
33. Final Electric Notes: �' � �(� i(
34. Final Heating & Air ConditioningAllrAt,
35. Final Gas Pipe-Test •
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflo Preventer
43. Backflow 1 igation •
44. Landscape Ir 'gation System
45. Sound Attenu ion -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING j//fQ •
1 ' t
48. FINAL PLANNING \
49. Electric Release to Edis n '
50. Gas Release to Southern ifornia Gas Co
51. CERTIFICATE OF OCCUPA CY
No. Date
OWNER SAN VTRTA RrilAing_CQ DATE OCT 3 0 1963
JOB ADDRESS 1372fnr town lane ' BUILDING PERMIT NO. 20675
C' .,ERAL CONTRACTOR Stip 1CiBtH ,tld nn-_a'Q. VALUE $ 13,895.00
2:' o. LOT 285 TRACT 5 �p FIRE ZONE DESCRIPTION OF WORK Res.wlatt.gar,
INSPECTIONS Signature DATE GROUP : TYPE ZONE
Soil PERMITS I SUED
Gas ��1'� 12r DATE DATE NUMBER
Water aree Ai;
Rou:h Com. Refrig. 0 Air Cond. 0
Rough Heating Idi� moi ' .as «r rl pan t o
Rou:h Plumbing JP rear i VAN--Iii•GW - - • _ `1 • —
Miscellaneous - a _
Prop. Swr. Line 0 House Con..2'St. Swr. D -i - — _ WV 1 3 i F1 •`
S.rinklin; System /���
•
Construction Pole
Underground 0 Power ,D Ira.M
Rou h Wirin: `, airain1 rlIn _ .caraurd- —
Trenches;D Forms 0 Steel Reinf. 0 I ninth
Floor System Irl
Bond oam 0 Steel Reinforce 0
Sheathing P[i]%/@ �- i
Frar••� and Flashing i rjr d- ._
La' — In � Out . :� - �' - ,J �jr r/1 .A✓'- V
Plas.,.: brown coat Iffiii - �L'3' \ , W`
Refrig. 0 Air Con. [] Final
Heating, Final DVA // ',t'f/a ,'
Plumbing Fixtures, Final f%yf agar
Final Gas Test ' % . _
Electric Fixtures, Final
Buildin_ Final f /J �7
OCCUPANCY v
Form Bu4-5M-3-63—S-13 P __� BOLD FOR SPECIAL REQUIREMENT$
20675 FEE. RECEIVED
§�Pz6iuo
'COSTA MESA BUIL COSTA MESA.
DEPARTMENTAFINANCE DEPT.
P.O.BOX 317 COSTA MHBA.CALIFORNIA
CITY OF COSTA MEP
For Applicant to Fill In Completely APPLICATION FOR P RMIT
TYPE OR PRINT Lot 285 BUILDING
BUILDING For Office Use Only
ADDRESS 137 Yorktown Lane
RECEIPT NO. Pit,-. tiff COSTA MESA, CALIFORNIA CCjjJ�((✓���I��f444(4�JJ' I///
RECEIVE T DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co. a y an--103 OCT 3 0 1963
R
MAIL ADDESS /3 Xte-ft.e/
ADDRESS 1166 E. 58th St. J� ,,//
CITY Los Angeles 11 TEL AD 37187 ZONE PE GROU l
ARCHITECT TEL. BYPROVQD DATE
OR ENgINEER Raymond Levanas rip, OR 3701
Ac 38 3432 Via Oporto, Newport Beac ZONING ` ._. A ,
Zri NO. USE•F �' ,
CONTRACTOR San Vista Building Co. 4' PLA/ BOrf• v/ 441 tea'
1166 E. 58th Street DESCRIPTION L Tract 51• �� Lot 85 �
ADDRESS _•
CITY Los Angeles 11 A.P.NO. /�� J 2
'#3 /
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE LC.NO. 192782 No. AD 37187 ao TO81USAREAR P.L.
ES
SIZE 20 x 70 NO.OF BLDOS.0 ALL
I OWED (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)
LTSACK
NTER OF STREETM 13' REAR YARD2,$" FRONT FT. P"T.
DEYARDI LEFT UI RIGHT - R.SIDE DESCRIPTION OF WORK L.SI E FT.
F"' x II
ALTERATION ADDITION REA
I
IIJI DISTANCE BET. BET.MAIN Q
RC,..IR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDING NO.OF Plan #1 VAR`# DATE
SIZE 20 x 33 ROOM85 STORIH82 U. At APPROVED /''J 13
///
EXTERIOR WALL ROOF g// �(
COVERING StuccoI COVERING Shingle Y DATE O
USE OF BUILDING AND WORK TO BE PERFORMED
Residence and Carport LAe A
PC. ri
j- /727y s0.Fr. /fa 7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT OHO UNDER VALUATION IS POR THE 9
AND STATE THAT THE BOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY !RANGES AND STATE LAWS REGULATING VALUATION q
BUILDING CONSTRU•1.••• ' VISTA BUILDING CO. PERMIT FEE $ 4IS ---• j
SIGNATURE OF ♦ ♦ O
PERMITTEF I .
,SV /l R (� ,(
IY�J s /30 9'✓ _ PLAN CHECK $ �fri� 09
James IIYY JJtarbird /
AUTHORIZED AG ^^JJ
a.., TOTAL FEE S /i�