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IPROJECT ADDRESS: 142 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069636
OWNER'S NAME: O' NEIL MARY C
ADDRESS: 142 YORKTOWN LN PERMIT NO: B 069636 PLAN CHECK NO: N GOVT: N SUPP : N
t COSTA MESA,CA 92626
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT
ARCHIENGINEER: REG,NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/COPM 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: P 0 BOX 4309 COMMENTS; REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REQUIRED
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DOWNEY CA 90241 ***** �r�t�E�r*yr+t*�r*********�r*****�r�ryr******�r*****fir*�k*************�E+P ****ar*********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACK S
SCITY TE LIC.: 40253. CLASS: C 39 EXP : 10/95
Date:_D Signature:_ : _d— MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSA ION DECLARATION: I hereby affirm that I 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
Compensation lruurlre2o%ajeettilied copy thereof(Section 3800.Lab.Ca 5/19 /95 LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.:COMPAY: AIG Lb]y``JJ EXP.DATE: PARKING REQ: PROV: PARCEL : 41916258 ZNE; REF NO:
El Certified copy is hereby furnished. LX Certified copy is led with the city Building Division. PLANNING NOTES> •
>
I Q 1�{
Jale: EV1— 1 Applicant: . �� *******************************************************************************
EXEMPTION FROM WORKER 'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred IS100I 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 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:
NOTICE:II.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : 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 B Y: DATE;
which this permit is issued(Section 3097,Civ.C). **************"************g
* ************************************** **** ***
LENDER: ************************** **************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: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: 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 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 penally of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property 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 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
imtorp theepurposeofld sae)�ln one year of completion,the owner will nave the burden of proving he/she did not build or improve 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 54 00 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 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.
furthis 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 Safety Code Sections 25505.25533,and END OF FEES
25534 and that I or any future building occupant wilUwilf not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air uality 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
properly for inspection urposes. 01 0017066E-0017056S TOT 54.50
11 DATE: 10/28/94 TIME: 1325
Date:1D� Signature:
Drivers License or ocial Security a: (
1641.46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
ip•
CONSTRUCTION AND PLANNING POOL A
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
• t•_Electrical LIFER. 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
i
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 ElectricWiring 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 # 4
,
21. Ducts,in'Strubture .. ,: - - 70. Undergrn un Hydro
22. Ducts, Ventilating _ : ••l 71. Product'flping OGas Otil
23. Gas Pipe-Rough &'Test . ,72. Underground Flush, ..
24. Roof.Framing. •2._73,_Undergrnd.Storage.Tank 0 Gas 0 Oil
25. Rogf Sheathing C2.-7.�q ey,,y, 74.-Overhead Hydro
26. ,3-Bar Ceiling (Structural) & Monocoat !•• 75..Dry Chemical • ' '
27. Frame and Flashini' - " 76Y Dry Standpipe ,, •
•
28. Lathing& Siding, •• • • 77.'•FIXED SYSTEM.FINAL-
I
29. Insulation : ' ; -- ;, - ' 1' . 78.,-FIRE PREY. FINAL
30. Drywall Nailing '• - • . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION '
- • + r-------- -
32. -Electrical.Power Meter-Final ; -80. !FOOD CERTIFICATE ISSUED
33. Final Electric "Noyes:
34. Final Heating'& Air Conditioning • c. r. --
35. FinalGas•Pipe-Test- l . . • -
36. Hood or Canopy .
37. Finai:Faciory Fireplace 4. - , " ' '
38. Final Plumbing - r
39. Water Service-Final -
40. Gas Service-Final .` I • - _
•
41. Solar Domestic-Final : •- I -
42, Backflow Preventer ' '
43. Backflow Irrigation • - -
44. Landscape Irrigation, System :. - -
45. Sound Attenuation r - -
46. Handicap Regulations - -• ,
47. FINAL STRUCTURE & BUILDING �l[j••, [7(4 . •
48. FINAL PLANNING - r �c!'' -
49. Electric Release to Edison ! j- - J
50. Gas Release to Southern California Gas Co - •
51. CERTIFICATE OF OCCUPANCY
No. Date
1
Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA f • PERMIT O TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT AI ._,. : 1
Project Address -142 ',rnrk'I'nwn . rt-icta Mesii TYPE OF CONSTRUCTION ,
OwnerHelen B. Jonec Phone5 4 5-83 09❑ NEW ❑ ADD ❑ ALTERATION
Address ❑ REPAIR 0 CONVERSION ❑DEMOLISH
142 Yorktown ( ` 1�t U 0 OTHER - C ZONING REGULATIONS
Arch/Eng. License No. O�� 1 i A P .'�
Address DESCRIPTION OF WORK P no t rs� -
ZONE PLNG. REF.://
.Contractor�e(`�,`� �j�‘,iy . Phone(�1-Y413 TYPE OF PERMIT BUILDING TpgljILpING 1
y q TJ ,,j •
SETBACK C/L ST. PRO PE RTV LINE
Address I 73 • cccoor dcae H ❑GRADING 0 FOUNDATION ❑ STRUCTURAL ERS.YARD
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTCAL OPLUMBING ❑MECHANICAL -LL51 DFF ARD
I hereby affirm th;.t I am licesed under provisions of Charter 9(com- (00 ?-5 - RIGHT
mencin with section 7000) of Division 3 •1 a Business and 0 OTHER
Professions Co•e, .nde my license Is n f I orce a REAR YARD(TO P/L) •
Ucens: Class -e No. (�
� -i1f�`b PROJECT DE CRIPTION „ '
Date -- 1 Signature ,!//J//i i 'e4/ ICf SO. FT.- O 5,6 rr PKG.SPACE REQ. PROVIDED
WORKERS'COMPENSATION DECL• •ATION OCCUPANCY {/ CONccTRUCTION TYPE _ STREET WIDTH PARK FEE$
I hereby affirm that I have a certific-te of consent to self-Insure or a VALUATION/ScM - ZONEcertZONING APPROVED BY DATE -
thereof(sectj�3g0A C.).Company
mpensation Insu
rance,*cr a cerlrc_'_n copy GRADING CV.YDS. ACRES
�Y / yicate of rs' Co OJ SPECIAL CONDITIONS:
j.+t,ertified copy is hereby furnished. REMARKS: fitkOOr — -
Ur:Certified copy is flied with the city Building Division. -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - -
(This section need not be completed if the permit is for one hundred
(9100j-or less). •
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 PLUMBING . ' ' PLAN CHECK - ELECTRICAL PLAN CHECK
subject to the Workers'Compensation Laws of California. LIWILLIN(a faARAGE
Date Signature BATHTUBS_ - SHOWERS 50 FT SO FT
NOTICE: If after making this declaration,you should become subject TOILETS URINALS - GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must 'TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW - _
revoked. _
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1.16 HP - .
I hereby affirm that there IS a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10.50 HP_50+ HP - '
formance of the work for which this permit is issued (Section 3097 .,
Civ. C.). - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES'
Lender's Name
Lender's Address DRINKING FOUNTAINS ' GAS TUBE SIGNS - •
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERSPOLE LIGHTS •
-
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL' ' - P TRAP ' EONS t Hui.PION •
Any city or county which requires a permit to construct, alter, POLES METERED 'SUB
improve,demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB --
quires the ap,Iicant for such permit to file a signed statement that he -
Is licensed pursuant to the provisions of the Contractor's License Law GASSERVICE OUTLETS SERVICE AMP '
(Chapter 9 (commencing with Section 7000) of Division 3 of the I
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT
• 's for the alleged exemption. Any violation of Section 7031.5 by
applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS
at more than five hundred dollars ($500).
LJ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS'
sole compensation, will do the work,and the structure Is not intended _ •
or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property - I
who builds or Improves thereon, and who does such"work himself or ISSUE FEE 'APPLICATION APPROVED BY . DATE
through his own employees, provided that such improvements are not - - i
Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK
Is sold within one year of completion, the owner will have the burden SUMMARY OF FEES
of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU _ BUILDING _ S�
❑ I, as owner of the property, am exclusively contracting with PERMIT E SMIP $
licensed contractors to construct the project (Section 7044, Business ,AND DUCTING 100,000 + BTU •
and Professions Code: The Contractor's License Law does not apply to PLAN CHECK $ PERMIT
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100.000 BTU PLUMBING ISSV ANCE S
tracts from such projects with a contractor(s) licesned pursuant to $
SYSTEM GRADING $_
the Contractor's License Law). 100,000 +BTU PLAN CHECK $
o I am exempt under Section B.& P.C.for this $
BOILERS BTU ELECTRICAL $
reason PLAN CHECK $ MICROFILM $
SYSTEM REPAIR,ALTERATION
Date Owner TOTAL FEE$
I hereby certify that I have r•ad t• application and State that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
LESS E P
ordinances
I5 s .': I 1 are o comply with all cityrand county rize - -PLAN CHECK S
VANCE PC S___
eand 5 : I la, to construction,and hereby authorise
representatives /ci to j Cr upon the above mentioned
property for .: l; f py /`�� .,
Signature / •� ► D-te 1 f FINAL FEE $_�i.-Ca
Licens, •r'g'It � - - — -' ISSUE FEE '
CMF 0865-4. White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING `` POOL&SPA
�1
APPROVALS Permit# 6:55-015- Date Inspector APPROVALSPermit# - Date Inspector
•
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement - • -
3. Electrical Conduit Utility-Undrgrn _ , 45. Forms
4. Electrical Conduit-Undrgrn _ 46.. Electrical Bonding_
5. Steel Reinforce 47. Rough Plumbing& Pressure Test • - - • _
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE • -
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation 50. . Gas Pipe, ❑Undrgrn;Test
9. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap. 0 Undrgrn - - -
10. Structural Floor System 52. APPROVAL TO DECK - • •
11. Property Sewer Line & House Connection 53. Backwash& Receptor-Final
12. Street Sewer Connection 54. Heater& Vent-Final . •
13. Rough Plumbing __E5-- Plumbing Svctem-Final
14. Rough Electric-Conduit .56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating&Air Conditioning b8. Fencing&Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing
22. Frame and Flashing NOTES:
23. Insulation
24. Lathing& Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
29. Final Heating &Air Conditioning
30. Final Gas Pipe-Test •
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations
38. FINAL STRUCTUR E & BUI LDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co. _ -
42. CERTIFICATE OF OCCUPANCY
No Date
21199NOV 13-67PA'B00 543* ****76.50
CNSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING (/e� For Office Use Only
ADDRESS 2. ��`/�LJ „�l.0
fl[CQIPT NO. 2719/
COSTA MESA, CALIFORNIA L , I l7LVJ�gl1y�/�
- RQCQ Z DATR2iC (p6/e0V 15U'--•
OWNER San Vista Bldg. Co/ // �(%/J /
BUILDING
ADDDLRESS 2249 Wanderer Drive ADDRESS
FIRE �)�
cITY SILl[}YDZIOC San Pedro rN[OL- 833-332(1, ZONE TYPE V GROUP ,moi/ /}
a
APPROVED O
ARCHITECTNOI 8R Clif Olsten No 923-122 BY' DATE
RESS 9025k E. Florence, Dowse y ZONING Cl r-
{N NO.OF USE OF • ..
_ PLANS BUILDING $ l'
CONTRACTOR Same
LEGAL L2 7U((['' 'I rod- ,"�I "�
Md-S 6.0
ADDRESS same DESCRIPTION
CITY Same A.P.NO. /* - 7 01-3
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO"TO SIDE a REAR p.L
LIC.NO. NO.
EAVES
SIZE (-04L)(
qq yy �^1 I N jor-BLDSB. ALLOWED (U.B.C.REQUIREMENT)
OF LOT Lf� •� L N
YARDS APPROVED YARDS APPROVED
USEOF SOF BLDG. - MAIN BUILDING ACCESSORY BUILDING
t (FROM Ct PT./L'J�STR[[T)
SETDAC „vIJ:O- s //V
CENTER OP STREILT <YARD N PT.
ONT
C R.SIDE 0 PT. PT.
SID;YARD LEFT RIGHT
DESCRIPTION OF WORK L SIDE D PT. PT. n
17----.ALTERATION
/ Z
_ ALTERATION ADDITION is REAR 0 PT. FT' U.)
IIrIIII DISTANCE BET. BET.MAIN&
�..
REPAIR MOVING I DEMOLISH MAIN BLDGH. ACCESS.BLDGe. CK.
f VAR. DATE -63 BUILDING G�h Z0 nate
/ p 6 C>'
S12E /� ROOMS STORIES C.V•P.4F n APPROVED 6 4 3
EXTERIOR W ,, ''^^ ROOF �//� _ 0/ APPROI I Ul
COVERING W(t.e{�) COVERING '�tJ"l%'` 9Y �'1K t,/L1/✓V\ DATE ' > O`6 7 ed
USE OF BUILD�N DWOR l B[,PiRPORMRD G VV-� / A. .]
U
11-1
01 PAM.I N "yyn 1 el
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT 5 UNDER VALUATION IS POR THE O
AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. A a
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. Q
PI PERMIT FEE f 07—
SIGNATURE OP\, E
PBRMITTEr 4_ �L.'k_,/\_.-- —_ / 6/ ,/ 5j. w ;L
$1 /y PLAN CHECK S ��^-
AUTHORIZED AOS �-T f?J22)
ri{II / TOTAL PEE E /
1�sR�rsrRrr ®®IAB .