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HomeMy WebLinkAbout169 YORKTOWN LN - Building Permits Ek\o oozg5 DEPUTY I. :PECTION SERVICEI6ct L69/ LkiCell: 562673-6232 �`0��� A.W-S-/I.C-C./A.C.I -. 24hour 714 205-INSP /�j{I,,JC + 2151 Mira Mar Ave Office 562 597-2318 Long Beach, Ca 90815 Fax 562 597-2318 PERMIT NO. BLDG DEPT DATE SPECIAL INSPECTION REPORT gA o pr,2g5 Cod Vhesa 2 12/ 2/lo Type of Inspection 0 Reinforced Concrete n Welding 0/0 sdality Control ID Reinforced Masonry 0 Fire Proofing poxy 0 Post7Tensioned�pConcrete 0 High Strength Bolts l Other Job Name alack. "FGeSIG[PIuc.-c. Address ICry q \a/valeta.) , osia Mesa Owner Address Contractor Hydro Tech Address Engineer co Votes Address 94 q _St/ -' StS FA"' Architect Address Sub-Contractor Address INSPECTION SUMMARY-LOCATIONS OF WORK INSPECTED,TEST SAMPLES TAKEN,WORK REJECTED,JOB PROBLEMS, DATE PROGRESS,REMARKS,ETC.INCLUDES INFORMATION ABOUT-AMOUNTS OF MATERIAL PLACED OR WORKED PERFORMED, NUMBER,TYPE&(DENT NO'S OF TEST SAMPLES TAKEN:STRUCT,CONNECTIONS(WELD MADE H.T.BOLT TORQUES) CHECKED:ETC 12/22 21 . I ohs-erupr4 -fine ins+a/Io+r;n of 0) 5/s P()n L,,lts c riet,l debrl,iAv Oasts Imo exiv+t✓io ro,r,d,s1f ioh 7W VCDI t 1 •kc,1e5 14-e CP 4o Char r) prc r- -ro )✓)sfr4I. - epoxy = 51r,9Sot , 1CP "f Iyioil • • TERMS BILLED AT 4 AND 8 HOUR MINUMUMS,WITH 2 HOUR CHARGE FOR CANCELATIONS SHOULD DEPUTY INSPECTION SERVICE BE REQUIRED TO INSTITUTE LEGAL ACTION FOR THE COLLECTION OF A DEBT INCURRED AS THE RESULT OF THE ACCEPTANCE OF THIS SERVICE TICKET.DEPUTY INSPECTION SERVICE WILL BE ENTILTED TO ATTORNEYS FEES AND COST INCURRED IN SAID SUIT.THIS FIELD REPORT REPRESENTS A SUMMARY OF OBSERVATIONS AND TESTING BY DEPUTY INSPECTION SERVICE INSPECTION PERSONELL. OUR WORK DOES NOT INCLUDE SUPERVISION OR DIRECTION OF THE ACTUAL WORK OF THE CONTRACTOR,HIS EMPLOYEES OR AGENTS.THE CONTRACTOR SHOULD BE INFORMED THAT NEITHER THE PRESENCE OF OUR FIELD REPRESENTATIVES NOR THE OBSERVATION AND TESTING BY OUR FIRM SHALL EXCUSE HIM IN ANY WAY DEFECTS DISCOVERED IN HIS WORK.IT IS UNDERSTOOD THAT OUR FIRM WILL NOT BE RESPONSIBLE FOR JOB OR SITE SAFTEY ON THIS PROJECT CERTIFICATE OF COMPLIANCE TIME IN TIME OUT I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED.I HAVE FOUND THIS WORK TO COMPLY WITH THE 'Wen IDApn APPROVED PLANS,SPECIFICATIONS AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. REG.HRS O.T. HRS l I1 C-03-)659 -9, INSPECTOR'S NAME I Ck �+�` LIC NO INSPECTOR'S /�J o }'/ ) ; SIGNATURE 71) 47,7/ AGENCY _ T«- APROVED w _ I riTY OF COSTA MESA p5 f4.4 BUILDING DIVISION 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 �ew.ocn oft. PERMIT NUMBER: BX10-00285 PERMIT TYPE B_MISC STATUS: ISSUED APN: 41916536 DATE ISSUED: 12/1512010 Zoning: , ISSUED BY: KJB JOB ADDRESS: f1.69-YORKTOWN-L-N-CM Suite/Unit: Vicinity: Primary Occ: Const Type :?? SQ. FT: 0 Valuation: $1,000.00 SCOPE OF WORK: INSTALL FIRE RATED DOOR FROM KITCHEN AREA TO GARAGE. OWNER: BLACK, JOHN Address:: 169 YORKTOWN LN Unit City/State: COSTA MESA, CA Zip Code: 92626 Phone: 714-585-0106 APPLICANT: FLORY, DOM Address: 2060 PLACENTIA Unit: C3 City/State: COSTA MESA, CA Zip Code: 92626 Phone: 714-915-0883 CONTRACTOR: HYDROTECH CONSTRUCTION License No. 766196 Address: 2060 PLACENTIA Unit: .C3 City/State: COSTA MESA, CA '. Zip Code: 92626 Phone 714-915-0883 Cell: ARCHITECT: License No. Phone ENGINEER: License No. Phone FEE SUMMARY Building Plan Check: $25.19 �.. Building Permit: $38.75 Electrical Permit: $0.00 SMIP Residential $0.50 SMIP Commercial $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $90.44 • HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays: New Years Day, Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. 'CODE 4. INSPECTION TYPE DATE INTITIALS CODE INSPECTION TYPE DATE 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 Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site �] ) Q 204 Final Demolition 250 Final Building/Occupancy > — I 0 {net r WORKERS'COMPENSATION DECLARATION: Owner r�ifrified by drivers license. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No: Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized fGer'rier3 6 Q(}Y`)I VG- '514-re"NS, ( ,0 rnp(}NL/ by this permit,and that no building structure,scaffolding,falsework,or demolition (This sector nertnot be completed if the permit is valued at one hundred dollars( 10o)or lest) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp iA^n In I SSZO 2,Ad 2,Sec.341,Title 8,California Administrative Code). umber: l� "I 0 As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should been.. ..:'• - : .e workers' compensation provisions of Section 3700 of Applicant's Signature Date e Labor all . hwith comply with these provisio �\ v Division of Industrial Safety Permit Number: �. taature HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WA-`ING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No L',r, 2j^ •_ - Ce "`Ciass g 0 (Section 25533 of the California Health and Safety Code, with some 0 exceptions, requires registration with the Costa Mesa Fire Department by (_tel/ each business which at any one time has on hand a quantity of acutely tl,.Sighature41 4Rrrn� >' 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors • information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). O I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer), completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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 permit until final inspection. �•�'e% Signature Dale ni 005]-06(3/0]) !nt ` - w ADDRESS OF BUILDING: 169 YORKTOWN LN UMT: CITY OF COSTA MESA — BUILDING PERMIT OWNER'S-NAMZ!IEKNOWN: STELLER, MILTON PERM NO: B 073750 ADDRESS: 169 YORKTOWN LN • COSTA MESA, CA 92626 PERMIT NO: B 073750 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MAILING ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH ARCHRECT ORENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 999 ARCH.OR ENG:S ADDRESS: UMT: CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 . 00 GROUP OCC: R-3 / CONTRACTORSNAME: STOUT ROOFING INC ( 310) 923-6775 CCHTRACTOR'S BRUNO P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRE PER 91 UBC ADDRESS: DOWNEY CA Uc.NO.: 402536 *****************+P+ ***********+S***+t*+r+t+t** *+rx-St***Rt+t*SE**********+EW*RESE*Mx******** 90241 UMT: Z ONING REQUIR EMEN TS LICENSED CONTRACTORS DECLARATION:I hereby annm under pea • perjury that I am licensed under pr..'Cions of Chapter P SETBACKS (commencing with Section 7000)of Division 3 of the Business end Profess'•ns,ode,and my license is in full ••/ •effect. clrYLIC.No.: 059377 Llc uss: C 39 uC. t..: ' 02 / 6 E)4.1. 10 95 MAIN BUILDING ACCESSORY BUILDING �ete: �' —�f�/ Contractor: . JFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN F ♦ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaty of perjury that I am exempt from the Contractors se Lew la Me following reason(Section 7031.5 Business and Professions Code:Any City o county which requires a permit to conetm L idler,Improve. PARKING REQ• PRO V: PARCEL: 41916536 Z N E: REF NO: - 'smolih,or repair any structure,prior to its issuance,also requires the applicant for such permd to file a signed statement that he or she PLANNING NOTES,>"' • licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the i iciness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >,, 1031.5 by any applicant for a permit subNM the applicant to a cnlpenahy of not more than fNe hundred dollars($500)). ****{(*****{E******{E{E***{(.****{E****************.******{p*{E******{(.*{E**{E**** .N.****{(.*** ❑ I.as owner A the property or my employees with wages as Omsk sole compensation,will do the work,and the structure is not intended D E V E L O P M E N T SERVICES REQUIREMENTS or offered for wale(Section 7044,Business and Professions Code:The Contractors License Lew does not apply to an owner of properly y„ who builds or improves thereon,end who does such work himself or hereef or through hi or her own employees.provided that such improvements are not intended or offered for sale.If,however,the building or improvement is BM within one yearn completion,the ZONING APPROVED- BY DATE: owner•builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ Professions Cr of the ade:The Contractors LicenseOOLL.at contracting not licensed 1 en towwner of property who buuiLds oct r improves thereon Business BUILDING APPROVED BY DATE: "' contracts for such protects with a comrecor(s)licensed pursuant to the Contractors License Law). ❑ tarn exempt under Section: B.d P.C.,for this reasons APPLICATION ISSUED BY: DATE: *********************************** *** *************************7E* if** ** Date: Ow1er: LEGALIZATION: N FEE S MMARY STRUCTURAL SEGMENT:Y I do hereby certify that lam aware of and understand the requirements of California Health end Safety Code Sections 25505.25533,end 25534.and that I or any future building ompent tell/wil nol(circle one)need to comply with said state codes and the requirements lot BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or modification from the Ai3a tyTi�.anmDistrict ageent DistriResidential construction applications are exempt from these provisions. PERMIT 54 . 00 . 50 Date: Applicant: SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE ❑ Ihave and witmaintain acatilicateolmnsenttoself-insure for workers'campensation.esprwMedforbySection3700othe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for mepentmaosof ework f«wtahmimmls peeped. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 11 I have and wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.for the performance of the !F' work for which this permit is sued.My workers'reat inwranee Carrier and policy number are: Carrier: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: 00 Pokey Number: O44y4000046SI 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK s section need not be completed I the remit is for one hundred dollars 1 or less.) 54 .00 . 50 ❑ I certify that in the performance of the work for whish this perste ta I shall not employ any person in- anner so as to become subject to the workers'compensation taws of California els or e Id become su•-• to the re• ******************************************************************************* Compensation pmviaiana0 scea�ra7GD o the Labor Cede,I h ///�/t/"o/��,. • those provision.,�/? . S IND IV ID UAL FEE BREAKDOWN I/l'i^'ate: 8 4/--,9' \ Applicant: Ay ,%iL p7.e-C/ l Warning:FoNurerosecure workers'compwrwponcoverage isunlwful,and tlWlsWNctanemployer toMMmlp amesand • TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST chin fines W to one hundred thousand dollars($104000),M addition to the cost of compensation,damages as aided for In Section 3706 of Me Labor Cods interest,and atromey'sfees. 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 construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097.Cit.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances and state laws relating tom' vg construction end hereby authorize representatives of this dry to enter upon the above-mentioned property for inspection purposes /�7:RLEN , BURFORD/ • _ f. Noma / '/ n aid: 01 90i8E134 OOiu2140 TOT Signature ole :r/AgenUApplican ontractor `� GATE: 0g/Ii/y5 TInE: 08:36 54.50 (5151 da.WP) White-Building&Safety;Green-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor ' ` CONSTRUCTION AND PLANNING POOL PA - ,k. -1- Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or P,ahe 52. Pool & Equipment LocationC. 2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement t. • - '3.'Electrical Conduit Utility-Undrgrnd. 54. Forms /' ' - -0. Electrical Conduit-Undrgrnd. _ / 55. Electrical Bonding ,. r . . -5:Steel Reinforcement 56. Rough Plumbing & Pressufe Test • ' &. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE - • - 7.. Footings 58. Electrical ConduitUndrgrnd. • • 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. " 60. Backwash Lines, PiTrap, Q 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 Drains64. Plumbing System - Final - 14. Rough Plumbing. I 65. Electrical-Final /i 15. Rough Electrical-Conduit - • 66. Solar System-Final - 16. Rough Electric Wiring , =" 67. Fencing & Access Approval - i r' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING `" - 1 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL l.' k' 19. Rough Heating & Air Conditioning FIRE DEPT._REOUIREMENT 20. Bough Factory Fireplace ti' ` - " , APPFIOV$t:,S ;: Permit# rr 21. butts, in-Structure. . •• - • - - - 70. Undergioun�i Hydro i. Or. 22: Ducts, Ventilating' r - _- 71. Product Piping 0 cas O Oil a, 23. Gas Pipe-Rough & Test - - 72. Underground Flush °' Hi. 24. Roof Framing pi. _ 73: Undergrnd.Stop�ge tank 0 Gas DOil ' 25. Roof-Sheathing . . _ B _2•/s=q 'Gc 4' '. ' •74. Overhead Hydro_ 26. T-Ba? Ceiling (Structural) & Monocoat Oma/ . - 75.4-0ry Chemical . , 4 27. •Frame and Flashing - .. n2l +• 76. Dry Stapipe t-'LT' ' . "' . m - 28. Lathing& Siding •-• `? • - 77, FIXED SYSTEM FINAL - 29. Insulation- ; ' - - ' 78; FIRE PREY. FINAL ' 30. Drywall Nailing - _ ,.HEALTH DEPT. REOUIREMENT - t . 31. Plaster Brown Colt .. - - 79. FINAL INSPECTION - 32. Electrical Power Meter-Final r 80: FOOD CERTIFICATE ISSUED_ 33. Final Electric - r Notes; • - 34. Final Heating_& Air Conditioning • ;r �i - 35. Final Gas Pipe-Test - • C _ ^ r- 36. Hood or Canopy - r .---� r_ - 37. Final Factory Fireplace _ 38. Final Plumbing ' 39. Watei Service-Final - '- . - 40. Gas Service•Ftnal -- - j r r :41. Solar Domestic-Final " ' T.: 42. Backflow Preventer - 43. Backflow Irrigation -r r - 44. Landscape Irrigation System1 " - _ _ -- . . • i\I 45. Sound Attenuation . - - 46. Handicap Regulations _ 47. FINAL STRUCTURE & BUILDING 6g)--79-151- �'�y. . . - 48. FINAL PLANNING' ' _ - } 49. Electric Release to Edison 50. Gas Release to Southern California,Gas Co Ta 51. CERTIFICATE OF OCCUPANCY ' No. Date OWNER SAH {RST_ guilding CO. DATE OCT 3 0 1963 JOB ADDRESS 169yourktcycm Tome BUILDING PERMIT NO. 20661 GENERAL CONTRACTOR San Viata_Jhlilcling Ca. VALUE $ 15435.00 AP No. LOT 3_77 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Res.Watt•gar INSPECTIONS i..nature DATE GROUP =$u]' TYPE V ZONE R-3 Si-" aI_ /2.5•63 PERMITS ISSUED C W SUBCONTRACTOR DATE NUMBER Water �.li'{ 2— G 47 Rough Corn. Refrig. 0 Air Cond. ❑ Rough Heating - - - G V R.�\�j-- ii e" a u�!r ����1� Rough Plumbing "X- i-3-G-0 Y'1 Ft1-Zrn riCXSCV )I- —� t Miscellaneous Prop. Swr. Line❑ House Con. Q'St. Swr. 0 L_ A 3-,9_G�/ e,-,,t_ a a, t py_i 3 1953 • •EM211-(2. Sprinkling System T �! Off Construction Pole ' Underground 0 Power :0 _�_a GS Rough Wiring / . of-. [^ _ \, ) - Trenches❑ Forms 0 Steel Reinf. 0 t- ./.2 _ 3 Floor System ��°3 / Z_ j 7�� I / Bond Beam 0 Steel Reinforce 0 le Sheathing o. ,y - J,rf/6 [f n ,4i Frame and Flashi Paster, br In •/.r. Out Out l , i!,(, V Jq Plaster, brown coat e / 1 ,.., "�/_j`/ Refrig. -0 Air Con. 0 Final - gr//_ i C. V 'g, Final �/ j /6 i (I 1' F. ging Fixtures, Final y^/ �'6' • ;�. Final Gas Test / W jj" /0 _ Electric Fixtures, Final __a _ Building, Final r . 7744 OCCUPANCY • Form BU4-5M-3-63—S-B P H'ai.D PIM SPECIAL REOUIREMEN lb • 20661 FEE RECEIVED • COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 2 61983 P.O.BOX 317 COSTA MESA.CALIFORNIA r�1TTFyINnnACCNCEEn CCTTD��EP��TC..eeee For Applicant to Fill In Completely APPL�C14710NC'R9R`PCIR TYPE OR PRINT LOt 177 BUILDING For Office Use Only BUILDING ADDRESS 169 Yorktorm Lane RECEIPT NO. Pl20NO.6 It COSTA MESA. CALIFORNIA 6 IECEIV D SY gDATE RECEIVED 1p�T Ed'i�53 OWNER San Vista Building Co. i7/ �✓tai 0C MAIL 1166 E. 58th Street ADDRESS /10 9 J r�iCQ/ ADDRESSFIRE '/ �//� TEL ZONE PE Y GROUP V. Ade- APPROVED CITY Los Angeles 11 NQAD 37187 ARCHITECT OR ENGIN ER Raymond Levanas TNQ E OR 37010 BY DATE aZONING AL .SS 3432 Via Oporto, Newportuseor N+� r ` Beach "-rL PLANS BUILDI L f C; I NO.OF CONTRACTOR San Vista Building Co. ; 1 LEGAL Tract 5160 - L•t 177 - -i 34 ADDRESS 1166 E. 58th Street DESCRIPTION J CITY Los Angeles 11 A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. LIC..NO. 192782 NO. AD 37187 90'70 SIDE @REAR P.L- SIZE 20x50 & 20x36I No.OF BLDG!). W. 0 EAU-UN (U.B.C.REQUIREMENT) OF LOT NOW ON LAT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. None (FROM C/L STREET) SETBACK LINE PROM 13 1 4(811 FRONT PT. CENTER OF STREETREAR YARD SIDE YARD I LEFT U I RIGHT 0 • R.SIDE DESCRIPTION OF WORK L.SIDE FT. NEW X ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN @ MAIN SLOGS. ACCESS.BLDGS. REPA... MOVING DEMOLISH BUILDING NO.OF Plan #4 VAR.# DATE SIZE 20 X 34 ROOMS 6 STORIES 2 C.U.P 0 APPROVED EXTERIOR WALL ROOF APPR Stucco COVERING Shingle DY �/�) DATE 1119- COVERING USE OF BUILDING AND WORK Ti BE PERFORMED �` `,R'/ ` S Resid en Ond narpnrr r. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT 8H0 UNDER VALUATION IS FOR THE F AND STATE THAT ABOVE IB CORRECT ANO AGREE TO COM.I PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL C Y O INANCES AND STATE LAWS REGULATING VALUATION BUILDING CONST URI VISTA BUILDING CO. PERMIT FEE $ S/ -- B SIGNATURE OF / 1 L icA $ g^ 735- A C C c2 O PERMITTEF ,(if C / / AUTHORIZED GEN J. TOTAL FEE $ ,.S"