HomeMy WebLinkAbout180 YORKTOWN LN - Building Permits • ADDRV0f BUILONO: 180 YORKTOWN LN WIT: CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF KNOIYN: SANO, YUKIHIRO PERM NO: B 073616
ADDRESS: SANG, YASUKO
180 YORKTOWN LN I PERMIT NO: B 073616 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
APPL.ILARIG ADDRESS: 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: MIT:
CLAIM VALUE: 2, 999 . 00 CALC-VALUE: 2, 999 . 00 GROUP OCC: R-3 /
CONTRACTORSNAME: STOUT ROOFING INC ( 310 ) 923-6775
coNTRAcroRSMMUNG P 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA ucNo.: 402536 *+E****x*4****N* x*x*****+E*****x*4****AEx** ** ************x*** **x******+E******+E
90241 WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under prone' of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Proles' °and my license is in lull face effect.
C UC.ND.: 0sg377 UC.CLAS C 39 arc " 02{ 6 E 10 95 MAIN BUILDING ACCESSORY BUILDING
Dae: /SA/ �T/ L/}
Contractor: �/ �FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:1 hereby elf under Wall d PeiWY iha I am exempt Ism the CanradM ' e law I«Ne
lolbwkg reason(Section 7031.5 Bushes*as Profession Cade:Any qiy«gpuntv Mich regdresepsrmito wnetna.an«.frnprove, PARKING REQ: PROV: PARCEL: 41916552 ZNE: REF NO:
voeh,or repair any ainsaure,prig to is issuance.also requires the applicant for such permit to file a signed statement that he or she
tensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Dxoion 3 d the PLANNING NOTES>
,siness and Professions Code!or that he or she is exempt therefrom and the baso for the aleged exemption.My violation of Seai e, >.
7031.5 by any applicant fora permit subjects the applicant to a dvi penalty of not mere than fete hundred dollen IS500D. *******************************************************************************
❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work.and the structure is no intended D E V E1'L O P MEN N T S E R V I C E SR E !1 U I R E M E N-T S
or offeredfoe sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy to an owner d properly M
who buids a n,improves thereat and who does such work himself or herself or through he or her own employees,provided that such
improvements are no interded or offered for sale.II. the building or improvement is sold withinone year d completion.the ZONING APPROVED' BY DATE: r "
owner-bolder will have the burden d proving he or she do not build or improve for the purpose 01 sale).
❑ I,as owner of the properly.any exclusively contracting with licensed contractors to construct the project(Seaon 7044,Business end
Professions Code:The Comrades License Law does not appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a mnuactorts)licensed pursuant to the Contractors License Law), e
❑ I ern exempt under Section: B.A RC..for this reason: APPLICATION ISSUED BY: DATE: •a
*********************************************** 9e ************** **
Dale:. Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
Ido hereby certify that I am aware d and understand the requirements of California Health and Safety Code Sections 25505,PSCV,end
25534.and that I or any future building occupant sill/wit not(circle one)need to comply wih said state codes and the requirements for
a permit for a modification horn the Management District.Residential construction applications n catioseexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Date: Applicant: SMIP/NON-RES
WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of d the one following deds°lions: ISSN
IUILE FEE
o CdveendwJmeincanticala a(ewormwnchthispermitl«xvk«e'comperoation,mpraidedf«DySeabn3100dIMlebor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,lathe performance d Na wok f«which this demur is issued.
C] Ihave and silmaimanworkers'comp'ensationMurar�,as required bySedorod
n3oIC MEtheCHANIC dthe TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
7C work for which this permit is issued.My workers compensationT '[' insurance caner and policy number are:
Camber: 09A9 EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Policy Number: (1 4 11000468 / 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
this section need not be completed i the derma is for one hundred dollars l or est) 54 . 00 , 50
o I certify that in the performance of the work for which this perms is I MO red,,(e(imploy ay person inA-100; iso m
becomes to the Vdws'can lawsofCalifornia. i' n ���to aril?:
*******************************************************************************
/_� compens/t prow/7sr/M d S7d}nn 31Do Labor Code.I shah.• `/Vcomnvply def"these/ praw.on,. IND I V IDUAL F E E BR E AK D OWN
Date:
Applicant: .re
Warning,Failure to secure worker'coaweuedon coverages unlawful,and shallsubject an employer to criminal resides and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil 0n s rig to one hundred thousand dollars(5004000),In addition to the cost of compensation,damages as• •yids for In
s.pdon37Oe of Na Labor Coda,Intnet,and attorney's fees SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 999 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance d the work for which this permit is issued(Sedan 3097.Civ.C).
LENDERS NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above iNmvtion is coned.I agree to comply with all city and county ordinances
and stale laws relating to building cormrudion and hereby althorns representatives of this dry to enter upon the abwee-memasd property
dor inspection. •.-...
4/11 DA•LENE BU f'JIRD
/ Print Nam .
'/ .; �� _��� " Cl oote76^s-30137629 TOT s4.=o
.11 Dale' DATE= 08/04/95 TINE: 08:50
Signature a amer/AgentiApplicanvcomra.
(5151"45.WP) White-Building&Safety:Green-File:Canary-Appirani;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING •
PQD WA. }
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. v• 53. Steel Reinforcement
CU
_.3c'E7ectrical Condtµt Uttjity-Undrgrnd. 54. Forms -
= 74'..Electrical CondiiR-Undrgrnd. 55. Electrical Bonding _
. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
K_6. Electrical UFE9jG;••nd. - t 57. APPROVAL TO COVER-GUNITE
;-Ebotings 58. Electrical ConduilyUndrgrnd. -
... c..
Foundation - i 59 . Gas Pipe, ❑ Undrgrnd.,Test '--
-
T. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, PfTrap, CQ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK .
2
11, Property Sewer Line& House-Connection 62. Backwash & Receptor-Final
12. Sevwer 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.Apprbval
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. Rouge Factor-Ficeglace :' s4 t. = r. 7APPR9V44_ - PeTtnit# . -
21. &uctB,in Structure) • I •• - - - ,. 70. Underground I-fydro
22. D.uctz; VentilaIin - - " '
garx 71. Produei•Pl Ping 64,- as h Oil
23. bas Pipe•Rpug4 & Test :
. r . uFsh;
. p,_. Ey,, Y •
_
24. Roofcraming' _ t ••` - -: -", 7&,!., Undergrrid.Storage Tank 0 Gas ❑bil
25. Roof�She`n.Shing 4' o- -5 _17 74767 74.j)verhead Hydro. •
r
26. T-Barteiling (Strtre:foral) & Monocoat ;.t., - _x 75' Ory Chemical ._ _ -
27. Frame and Flashing;- =''1 - - 76. Dry Standpipe '
. - l
28. Lathing &Siding 7 a : a , E 77 FIXED SYSTEM-LINA(` . -
29. Insulation - 7E- FIRE PREY. FINAL " = 7
r 30. Drywall Nailing ? , r,, t ,' -HEALTH DEPT. REQUIREMENT
31. Plaster BrvwnrCoat•. - x - 79. FINAL INSPECTION - -
a, 32. E�ectricaHPowir Matt-Final ' ' x
-r 80: FOOD CERTIFICATE ISSUED ,
33. Einar':Electric- - Nbtes: --
z - • _ - ♦ ' - -
- 34. FinarHeating& Art€onditionin- • ; . - I I - •- - - �.
35. Final Gas Pipe:Test..: -, ' .: ,r :_ -•_ _
-- 36. Hood-or Canopy s - ' "•` ` - , 7: g T. r'-:-.
�. . -' -
37. Fina LFactory Fireplace .7• �- ,t
38. Final Plaiting - 2' _ - -
' 39. Water Ser�iceEinar'.' 5 •, 4 s -
•40. Gas Serviee- Final . . - .F
-41. Solar Domestic-Fina( - - _ „ -
42. Backflow=Preventer r r = = '
Y i - . . R- rr Ill -Y
43. Backflow Irrigation ; T`' , -• :•• "
44. Landscape Irrl4ationcSystem o:_"' _ -' r,t 1 - "" - -
x 7. v
45. Sound Attention 4. - , , - - t- - J ,
ua
46. Handicap Regulations - ? y _ ^ - _
47. FINt L STRUCTURE & BUILDING fel.. -qC kisiff. - ` _'
48. FIN#I, PLANNING_ - r '` •� r Q. - .
49. Electric Release to Edison _ -
Y. - -- - -
50. Gas Release to Southern California•Gas CO t . . • *
-
-- - ' - . . - = -
51. CERTIFICATE OF OCCUPANCY "'= - -
No. Date
•
•
PROJECT ADDRESS: 180 YORKTOWN LN UNIT:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 052657
OWNER'S* JE: SANO, YUKIHIRO
ADDRESS: SANOYASUKO PERMIT NO: P 052657 • PLAN CHECK NO: N GOVT: N SUPP: N
180 YORKTOWN LN
COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
754-4987 •
ARCH/ENGINEER: REG.NO.: ' JOB DESCRIPTION : CHANGE OUT DISHWASHER SQ FT:
ADDRESS: . UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: NOCK PLUMBING ( 714 )895-1246
ADDRESS: 11610 SEABOARD CIR COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
STANTON CA 90680 *********+r*****************IF************+E**********+tilt**********+F**********+E****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my tic se is in full force and elfect. ��/ SETBACKS
CITY LIC.: 050386 STATE uc.: 511971 cLAss, 36
Date �- fl' ti Signature:_ I/ MAIN BUILDING ACCESSORY BUILDING
-WORKERS'COMPENSATION 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 Insurance or a certified copy thereof(Section 3800.Lab.C. LEFT: FT IN RGHT: FT IN LEFT: ; FT IN RGHT: FT IN
POLICY ND.: 116799290 EXP.DATE: 83/01 /92
ammo: STATE PARKING REQ: PROV: PARCEL: 41916552 ZNE: REF NO:
.,cT) Certified copy is hereby furnished. EX Certified copy is filed with the city Buil 'ng Division.pior PLANNING NOTES>
N.
>
rO t�:/— G�_ LQ/ Applicant: - *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be co Meted if the permit is for one hundred WOO)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
sublect to the Workers'Compensation Laws of California. ZONING APPROVED BY
DATE:
Date: __ Signature:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must foDINGwG with such provisions or this permit shall be deemed revoked.cy •
1 y L •-1EI, iF iF1E' 3F*if2 c
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED H Y• 1Hf DATE
which this permit is issued(Section 3097.Civ.C). **************{{******* **** ,** , . , ***.*..)f*.*****.*-{F{�***. .*.*,*K,{(,*
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N FEE ,SUMMARY STRUCTURAL SEGMENT:N
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 2 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5% 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 Processions 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 ollars(S500). ISSUE FEE 3 . 00
I, as owner p1 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 —---> 2 . 00 3 . 00 - :,;0 . 00 0 5.00 5. 00 . 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. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 5 . 00 OVER/SHORT• 00
improvement
rptheepurpose of ssae)nin one year of completion,the owner will have Inc burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 " vj
❑ 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).lam aware ************************************k-******************************************
mat proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L ., F E E BREAKDOWN
Elam exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: OwnerPLU 1 DISHWASHER 2 .00 2. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and TEND OF FEES
25534 and that 1 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 Duality 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 ja,rnorizePren, .....y ue tatives ofthis city to enter upon t above-mentioned , .
property for inspectionp �purposes.s
-Da !�( po/ Signature:- d _.n: kJ..7.,_. _ _
—Driver's License or Social Security a: _
1641-46 Wboe—Building,Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
POOL ,PA
' CONSTRUCTION AND PLANNING
-
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. r&e..0 53. Steel Reinforcement
1:.Y C:_ S N
•_ ,.ScriL'a1 Conditi iJ i1ity-Ondrgrnt�t'3 54. Forms
�5+Y1-5Jgc3rical Condityllhdrgrnd. a., 55. Electrical Bonding
c c .
}:6'. 4EelRPinforcem'n 56. Rough Plumbing & Pressure Test r-
yxr, o. fekttricalUFE;1 ,Grnd. • 57. APPROVAL TO COVER-GUNITE °-
l.r.cF8bttngs S,y ci 58. Electrical Conduit-Undrgrnd.
Si'. FTtndation <-, 59. Gas Pipe, ❑ Undrgrnd.,Test .a.
S 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. r.
r
10. Structural Floor System w; - 61. APPROVAL TO DECK
11. Proyerty Sewer Linc,& Hgtise Conr ction, 62. Backwash & Receptor-Final
-r
12. Seviet Cap = 63. Heater & Vent-Final
rp
13. Roof Drains 2 64. Plumbing System - Final
14. Rough Plumbiig t= 65. Electrical-Final '
15. Rough ElectridaJ-Conduit 66. Solar System-Final
-c
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
re
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20 fiopgh 6ctory F'jeplace z:t; :s"-- _ ^ ,L•• + 'APPROVAlS.:CPe�it# < - -
r 11 Y:: i <--r .[•d -a -- -r•. d'N,--r i-. ', t
21-Ducts, in-Structu t 1 .. -_ ' • .t; . ': ' aX70. ndJRe d HYgirox .r
S , r t. r. - e.
22: Ducts, Ventilating :r .,S r S C* t 3:71. Produer5ping EtGbs OOil
.s ' f-2 ?. - ..t n
23`-Gas PipecRotigh&'Test i•c '' r z.- J; w -72. Undergrcenii FR1s)x y :-°
;.
24 V Roes-t Fr,`aming g - -, > C x * S73x Undergrr¢f.Stonage-Tank*O Gas ❑Oil
25. Rof Sheathing ne. 'j,_ -'1 c O z.,,-,1::: 1 s-74;,Overhead'Hydro- '
_
26,;T-Bar Ceiling (Structural) &,4vlonocoat » u t0 i:,- - 75:-Dry Chemical Ss -. _
_ • C.. 5 _
:✓ A In r..: - C r ,.4 7E:Dry Stan-r�'p�ipe 2-,'T5.1.. "'
27:7-Frame and FlashinS
28:-La ing.� Siding?; . : - y•y t
, x y; .. .. .•r r 77'0 FIXED SYSTEM:_RINS
AL '
.. ,
•29. Insulati9� u;r " " a ''1 78%:FIRE PREY. FINAL x '
1.
X30. DrywalljNailing trite. . r - •c: . HEA L#Iti=OEP R;EQUIRtMENT
231. Plaster Brow'.Coat* I r t I A _79"t`114AL�Lg• P.ECTI9N r - ::
C.32:-Electrical Potyer Ijfetcr;Final: ' -. -a ,: r80.7-.FOOD CdttlFi?tTE ISSUED'
�,33�inzl El ctri4 ` :, t c a .r, _k '. r•N es:] Z Q t btreWoi e.- C-(LFr GA20-CJW
7,134..Fi41 He`rcating& 'T'.irk CBFldttionkng- Y.' t 3.• - j 11(/t/ r�'r Eb4C�,ego /a P
v- :-� F.2 ZA 9
357.Firial Gal Pipa-Text. tr _ - r ' , t+ (NA 'aS : it �,
-36.'Ho or Ca noPY �: - .z., J Et' :t t'' • • a. m
.., :t.0Y rr
-370E4%1 Factory FiAplace� 15r o' j_ to i ,, Y *
t.
.38. Final Plumbing t ^7J I .. " ». III % C s e` x
} r
539. Water Service-Final. i.3 x P' , r- :r: . cr,
Y .r
'`40. Gas Service•Final t ' " A t tr;
.n f rri C r . S :% rn I p d t '-• O is »
0 4
13,41. Solar Domestic-Finals: •• , M r ;: --, :i
427'sBackfiow PreventeC r t. -_-: Iv r I - a
43. Backflow Irrigation !. - t , t cc » O
T, :A tr » *. J $ , 1 •
cc 44. Landscpe litigation Syste .- ' ' ` 'S
:rJ m7u±t .T 8 in a �,. ♦. CU 'c'- ' c
x . ,E r _r, - >; OCz . S .
i.45'0Sound Attenuation .' Cr- t >: t- .- :-a , C".. o:<t a
7 -• . .. rn rn* ». _ - Cr • - _ »
15.46 Handicap Regulations
» Yrr: o0
••47NFIt1AL STRUCTURE UI
E & BLDING` 'a: `' i I 1 -;� -. L n� :r
- w r •. I - t . i
48t`tFIMALPLANNING ! ' r 'r. i < u s. v
O 49:1-Electric Release tor4Edison r p I 1. »: : T -,
I{ YY »
r$0..Gas.Release to Southern California Gas Co '; I _�'t ' i - ,� r `
r - - r
51. CERTIFICATE OF OCCUPANCY R So "
No. Date
1
OWNER SAIF ZESTA_BILILlNG CQpQpMY DATE 6-1-64
JOB ADDRESS li$0 yorktown Lane BUILDING PERMIT NO. 22241
GENERAL CONTRACTOR same VALUE § 151235.00
AP No. LOT 19L TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res w/att gar
1' `ECTIONS Signature RATE GROUP 1$cJ TYPE V ZONE P3
S. 7 SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. 0 ,f}� /
Rough Heating 7 1/J ''(J - -C� G ,ALJ- ! S 3 /
Rough Plumbing 6 � A.,/
t!q j/, , , / ; iyl� /_(o V •/
Miscellaneous �p / I
Prop. Swr. Line 0 House Con. VSt. Swr. 0 �,d1 /0/4,./ ( (/�,,,,,�, . DEC 9 1963; 40 1.e.,.1 r,1
Sprinkling System _
Construction Pole
Underground ❑ Power 0 '
Rough Wiring p� R la-1.;-0 /77 c S__<_.— SEP 1 7 1964 2542
Trenches 0 Forms 0 Steel Reinf. 0 ay
Or? 7/� 6s'
Floor System /
Bond Beam 0 Steel Reinforce 0 "e ^e Dant
Sheathing ,m m- 9/G se/,<nDc;Zp_f�
Frame and Flashin , �7'l' /0 5 �/ �—/ t n.i� i C
Lathing— In Out / �T /fg/ � Vile u./1/11:1^ .
Pl ter. brown coat t- /e//� /(eJ`- 1." ',' °
P ,1. 0 Air Con. 0 Final
H yang, Final 3 S
Plumbing Fixtures, Final 1� /
Final Gas Test/Pr 7 / /
Electric Fixtures, Final �t _ -Z , tL_
Building, Final p 47 / 45
OCCUPANCY
Form BU4-6M-3-63-S-B P HOLD FOR SPECIAL r.�.QUIREMEN.:.
22241 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT WAY 1 9
eel
P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT.Ij
\ For Applicant to Fill In Completely APPLICATION� O FORD COSTA
TYPE OR PRINT BUILDING
BUILDING _ Q'y}-- �Q_ For Office Use Only
ADDRESS 'Q_th -4.1n� �`O..'`C-__ 1 RECEIPT NO. 7...,. M TT NO.
COS MESA, CALIFORNIA ti!S I
�p/. ^ �/}��,y�� RECEIV CY DATE RECEIVED DATE ISSUED
OWNER 1 ! `/1DI�XCl�(� �,//� V) `J -/P jsy' JUN 1 1964
BUILDING
ADDRESS 1 IIA CJ (O Q 1• ADDRESSFIRE
�� �7�
,/') 72-0.37/19
EL )) /�� ZONE TYPE �{/ GROUP '4S
CITY �r �'i I I TEL P2 ,�J
�IIVVV/11��` APPROVED
ARCHITECT ( TEL BY DATE
OR ENGINEE(t J/Y`JrMGr.o.e� NO. ()/.1� ZONING
AD, ACTOR �L �{t,,Acc ..(�, o 3 I PLANS I BUUSEIL°DrIrill) c C II
CONTRACTO/R 11., / e/y''.^..� v A(('..e1Q� %CI NI ����.,,,/// //11 Il(•l(••K44���VVV�" J[J
LEGAL
ADDRESS / ' C? lD Eg ,J _ % DHSCRIFTION�J/Lp� J /� /�j
I CITY *)[ /4l , A P NO./t� y% _,L�
STATE i 92-0 �t 2- NEOL. /I I��7/ p9 90NOT TO SIDE B REAR P.E: NO EAVE OVERHANG
GBHALL BE/1E89 THAN
LIC.NO. Q p41) J
EAVES
OSIZEIFF ^J �/ NO.OFBLDOS../♦1 ALLOWED (U.B.C.REQUIREMENT)
OF LOT `O ./( '7 0 NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF �^ MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ` .._ y`J-Z�
(FROM C/L.S3 ET. •9 ic.FT.
SETBACK FIST FROM b FRONT h FT.lL�r FT.
CENTER OF STREET I REAR YARD % ,� 'Q
C ! U✓ FT. c.
SIDE YARD LEFT I RIGHT a R.SIDE ''
DESCRIPTION OF WORK L.SIDE f FT.LI'r [-•-' FT. 11
NEV- X ALTERATION ADDITION REAR FT. FL
31
DISTANCE BET. BET. MAIN B 4-
REPn,R MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDGS. W
BUILDING �/ 'T NO.OF PAIN 1,,...(4 VAR.# DATE
SIZE 0' O if ,-S1.1 ROOMS 6 STORIES .2.. C.U P.# APPROVED / W
CZ
EXTERIOR WAL{, Q_- I ROOF I • I APP / /L/.�/
COVERING �.CA.LrAn COVERING /' , BY ` �'�'� DATE J� '� j
Ug�BUILDI AND WORK TO BE -. i FORMED N. /y/�J� � a
01
fy�z SO FT '/.�O ..] _ G.1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE .• F D.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O IA
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION QC q W
BUILDING CON UCTION. ry
SIGNATURE OF PERMIT FEE $ .�/ /
PERMITTEE ILA /./�L ~il �-� r / "- m
S /.. 73.b PLAN CHECK $ 2S • C 0
AUTHORIZED A NT ' 76•�Q u O
TOTAL FEE $ i