HomeMy WebLinkAbout183 YORKTOWN LN - Building Permits ;DPP.ESSOCGALDING 183 YORKTOWN LN WIT: CITY OF COSTA MESA — BUILDING PERMIT
ONNEA'SNAME IF KNOWN: SIEBEN, ERIK L PERM NO: B 073752
AODRE%: SIEBEN, JEAN H
183 YORKTOWN LN PERMIT NO: B 073752 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92626
APPL.MMWIG ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UG NO.: JOB DESCRIPTION : T/OFF, SHETH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ARCH.OR END.'S ADORE%; WIT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 .00 GROUP OCC: R-3 /
canACTDwsaJa STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTOR SMIRINGORES& P 0 BOX 4309 *O**********O***D*****O*********9E REdEEg****D********UB***********+Ex-SE�Ex******+tit** iESE+E*
ADDRESG DOWNEY CA ucNo.: 402536
90241 LINT: Z 0 N I N G R E Q U I R E M E N T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty duly that I em licensed under:"'• ..d Chapter 9 S E T B A C K S
(commencing with Section 7000)of Division 3 d the Business and Proles . .and my license is in full • •eHed.
cmuc.No.:059377 c.cuss: C 39 uc. T• 12 : 6 E 'e : 10 95/ MAIN BUILDING ACCESSORY BUILDING
�m•
Q �f FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
U���" / cue v �`�'t•% !•" LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under email),of perjury that I am exa el Imre the canredon ,-Law for the
Iogow;ng mason(Section 7031.5 Busies.and Professions Code:Any cry or county which requires a permit ,ager.improve, PARKING REQ• P ROV: PARCEL: 41916538 Z NE: REF NO:
demolish,or repair any structure.;COWci Isesuem.aeo requires the applicant for such permit to Swiped e ed statement(het he r elm PLANNING NOTES>
licensed mns ruanl to the provisions d the Contractors license Law(Chapter 9(commencing with Section 7000)of Division 3 the
sines and Professions Code)or or a that heshe exempt therefrom and the base for the alleged exemption.Aviolation of Section >
x031.5 by any applicant for a Perms subjects the applicant to a civil penalty of not more than Eve hundred dollars($5001). ************irk*4E******************irk*********************************************
❑ I,as ovmer of the property or my employees wih wages ae their sole compensation,MU do the work,and the structure S not intended D E V E 'L O P M E N T S E R V I C E S R E Q U I R E M E N T S
or offered for sae(Section 7044.Badness and Profession Code:The Contractors License Law does not apply to en owner of propend
who builds or improves thereon,end who does such work himself or herself or through he or her own employees.provided That such . %
improvements are not r d1,intended fered for sale. however,the building r improvement is sold within one year d completion,the ZONING APP RO V E 'B YDATE:
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the property,ern exclusively contracting with licensed contractors to construct the project(Soden 7041.Business end BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Lew does ran ply os apto en owner of MOO'MO builds or implo es thereon and who 6
contracts for such projects with a oontrrlorfs)licensed pursuant to the Contractors License Law). r' I /
o Iamexempt under Section: B.&P.C,.for this reason: APPLICATION ISSUED BY: DATE: 4 '
********************************* * * **************************** **
DalB: Owie" LEGALIZATION:N F E E UMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.end
25534,end that lorany tenure building occupant will/will not(calla one)need to comply with said come mdse end the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit for construction or modificatimhom the Air Ousety Management District.Residential construction appicationsare exempt from these
provisions. PERMIT 54 .00 . 50
Deja: Appy am: PLAN SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the following declarations: ISSUE FEE
❑ I have and MI maiMan a certificate of consent to seg-insUre for workers'compensation,as provided for by Section 3703 cl the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.tor the performance of the writer"""`h the venni'aissued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
11 I have and will maintain workers'compensation insurance,es required by Soden 3700 d the Labor Code,for the pedrmence d the
X' work for which the permit a erred.My workers'compensation insurance mm end policy number are:
Carrier: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Policy Number: 04494000U4b5 ( 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
his section need not be completed I the permit is for one hundred dollars PI or less) 54 . 00 . 50
❑ I certify that in the perfomance of the work for which this permit is'. I shall not employ any person i, anner so as to
became subject to the workers'compensation lawn of California, roe that d should become to the .•rkrs' *******************************************************************************
{1 comPaniponh pru"sorh(��q Sadpp?70D d the Labor Code,l she) /those' ' "/� I N D I V I D U A L F E E BREAKDOWN
Owe: A //r ! �/ Appfcyu: (� ' a . .
Warning:Failure
to secure workers'compensation coverage IS Unlswdul,and shell subject an employerto craning •enmities and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($1040 ),M addition to the cost of conpraation,damages a • •vlded for in
Section 3706 of the Labor Code,,Interest,end aterneys lea. SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 999 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there a a memnaion lending agency for the END OF FEES
performance of the work for..hind the perms is issued(Section 3097,Cy.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I comfy Thai I have read the application and state that the above intonation a correct.I agree to oomph,with all city and county ordinances
and state la ..hg to bugdmg construction and hereby authorize representatives of this city to enter upon the above-meruioned property
frnns•.•�•' Poses. DARLENE BU�jORD
/� Peru �� 71//4
/
1 lam,/ moi IO 10011 Date: d 1//45 01 001881_,-ODIFs8169 TOT
Sgwure d ownertApem/AppimnUCW..r
1 DACE; 08/11/9s TIN; 08:46 54.50
(5151'46 WP) While-Outing&Safety:Green-Fe;Caney-Appicant:Pink-Revenue;Goldenrod-Assessor
\..
CONSTRUCTION AND PLANNING POOL PA -
' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
+s 1. Temporary Electrical Service or Fole
52. Pool & Equipment Location
-
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement -
3. Electrical Conduit UtilityUndrgrnaf. 54. Forms
• 4. Electrical Conduit-Uniirgrnd. 55. Electrical Bonding t
•
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - •
6. Electrical UF ER.Grnd. 57. APPROVAL TO COVER-GUNITE
. 7.: Footings . - 58. Electrical Condtiii7Undrgrnd.
8, Foundation . 59. Gas Pipe, 0 Undrgrnd.,Test
. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, p Urjdrgrnd. ,
•
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 , 'T 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
h Electrical-T Bar Ceilin ' `
• 18. Rough 9 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning. - . FIRE DEPT_REQUIREMENT
:
20. Bough Factory Fireplace T - ;. ' APPROVALS._. ' Permit# * .-•
21. Ducts,in Structure • • - r _ "t " 70. Unde Jround brydro
22. Ducts, Ventilating , • _ -„ ._ .L ;, 71. Produet1 iping O Gas Cas Oil
23. Gas Pipe-Rough & Test • -- n 4 G r r 72. Underground Fiush-
24. 'Roof Framing 1 - _ x ! 71 Undergrnd.Storage jank 0 Gas ❑Oil
l25. Roof Sheathing - - its/ �^ -74:"Overhead Hydro_
26. T-Bar Ceiling (Struct rall '& Mdilocoat ;
OWNER SAN VISTA Building Co. DATE OCT 3 0 1963
JOB ADDRESS 183 Yorktown Lane BUILDING PERMIT NO. 20659
GENERAL CONTRACTOR S _vista_R�il__g __� VALUE $ 144, '35.00
An No. LOT 175 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK RPa v/att.gar
I. ECTIONS Signature DATE GROUP I&J TYPE y ZONE 11-3
Soil •,. /A-,e.3-L 7 PERMITS ISSUED
Gas -M L3_,_6,y SUBCONTRACTOR DATE NUMBER
Waterw/yjtc/%1.7.63
Rough Com. Refrig. 0 Air Cond. 0 Y2h_ tt
Rough Heating / 3.-4-•r 03-r -I\ c:23. 1( - /:—• . ...1
Rough Plumbing 3''/--/i h/ Vi A(-,•y (\QC\I) M ' --
Miscellaneous f�
Prop. Swr. Line ❑ House Con..✓St. Swr. ❑ !a•0/ 31f /,y a,,,,<._ U.-.<x• WV 4•` i9�-
Sprinkling System ¢
Construction Pole
Underground 0 Power i3O _ ' /3�/3/(4Rough Wiring 7/ 'e4 474' (� \�°C�S`� - - rr 2 4
Trenches '❑ Forms 0 Steel Reinf. .❑ y- 17 /6__s
�Floor System t.—
Bond Beam 0 Steel Reinforce 0 •
Sheathing p /. a
Frame and Ela4tun�i S p 4-ra `S�� v
If
Lathing— In,4.-"-- Out t` #/�` " U� /G
F r, brown coat ,NZ'_ / i /� r I ' of
R� .g. '0 Air Con. 0 Final
Heating, Final GI f_ Flit
�'
Plumbing Fixtures, Final / '/
Final Gas Test j�"'- 'j' _
Electric Fixtures, Final �'
Building, Final ��P. 'J-- 1
OCCUPANCY
Form BU4-5M-3-63—S-BP HULL) rim JMnt.t M1. it hI it u n n,re.-_MV'h.0
20659FEE RECEIVED
•
COSTA MESA BUILDING-SAFETY DEPARTMENT S6P 2 5 1963
P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT Lot 175 BUILDING
For Office Use Only
BUILDING n
ADDRESS 183 Yorktown Tane
RECEIPT NO. .7 J
COSTA MESA. CALIFORNIA .
RICEIVI eY /DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co. Z11q 4-�s-43 OCT 3 0 19
•
MAIL BUILDING /yD 7.40--r2
MAIL 1166 E. 58th Street ADDRESS VVFIRE
CITY . Los Angeles 11 NLAD 37187 ZONE PEGROUP
O.
ARCHITECT Raymond Levanas TEL.OR 37010 BYPROVED DATE
OR ENGINEER NQ.
ZONING
12
AL .SS 432 Via O. .oto Ne •ort BeacA1_
I I No.GF BE
CONTRACTOR San Vista Building Co. ' PUHe I eDu 1 N� 1�1
LEGAL W
1166 E. 58th Street DESCRIPTION Tract 51 - Lot 175A,i3
ADDRESS _ - I )`(� /
Z` / /(
CITY Los Angeles 11 A.P.NO. I \-14 T
3-
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STATE 192782 TEL. AD 37187 SO"TO SIDE @ REAR P.L.
LIC.NO. NO.
SIZE EAVES
r OF LOT 20 X 70 I NO.OF BLOTS. O ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF - None MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
CENTER
SETBACKOF LINESTREET 13 1
REAR YARD 611011
FROM FRONT _ FT.
SIDE YARD LEFT 0 I RIGHT 0 R.SIDE FT FT.
DESCRIPTION OF WORK L.SID Fr.
REAR
NE'" X ALTERATION ADDITION -
DISTANCE BET. BET.MAIN @
REFn.R MOVING p1nELI�FJ MAIN BLDGS. ACCESS.BLDGS.
BUILDING 20 x 32 NO.OF PL {FJ .Z VAR•# �j�, /� /� DATE
SIZE ROOMS"' STORIES2
ll� APPROVED
EXTERIOR WALt,, ROOF APP V ter- J
COVERING JtuCCD I COVER PERFORMED
RMEle BY DATE '
USE OF BUILDING AND WORK TO BE PERF
• -a •
_ " • _ - /pi,. /e .//A / rjT_
•
/��� H
9 6O.n.� s%,)d
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO N UNDER VALUATION IB FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
• PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION •
BUILDING CONSTRU TA, VISTA BUILDING CO. PERMIT FEE $.Y.7"--- N
SIGNATURE OF m
PERMITTEF U [3J ---
$ / /f LA C E 1 O
• AUTHORIZED A•• N James N. Starbird
TOTAL PEE $ 7a —