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184 YORKTOWN LN - Building Permits
ADDRESS OF BUILDING: 184 YORKTOWN LN Lan CITY OF COSTA MESA — BUILDING PERMIT OWNER'S NAME IF MOM NICHOLS, ROBERT W TR PERM NO: B 073618 ADDRESS 2321 MESA DR SANTA ANA, CA 92707 PERMIT NO: B 073618 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAIUNGADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH ARCHITECT ORENGNEER: M.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 / CIXARACTORSNALLE: STOUT ROOFING INC ( 310 ) 923-6775 CONTRACTORSMMUND P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC ADDRESS: DOWNEY CA uC.NO,: 402536 ***************** iE+c***iFiE**AF****)FSE*************** +E**M*iE** ***x*x**♦E*ply********x 90241 uNT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter B SETBACKS (commenting with Section 7000)of Division 3 d Ind Business and Professions and my license Lir in full force and CITY LIC.NO.: 0c (�9377 LIC. C 39 UC.NO.: h253 EXP '10/9. ' — MAIN BUILDING ACCESSORY BUILDING Date: D174—' / camaao: ` Q/J • ' LEFT: FT FT IN REAR: IN RGHT: FT FT IN IN FRNT: LEFT: FT FT IN REAR: IN RGHT: FT FT IN IN OWNER BUILDER DECLARATION:1 hereby affimt under penalty of perjury that I am exempt from the Contractors License w for the following reason(Section 7031.5 Business and Professions Code:Any city or county wtan requires apent to cosUud,all-r,improve, PARKING REQ: _ PROV: PARCEL: 41916550 ZNE: REF NO: demolish,or repel 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)d Division 3 d the PLANNING NOTES>) rsinea and Professions Cade)or that he or she is exempt therefrom and the basis for the Staged exemption.Any violation of Section > ,031.5 by any applicant for a permit subjects the applicant lo a civil penalty of not more than five hundred dollars 15503)). **************SE**************************************************************** El owner s the propeny or my employees with wagesa their sole compereSian,will do the work,and Mesuucture is not intended D E V E;.L OPMENT SERVICES R E /Q U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work inset or herseff or through hS or her own employees,provided that such improvements ere nes intended or offered for sole,ff.however,the building or improvement S sold within one year of completion,the ZONING APPROVED- BY • DATE: - ownerbuilder will have the burden of proving he or she didnit build or improve for the purpose Of sale). , • ❑ I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and wto BUILDING APPROVED BY : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Contractors License law). r El lamexempt under Section B.aP.c..for this reason: APPLICATION ISSUED BY: DATE: *********************************** * * ********************** Date: ,-- Owner: LEGALIZATION:N F E E S MMARY STRUCTURAL EG NT:Y I do hereby certify that I am aware of and understand the requirements of Calfoma Health and Safety Code Sections 25505,25533,end 25534,and that I or any future building occupant will t MI not(circle one)need to comply with said stale ales and the requirements for a permit for construction or modification from the AktuaityManagement Distad.Residential construction applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 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 dedaralon°: ISSUE FEE ❑ Ihave and witmaintain acenitcateofconsenttoself-insure for workers'compensation,as provided for by Section oft ion3700heLeber BUILDING—D IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Cade.fermapedoma performance m which h;see ;lieieued. TOTALS----> 54 . 50 0 .00 0 .00 54 . 50 54 . 50 . 00 Q7CI have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit S issued.My workers'compensation insurance tamer and polio,number are: Denier: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00 Policy Number: 04494U0004681 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK as section need not be completed Ate patrol is for one hundred dollars/S1001 or less.) 54 .00 . 50 ❑ I certify that in performancer of theoat work lir awso this permit a shalltnot employ any other eo as to become subject to the workers compensation laws Califon' • •I Nm d should become b Na ******************************************************************************* pen((on prey a d SSeea 3 of me Labor Code.l h ply those eprovis/ions. INDIVIDUAL F E E BREAKDOWN Date:coat /J [ Applicant: C. ///(/� - :/ Warning:F.fiws to secure workers'comwensad.n coverage la unlawful,and.hit subject an employer to criminal Id..and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ones rpm one hundred thousand dollars(5100,000),M addition to the cost of compensation,damages as• •vded for In Section 3706 of the aborCods,Interest,andattomyslass. uSFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 999 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penny of perjury that there e a construction lending agency for the END OF FEES performance of the work for which the permit is imbed(Section 3097,Cie C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and state that the above information is coned.I agree to comply with all city and county ordinances and state laO lding construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspectioARLENE BURFOJ yPa � 0i 00>Si/0 /0512T687 TOT 54.50 /(� GATE 0$/04/95 TIME: 09:22 Date. Signature of OrmerlAgent/Appl;aant/DOatrada (5151-46.WP) While-Building&Safely:Green-File:Canary-Applicant;Pink-Revenue:Goldenrod-Asseessor I CONSTRUCTION AND PLANNING POOL 'A ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector i; 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _3: Electrical Conduit Uiiiity-Undrgrnd. 54. Forms _ - =,4.-Electrical Condui<-UrTdrgrnd. 55. Electrical Bonding • : teel Reinforcenler?t 56. Rough Plumbing & Pressure Test - . 6 'PiectricalUFER__Z?nd. 57. APPROVAL TO COVER-GUNITE - 3^74 Footings _ _ - - 58. Electrical Condui Undrgrnd. - i ...-. 5"'3• Foundation 59. Gas Pipe, 0 Undryrnd.,Test - • -9. Water Pipe-Undrglpd. _ 60. Backwash Lines,P.Trap, 0 Undrgrnd. 14). 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 Fq PLASTEfiING Ezu 18. Rough Electrical:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditi6tcing _ FIRE DEPT. REQUIREMENT '. 20. Rough Faatorg Firj )ace = ° - r ,:APPRTAVAES: -' Peimit# '• 4 �F • 21. Butts, in Structure:s- Y _ •-- - t• -1 70. 'Underground Hydro ` -- 22. Ducts: Vegtilaxing . T _ ▪ _ ' ;z 71. Produsii Piping 'n•as o:- Oil • 23. Gas Pipe-Rougfi & Test - ^ , -, 7. C : .-, 72. Underground Fhrs"h": L- •.1. . • 24. Roof-Framing • '•T * • _ ; 73: Undergrnd Storagsrank''DGas 0 Oil 25. Roof,Shee-thing ` Y• C- . 2.e 95 4 ff41 74,'Overhead H;drd - : 26. T-Bar Ceiling (Strueturali & Monocoat • .i - `' 75j Dry Chemical ;: 27. Erame and.Flashing' s. >4 t:+ 7a Dry Standpipe - . _ _ y. - 28. Lathing &Siding •-' :° " - _ 5'' r• •' " ••; 77. FIXED $XSTEM=FINAL r .* 29. Insulation- 1. 78. FIRE PREY. FINAL = - ..30. Drywall Nailing * _ :HEALTH-DEPT. REGUI RaEME NT • 31. Plaster Brown Coat It _, ; -+•. 79. FINAL INSPECTION - . p 32. €tectrical-Pow`gr Miter-Final i ; S. ,80! FOOD CERTIFICATE ISSUED _ - 33. 1naElectric -,x, k . Notes: - _• - - ' _ . 34. FinatHea�ttng& AOcte.o-ndtioninT . - - �" . "- -Q r 35. Final Gas Pipe=lest ; c " .. w _, •- • ' - - = 36. Hood or Canopy - • _ . ,c __ - x :t rr- a . C Vi 37. Rinal;Fadtory Fireplace _ fr ii., k u H Yrt. 38. Fina4Pluin- _-� bing =` yri '' - _ - r- v. • - 39. Water:Service,Final "' r t . 40. Gas Service-Final 4.--- x ?, _, -m.o 41. Solar Domestic-Final' =- ' <1. - 42. Backflow-Preventer b •* --• 43. Backflow Irrigation n „j r z X : • - 44. Landscape Iretgation•System t t -" ,-- , ' r1.7 _ T- 1-',3 • • 45. Sound Attenuation -' - _ .. 46. Handicap Regulations u > ' * ' ' - G = ' 47. FINAL STRUCTURE & BUILDING t©_- (. f � .: ' -- -D-" -. F 48. EINA'L PLANNING x - l ^J ' - w x tt .. 1 49. Electric Release to Edison `-: - O. Gas 5elease to Southern California-Gas Co 14 4 - • ^'- a 5 - .. :r - t - - , ' 51. CERTIFICATE OF OCCUPANCY - No. Date 1 OWNER SW VTRPA RU T.DTNO COMPANY DATE 6-1-64 JOB ADDRESS 181L Yorktown iane BUILDING PERMIT NO. 22243 GENERAL CONTRACTOR _, ,,- VALUE $ 1 895.00 AP No. LOT 193 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res W/gtt gar I .$IECTIONS Signature DATE GROUP �j TYPE V ZONE R3 S _ /%7-7 SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. ❑ 2 Rough Heating �rQ �hh/ /p sJ e-- /i_ y/z dor/ 3s-:3 s` Rough Plumbing °"(-/!/ /�(p$ /p�,ry--rt A{/ - 60 /-l0 7� c/ •3 SC rL Miscellaneous ✓/J Prop. Swr. Line 0 House Con. 1a'St. Swr. 0 et /ONC.�n,L- C�jr..c.-c . DEC 9 1963 -U-i r t Sprinkling System / - �� Construction Pole W Underground Cl Power 0 / Rough Wiring RTC— to-7.cit- )yi c sc,_ SEP 1 7 1964 '2a 4 3 l Trenches 0 Forms 0 Steel Reinf. 0 / Floor System R. 7 / (J/G [F. Bond Beam 0 Steel Reinforce 0 { [terming Deo:. Sheathing • )Y1 ' AI1.9 ir '°211t _4- f . Frame and Flashing / It �_ aX+ ? R Lathing-In [j.----Out• _ V (,{1h'7] Pty_•;arrr, brown coat a // � ' i Pr-'e,' ❑ Air Con. ❑ Final -at t ng, Final fj,4• ((- Plumbing Fixtures, Final / Final Gas Test OWE Electric Fixtures, Final j _/ - Building, Final /r yrs I OCCUPANCY • r TtinFMFNT4 Form BU4-SM-3-63-S-B P HOLD FOR „PLCIAL PEQ i 2224' FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT dr 1 9 ISM N P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely AppitadibQ cfaO&1k/YMESA TYPE OR PRINT BUILDING ADDRE S hitt (a Q For Office Use Only ADDRESS A�//0- ' RECEIPT NO. pgwegtNo. COST MESA. CALIFORNIA OWNER SacVN. t..1. .•.Y/ /f 1O—ia9ki ADDRESS II to 6 (O U ! ADDRESS CITY �!//7r 1/ TNO 'D3X7/ pszFoIRNEE -- _ GROUP"- ARCHITECT TEL /7r` APPROVEDBY DATE OR ENGINEE'/)A .- ., NO. 7O 0 ZONINGill s AL .SS3 3L __ J.,e .pa�` CONTRACTOR - �C _, T, I• s-�,i • C• E4. 1. _ , ADDRESS 1 te,yla IC TC r jr—/P r^ I Darcal-!MON I kat! • r CITY j1.-Q/"rrn/,II y�I� NOTE: NO EAVE OVERHANG SHALL _ LIC.TNO. 19x7 � NO.•/7D37/77 EAVES SIZE /I Q 7 Q I NO.NOW ON OF SLDLJ OS. B. OF LOTYARDS OL X LOT APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING • EXISTING BLDG. i - ` (FROM C/L�$j-7 REET) SETBACK LINE FROM 1 / FRONT (-min-. CENTER OP STREET / REAR YARD O R.SIDE 0 PT. SIDE YARD I LEFT D I RIGHT O (Af/� DESCRIPTION OF WORK L.SIDE 0" FT. -1 FT. 01 NE A ALTERATION ADDITION REAR FT. DISTANCE BET. BET.MAIN a Z MAIN REI-._lR MOVING DEMOLISHpBLOCS. ACCESS.SLOGS. LTABUILDING yyT1 NO.OF r�41R I �1 DATE -DI" �,�� ROOMS .� STORIES Ga. (r�� APPROVEp 2 EXTERIOR WALL I ROOFii(/��/ -./ S' '-C COVERING COVERING �■ r DATE / CY USE •. ;UILDING AND WORK TO BE PE:FORMED AA W .14 • ...1•... . _ _.__ A . : .. _:� re/ IIIAIIIIIWA C 'I C T . /2 7e/ D S .PT. yzo i'r o U F o. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Y', (/J • AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION u q O BUILDING CONS RUCTION. PERMIT FEE $ SI � {L SIGNATURE OF PERMITTE A AAAA..A.-.4-....4.-#.- --."--•• $ 1/ 3 '395 y — TJt Y1 LL AUTHORIZED A N l PLAN CHECK $ rZ�l 6 J� r TOTAL FEE $ 7r ;} f COSTA MESA BUILDING-SAFETY DEPARTMENT �, ��PA:_�� 9,;? 4: :. t7 r0 P. O. BOX 1200 Costa Mesa, California ELECTRICAL PERMIT APPLICATION TRACT NO RECO BY PERMIT NO. U(fr6r ELECTRICIAN ��.tJ'E(� (3 u.-L L-p E{� LOT NO VAT2'fJ ADDRESS BUILDING USE CITY TEL. NO. a -f aS-71 STATE LICENSE NO. CLASS. ,f CITY LICENSE NO. ADDRESS 18 4 Cf C Zoe UJJ LA) NO. ITIM EACH FITS COSTA MESA, CALIFORNIA Dwelling, Sq. Ft. f ARE CROSSST ST. . ,Thr CY, vv /_ LU Garage, Sq. Ft. OWNER �QGAC A,ncC ii ,oc I- first 20 Outlets, each MAIL ��ff - 11\r I t 1 ADDRESS itg`7' ye-g- rt,LV/V /�/ QOutlets, Additional un COSTA�h1'E'$ TEL NO.54h -!o/Pei- First 20 Fixtures, each I HEREBY... EREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLI- } CATION AND`STATE THAT THE ABOVE IS CORRECT AND AGREE J Fixtures, Additional TO_COMPLYI WITH ALL CITY ORDINANCES AND STATE LAWS REG. CC ,ULATING.ELECTRICAL WIRING. W D ( \\ 1L CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF O. Dryer _ CALIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF 0 Fan ^ \q/y , THE SINGLE FAMILY RESIDENTIAL_P^ROO/PERTY DESCRIBED ABOVE. Z Heater Ir Sipnonne ofd\ Cr...,Z, f'LC W � �� PERMITTEE I 'L/1.E7` �! 3 Oven, Domestic rk 1.\ NO. U ITEM !KN Fill y I {— Pole, Construction -,n1 �,/ Sign 6 I Trans. 2.00 q S Range, DomesOct'\\ \" Transformers KW W S Misc.t( .F CC 114.P nGeM.raters KW T /v"a //" .LVL=vC �i4'2.r y Motors ISea Schedule) n �� s-7-z5 7G IA ,MQ/( —l'h-7'S P xi 6-DDHP - HP Sub-Total Fees 1 HP APPROVALS Meters, w. IN DATE TEMP. POLE UNDERGROUND CONDUIT Permit Fee 2 00 ROUGH Sub•Totol Fees FIXTURES 3 POWER Total Fees l UTILITY CO. NOTIFIED . FINAL L_ _ b�-/t j-7. Fill-23 room - For items not listed refer to Fee Schedule BLDG. PERMIT NO. /4