HomeMy WebLinkAbout190 YORKTOWN LN - Building Permits est -ORBS OF BUILDING: 190 YORKTOWN LN Wet CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNOWN: NGUYEN, HOANG TRAN PERM NO: B 073621
ADDRESS 190 YORKTOWN LN
COSTA MESA,CA 92626 PERMIT NO: B 073621 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECTONENaNEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ARCN.OR END'S ADDRESS: OMT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 .00 GROUP OCC: R-3 /
CONTRACTOR'S NAME STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTOR'SMMUNG P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA uc.NO.: 402536 ******************************** **********************************************
90241 WIT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury Mal I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Sodom 7000)d Divisen 3 d the Business and Proles •and my license is in full force end effect.
CITY LIC.NO. 59 77 uc.0 S: C 39 sic. 025 EXP 10/9 MAIN BUILDING ACCESSORY BUILDING
V _ TNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dale: O " TTT calnraaor: PytA LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty perjury'hal I am exempt from the Contractors License w for the
following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,all r,improve, PARKING REQ: PRO V: PARCEL: 41916547 Z N E: REF NO:
demdah,or repel any structure,prior to its issuance,this requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>.
licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commenting with Section 7000)of Dshion 3 of the "I
sines and Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section r>.
J1.5 by any applicant for a perms subjects the applicant to advil penalty drat more than five hundred dollars(MOW iEiEiEfEiEiE1EiE1EfElE1E1E1Ei_E1EiElE#lE1ElEillE*1E1EiflEifiEiEiEiElEiEfE3EfEfE1E1Efk1E1E1E1f1EfE1Eif1Fi(-ick#ifs(-ifiFiEiE1ElE3EiEfE1EiE141fiEifiEiFiElf***
❑ I.a owner of the property or my employees with wages as thei sole compensation,will do the work,and the structure is not intended DEVELOPMENT SERVICES R E U I R E M E NIT S
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly Q
who builds or improves thereon,and who does such work himself or hersel or through he or her own employees.provided that such
improvements are not intended IN offered for sale.If.however,the buidingorimprovemnt is sold within one years completion.the ZONING APPROVED BY : ,;i
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
•
❑ Las owner of the properly,am esdusivey contracting with licensed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors License Law does not apply to nwer enof property who builds or impieties thereon and who BUILDING APPROVED BY : DATE:
contracts for suds projects with a mrarador(s)licensed pursuant to the Contractors License Law). a,
❑ lamexempt under Section: B.APG_for the reason: APPLICATION ISSUED BY: % DATE-
******************************** * ****************************** **
Date: OwnerLEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of Celioma Health and Safety Code Sections 25505.25533,and
25534.andfor
onllwnyMure buildingionoccupant wilouaiit will anage ent Dided locomttyw4haicon applications pldeeand
arthe remptfrom tefor
le BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
2purmatnd thalI or y fmaeilinhoccpanl l/will rot(circle
Di)teed to comply)conwith said
nosathe requirements
Provisions. PERMIT 54 .00 . 50
Date: ApricanL • SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under Penaay of perjury one of the following declarations: ISSUE FEE
❑ Ihaveandslmaintaitacenifvatedansentloselinsuretorwake&compenation.esprovidedforbySemon370odtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the performance of the work for wt,ch this permit is issued.
C7 I have and will maintain workers'compensation insurance,n required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 .00
7C work for which this permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
Policy Number: 044940000468 / 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC _FIRE SMIP/TOT GRADING PLAN—CHECK
section need nor be completed y the panni is Sr one hundred ddgars MOO]or less.) 54 . 00 . 50
I may that in the performance of the work for which the permit is asu.. shall not employ arty person in Illy ner so an to
become yyynddbl�paddf to the workers'compensation laws of California. that 4 Id become n o the ************************************************M******************************
corrspu yap! Sect' 37„(1.0>:the labor Code,I shall ft: .r ph than provisions.
/T(_ Jy� / �-9 INDIVIDUAL F E E BREAKDOWN
Deb: / . Applicant: a lid I
Warning:Failure to secure workers'compensation coverage la unlawful,and shall subject an employer to criminal p a/des and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars otocko00A In addition to the cwt of compensation,damages as provided for In
t
Sectton3705ofMeLaborCode,lnteresandattorney'sfees. 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 ler ihe END OF FEES
performance of the work for whirls the pens is issued(Section 3097.CN.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I 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 property
for inspection p et.:s.
AI D 'LENE BUR o 'D
•
(/ #/is't
Di 0027664/95 37667 TOT 5¢e50
AlL. Lid/ASAP ;r� Dae: / DATE: 08/04/95 TIME: 09:16
Signature of OvmerlAgenW'pficanVContractor/
(5151-48 WP) White-Building Si Safely:Green-He:Canary-ApPlicant;Pink-Revenue:Goldenrod-Assessor
I .
:i CONSTRUCTION AND PLANNING POOL "A
r 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 i
, -53,Steel Reinforcement 56. Rough Plumbing & Pressure Test
:2:76-.-•'Electrical OF€R-Grnd. 57. APPROVAL TO COVER-GUNITE a .
a:
S7 Footings P 58. Electrical ConduiLUndrgrnd. z i
8c'Foundation W 59. Gas Pipe, 0 Und€rgrnd., Test
_S <-
7',9. Water Pipe-Uncle-90d. 60. Backwash Lines, Fr-Trap, 0 Undrgrnd. .
10. Structural Floor System • 61. APPROVAL TO BECK-
11. Property Sewer Line & HousiConnection 62. Backwash & Receptor-Final
n
12. Sewer Cap -t: - t. 63. Heater& Vent-Final •
_ r
13. Roof Drains64. Plumbing System - Final
14. Rough Plumbing= .+ 65. Electrical-Final .
15. Rough Electrical Conduit 66. Solar System-F,aiel r ,
16. Rough Electric N�irin•-g 67. Fencing & Access Appfovai i.
17. Rough Wiring Sign - 68. APPROVED FDR PLASTERING •
18. Rough ElectricatT Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning „ Fty EDEPT7REQUIFIEMENT
20. dough Factory Fitajlace "r' ^Q : D_ Jr, APPFYOV,�, ,$:,_:, Pe'Kmit # z
21. Duces, inStrU tune- •• 'S - - ;�;R _ 70...-Under�r uRd Fiydro 'i •
'22. .Ducts, Ventil ing.�.`' _ -, r-cr c 71. Produet Piping.OGas GhOil
23. ' as Ripe-Rough & Test ri": e• rrr _ '1 t* - 72. Underground FIIJ 1'
Y _r r-rr. ,„>c*._ h Jr* ''* 2
24. Roof-Framing" =,a ' 1-t- , -, 'tri -e R, ,... , t 7$; Undergr"nd.Stos�ge-anh:DGas O`OII
25. Roof-Sheathing .s:x•• • • -- j��L7 . •• (c 74'; 'pverhead Hydro- " -
26. :3'-BaV,Ceiling (Strkyfiural) & Monocoat 2 ; T 76•.-cry Chetnical
27. T 'rame
and Flashing.x jo-.- * T i• 7;* 76. Dry Standfipe•x
r
- 28. Lathing Siding 6 -
>t T=' ,; Z •• -•a 7i. FIXEDSM
'4TE, FINAI '
29. Insulation• • - - •• -c ' w 7 '. FIRE PREY. FIr' L Y
- - s F
• 30. Drywall Nailing c > 6, e E., * S HEALTFI DEP '.1iEGUIR MENT
-tjA I 4'^- 7 = 79. FINAL LNSP• ECTJGN 4
31. Plaster BrgwrtC 7 r . r^- r _ .r
32. ElectricaROw2! Mkt r-Fisal , A 85: FOOD CERTIFaCATE ISSUER
t- 33. fiinal- c-Electri , yr. • ' r' Notes: - -' .: . O
* _ _ -ie-
..
34. :FinaF-Heating_& Ail-Conditioning•= ' �' •<• '" ` 7
35. ,F:inalGas-Pipe-Test "- - ` .: _ • el
•• 7: x -+
4- - --
36. Hood or CCanopY =.* 7 ¢ * n ` 5 T') -0
2 r-
37. EinalFactory Fireplace ,: . I-:.- - n = x ru
.d - ___
: 38. Finaa-Plum -bing - Jv q) * ^ x - -
- 39. WateFSer- icerFinal ; 'V , "7' ,- - r s
-4 x r, -
40. Gas Service-Final C'-'r S * r' t .- • '
- e):-- r., * _ . or. xC
- t
-- 41. Solar Domestic-Final ' .t - _ u . -•
_ ,:
- 42. Backflow.Preventer ' K X u• -
n . n t --_ * r-• .i _. -• i
n. :f e• 1
43. Backflow Irrigation ,, >." * r r- k ^
I. • -r C. !
44. Landscape Initiation System'1"�� ec air - - a: m - '
45. Sound Attten'uationf .-.. * -n *n'r r r , .,, .
`46. Handicap'Regu'lations ' M x •-7. - c r
'c .. n _ . > C. InvO
47. FINAL STRUCTURE & BUILDING ' &a/4:C'
ru°t w
48. FINAL PLANNING; - - r m - a ?� c - •
.
49. Electric Release to Epison t - L _
r, i. -
50. Gas Release to Southern California Gas Co 'r -' - ' - .
, - -- x • r s a', _
51. CERTIFICATE OF OCCUPANCY ' '
No Date
2274
COSTA MESA BUILDING-AFETY�DEPARTMENT FEE RECEIVED
P.O.BOX 317 COSTA MESA.CALIFORNIA ��������pp pp��((++�� *pp i o is
For Applicant to Fill In Completely APPLICATIOMA& PP &'
CRI
TYPE OR PRINT LVINWSTA MESA
BUILDINGDRESS ��� ` For Office Use Only
ADDRESS f/%
RECEIPT NO. PE�Mg.NO.
COST MESA, CALIFORNIA 74
(\\/� RECEy1'///L/�J BY D T13 RE#LVED DATE ISSUEEI
OWNER alL.44r!u ((J&c C/ On BUILDING !� �r `IN 1 1964
AD RESS I I (()W ((- . ,S(� k ar ADDRESSFIRE
�j'
TEL "7 n ZONE TYPE GROUPrL 4
CITY �! �/' // NO �/.�/��/
-
ARCHITECT TEL. /1 APPROVED DATE
OR ENGINEEfiT� Yaa.A.It..YLQ�G-- NO. ?O�U
v a . ZONING If
ADDRESS 2 �is - J� /1 M ✓`
3 n 'F' 1206 I PLANS.Jif UBEOFt V �;
• : `^\�T)1`,`,%(l\^\4 Oily1\ PLANE BUILDI
CONTRACTORSQ. �(/`�� � y(yJ;�
1I io b ` T 8"-if lit �Y LEDAL /An_e_ 1c/V O /Fag.
DescRlrtlon
ADDRESS / I / ,L�/
CITY �i �t / A.P.NO. I 11 ` .3 / .�r
STATE 947 (L-1 NEOL.go;7/g7 ' SONO"(TO SIDE REAR P.E: NO HAVE OVERHANG SHALL BE LESS THAN
LIC.NO. / TnC !I L� JJ
EAVES
SIZE OT JL
aO t! 7 p I NOW r LOTE O ALLOWED (U.B.C.REQUIREMENT)
OF
r � YARDS APPROVED YARDS BU I LDI (V(
VED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C� BEET/ L.
SETTER KO
LINT PROM /3 O FRONT - FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT 0 I RIGHT O R.SIDE FT. FT. 0(
DESCRIPTION OF WORK L.SIDE 0 FT. ty
Fr.
�/ REAR (Si FT. FT. l/!� t
NEW Ii ALTERATION. ADDITION _
DISTANCE BET. BET. MAIN B
MAIN BLDGS. ACCESS.BLDGS.
REPAIR MOVING �� DEMOLISH2H VAR.# DATE
BUILDING qO X 7 ' NO.OF ROOMS , STORIES,�' a- O.L.P.#7l APPROVED
SIZE OC �(y�I\
EXTERIOR WAI[C9'fl"' _ ROOF _ n APF ROYV�11 j ' C /f t.61...
Q.
COVERING ��C/,/„(`�(11J COVERING SLA.-.4251. BY (}\_1. 1-- Y1.'L DATE > J
\ BUILT AND WORK TOE P FORMED / ^ / 5
LU
CC
t//5/S1 Sq.FT. Y ZQ 3 _ r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 2' NW
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY./ O a
BUILDIINO CON CIryCI'ION NANCSB AND STATE LAWS REGULATING VALUATION PERMIT FEE $ (2 S y
SIGNATURE OF
PERMITTEE -A a —� $ `2/‘3� A CHECK �� C
b.
AUTHORIZED AG NT / // �J�J'' ��
TOTAL FEE $ 17J
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 190 Yorktown Lane BUILDING PERMIT NO. 22246
GENERAL CONTRACTOR same VALUE $ 12,635.00
f. o. LOT 196 TRACT 160 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE Ie
Soil ' / `�— -7 SUBCONTRACTOR PERMITS ISSUED
Gas / DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. ❑ ,
Rough Heating
Rough Plumbing fg /rigAy- --�—Err�ol ,"2t
.
J2, / X3
Miscellaneous /
Prop. Swr. Line ❑ House Con. EYat.
Swr. ❑ 4 Q l / b - C 6C q 1963 42037 4
Sprinkling System / 9
Construction Pole '�/k
Underground 0 Power 0 /
Rough Wiring }2, e � ....'(SSEP 1 7 1964 A 4
Trenches ❑ Forms 0 Steel Reinf. ❑ /9�6�-
Floor System Henning DcPi.
Bond Beam ❑ Steel Reinforce 0
Sheathing 4, a / t '
Frame and Flashing {T Ea 20 :n�a.b DO" ter I ',%'
L: $— In. Out 7/ G ier/f' .c4 '.
Ph. .r, brown coat ( 9 gi .g, .
Refrig. 0 Air Con. 0 Final
treating, Final �/J.
Plumbing Fixtures, Final ./0 /
Final Gas Test//cI`'f " / /%/
Electric Fixtures, Final , -?-
Building, Final �. �i Gf
OCCUPANCY
Form BU4-6M-3-63--S-B P Mani rut( SrECIAL REQUIREMENIT?