HomeMy WebLinkAbout193 YORKTOWN LN - Building Permits •
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERMITylyo.��/ 1 TRACT NO. LOT NO. UNIT NO. 50Df1 TL.
CITY OF.COSTA MESA CpNST- JCTION PERMIT II[[// 6925 3/1 7/60
Project Address icil O( LL" fr I tt 4-REPAIR
4+ - .
Applicant's Mailing Address 'I PLOTYPE OF CONSTRUCTION LI NEW U ADD u ALTERATION }_1 REPAIR `
❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# Zone
Owner's Name .7r9 I = A ��PhoneL��'�'7> DESCRIPTION OF WORK/USE OF BLDG. • .
Address S Main Building: Accessory Building:
Z
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING L`)' FOUNDATION ❑ STRUCTURAL E Front I 0
Address // ❑ TENANT ❑ ELECTRICAL -fl PLUMBING ❑ MECHANICAL B Rear N
Contractor's Nam- TA , ��.r '(... /�,,' Phone^ 8 R900S ❑ OTHER A I
Address(mailing) T r/W 4- PROJECT DESCRIPTION SD. FT. OCCUPANCY_ C Right •
N
`R CONSTRUCTION TYPE VALUATIONS S Left R
I City License No. VV - ZONE- _ GRADING CU.YDS. ACRES _ Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:+: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and t 1988 ,T
• my license is in ful forge .nd effect. . RCC CEA
MAR•
$
License ass / eas icense N•. •C {iAR
(vim Date •-;'11). Signature /�� . ', PLUMBING FEES r
ari-
WORKERS'COMPENSATION DEC LA RATIO Bar Sink. Showers
"`ereby affirm that have a certificate of consent to sell-Insure or a certificate ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
Automatic Washer Transformer 0 15-50 KW
Policy No. '-• • Company s` > JI Ye-• `t-t/ 1✓` Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW
\ ❑ Certified copy is hereby furnished.
Cdr�ts'5tie cop I filed with the city B��/t ng I n,// Bathtubs Sewer Connection Cooking Unit Meter Dug to 100 amps
Date '' 'tI Applicant ri /�! -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel ,
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 subject to the Drinking Fountains Solar Tank Fan
Motors 00.1 HP 01'4-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa `� F.A.U. - - Inc.Solar 09-15 HP 016-15+ _
NOTICE: If,after making this declaration, you should become subject to the — -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed .revoked. Fixtures Microwave
CONSTRUCTION LENDING AGENCY e Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097-Civ. C.)
N Interceptors Water Heater Outlets Range
Lender's Name 9
Lender's Address ' Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION r
I hereby affirm that I am exempt from the Contractor's License Law'for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code:'Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit P
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9 (commencing with Section•7000) of ,
Division 3 of the Business and Professions Code) or that he/she is exempt
`lerefrom and the basis for the alleged exemption. Any violation of Section
)31.5 by any applicant for a permit subjects the applicant to a Civil
enalty of not more than five hundred dollars($500).
❑ i, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
' License.Law does not apply to an owner of a property who builds or improves
pthereon, and who does such work himself/herself or through his or her own - . DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ Approved
sale. If, however, the building or improvement Is sold within ono year of corn- Canopy Type II ❑ Zoning pp By Date
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
LJrove for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law), I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT /�`
❑ I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ iLf�'t0 •ISSUANCE $ ( Yy/
Date _ owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ • '
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction, and hereby authorize repre- MICROFILM $
sentatives of thi city to enter u on the above-mentioned property for PLAN CHECK 50% $ �� }S
inspection pur s. / �`fi MECHANICAL $ TOTAL FEE $ t/
Signature / ` _Daze_rJ-�'G d Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
Drivers' License or SS#
CMF 0885-46,rev. 10/84 White - Building; Canary - Applicant; Plnk -Accounting; Goldenrod - Assessor
CONSTRUCTION AND.PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. T.emporary#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 =st
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. 57. APPROVAL TO COVEfi,;GUNITE
7. Footings : 58. Electrical Conduit-Undr jr`nd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.'-T•est
9. Water Pipe:Undrgrrid. 60. Backwash Lines, P-Trap.?FF] 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 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 FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:WI.2 y, Zeprojq.Q, 4,60
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing giZ L,A0
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Fin&
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING - -
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. _ Date
•
--ter
ADDRESS 0i BOXING 193 YORKTOWN LN OGT: CITY OF COSTA MESA — BUILDING PERMIT
avNEWSNAMEwmcwI: HUNTER, VANCE TR PERM NO: B 073757
ADDRESS 3506 W ROBERTS DR
`SANTA ANA, CA 92704 PERMIT NO: B 073757 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.MAKING ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC ND.: JOB DESCRIPTION : T/OFF, SHETH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ASCII.OR ENG.'S ADDRESS: UHT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 . 00 GROUP OCC : R-3 /
CONTRACTORS 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 ************iE9tlEiklEiE#1EIEiE****iEitiEif-iEftiEitifitltlEiElf#fE9E1EfEjEiEi ***7EifiEiEiElEifiFitlE#iEiEltifiEifiE#9Ex-IEic-ifiE*)Ei[-
90241 OGT, ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty jury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Proles e,end m license S in full force ,effect.
ITYuc.NO.: 059377 uC.cuss: C 39 uc. 02 6 E 10 95 MAIN BUILDING ACCESSORY BUILDING
(�� �� / RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
b �I Canaan GF'" -� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors Li..nse Law for the
following reason(Section 7031.5 Business and Profession Code:Any city or county which requires a permit to cors!. ,alter,improve, PARKING REQ: PRO V: PARCEL: 41916543 Z N E: REF NO:
, lemolich,or repel any structure,prior to its issuance,also requires the applicant for such permit to fib 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
.usiriess and Professions Code[or that he or 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 mil penalty of not more than fee hundred dollen[55001). **********************************************************************,*********
❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work.and the immature is not intended D EVEL OP MENT SERVICES R E Q U I R E M E N -TS
or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of properly
who builds or improves thereon.end who does such work Nmself or herself or through his or her own employees,provided that such
improvements are of intended or offered for sale.ff.however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: r
ownenbuider will have the burden of proving he or she did nor build or improve for the purpose of sale).
❑ I,as owner of the property,am exclusively contracting with licensed contractors to construm the project(Swim 7044,Business and BUILDING APPROVED BY : DATE: ...--
Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). /, •
❑ I am exempt under Section: B.A P.C.,Ir this reason: APPLICATION ISSUED BY: DATE. /�XFJ
**************************** *** ****************************** • ' -...
Date: °wnar LEGALIZATION:N F SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of Ca/Mamie Health and Safety Code Sections 25505,25533,and
25534.end that I or any Mum building occupant will/wil not(circle one)MAXI to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modficationhprnthe Air uuliiyanagement District.Residential construction applications aro exempt from these pERMIT 54 . 00 . 50
provisions.
Date: Applicant: SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ !have and thl maintain a certilPate of consent lo seff-insure for workers'compensation,asprovided for bySection 370001 the Leta BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code, the performance of the work for weigh the remmn is issued. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
E I 1 have and wit maintain workers'compensation insurance,es required by Section 3700 of the Labor Code,for the performance of the
'1Y wekfawhimthiapraued.Myworken' mge{yap(jppinasranaeaarderampai4ynamberare: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
Carrier: remit
1
Policy Number: 0449vu0004687 10/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed/the perms is for one hundred dollars(5100)or less.) 54 .00 . 50
❑ I certify that in the performance of the work for which this permit is' ed,1 shall not employ any penin'.any manner so as to
become subject to the workers'compensation laws or Ca,Aorn and agree tttyyyttt if 1 should •..., [Ned to - workers' *******************************************************************************
compensation provisions of Section 3703 the coag . don nwhh mase p. IND I VID UAL F E E BR EAKD OWN
Date: g/1' / 9 Applicant: •+�' /
Warning:Failure to secure workers compensation overage is unlawful,,and shall subject en employer toc nal penalties and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil line.up to one hundred thousand dollars(S100000),in addition to the cost of compensation,de •- as provided for in
Section 3706of the Labor Code,interest,andattorney's lees. 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 of the work for which the permit is issued(Section 3097,CN.CI.
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
end state taws relating to building construction and hereby authorize representatives of this thy to enter upon the above-mentioned property
for inspection gt
urosesRLENE BUR
FOR
Print Name l/l/� �S
S.
Date: !(7X/Jf (/�rJ/ 01 00188157-00188158 TOTDA
54.7,D
I` a- O.mer/AganUAppicent/Cwmueda 01 0 03/11/95 8158T1tIF08:42 G
(5151.46.WP) While-Building 6 Safety;Green-File;Canary-Apptcant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANIVIIVG POOL a SPA
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 - --
5. Steel Reinforcement 56. Rough Plumbing& Pressure'Test -
:17...-1.'Electrical UFEq Gind: 57. APPROVAL TO COVER-GUNITE '
a
"7. Footings Vie, 58. Electrical Conduit-Undrgrnd. 72
- . 8:• Foundation - -• 59. Gas Pipe, 0 Undrgrnd.,Test , ;
' ,' 9:Water Pipe-Undrgipd.,' 60. Backwash Lines,P-Trap, V Undrgrnd.
•
10. Structural Floor System . ,, 61. APPROVAL TO DECK t . •
. 11. Property Sewer Line_& House Connection 62, Backwash & Receptor•Finpl
12. 'Sewer Cap 63. Heater& Vent-Final
13. Roof Drains 64. Plumbing System - Final ' -
14. Rough Plumbing -: ' 65, Electrical-Final ;7 r+'•
•,r
15. Rough ElectricahConduit 66. Solar System-Final �
„
16. Rough ElectricWiring -
g -. • 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1 J
18. Rough Electricel-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - '
19. Rough Heating & Air Conditioning - - FIRE_DEPT. REQUIREMENT _
20. Rough Factory Fireplace APPROV_AC;S- Permit# - -
21. Ducts,in Str &Lure - - 70. Underground Hydro
22...Ducts, V13htilafini..; , e - - _.* c 71. Product Piping D.Gas 0 Oil
23. Gas Pipe-Rough & Test I - = i -: -- 72. Undergrouhd Flush = -
24. Roof Framing' - - ' re " J. '6. - 73. Undergrnd.Storage_Tank ❑Gas 0 Oil
25. Roof Sheathing _ •f-/0_-f / Gj 444- 74;Overhead Hydro.
26. T-Bar_Ceiling (Stri.it ural) & klibcoat y - - 75. Dry Chemical T- -
27. -Frame and FlashiAg• -.'- r • 76. Dry Standpipe_-c' _
-- 28. Lathing & Siding * --' -, i . _ 77. FIXED SYSTEM FINAL- r
29. Insulation' _ •• 78. FIRE PREY. FINAL - >
' 30. Drywall 'Nailing = _. HEALTH DEPT. REQUIREMENT
a -
t
31. Plaster Brown Coat -- e- rr 79. FINAL CNSPECT1ON ' -
32. :Electrical.PoWer Meier-Final _ - 80. FOOD CERTIFICATE ISSUED _
.L
33. Final-Electric, -,R ,- . \' Notes: y -' -
- 34. Final Heating✓& Air topditionirig= '
35. :Final'Gas'Pipe.Tefl -- _ - _
36. Hood'or Canopy "` _' • - -•
T. - n
37. Final Factory Fireplace ,-; - - - -
38. Final-Plumbing , , . - , m
,i
39. Water Service-Final ,x ...
40. Gas Service-Final " ' r T ^ ' -
' 41. Solar Domestic-Final -
�. _ .e
42. Backflow Preventer - '
43. Backflow Irrigation , - t c
4. r
. 44. Landscape Iriigation System= a' ' ' : `..> - T"i - s
c
_
'45. Sound Attenuation. - T
'6. Handicap-Regulations '
47. FINAL STRUCTURE & BUI'LDING fp 4(4( 6.14.44 - L r
48: FINAL PLANNING ' " .--"1 _ - ..i y - H •y
-
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co • ,', •) - - ' -'
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER GAN vrGTA 1311 CQ, DATE OCT 3 0 1963
JOB ADDRESS 193_Yorktown Lane BUILDING PERMIT NO. 206514
GENERAL CONTRACTOR San Vista R°i ing CQ VALUE $ 1%895.00
AP No. LOT 170 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Re a.4att.gar
INF"ificrioNs Si•nature DATE GROUP I&J TYPE V ZONE R_3
S( / - . /J'�3-� PERMITS ISSUED
Gas �,/ - -
SUBCONTRACTOR DATE _ NUMBER
Wateryya5/2 Z7-G 2
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating ..>y-____ 3/o--iyfcZ,�U7D5 -q ffi(l _liae� _y��L
Rough Plumbing 3-.7_6,11 A t c t c •
Miscellaneous
Prop. Swr. Line 0 House Con. Int. Swr. ❑ Q-4 3 R.-tor 0,-,LA.- e", +-e NOV 1 3 1963 n �'-
Sprinkling System / - ';,
Construction Pole //,,'},,rr
Underground ❑ Power ❑ Jl3l
Rough Wiring e si C (d/ C om, °�' ce l f L{ 'tea\ 7.
Trenches❑ Forms 0 Steel Reinf. 0 - / %f /7 / i/ b`e-
Floor'System _
Bond Beani 0 /Steel Reinforce 0
Sheathing ( o•Sheathing _ it/COY D
Frame and Flas ' 4.....„.„
+' ; -/0-c _ b
Lathing— In Out /ji�j (�
Plaster, brown coat S / . y I q
Rfi; • 0 Air Con. ❑ Final si i/ [ l
VI:,:Ng,H= ::`Ig, Final f Y - 7v'4./ P-1? f -q.4
Plumbing Fixtures, Final �/ �i� t
Final Gas Test , - sf
Electric Fixtures, Final
y
Building, Final —87/V4-1,',W,
,
OCCUPANCY
Form BU9-5M-3-63-$-B P new w mAn a4.64.044 s- ___—_
- 20654- FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENTEP 2 6 1963 DEPT,
P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE
z r'Ty n ��T� L����
For Applicant to Fill In Completely XPPLIC74�ISIP'FDR•TCIOAIT
TYPE OR PRINT Lot 170 BUILDING
BUILDING For Office Use Only
ADDRESS 193 Yorktown Lane
RECEIPT NO. P71654COSTA MESA, CALIFORNIA VVVVVVVV
RECEIVED/ BY� O TE RECEIVED DATE ISSUED
OWNER San Vista Building Co. 4z/ 70?.5 3 OCT 301�
MAIL BUILDING C�JJ�� A ' -,' - ,
ADDRESS 1166 E. 58th Street
ADDRESS /!\J // ^'L(/ /G/ /n'J
CITY
Los Angeles 11 TEL AD 3718; ZONE TYPE ✓ GROUP �J ;I �'"
ARCHITECT TEL, APPROVED U
OR ENGINEER Raymond Levans NQ OR 3701( BY DATE
ADDRESS 3432 Via Oporto, Newport Beach ZONING 1
Zrt` NO.OF�1 USEOFNE ra>
San Vista Building Co. I :3
I PLANS / I Bu1L01 D/pi
CONTRACTOR 00000���� "W
LEGAL Tract 5160 - Lot 170 13
ADDRESS 1166 E. 58th Street DESCRIPTION
CITY Los Angeles 11 A.P.NO. NI 34
3— /
n n NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE 192782 TE AD 37187 SO-TO SIDE a REAR P.L
C. EAVES
SIZE 20X 70 • NO.OP BLOCS. 0 ALLOWED (U. B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. None (FROM C
SETBACK LINE FROM
CENTER OF STREET 13 I REAR YARD 2 18" FRONT FT.
SIDE YARDI LEFT 0 I RIGHT 0 R.SIDE
DESCRIPTION OF.WORK L.SIDE FT Fr.
NEW X ALTERATIQN ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN Q
REPAIR MOVING DEMOLISH MAIN BUDGE,. ACCESS.BLOCS.
8 Z # DATE
BUIELDING 20 x
33 NO.OP ROOMS 5 Pla�oR HS 2 C. P rit. APPROVED
EXTERIOR WALL, ROOF AP / �[
COVERING 5tUCC0 I COVERING Shingle @Y DATE ` g-(3
USE OF BUILDING AND WORK TO BE PERFORMED
Residence and Carport �7g A9 7Y80.�
iii
N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT 8 N UNDER VALUATION 18 FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISH INC A PERMIT FEE ONLY. G
PLY WITH ALL CITY ANGER AND STATE LAWS REGULATING VALUATION _
BUILDING CONSTRUy-C♦ VISTA BUILDING CO. PERMIT FEE $ � N D
SIGNATURE OF !•_� O
PERMITTEE 664-4A.4_...4,43
i ?
_1
aures N. Starbir i ��s PLAN CHECK S ��`rG0
AUTHORIZED AG NT /7. 6-4)
v a
i. _. . \ TOTAL FEE 5 �P