HomeMy WebLinkAbout194 YORKTOWN LN - Building Permits •30FBUILDING: 194 YORKTOWN LN WIT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERSNAMEIFIGIOWN: METZGER, THEODORE H TR PERM NO: B 073623
ADOREss: 2985 FAIRVIEW RD
COSTA MESA,CA 92626 PERMIT NO: B 073623 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MAJJIO ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE: SIR 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: WIT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 .00 GROUP OCC: R-3 /
CONTRACTOR'SNAME: STOUT ROOFING INC ( 310) 923-6775
CONTRACTORS MING P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA UC.NO.: 402536 ******************************** ***********************+ERPRk*** -****ii- -sir- -*iF* -sE**+F
90241 WIT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under pen. -dory that I am licensed under provi:' of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Prof and my f.. .: S in full force..: act.
CITY LIC.NO.5593 7 LIC : C 39uc 4025/16 EX/ 10/ e / MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dae: --1 /p Commacc �' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penty of perjury that I am exempt from the Contractors License :w for the
following reason(Section 7031.5 Business and Professions Code:Any cEy or county which requires a permit to construct,. er,improve, PARKING REQ: P ROV: PARCEL: 41916545 Z N E: REF NO:
"dish,or repair any structure.pror to its issuance,ago requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>-
*need pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of DNeion 3 of the
,mese and Professions Code]or that he or she is exempt therefrom and the baths for the alleged exemption.My violation of Section >
vo315 byany applicant for a permit subjects the applicant to a civil penalty of not more thanfive hundred dollars 1$5001). **************'*****************************************************************
❑ I,as ovener of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended D E V E'-L O P M E N T SERVICES R EQU 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 buil°or improves thereon.and who does such work himself a beree5 or through he or her own employees,provided that such
improvements we not intended or offered for sale.I,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ Peassonr athe property,emtor, withLiceneoLiwdkelicensed the project improves7044,lhaeoniand who BUILDING APPROVED BY : DATE
Professore Code:The moony, exd scams Law does riot apps to an owner t construct
who builds (Section
4Bun 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..for this reason: APPLICATION ISSUED BY: DATE:
********************************* ** ***************************** **
Date: Owner: LEGALIZATION:N FEE UMMARY STRUCTURA SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Coda Sections 25505,25533,and
25534.and Mall or any Mum Wilding occupant will/primal(circle one)need to comply witheaid sets cedes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit forconstruction or modification from the Air Quality Management District.Residential construction appimtions are exempt from these
provisions. PERMIT 54 .00 ,50
Date: Applicant: SM I P/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally al perjury one of the following declarations: ISSUE FEE
❑ I have end will maintab a°anthems of consent to sell•insure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Cote fon the performance dthe work for whish ihle permit eIssued. TOTALS----> 54 . 50 0 . 00 0 .00 54 . 50 54 . 50 . 00
9 I have and wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance a the
7S work for which this permit is issued.My workers core ansuce
ion inrancanter end policy number are:
Carder: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER/SHORT: . 00
Policy Number: 0449400004b8 / 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
v section need not be completed I the pert is for one hundred dollars(4100)or less) 54 . 00 . 50
❑ I certify that In the performance of the work for which this permit I shall not employ any person y manner so es to
become subject to the workers'compensation laws of Calibur' .and agree that' I should bed to 1 worvan' *******************************************************************************
compayeton qns off$.p/a of the Labor Code.I orthwm /mP[y/,fth those INDIVIDUAL F E E BREAKDOWN
Date: `lY/.•sup) /_ / C Applicant: /9//// P
by ming;Faaun to securecumutters'compensation coverage O unlawful,and shell subject en employer to erfM I penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Noes rpt to one hundred thousand dollars(S10g000A In addition to Ina cost of compensation, age a provided for In
5«tion 3706oftiMLaborCods,Inteeaf,andettomey'slees. damSFR 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,ON.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application end nate that the above Information Is correct,I agree to compty with all city end county ordlnences
and state laws relating to building construction and hereby authorize representatives d the city to enter upon the ebove'mentloned properly
Ion inspection p ea.
D LENS BU'4,4RD . 01.40 t
TT
Print Noma a. ons: 9''95" DATE: 08/04/95187665 T1tiE: 091.5 :4g5
0
"MISignature of Owner/Agent/Applicant/Contractor
(5151 ae.WP) Whke-Build g&Safely:Green-Rte;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING P40r WA
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 Uj.lity-Undrgrnd. 54. Forms c-
_'41ElectricalCondgit-Unm-drgrnd. 55. Electrical Bonding _
t1-%,Reel Reinforcernegt^ '
56. Rough Plumbing & Pressure Test
6;[Electrical UFER=Grnd. 57. APPROVAL TO COVER-GUNITE _
-+x
,,p_. Footings c` 58. Electrical CondtiiUndrgrnd.
r. A. ,Foundation \ 59. Gas Pipe, 0 Ui r9rnd.,Test
T T
-�9. Water Pipe-Undn3rnd. ;-;; 60. Backwash Lines,RTrap;3 Undrgrnd. •
10. Structural Floor System - • . '61. APPROVAL TO DECK - ,
A,. - -
11. Property Sewer Line& House:Connection 62. Backwash & Receptor- Final ; '
12.Sewer Cap ..... 63. Heater & Vent-Final
T
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing-+ 65. Electrical-Final . I
15. Rough Electrical-Conduit 66. Solar System-F,inai 1
16. Rough Electric Nliririy _ 67. Fencing & AcceesssApproval '
17. Rough Wiring Sign 68. APPROVED FR'PLASTERING
18. Rough Electricart Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning �, - FI E-QEPT,.,REOUIREMENT _
20. Rough Factory Fi4place ^ '. tr `x _ T .r -3 APP F. V_-- Permit# -,
.
r
21. Ducts-s inStrature:• • •• --S 5 C -1 x `t 70.;"Undergrou7td hydro
22. Ducts, V&itila int e .« ri ` 7, ?' 71. Product iping btGas C Oil
23. Gas Pipe•&ougit& Test -;;, f Cr! -..-7 \, t` '- 72. Underground Plua`h' * -
24. Roof Framing•' S-',;: _ `a a - 71 Undergr'nd.Stt-g e.Tanl'C❑Gas ❑Oil
25. Roof..She`thing: , ..- ". S-W ; •74:-Overhead Hydr&
vL.
26. T-BarTCeilin Str ttral) & M "'oioat ' - 75,-r ' -
9 ( +'S_,_ t{n: .* y Chemical _
W �, _
27. Frane and Flashing = x c De 'i' 76. Dry Starlidpipe- ' *
F
28. Lathing$'Siding � . ' 'J r. 1: .. •• "4, 7r. FIXED'EY'STEkFINAL .
,> _ y _
29. Insulation,• *' r 7 FIRE PREV. FINAL -
30. Drywall Nailing 4.y _ ' I 1HEALTH DEPT. REGt1IR.EMENT
31. Plaster BrownCoat a - x -c 79. FINALINSPECTION -
32. _ElectricaFPower MG,i rFinal I - 4 i`f '718(; FOOD CERTIFICATE ISSUED
t.1_ 33. Final. Eleciric. - k Notes: - ^- • {
34. :FinaT3leaung& Air• ond
CitionilTgt _ � `` `•
Sir _
.. -
35. Final Gas-Pipsi:Tettt- , - _ -.
36. Hood+or Canopy :^` - ,.1 z a; r r. T s _ - . _ -r:
rK Er,
- 37. F.inal.Factpry Fireplace :_ __-.- ;. •i ..
i
'I 38. Final Plumbing ' -'' - `
t -
- 39. Water'Sertice,.inai x z ^ z
40. Gas Service-Final - . s .r ' `�-..
41. Solar Doirfestit-Final `'
42. 8ackfloW.Preventer • ti x - • - - -
.- :k -- "1:Yu x -
-
43. Backflow Irrigation ; _'S F -. _ -
r
144. Landscape irrigation Systemmt. - - n- Cl71 ., 2i a... `
x - c: C> t -' I .
'45. Spund Attenuation - - - x ;i - ;r-• -- C.-•
46. Handicap•Regulations - x r* c _ . i.
47. FINAL STRUCTURE & BUILDING ._ 'd0"
l03l-9ti4 : . •
48. FINAL PLANNING' - 4r * t'' _
co -. _
49. Eleciric Rglease to Edison * _ -
50. Gas Release to Southern California-Gas Co * .i?' - - - •
* z j
51. CERTIFICATE OF OCCUPANCY • ' '• -
No Date
•
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 14k_�.'.Qrld.QSal lane BUILDING PERMIT NO. 22248
GENERAL CONTRACTOR same VALUE $ 159735.00 •
�y
,,=_.FJo. LOT 198 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK ree Watt. gar
�
I?* CTIONS Signature D T�')GROUP jy{SUBCONTRACTOR n,T TYPE V ZONE
Soil /Ql %57 - PERMITS ISSUED
Gas DATE NUMBER
Water '
Rough Corn. Refrig: 0 Air Cond. 0 o ,..---
Rough
Rough Heating ( ��" s/ ��/ /may- ,G� �- % IL <—3 /
Rough Plumbing �� �/ Fi rl 0 v-/—fin v ��rn
Miscellaneous
Prop. Swr. Line D House Con. Q'St. Swr. 0 - -/ // - (vn .. rFr 9 1261 ►urailliki I v
Sprinkling System JJ k'r
Construction Pole 1 Vi
Underground 0 Power 0
Rough Wiring Kl? /p-13 �'¢t -7Y., -- « SEP 1 7 1964 , r
Trenches ❑ Forms 0 Steel Reinf. 0 ?/^ / k U
Floor System / (
Bond Beam 0 Steel Reinforce 0 �/
Sheathing A�,�y(a C�/o^�/ Dlsmmns B.O. _
Frame and Ftashin [ )9/e- /p 44-:, " • i-7 '�.S
Lam' g— In,LE-- out < lo� C5� . �c k. .t 14"
F'.r, brown coat in �- (// U7(,,� Innis d` IAM\ ,."
Rang. 0 Air Con. 0 Final ' UV�Plu
mHeatib g F ixtd�Plumbing Fixtures, Final .
Final Gas Test/4-FEi itiZil
Electric Fixtures, Final _ / -- .z.-
Building, Final - 'A aS
OCCUPANCY - ,
Form BU4-5M-3-63—S-B P ,.,i
•
22248 FEE RECEIVED
" COSTA MESA BUILDING-SAFETY DEPARTMENT at 1 9
P.O.BOX COSTA MESA.CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLIQ{TI(DI8FF%® / $Q
TYPE OR PRINT BUILDING
�' �i �a I For Office Use Only
BUILDING
ADDRESS RECEIPT NO. Pj.B1�a'j{F�-{�++0A
COST MESA, CALIFORNIA �!C4F
� - t ,(jam" (111\
NIRECK ED BY DA II REC IVED DATE ISSUED
e
OWNER G jj-LE(O., \ ,I\E \J(l• !//9- / TUN 1 1Q 4
MAIL I I Glp go, ,1 a t , BUILDING
i ADDRESS
MAIL S ZE
CITY g. fl/ 1 / N / / pi ZONE TYPE GROUP 774-.-C
ARCHITECT Ar • - i .
TEL L APPROVED
OR ENGINEH .�v _-• - _ NO. y /O BY DATE
ZONING
u �E d
AL H9 S. _i i _- Z,,,v NO.OF ., I BSE OF NE %� 4
+\ \ - 1(M PLANS BUILDI ; L) , !
CONTRACTOR I (' 4.. AS 0 (� (�4q•..�lrl,., '
ADDRESS ' \ LQ V `` t ,cite SFr-- DEDEDAL o� -S-/d Cod' ),,.
ecRIRION // � 11// ��,////
CITY lf• 1/ �'/ Q. A.P.NO. I,`V / 3 (/' J _NOTE; NO CAVE f/
STATE 19a 7�. NO. 11-ID 371E / 30"TO SIDE&REAR p.OVERHANG SHALL BEL SB THAN
LIC.NO. •� (l '�/ 9ALLOWED
�
V v ) O I
NOW ON LOT v ALLO yn=
SIZE NO.OFBLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT
USE OF /jln _ YARDS APPROVED YARDS APPROVED
EXISTING BLDG. VQ'7'�-1L� MAIN BUILDING ACCESSORY BUILDING
/ (FROM C/ �REET)SETBACK LINE y
CENTER OF STREETM / 3 REAR YARD FRONT FT. FT. +_✓P/4(1n'
SIDE YARD I LEFT D I RIGHT 0 R.SIDE (0 FT. Fr.
DESCRIPTION OF WORK L.SIDE (7)FT. Fr.
,v)
NEW x ALTHRATIQN ADDITION REAR PT. FT. z
DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH
/ MAIN SLOGS. ACCESS.SLOGS.
YFpW�J`T VAR.* DATE W
BUILDING LIQ II�(/ROOMB BTORIHB C.U.P.SC APPROVED
NO.OP
CC
812E OC ,A T ^o_ 1,IA `_
COVERINGEXTERIOR WA C COSERIN6 �^^ BY DATE DATE ,) /�!�/L•[-,� CC
USE \. ILOINQAND WORK TO BE ERFORMED VVV T KL........,
ur/•
a,30.FT. 0' o Cl.
Sao
II HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN U ER VALUATION IS FOR THE F O
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OF ESTABLI ING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION O
BUILDING CON= RUCTION. T,
SIGNATURE OF PERMIT FEE $ ' m
PERM ITTEP 1 .`AJ.....-.4.-.4_ ti�� ,.� �7 / `.So
AUTHORIZEDlial, / d / tq a
L, TOTAL FEE $ 7�' ,/0