HomeMy WebLinkAbout195 YORKTOWN LN - Building Permits ADDRESS Of LWM: 195 YORKTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT
avrrrnNufElFaom: CALLAHAN, GARY W PERM NO: B 073758
ADDRESS: 195 YORKTOWN LN
COSTA MESA,CA 92626 PERMIT NO: B 073758 PLAN CHECK NO: N GOVT: N SUPP : N
APPL.MMUND ADDRESS: CONSTRUCTION TYPE: VN PERMIT TYPE : STR PURPOSE: OTH
ARCNRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 2, 999
ARCH.OR ENG.'S ADDRESS: UNIT:
CLAIM VALUE: 2, 999 . 00 CALC—VALUE: 2, 999 . 00 GROUP OCC: R-3 /
CONTRACTORS NAME: STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORSMMUNG P 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA uCHO.: 402536 '1k*+E•*1EiEfE#iE#*IEftlE*lE#9EIE1EjE#x-1E1E##lfit#ifiEitiEiFx itltiEiE1EEE1r#1EiF1E K-it1EiE##*1li!#il EElElk#1t1!#7E#fEfElE1E1F1EiE1E1EiE1E1E
90241 UNIT: ZONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter S SETBACKS
(commenting with Section 7000)of Division 3 of the Buena**and Prolmei• Code,and my license is In lull l e and effect.
rrYUC.NO.: 059377 LIC.CLASS: C 39 uc 40 /. 36 P: 1 /9 / MAIN BUILDING ACCESSORY BUILDING
�/ G� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
at 0��'' l � c°n °tl°' 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 Contiaaas me Law for the
following reason(Section 7031.5 Buseess and Professions Code:Any coy or county which requires a permit to construct,alter,improve, PARKING REQ: P ROV: PARCEL: 41916544 Z N E: REF NO:
lemolish,or repair any slnicture,prior to ns issuance,also requires the applicant for such permit to filo a signed*element that he or she PLANNING NOTE$>
licensed pursuant to the provisions of the Contreras License Lew(Chapter 9(commenting with Section 7000)of Deleon 3 of the
usineas end Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >.
7031.5 by any applicant ler a Permit sublectsthe applicant to a dull penalty of not more than fee hundred dollars RSODl1. Ric**Ric*********Ric**#RE irk********irk*K irk irk irk Ek***dk Ek Ek Ekdk*************Ek*irk*irk*irk#irk**irk**t**dk**Ric**lk
o I.as owner of the propend or my employees with wages as their sole compensation.will do the work,and the structure is not Intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly
who butds or inproam thereon.and who does such work himself or herself or through his or her own employees,provided that such •
improvements we me intended or offered for see.If.however.the building or improvement is sold Welkin ore 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). -
❑ L as owner d the property,em excluseely contrarian with licensed contractors to=mud the project(Section Tao.Business and BUILDING APPROVED BY : DATE: ''^
Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who
contracts for suds prgeda with a wmnactora)licensed pursuant to the Contractor.License Law).
❑ Iamexempt under Section: B.AP.C.,for this reason: APPLICATION ISSUED BY: DATE:
********************************* *+k - **** E#Ik1FiE***)EifiF1E#iE+kiklkiE*** **
Deer Owner: LEGALIZATION:N FEE : U M M A R Y STRUCTURAL SEGMENT:Y
I do hereby manly that I ern aware of and understand the requirements of California Health and Safely Code Sections 25505.25533.and
25.531.ans gad for an Mure building moment will/wit not(circle ore)need to wmphyeth mid eats cdesard the requirements fa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
ape cdum
for nstructionormodtionfromtheAif yre�l.aagenrcmmrid.
District construction are PERMIT 54 . 00
. 50
Date: Applicant PLAN SMIP/NON—RES
WORKERS COMPENSATION DECLARATION:I herebyalfmn under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ihave adwill meimaeacertificate dconsent loselintaafor workers'compensation.asprodidedfor bySed r3700ofteLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
cod..lamepedamameddnwekraw«htnepemblslsaed. TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00
(.T I have and wit meman workers'compensation insurance,m required by Section 3700 of the Labor Code,for the performance a the
}Y wakrawhimNieperrier issued. {i�ima�aemmenadpdicynambenae: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Carrier.
Poky Number. 0AL494u000v68� 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
is section need not completed/lM panne for one hundred dollars of/a Aum.) 54 00 . 50
I'E
I codify that in the performance d the work tor which this permit b I shall not employ any person in. manner so m to
beccne cabled to the water'compensates law.d C&Eornia .•...nee Nm I should .... d!... tot waders' ikikiklkiklklEikfkik#9kjk7k7k1EEk1kiklk***Ek EklElElEfE1k1E1k1Eikikikikiklkikikik###iE#ikikiElkfkikikikikikikikikiElkikikiklEikfkikiklkitlkdk*ikikik
scomPensa, iortso yd dthe labor Code.lshe/ ' ' tt nose.. `
p�' " Applicant
INDIVIDUAL F E E BREAKDOWN
IWarning:Failure to secure workers'compensation coverage Is unlawful.and shall subject an employer to art penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to an hundred thousand dollars(5100,0001 M addition to the cost of compensation,da m provided for In
Section 3706 of to Labor Code,interest and ettomeyi toes. SFR 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 999 . 00
' CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that them a a oonanwion lending agency for the END OF FEES
performance of the work for which this perms is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read the application end state that the above information a 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 ebove'menlicned popery
for inspection, ,.,,. '. DAR ENE BURF2RD
-
i
\ Print Nem ,r rya//' ,y r
r /frW Date: (Jx (i/L♦ ct
Signature of Owner/Agent/Applicant/Contract/ DA. 01 00180155-001881.56TME TOT 4,jj
DATA: 03/1£/y5 TIME' G,",:i2
(5151-46 WP) While-Buieig A Safety Green-File.Canary-Appicant Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING - POOI PA f%\, . "
i 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 Ufility-Undrgrnd. 54. Forms
' ' -4. Electrical Conduit-Undrgrnd. • " 55. Electrical Bonding L- " -
-.5: Steel Reinforcement' 56. Rough-Plumbing & Pressure Test ;:.
:J-6o•Electrical UFEITGrnd. - 57. APPROVAL TO COVER-GUNITE _
_ 7; Footings 58. Electrical Conduit-Undrgrnd.
i
- -8., Foundation l - 59. Gas Pipe, 0 Undrgrnd.,Test _
-. '9. Water Pipe-Undrgrnd. " • 60. Backwash Lines, PTrap, C"Undrgrnd.
10. Structural Floor System _ 61. APPROVAL TO DECK
11. Property Sewer Line& HouseConnection 62. Backwash & Receptor-Final
1
12. Sewer Cap1. `
63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing. .- 65. Electrical-Final
15. Rough Electrical-Conduit .4 66. Solar System-Fjoal
16, Rough Electric tiViring 67. Fencing & Access:Approval
J
17. Rough Wiring Sign 68. APPROVED FOR-PLASTERING
18. Rough Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL /
19. Rough Heating & Air Conditioning FIRE D_EPT._REQUIREMENT
20. sough Factory Fireplace _ ;- v L
APPROVA _:.,, Permit # " "
21. Ducts-,in Structure:a •• •• - `_ . , 70. _Underground Hydro T.
' 22.-Ducts, Ventilafin�.,* ' - . _,' ..t 71. Product Piping'❑-Gas (DOH
23. Gas _Pipe-Rough& Test - _ - 72. Underground FtusH-
24. 'Roof Framing --- a, . . 731. Undergrnd.Stdrage�3ank0Gas 0 Oil
•
25. Roof"Sheathing - Y -(-lc r &we• -74;:Overhead.Hydra ,
26. T•Bar Ceiling (Structural) & Moiiacoat - �. 175. Dry Chemical r. .� T
27. Frame and Flashing I > J. 76. Dry Staridpipe - V -
; 28. Lathing & Siding " j z. '• ' • 77'. FIXED SYSTE- FINAL.
-
29. Insulation • ._ - - - 78: FIRE PREY. FINAL
, 30. Drywall Nailing ' e _ v - '7HEALT11 DEPT:REQUIREMENT
31. Plaster Brown Colt _ 1 _ 79. FINAL INSPECTION -•
-
i 32. 'Electrical-Power ter=Final ' - • j ( I
80:. FOOD CERTIFICATE ISSUED
Y, in
33. Final•Electric-. - r . - ' Notes: - --
34. Final Heating-& Air Conditioning'- / ^- - - _ _ =-
,T 3
35. Final Gas Pipe-Test. 1 - i" \ -
- 36, Hood or Canopy ' - - %• ' `• ''7 • -
.
i 37. Final Factory Fireplace = .r I
38. Fina(Plumbing - I - ' -
39. Water Service-Final; * . . . „ ' ._.
40. Gas Service-Final -
41. Solar Domestic•Final ' ', - F :�
•
42. Backflow Preventer 4 - -
- _ • 1 ._ - -
43. Backflow Irrigation S:. ; e
_ _ • 1, -
44. Landscape IrrigatiortSystem r -
<. a ` -
,
45. Sound Attenuation; T
46. Handicap-Regulations - =
47. .PINAL STRUCTURE & BUILDING /62�,34-eilra -,
48. FINAL PLANNING- I -' 4- n7 'r - -•
A
49. Electiic Release to Edison • -
50. Gas Release to Southern California Gas Cnf `;. - - "' _•• -:-.4::.
51. CERTIFICATE OF OCCUPANCY
No, Date
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PEV^IIT NO. / Q 13B 4/0262 6.00 TI,TRACT NO. LOT NO. BLDG.NO.
'CONSTRUCTION PERMIT / 1 3/.34 • - ---Project Address Address 4 "� �� y- 6 '
�/.s �/.{�-L.r1�C{�=Uyf-�'�+-/ TYPE OF CONSTRUCTION
Owner 0 �n pq7 Phone%R Oce 0 NEW 0 ADD 0 ALTERATION '
�
Address s ,2,..../ - - 0 REPAIR 0 CONVERSION ❑DEMOLISH 41-)11.---/ - '
ZONING REGULATIONS
Arch/Eng. - . ' License No. 0 OTHER -
' Address ' - , - DESCRIPTION OF WORK A.P. '
Contractor/� PhOn¢ �qL ^�•�,.• ZONE PLNG.TgR�E1F..p
I 4F 1�LX(}� eta RJ/ /220. TYPE OF PERMIT• SETBACK C/4 ST. PfEOPEI RT V LINE'
Address -)S-c. _...., ( - '0 GRADING 0 FOUNDATIO 0 STRUCTURAL -SIDE YARD ' -
'LICENSED CONTRACTOR DEC=ION . -
d hereby affirm that I am licensed antler provisions of Charter 9-(com- ❑ TENANT ❑ ELECTRICAL LUMBING ❑MECHANICAL SIDE YARD
mencing with section 7000) of:Division 3 of the Business and ' 0 OTHER RIGHT
'Professions Code,...;and my license Is In full -force99 and efl.5ct. . - REAR YARD'(TO P/L) - -
Licen5<e Class '4( License No:TI''P9. PROJECT DESCRIPTION PKG:SPACE REQ. PROVIDED -"
Date• '-' "' .fes Signature ,` • kin- t^'4'r- - - SQ. FT- ,
WORKERS'COMPENSATION DECLARATION - - • 'OCCUPANCY_CONSTRUCTION TYPE
STREET WIDTH - PARK FEES
I hereby affirm that I have a certificate of consent to self-Insure or a .VALUATION • ' ZONE f..
54111G-APPROVED-BY -- , - DATE
certificate of Workers' Compensation Insurance�,17 a-certified copy - .- - - _ t,
thereof(Seft}t�on 3¢00,Lab.C.). i _ U{ GRADING CU.YDS. ACRES I ALCONDITIONS: -
•
.,:_,icy No.(S•cot 3800, Company U1�Lr•/ _. _ _ - �.rrijp:1 A\� .. •
:ertified copy is'hereby furnished. . --- REMARKS: -- - _ - - - ,
•certified copy is-flled with the city Building Division. ' - ., r 1`. ' -- -"
•EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' _ - DIY' .(`` - _ •
(This section need not be completed if the permit is for one hundred • Oh`'M
($100) or less). I i - r`` _ _ - . _ - _ : . - _
certify that in.the.perlormance of,the work for which this permit IS -
Issued, I shall not employ any person in any manner so as to become ' PLUMBING - - PLAN CHECK- - ' - ' - -- ';'ELECTRICAL PLAN CHECK -- - • - -
'subject-to the Workers Compensation Laws of California. - - ,uwtLLlrvO - -WAR/Vat _
•Date Signature -• BATHTUBS ..-' SHOWERS- SQ FT - cc' FT - -
'NOTICE: If after making this declaration, you should become subject • TOILETS •, •• URINALS' - - - GENERATOR ' - 0-1 KW_1-10 KW. •
'I
-to the Workers' Compensation provisions of the Labor Code,you-must ;TRANSFORMER ,1 .
)forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS -- '- - •—- APPLIANCE • 10-50 KW_50+KW
revoked. a _ - - • _ _ _ _ __ - . •
CONSTRUCTION LENDING AGENCY • -KIT.'SINKS - - - -- DISHWASHERS-' --1 - - MOTORS - 0-1-HP -1-10 HP -• - -
-I hereby affirm that there is a construction lending agency for the per SERVICE SINKS- . SUMPS - -' - - -- - (INC.SOLAR) - 10-50 HP_50-+,HP.: __. j
iformance of the work for which this permit is issued (Section 3097 - -
CIv. C.) - - - - -- _ '- - TF,LOOR SINKS '• FLOOR DRAINS' . -1 - - - - -FIXTURES-- - OUTLETS •- -'- •`SWITCHES
Lender's Name __ - t - }
'Lender's Address • - 'DRINKINGtFOUNTAINS ' ' - - - GAS-TUBE SIGNS - -- - - _ _... - J
OWNER—BUILDER DECLARATION - -- • `• �' -INTERCEPTORS CLARIFIERS - -•• --• 'POLE LIGHTS- - - - - - - '
.I hereby affirm that 1 am exempt from the•Contractor's,License.Law for
the following'reason (Section 7031.5-Business-and Professions Code: SWIMMING POOL ' -- P TRAP --- -L- _ _ •LUNE i Kut,IIUN. --
-Any city or county which requires a permit to construct, alter, POLES . METERED SUB -' -
improve, demolish or repair-any stract are;-prior to its•Issuante,also re- WATER SERVICE '-' ALTERATION - - -- • PANELS -- -- - MAIN SUB • - • -
quires the ap.licant for such permit to file a signed statement that he - -
-is licensed pursuant to-the provisions of-the Contractor's License Law -GAS SERVICE - foeUTLETS
'(Chapter 9 (commencing with Section 7000) of Division 3 of the / ✓/ - --
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT (� - -
back for the alleged exemption. Any violation of Section 7031.5 by ( .- -
.'e 'pplicant for a--permit subjects the applicant to a civil-penalty SEWER'CONNECTIONS' - - -- - - -i - - - - - - -- -•. - .-- -- • -
more than five_hundred dollars ($500). - ' - - _ -• - -
IL. , as owner orItie property,or my employees with-wages as their SOLAR TANK -- -COLLECTORS- I.- -• - - - - - - - --- - -. _ _ ,
'sole compensation, will do the work,and the structure is not Intended _
'or-offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. -- - - T - - -' 'ISSUE FEE - - -- - - ..
'Contractor's License Law does.not apply to an owner of a property_ ._
-who builds or improves thereon, and who does such work _himself or ISSUE FEE - ' -- ----' -'to' APPLICATION APPROVED BY - . - DATE_ -
through his own.empioyees,.provided that such Improvements are not -- - - '
•intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - - - --'-- - --- __ - -
•is sold within one year.of.completion, the owner will have the burden' - SUMMA RY OF-FEES
-of proving he did not build or improve for the purpose of-sale). HEATING SYSTEM 0-100,000 BTU - -BUILDING _ _ '- -
PERMIT
AND'D UCTING - -- ' - - --- - - - I -. _ $ SMTP,. , E -
0-1, -as-owner of the- property, am exclusively-contracting with. - + I
licensed contractors to construct the project (Section 7044, Business. • 100,000+BTU I PLAN CHECK $ 2. ..PERMIT
_ ..PERMIT �______
and Professions Code: The Contractor's-License-Law does-not apply to C _ •ISSUANCE $
;an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU •PLUMBING $
'.tracts'from-such•projects- with-a-contractor(s) Iicesned pursuant to SYSTEM _ - _ _ GRADING $ '
,the Contractor's License Law). 100,0061+BTU ''PLAN CHECK- E - - --_ - n -
I❑ I am exempt unifier Section -" ' -" B• . &-P.C:for this BOILERS BTU ELECTRICAL $' - $
'reason - - ' -- - _ _ ' -_ - -' f 'MICROFILM E.
,Odie Owner SYSTEM REPAIR,ALTERATION - PLAN CHECK $ '- - I t TOTAL FEE$ '
- I-MECHANICAL $ - - - - - _
L.
'I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - -LESS AD- .
'information is correct. I agree to comply with all city and county ' •• .PLAN.CHECK:i$ " - VANCE PC $_ -
-ordinances and state laws relating to construction,and hereby authorize r` ,
representatives of this city to enter upon the above mentioned `S -d • • ' ' .
property,for.1'nsprlct�lon purposes._ _ ,
Signature at - '-t•L rq\o_
- ISSUE FEE - -- • - ___ . _- -. _
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment location= - - - - - -
. 2. .Soil Pipe-Undrgrn - 44. Steel Reinforcement - -
3. Electrical Conduit Utility-Undrgrn _ . _ 45. Forms --
4. Electrical Conduit-Undrgrn _ . - . ,46. Electrical Bonding - , - . . - -
5. - Steel Reinforce _ _ - 47. Rough Plumbing & Pressure Test - • - -
6. Electrical UFER GrnT 48. APPROVALTO COVER-GUNITE - , . - - -- - , - a
•
. 7. Footings. _ 49. Electrical Conduit-Undrgrn
8.- Foundation _ - - . : ._ 50. Gas Pipe, ❑Undrgrn,Test
- - 9. Water Pipe-Undrgrn . __ _ . _ 51. Backwash Lines, P-Trap-O Undrgrn - -
-10. Structural.Floor System - . •
_ - 52. APPROVAL TO DECK - - " '- . - -
1.1.- Property Sewer. Line & House Connection . . - 53. Backwash & Receptor-Final - - • •
• 1.2. Street Sewer Connection . - - : 54.- Heater & Vent-Final
13. Rough Plumbing __ .. _ -- .- _ . ' ' • -
- 55 Plumbing System -Final
14. Rough Electric-Conduit - - . - - .56. Electrical-Final -
15. Rough Electric-Wiring - ' - 57. Solar System-Final - - - - -
16. Rough Heating & Air Conditioning - - - 58. Fencing &.Access Approval - - ,,
17: Ducts, in Structure - ---- -. - 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating- - - - ' _ - - - -
19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL
20.- -Roof'Framing - - - - - • -;- - , - - - - .
21. Roof Sheathing �� ,,,... .
' - 22.- Frame and Flashing - '- . - .• - '• _
23. Insulation - - -
_u�D� Ot./ iiriad Gud' K-7 1_
24. Lathing& Siding
.,
2 . Drywall Nailing
- - - -- - i 1 /05/ . "led r• 72- ' v. #!(
-26. Plaster Brown Coat .
27. Electrical Power Meter-Final --- • - - - - .
28. Final Electric - - • .- - - • -- - •
29. Final Heating & Air Conditioning - t _
• -30.- Final Gas Pipe-Test - - - • _
' 31'. - Final',Plumbing . -- - - - - _ - •
' - 32. Water Service-Final - - - . - - - -
.
33. Gas Service-Final - - . - -
34. Solar Domestic-Final" ' a •'
' 35. Landscape Sprinkling System - - '•- '
' -36. Sound Attenuation ' - - ' . - '- -- -- - . • . -
' •
37. Handicap Regulations - ' - .. ' - '
' 38. FINAL STRUCTURE & BUILDING - ,
39. Special Requirements Completed . ' _ -_ - '
' 40. Electric Release to Edison - - •
• 41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY. . ' -
•
No Date. - '
OWNER SAN VISTA Bxilding CO. DATE OCT 3 0 1963 '
JOB ADDRESS 195_Yorktown Lane BUILDING PERMIT NO. 20655
GENERAL CONTRACTOR Gnu Vieta_Build• .• Ca. VALUE $ 15,135. O
A's ,,,To LOT 169 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Res.w/Rtt.gar,
In'_;ECTIONS Signature DATE GROUP T&j TYPE v ZONE g Soil '
Gas 1j_ SUBCONTRACTOR PEDATE NUMBER NUS'SUED
Waterr /2-27.63 • 77T'���""�� 1
Roughaim.'Refrig. 0 Air Cond. 0 (le-ht,
�,
Rough Heating ✓ 3-10-6 �i) tI 7tAX , A
Rough Plumbing " : . 3-3/4‘5/ A�Vt CIT k- , ?� s�
Miscellaneous d \ !'�
Prop. Swr. Line❑ House Con. �St. Swt'❑ T-A' 3-/f_tom/ -,L £P.4—t NOV 1 3 1963' a 1 t! "M. 4,4
Sprinkling System /
Construction Pole /9/IG7 //-/1-f1 ?.707 `—,VJ,. Cee.. . ia-3i-63 area Krse- •a
Underground 0 Power {]
Rough Wiring nil ' -r€c 7c4f'"thi-t \i LO --
Trenches 0 Forms 0 Steel Reinf. ❑' / . ' •
Floor System / . — i'/ e, 3 ,
Bond Beam 0 Steel Reinforce 0 • • _
Sheathing / ` iaa 7 • __
Frame and Flashjng r
Ig- jpg— Ing Out /0 a 9 .,
PA,,--�:r, brown coat /tit n ! A l
R' ng. 0 Air Con. 0 Final ( fg
Heating, Final a,,_v//(J
Plumbing Fixtures, Final a•/ I e A. ,/
Final Gas Test/sj .9_/ `/ _ !—
Electric Fixtures, Final 'f%"
Building, Final fr/ ev 9-ti
OCCUPANCY .
Form BU4-5M-3-63-5-B r' OLD aft MYECIAL REQUIREMENTS
20553FEE RECEIVED .
COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 2 6 Woo
• P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE TD��EP��T�..CCee
For Applicant to Fill In Completely APPCICATIOM"R7R NAT
1
. TYPE OR PRINT Lot169., BUILDING
BUILDING For Office Use Only
ADDRESS 195 Ynrlrtni.m Tpno
RECEIPT NO. "20853
.COSTA MESA, CALIFORNIA • �r0
RECEIV¢DSY DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co. /v ?-25:‘,_3 OCT 3 0 1963
MAIL ADDRESS /7-6"
S
ADDRESS 1166 E. 58th Street o I/ ' �[/
CITY Los Angeles 11 NL AD 37187 ZONE TYPE V GROUP / Qi
O.
ARCHITECT
Raymond Levans TEL OR 37010 BYAPDATE DATE /V///
OR ENGINEER NO.
ZONING `
AL .S8 3432 Via Oporto, Newport Beach . '04-.
/Z/pN�� NO.OF UB¢OP
4 Z I .Punn I euIX �.I+I
CONTRACTOR San Vista Building Co. 1!M 5 2C .0 ''//
--
-DESCRIPTION
LEGAL
.Tract 516 - Lot 16' 184 0
ADDRESS 1166 E. •58th S reet C[
CITY Los Angeles 11 • A.P.No. / ( 3 3 ' /
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE Tat.. 30"TO SIDE @ REAR P.L.
LIC.NO. 192782 N9, AD 37187
EAVES
SIZE 20 x 70NO.OP BLDGS. 0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF None MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
p (FROM C/L STREET)
SETBACK LINE FROM 13' 3'10" FRONT (
FT.
CENTER OF STREET REAR YARD
SIDE YARD I LEFT 0 I RIGHT ' 0 R.SIDE Fr.
DESCRIPTION OF WORK L.SID FT.
NEW X ALTERATION ADDITION REAR
DISTANCE BET. BET.MAIN a
REPA,n MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING 20 x 34 NO.OF Plan #4 VAR.# DATE
SIZE LLnn ROOMS 6 STORIES 2 C.U P. . APPROVEDCir
/-�rEXTERIOR /e9 Jn( //////��l'''7
COVERING ROOF
I COVERING Shingle AP ' J_IIIII
By ��L, DATE /rf (J IJ
USE OF BUILDING AND WORK TO BE PERFORMED /
Residence and Carport
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT AWN UNDER VALUATION IS 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 DI NANCBB AND STATE LAWS REGULATING VALUATION _ m
BUILOINO CONSTRU 1
VISTA BUILDING CO. PERMIT FEE $ / j
SIGNATURE OF
PERM ITTEF L� G
$ /5/ 73s= PLAN CHECK $C) 3 C� Y
AUTHORIZED A NT James N. Starbird rb.
0
TOTAL FEE �iJ