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HomeMy WebLinkAbout3073 YUKON AVE - Building Permits • 4.45T' Af CITY OF COSTA MESA 4' r �,. BUILDING DIVISION •!-mTr r = DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1 ..iil PERMIT k E01-00352 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 3073 YUKON AV Status: ISSUED Suite No Applied: 05/03/2001 Vicinity: REAR OF PROPERTY Issued: 05/03/2001 Parcel Nunmber: 41806209 Applicant: SALSBURY, MARK ISSUED BY: Address: 1100 IRVINE BL ' STE 136 Phone: 949-389-9282 TUSTIN, CA Zip: 92780 Owner: AGUINALDO, LYDIALITA Address 3073 YUKON AVE Phone: COSTA MESA, CA Zip: 92626 Contractor: E S S Address: 1100 IRVINE BL STE 136 Phone: 949-389-9282 TUSTIN, CA Zip: 92780 License: 793845 ' SCOPE OF PERMIT. • • REMOVE EXISTING 100A ZINSCO PANEL&REPLACE WITH A NEW 100Al2/24 MURRY COMBINATION PANEL OR GENERAL ELECTRIC SEMI-FLUSH. SERVICE IS UNDERGROUND FEED.ONLY WORK TO BE DONE FOR AN EXISTING SFR. 1 SERVICE TO 200A FEE SUMMARY Quantity - Quantity ISSUE FEE $23.50 Temp-Dist System/Lighting $0.00 0 Temp service test $0.00 _ Busway/100 ft $0.00 - 0 Res.a/c package $0.00 - i Standing Section $0.00 0 ' New Res(1-2 units) $0.00 0 - Misc Electrical Equipment $0.00 0 New Res(3+units) '$0.00 0 Transformers up to 1 kva/kw" $0.00 0 Pool/Spa $0.00 , .- 0.. up to 10'kva/kw•-'., ' $0.00' 0 Lighting Fixts $0.00.. -' 0'. • up to 50 kva/kw $0:00 0 Recept Outlets / $0.00 : ' 0 c ' up to 100 kva/kw'; - $0.00 : 0 Switches ,' V ' ' $0.00 ';:0y-- - L over 100 kva/kw v/ $0.00 / 0 Non Res Appl " ,$0.00 '-0� Low Voltage"Equipment" , - $0.00 ' 0 Res Appl $0.00 , 0 ' Low Volt Wiring System/Ckt. $0.00 0 Service to 200a $30.50 " 1 . Misc.Conduit - : $0.00 0. Service to 1000a $0.00'. " 0 Misc.conductor $0.00 0 Service over 1000a $0.00 , ' 0 Circus(gem or ride) $0.00 0 Motors to 1 hp $0.00 0 - Circus(mech ride or lights) „ $0.00 0 Motors to tOhp $0.00 0 Christmas Tree Stand , " 10.00 0 Motors to 50hp $0.00 0 Fireworks Stand, - $0.00 0 Motors to 100hp $0.00 0 ' - Other Electrical Fee $0.00 Motors over 100hp $0.00 0 • Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $54.00 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754.5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Ls issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less.) _re 'LT 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 workers' compensation laws o(,Califomiaa and agree that If should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these or.(fvisionsA I /I Applicant Signature: / a'w o r's,"{� � Date: y�..�101 a WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVE EIS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL RIVES UP TO ONE HUNDRED THOUSAND DOLLARE($1W,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.a }- Class A C—/O Contractor's Signature: Y/"LD,./ o.d'o�.L...r , Date:- 3/705/0/ / CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 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 himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2.Art 2.Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes j�No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. A/ Sig Wr Of Le I Owner(s) Date !% SAG 3,a/ And/Or Auth zed Applicant ,Date CODE I INSPECTION TYPE QAIE INTRIALS CODE/ INSPECTION TYPE MAEE 1NTITIAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing / 200 Final Re-Roof 210 Final Electrical 4/4/70/ 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ADDRESS OFBNL : 3073 YUKON AV • ONO• UM1 CITY OF COSTA MESA - BUILDING PERMIT . mmwsku"mmtAGUINALDO, LYDIALITA FLOOD: X 47 PERM NO: B 080849 ADDRESS: 3073 YUKON AVE COSTA MESA,CA 92626 PERMIT NO: B 080849 PLAN CHECK NO: N GOVT: N SUPP : N 751-3218 • APPL.NAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: 0TH , ARCKITECT OR ENGINEER: UC.NO: JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT; 5, 000 � ARCH OR ENO:S ADDRESS: UM: CLAIM VALUE: 5, 000 , 00 CALC-VALUE: 5,000 . 00 GROUP OCC: R-3 / CONRMCTORSNAMe AMERICAN FAMILY HOME ( 909 ) 860-3765 C 41RACTORSMNUNO 2665 WAGON TRAIL LN COMMENTS ; SMOKE DETECTORS REQUIRED PER 94UBC, REROOF 2500SF RtEESEID /� ADDRES& DIAMOND BAR CA ucND.: 415052 **************************** ************************n. f`G n�eeTOR** 91765 (tNT: Z ON ING R EQU IR EINE E 1.v' LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that 1 em licensed under provisions of Chapter 9 SETH ACK S ��U RED (commencing with Section 7000)d Division 3 d the Business and Professions Code,and my license is in full force and effect. CITYUC.NO.: ` LIC.CLASS: C 39 LIC.NO: 415052 EXP: • - - MAIN BUILDING ACCESSOR UILDING I �a 1t3 b; Contractor: IN,--.( ) ^{/fin / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN DatLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:1 hereby affirm under penally of perjury that I am exempt from the Contradors License Law for the htwi g reason(Section 7031.5 Buser°°end Professions Code:Any cry or county which requires a penny to arnbud.altar.improve. dish.or repair any structure,prior to its issuance, re also quires the applicant for such pawns to ie a signed statementat he or she PARKING' REQ: , PROV: PARCEL: 41806209 ZNE: REF NO: �reined pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Sectiond 7000) Drawn 3 of the PLANNING NOTES> usiness and Professions Code]or that he or she S exempt Iherehom and the basis for the alleged exemption.My violation of Section . > 7031,5by any ape/item for a permit subjects the applicant foe civil penalty of no.more than live hundred dollars(MOD. ******************************************************************************* ❑ I.as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered ler sale(Section 7044.Business and ProfessionsCode:The Contr°don License law does not appy to an owner d propend DEVELOPMENT SERVICES REQUIREMENTS who builds or improves thereon.and who does such work himself or hersef or through he or her own employees,provided that such oimprovements we not intended or offered for sale.II,however,the building or improvement is sold within one year of completion,the wner-builder will have the budenofproving heorshe did not build or improve for the purposed sate). ZONING APPROVED BY DATE: ❑ I,as owner of the property,am exclusively cantradkp with licensed contractors to construct The project(Section 7044,Business and • Professions Code:The Contrarian License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for sod,projects with a oordrador(s)licensed pursuant to the Contractors License Law). - ❑ Iern exempt under Section, B.AP.c.,far this reason: APPLICATION ISSUED BY : - DATE; kin l\2 i T1,(, Dat.: Owner ************************************************ ****************************** I do hereby certify that I am aware of end understand the requirements of California Health end Safely Code Sedicas ?gee,.29505,a .and LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT:Y 25534,and that I or any future building occupant will/wit not(circle one)need to comply with said come codes and the requirements for apemit for mrwwdicn or modification the Ai'�SuSy angemenl District.Residential mmruction applications are exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 99 , 75 , 50 Date: Applicant: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following derivations: PLAN ❑ Ihave and wiimaintain acertificate ofconsent tosef'insure for workers'compensation,asprovidedfor bySection3700of the Labor ISSUE FEE Code.for the performance of the work for which this permit is issued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave and will maintain workers'compensatoninsurance,as required by Section 3790dthe Labor Code,for the performance olthe TOTALS----> 100 . 25 0 . 00 0 , 00 100 :25 100 . 25 . 00 X work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Carrier $TnTP PnIJn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 100 , 25 OVER/SHORT: 00 Policy Number 1408475-96 09 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed r the permit is for one hundred dollars(SIM or Jess.) 99 . 75 . 50 ❑ I certify that in the performance of the work for which the permit is issued.I shall no.employ any person in any manner so as to become subject to the workers'compensation len of Celilania, and agree Net if should become subject to the workers' ******************************************************************************* compenalgs provisions al Section 3700 of the Labor Code.I shall I� h comply with those pr° � `7 Dale: \'�I q\C7 ` Applicant: ., biiA7%\ � INDIVIDUAL F E E BREAKDOWN , Warning:Failurebaeurlworkers'compensatoncoverageisunlawful,andshen.mhcrennploysrroenrsnlPenalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollen($7040X),in addition to the cost of compensation damage*w provided for In Section 3705 of the Labor Code,Interest,end attorneys fees. • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that aredle at there is aconstruction lending agency for the SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5, 000 . 00 performance d the work for which the permit is issued(Section 3097,Civ.C). END OF FEES LENDER'S NAME: LENDER'S ADDRESS: I caddy that I have read this application and state that the above information is correct.I agree to comply with allay and county ordinances eM`w E-v�p^.�T end state laws reWeg to building construction and hereby authorize representatives of the city to enter upon the above-mentioned property E A II1 for inspection purposes. 1.iL .Imp DAN IIWILCOX I I f� a\ 1 ) rl� oma: �� (3 DATE I I!_... Signature ofOwner/Agent/ApplranNContreda I1 J J 01 0022471- 2210W TOT 100.25 DATGe 127 1 g TAA.A1 15/51J6.WP) White-Ouildtp&Safety:Green-Fle;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor (T • y I • - POC SPA CONSTRUCTION AND PLANNING APPROVALS Permit Date Inspector APPROVALS Permit - Date Inspector 1. Temporary Electrical Service or Pdle - 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 1 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 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing74. 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT s 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - ' ' Notes: - 34. Final Heating& Air Conditioning 35. Final GasPipe-Test ' 36. Hood or Canopy ' 37. Final Factory Fireplace • - - 38. Final Plumbing - - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations • 47. FINAL STRUCTURE& BUILDING • 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date November 8, 1972 Costa Mesa Building Safety Department P. 0. Box 1200 Costa Mesa, Calif. 92626 Gentlemen: I, Thomas J. Zuber, hereby agr es, that I wil . not lease, rent the room additon at 3073 Yukon, Costa Mesa, California. Thomas J. Zuber 3073 Yukon Street Costa Mesa, Calif . s r • '-•_Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. I "CITY OF COSTAWIESA PERLGIT fyj]. /3 ^ TRACT NO. LOT NO. BLDG.NO. rJ• 7 a • CONSTRUCTION PERMIT G/� j Project Address-+ ) � ,///lS p,./ TYPE OF CONSTRUCTION Owner:Tenni tt/ / 7Rr7e r Phone¢K c•.,�. 0 NEW 0 ADD 0 ALTERATION sem„ Address 0 REPAIR 0 CONVERSION ❑DEMOLISH �!! 30'� Yv�O"/ C�7 • — 0OTHER ZOr6hIREI y{►y7(ddJS I I 5e00 TL Arch/Eng. License No. �p ' -.0 C A P - -.. Address DESCRIPTION OF WORK ;/S GL. CkSS _ ZONE PLNG. REF. ils Contractor Phone TYPE OF PERMIT BUILDING P l fNG SETBACK C/L ST. ��oERTYLI NE Address 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING OMECHANICAL LT SIEDFE YARD I hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code,• and my license is in full force and effect. REAR YARD(TO P/L) PROJECT DESCRIPTION License Class License No. `-Qx Sv PKG,SPACE REQ. PROVIDED Date Signature SQ.'FT. �` y`` STREET WIDTH PARK FEE $ WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONST.�IR1�� TO^ 'PE I hereby affirm that I have a certificate of consent to self-insure or a VALUATION arc \e ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy ''V4 thereof (Section 3800, Lab.C.). GRADING CU.YDS. t 1't�f SPECIAL CONDITIONS: PnIicy No.-- Company fri 'ertlfietl copy is hereby w thr h cit REMARKS: ��.ertlfietl copy Is filetl with the city Buildinq Division. , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). I Certify that In the performance of he rk for which i ermit is �} Issued, I sh-ploy any Per in Y m 'for so become PLUMBING. V PLAN CHECK ELECTRICAL PLAN CHECK subject t0 t W k Is'Compensa of I(Ofdl UWLLLIN“ “AHAOE BATHTUBS SHOWERS Date Signatu SO FT SO FT NOTICE: f a ter making this aration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation rovisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS 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 formance of the work for which this permit is issued (Section 3097 Civ' C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP - LUNS I HUI-I IUN Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP (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 basis for the alleged exemption. Any violation of Section 7031.5 by ///�]] a applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS `'� ......-•4 more than five hundred dollars ($500). / as owner of the property, or my employees with wages as their SOLAR TANK ' COLLECTORS C' 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 S. c nA. ISSUE FEE Contractor's License Law does not apply to an owner of a property who who builds or improves thereon, and who does such work himself or ISSUE FEE 3 - APPLICATION APPROVED BY DATE ' through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK is sold within ono year of completion, the owner will have the burden SUMMARY OF FEES of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING 0 I, as owner of the property, am exclusively contracting with PERMIT $ SMIP $ licensed contractors to construct the project (Section 7044, Business AND DUCTING PLAN CHECK $—/— PERMIT ' 100,000 +BTU and Prwn r of Code: Theor Contractor's LicenseoveLawrn,does not apply to —�K— ISSUANCE E orr of property who builds c improves thereon,and whoacon- REFRIGERATION 0-100,000 BTU PLUMBING $ tractsC from such projectsL with a contractor(s) Ilcesn¢tl pursuant to SYSTEM GRADING $ the Contractor's License Law). 100,000 +BTU PLAN CHECK S ❑ I am exempt under Section B.& P.C.for this - /�� � b— ELECTRICAL S BOILERS BTU reason - MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$ MECHANICAL S 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 com• with all city and county - PLAN CHECK $ VANCE PC E_ ordinances and slat• laws lating to co prion,and hereby authorize a representatives �/ hi ity 0 eft-7 •poo t above me{�tipped Signal uyr for '.[f'- ! po •7s• Dale FINAL FEE $/ Drivers' 'Tye or SS y ISSUE FEE CMF 0865-46 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL8ISPA • APPROVALS Permit# _ Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - /i4-S7--5/ 4fG . 2.: Soil Pipe-Undrgrn - ' 44. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrn • . . • 1,45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 441-7,7_g/. e ' 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn 4p 11-$/ KO 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test -fl-c) #G 9. Water Pipe-Undrgrn _ • _ 51. Backwash Lines,P-Trap. ❑Undrgrn - 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line& House Connection - 53. Backwash& Receptor-Final 12. Street Sewer Connection 54. Heater& Vent-Final 13. Rough Plumbing 55. Plumhina 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 NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing • 26. Plaster Brown Coat . 27. Electrical Power Meter-Final _ 28. Final Electric 29. . Final Heating & Air Conditioning 30. Final Gas Pipe-Test - - -31. -Final Plumbing - 32. -Water Service-Final • - 33. Gas Service-Final - • - 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation • 37. Handicap Regulations • - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Corimpleted 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY ' No' Date '-Y ..w //�� v • hN lib tal-riA4,_\ , . �/ a •i - Mt- - a,t1 „��. • ,1.;: ,.r ,. '-;L%CT2l a* LeA.D Z "I / r' �tS�/ "�. , ef^ I I .;air 'Bef) bCti sna tt. 094•776 A , Ibt, \ ' p..- a.c - PA.or ,e.r ' I . kr Pe4-nt. i Y-. ' 4 J,a * fev_, s , y j c. Q 1 1.r v / e I 7 xf:- NLY c� 71.;::: f_n . , APPROVAL0 \ ,: .;�mw f^ ; _ _ � ARE REQUI l . . _ . _ r,'.. `�..,y -.T'> l� PERMITS it; '. . ,y '�s 1 t ',ill RATE PLUMBING, c _ CO-tic .l,, ELECTRICAL, �."e . VENTILATING AND , EATING, WORK -`'4� • REFRIGERATION , I. I att.,^ ^ I ill Penu1M�.R ,. 'UKCPETSNY INSPECTION • , ,�P[*�.-..,F;1*.ft 45.-'14, ALL &eat • ERC - . a . .�. ` iGS:4kKE P 7, `'.v,.^-. �. FOR VJE SUGGEST pF. 1-7,..1..- „,...;;;;_"�""" �' `��' t BE EMPLOYE�AUFORNIADIVISIONAl . i.� ..: '$TATE OF CONSULTED SAS 1. INDUSiP.IpL SAFETY BE REQUIREMEN K” `' ADDITIONAL j mE - I way Fi4Lt<JT 4(-0 =ti , n VCS \ ECCE° _ _r r ;.ha"' h "' #-tet° , / t. . ti.,11;,? , ..0, 4!„(. ..„ . ‘ .; . , ,,,.,1..e.: ., •lk.ii "Rr"a„. v'i `t,'s ti°. b .„.„„.-.6,"...:..i., ..irTh �'i 'S' --trn;:t Zl.si -?,,,r^1• .4*...}*}xy',..1,.”.-- titer,,:co..0 'y '° ;a•.. 'ul' J� �' t rte. # -bt ' ^rVt?: c. • r. . •°; ° . , . , f r. • s.,_.; y ,rr• . . • APPROVE ® • City of Co ��jj Mesa Building Dept.�I>/ BV �.e�itt DAT /077 19 ° • • THESE PLA S MUST BE ON JOB AT ALL TIMES MAKE NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL OF PLANS AND SPECIFICATIONS SHALL NOT BE CONSTRUED TO BE A PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION CF ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE. SLIMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF THIS CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL THE ISSUANCE OF A PERMIT BASED UPON PLANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS AND SPECIFICATIONS OR FROM PREVENTING BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE CF THE CITY. +r PAID CITY OF COSTA MESA PLANNING DEPARTMENT TIV -1-7200 008 d* **25.@Q A.P. No. 418-0G1 10 Bldg. Permit No. PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 3073 YUKON STREET Owner's Name T. J. ZUBER Bachelor or 1 - Bedroom Units 1 @ $25.00 = $25.00 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total Number of Dwelling Units 1 Total Fee $25.00 Planning Department Approval Date 11_1_72 Park Area No. 5 By Applicant's Signature ,g Z — W.L.u. uob "DV -1-72�"—�°00 oosBo****Z5.0e CITY OF COSTA MESA PLANNING DEPARTMENT )N Bldg. Permif0 -10 N&—zei.v PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 3073 YUKON STREET Owner's Name T. J. ZUOCR Bachelor or 1 - Bedroom Units 1 @ $25.00 = b25.00 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = Total Number of Dwelling Units 1 Total Fee $25.00 Planning Department Approval Date 11_1_72Park Area No. 5 By Applicant's Signature /✓//i< .l�r�' a.L.U. Boo / I tJWNCK ZUBER, Thomas John VAIC 11/1/ R OB ADDRESS 3073 Yukon St, BUILDING PERMIT NO. 35631 GENERAL CONTRACTOR Owner Builder DESCRIPTION of WORK Add. Fam.Rm. Af 418-061-10 LOT TRACT FIRE ZONE VALUES 6000.00 INSrcCTIONS Si nature pate GROUP I TYPE V ZONE R-1 SOIL AS%/-Y‘-7Z PERMITS ISSUED GAS SUBCONTRACTOR Date Number 1 Signature WATER p� r lie-9.2--"bPla bin / �/ '1 ROUGH PLUMBING // J1Jr• iii a /I)Jtf., }9 " JJ O/. . 2oce -4.--- PROP. PROP. SWR. LINE Q HOUSE CON. ❑ // SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ,A r ROUGH WIRING ,4 7 M-22.- Heating and Vent. TRENCHES El FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE SHEATHING ./317 a-'�� /Z./7 FRAME AND FLASHING 1/2;r4 Q l y Ji' C LATHING — IN PA OUT I, / 1-2Z• PLA"-CR, BROWN COAT - /-2-7 i ST )RAL, FINAL ��// Ey!/�Gtrl f HEATING. VENT.. REFRIG. AND A.C., FINAL 71 ,,,rrr Merl LCpc ilei / 42.S99J�+/ PLUMBING, FINAL AND GAS TEST 712--2 3-73 ELECTRIC, FINAL /Itc7] BUILDING, FINAL /-2.7441 35631 ^cv -i-72CM540o 007 **i4II.42 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 f L A LILATION FOR BUILDING PERMIT For Applicant to Fill in Completely /,g RE C I EC/BY DATE RECEIVED DATE/ ISS ED ADDRESS 3073 yak-. S r 1-- r - /` / 7; ADDRESS 4 �.r OWNER THonns rHN 7 uBFR BUILDING ��_ b& _ 'j//0MAIL /' PE setakO� ADDRESS 54,-[� ADDRESS �/©/�7/�/� //�KC7� C U CITYY,(CPS / /F S g NO.,S . TRACT LICN. r LOTS BLOCK 1_z Z Q CONSTRUCTION NO NEW ADD A_TE REPAIR MOVINn.. DFMOI ISH O N LENDER 1/ l- m /\ II J Q _JU) BRANCH OWN ERT xJ , / (...//5 077 J D / Q ADDRESS ///^ //�+t VALUE J Q ARCHITECT TEL. USE 40/2/77(3-4/r1M $oA®1� U y OR ENGINEER NO. Q FIRE '/' �> u Q lF ADDRESS ZONE TYPE .r GROUP .J—' a_ 9 J QZ CONTRACTOR LJ cdwe /Z BYPROV BY DATE CO Z gA y W w ADDRESS )� p W TEL. ZONE INC.OF USE OF NEN( Apt,I-ri0Af DV Z I- CITY NO. �/ PLANS /7 BUILDING Q 1'�c^ A .c' W-O STATE CITY YARDS`APPROVEDf_ YARDS APPROVED to CL LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE "�f f / f,, f I NO.OF BLDG&. (FROM C/L STR E OF LOT /tDO X IFi NOW ON LOT I FRONT FT. USE OF // EXISTING BLDG. Q R SIDE r7 /' FT)._ FT. Z NEW BLDG.Zo X 6-O f NO.OF / 49- ROOMS STORIES L.SLOE FT. FT. EXTERIOR WALL I ROOF C._) COVERING COVERING REAR 919 FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Roo � MAIN BLDGS. ACCESS. BLDGS. 0 /¢/Y/ GY Roan (/d r/1/GRL4ff CURP.# OATE APPROVED F co gto/ZOOy 5/Pt9 �Y ROVEDf r /L//fo DATE I/ //7 Z� Z SIS /J O N �t6 I- 0 I hereby acknowledge that I have read this application and state Sl ✓ that the above information is correct and agree to comply with /� CC all laws regulating building construction, and I shall not employ IQ7�'y{C'-f{'M'[ F- any person in violation of the workman's compensation laws of Co the State of California. ! b ZI hereby certify that I am properly licensed as a contractor under ((/ SQ.0 FT, ti the State of California Business and Professions Code, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR a Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: rt am exempt from the provisions of the State of California Business VALUATION and Professions Code,Divisio 3,Chapter 9. N ''f PERMIT FEE $ Z' Signature of �- 4/ °1 Permlttee� $ (�Dco PLAN CHECK $ L L!) G LL Authoriz Agent, ‘. _ TOTAL FEE $ -�- rrr • 25098 CITY OF COSTA MESA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92020 JAN 14 1966 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT u�Far i P BUILDING 3oO3 ///t (/GH gvililitADDRESS ( Q.� RECEIPT NO. f.. �{t./ COSTA MESA, CALIFORNIA 51111ILJ1j3 J I • RECE ST uTE RECEIVED- 2 ISSUED OWNER ! I/ ,�S. F"j.u4 H/� /e7 r— G /)/` 4 MAIL / /r S ADDRESS 'S©7 J L�u rhA( )40)0. ADDRESS .)l� 'Err/ AL /� . 777 // FIRE TEL. C / ZONE TYPE !/ GROU CITY STA/ ailn No.�4 4L OY' A / ARCHITECT TEL BYPROVED ////I DATE 1/C�7 'NGINEER,�i'�A)ty!I 4, No.` ed-ni94 ZONINf3 • rm ADDRESS /Zen/ -�� //.i/S/J tie SA//Ef SON NO.OF USE OPN �'Ui _ /' A /- / P-01 PLANS 9_ BUILDI 'I l,1 ' ' CONTRACTOR PJt+t c 62 , } !. MH/ I. i,��11 /� (/V W/ <CCA. ' l �// DESCRIPTIO a - T6 7 �- ' ADDRHSeCr�.3 n c. �[ / N ST`-'. G • � / CITY n, j L2_ H/—c 7� �� /y sy -, f'//t 0. eptiee G%/oma A.P.No. STATE TEL r /' SrNOT TO SIDE a REAR pH;NG SHALL BE LESS THAN LIC.NO../ 3-7., 9 9 NO. Jc' -Isy S 9. . EAVES , Or LOT ‘,01„x1 SIZE /BD / I NOW Qs WT 0ALLOW HD (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. .(FROM C/L STRUT) .{, I CENTER OSETBACK r STREETNE ""),-I-, . YARD SII.S FRONT SFT. �� -//{�'I✓jK�-/6'� FT. 4 d .� REAR tt�� SIDE YARD I LEFT 6. I RIGHT 6, S R.SIDE .- FT. FT. j • DESCRIPTION OF WORK L.SIDE 0 T. PT. • aX ALTERATION _ ADDITION REAR /,'5 FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGY. ACCESS.BLDGB. BUILDING t7 i NO.OF SIZE 149 7 ROOMS / VAR.# DATE 4 STQRIE4 / C.U.P.# APPROVED EXTERIORWAU. "/"CA I ROOF Sh,Lhe. Q- APPROV I J /�// COVERING C /7/RS-ori COVERING S /. A/ r q le _ SS A DAT! /�/.J O ti USE OF SUI INS AND WORE TO BE PERFORMED / ---;--- W .._c/r :r? I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION t / THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. J PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 215 PLY WITH ALL CITY ORDINANCES AND STATE LAWS RISC TING /VALUATION BUILDING CONSTRUCTION. pa SIGNATURE OF '1/445./F 44R - PERMIT FEE $ pp PERMITTEE A $�q 3�Lro ,I PLAN CHECK S J(/�0 k' AU I AGENT / �1 / J1 �®16rS��61SP lN>�i1t10�llE3Qy(P m TOTAL FEE $ / /SV / r