HomeMy WebLinkAbout3074 YUKON AVE - Building Permits •
5711 Mac CITY OF COSTA MESA
BUILDING DIVISION
F1 DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER
pt./ PERMIT
• B03-01147
fi,
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caitc. NG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 3074 YUKON AV t3 Status: ISSUED
Suite: Applied: 07/08/2003
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 07/08/2003
Parcel Number: 41806310 Zoning: R1 R1
Applicant: FAUBERT, BRAD ISSUED BY:
Address: 8902 SAILPORT DR
Phone: (800)854-0011
HUNTINGTON BEACH,CA Zip: 92646-2664
Owner: CHEHADE, TONY
Address 3074 YUKON AVE
Phone:
COSTA MESA,CA Zip: 92626
Contractor STAR COURSE ROOFING CO.
Address: 8902 SAILPORT DR
Phone: (800)854-0011
HUNTINGTON BEACH,CA
Zip: 92646-2664 License: 532778
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:T/O WOOD SHAKE ROOF, 1/2"CDX PLYWOOD, 1 LAYER 15#FELT,APPLY"30-YEAR COMP
SHINGLES."21 SQUARES
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,600.00
Permit: $111.25 Claim Valuation: $4,600.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
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 penalty of perjury one of the-following declarations:
O 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.
l•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 is issued.
My w`orkers''coornrensa olio n�hsurance carrier and policy number are:
Carrier: l.t: t "N) Policy Number: - (S7 (OS / C - G 3
(This section need not be comp�.i7 the permit is valued at on: ••• ed dollars($100)or less.)
O I certify that in the firman : • . • •r which this permit is i .ued,I shall not employ any person in any manner so as to become subject to the workers'
compensation I. of . ornia,and agre: at If I should be • •subject to the workers'compensation provisions of Section of the Labor Code,I shall forthwith
comply with -:5: . ovisions. !--;j—
WARNING:
�_
Applicant Sign: Date: L Cl
WARNING:FAI -E • .-- •O-•-'5'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND•• •RE($10,DD0 ••DITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATI•Nr
I hereby affirm that I am lice :• und_./. • ' ' pter 9(commencing ' Section 7000)of Division 3 of the Business and Profpcsions Code,and my license is In full
force and effect.Lic.A •. Class N ; Q^3 r
Contractor's Signet . Z Date: " P- 0 7
CONST CTION • : • 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: Lenders 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 o1 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 end Professions Code:The Contractors License Law does not apply to en 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 end Professions
Code:The contractors License Law does not apply to en owner of properly 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 drivers license. 0 Yes 0 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 feel 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(36)feet high.(Chap.3.2.Grp 2,Art 2,Sec.
341,Title 8,California Administrative Cade).
❑ 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 end 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 then a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
......Does
o.will
the applicant
plc..t..r..r..e or u u e.. id n occupant
n.need t..prepare
an....
3 Deor will applicant or present or future building occupant to prepare RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification end 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? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ 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? ❑Yes 0 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? 0 Yes ❑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 and city ordinances
regarding Hazardous Materials and Emissions.
•
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHO•. : 1• 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 : : . : aws and city ordinan•es relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described proper • Inspection purposes.I agre: •• to occupy or allow occupancy of any building authorized by this permit until final inspection.
— ignatu
S �-••Ir=•'••wner(s) `7/e/4tilt/
�j
And/Or Authorized Applicant ate •
¢tTn I.•. •' PATE INTIRALS CODE• INSPECTION TYPE PAIS 1NTIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof Z•1:47 ' 210 Final Electrical
201 Final Block/Retaining Wall F 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
,•
t 25 I nn •
COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF COS EA MESA
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92626 •
❑� '� 9 6
For Applicant to Fill In Completely APPL1 N1414F&6 ERMIT
- TYPE OR PRINT ., _�-"DOBVIL
x
iii
BUILDING 3079 X0Ko "venae FLF�� V my
ADDRESS --RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA - .r S7 00
- RIDER, •By DA RECEIVED DATE ISSUED
OWNER 0. S, E.C1/X ki ret / ��/-(� G
- MAIL -3E2 _ 1-T
ADDRESS /,?,SS- Fro.df 51.
's' CITYJCraLt 0/ey.4 TEL.
o ae ?co41 ZONE TYPE GROUP -FIRE 4/ 1111 �/
ARCHITECT /- TEL -I APPROVED /
r VGINEER4. . 4C NO. W
ADDRESS .2o - / s ,/ s -
11 •
NO.or US[or N
/ I PLANE BUILDIN 1) / Al
CONTRACTOR /�a tTJ/S /�. SN In, . 6 ,/ ��^i',tI
ADDRESS \c�Q S, l 1 /4/7j SI" f nlmoN A 0' .7� V.
L�
CITY 54 I✓7 - 4.k�/tNO/ A.P.NO. `CTS —�/�
STATE THL. SOTTO SIDE&REAR P.E: NO NAVE OVERHANG SHALL BE LESS THAN
LIC.NO. 434 397 NO. kl-1-.s 4.s-7
' SIZE ` let( iD'3 NO.or SLOGS. 6I
. ALLOWED (U.B.C.REQUIREMENT)
OF LOT SNAPS A ILO I (/NOW LDT
:4 YARDS APPROVED YARDS APPROVED
2 USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. -
(FROM C/L,ST
FRONTMiaril / .. '�i7l../�7a FT.
21
If
SIDE YARD I LEFT //9/ I RIGHT 27 / FT.
iiDESCRIPTION OP WORK PT.
TERATI N ADDITI•N PLInle FT.
BET.MAIN G
REPAIR MOVING •EMQLISH ACCESS.BLDGB.
eBUILDING / NO.OF VAR.* DATE
� /
SIZE PIPS! ROOMS H {� STORIESppi C.U.P.* APPROVED
Y= EXTERIOR WALL 1J70ed ROOF II e kG 'l APPROVEb �
i'- COVERING 9-?)n terl J COVERING 4- ca.. .wrt}/4G BY Its .i' "'1 DATE l Ar?‘
USE OF BUILDING APN DD WORK TO BE PERFORMED ` . W
ee
aii
a GI Af P . //7f, 8Q.FT. �(s v I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - THE AMOUNT SHOW DER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE Or ESTABLISHING A PERMIT FEE ONLY. A
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REG• TINS > VALUATION /� P
• BUILDING CONSTRUCTION. C//_
/ PERMIT FEE $
- SIGNATURE OF
PERMITTE /L / /. ���A� 22 O� / _ , . . 33 W
iG
AUTHO- Y,' . - NT /J
TOTAL FEE $ 7
J. r.
,.. •JO.B ADDRESS 3074 Yukon Avenue BUILDING PERMIT NO. 28969
.S GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Block Wall Fence
A:: No. 1.iR_o6i_?0 LOT q TRACT 1k$74. FIRE ZONE . VALUE $ 937.00
1'kECTIONS _ Signature Date GROUP J TYPE III ZONE R-1
561i SUBCONTRACTOR PERMITS ISSUED
GAS Dote Number Signature
WATER Plumbinq
ROUGH PLUMBING _
PROP. SWR. LINE ❑ HOUSE CON. ❑ _
SPRINKLING SYSTEM _
MISCELLANEOUS _
ROUGH HEATING AND AIR CONDITIONING _
TEMPORARY SERVICE OR POLE _
UNDERGROUND ❑ POWER ❑ _
ROUGH WIRING _ Heating and Vent.
TRENCHES ® FORMS ❑ STEEL REINF. ®_at 8-19-67
FLOOR SYSTEM
BOND BEAM ri
r�STEEL REINFORCE _
SHEATHING _
FRAME AND FLASHING _
LATHING - IN fl OUT L^ _
PLASTER, BROWN COAT
S" -TURAL, FINAL Electric
h NG, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST L^J _
ELECTRIC, FINAL _ ��.tt
BUILDING, FINAL 'E�itl' L22
SPECIAL REQUIREMENTS
S ,
• • AUG 15-68�A-1000 n2 d*****6.00
28969 CNSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 82620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
[[ For Office Use Only
DES
ADRS 3 8 7% W, 01{ 0 # fi' Ye yyRM�1Q,LIJyO
RECEIPT NO. 28gE •
COSTA M/�EjSA,, CALIFORNIA' / MATEEEC IVIED SY V�q /Tf�1jy�/J//,�`•}��
OWNER �j-fry-r/(1
7,J �I / BUILDING
ADDRESS /I'€ ( 'r fly K. o N !7 Y` ADDR':- 0 i •
-fes
CITY ` . m NO. /14 Lb ZONE TEL. 5 ii 4 FIRE c� TYPE ,i GROUP
1.{/J�
APPRD/ q2Z i 7,//5
R�I_ DATE V iIa
ARCHITECT
NO. BT //� (/J�+1!/(l (/ �/
ififi
ZONING li r
ADDRESS ��11 J 20 I NO.OP_ / US[OF NEW
/1 _ _ - /p.1/� PIANI '{/ BUILDING
CONTRACTOR SRY/"/^/-T�1`I^[/��C`�. -NAL- / /. /� �/J/
ADDRESS DESCRIPTION-
{-{/I y r R4}ry
CITY A.P.NO. � o'6 �A
/ y - /— O III
STATE TEL NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
BO'TO BIDE a REAR P.L
LIC.NO�.O v NO,
O�
SIZE Iqq II ^ 1* NO.OP SLOGS. VES
ALLOWED (U.B.C.REQUIREMENT)
OF LOT S•• a91. Gs_I--, 'I NOW 4N LOT
/r YARDS APPROVED YARDS APPROVED
USE OF Yd'(2D cMAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 5 S !/ /Y L -
—
-I FROM C/L STREET)r.
_t'1° FT. /O '/t.
FRONT
SETBACK LINE FROM
<ENTER OF ETIRER REAR YARD
SIDE YARD LEFT I RIGHT R.SIDE FT. FT. / I/
DESCRIPTION OP WORK _L.SIDE PT. PT. / / I
`/ / /
k., ..)C ALTERATION_ ADDITION REAR FT. FT. /
DISTANCE BET. BET.MAIN&
MAIN BLOOD, ACCESS.BLDGS.
REPAIR _MOVING DEMOLISH
BUILDING �( ' NO.OF VAR.# DATE
'�"
SIZE / - ROOMS STORIES C.U.P.# APPROVED.-
EXTERIOR WALLROOF APPROVED
COVERING I COVERING eY DATE48 /4 / .
USE OF SUILDIRS AND WORK TO BE PERFORMED ty) W
81
e-t � -72 t oce e_ . 02 ;
o ' _______olio ,R►.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ASOV[ IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. R1
PLY WITH ALL CITY ORDINANCES AN TT LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. WPERMIT FEE $
SIGNATUR
PERMITTEE OF / t' (/� ��L/�-L� 5
37 61 .° PLAN CHECK $ //_- I"
AUTHORIZED AGENT �/ / TOTAL FEE $�!/- (/ T/
UWINbit U. 5. .rfl'U 1VU sui, DAIS G-Li-Lii
JOB ADDRESS 3074 Yukon Avenue BUILDING PERMIT NO. 26638
GENERAL CONTRACTOR Lewis R. Schmid DESCRIPTION OF WORK Enlarge kitchen
LOT 91 TRACT 4674 FIRE ZONE VALUE $ 800.00
L .ECTIONS Signat Date/ GROUP I TYPE V ZONE R-1
sou I PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water 0 � Plumbyg
Rough Plumbing �
// '2JS_/77'VYifrProp. Swr. Line 0 House Con.
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wirin a 41. ')9. (,7 Heating and Vent.
Trenches gar Forms 0 Steel Reinf. 2 '
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing Nc ,n e'.J,.,,`.-'
Frame and Flashing -_ sr <<.viro , ,,yyy •
Lathing— In Out Q� -SIS r ✓
Pfr-'er, Brown Coat , / r 2 ere
ural, Final 7 E ec 'c
Heating, Vent., Refrig. and A.C., al (�L ,Q- /. -/p.y�/�js�
Plumbing, Final and Gas Test 4, k 3-3
Electric, Final PE S Ki- 69
Building, Final /r/? -/y.(,2
/ • r 3f' FEB -6 67PAID 400 *****EN
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92629
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING (J For Offlce Use Only
ADDRESS 3 0 74 I n 4- J,t
( RECEIPT NO. 2r„�LRLSIb 1°.
COSTA M A. CALIFORNIA (.�
r I RECEIVED� BY DD E RECCEIVEQ7 9A/TE ISSUED
OWNER U. ] . F/AS 7AU Ii /B / I Aite �` ' (!/ �// /"• S? (O�
MAIL y <_ BUILDING 7-1' /,
, ADDRESS /.3 y5rt_�J FP'n A tt s�j ADDRESS A � �//Amu /.(r(tr
FIRE
CITY /l _t I.F!c NOtir....0, 79/�?7f 4 ZONE �J �TTYPE GROUP .L
gRCC ` I'/ L APPROVED �7/J Tp �_6„�7
_A%NOI EVEN ER 51 H-P.,U(�y a NOS`'4c616 BY /fes DATE
1-
/ COS- Atence ZONING
ADDRESS TO] 1.,i ; c-rl i Iwo O
\ mx[-..,I I NO.OF n I USE Or NEW
�+ =nix,
►uxa ) BUILDING
�
CONTRACTOR FP. •T_L Q ce,L.,d
l /A ./ LEGAL �_H q/, YI) I1 V!77
ADDRESS .2 94_0 oe 4i✓lel DESCRIPTION ✓
CITY (P
/�tSTo� /111-/ SEL A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE Teo sr TO SIDE a REAR P.L -
LIC.NO.a* ; 4 ?9 l NO. 'S L?g/i a
EAVES
SIZE / A I No.or NLDTB. / ALLOWED (U.B.C.REQUIREMENT)
OFLOTTt(ON 7560 NOW ON LOT /
USE OF YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. J---
(FROM C//L ET)
prior /
LINE For FRONT /. - I 1 ---42-7:9'
--42- 2 IT.
CENTER OP STREET 4-S•
REAR YARD "� /
SIDE YARD LEFT RIGHT R.SIDE RFT, /. I /// /'� FT.;)
DESCRIPTION OF WORK L.SIDE ((��FF (a .1" ( V T. ] /,[/LT
I ALTERATION ADDITION X REAR Pr:' ' FT.
DISTANCE err. ACS. &
REPAIR MOVING DEMOLISH
MAINAINBLOCS. ACCESS.SLOGS.
LDG$.
BUILDING p I NO.OF VAR.# VV- J - to -7 DATE 11747/sem
SIZE /r�COVERINGKyOt ROOMS 4 SSTORIES / IB C.U.�P...$ APPROVED V;10//(J/
EXTERIOR
USE OF BYILD Ne AND WORK TO BE PERFORRMEW �YFR' D �t ��� DATE (oma (s/7
a
c DC`& L k; & Ai b l 2
SQ.Fr.
el
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT TIME ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND RATE LAWS REOU G VALUATION
BUILDING
CONSTRUCTION. 0 D
00
PERMIT FEE $ I-
SIGNATUREO E
PERMITTEI SD fO
PLAN CHECK B AUtis-------";10.19NT TOT $ /_r00
AL PEE c�
OWNER COLUMBIA OUTDOOR ADVERTISING DATE 3-22–bb
JOB ADDRESS 3071+ Yukon Avenue BUILDING PERMIT NO. 2511.65
GENERAL CONTRACTOR RATS DESCRIPTION OF WORK Temporary Ground Sign
To. 7, LOT P1 TRACT 14671. FIRE ZONE VALUE $ 500.00
L,._:ECTIONS
Soil Signature Date GROUP J TYPE IV ZONE k R-1
PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Water I Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough WiringHeating and Vent.
Trenches. Forms neel Reinf. 0 Efinr rgba
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing ,
Frame and Flashing
Lathing — In 0 Out 0
P' '^r., Brown Coat - -
5 .ural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final fin`
Riffle-lino Finn' //Lu. e id -1/L 7_
. - CITY OF COSTA MESA Tag No. • cZ 63 / Grey— ti ...;)
• 25465 Building Safety Department Type of Sign 7`rh?- .1./94,0,/./ c / 1
LI Elec. 5/901)Elec. [Won-Elec. 22 1966
Application for permit for the fabrication and erection of classified signs. S
FOR �;;VIC11,U1 a C�
7� Location G( K V (2..------A-P--/' 25 25 Date Issued Permit No. (�
Building Site Address '
elan% n Ou r Fire Zone Type:-Ti) " Group
C
Name of Leasee /Poo�2 8DP4 PT/J//yo. Phone �30�r/
Contractor is/r/TE State License No. 277_ Approved by (/1 172 Dote-
/ PLANNING DE 4 TTM- ,\r /
E7NTn /�7 3
Address /y,J/.r .5Alai-7eNF City 41-Nato" Phone Zone .. A. P. No. r Al I 6/f t\
Architect or
',neer State License No. 2 o 2
Bldg.Site Address
Address City Phone
Legal Owner _(��
Description: Tract Sign ❑ Roof Sign Address /"3 . . /
..,
❑ Appurtenant and Incidental Advertising Sign ❑ Gas Tube, Elec. Sign /J /n
Off-site Advertising Copy Sign Sec. 1.37, 1.44 g City ._._ :i-ttfrr• r lS� if p
Area of Sign: /Oh in. X eft. in. -7 ®-dam
Required Bldg. Setback to /
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Center line of Street 'D
sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x
24'' and non-erasable. Location of Sign:
Behind Bldg. Setback Line X
ili If between property line gnd established setback line, owner is to sign written agreement with the City.
/(/f/yC// 'TS �/ lG.er�// Between Property Line and
Signature of Property Owner �b �- ,- Q�r�X/ Date 3-Ai-a Bldg. Setback Line �^ V.2---
Front
r ✓`/C� Feet ,r
.i...: undersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and
Right ? Feet
in strict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Ordinance of the City - /
of Costa Mesa, and all amendments thereto. Left 6 C> Feet i -r
Ct
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL Projection Feet z
AND FINAL INSPECTIONS SHALL BE CALLED. n
Ground Clearance /0 Feet ..`t
a
ill
Signature of2 C. U. P. C. Date Approved c';
Permittee /J i�� The amount shown under Valuation is for the purpose of
/ establishing a permit fee only Clearance Chap. Art. 5. Section 8504 (b)
/ , r*I
Authorized Agent VALUATION Permit Fee $ \-5-- Signature (Planning Stl ff) =r- 77
tilic (5-- 9$ Ov I Plan Check$ Signature (Dept. of Public Works)
Recd. by Date : (
FORM BU-30-1M-]/63 Total Fee $ Date: J
'L y 9 C ,( 43