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HomeMy WebLinkAbout3097 YUKON AVE - Building Permits O� s CITY OF COSTA MESA 49 BUILDING DIVISION >y ,, rr's. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. 1 j. /; J PERMIT "1Moamso le P03-00066 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 3097 YUKON AV Status: ISSUED Suite No Applied: 02/06/2003 Issued: 02/06/2003 Vicinity: Parcel Nunmber: 41806203 ISSUED BY: Applicant: DUNN, JONATHAN Address: 17886 LAKESHORE DR Phone: 800-727-0977 LAKE ELSINORE,CA Zip: 92530 Owner: BERG, GEORGE C TR Address 3097 YUKON AVE r • RED L Phone: L n AIWA GOSTA MESA,CA Zip: 92626-2919 pa Contractor: ALL STAR WATER HEATERS & PLUMBING Address: 17886 LAKESHORE DR Phone: 800-727-0977 LAKE ELSINORE,CA Zip: 92530 License: 778156 Arch / Eng : Address: Phone: Zip: License: SCOPE OF PERMIT PLUMBING TO INCLUDE:CHANGE OUT WATER HEATER. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System • $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 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 2446-48 WOO) DECLARATIONS I ( WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty 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 Cale,for the performance of the work for which this permit is issued. C/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 is Issued. My workers'compensation Insurance carder and policy number are: _ Carrier: ST4T,6 V.,AD t, Policy Number: i SG\ LktrOt (This section need not be completed if the permit Is valued et one hundred dollars(5100)or less.) ❑ I certify that in the performance of therk • hlch this permit is Issued.I shall not employ any person In any manner so as to become subject to the workers' compensation laws of C-ifomia,and., II I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi-ons. Applicant Signature: _ lir — Date: 2--‘ 'CJ3' WARNING:FAILURE 0 SE E WORKERS'+s'•-ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLAR SI..•..),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.Uc.a 77g 1 S6 Class a G2 Contractor's Signature: Date: Zs—C.—e.13 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 Ucense 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 Ucense 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 Ucense 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 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(36)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 ❑No (Section 25533 of the Calitomia 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 hazardousoust._._ materials)? ❑Yes 0N (Section 25534 of the Califomia Health and Safety Cale 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? 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 agermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ 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). 8 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 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 Califomia Health and Safety Code Section 42303 been made? 0 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 and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPUANCE 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 property for inspection .•Loses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si.44egal Owner(s) / Date /atnd/Or ••horized Applicant Darr POOP N, INSPECTION TYPE DAIS INITIAL$ ;ODEd INSPECTION TYPE • . PAIS MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical ^ 1266 Pool Spa Final 208 Final Plumbing n 1'o(e.`lJ,,,p l BN 200 Final Re-Roof 210 Final Electrical 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 ��,` MF,,q CITY OF COSTA MESA ;4 :- 4 BUILDING DIVISION Vi "y, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Ta. PERMIT B00-00365 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3097 YUKON AV Status: ISSUED Suite: Applied: 03/22/2000 Vicinity: LEFT SIDE PROPERTY LINE Issued: 03/22/2000 Parcel Number: 41806203 Zoning: R1 R1 pp Applicant: BERG, GEORGE C. ISSUED BY: c� m Address: Phone: (714)557-7785 Zip: Owner: BERG; JULIAN J TR Address 3097 YUKON AVE Phone: COSTA MESA,CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 • • Arch : - Eng: Address: - Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCT 6 FOOT HIGH BLOCK WALL ON LEFT SIDE PROPERTY LINE 71 FEET IN LENGTH. FEE SUMMARY Plan Check: $35.10 - Calc Valuation: $1,420.00 Permit: • $54.00 -- Claim Valuation: $0.00 SMIP Res: $0.00 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $89.10 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 29-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 WORKERS'COMPENSATION DECLARATION: 4 I hereby affirm under penalty 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 is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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 of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE CnlT 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.# Class# Contractors Signature: Date: 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).): • 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 exem t un sec. Business and Professions Code for this reason: Signature: Date: 3/2- 2-72-en Owner ID verified by drivers license. ❑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 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(36)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? ❑Yes ❑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? ❑Yes ❑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 0N (Section 25534 of the California Health end 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 RMPP equ.iy- ...u--'_ with? .-.---...... ._-....._.-- ................ ................ 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Ves 0 No ..._ rmif for construction or 5 Does e will the tcAir or present n building occupant at requirehr for the work which isi the subject age 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 �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 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 operty for'ns•' I•n purposes.I agree not to occupy or allow occupancy of any building authoyrized by this permit until final inspection. �► 7/2.Z /Lain) nature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE O. INSPECTION TYPE 0A/TE INTRIAL$ CODES INSPECTION TYPE pf INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall ©/is 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 2446-46 I \. •TI-US SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALIS/FENCES BETWEEN 2'fi•&6'IN HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST W FROM FRONT PROPERTY LINE. AN ACCURATE REPRESENTATION OF THEIR PROPERTY IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALIS/FENCES SHALL NOT EXCEED 2'6•IN HEIGHT WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 1d OF THE FRONT PROPERTY UNE RIOT CURB LINE). r^00 3 6 •VERIFY DISTANCE FROM CURB TO PROPERTY LINE �___ AND SHOW ON PIAN. VERIFICATION FROM THE C I YS ENGINEERING DIVISION IS REQUIRED. CALL(714)7545343 APPROVED FOR INFORMATION. CITY OF COSTA MESA CANNING DIV. SUBJEO BLDG. DEPT. REG. BY /t"ia'C-- ,DATE 34 V 2 —— — — K k ellIVO CC 7 M . l2 war 4 AD)ITIONS TECLTIONS, OR CORRECTIONS SHALL BE /MOVED BY THE—PtANNIPtt1COwYbiol r • k SODcar r, . . , DIV IS;.t'iv OF BUf ' rEI LDLV Y CITY OF COSTA MESA : ' AQP tEI ' g, SI_ 'ZZ co tate E LI This ret of plans<nd speciliB!ions, �JS kept on this jo'Mal times and t is unlawful _ a ,�!:e :sly change oreferala onsame vncou{g q rm siontomth3D'I 211BU&. .,, 1 . ,:dety,City Costa Mes I p f" aM"= RESDEREE i S. ..*ntei 1,alar and ^^•./ yt'�,n °uAU NOT heh.Id to Permit or to be an appro'I � `Ey w;, .e . '1MIn^,ni p andtnr State Ir. ' •, ,. . ,. l t, • , .il ;;30,43,61 ?Y 901/ V. CY \ % ' @s . $Ep 4•p' i., • 4' '•4emNi i \.___ I \ _ _ _.9 \ yK f<eN Ave- , f STREET - BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION J x.,_g u 11 ‘. ___ • ,f \ TYPICAL - 611--CONCRETE BLOCK FENCE f - 0 Cement CopingOptio^a'- . + . 3 GENERAL— NOTES Channel Block With 1:3/1 �, ,_• 1• Mr: - 1 _� .�1 Horizontal Top of all ae ° i - Fences N , : i_� MillE. MORTAR: One Port Plastic Cement, and Three Parts Sand For Fences 5'or Less! ',`" IR o ��� '� ��'- GROUT: One Half Parts Three and . One Half Parts Stand Vert.Bars 3/8"¢at 4;•.•02.-D.C: - 1d COPING: One Port Cement, Three ' - Parts Sand For Fences Higher Than o - - •' n: o .�I' , CONCRETE: Wel I Milted 1:2-1/2: 3-1/2 Vert. Ban 3/8"0 at 32" OIG. _. .r w , - — - - - - -- -- if s ,''I .Q x -` -- 1e ���-J Wafer of 7- I/2 Gallons of Fill Cells Solid With Grout"' r ' > • Water Per Sack of Cement Where Steel Occurs t ' }r��� . �r _ -- . - - - Reinforcing Steel Shall '."9 it YI I `f 'o 1 ��. GROUT MAY BE POURED FROM THE TOP IIYY 77 ' - OF THE FENCE-IN CELLS WHERE STEEL Conform to Sec.A-15t.39 1 e :w 0 ..- 3 - - OCCURS. A.S.T.M. i I ; I 1 _ CELLS AND AREAS OF HORIZONTAL REIN All Steel to be Lapped �.....-.. m it�I ILL ' �' ' FORCEMENT SHALL BE CLEAR.CLEAN 6 N ' WI '= FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code NATURAL GRADE _'I Fe v ' ENS ._ �` �" IIIMOM , ' TWO 3/e"O BARS / 0 , CONTINUOUS TOP • •-'® IC • 6 BOTTOM -1"-I 1-e—WIOTH III 10 16' 0 C MAX SEE CHART MOQI3.STEEL MUST BE TIED IN BELOW DC PTH 'Cf C4RTHTCOTH PLACE AT TIME OF TRENCH I/3 THE HEIGTH OF FENCE INSPECTION. ' Ttow BOTTOM OF FOOTING 1.....10:_i o" 7 2" SCALE: 1/2" = I' FOOTING REQUIREMENTS CHART WALL HEIGHT "6 • 5 4' 3' 1 WIDTH 14" . 14° . . . . 12". . . . 12" THICKNESS . . .10" .. . . . . 10" . . . a" e " DEPTH OF EARTHTOOTH 24" . 20" . . . 16" . 12" SPACING OF EARTHTOOTH. 12' . 14` . . . 16` 16' • t�� BUILDING DIVISION • i PROJECT ADDRESS: 3097 YUKON AV L L- UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 066277 OWNER'S NAME: BERG, JULIAN J TR ADDRESS: 3097 YUKON AVE �� C /� PERMIT NO: P 066277 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL WATER HEATER SQFT: ' ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / PERMITTEE: NOCK PLUMBING ( 714 ) 895-1246 ADDRESS: 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT STANTON CA 90680 ############################################################################### LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am lir• ed under provisions of Chapter 9(commencing with Section Z O N I N GS ERTEBQAUC IR EMENTS 7000)of Division 3 of the Business and Professions Code,and my .e is in full force .nd effect. CITY MC.: 0 03 6 STATE LIC.: 511971 cLAss: C-36 at 7 fL—r Signature:_ / / MAIN BUILDING ACCESSORY BUILDING MRS-COMPENSATION DECLARATION: thereby affirm . have a certificate of consent to selbinsure or a certificate of Work-rs' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Kw/m: 1167992-94 EXP.DATE: 03/01 /95 COMPANY: STATE PARKING REQ: PROV: PARCEL : 41806203 ZNE: REF NO: ❑ Certified cop is hereby furnished. ® Certified copy is 'r nth the city Buildin..Div 'fin. PLANNING NOTES> !Date: —3 Applicant:_ \._ _ E' PTION FRO WOR RS'CO PENSATION DECLARATION: (This section need not be completed if the permit is for one hundr r 'ss(. DEVELOPMENT SERVICES REQUIREMENTS 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 beco subject to the Workers'Compensation Laws of California. Z• •ING APPROVED BY DATE: Date: Signature:_ NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: 7___Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: _ 9which this permit is issued(Section 3097,Civ.C). ################################ #'##############################7F 3FF!�F' ## LENDER: ADDRESS: LEGALIZATION:N FEE 4U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMB ING ELECTRIC MECHANIC FIRE SM IP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7 . 00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% t SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 20 . 00 ' - I, as owner of the property or my employees with wages as their sole compensation, win do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 7. 00 20 . 00 0 . 00 27 , 00 27 , 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale.It.however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 27. 00 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7014,Business 27 . 00 ❑ and Professions Code: The Contractors'State Licence Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant 10the Contractors'State License Law),l am aware ###########if###-########################.7E#.#.)(.#-##i(.{f{p##.#.#.##{t.#.#{r.#..N.#.#.#{p#.#.x..7F#..x.#.#.##.#,#.M.#. that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BR E AK DO W N ❑ I am exempt under Section: B.Si P.C. for this reason; TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: OwnerPLU 1 WATER HEATER AND/OR VENT I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 7 . 00 7 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END' OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that ththoePr e information is I agree to comply with all city and county ordinances and sta Signature:a laws relating to building construction and heresents es of city to enter upon the above-mentioned ^ by mr rnsp tion our oses. 01 00156684-00156684 TOT 27.00 . _l'l ___....—•-----_� DATE: 03/07/94 TIME: 09:43 Driver's License or Social Security 1641-46 White—Building:Green—Code Enlorcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor — CONSTRUCTION AND PLANNING POO' 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 Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER 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, 0 Undrgrnd. 10. Structural Floor System _ • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains .. 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning -j- !/-442 1 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 4 l( ¢�./, 39. Water Service-Final Y-4 w 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 CITY OF COSTA MESA i 25419 COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 23 1966 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPc t i ?° , r .. TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 1097 Yukon Avenue RECEIPT NO. 234179- COSTA MESA. CALIFORNIA J RECD BY DA ECEIVSDDATE IBBMUED EDC OWNER U.S. Financial -7�">io6 ,Hrc z I MAIL BUILDING ADDRESS 13 / Z55 Front Street ADDRESS /, GROUPP00 V, T!No RE CITY San Diego, Calif. .L BE-96041 // ONE TYPE • APPROVED ARCHITECT 1 NGINEER A.S. Henr7ck NO. 33194 BY DATE ZONING ADDRESS 12061 Santa Rosalia, Stanton „ No.OF Q.E OF / I PLAN/ c2 I LEAL BUI LDLINO O M _CONTRACTOR ) ewi s R. Schmid ( ADDRESS 2910-A Randolph DBGD"P.I°" _.--(45-e ^l ' /T 4 CITY Costa Mesa. Calif. A.P.NO. —ter NOTE: NO SAVE OVERHANG SHALL BE LESS THAN ATE TEL. LIC.NO. 2111399 NO, l ho_o96G - 80•TO SIDE a REAR P.L. VES SIZE NO.OF ELDSS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 6G x 100 I NOW ON LOT 0 USE or YARDS APPROVED YARDS APPROVED EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET/ SETBACK LINE FROM 1� S CENTER OF STREET LSI REAR YARD 29.50' FRONT �/2,1r17 Pr. R.SIDE J PT. FT. SIDE YARD I LEFT 5 t I RIGHT II c 1 / DESCRIPTION OF WORK L.SIDI 5 �P FT. N I ALTERATION_ ADDITION REAR(2' PT. FT. flLl� DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDOR. ACCESS.SLOGS. ,l BUILDING pp NO.OF VAR.OC DATE t SIZE 11184 SQA I ROOMS 6 ,ST�RI C.U.P.�}. APPROVED i, EXTERIOR WA Y7CSOQ I ROOF -naKH APPR•VII- 1 S--/7-66 COVERING • . -t-r COVERING .. . BY ". DATE USE OF BUILDING AND WORK TO BE PERFORMED a Single Family Dwelling with Attached L— w Garage P. D w r// / eq.Fr. 46 6 A'Cr A /-47 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT'ANO AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGU 'TINS VALUATION BUILDING CONSTRUCTION. co // �� W PERMIT FEE $ �Okj SIGNATURE OF PERMITT56� /tee^ !�/ / /e _ $�© /�1,1/` �{ a mB w (J�V PLAN CHECK $ u r �1 c1 and AUTHORIZED AGENT ry TOTAL FEE $