HomeMy WebLinkAbout3098 YUKON AVE - Building Permits ADDRESS OF AtgLWc: 3098 YUKON AV UPT: CITY OF COSTA MESA - BUILDING PERMIT T I v -ooP)2,J
CWNEnSNAEIEtn *I&AUKEMA, RIENIE FLOOD : X 47 PERM NO: P 087733
Anon 3098 YUKON AVE •
. COSTA MESA,CA 92626 PERMIT NO: P 087733 PLAN CHECK NO: N GOVT: N SUPP : N
APDL.MAIUNGADORESS SISTER Coia- a089 CONSTRUCTION TYPE: 5-N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT Oft EN@113n: LTC.M3.: JOB DESCRIPTION . REPLACE WATER HEATER SQ FT:
ARCH.OR MG ADDRESS: MT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
ca lnACTonspwt THE EARLS PLUMBING ( 714 ) 524-4300
CONTRACTOR'S MNLDIG 501 N. PLACENTIA COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
sxns& FULLERTON CA ucND, 217657 *****+ ******+E*********+ *****+E******* ****+E***************** *******+E* *********
92631 ton: ZONING R EQU IR EMEN T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly d PerithY tel I are licensed under prwialow o Chapter 9 S E T B ACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force end oiled.
C C.NO.:/005�38 uc.CLASS: C-36 mita: 2171657 1 EXP: 06/98 MAIN BUILDING ACCESSORY BUILDING
ale i1// 5" N Y Contractor: / LIAt JC FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
I LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
WNER BUILDER DECLARATION:I hereby affirm under penalty d pernnry that I em exempt Iron the contracod License Law for the
wing reason(Sedlen 7031.5 Buseeae and Ptdeeeions Code:Any city«county which requires a permit to oonswa,alter.improve. PARKING REQ: P RO V: PARCEL: 41806113 Z NE: REF N O:
,doh,or repay any st udure,prior to is issuance.also requires the applicant for such permit Io Ne a signed statement that he or she PLANNING NUT E S>
_°sensed pursuant to the provisions of the Contractors License law(Chapter 9(commencing with Seddon 7000)of Division 3 of the
Business and Professions Code]or that he or she n exempt therefrom and the basis for the alleged exempten.My violation of Section > ,;).-
7031.5 by any applicant for a panne subjects the applicant to a civil penalty of not more than five hundred dollars 1S5oo11. *********************%*********************************************************
❑ Les owner dthe property or my employees wilt wages es mei sole conpenadion,will do the wok,and the structure ism intended DEVELOPMENTS E R V I C E S REQUIREMENTS
Of offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does nal apply to enowner of properly
who bolds or improves thereon,and who does math work himself or herself or through he or her own employees,provided that such
improvements are not intended or offered for sale.f,however,the building oinprdnmed is sold within one year of completion,the ZONING APPROVED BY ` DATE:
owner-builder will have the burden of proving he or she did not build or improve 1«the purpose of sale).
❑ I,as owner o the property.am excluwveycontrmirg with hoe aedcontractors to construct the prwed(Sedidr 7044,Business and BUILDING APPROVED BY DATE: _
Professions Code:The Contractors License Law does no/appy to an owner of progeny who Wads or improves thereon and Mat
(1,)
• centred*for such projects with a mmracor(s)licensed pursuant to the Contractors License Lew). - . 'yUA
❑ lamexempt under Section: B.AP.C.for thleereason: APPLICATION ISSUED BY: 1 DATE:
********************** .,Fi7 • **************�17 * **
Date:
Owner: LEGALIZATION:N F E E S U M M AIR Y STRUCTURAL SEGMENT:N
I do hereby candy that I em aware of end understand the requirements of California Health and Safety Code Section.25505,25533.and I
25534,eM thatlo any Mwboilding occupant wlllwel nth(circle«al need to comply wall said nate codes and the requiremanb far BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a prmil f« oostudion cc modification from the Ak Duality Management Pend.Residersml construction appiwan N
icns are exempt Iran
provisions. PERMIT 11 . 00
Dale: Applicant: 25% y SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:t hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00
• I ave and MEmeintae a°anffgele of consent towf.ineure forwdkeri compensationre provid 'NG-DIV.
.>for by Section 3700 of the Lab« BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for m.pedw.aed ework f« :dm
w .pennneissued.
TOTALS----> 11 . 00 22 . 00 - 0 . 00 33 . 00 33 . 00 . 00
I have end W maintain workers'wmpenedion insurance.as required by Sean,3700 of the Labor Code,for the performance of the
work for whid,this permit is issued.My workers'compensation insurance tamer and policy number are: "
Gamer STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 33 . 00 OVER/SHORT: . 00
Policy Number: 14435U1 -98 03/01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed iI the palmi is for one hundred dollars(SIM or less) 33 , 00
❑ I wily that in the pedormence or the work for which this permit is issued.I shall nal employ any person in any manner so as to
become sutied to the•octad'danpenatipn laws o California. and agree met 1 I should became tabled to the worts"' *******************************************************************************
flenstop pr«ro d Section 37th of the Labor Code,I sha/ll�forthwith wwihhtthoo a ppme;aloa. INDIVIDUAL F E E BREAKDOWN
oot.to secure workers compensation coverage la unlawful,and shall sub/act an employer to criminal penalties and TYPE QTY D E S C R I P T I O• N UNIT COST TOTAL COST
:///
fines up to one hundred thousand dollars(5104000),in addition to the coif of compensation,damages as provided for In
Soudan 3706ofMeLabor Code,Interest,and atros
neyfees. PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of penury that there is a odntndion lending agency for the 'END OF FEES
performance of the work ler which this permit is issued(Section 3097,Cb.C). r 1
LENDER'S NAME
LENDER'S ADDRESS: ......-
I
—I candy that I have read this application and stele that the above intonation is coned.I agree to comply with all ply and county ordinances
end state lawn relaid to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly .
for inspection purposes
MANUEL MATA - • 04-15-1998/02:41 Prr"r/$33.0a
T:087733
/i�/iia PEki 1I T:087733
2483
lime: Li
Signature d own w APDbcen ontract«
(StSi-46 W P) White-Bmldis&Safety:Green-i e,Canary-Appicant:Pink-Revenue:Goldenrod-Assessor•
CONSTRUCTION AND PLANNING' PQ t SPA
Date Inspectory Date Inspector
APPROVALS Permit 46' c - APPROVALS Permit# r
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 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,d 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 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 r n/
33. Final Electric Notes:(A/..cox Mo Acciss
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final-Factory Fireplace
38. Final Plumbing 5/s/q,
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
ADiae3SaPSMLmtG: 3098 YUKON AV DMT' CITY OF COSTA MESA - BUILDING PERMIT
ONNERSNMIEI Q Aft AUKEMA RIENIE FLOOD: X 47 PERM NO: B 078494
r) ADDS 3098 YUKON AVE
COSTA MESA CA 92626 PERMIT NO: B 078494 PLAN CHECK NO: N GOVT: N SUPP : N
714-979-6033
APDL AMMO ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT
ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : T/OFF FRONT HALF OF ROOF/COVER W/MED SHK SQ FT: 4 , 888
MCN.OR END'S ADDRESS: WIT:
CLAIM VALUE: 4 , 888 . 00 CALC-VALUE: 4, 888 . 00 GROUP OCC : R-3 /U-1
mmucrarSNAME PRIMO ROOFING ( 714 ) 841-4456
caaeACTOnuMDA 17066 PALMDALE ST COMMENTS: FRONT HALF ONLY RESIDENTIAL REROOF
aRESS: HUNTINGTON BEACH CA mm, 331120 *********+t******************************at**************** -+E*****etetit*******at****
94627 WIT: Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penny of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.
CITY WC.NO.: 007639 uC.CLASS: C-39 MAO.: 331120 EXP : 03/97 -' MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Date: _/�g-.Th centred«: �kt 1 h/la �?cA,6 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for Me
' 'Slowing reason(Section 7031.5 Business and Professions Code:Any city or county whim requires a Permit to ronsDuct,atter.Improve, PARKING REQ: PRO V: PARCEL: 41806113 Z N E: REF NO:
iemdeh,or repel any structure,prior to ice issuance.also requires the applicant for such panne to file a signed statement that he or she
is licensed pursuant to the provaions of the Contractors License Law(Chapter 9(commenting with Section 7003)of Division 3 d the PLANNING NOTES>
Business and Professions Code)or that he or she S exempt therefrom and the basis for the alleged exempti n.Any violeton d Section >
7031.5 by any appla P
icant fore s biecs the applicant to a civil penalty of nme than five hundred dam[MOOD. *******************************************************************d(1***********
El I.as owner of the property or my employees with wages as their sole compensation.will do the work.and the structure le not Mended D E V E L O P M E N T SERVICES R E Q U I R E N E N:T S
d
or offered for sale(Sean 7044,Business and Professions Code:The Contract*License law does not apply to an owner d property
who bunds or improve,thereon,and who does such se work himself or heo through his or her own employees,provided that such
improvements are not intended oofered for sale.If.however.the building or improvement S sold within one year of completion.the ZONING APPROVED BY DATE:
ownerbuiNer wT have the burden of proving he Of she did not build or improve fa the purpose of safe).
❑ I.asowner dthe properly,amexclusively oontrad'ng with licensed contractors to construct the*Ma(Section 7044,Business and BUILDING APPROVED BY : -
Professions Code:The Contractors License Law does not apply to an owner d property who builds or improves thereon and who
contracts for nidi projects with a contractions)licensed pursuant to the Contractors License Law). `�•
El B.AP.C..krthisreason: APPLICATION ISSUED BY: //6 DATE: �F
********************************************* ********************* ** *2k***
Date: Owner LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of and understand the requirements of California Neeth and Safety Code Sections 25505.25533,and
aom'iiacoonnstrucc,or any rr modirfuture mttiionnhorning Occupant ntheAir tyanWrpmrent one)need
Resideto ntial o nududioaid�r ppcationene codes and aeexe mtwse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provision.. PERMIT 99 , 75 . 50
Dam: Appiad: SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perpsy one of the following deMentins: ISSUE FEE
❑ Ihave and wilmein*acentloateoconsent toself-insure for workers'compesaton,asprovided for bySecton3700of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,famepod amaneofinework for wNhmlepemM issued.
TOTALS----> 100 . 25 0 . 00 0 . 00 100 . 25 100 , 25 . 00
0 I have and workers'will maintamaintaind
compensation insurance.es requited by Section 3700 of the Labor Code,for the performance the
}C work for which this permit is Issued.My workers'compensation insurance carder and poky number are:
Canter: AIG EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 100 . 25 OVER/SHORT: . 00
PdryNumber: 840 /00 / 11 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed a the permit is for one hundred dollars(x103)or lest.) 99 . 75 . 50
❑ I certify that in the performance of the work for which this peon)Is issued,I shall not employ any person in any manner so as to
become subject to the cankers'compensation laws of California and agree that if I should become subject to the workers' *******************************************************************************
compensation provisions of Section 3700 of the Labor Code,t shall fonhw th comply with Mose INDIVIDUAL F E E B R E A K D O W N
,/\�/`
Date: <3 '.% d erfl e: 1 - APW
Warning:Fefustosecure workers'compensation coverage Is unlawN(0dshall subject en employer roedMrsl penalties end TYPE QTY DESCRIPTION UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to the Cost of compensation,damages as Provided/or/n
Section 3706 of the Labor Code,Intense,and enamors lees SFR 4888 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 888 . 00
CONSTRUCTION LENDING AGENCY: I hereby effinn under penalty of perjury that there Is a wnrmdion larding agency for the END OF FEES
performance of the work for whim this perms is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDERS ADDRESS:
I certify that I have reed this application end state that the above information S correct.I agree to comply with an Sly and county ordinances
and stale laws retain to laldig eomadon e d hereby authorize representatives of this Sty to enter upon the above-mentioned property
for inspection purposes. BRIAN W�tH{mE�TSEL (�j
tom/ Sg�Wne2 maor Date: -1 -0Cg-"1(/l
\(5151 4fi.WP) Whle-Buitdig S Safety;Green-File:Canary-Appica*Pink-Revenue:Goldenrod-Assessor
•r I L.CONSTRUCTION AND PLANNING PO. +& SPA
--Ill 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 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, ❑ 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 -
9 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 0 Oil
23. Gas Pipe-Rough & Test , 72. Underground Flush
24. Roof Framing ,,,,�� /� 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 7Y//V 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. Insulatioh 78. FIRE PREY. 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 •
35. Final Gas Pipe-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. Backf low Preventer -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 7 �Z/h% 2
48. FINAL PLANNING / N
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
I
CI Y OF COSTA M SA
INTER OFFICE MEMORANDUM
August 16 79
, 19
TO File Vic Newton, Acting Assistant Building
FROM
Safety Director
RE: PERMIT # 44291 - 3098 YUKON AVENUE, COSTA MESA
Mrs. Aukema came into the Building Department Office this date with the
attached letter from Surety Co. of the Pacific. The problem of the
leaking roof has apparently been solved. Her current problem is:
Inspectors (Mac and Bob Young) would not approve the final building
inspection due to extremely poor workmanship on the dry wall taping
and nailing.
She stated she had contacted the Curtis F. Clark Construction Co.
many times regarding this problem, with no remedy.
I advised her to write a letter to Surety Co. advising then of the
situation and asking whether the release mentioned would be a full
release on the property, or only the roof portion, and to send a
copy to the last known address of the construction company.
I also advised her to consult with her attorney regarding these matters
and to make sure anyone doing contract work on her property was duly
licensed.
She has already filed a ca plaint with the Consumer Affairs Office,
(Mr. Hendrix) .
VN:ks
1w
SCP SURETY COMPANY of the PACIFIC
1849 CENTINE LA AVE. / SANTA MONICA,CALIFORNIA 90404 / PHONE: (2131 829-9941
REPLY TO: POST OFFICE BOX 2105 / SANTA MONICA,CALIFORNIA 90406
August 14 , 1979 /
Rienie K. Aukema
3098 Yukon
Costa Mesa, California 92626
Re: Curtis F. Clark Const. Co.
Contractors License
Bond No. 461140
Dear Ms. Aukema:
A careful review of the Claim Questionnaire and exhibits 0
submitted by you in support of your claim against the
subject Contractors License Bond has led to the following
computation of damage and offer of settlement:
Payment to Primo Roofing
to repair roof. $803 . 00
Settlement Offer $803 . 00
This offer of settlement is based upon our finding that
while you have submitted estimates from other parties to
repair Curtis Clark' s allegedly defective work, the records
of the Contractors State License Board reflect that only
Primo Roofing maintains a Contractors License.
In light of Sections 7031 and 7044 of the Contractors License
Law public policy dictates that any party acting as a
contractor must be duly licensed or be your employee working
for wages. The materials you submitted to us verify that the
work in question was performed on a contract basis and,
therefore, requires licensure.
As Primo Roofing was duly licensed during this period, the
cost of their contract constitutes the basis of our
settlement offer.
If you wish to accept the offer, kindly advise by return
mail and we will issue our draft and appropriate release.
Please be advised that this settlement proposal will remain
SURETY COMPANY of the P„,,IFIC •
Rienie K. Aukema
Page 2
August 14 , 1979
open for thirty days from the date of this letter, at
which time it will expire.
. Very truly yours,
Monty Erwin
Claims Manager
ME:cr 2'J 9- 9991
.. 90,6 ggTT .,
13
D AE-S,}il'o .,
1,' _ A.4.10„;
4 1Db a I — 15 P /RT I NNq 1 _
. -
BUILG ADDES
o c. AA1m
•- • - • TRACT LOT BLOCK
I
- NEW ADD ALTER REPAIR MOVING DEMOLISH f(1., : I
X
I
; - .. .I' OWNER I
• \a, ,IG A.0 K-UAIAc
•
USE
r�m.2� . , 2"--°c.L FAQ 1
FIRE ZONE TYPE GROUP
/ f� le fv'i 1
f SETV.BAAAF$I I is /{� I ti i
• Front Yd a °Side Yd. R 24 ' 3 L II _4 Mear40 �I
Side Yd. R L Rear ! I
1_
BUILDING INSPECTION RECORD
TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- I
- MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT ' • .,.i.�
_ it LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED.
STRUCTURAL INSP. ��7 •
' Trenches ❑ Forms ❑ I ••Il ••I L /tea _
Floor Systemase i
��,
Steel Reinf. a •
•_ Sheathing Na� ./�ny5�I
Frame and FlashingMC - iEISIE�A,F,
Insulation -
- - k ; Lathing_ Ci(.5 1 �%i
/ Dry Wall Nailing -° INIElInn I
Plaster,BrownCoat �
SoundoundAttenuation
Handicap Regulation
FINAL •
.
•
I • PLUMBING 6
.
Sail
•
_ Underground Water •
•
Rough Plumbing .
• Prop.Sewer Line and House Conn
' ' . - - Street Sewer Conn.
•
Water Service
Sprinkling System •
I
Gas Test
• • FINAL •
HEATING, AIR-COND.AND REFRIGERATION I
I Rely. Lines,Pressure Test
Ducts. Underground .N.
' Ducts,in Structure
Ducts,Ventilating — A
' Rough Heating and Air-Cond. I -�� �--..I'/Ii
•
FINAL (C. 6
ELECTRICAL
. I
Temporary Service or Pole -
Underground '
Power Meter ,�pp
• Rough Wiring a tom. C 'lO`ti 1
t FINAL C•J. /o .20 '77 :i;,
Do not occupy this project until final inspection has
been made and occupancy has been approved
Building Final
Special Requirements
Occupancy
• NOTICE
24-hr. notification required when the job is ready for inspection. You ',
ust furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH
•
_ SPECTIVE INSPECTION. CALL 556-5273.
APPROVED PLANS SHALL BE ON JOB AT ALL TIMES
0559.46 J I :
i' �...I . .�4
i
.
liar Be— ETTLED •
44'41
L_. IY OF COSTA MESE.
4
q aI CALIFORNIA 92626 P.O. BOX 1200
FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY •
44POcmco
Project Address 3 0 9 FS y �— 1L O tit Permit # 519 v
Project Name ��i/ -
Owners Name A w c t a
Owners Address S a t-. City Use Only
Owners Telephone
I Bo's as Owner, Contractor, Agent (strike out all
except one) do hereby att4st that employment of any person, or persons, is not
anticipated at the time o seeking the above-referenced permit. In the event that
any person, or persons, are employed under the provisions of this permit, I shall
immediately cause a valid Certificate of Workmen Compensation to be filed with the
Costa Mesa Building Division.
•
I agree to defend at my own cost, and to indemnify and hold harmless, the City,
its officers, agents and/or employees, from and against, any and all liability,
damage, costs, losses, claims and expenses, howsoever caused, resulting directly
or indirectly fran, or connected with the improvement under this permit.
I further state that I have read and fully understand the implications and re-
sponsibilities of the above statements, and will comply with all provisions of the
Contractors State License Law found under the Business arra Professions Code,
Division 3, Chapter 9, of the State of California.
A
Bab s
(Print Name
x34,1, -/O - SU
Signature Date
CMF 0777-46 •
CITY OF COSTA MESA
. SERVICE REQUEST & PUBLIC ASSISTANCE FORM
Date /4—nc-- 77
Time /a 1,a
Caller's Name in' .
�`
Address c 9e0 fir ,e./.4-82-7-1Phone _,- c3� vx/(
� O17
Nature of Request: (location, type, severity) •00264.5 ` Wad'
/ /
p
- eer_a i
10441% ' //
. %4ELKZe-S, P d
R � p -t &
Refer
' ��� mall backr ! -1S�a�
Q rtt AS �w 2 � ` "io"ice Only ri
7ce ��//Jr '- �7-/ flr 7Information Only n
Person Receiving Call / !`!/J?e/
U
OWNER ARUMA, RENIS DATE 7_12_77
JOB ADDRESS 3098 Yukon Avenue BUILDING PERMIT NO. 44291
GENERAL CONTRACTOR Curtis F. Clark Constr. DESCRIPTION of WORK Add Familyroom & 2nd „floor
P' 'O. 418-061-13 LOT TRACT FIRE ZONE VALUE E 10,000.00 Uearoom
h. CCTIONS Sig Dote TYPE V GROUP I ZONE- R-1
SOIL - .--PE MI ISSU D
'—Si BC O.N T : A TF?R
GAS /n /, % 1 11 /! + Date ilI u er i9mture
WATER I 1! IPU, biimm `- 'I H ',� II f
ROUGH PLUMBING I /,-- II \ I \\ 0 II—_ 1---1
PROP. SWR. LINE Q HOUSE CON. 0 1 �i LI V U `
SPRINKLING SYSTEM k._-.--k._-.-- / i • �-v_. / �+
MISCELLANEOUS Y
ROUGH HEATING AND AIR CONDITIONING
ca." 25-q--j'j R •Ir •
TEMPORARY SERVICE OR POLE ~� - iii4 A--ti-=%13
UNDERGROUND El POWER 0
ROUGH WIRING C. jJS-7? Nsotin and Vent.
TRENCHES FORMS Li STEEL REINF. ���/ 33 l;C,t( A 4�� � ,!/77Il/'//
FLOOR SYSTEM ^ /�✓ /
�BONO BEAM 5 EEL�REI,N,F/AO/RCE I
BHEATHIN OA.bll Q L-t /4-'w 07
FRAME AND FL SHING ��-�Iy , ---„4
ATHING — IN� OUT in
* �� 7Z 1 - 0
LASTER, BROWN COATS /� �p"'� F� V
HL. .NG RVENT.,AL. FINAL
EFRIG. AND A.C., FINAL I�"� 'I'(4 1,' Cirl c ±ei 71/771.11 /3'
PLUMBING. FINAL AND GAS TEST fl
ELECTR
BUILDING. FINAL —tvehi •
'tea -.�i '7h. FILE
A04/ . ' 'f�.�-� C/ /
C
I
I _
r.-')/'
. '�� tPA.v
t il 1 1-777nc Qf11 1171. ... V . l'-.
• or _ - -442° 1
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP LI TION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink
/Only qEC IV y? DATE RECEIVED qqT SU
BUILDING ' r‘. 17 V ii e('i // t\'/f "- ►l,E
ADDRESS fa 1 tj At 11 /� PER h1 T NO.
MAILOWNER err'}. / L.: ,i\ l/ I� i ) /V 3� BUILD NG ��YI—�(�/ cm ys z15',,
ADDRESS
666---1�_ 0 c / 1—' 0 / AILS ADDRESS ��g / ,\�
CITY c_�,_j �f �4 NOTEa�Z/g„ TRACT/401st `LO�4 BLOCK
z �.
CONSTRUCTION LIti r---r< NEW p.DD ALTER REPAIR MOVING r1FMOl ISH
LENDER rJ u.) \
BRANCH r----- , .- ----- �nV-p 1� ,1 r, �,� "
OWNER I T'I� dT����(/A!/•f
ADDRESS /��� yt,Q F�///JiR_L'1UE �s ,�/�� m
ARCHITECT „-- . .�'- - TEL. USE"Iv `vv\ i/� ' 16p S ,V.fr/U—
OR ENGINEER 'No
_ FIRE T
ADDRESS ' �— ZONE YPE / GROUP y
.--------------.-r.
- ' ( APPROVE• / 79
CONTRACTOR t — �•�rt n U `, BY /�V DATE 17--
,.sr•3.. '4'. `/'te�aa Cr
ADDRESS 3 r xe � )th.
SA ��/� A � ZONE NO.OF USE OF NEW ,r ook
CITY A •7 N �j, NO0�(lib( PLANS Q BUILDING ft`,
F STATE CITY YARDS APPROVED YARDS``..APPROVED
LIC.NO. C' ( fn ' LIC.NO. MAIN BUILDING ACCESSORY BUILDING
imi SIZE /` `` t (FROM C/LSTREET))
O. OF LOT �7�!N ' / v l NOW ON LOTS / FRONT ./ FT.
GUSE OF v �( Ir
Ca EXISTING BLDG. .1 IT%L le.: ' / _R.SIOF Z FT. FT.
CA f /Irl� .
FSeparate permits are required for i L.SIDE 11 FTCy FT.
electric,plumbing and heating work
v ,_REAR Y��'[N/ FTI
FT.
W - . ( '
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
GIG MAIN BLOCS. ACCESS BLOCS.
2//y/ VAR.* DATE
', L( �y� C.U.P.* ,/J APPROVED
).- 12 F� /CD2// / _FLY ROVED I�p DATE 2—/A-77
ce (��V
W
L I hereby acknowledge that I have read this application and state in
(Y. that the above information Is correct and agree to comply with m
Q. all laws regulating building construction, and I shall not employ
Z any person in violation of the workmen's compensation laws of o
the State of California. 914.
,isit�'j m
I hereby certify that I am properly licensed as a contractor under s-/1/• (J,O. FT. ry
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses ore in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: u
am exempt from the provisions of the State of California Business VALUATIONj o
PERMIT FEE $
and Professions Code, Division 3,Chapter 9. m
/�%I //( �,/.{� PLAN CHECK S �{ "I
Signature of I r/ •' , t af $ / U ,-// TAX $ U LL
Permittee [[[/// VL,
// ,,,...yyya
Authorized Agent ` / TOTAL PAID $ d '/
OWNER RTFNTF AlIKFNO DATE 4-10-80
JOB ADDRESS 3098 Yukon Avenue BUILDING PERMIT NO. 49936
GENERAL CONTRACTOR gnat Sty Concrete & MascDi5CRIPTION of WORK Blctkwall
g1st-OA1-1 R LOT p4 TRACT 4674 FIRE ZONE VALUES 160.00
CTIONS Signature Date TYPE GROUP ZONE Rl
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE [l HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND (] POWER U
ROUGH WIRI , Heating and Vent.
TRENCHES ReLEL fE /� ),•* /v
FLOOR SYSTEM^
BOND BEAM L J STEEL REINFORCE f
SHEATHING
FRAME AND FLASHING
LATHING - IN J l OUT fl
PLASTER. BROWN COAT /��
S' "URAL, FINAL 4-/ F Electric
HE-..NG. VENT.. REFRIG. AND A.C., FINAL
-70111C ���/ tCCCllll
PLUMBING. FINAL AND GAS TEST n
ELECTRIC. FINAL
,BUILDING. FINAL 4117-jt�� I 7Z 4117-jt
5052 4/I0/B0 5050 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
i;,_ .•- P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
REC• a PERMIT •
For Applicant to Fill
in Completely — Use Ink Only / r�
ADBUIDRESS _I p y�' 1` O 1�) A.P.NO. I/S! 0 �' 2
BUILDING ( [�
OWNER OR p. / ADDRESS '/ : , `_
TENANT IN te.N \ t . iv,. \<,1--... 21 —
MAILING
ADDRESS _
�( �AFIT� BLK.
TEL. ` /'_
CITY L '� NO.
.•
NER
DATE V
• f
Ii
.
is
ADDRESS 9y MZ� TEL.
CITY \ w • . '.,„, tr..,t NO.
E--. STATE CITY APPROVED SETBACKS z �
LIC. NO. /�'�l LIC. 9
'3 —
•
w SIZE NO.OF BLOCS. (FROM C'/LSTRE I
OF LOT NOW ON LOT FRONT fl I/X/➢ l
L
'et
USE OF / •
EXISTING BLDG. R SITIF /41
rA ,% /
Fx+ Separate permits are required for L.SIDE or
electric,plumbing and heating work. REAR F" T. if i /
kit
FW.. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTIO
a
0
(11 rl 1 DATE
[Z\OC\c. V‘) ' •\.\ i1 APPROVED
� 1'AA J Ralf/if/
DATE"7 f -So
CK
(/ ///
LK
0 I hereby acknowledge that I have read this application and state N
eg that the above Information is correct and agree to comply with
K. all laws regulating building construction, and I shall not employ z(
Z any person in violation of the workman's compensation laws of 2
= the State of California.
m
SQ. FT. DI
I hereby certify that I am properly licensed as a contractor under D
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE S �] .�� Y
and Professions Code, Division 3,Chapter 9.
m
Signature ot.�l Q f� PLAN CHECK S u.
Or $�J/LT4 /�/V. (941, 2
Permittee f S TAX 5
Authorized Agent Date _ TOTAL PAID S S
r _.__-. ___-
a
• COSTA MESA tau/INC-SAFETY DEPARTMENT MAR 23 1966
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill In Completely LICATII F P R IT
• TYPE OR PRINT B ILDIN{3 -
For Office Use Only
BUILDING.
ADDRESS 3098 Yukon Avenue
RECEIPT NO.
COSTA MESA, CALIFORNIA G�Jz25rul 9
F4VV
RECEIV SYTE RECEIVED
OWNER U.S. Financial �7 C trailer6C
BUILDING
ADDRESS 1355 Front Street ADDRESS /
I FIRE
CITY San Diego, Calif. NOISE-96041 ZONE TYPE aRouPL�/ /�
APPROVED v
P^^.HITECT TEL— BY DATE
NGINEER &.S. FIATIryck N0172�-33194
ADDRESS• 19061 Santa Rosalie. Stanton ZONING
ZO E NO.OF USE OF NEW ' .•
SchmidPLANS BUILDINOi (tit /
CONTRACTOR T,awi s R. ///111 "� 7/ '+ �,VA � ' \
LEGAL Af/A�
ADDRESS 2940-A Randolph DESCRIPTION
CITY Cnnta ){e9a, Calif.__ w.P.No. -t3
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO'TO SIDE a REAR P.L.
LIC.NO. 23LL399 NO. 540-0960
Irregular Lot - EAVES
61ZE g P NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT See 1Ot NOW ON LOT O YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
---------r (FROM C/L STREET)
SETBACK INE FROM STREET 11 q.5 1 REAR YARD 611 FRONT 4
RENTER OPFT.
SIDE YARD LEFT 61 I RIGHT 121 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE .2.5 rT. �/� Fr.
X ALTERATION ADDITION REAR .6/ RT. T FT.
DISTANCE BET. BET.MAIN&
REPAIR MOVING P5MQL1eH MAIN BLDG!. ACCESS.BLOCS.
BUILDING I NO.OF VAR.* DATE
SIZE
BUILDING-0
SQ. ROOMS 6 QQ�TTaQQkaI He 1 C.U.P.* APPROVED /
EXTERIOR WALL "'� rI ROOF `S Shingles as APPROL k MANY/DATE
r2 /� ` I
COVERING GANDWzi COVERING Shingles BY L ' ___,,r"ATE J c>
USE OF BUILDING AND WORK TO BE PERFORMED V M
Single Family Dwelling with Attached ;
/ T
(arage V
/449 SQ.PT. ,46 4 4'kr
I HEREBY ACKNOWLEDGE TNAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. ft
PLY WITH ALL CITY ORDINANCES AHD STATE LAWS R ULATINS
BUILDING CONSTRUCTION ALUATION dp / " wD
SIGNATURE T* // PERMIT FEE $ !/U
PERMIrrBE� /A-F-P /l/ )Q �.T (1 3 , SD �°
l/` $ / / L 7 PLAN CHECK $
AUTHORIZED AGENT 1 I L/V �� LTJ
TOTAL FEE $
T- - COSTA MESA BUILDING—? 'STY DEPARTMENT
— P. O. BO.. 100 11-77!4)f11 f17- 7-1C . -!
Costa Mesa, California
MECHANICAL PERMIT APPLICATION TRACT NO. f//- rip
;P R41' '
Contract° '-1 4Jfl, 4' LOT NO. , ' 1
Address 4% BUILDING USE TE I UEO
C r
it
City >, el
�y../1 Zip Code _0.5---' /
State License Class. BUILDING No/94177:30
City License No. Tel.No. i Q/jf ADDRESS �Ot7 � /to 4, f
NO. ITEM EACH FEES COSTA MESA, CALIFORNIA, r' ,\'''
-- --- -, NEAREST
F AU,Wall,or Gray. CROSS ST. , `1, ,'
Q Furn. Incl. Ducts and ` `j , I'.r r!
LU Vents OWNER 1 ♦4
rto 100,000 BTU -
MAIL J
p
over 100,000 BTU y ADDRESS �t (`7 '.' �-
J� �ITY CypAY '. V TEL NO.
7 --Vent (if not incl. above)! t--� 1'Ny„
I hereby acknowledge that I have read this application
Suspended Heater I and'state,that the above is correct and agree to comply
CC Alter or Replace t. iil'Cit Ordinances and State Laws regulating Heat-
LU Appliance , '� t�- Y B B
0. Over 10 feet of ^,\/�‘ latng; Ventilating, Refrigeration and Air-Conditioning.
Q gas piping f�� 1^: �V
eC BOILERS OR ` \( r I certify that I possess the above valid State of Calif-
COMPRESSORS . i omia classification or I am the legal owner of the single
W1V family residential property described above.
X 3 H.P. or less
Over 3 H.P. to ‘. ‘, 1
, 1 Signature of'? ,
15 H.P. \-� •- Permittee I / r
I--
Vent Fan-Single.Duct ��� ��1
CC C \c yr REMARKS:
W Ventiilating,Hood
CC Misch\r;)
0
}
I APPROVALS INSPECTOR DATE
N Underground
in Structure
X Ducts Ventilating ��
F-- Heating— Rough 91)---'4' 2— Q-17 7
Hoods
Refrigeration Lines
Pressure Test
Sub-Total Air-Cond. Final
Ventilating Final
Reinspection Feet
Heating Final c(.-(q....'n
OU Refrigeration Final
Processing Fee m —
Final Gas Test
TOTAL FEES
Utility Co. Notified
CMF 0449-06 BLDG. PERMIT NO. 1710.9/
J
Aib
• COST9 MESA BUILDING—SAFI DEPARTMENT '^ _.11-77F,
_ 001 n7', J'-' •:e I
P. O. BOX 1200
. Costa Mesa, California
ELECTRICAL PERMIT APPLICATION . TRACT NO
RECD BY
. / PERMIT NO.
ELECTRICIAN ',_.4/ a f!f,'._ ? . rr-. LOT NO. DATE ISSUED
ADDRESS 1 •Ya L 5 r--y C jr) ci BUILDING USE
CITY ..5.A / TEL. No.t?x/ rir 1'/f-7i
STATE LICENSE NO./ (L5 3 ./ CLAS& C {� /�
CITY LICENSE NO. /, ADDRESS 3 0 J t / f/ Pao 44/ A I///
•NO. ITEM EACH FEES COSTA MESA, CALIFORNIA
/�
lr 4
1 r NEAREST
Dwelling, Sq. Ft. Art; $I / -� CROSS ST. ,r B q�
0-
-
Lll Garage, Sq. Ft. OWNER 1
O ADDRESS First 20 Outlets, each \F 0 e kit; ri A 1 rY.4I,",,
�`
J OulIets, Additional /) •
Q CITY C-Cre.ter rA9 .. L. NO.
First 20 Figures, each I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
} CATION AN9OTATE THAT THE ABOVE IS CORRECT AND AGREE
—1 Figurer. Additional TO/COMPLY,WITH ALL CITY ORDINANCES AND STATE LAWS REG-
CC ULLATING ELECTRICAL WIRING.
UiDryer 1`� .I CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF
O -�rw' ,�. LIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF
1 Fan .' s.' THE SINGLE FAMILY RESIDENTIAL PROPERTY DESCRIBED MOVE.
lt? BeY' Signature of j Y v 5C,V,
WHeater {x4 PERMITTEE /1 ���' �' �''" : {
Oven, Domestic yy V NO. ITEM EACH FEES
S O�!
I— Pole, Construction ,. Sign& 1 Trans. 2.00
CCRange Dome Te<tcy Transformers KW
W `
O. MIsc.Q )
���..YYYYYY
0 Generators KW
0
}
CO
Motors ISee Schedule)
co
I HP
I—
HP Sub-Total Fees 1,Du.a /6-/$-77 C C.
HP APPROVALS
Meters, w. • • r INSPECTOR I DATE
.. TEMP. POLE
UNDERGROUND CONDUIT I I
Permit Fee . . ,. , _R 300 ROUGH I C ,C• I R • i O '"17_
Sub-Total Fees FIXTURES I
POWER I •
Total fees it UTILITY CO. NOTIFIED I
-a FINAL •/. _ .
If
CMF 0313-46,rev.7/75 For items not listed refer to Fee Schedule BLDG. PERMIT NO.
_S en 4 uP ,C° �oSa—r`-•S3or-1 O Lo$Er-3
1/2 YLA.. .r Iii
O1471'5I19er et, Cern
C . L. $5 -g -11
•
•
•
•
` ` _