HomeMy WebLinkAbout3113 YUKON AVE - Building Permits 1
PROJECT ADDRESS: 3113 YUKON AV 0NIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 060868
OWNER'S NAME:BROWN, MICHAEL C
` ADDRESS:BROWN, MAEVA E PERMIT NO: B 060868 PLAN CHECK NO: N GOVT: N SUPP: N
. 3113 YUKON AVE
• COSTA MESA,CA 92626 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
A ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O,RESHEATH1 /2"CDX& APPLY FIBGLS SHING SQ FT: 7, 268
ADDRESS:
PERMITTEE:OLSEN ROOFING CO. , INC, UNIT:
( 213 )634-8470
R CLAIM VALUE: 7, 268 . 00 CALL VALUE; 7,268 . 00 GROUP OCC; R-3 /M-1
ADDRESS: 6951 NEWTON AV COMMENTS; SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC. �j
LONG BEACH CA 90805 �E�E;r�P*�r*gtr+t�r�r�E*�r�r*it�r�E�r**;E *�r* ***�t�P�E�r+r�r�r�r*�r�r�P�P****�E�E�P�E+E�r*�r�E�E�P* +r �*ly ellpf�1
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section \ Z ONING REQUIREMENTS �C ; G� C�'
7000)of Division 3 of the Business and Professions Code,an my license is in lull force and effect. \ SETBACKS n
clTruc.:0339( 6 STATE LIc.254149J� tit_ 9(� FIPOU.IRaD
Date: z-2-q Signature:. _ MAIN BUILDING ACCESSORY BUILD
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 380 .Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.:4 5 612 2-91 EXP.DATE: 07/21 /93
COMPANY:STATE FUND PARKING RE • PROV; PARCEL: 41805114 ZNE: REF NO;
• ❑ Certified copy is hereby furnished. 1n Certified soppyyfilleed with a city B ildiinggDi/v¢//iq/n PLANNING N TES> ',
Date: 7(ZA3 Applicant: a;t / - COC � **********************************************************************iE*iFVE*-IF#**
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TMs section need not be completed it the permit is for one hundred(5100)or less). 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 become '
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY .
DATE:
Date: Signature' - -
NOTICE:II.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : - DATE:
Code.you must lorthwlth comply with such provisions or this permit shall be deemed revoked. r �
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance ol the work for APPLICATION ISSUED BY: JJCJ� DATE:
which this permit is issued(Section 3097.Civ.C). *************************9E iF* **** ** ** **************�**
LENDER: ******************************************** *********************************
ADDRESS: LEGALIZATION:N F E E St UMNARY STRUCTURAL SEGMENT: Y
tl
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 99 . 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 ✓Y 7 3
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)ol Division 3 0l the Business SM I P/NON-RES
and Prolessions 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 five hundred dollars(S500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or offered ton safe(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 99 .73 0 . 0 0 0. 00 99 . 73 99 . 73 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or throughi
his or her own employees.provided that such improvements are not intended or offered for sate.If,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: 99. 73 OVER/SHORT: 'c� . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 99 . 00 . 7 3
,
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon `''
and who contracts for such projects with a contraclor(s)license pursuant to the Contractors'State License Law). l am aware *.)(..K..*.K.**.*.*.*..x.*.*.****.,)(.*.*.**.**.*.K.*.K.*,*,***,1f***„K,.********,*.****,**,*****************,*****,*,***
that prool of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.&P.C.
INDIVIDUAL. - F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale: Owner: SFR 7268 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 ^7, 268 . 00
I do hereby unity that I am aware of and understand the requirements ol California Health and Salety Code Sections 25505,25533,and 1
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 Ouality Management District.Residential construction applications are exempt Irom •`
these provisions. 1
i
Date: Applicant: ,•X - R L
I hereby certify that I have read this application and state that the above information is cor eaI agree to comply with all city and county
ordinances and state laws relating to building construction and he by authorize re esentaf of this iffy ,enter upon the above-mentioned •Incomplete Inspections
property for inspectiononpurposes. r(" /f ; y
�_ Date: Z'—/ Signature: 1 (4r / Date _ Sig _ .
•
Drivers License or Social Security' _-j�
1641.46 Whim-Building.Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor - x
CONSTRUCTION AND PLANNING P001. PA
'.?'PROVALS 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 CondurFUndrgrnd.
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 i
11. Property Sewer Line & Houle 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 '
1
15. Rough Electrical-Conduit 1 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval JI
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIA€ DEPT. REQUIREMENT
20. Rough Factory Fireplace ' : APPROVALS Permit ;:
21. Ducts, in Structure 70. Underground Hydro L T
22. Ducts, Ventilating - - , ,71. ProductPiping D'Gas 0 Oil
23. Gas Pipe-Rough & Test •- ' 72. Underground Fli,sh
24. Roof Framing - • 73. Undergrnd.StorageTank 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 . . ! 1 . 77. FIXED SYSTEM FINAL -1
29. Insulation I 1 I. 78. FIRE PREV. FINAL
1
30. Drywall Nailing I HEALTH DEPT. REQUIREMENT 1
31. Plaster Brown Coat i 79. FINAL INSPECTION - I i
32. Electrical?ower'Meter-Final, 1 - I ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric I Notes://iodide A, r spa-7z c/' S t
34. Final Heating & Air Conditioning 1 i I % - i
35. Final Gas Pipe-Test - _ I
36. Hood or Canopy I -
37. Final Factory Fireplace - I -
1 j
38. Final Plumbing -� --_- 1
39. Water Service-Final I
-
40. Gas Service-Final r 1
41. Solar Domestic-Final
42. Backflow Preventer - •
43. Backflow Irrigation - i
I
44. Landscape Irrigatiot!„System - = - - I
�. J
45. Sound Attenuation...
r-, • EJCP_I_R_E_p
46. Handicap Regulation' r 1 - _ Incomplete Inspections _1
47. FINAL STRUCTURE &B �UILDING Oate S 3! P✓(
h C I
48. FINALPLANNINC) i _-""'--"`-
49. Electric Release to Edison - . I y
•
50. Gas Release to Soti(hern'California Gas Co I
51, CERTIFICATE OF OCCUPANCY i
No. - Date
OWNER TESSIER, Charles F. DATE 5-28-75
JOB ADDRESS 3113 Yukon Avenue BUILDING PERMIT NO. 40041
'GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Blockwall
e' 40- 418-051-14 LOT TRACT FIRE ZONE VALUE $500.00
I iCTIONS Signature Date TYPE III GROUP J ZONE Rl
SOIL SUBCONTRACTOR PERMITS ISSUE
GAS
Date Number Si•nature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER fl
ROUGH WIRING � // Heating and Vent.
TRENCHES E FORMS n STEEL REINF.M !�%' a. p' `f . Zi
FLOOR SYSTEM
BOND BEAM STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
S 'TURAL, FINAL Electric
H 4G, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING. FINAL 114d-, 1 ' (J''
PAI
I/ '4Y ?R-75cs�001077r, *****5.50400411:14.NP
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
RECEIVED BV DATE RECEIVED DATE ISSUED
BUILDING /) t7/L A `/—i rJQ-7C
ADDRESS 3/f.� t , Aft,F s'] �/J
���QL FS _ (� /�-0.5"-/c4-
�7` [� PERMIT NO.
OWNER /r /_. /Cv.S/nI( A.P. NO. [�L t/7I//
MAIL BUILDING
ADDRESS S/1/.3 ye/i�'U nJ /ii./Fus us TEL.
/ ,..p ADDRESS ��3 !//lON l'-
O U CITY ( , �J N0. SOT/2/� TRACT Ile 791 LOT /3 BLOCK
CONSTRUCTION NEW LADD�ALTFR REPAIR MOVING DEMO,ISH
OI-- LENDER
co
O 03 �}p
J W BRANCH OWNER r.,0121-CS FTESs/cc.,, I
C
C ADDRESS n /,/�/,/s/��s
J c$ ARCHITECT TEL. USE // Wos�(?( VALUg��
' OR ENGINEER NO — ,
U Q FIRE
WCC ADDRESS ZONE ' LEY-I-GROUP cr
d w 6.-_,--
� APPROVE IPYf/l/•//1//
W v 14.•".A-''Z CONTRACTOR .0 kldr BY DATE ‘4:-.28'-7<
J o
03
J a ADDRESS S,5 jy g 4 A do Y F �( 7�{
tL w
TEL.
ZONE NO.OF USE OF NEW,Q/6
Z Y CITY NO. /P/ PLANS Z BUILDING cc/S/
4--
w- O STATE CITY YARDS APPROVED YARDS APPROVED
co p' LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM Ch.STREET
SIZE t NO.OF BLDGS.
OF LOT NOW ON LOT / FRONT 3c) FT. FT.
USE OF • �j^��,/ /y'�
EXISTING BLDG. /PE$&WI-,P F _Fl.SIDE La AVIaC6 ) FT.
} SIZE OF NO.OF ,/f /
Q NEW BLDG. ROOMS STORIES - L.SIDE /"3F� FT.
EXTERIOR WALL ROOF
U
COVERING COVERING REAR FT. FT.
' UU(gE/epF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
I 7 xrAO/74- tc.-old L/t ldre.-e ef-' MAIN BLDGS. ACCESS. BLDGS. -
a VA .IP DATE
.4-07S ice ,e.„;L /4-- C URP.IP APPROVED
Ou
APPROVED / /n Pat
APPROVED
C/3 f / _RY tfIr. DATE _a���
O / . ATF:
it U I hereby acknowledge that I have read this application and state
O that the above Information is correct and agree to comply with
IP
EC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
CO the State of California. co
I hereby certify that I am properly licensed as a contractor under SO. FT. o
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: fL
am exempt from the provisions of the State of California Business VALUATION
and Professions Code,Division- ,Chapter 9. m
/ PERMIT FEE $ Sc"------ N
7
Signature of /�� m
Permittee �' �/r $ {%G PLAN CHECK $ E
�� 620.....
�ss.�) p`
Authorized Agent rl(/� LL
TOTAL FEE $ v
-e- 25423
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92626
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING
ADDRESS 3113 Yukon Avenue
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA .2E473
Mr ST DATE RECEIVEDLa G ISSUED
OWNER U. S. Financial
�7-!,G Ufi3f u u a f..
BUILDING
MAIL
1355 Front Street ADDRESSFIRE
(/n (((���777/ ��-
TEL ZONE TYPE v GROUP k• / Y
CITY San Diego, Calif. NOM-961h1 (,/7
ARCHITECT Tlla.. eYPROVED DATE
ENGINEER A.S. Henryck NO. 9-33194
ADDRESS 12061 Santa Rosalia, Stanton ZONING
SOj I HOOF USE OP NEW L
Q(�/ FUNS DUILDINO 1 `j !//L/
CONTRACTOR Lewis R. Schmid LE O. /11,(//y/'
LESCR /_ _t /3 -% ... - 7/
ADDRESS 29!10-.A Randolph
D ESCRIPTION L "-
CITY Costa Mesa, Calif. A P.NO. C��
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
LIC TNO. 234399 NO. 540-0960 DO'TO SIDE&REAR P.L.
E AVES
SIZE I NOW OF ON I.00T G ALLOWED (U.B.C.REQUIREMENT)
OF LOT 65.x 1oo 1
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C STREET)
OETBACK LINE PROY
CENTER OF STREET 531 REAR YARD 23.5 1 FRONT. •r}/. PT.
r.
SIDE YARD LEFT 5.5 I I RIGHT 5.51 R.SIDE “), .. FT.
DESCRIPTION OF WORK L.SIDE c5.7.1:5 FT.
Y IALTHRATIQN ADDITION
-
REAR R�•, )/Pr. Pr.
1 DISTANCE SET. BET.MAIN e
MAIN BLDQ$, ACCESS.BLOCS.
REPAIR MOVING DEMOLISH
VAR.S ^ DATE
BUILDING ,1,00 SQ• I NO.OF
ROOMS 6 STORIES 1 C.U.P.# I�APPROVED
SIZE iv:
UU / 2�� /�f
EXTERIOR WALL Wood-` I ROOF Shakes and 9 PROVED\ DATE (/
COVERING Plan IWO COVERING Shi nil Pe Vv e . 7 {L
USE OP BUILDING AND WORK TO BE PERFORMED' Qi
Stnee Family DwellingandAttached
Garage / — P
�d fl PT. to D �'�' x
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AOREE TO CO PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. i13
PLY WITH ALL CITY ORDINANCES AND RATE LAWS REOULATI G VALUATION ///^/
BUILDING CONSTRUCTION. /� •
PERMIT FEE S I0N N
PIR MATTES SIGNATURE OF iH1 C ti W
E 0024 PLAN CHECK S a
AUT I D AGENT 90 4
TOTAL FEE $ 7