HomeMy WebLinkAbout155 LEXINGTON LN - Building Permits YJIU U/? /ab 7e0( TL
Applicant to fill in airspaces except those within heavy border lines and sign all appropriate declarations. R
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CITY OF- OSTA MESA CONSTRUCTION PERMIT PERk1}/T r •4e3/ TRACT NO. •
LOT NO. UNIT NO. -EGET E
Project Address _ ` / �Y a( (O ( D0
Applicant's Mailing Address /�ZY.Y/ /J`�A/ TYPE OF CONSTRUCTION U NEW U ADD yr.ALTERATION U REPAIR - - D AUG ' "1Y`
Owner's Name �� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone JwY
11� Phone RIPTION OF WORK/USE OF BLDG
' Address tfl L✓X/ti G7Dn/ jQ r/ %t'1F t(/7�LL /�(r S Main Building: Accessory Building: •
z
Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL E Front p
t ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N
Address qq.. � ]/+ A Rear
,M �S-ial- t�TOTHER at) I�i/V,/(c •
Contractor's Name C�1��1 „ `fit,, 1p7-h_7 Phone 1 � C Right G
Address(mailih I U5t .N.• rd Ur_ pr1Co/� PROJECT DESCRIPTION SQ. FT. OCCUPANCY
(mate) 1 CONSTRUCTION TYPE VALUATION$ S Left R
City License No. 3O�'' ZONE GRADING CU.YDS. ACRES - Ping. Ref,ah Parking Req./Provided E
LICENSED CONTRACTOR DECLARATIONQ
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • tiX;
Planning Notes: ry1
with sectionIs lull of a 3 of the Business and Professions Code, and
/ \ • T
my license Is in lull force and effect. ppOO ��w/-•%f?._J'/'T// Pa) $
Ucen lass _ ' — scenic No -1-1
Dale a - Signature _'/8 a- ._ - 2.- _ fj P FEES
herWOERS'COMPENSATIONhatI DECLARATION
oION ' ar$ink/Il�...y ten/', ELECTRICAL FEES
thereby affirm that have a certificate of consent to salt-In-fie or a certificate /�e-/T ZV
of Workers' Compensation Insurance, or a certified cop thereof (Section - ...
3800, Lab. C.) - Backflow Preventer . Service Sink Automatic Washer Transformer 0 15-50 KW
Policy No. Company • Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+ KW
8 Certified copycopy,is is filedhereby with thefurniscitye . Building Division. Bathtubs Sewer Connection ' Cooking Unit Meter ❑up to 100 amps
Date Applicant - .. - .
-
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps
(This section need not be completed if the permit is for one hundred($100)or - `
less). Dishwasher - Solar Piping „- Dryers ❑Gas ❑Electric Sub Panel
I certify that In the performance Of the work for which this permit is issued, I
shall not-a ploy any person in any manner so- co : subjv to te Drinking Fountains Solar Tank Fan t Motors 00.1 HP 01%-8
WorDale s�C �e Si a California. / Inc.Solar ❑9.15 HP ❑16.15+
.Oat! 7C j ws of Cal ���' //1/� Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE: f,aft r making this declaration, ou should becom su• .ct to the -
Workers' Compensation provisions of the Labor Code, you mus forthwith Floor Sinks • Urinal Fixtures - Microwave ' `
comply •
with such provisions or This permit shall be deemed revoked. _
CONSTRUCTION LENDING AGQNCV • Gas Service Outlets Water Closet - Device Boxes '
1 hereby affirm that there is a construction lending agency for the performance � Pole Light
�.p�r►�f the work for which this Permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater al=e + '. Outlets Range
- iLeoder's Name -
Lender's Address Kitchen Sink Water Service - Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the , Lavatories • Auto-Wash Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P-TrapLaundry TraysGenerator ❑0-5 KW 05-15 KW
any structure, Trash Compactor
priorat m nt issuance, also requiresicenspursuant
the-applicant for such permit
to file a signed statement that he/she is9 licensed pursuant to the provisions of Roof Drains - -
the Contractor's License taw(Chapter 9 (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt - -
•
therefrom and the basis for the alleged exemption. Any violation of Section
7031.
7031.5 by any applicant for a permit subjects the applicant to a civil •
anally of not more than five hundred dollars(S500). $ •
U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee - • -
compensation, will do the work, and the structure is not intended or offered _ Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's . MECHANICAL FEE .or - _- _ -_ - - - .
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0
Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By /'�. Date ��
prove for the purpose of sale). (\Y/�
I.as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System -
IDApplication Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code:
. The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTU r SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that 't BUILDING PERMIT $ SMIP- $
proof o/ their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration .
PLAN CHECK $ PERMIT 2r_
0 I am exempt under Section B.& P.C.for chit reason Firepl/Fact.Bit. ICBO# Fire Dampers �� PLUMBING $ ISSUANCE $ —LHS
a Date Owner• Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ •
I hereby' certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BT t omit q� ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances 77 I PLAN CHECK 50% $
`ia and State laws rel. building c•nstruction, and hereby authori a repro- • MICROFILM $
sentatives •on the above-mentioned pro arty f r ,r1� ��ss
r inspection our`vee ter , r p MECHANICAL $ I ,i fl 7-tv
Signature pratilir�, �ry Date rl -1 TOTAL FEE $
Drivers' License or 6(r•)f Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
ly
t ••_7
,CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
j 1. Temporary Electrical Service or Pole , • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. .1. 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, 0 Undrgrnd.
10. Structural Floor System ', 61. APPROVAL TO DECK -
11. Pfoperty 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 i - 67. Fencing & Access Approval •
17. Rough Wiring Sign - . l 68. APPROVED FOR PLASTERING -
18., Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough MeeRll 1 Air Conditioning' ' 2�26
FIRE DEPT. REQUIREMENT
20. Rough Factory'Fireplace %' APPROVALS Permit #
21. Ducts, ih Structure 70. Underground Hydro
22. Ducts, Ventilating .: /" 71. Product Piping 0 Gas 0 Oil
`23. Gas Pipe-Rough& Test72. 'Underground Flush -•
. 1,
24. Roof Framing' : : �' 73. Undergrnd.Storage Tank 0 Gas 0 Oil
•
• 25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoai 75. Dry Chemical
•
27. 'Frame and Flashing /y' 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
. 29. Insulation , r i� 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 -eN 1C0c t_-�J/n
34. Final I-JoiseggR& Air Conditioning 11J017 q--z$-S5 / _ 1. _ /_
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. Backflow Preventer• •
V43. Backflow Irrigation '
(14. Landscape Irrigation System
4fr,• Sound Attenuation
46- Handicap Regulations
47.-FINAL STRUCTURE & BUILDING
48. Special Requirements Completed '
49. Electric Release to Edison - - • .
50. GasRelease to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No. - Date -
1 at
. , , t
Through-the-wall Installation Instructions
Make sure you have all the tools and supplies to
complete your installation. Now follow these steps
, It is your responsibility and obligation to have . to install your air conditioner through the wall of
product installed by qualified technicians familia your home. Also, refer to Steps 3 and 4 and 17
with Through-The-Wall Room Air Conditioner through 19 of window installation instructions.
Installations. A. Select the right place for installing your air con-
ditioner. Choose the type of molding you want to
go around the room side of the cabinet.Your choice
affects the finish frame line-up with the inside wall.
THIS DIMENSION
/``n'k THICKNESSDAND
When using a wood, metal or plastic molding, the •
K,.\y N./' 1,742 4,0 TYPE MOLDING USED finish frame should almost line up with the inside
molding
the wall , plastered ra the cabinet and to
molding is used, the finish frame must be set into
USE 20x"DIMENSION/ ael the wall by Y2"(see Figure 2 for frame construction
WALL
OPENING or Figure 3 for brick veneer construction). Cut
HEIGHT through two studs for support.
19x-
VI
9x"
o"n4Xr FLANOE ON CE il
B. Provide an opening through the wall for a finish
BOTTOM OF CABINET) N,J frame. Observe all local governing codes and
FIGURE 1 `C ordinances. For wall opening dimensions, use
those shown in Figure 1 and add wood frame
APPROPRIATE thickness (use 1" lumber or heavier). When you
HEADERE IF decide finish frame thickness, be sure you do not
FIGURE 2 cover side cabinet louvers. A 4" space between
TRIM F a ; CASING
ill.7.......03 CAULK louvers on cabinet sides and adjoining wall will
4I '
� I Do allow proper airflow into air conditioner.
BLOOC« C. Construct the finish frame. Apply creosote or
, ; `�I�� LOUVERS something equal to the outside to protect thewood.
PLASTER �, \))i D. Install the finish frame in the wall opening. Square
ALTERNATE and level frame and nail it well to the studs.
CONSTRUCTION i
FOR PLASTER A ‘ FINISH E. Pull air conditioner unit out of exterior cabinet(read
�•` THICKNESS
r_ FRAME
steps 3 and 4 of window installation instructions).
STUD 'is„ IS FINISH FRAME F. Move outside cabinet through the wall opening.
FRAME Leave overhang into the room at the top of cabinet
APPROPRIATE CONSTRUCTION USE 12"DIMENSION
HEADER IF ON 27"CABINET (after allowing for trim)for service cord entry clear-
REQUIRED
FIGURE ance on left side of cabinet. For proper outside
TRIM �vly. LINTEL water drainage, shim or reposition cabinet to pro-
T
RIM
CAUL« vide the proper downward tilt to the outside (thbubble or s/a") and side-to-side leveling.
DO NOTBLOCK G. Fill all the spaces between the cabinet and the
pi 1: LOUVERS finish frame with insulation.
PLASTERH. Drill holes in the cabinet and attach it well to finish
ALTERNATEframe. Use ten #10 x 1"wood screws(four screws
CONSTRUCTION �. . FINISH
FOR PLASTER FRAME for each side and two screws for the top; not
tlw>�o�o THICKNESS
'4 ��IY/h APPLY included).
CREOSOTE
APPROPRIATE .um '//x TO FRAME
HEADER IF I. Insert air conditioner into cabinet and attach front
REQUIRED BRICK VENEER
CONSTRUCTION (read steps 17 through 19 of window installation
instructions).
J. Caulk all outside wall openings around cabinet.
K. If needed, install decorative molding around room
side of cabinet.
See electrical requirements on "Things You
Ought To Know"sheet and Owner's Manual for
electrical and starting instructions.
Installation Instructions 948989A
O!ECO 8'81 Printed in U.S.A.
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. •
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; Id17 11/? '/ " I :.esJ Ti
CITY OF COSTA MESA PERMIT N TRACT NO. LOT NO. BLDG-NO: - - •
tONSYrRUCTION PERMIT 13 5 30 " . .
ProiectAddress1555 Lexington. Costa Mesa TYPE OF CONSTRUCTION
Owner _ _ • _ Phone_ a 0 NEW 0 ADD 0 ALTERATION [��/�/s.�s - -
Address ' ❑ REPAIR 0 CONVERSION .0 DEMOLISH , "5 —
155 Lex? Aso
ZONING REGULATIONS .�
Arch/Eng.- License No.:3V.,2 / s ❑ OTHER �7 - A p --
•Address DESCRIPTION OF WO RK_p a reer-)t—l yy_7
1 ZONE • PLNG. REF.* • I
Contractor NG F7-&1414 ./ /,y. PPhone&y,�&37 TYPE OE PERMIT BUILDING TTpp ggtL�1ILLppIrvG 1
Address -7 5 o)jf2Lu_ _c., - ^1p // -IAA
C/LST. PRO P[RTV LING
,tpl'+� tS 4/.k pA1 0 GRADING 0 FOUNDATION 0 STRUCTURAL `I DFFTVARD
LICENSED CONTRACTOR DECLARATION U 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAlt .5I E YARD
I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT
f
mencing with section 7000) oDivision 3 of the Business and 0 OTHER • s'«'Y"4--`i •
Professions /Cod and .my license Is Intollfor�,/a tl ,effect. REAR YARD (TO P/L) ••
License IasS.' l c se rvo, 41 iy/? PROJECT RESCRIPTlO
5 / //a�/* SQ. FT. • !(rcc 7Sr PKG.SPACE REQ. PROVIDED
Date KE S' • Signature ! [ .f`"'��- //T
WORKERS'COMPENSATION DELL RA ION - - OCCUPANCY BONSTRUCTION TYPE STREET WIDTH PARK FEE$ +
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION# ..."...n OU ZONE ZONING APPROVED BY DATE .
certificate of Workers' Compensation Insurance, or a certified copy • •
-
thereof (Sects s38q 0, Lab.C.). . - GRADING CU. YDS. - ACRES SPECIAL CONDITIONS: - -
Policy No.'/�/r�.U4) Company -S�I PIP RTA.4,r0 _ • . •
0 Certified copy is hereby furnished. REMARKS: ^1 t_.!:- _It)-F--
ti;Certified copy is filed with the city Building Division. jY 11 . •
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION "- '
(This section need not be completed if the permit is for one hundred - - - •
($100) • -
or less). - -
I certify that In the performance of the work for which this permit Is _ _
Issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK ' ELECTRICAL - PLANCHECK
subject to the Workers'Compensation Laws of California. UWELLINb 6/AH/AGE - -
Date Signature BATHTUBS • SHOWERS' •SO Ft SO FT - -. -
NOTICE: If after making this declaration, you should become subject TOILETS URINALS • GENERATOR - 0.1 KW_1-10 KW
to the'Workers' Compensation provisions of the Labor Code,you must ' • TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS • APPLIANCE ...10-50 KW-50 + KW - l
revoked. -
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS + 'MOTORS 0-1 HP 1-10 HP . •
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ' SUMPS ,(INC.SOLAR) 10-50 HP 50+HP - '
.formance•of the work for which this permit is issued (Section 3097 - •
Civ. C.). - FLOOR SINKS FLOOR DRAINS • - FIXTURES' OUTLETS SWITCHES
Lender's Name •
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS . -
OWNER BUILDER DECLARATION -INTERCEPTORS CLARIFIERS POLE LIGHTS - '
I hereby affirm that I am exempt from the Contractor's License Law for • - _
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNY NUL I UN
Any city or county which requires a permit to construct, alter, POLES METERED •SUB - _
improve,demolish or repair any structure, prior tolls issuance,also re- WATER SERVICE ALTERATION - • PANELS MAIN SUB-'
'quires the ap,.licant for such permit,to file a signed statement that he
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE .
OUTLETS SERVICE AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of the - -
Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS • BTU OUTPUT . - -
basis for the alleged exemption. Any violation of Section 7031-5 by - _ -
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • . -
of not more than five hundred dollars ($500). - _
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK - CO
_ LLECTORS - -
sole compensation, will do the work,.and the structure is not intended
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE •' •
.Contractor's License Law does not apply to'an owner of a property APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE • -
through his own employees,.provided that such improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK . SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden
'of proving he did not build or improve for the purpose of sale). BUILDING
HEATING SYSTEM 0-100,000 BTU PERMIT $ /t' SMIP $
❑ I, as owner of the property, am exclusively contracting with AND DUCTING • -
'licensed contractors to construct the project (Section 7044, Business 100,000+BTU 'PLAN CHECK $ - PERMIT
.and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ -
—
-an owner of property who.builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ - -
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $_
the Contractor's License Law). 100,000 +BTU - PLAN CHECK $
0 I am exempt under Section B.& P.C.for this - $
BOILERS BTU ELECTRICAL $
•
reason MICROFILM $
• SYSTEM REPAIR,ALTERATION PLAN CHECK S
Date Owner - TOTAL FEE$.
I hereby certify that I have re.• this application and state that the above EXHAUST SYSTEM MULTIPLE
MECHANICAL $ " •
information is correct I .• ee to comply with all cityand countyPLAN CHECK $' VESS AD-
PY VANCE PC S_ r.
orrepresenta i and sta 5 yato to construction,ponend herebyve, oed
representativep, d i5 sly to enter upon the above mentioned /�-40
property for.'. r• v • s•,5-s' �•
Signature �.�r w D e// �_ �
_ ISSUE FEE -
CMF 086 -46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
•
•
CONSTRUCTION AND PLANNING POOL
POOL&SPA •
•
APPROVALS Permit# 65130 Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn - - 45. Forms . ='' '-• -
4. Electrical Conduit-Undrgrn 46. Electrical Bonding . . •- • - - .
5. Steel Reinforce 47. Rough Plumbing&Pressure Test - .•
6. . Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - - - • • -
7. Footings - .49. > Electrical Conduit-Undrgrn
8. Foundation 50. - Gas Pipe, ❑Undrgrn,Test -
9.. Water Pipe-Undrgrn t 51. Backwash Lines,P-Trap?C Undrgrn ' -' • • '
10. Structural Floor System _ 52. 1 APPROVAL TO DECK - - • '
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final
12. . Street Sewer Connection 54. Heater & Vent-Final •
13. Rough Plumbing _ 5rt, Plumbira System-Final
14. Rough Electric-Conduit -56.- Electrical-Final r
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating &Air Conditioning 58. Fencing&Access Approval
17. Ducts, in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing
21. Roof Sheathing •
22. Frame and Flashing NOTES:
23. Insulation
24. Lathing&Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test - • '
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation
37. Handicap Regulations
38. FI NAL STRUCTURE &BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
•
42. CERTIFICATE OF OCCUPANCY • • •
No Date ' '
•
ADDRESS OF BUILDING: 155 LEXINGTON LN ENT: CITY OF COSTA MESA — BUILDING PERMIT
OWNERS NAME IF KNOVIN: MOHLER, LEE J TR PFPM Nn. P f1772R5
ADDRESS 155 LEXINGTON LN
COSTA MESA, CA 92626 PERMIT NO: B 072285 PLAN CHECK NO: N GOVT : N SUPP : N
APP` YOp0A0°R CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH
ARCHITECT OR ENGINEER: UC NG: JOB DESCRIPTION T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 924
ARCH.OR ENG.'S ADDRESS: DMT:
CLAIM VALUE: 2, 924 . 00 CALC—VALUE: 2, 924 . 00 GROUP OCC : R-3 /
CCNIRAcTORSNAME STOUT ROOFING INC ( 310 ) 923-6775
CONIRACTORSMNUi1G P 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS DOWNEY CA Ue'NO.: 402536 ****************************************4 aFar-.N.+t4c**u****.*******aa*-,ec44 ac.;Far* 3e**+c**44*ar
90241 DMT: Z ONING R EQU IR EMEN T S
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perju that I am licensed under provisions of Chapter 9 SETBACK S
(commencing with Section 7000)of Division 3 of the Business and Professions .my license bin lull force and ed
CITY LIC.NO.: 059377 uc.CIAS9: p 39 UC.NO.: r36/ EXP: e 4 /9/ MAIN BUILDING ACCESSORY BUILDING
� a 'NT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
Dale: 1 a1 S Contractor: AL_, LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I ern exempt from the Contractors License La for the
fallowing reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct.alter. mprove,
demolish,or repos any structure,prior to its also requires the for such d
to fib s signstatement that he or she PARKING REQ; PROV: PARCEL; 41916426 ZNE: REF NO;
is licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES>:
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 fora permit subjects the applicant to a civil penalty of nmore than five hundred dollars($500)).
ElI,powner of the property or my employees with we9pesthek sole compensation,will dolts work,and the structure bnot iMended *******************************************************************************
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of property DEVELOPMENT SERVICES REQUIREMENTS
who builds or improves(hereon,and who does such work himself or herself or through his or her own employees.provided Thal such
improvements are not intended or offered for sale.d,however.the building or improvement is sold within as year d completion,the
;, wner-builder will have the burden d proving he or she did nit build or improve for the purpose d sale). ZONING APPROVED BY DATE:
I,as owner d the propend.am exdusivey contrmkro with licensed contractors to construct the project(Section 7044,Bus'vwes and
ii
Professions Code:The Contractors License Law does not apply to an owner d properly who builds or improves thereon and who BUILDING APPROVED BY ; DATE:
contracts for such projects with a contrwor(s)licensed pursuant to the Contractors License Law).
tEl lamexenptanderSediom. B.AP.C.,lorthis reason: APPLICATION ISSUED BY : go' ' , DATE; 2"
Date: owoer: ********************************** ******************************** * - * '****
I do hereby certify that lam aware d and understand the requirements d California Health and Safety Code Sections 25505,25533.and LEGALIZATION :N FE / S U M M A R Y STRUCTURAL SEGMENT;Y
25534,and that I or any More building occupant will/will not(drub one)need to comply with said slate codes and the requirements for
a permit for construction or modification from the Aku=P;Itnagement District.Residential concoction applications an exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
prONB10ns. PERMIT 54 , 00 , 50
Dale: Apptcanc SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:1penaltyhereby affirm under penaltyone y perjury of the following declarations: PLAN
ElI have and wit maintain a certificate of consent to self-insure for workers'compensation,as provided for by Section 3700 d the Labor ISSUE FEE
Code.for the performance of the work for which this permit is issued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I hap and el maintain workers'compensation insurance,as required by Section 3700d the Labor Code,for the performance of the TOTALS----> 54 , 50 U 00 0 , 00 54 50 59 50 00
work for which this permit is issued.My woken'compensation insurance carrier and policy number are:
Gainer: nrr EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 54 , 50 OVER/SHORT; 00
Policy Number: RO '7 ^1CCO 05/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the panne is for one hundred dollen($1001 or less) 54 . 00
50
o I certify that ine tthet performance of theoat work for which this alior is i. • shall not employ any person eu manner er oro es to
becomecompere subject!O the workers'compensation bore of California. that R Id become pry! to the workers' ..********************1f**iF*****************************1F*****i!***!t**************
compensation d Section 3700 he Labs Code,I.hall f• . wn
Dale: 4."2'..- g Applicant: ` /� �� . IND IV IDUAL F E E BR E AK DOWN
Warning;Failure to secure woken conlpeneafon coverage Is unlawful,and shell subject an employer to criminal. hap and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up to one hundred thousand dollars($100,000),In addition to the coat of compensation,damages as . v/ded for In
Section 3709 of the Labor Code,IntersaL and edomey s tees,
SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 924 , 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d penny that then is e constndion lending agency for the END OF FEES
performance d the work for With this perm)is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and state that the above Information Is correct.I agree to comply with all ay and oounly ordinances
and state laws reltietto/bbuild g commode.,aaandhereby authorize d the dry ty enter upon the... . mentioned property
for inspection punaa .f
Pnn Lame (/ 01 00181820-D018182
' •ate: S-1a 9s� 821 TOT 54.50
Signature d Owner/AgenVApp' tractor ,•
05/12/95 TIME: 15:37
(5151.48.W P) White-Sodding&Safety:Green-Fla:Canary-Appican:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING F • -Pp°L & SPA
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-Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd, 1 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd, 57. APPROVAL TO COVE R-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. 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 e
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air ConditioMn§ 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 s. 5 -.q5 6 46/ 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 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. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 11_2.-qt 6,41
48. FINAL PLANNING �-,�v'
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
27787 NOV 13-67AIDOO 531* ****90.00
CRSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92828 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT /� BUILDING
BUILDIADDRESNG
I�� Al hat,. 2 For Office Use Only
RECEIPT No. 277@ r .
COSTA MESA, CAL FORNIA [� y7H
RICE D70�.-�%/ aot r 9ss7
OWNER San Vista Bldg. Co,
MAIL
BUILDING
MAIL 2249 Wanderer Drive ADDRESS ov/ GRO1544(VV/
TEL 833-3320 FIRE
TYPE
01TSan Pedro NO.
ARCHITECT TB BYPROVED DATE
OR ENGINEER Cli_f Olsten N0�23-122L
ZONING
ADDRESS 9025A E. Florence, Downey m95I No,or rl BUI OF NEW
Same \.l'_/f- „OW 1.. BUMIGINo
CONTRAOTOR
ADDRESS Same LEDESCRtai
GAL IPTION 1 lf'ir `Asai-s-r�-)
`/T
CITY Same A.P.NO. / / -7 o/—3
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO•TO SIDE a REAR P.L.
LIG.NO. NO.
BIZE /� `I NO. SLow. � ALLOWED (U.B.C.REQUIREMENT)
OF LOT ).10 -1 O I NOW ON LOT
RRDDFF YARDS APPROVED YARDS APPROVED
EXISTII•I Tawe. JMAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
eTER uNE BO REAR TARO '
EHFRONT C) rr. PT.
SIDS YARD LEFT I RIGHT R.SIDE l'/ PT. RT. Z
DESCRIPTION OF WORK L.SIDE in FT. PT. w.
NEW ALTERATION ADDITION REAR C PT. RT, C
DISTANCE BET. BET.MAIN a a
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDO8, a
BUILDINGNO.OF /( VAR.* /
C/ DATE // G a
SIZE & O Y.---/O ROOMS T /@TORIES C.u.p.�j `*9 APPROVED ( is
EXTERIOR WA I ROOF �/•, n^ APPROV v r,l,, A,: C.'1 7 O- /
COVERING Qfj� COVERING`�'CTS•y{ S]' ��LL��"�"�V P'11 DATE4 O V
USE OF BUILDING D WORKOTO BE PERE'p(}t AT4 (J� �' A, uJ
1.1/.IAA4T Bt P1 4
•
•--5 .73 yd a0.FT. hyo 2
1 HEREBY ACKNOWLEDOE THAT-I NAVE RAD THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O 0
AND STATE THA ABOVE IS CORRECT AND TO CON• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. O
PLY WITH ALL . DINANCES AND STATE LAMS/ROQLATINS
EUILOING CONS 1 VALUATION D i,
EfIGNATURE
PERMITTEE OF A PERMIT FEB ; �D�� W
Al E
S /(/// --- PLAN CHECK S Sol w
AUTHORIZED AG NT
TOTALPEE S 94:2----.