HomeMy WebLinkAbout159 LEXINGTON LN - Building Permits Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO. BLDG.NO. -
COIJSTRUCTION PERMIT R 553 a , '
7`l ) ./- ,
•Project Address 159 Lexington, CM TYPE OF CONSTRUCTION . ' • . ,
Owner Phone 0 NEW 0 ADD 0 ALTERATION
Richard B. Parker `-774G' ..
Address 17Starfish Ct. , Newport Bch 0 REPAIR ❑ CONVERSION ❑DEMOLISH ,
Arch/Eng. License No.34 '27 O 0 OTHERON OZONING REGULATIONS
Address DESCRIPTIF WORK 's CEO -k\y1 3AR-t . .
,fir ZONE PLNG. REF.qp
'Contractor r-truL/S-ie_/Y FO m Phone G'/2-QL,)jTYPE OF PERMIT - BUILDING o9 YLegDiNG
AddressSETBACK C!L ST. ROPE RTV LINE
�7 q. a Y�',y�, C/-��it g-�2Ch 0GRADING 0 FOUNDATION 0STRUCTURAL SETBACKD
LICENSED CONTRACTOR DECLARATION 0-TENANT 0 ELECTRICAL OPLUMBING ❑MECHANICAL l YARD -
•
I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT
mencin9 with section 7000) of Division 3 of th Business and 0 OTHER (-0(54-Z -
Professions Code an. - y license IS • f I f• ce and effect. REAR YARD(TO P/L) '
AP PROJECT DESCRIPTION _ .
License$cias i -' $ ,y. • PKG.SPACE REQ. PROVIDED - '
Date /'/�. ,Z Signature • e�v i SQ.FT. �n n�7 S�' 1- 1
OCCUPANCY CONSTRUCTION TYPE STREET WIDTH PARK FEE$ •
WORKERS'COMPENSATION DEC • 'AT-ION ZONING APPROVED BY ' • ' DATE •
I hereby affirm that I have a certifiMte of consent
to self-Insure or a VALUATION $(.5-6/1 49 ZONE ._ _
certtherificate eof(Secf(ipp 39p91L p. Company mpensation In. . ' t dna. GRADING CU.YDS. • ACRES SPECIAL CONDITIONS: • -
Policy No. N7f /S( 61 - . - ._ ..
❑Certified copy Is hereby furnished. , REMARKS: '�/�t t 6 f�� - -
It Certified copy is filed with the city Building Division. ` r
EXEMPTION FROM'WORKERS' COMPENSATION'DECLARATION • • • - . .
(This section need not be completed if the permit is for one hundred - •-
($100) or less). - -nom. . - - - • -.
I certify that in the performance of.the work for which this permit is
Issuetl, I shall not employ any person in'any manner so as to become PLUMBING ` - PLAN CHECK' ELECTRICAL PLAN CHECK • -
subject to the Workers'Compensation Laws of California. - I
Date Signature COFTBATHTUBS SHOWERS - . - - uw FLLl Nta .t
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 _
revoked. - r
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 - - . • - CONS It(UL I TUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB • - -
quires the applicant 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 live hundred dollars ($500). •
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS ' -
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 BV 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). HEATING SYSTEM 0-100.000 BTU BUILDING
PERMIT E l �� SMIP S
❑ 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 E -
an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100.000 BTU PLUMBING S
tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEMGRADING $
the Contractor's License Law). 100,000 +BTU PLAN CHECK $
❑ I am exempt under Section B.& P.C.for thisBOILERS BTU- ELECTRICAL $ E
reason - MICROFILM E
PLAN CHECK- $ . •
Date Owner SYSTEM REPAIR,ALTERATION • TOTAL FEE$ ' •
EXHAUST SYSTEM MULTIPLE MECHANICAL $
I horntify that I have read this application on the state that the above ty PLAN CHECK LESS EAD-
informationP
is correct. I tat o comply with all cityand county 'E VANCE PC E
ordinances and s eta •citta[' o to construction,and hereby authorize
representative o withl cit to enter upon the above menUonetl / °
property for c n rposes. //
Signature DateO"" FINAL FEE S
Drivers' Licen ' or SS Y/ ) ISSUE FEE - . .
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNINQQPOOL&SPA •• - •
APPROVALS Permit# r" j,) Date Inspector APPROVALS - Permit_#
Date Inspector
- 1. Temporary Electrical Service or Pole _ _ 43. Pool & Equipment Location - - a- -
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 . 51. Backwash Lines.P-Trap. ❑Undrern •• • • - •
10. . Structural Floor System . 52. APPROVAL TO DECK • . . - '
11. Property Sewer Line& House Connection 53. _ Backwash & Receptor-Final
12.- Street Sewer Connection 54. Heater & Vent-Final ._ • .,. . ,
13. Rough Plumbing :_5.5-"Plumbina System -Final
14. Rough Electric-Conduit -.56. Electrical-Final
15. Rough Electric-Wring - 57. Solar System-Final '
16. Rough Heating&AirConditioning - b8.. 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 NOTES:
-'^22. Frame and Flashing - - • -
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. FINAL 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: 159 LEXINGTON LN MMT:
OWNER'S NAME IF KNOWN: SPIELBERGER, STEVEN F CITY OF COSTA MESA — BUILDING PERMIT PPPM Nn- A 0772R1
ADDRESS' 107 GEORGETOWN LU
COSTA MESA,CA 92626 PERMIT NO: B 072283 PLAN CHECK NO: N GOVT: N SUPP : N
APR..MAILING ADORE59: CONSTRUCTION TYPE; PERMIT TYPE: STA PURPOSE ; OTH
ARCKRECT OR ENGNEER: UC NM: JOB DESCRIPTION ; T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT; 2, 924
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 2, 924 . 00 CALL—VALUE; 2 , 924 . 00 GROUP OCC; R-3 /
CONTRACTORS RALE: STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORS MARINO P 0 BOX 4309 COMMENTS; SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA ucNO_ 402536 *******'***+E+e*******+r-x**ic*acaicacac**Ac+eic -*x.********+taf**ir-:IN.ric***.>F*al*aac**.c+c aF*******+caF?(-
90241 DMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby efr under peruly of petury Oral I am licensed under provisions of Chapter 9 SE TB ACK S
(commencing wish Section 7000)of Division 3 el the Business and Proles' and my license is in full force.j Ned.
CITY IX.NO.: 05g377 LIC CLASS: C 39 UC.N a02`/ 6 EX,;:" 10/ 5 -. MAIN BUILDING
ACCESSORY BUILDING
Dae: �a/9� Contractor. / hj��/ 'RUT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT ; FT IN RGHT; FT IN
OWNER BUILDE DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors . Law for the
following reason(Section 7031.5 Business and Professors Code:Arty city or county vnidl requires a permit to construct , er,improve.
demolish. repair prior to its issuance,aim the applicant for such permit Me a signed statement he«she PARKING REQ• PROV: PARCEL; 41916424 ZNE: REF NO:
is licensed pursuant to the provisions of the Conuadors License Law(Chapter 9(commencing with Section 7000)of()Melon 3 of the PLANNING NOTES>.
Business and Professions Code)«that he or she is exempt Iherefmn and the basis to the alleged exemption.My violation of Sedan >
7031.5 by any applicant fora permit subjects the applicant toe acct penally of not mon than Frye hundred dollars($5001). **********ef********************************************************************
❑ I.as owner of the Mimi),or my employees with wages es their sole compensation,wit do the work,and the studure S not blended
o offered for sale(Section 7044,Business and Profession Code:The Contractors License Law does notappty to an owner of propend DEVELOPMENT SERVICES R E Q U I R E M E N T S
who builds or improve*thereon.and who does such work himself or herself or through his or her own employees.provided that such
improvements
ner-uldeerr are not
the intendedordewed proving hIf.he didnot t lewbuilding improve°«tIheprlp o sale). year ammmNenart'me ZONING APPROVED BY ,
❑ I,as owner of the propm
lit
e .am exclusively contradirg with Seemed contractors to construct the project(Sedan 7044.Business and
DATE
Professions Code: y m a
coda:The Contractors License law dona appan owner progendidnd
y wino bs«improves thereon awho BUILDING APPROVED BY : DATE:
contracts for such projects with a contrmor(s)licensed pursuant to the Contradors license Law).
t
0 Iemexempt under Section: B.AP.c.. as
this APPLICATION ISSUED BY; DATE: J
� Date: O•mx ***3e**********if******#*if**if**if***. .* -***********Y****************** ** • •if*
I do hereby certify that I am aware ond
a «derstand the requirements of Callorae Heals and Saey Code Sedum Slut 25505,° and LEGALIZATION; N FEE /S U M M A R Y STRUCTURAL SEGMENT: Y
25534,and that I or any Mum building occupent will/wil not(circle one)need to comply with said state oohs end the requirements for
a permit for or modification the Ai u�6eyl�anagenwd District.Residential construction appicati«teare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Date: "°Pio""' SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perkily one of the followingdedeneions: PLAN
❑ I have and wit maintain a certificate of consent to self-insure tor workse compensation,as provided forby Section 3700 of the Labor ISSUE FEE
• Code,for theperformance
encedtheworkforwhichtisemmielamed. —DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I have and WImao workers'dpwation inwnance,as required by Sedan 3700 the LabCoda. rtM performance of the TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 , 50 , 00
work for which this pent is issued.My waken'compensation insurance carrier and policy number are:
Carrier: 71T r; EXPIRES BUILDING REVENUE DIVISION TOTALS > COLLECTED ; 54 , 50 OVER/SHORT• 00
Policy Number. SO'I1C CCI 05/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(TM's sellas need not be completed 5 to fermi is for one Modred dellen/5100 or lest) 54 . 00
❑ I certify that in the pedomneace d the work for which this permit e'... •.,1 I not am•• any person In A tuner so as to 5 0
become subject to the workers'compensation lewsdCeM«de, ag that become to the ***iF******4******4int*Yfsf*****************74***********'M*************'*****srK*****ty*
compo�atirpprwiissiions matt 5.p d the Labor Code.I shell I. wit / ply .14 provisions./P" ,. /
Date: /i l/f A��: 4 •0 _ IND I VIDUAL F E E BR EAK DOWN
Warning:Failure to secure workers'compensation onstage launlawful,and shall subject an employer to criminal-mantes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dol/an(510IL000),In addition to the cost of compensation,damages as - •vides!for/n
Section 3706 of MS Labor Code,Interest,and ettomey'e lase SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 924 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalh'of perjury that there is a mretndion lending agency for the END OF FEES
performance el the work for which the permit is issued(Section 3097.Cis.C).
LENDER'S NAME
LENDER'S ADDRESS:
I
cattily that I have read this application and dale that the above information S coned.!agree to comp hal city and county ordinances
and stele laws relatig buildig construction and hereby aulhareei• -.... looses• this city
to art the above-marooned property
for inspection pun /
.� %% /� 01 00181816-00181817 TOT 54.50
e. L57-2-/9<--
/C/� DATE: 05/12/45 TIME: 15:36
s. :.gn. . -AipnvAppAmanucw:.« /
(515146.WP) White-Building&Safety:Green-Fle:Canary-Appiranl;Pink-Revenue:Goldenrod-Assessor
- CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pqle 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 1 '
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 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24, Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing O-g_y9 4 wiy 74. Overhead Hydro
26. 7-Bar Ceiling (Structurall & 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
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 `(LR( &cc'V
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
27789 NOV 13-67Fwm00 533 . ****76.50
CASA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 02020 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
DUILDINe 'St( :/ _ 49.24_,C
r)�� For Office We Only
ADDRESS (!�'' I `'t'1t REC'IMT NO. P�RNIr11p21/1
COSTA MESA, CIALIFORNIA /j�' -y((1/[y I�L 7 7899r
Ri y kD,, DA - ! —�a7 �^" I�R 'L7Dr
owNHR San Vista Bldg. Co. "�P1-� IV
MAIL
ADDRESS 2249 Wanderer Drive
BUILDING
I I
San Pedro NO.1833-3320 FIRE ranGROUP /
CITYF
APPROVED
AR HIT EN eR Cl if Olsten TE 923-1221 BY. DATE
ZONING
ADDRESS 9025 E. Florence, Downey e�
mylvi
h CIF r e or Naw (
Same , *uNE RuIfsILDIHG ,� /`
CONTRACTOR {a
LEGAL 'kik i S 0 -+„g--SI 69
ADDRESS Same OEDCRIRIGN•
/{/�M / 7
CITY Same A.P.NO. I ! / 70/ -
E TEL NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
STAT
LIC. E NO. SO'TO SIDE a REAR P.L
SIZE OT wv f I�_2-)C
)10 1 NOW ON LOT ALLOWED (U.B.C.REQUIREMENT)
EAVES
OF L
YARDS APPROVED YARDS APPROVED
USE OPMAIN BUILDING ACCESSORY BUILDING
ST
EXII nR r_
(FROM C/L STREET)
SETBACK PROM FAQNT //� ),.r 1.,.
CHNTE OP BTA R (.
0
SD:InARP LEFT RIGHT mown PT, PT.
DESCRIPTION OF WORK L SIDR Li FT. PT.
NEW 1�ALTHRATION ADDITION REAR o PT. �'
III II 1111 DISTANCE BET. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. • ACCESS.BLDGB. W
BUILDING �I NO.OF pS VAR.* `/ DATE �/ / UGI
SIZH `�� U ROOMS J STORIES _ C.V.P.if / T APPROVED° U3 CC
I D
EXTHRIOR WA1y ROOF (� /� A!!RO
COVERING (t #J) I COVERING R-(}'CJ�C- eT 1n ��I DATEGO� 3 U 67 d
•
USE OF BUILDIN AND WO�)I���K TORE Pt FORMED (I(��/ M z
I it
0%Cm Mgt
/c/ 7''7`// ; Q
// FTS/ 17/90a.
I HEREBY ACKNOWLEDGE TNAT.I NAVE READ THIS APPLICATION THE AMOUNT EH N UNDER VALUATION IS FOR THE
AND STATE THA a ABOVE,IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. (Y
PLY WITH ALL ITY'ORDINANCES AND STATE LAWS REGULATING
BUILDING CON UCTION. VALUATION //((�� 7 Q
SIGNATURE OIF PERMIT FEE $ J�'
PERMITT81 ` .t'ked^ .{� E Q
/ $ /c4/� PLAN CHECK S �V S�wQ
AUTHORIZED AGE 1 /N =
TOTAL.PEE I /G 't