HomeMy WebLinkAbout164 LEXINGTON LN - Building PermitsADDRESS OF BUILDING: 164 LEXINGTON LN UNIT:
OWNERS NAME IF IDAIWN: NAEGEL I , MARY D D
ADDRESS: P 0 BOX 1 2 1 4
NEWPORT BEACH,CA 92663
OR. MAIUNG ADDRESS:
ANCHRECT OR ENGINEER: UC. NO:
1NCK OR ENG.'S ADDRESS: UNIT.
COHmACTWINAME STOUT ROOFING INC (310)923-6775
CONTRACTORS MAI1510 P O BOX 4309
ADDRESS DOWNEY CA U' -"O-: 402536
90241 UNIT:
LICENSED CONTRACTORS DECLARATION: I hereby all under penalty of 'ury that I arcs licensed oder provistms d Chapter 9
(commendrq wlth Section ]000) d Divisors 3 d the Bwimss and Prdeasiau ,end my Rowse a in full lace Ned.
CTYLIC. NO, 059377 LIC.CIASS: C 39 UC.No� 25
Date: 5 — Ig — � \'_ Contender.
OWNER BUILDER DECLARATION: I hereby aNiml urbe panely of perjury then I am exempt Ilan IM Cmtredas Lk.: w [at the
folcwing reason (Section ]031.5 Burins end prcAmsiona Cada: Arty cky or munty which r uima a permit to constmo, er, improve,
demolish, or repair any elmctu a, prior to its esuence also reluires the appliamt for such wrath to file a signed natama that he or she
e licensed pursuant to the provisions of the Contractors License Lew Iaapter 9 (mmmendn0 with Sedcn ]000) of Dimim 3 of the
Business and Prdeni«a Codel or that M or she is exempt therehom end the base f« Ule allayed exemption. Airy voleton of Section
7031.5 by any applicant fa a permit wbjeds Rhe w alieanl to a mil penalty of an, mea Ihan Ewe hundred dollen ISSOOj).
❑ I,nowosrdlheprepenYamyempky wkhwaeaw1haWs wmwnatim,vlldothew ,acdthe Almdunendintended
m offend Mr rale LSectim 7000. Busmen and Pmfnaiona Code: The Contractors Licoree Lawdws cwt mplytom ownerd pmwrty
'mlaovainmb ere rat intended at, dlered fa rale. H, however, the MUdin9 or knpmvemenl a eoM within ere Year of oarngelbn, me
ownerdutdw will have the burden of proving he or she did cot buiM «improve f« IM purpose of eels).
1❑ I, n owner of the propend. an, axdaeively mntractkrp wnh licensed contrecton to condruct the Projed (Section 7041. Business end
rr Professiaa Code: The Contractors License Law does as Appy to an o,e wr of property who builde or impmvw thereon and w1w
contracts f« suds rojects with a mdrmor(s) licensed Pursuant o the Contractors License Law).
❑ I am exempt under Sec6oa B. A P.C., for the reason:
Date: Owner:
I do hereby candy that I am aware of end understand the rmuiremants of California Health end Safety Coda Sections 25505, 25533, and
25530, and that I a airy future oiMiW axupnnt will I will nor (date wo) need to corapy with and dela codee and the requirements fa
e perms IamrwmuNon ormodifwmion horn the Aiana9emm10enid. RavderuvU cemrudion appkatcm are exempt Isom tMs
camnsiona.
Dale: Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of PwJwv Me of Ua following declarations:
❑ hew and wilt maima:r a
.cI" d consent ro eaMirwn is workers' mmpematon, n eu+ided la by Becton 3700 a IM labor
. he ad the
osdormawe a work he which this Permk is extract.
neve and and maintain workem' compensation insurance, n reauirad by Section 3700 d the Labor Code, fer the pedormacce d the
M be whim this pame is issued. My wpraeri compensation insurance carrier and policy number are:
Carder: T EXPIRES
Policy Number: 05/19/95
(This aedim need nor be mmpleta, A the perms is for one hundnd dollar (51ooJ «less.)
❑1 mach then in the Performance a the work for whcn th s perm a ssue shell pb env pe em in Ip An =0 ro
bacome subject 1p Rhe workers dxn,usatim M lawe d Catifomia, en r e the B Iempl"` beatme IM« m v =0
conopeawaron In>� aSectiont 70p oLN(e Labor Code. shell f n ompN I those Prmieiona
Date: 1:3 i / pd"cenl'
Wam/ng: Failure m ascan wo ken' comp Van cware Ia un wNl, end and/l aubJact en employer ro cdMns Mes end
clvll flats W ro ons Iruntlntl IMuesnd do/Mra /5100,000), In eWitlon b tlla cwt o/ rompanestlon tlarnePa u vldey Aw In
Sacdw 3705 of d s Lebo, Code, Interest, arul Wesel' a fees.
CONSTRUCTION LENDING AGENCY: I hereby alfinn under wwlty a perjury lined them e a constmtlon lending agency b tha
perfarmanco of the work f« which the permit is issued (Section 3097. CN. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify Ihet I hove reed this application end data then the above infmntim is correct.
end slene neva.acing tpildiW c« ruction ad hereby aahor resentmlves d
far inspection purpose. Jct „ n / _ _
(5151-ee.WP) Whne-Buildi , A SefmY GremFRla; Canary-Appiranl; Fink-Revwnw; GOMenmd-Aaxua
pmpemy
CITY OF COSTA MESA — BUILDING PERMIT
I PFRM Nn. A n77?Q71
PERMIT NO: B 072292 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION T/OFF SHEATH S REROOF W/COMP SHINGLES SQ FT: 2,924
CLAIM VALUE: 2,924,00 CALC—VALUE; 2,924,00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
Z O N I N GS E R T E B Q A U C I K R S E M E N T S
/------------ MAIN
BUILDING
----------
---------
ACCESSORY BUILDING---------
FRNT; FT IN
REAR;
FT IN
FRNT:
FT IN REAR; FT It]
LEFT; FT IN
RGHT;
FT IN
LEFT:
FT IN RGHT: FT IN
PARKING REQ:
PROV;
PARCEL;
41916433
ZNE: AEF NO:
PLANNING NOTES>
>
D E V E L O
P M E N
T S E R V I
C E S
R E Q U I R E M E N.,.T, S
ZONING APPROVED'BY
DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY;:S
,F f F F ## i # # F# Fi # DATE
jF-IF.. iF �R iF � +F#+
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 54,50 0,00 0,00 54,50 54,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 .50
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,924,00
END OF FEES
01 D01£18A4—OQSE1845 T13T
DATE: 05/12/S95 TIME: l,:r.d3 `{'S0
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
A;
Inspector
'POOL &SPA
APPROVALS- Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location 1
2. Soil Pipe-Undrgrnd.
53, Steel Reinforcement
3. Electrical Conduit Utility-Uncirgi-4.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
-
5. Steel Reinforcement
56. Rough Plumbing & Pressure'Test
I
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER�GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
8. Foundation
59. Gas Pipe, O 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 -Ficial
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
.r
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70, Underground Hydro
22, Ducts, Ventilating
71. Product Piping 0 Gas ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank ❑Gas ❑Oil
25. Roof Sheathing �i�s
`S�w(y
74. Overhead Hydro
26. T -Bar Ceiling (Structur0 & 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
i
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
Z._.q•
(P�'^'N%
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
-
OWNER
GENERAL CONTRACTOR Ran V3. ata Tbiildina Co. VALUE $ JR.ti95.00
AP No. LOT 1S7 TRACT Sl hO FIRE ZONE DESCRIPTION OF WORK Res.w/att.a
INSPECTIONS I Signature I DATE I GROUP T.&j TYPE v ZONE R-3
Soil 54, A/- /-/7
Gas _ SUBCONTRACTOR
PERMITS
ISSUED
DATE
NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
A --6
i
Rough Plumbing
/o-3/-63
3.96--s
Miscellaneous
Prop. Swr. Line ❑House Con. 2KSt. Swr. ❑ - - �/a
NOV 19
S rinkling System
"
Construction Pole
Underground ❑ Power
Rough Wiring - ° _
i- 3 - G V
i 7 e, s�
Trenches'❑ Forms ❑ Steel Reinf. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashinge
Lathing — In Out _ G e- - vul.�
Plaster, brown coat
VV/,,
Refrig.❑ Air Con. ❑ Final 1 f ,
Heating, Final
Plumbing Fixtures, Final '
Final Gas Test /
_
Electric Fixtures, Final
Building, Final
OCCUPANCY
24541
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 217 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT LOt157
COSTA MESA, CALIFORNIA
OWNER San Vista Building Co.
ADRESS 1MAIL1166 E. 58th Street
CITY Los Angeles 11 No -AD 37187
OR
ARCHITECT
Raymond Levans NOfDR 37010
ADDRESS 3432 Via Oporto, Newport Beach
,., _mA_w San Vista Building Co.
ISIZE _ 20 X 70 I NO. OF BLDG$. 0
6ET6ACK LINE FROM 13 1 81410
CENTER OF STREET REAR YARD
SIDE YARDI LEFT 0 RIGHT 0
DESCRIPTION OF WORK
.FW I X II A.TF WGT I.,.I I .1111 ... .,.
5BUIZELDING 20 X 33 NO. OF
ROOMS 5
EXTERIOR WALL I ROOF
COVERING StUCCO COVERING
USE OF BUILDING AND WORK TO BE PERF,
2
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLT WITH ALL CITNANCES AND STATE LAWS REGULATING
BUILDING corvsrR Y
=W VISTA BUILDING CO.
SIGNATURE OF
1 AUTHORIZED AGENT / James
FEE RECEIVED
P26IbO
A ANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
EY
ZONING
NO. OF USE OF 1
r PLANS EU ILD.[
LEGAL Tract5160 - Lot' 157
DESCRIPTION
A. P. NO. LH- �
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
SO- TO SIDE 9 REAR P. L.
EAVES
ALLOWED (U. S. C. REQUIREMENT;
YARDSAPPROVED YARDS APPROVED
MAINBUILDING ACCESSORY BUILDING
VAR. #
DATE
FT. /7 7 (/ •.
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
LUATION
$/3 P5s-
9