HomeMy WebLinkAbout185 LEXINGTON LN - Building Permits ADDRESS OF BMLDIN3: 185 LEXINGTON LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT
ONNEBSNANEIFf10WN: ANDREW, CAROL STAFFORD TR PERM NO: B 072592
ADDRESS 2079-A RONDA GRANADA
LAGUNA HILLS, CA 92553 PERMIT NO: B 072592 PLAN CHECK NO: N GOVT: N SUPP: N
SRL.LwUROADDRESS( CONSTRUCTION TYPE; PERMIT TYPE : STR PURPOSE; 0TH
ARCHITECT ORENIgNFER: UC NO.: JOB DESCRIPTION , T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT : 2 , 924
ARCH.OR EMI ADDRESS: UM: CLAIM VALUE; 2 , 924 , 00 CALC-VALUE; 2, 924 . 00 GROUP OCC: R-3 /
rnxTRAcraxs".aa. STOUT ROOFING INC ( 310 ) 923-6775
caxrnACTofrs Minna P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA Lit NO.:
402536 «-->F***;car**ser******;FaF+F«,(*,(*th;hs++a:*,c****,h,F***+c;:-K****s**<,h*****-1c;a*<a;44-***:'.r*,(.h****+:-
9 029 1unr: Z ON ING R EQU I R EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby SR:m under penalty of i. that Ism licensed under p• )". of Chapter 9 SE TBACK S
(commencing with Section 70001 of Division 3 al the Business end Professions P. and my license is in lull fora Aefea.
clrruc.No.: 05937 7 uc.cuss: C 39 uc.NO• f b253(: EXT' 10/75 MAIN BUILDING ACCESSORY BUILDING
/ /��/ Y F" NT; FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Dale: 53// % S conuaco/C Ai /4/..i s/ t✓:1../i LEFT: FT IN RGHT: FT IN LEFT ; FT IN RGHT: FT IN
OWNER BUILDER A.5 u:Iessaby ndPrmssonr penalty •ciy Bury that ywhichmq homthe ContractorsacUcanse ,wfpthe PARKING REQ: PROV; PARCEL ; 419/6450 ZNE: REF NO:
folloNER BUILD(R DEC AkSTI H:I her eyd/frm under Coal:Arty cry a hot I a w am exe pt frresom a eros ro oLice , .,improve,the
demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement at he or she PLANNING NOTES> -
is licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencing 70
ng with Section 09)d Derd Division 3 the
Business end Professions Code]or that he or she is swamp therefrom and the basis for the alleged exemption.My violation of Sedan >
7031.5 by any applicant for a permit subjeas the applicant to a civil penalty of not mere than fee hundred dams(55001). **************************4********************1F*************4tf********4******iF
❑ Leaowner of the properly or my employees weld wages as their sole compensation,will do the work.end the sirectun is not Intended D E V E 'L O P M E N T SERVICES R E Q U I R E M E N •T S
or offered for sale(Section 7044.Business and Professions Code:The Conuadors License Law does not apply loan owner of propend
who builds or improves thereon,and who does such work Nmsel or herself or through his or her own employees,provided that such 'S
improvements ate nit intended or offered for sale.If.however,the building or improvement is sold within one year of completion.the ZONING APPROVED' BY ,•
DATE
owner-0ui der will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I,as owner of the property,am exclusively contracIng wth licensed contractors to construd the project(Sedion 7044.Business ard BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does nal apply to an owner d property who builds or improves thereon and who
contractssuch projects for with w
emed
ror(e)licensed pursueMmthe ContractorshLicense Law), APPLICATION ISSUED BY ; DATE: 3
I am exempt under San: B.AP.C..ler this reason: ********************** * n**'"** * *********** *** *** *:s ************ *ic***
Dale: amen LEGALIZATION;N FEE SUMMARY STRUCTURAL SEGMENT:Y
I do hereby candy that I am aware of and understand the requirements of California Halt and Salary Code Sections 25505.25533.and
25534,and No I o arty Mum building occupant wig/era not one)need to°amply with sadaaiecodm and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
e permit for wmwpion or nadGit,horn the AiTMI lraropemere District.Residential construction applications we exempt from these PERMIT 54 , 00
provisions. . 50
SMIP/NON-RES
Date: Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm oder penalty of perjury ane of the following declarations: ISSUE F E E
o Iherrn and*id meutaitacertificate dconsent tosell-insure for workers'compensation,eepwidedfor bySadion3700of1MLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.for the pedwmancedmework for whicthis pematis issued.
TOTALS > 54 , 50 0 , 00 0 , 00 54 . 50 54 , 50 00
I have and dl maintain workers'compensation insurance,es required by Section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurance carver and policy number are:
Carrier:
bLkiLt_ _ _ _ _ XPIRES REVENUE DIVISION TOTALS > COLLECTED: 54 , 50 OVER/SHORT ; 00
Policy Number: �-r s .-2 1,L2sd a Lex, p 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed a the perms is for one hundred dollars •. or teras.) 54 . 00 . 50
❑ I candy that In the performance o the work for which this pemf ed. shall not employ any anon d manner so as to
become subject to the workers'compensation laws of California. eg - that if should become ed to the WPM'S' *4 ***4******************sf V***+f****4*IF****+t*****rt**************4******!+i*ori*!fk M
compruet 31 sgaa�TDO Labor cede. a !berth J ';those provisions. IND IV IDUAL F E E BREAKDOWN
Dale: �a/�t,D/ry� Apgaen i
Warning:Failure k secure workers'compensation coverage Is un wful,and shall subject an employee to criminalaidesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil dna up to one hundred thousand dollars(6100,000A M w
addition to the coat of corpat/os as damages Waled for In
swtion3706oftheLaborCode.Interest,andattonnys fea SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2 , 924 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that then is a construction lending agency ler the END OF FEES
performance of the work for which this penml is issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
1 caddy that I have read this application end nate that the above information a epee coned.I to comply with all dry and county ordinances
and state laws relating to bpi•' ... . .'. and hereby authorize representatives of this cry to enter upon the above-mentioned properly
ler insPeni°n prpesee' Dar ENE BURFORD
/ 01 00183147-001E3148 TOT 54.50
`/ iey • 1. , 3j/9 PATE: 05/31/95 TIME: 11:46
/X / 2
/ �71� Date
Signature d•9wr,er/AgenUAepimMgorpirector
(515140.WP) While-Build g A Salary,Green-Rte:Canary-Appicat:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING - TOOL& SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pdle 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, O Undrgrnd.,Test • -
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, a Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Firial
12, Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
1
14, Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final '
16. Rough Electric Wiring 67. Fencing & Access Approval
i
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL • •
19. Rough Heating & Air Conditfofiing FIRE DEPT. REQUIRtIVIENT
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 6-6-qC 6 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
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 t_z_1f &' -
48. FINAL PLANNING t, :
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No" Date
.
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 18 Lexi: on Lane r BUILDING PERMIT NO. 22226
GENERAL CONTRACTOR Caine VALUE $ 12,635.00
AP No. LOT 126 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Siggnature ATE GROUP I&S TYPE V ZONE 113
Soil /,L PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water G /fl .i/ - —
Rough Coin. rtefrig."'DAir Cond. 0
Rough Heating ,7 �3//f! .`�3 no -
Rough Plumbing �n i .'r a-/-4'V
Miscellaneous 't 9 7963 -U $ �`
Prop. Swr. Line 0 House Con. St. Swr. ❑ -,/ .�/7�7 &its (!�.c.¢ DEC QLf ,,,c
Sprinkling System / /"
Construction Pole / G S
l,
Underground 0 Power 0 _`�
Rough Wiring !S /C.CUA _
Trenches❑ Forms Steel Reinf. 0 M @F, /p /� t f , 2 ! ,�, - c/6 y
Floor System ( -e �/ / _ /G '/ /
Bond Beam 0 Steel Reinforce 0
Sheathing a' of R'- 6A,471-.
Frame and Flashing L� a r o sc
Lathing- In,C Out‘P----- °' , C y�_//( 9` •
Plaster, brown coat f, y" , 7, 2 r r 1(�V l lJ/
Refrig. 0 Air Con. 0 Final Jt/ /
Heating, Final � 6/1/ v
Plumbing Fixtures, Final (fa el
�� 2.
Final Gas Test //( el
Electric Fixtures, Final /a'61.6
Building, Final n .�/f Hi✓ I
OCCUPANCY ,
Form BU4-5M-3-63—S-B P I-(yLL 9 SPECIAL REWIRE/a=
FEE RECEIVED
, 27226
COSTA MESA BUILDING-SAFETY DEPARTMENT I D 1W
P.O.Box 317 COSTA MESA,CALIFORNIA ((``IITTFIINAFNC�1EQ�eSTID�^EPMT.
. For Applicant to Fill In Completely APPLICATILN FEK YDKMIIESA
TYPE OR PRINT BUILDING
For Office Use Only
BUIDLDI
RESSNG iF37 - —
ADLL y^ V
RECEIPT NO. PERMIT NO.
COSTA MESA, C LIFORNIA 92996
//j},� RECEI ••Y DATE RECEIVED DATE ISSUED
OWNER _.r •L AS I •. "Lai l.• 1 10.:
AESS \V'oo g c;Ts- S`� AD REI
DDR -S
FIRE
CITY 1 1 , ' \ NO.4�j1'/ ZONE TYPE \/ .GROUC / 4�\
ARCHITECT �O/�7M0+ TEL. R BYPROVHD DATE
OR ENGINEER �- NO.s-/„O
�j1j�j + a,d� ZONING
ADDRESS L7 /J� u�yc'�,c+ ' rtB.11jib . -
NO.O USE or rp�Y
/� _� PLAN BUILDING _ L�Ti1
CONTRACTOR f�+� -.•• PG- \ f�L,i! & •
ADDRESS 1)6 6 C C P ` 1 St LEGAL 676-6 .-/ ,f-/ '7
�..f DESCRIPTION ([ Pw oC-�P
CITY �-I( r8 //
A.P.NO. N I !� J ��� il
y�h /� �+/y NOTE: NO EAVE OVERHANG SHALL BE LE S THAN
STATE / 9.1 7 f- T L$/) � /16 / SO'TO SIDE @ REAR P.L.
LIC.NO. rL A
EAVES
d/o X t�0 I No.NOW DP ON BlDoe.LOT 0/� ALLOWED \(U.B.C.REQUIREMENT) n
(71E-OT /
USE OF ,�1^ YARDS APPROVED YARDS APPROVED MAIN BUILDING
EXISTING BLDG. Y r ' onn -_ ACCESSORY BUILDING—
(FROM C/L STREET) '
SETBACK LINE FROM /3 J REAR YARD FRONT /C. FT. FT.
CENTER OF STREET
SIDE YARD LEFT 0 I RIGHT 6) R.SIDE 0FT. FT. dl/
DESCRIPTION OF WORK L.SIDE 0 FT. FT. Ifl
' NEW X ALTERATION ADDITION REAR FT. FT. Z
DISTANCE BET. BET.MAIN 8 {ll
MAIN BLDGS. ACCESS.BLDGS.
REPAIR MOVING . - DQ.�/M�OLISH
BUILDING NO.OF • - '� VAR.# DATE
SIZE rv1V X a rJ ROOMS 4 ' STORIES 2' C.U.P.# APPROVED 0l
EXTERIOR WAIlJA�,.1{11��.. ... ROOF APPROV!! `' � S- "(j G{
COVERING 4.1.CC4) I COVERING . BY BY L r DATE.c�
USE OF UILDIN//G AND WORK TO BEP FO F r� S
iiLhlD.410Ait/ /
(LI
/`/ 7, N
ci
atr/'Yn SQ.FT. 20 .4 Y LY.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
( Ile
AND STATE T - THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CI ORDINANCES AND STATE LAWS REGULATING VALUATION ^ Cie-
SI BUILDING CONSTRU ION. / PERMIT FEE $ f/• e' m o
SIGNATURE O-
PERMITTE -
-
A C E 1 00
AUTHORIZE AG NT
j TOTAL FEE $ 43s