HomeMy WebLinkAbout191 LEXINGTON LN - Building Permits ADDRESS OF MALCM 191 LEXINGTON LN LINT: CITY OF COSTA MESA - BUILDING PERMIT
aThEfwMERmc.Th QUINLIVAN SARAH J TR PERM NO: B 072603
ADDREsz 191 LEXINGTON LN
COSTA MESA, CA 92626 PERMIT NO: B 072603 PLAN CHECK NO: N GOVT; N SUPP: N
APDL.MAIDIS ADDRESS: CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
NM/ERECT OR ENtp4EER: MHO.: JOB DESCRIPTION : T/OFF, SHEATH G REROOF W/COMP SHINGLES SQ FT ; 2, 924
&Rat OR ENG'S ADDRESS: UNIT:
CLAIM VALUE: 2, 924 , 00 CALC-VALUE: 2, 924 , 00 GROUP OCC ; R-3 /
commamamme STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORS MALMO P 0 BOX 4 309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
AOmat DOWNEY CA LLC ND_ 402536 ****xitil+rye44.4:* t+°r+r,E+t-t*+c*ar+r**aiex-err*+t*+A***r!******+r*n*iE**<+tit;F.air******.Rr********w,t,r..r+r•+r
90241 UNT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly d ry that I em licensed under pr• lora d Chapter 9 Fi E T B A C K S
(commencing with Section 7000)d Division 3 d the Business and Proles.• . end my license is In full . . : .effect.
cRYuc.N0.: 059377 uC.cuss: C 39 UG.N'. 1257'6 EX: 10 /35 MAIN BUILDING ACCESSORY BUILDING
2 Y FANT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
D . 3� �� ...... LEFT: FT IN P.GHT ; FT IN LEFT : FT IN RGHT: FT IN
OWNER BUIL ER DEC RATION:I hereby affirm under penaly or parlury that I am exemq fmm the Contrectors Licens Law for the
following ream(Section 7031.5 Bushiest and Professions Code:Any coy«county Mid,requires a permit to commas,- er.improve. PARKING REQ: P RO V: PARCEL: 41916447 Z N E; REF NO:
el pia demolish,or repany structure,pto its issuance,also requires the applicant for such permit to fib
a signed statement that he Or she
PLANNING NOTES>
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is licensed pursuant to the provisionso the e Contractors License Law[Chapter 9(commencing with Section 7000)d theDivision 3 of
Business and Professions Code[or the he or she is exempt therefrom end the basis ler the alleged exemption.My violation of Section > •
7031.5 by any applicant for a permit labials the applicant to a dwl penally of not more then five hundred dollen ISSOOD. ***+E-ft********it****4********************************a*********if***iv**Y-*rE*a:*44**A*
o oroffereedfor alee((Se0tioniai Bmus°neessandP s onsCode:TheCot License Lawages es their sole compensation.will do the�not arvl tM°toawnend properd D E V E. L O P M E N T S E R Lr I C E S R E Q U I P. E M E N T S
MOT e an owrherd propene' ,
who beads«:npmves intended.and she does such work himself or herself or through his or her own employees,provided that sum
-
improvementaerenotinteburden for orthehowever.the ildn9«ingawnentbwldwithin e). eard°ompletion,IM ZONING APPROVED BY DATE: '
ownerLui der will have the buNeo of proving he the did nit build or bmprow 1«the puryose of sabl. 'j
I,as owner d the propery.am esdusivey contracting with licensed contrMors to contruct the project(Section 7044.Business end BUILD I flG APPROVED $Y DATE:Profesio s Cob:The Co trwors License Law does nig apply to n owner of property who builds or improves thereon end who
contracts br such projects with a contrersor(s)licensed pursuant to the C«nractors License Law).IamexempterSect : B.AP.cmiersesen: APPLICATION ISSUED BY ; DATE :
**4*************************4°""°` LEGALIZATION:N F E E U M M A R Y STRUCTURAL SEGMENT;Y
o hereby center tht I am aware d send understand the regirements d CaD«nb I4eellh snit siey code section.uses,us33,and
51x,andUseloonyfuturebdbungoupentMll/se (drebone)needtoconywiltsaidtatocodaendtherpuinmentsbr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAD ]G
ermt l«cemiructianormalticatlon h«ntheA'rOueWYMamperrhent Oitdct.Residoruid cerhwuction eppiratioraere esamptlromiMn ERMIT 54 00 Ifvislon. . 5 0
Date: Apples: PLAN SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty el perjury one of the Wowing dedareiona: ISSUE FEE
❑ Ihave and wllmaintain acertificate ofc«h«nnoaed4raanrorworker:compenstion,esprovidedl«bySedion3700dthLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
co*
l« d
lheperformanceua work fol:mbwd.
which TOTALS----> 54 , 50 0 . 00
0 , 00 54 . 50 54 . 50 00
I haw and will maintain workers'compensation insurance,as required by Section 3700 d the Labor Code.for the performance d the
workslothmie Cartier: suw.MywonaaS compensation insurancevMradpdrynumM are: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 59 54 . 50 OVER/SHORT: . 0 .0
oatyr. 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI.
Policy Number: VYy +y VVVV'fOUF D/TOT GRADING PLAN-CHECK
(This section need not be completed i to panne is for one hundred dollars 1001 or Ins.) 54 . 00 . 50
o I candy that in the pedomerce of the work for which this permit is 1 ehtl not employ any• in any manner so as
become susect to the workers'compensation lass d Canon' end epee I should •. ./subject to he • . ' ************************************************r****+F4******1(-**********4*******
compensat proves el Sed' d the Lahr Code I h ' ' those• • .. s.
�/ qct x'00 INDIVIDUAL F E E B R E A K D O W fl
Date: J//3iG/ S Appharhl: ,�,Le
Warning:There to sec re workers'compensation coverage Fe unlawful,and wall subject an •Foyer to ed. w panames and
TYPE QTY D E S C P. I P T I O N UNIT COST TOTAL COST
civil fines w to One hundred thousand dollars(510000OA In addition to the cost of conpensarlon,da • es provided for in
Snpon37O6ofm°LaborCode,interest,andatromay'afees. SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 924 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this perms is issued(Section 3097,Civ.C).
LENDER'S NAME
LENDER'S ADDRESS:
I certify that I have read this application and tate that the above information a coned.I agree t0 comply with all try and county ordinances
and state laws relatiq to building cone:Wen and hereby authorize representatives el this city to enter upon the abaa'mentidad property
for inepadbnpun°an' DPPnLENE BURFORD / // yam/ Ql ETOlE3ii3 OO1E3144 TOT 54.50
� Pn oma/ /`/ !/ , �/ Date: h�3�/�.] DATE: OS/32/9`n TIME: 11:45
•
Sig d.cwweriAgenUA..:... •ntrador
(5151.4e.WP) White-Builing&Safety;Green-Fb:Canary-Appium;Pink-Revenue;Goldenrod-Assessor
.\ .
CONSTRUCTION AND PLANNING •eooL & 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-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
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System ' - 61. APPROVAL TO DECK
11. Property Sewer Line & Hoiise 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
_ I
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 6-$_el.6 6efr 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 {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
- f
43. Backflow Irrigation
l
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUI LDING Lt'L- 6" aWb'
48. FINAL PLANNING ,
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No Date
C,
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 191 Lexington Lane BUILDING PERMIT NO. 22223
GENERAL CONTRACTOR sante VALUE $ 13,895.00
AP No. LOT 123 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res Watt gar
INSPECTIONS Signature A E GROUP I&J TYPE V ZONE R3
Soil .1- SUBCONTRACTOR
ISSUED
Gas — Ly SUBCONTRACTOR DATE NUMBER
Water aerie/
Rough Coin. fr'g. � Air Cond. ❑ /
Rough Heating ,4 i / .....c....t...: -74, ;,C'3 -
Rough Plumbing I, ... ' / A „ 4-/-64 344 /
Miscellaneous
Prop. Swr. Line ❑ House Con. ' St. Swr. ❑ ' 7/7//Cj` , - . 9 1Q6i 40.,'7 . 4
Sprinkling System
Construction Pole
Underground 0 Power ❑ j° by
Rough Wiring �� 0-,/a•«/ L i .- JUL 1 3 191;4 2367
Trenches ❑ Forms ❑ Steel Reinf. 0 (IA m 6- Jo G 4t /L'_D__ C x
gid„ c.# , f
Floor System c..e Cl ,5/61(
Bond Beam 0 Steel Reinforce ❑ n
Sheathing /3 ` 7- G/ 6
Frame and Flashing - 5T- 65
a jc
Lathing— In S- Out Eire-- Q jr /7 7C 54- I
Plaster, brown coat , c•%' , c7- Zy7/6c, ,..t�/ L
Refrig. ❑ Air Con. ❑ Final ` \ L J,
Heating, Finalif
'J - _
Plumbing Fixtures, Final n
FinalF'ial Ga [
Electric Fixtures, Final p Al , _
Building, Final of /97-P/1/ i r I •
OCCUPANCY /_ .NTS
Form SU4-5M-3-63—S-B P HOLE) rvR SPECIAL REQUIRE
• 22293 _ FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 1 s
IMO
P.O.BOX 317 COSTA MESA,CALIFORNIA
FINANCE Dr.
For Applicant to Fill In Completely APPQITA{TIQj4 O A'Elj+
TYPE OR PRINT BUILDING
9/I �+�//J� ��� For Office Use Only
BUILDING //r / �-T• j� '
ADDRESS
�O'� RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA II,'//''fi�n�]]
y'. /� REC/E, E OT DAT /gc//pV .I `DATEd5Q[1E�1
OWNER S4..,,_ V..L.. 0.IQ� ea ! 7 !PT JUN 1 1984.
BUILFNO
ADDRESS l/G 6 `I, !- L 7� VVVV ADDRESSFIRE
w� ^(��
ii J e NO 4D l i t ZONE TYPE GROUPC 4- CS
CITY �r � r � !
APPROVED
ARCHITECT DATE
OR ENGINES Mi NOTEL.470 O
�/ /t� .}' ZONING
ADDRESS ,i-(r/a� 2.-' )) G1,p{����QQ //fJ rilip r
CONTRACTOR SQ„,,,,,as. V O_ .2,4 ea
�L� �/ /•/,F� i
// .II‘‘ Le S fir-' 0000 LEGAL � !'// Q eL3
ADDRESS DESCRIPTION W4C/1 J V,(/ 27°.
CITY .r A // A.P.NO. /y/ .3 `Lf ? J~L
NOTE: NO HAVE OVERHANG SHALL BE ESS THAN
STATEO. /9.G /2r'2- No Ad 37/1- '> 30'TO SIDE a IT
REAR P.L.
LIC.NI T
EAVES
SIZEND.O LDGS ALLOWED (U.B.C.REQUIREMENT)
OFF LOT .2oO .)( ?Q NOW ONN LOT D
YARDS APPROVED YARDS APPROVED ry
USE OF /3.10_ MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. 0 ,11.E
(FROM C/L STREET// 0/ •N
SETBACK LINE PROM -. / FRONT !-7"
FT. C. FT. a"
CENTER OF STREET l REAR YARD
G
�'+
SIDE YARD! LEFT O I RIGHT 0 R.SIDE O FT. FT.
DESCRIPTION�/ OF WORK L.SIDE (((TFT. Fr. J
NEW I /1 ALTERATION I ADDITION REAR \� IR. FT.
DISTANCE err. BET.MAIN S VI
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLOCS. Z
BUILDING NO.OF '�� - VAR.# DATE W
SIZE �d %�3 ROOMS .5 STORIES �' _ C.U.P,n# APPRgVED W
EXTERIOROINW.� ROOF APPROV ED��1 i�`� K
E }W'.4.0 I COVERING ,� BY
IVK_ ` DATE
USE OF BUILDING AND WORK TO BH PERFORMED �'�'J 01
ipz W
fY
�.at_ — • E
Le,' ...o / /2 7 1 so.Pr. 4z J ^ W
I HEREBY ACKNO -HOB THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9 (L
AND STATE TH 8 ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O V)
PLY WITH ALL CI ORDINANCES AND STATE LAWS REGULATING VALUATION U�013-n a
BUILDING CON-Tau• ION. PERMIT FEE S / j O
SIGNATURE OP
SIG NITU �I Q� �/ 'J7 co U.
AUTHORIZED . -[N7 it
$ /3l ✓ ?3 PLANCHECK S 2Z g a
TOTAL FEE . e 7. _