HomeMy WebLinkAbout192 LEXINGTON LN - Building Permits ADDRESS Or WILDING 192 LEXINGTON LN UNT:
OWNERS NE If KNOWN: ROMERO, JUAN MANUEL CITY OF COSTA MESA — BUILDING PERMIT
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AMWS1 192 LEXINGTON LN
COSTA MESA, CA 92626 PERMIT NO: B 072288 PLAN CHECK NO: N GOVT: N SUPP : N
AP PL.MAILING ADDRESS: CONSTRUCTION TYPE; PERMIT TYPE: SIR PURPOSE : OTH
ARCHITECT ORENGNEER: U NO.: JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 924
ARCH.OR ENG.'S ADDRESS: INT:
CLAIM VALUE; 2 , 924 . 00 CALC—VALUE; 2, 924 . 00 GROUP OCC ; R-3
CONTRACTORS NAME STOUT ROOFING INC ( 310 ) 923-6775 r
caNnRAcWN'SYMLIIG P Q BOX 4309 COMMENTS ; SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA ue.ND.: 402536 *+rx-*****arx**Nic******s*****+t+r•*******+F********* -vK-**+c**+r***A~*******,<*44r*4Nicias*****
90241 WIT' ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally d perjury that I am licensed under provisions of Chapter 9 SE TB ACK S
foommendr.g with Section 7000)d Division 3 d the Business end P and my license is in full force end effect.
CmUC.NO.: yy y-7 LIcG.Cric 39 UCN h . 2° :6 �a : D/9: MAIN BUILDING ACCESSORY BUILDING
Dole.
,Sim— !SS carmaeor: FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contrmos •:-nee Law for the LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT ; FT IN
following reason(Section 7031.5 Busies and Professions Code:Any cay or county whidl requites a penmt to cons. ..alter,improve,
demolish,or repair any structure,prior b its issuance,also requires the applima to such pent to file a signed statement thal he or she PARKING REQ• PROV: PARCEL ; 41916443 ZNE; REF NO;
is licensed pursuant to the provisions of the Contractors License Lew(Chapter 9(oommencbg with Section 7000)of Division 3 of the PLANNING NOTES>,
Business end Professions Code]or that he or she is exempt therehom and the basis for the alleged exemption.My violation d Section
7031.5 by any applicant for a pernt subjects the apolcmt toe did penalty of not more than five hundred dollars]55001). >
0 I.as owner Of the propertyof mYemployees ah wages as thee sole compensation,will do the work,and the structure is nix intended *****************************************+Mw*********************ac**********aci:**
or offered for sate(Section 70.44,Daemon ere Prdeaaiwn Code:The Comradely License Law does not apply to an Ownerof property DEVELOPMENT SERVICES R E Q U I R E M E N -T S
iiirwho bolds or improves thereon.end who does such work Firma or hereof or through his or her own employees.provided that such
Improvements ere not intended or offered for sale.H,however.the building a improvement is sold within ism Year of completon,the
owner-builder win have the burden d proving hes she did notbuld a improve for the purpose of gale). ZONING APPROVED HY DATE;
❑ I,as owner of the property,am exclusively contracting with tressed contractors to construct the project(Section 7044,Business and
Professions Code:The Contractors license few does red appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY DATE;
contracts for such projects with a am
rtdeds)licensed pursuant to the Contractors License Law).
!,4 0 Iemexempt under Section: B.AP.C..tor this es
reon: APPLICATION ISSUED BY: i9L DATE: a '
Dale: Owner. ***************************************�r" "``**********************iL*** • . -
I do hereby certify that l ern aware el end understood the requirements of Cellomia Health end Safely Code Sedkrn 25505.25533.end LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
25534.and that!or any future building occupant wit/al not(circle one)need to comply wth said state codes end the requirements tor
a permit to construction o'modification from the Arllraity Management District.Residetideondruction appica(lens are exempt horn these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 . 50
Dale: — Applicen:
SHIP/NON—RES
WORKER'S COMPENSATION DEClARA110N:I hereby elf=under penalty of perjury one of the fallowing dedaetim:
PLAN
❑ Ihave and will maintain acertificate of consent tosell-insure lor workers'comtensationasprakedfor bySection 3700el the Labor ISSUE FEE
Code.forthepedormerceothewmkforwpihthispermitisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ Have end will menu,workers'compensetiOn insurance.es required by Section 3700 al the Labor Code,for the performance of ihe TOTALS----> 54 . 50 0 . 00 0 , 00 54 . 50 54 . 50 . 00
work for which this permit is issued.My workers compensation insurance carder and policy number are:
Carie: ?'T(" EXPIRES REVENUE DIVISION TOTALS--> COLLECTED; 54 . 50 OVER/SHORT: . 00
Policy Number: n-..-tnrnn 05/19 /95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(Tlas section need no be completed llhe etyma P bran;Aindrat Alan MOO)or Ism) 54 , 00
❑ heftily that in the performance d the work for which this permiti issued.I sell not employ any person in any manner so t5 to5 0
become subject to the workers'compensation Lows of CeMomia,and agree that I I should become subjed to the workers'
compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. *****************************************************************4444************
Date: Applicant: INDIVIDUAL F E E BREAKDOWN
Warning:Failure to secure workers'compenaadon coverage la unarms,end shall subject an ergo/oyer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000),In add/don to die coat of conmenastlon,damages as provided ler In
Section 3706 of the Labor Code,Interest,and homey i lees.
• CONSTRUCTION LENDING AGENCY: I hereby affirmpe
under nelof YPerjury that there le a mestradian lending army for the SFR 2924 REROOF BY `,TALUS RESIDENTIAL NO Z ON E 1 . 00 2 , 924 . 00
performance of the work for which this permt is issued(Section 3097.Civ.C). END OF FEES
LENDER'S NAME:
LENDER'S ADDRESS:
I minify that I have read this application and date tial the above information i cored.I agree to comply with a0 ply and county ordinances
�3 tt
�Ul ivl�?'Q�i� u
and elate laws relating to build' construction and hereby eudhobereprexntativegdlhb city to «upon the Shwa-mentioned property %3� 1 g T1]T 54.50
for inspection purposes. DATE: 05/12!95 TitlE: 15:34
/
Print Neale
Dale: L—
Lsr.,. / . ! 5
Signature of• deport .•... ,
(5151a6WP) White-SuiMig&Safety.Green-Fit:Canary-Apps ant:Pink-Revenue:Goldenrod-Assessor
1111_123. POOL & SPA
• CONSTRUCTION AND PLANNING
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. r 57. APPROVAL TO COVER•GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. .t
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 ❑Oil
25. Roof Sheathing - G-i-11 al- 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 14_?-Ltq 644148. FINAL PLANNING 7 -
49. Electric Release to Edison - •
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER SAN VISTA sodding Co. DATE OCT 3 0 1963
JOB ADDRESS 192 Texingtnn Lane BUILDING PERMIT NO. 2n653.
GENERAL CONTRACTOR gap Vista Ani1Aing CO- VALUE $ 14.J.835_nn
AP No. LOT 1 AT TRACT 5)An FIRE ZONE DESCRIPTION OF WORK Ttps...u/att_gar,
INSPECTIONS Signature DATE GROUPI',Q&j TYPE V ZONE g_
Gas //J-47 SUBCONTRACTOR DATENUMBERISSUED
5L-1.3-V-6
Water -
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating - yP -,t G/ P - /�./Rough Plumbinga i�.c� RRA 042t�� /-��o :7trr---
• qMiscellaneous _Prop. Swr. Line ❑ House Con. WSt. Swr. ❑ SS -Sort I/1,..�- (..a, NOP-1-5-P ''� }• �A 1,''
Sprinkling System
Construction Pole 3/'
Underground 0 Power
Rough Wiring i ,/ �f- /' C' )py f' .�` ,-..-- /- 3- C v �? ., 7/ 5—
Trenches❑ Forms 0 Steel Reinf. .❑ qid +a- itS/ 6 • ->
Floor System ,/AI o-. / _ t_ C-.3.
Bond Beam 0 Steel Reinforce 0 /
Sheathing /i/ C. j— - . .5/C 4f ✓tea
Frame and Flashing y. }5-/cex _ Q'
Lathing- In ❑ Out p i". L St _ y-,-/c,r
Plaster, brown coat / c {L — _9/Fa . 6
Refrig. 0 Air Con. 0 Final
Heating, Final / t yy
Plumbing Fixtures, Final /
Final Gas Test �jf_ I
Electric Fixtures, Final ,'' &,-- �.�i_ r oe f s,-,,,,c4r
Building, Final 2e - fj>/s� _"""�
OCCUPANCY .7 / / .
Form 13U4-5M-,3-6:-S-B P HMI) cm cwrrIAt. Dr"?newt .'q
120651 FEE RECEfVED
• au z• 6 lyo3
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 917 COSTA MESA.CALIFORNIA '
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT LOt 167 BUILDING
For Office Use Only
BUILDING Lane 192 Leflfl thou Lane RECEIPT NO. P F T O.
COSTA MESA. CALIFORNIA ti6"5 F
RECE)VffD EY DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co. .&---- 9 Z,-- 3 ,.{OCT 13 0�1199�63 ,
MAIL 1166 E. 58th Street BUILDING /yc7 (�Yf/t7tCG�(�'
ADDRESS BUILDI9 / f�`„'1
FIRE / ��
CITY Los Angeles 11 No41D 37187 ZONE TYPE/l/ GROUP pY
APPROVED
OR ENNG NEER Raymond Levanas N'Oa 37010 BY DATE
ZONING f
ADDRESS 3432 Via Oporto, Newport.Beach ' /U.L .
Z NO.OP rV USE OP N.� , .
San Vista Building Co. PLANE �f/� BUILDIrvq , l
CONTRACTOR P�
1166 E. 58th Street DESCRIPTION Tract 5160 - Lot 167
ADDRESS
A.P.NO. T I 3 Y�
`// Z --/CITY Los Angeles 11 ]
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL
LIC.NO. 192782 NO. AD 37187 90.70 SIDE 8REAR PSL
EAVES
SIZE
OF LOT 20 X 70 -.I No. DN LDTE D ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE OF
EXISTING BLDG. None MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LINE FROM , 1 1 11 FRONT FT.
CENTER OF STREET is REAR YARD6 10
SIDE YARD LEFT 0 I RIGHT • 0' R.SID FT. FT.
DESCRIPTION OF WORK L.SI FT FT.
NEW X ALTERATION ADDITION REAR FT. FT.
I DISTANCE BET. BET.MAIN 9
REPAIR MOVING pFJ+1OL19�{{,, MAIN SLOGS. ACCESS.BLDGS.
BUILDING 20 x 32 NO.OF 5 ' STORIES
4'.3 2 VAR.P . DATE '
512EROOMS STORIES C.U.P. ` APPROVED
EXTERIOR WAL9ROOF AP-RO' • �
COVERING tuccO I Shingle gle B ` DATE /� /
Y
USE OF BUILDING AND WORK TO BE PERFORMED
Residence and Carport n
A a {'//SQ.FT/ CI
N
O ., y(2o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO N UNDER VALUATION IS FOR THE F
AND STATE THAT THE A=OVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D
PLY WITH ALL CITY OR• ACES AND STATE LAWSREGULATING
BUILDING CONSTRUCT!.TA1E. VISTA BUILDINGU CO. VALUATION rlli N
SIGNATURE OF PERMIT FEE $ /Y a
PERMITTER O
410tmea N. Star it $ c cK $ 4
AUTHORIZED AGEN
'(, \ TOTAL FEE $ 7d