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PROJECT ADDRESS: 107 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069566
OWNEWSNAME: LINNEHAN, JACQUELYN B
Amus: 107 LEXINGTON LN PERMIT NO; B 069566 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/COMP & HOT MOP SQ FT; 2 , 508
ADDRESS: UNIT:
CLAIM VALUE: 2, 508 . 00 CALL—VALUE; 2, 508 . 00 GROUP OCC; R-1 /
PERMITTEE: STOUT ROOFING INC ( 310 ) 923-6775
ADDRESS: P 0 BOX 4309 COMMENTS ; REROOF
DOWNEY CA 90241
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK S
CITY IC.: 09377 STATE 402536 Lass: 10/95
ate Io �gica Signature: / MAIN BUILDING ACCESSORY BUILDING
a4AFRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
,1WORKERS'C PENS TION DECLARATION: Ihereby affirm thatIhaveacertificateofconsenoosell-insureoracertificateofWorkers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
Compensation IPslpyr>ce2gc y.p¢{tified copy thereof(Section 3800.Lab.�5/1 9 /9 5
POLICY NO.: —'CC LL CC 7 7 EXP. DATE:
COMPAxr: AIG di PARKING REQ• PROV; PARCEL; 41916317 ZNE; REF NO:
CI Certified copy is hereby lurms 'd. L? Certified copy is filed with the city Building Division. PLANNING NOTES>
/ at ' WAND 0 Applicant'W *****iklkik*lElf)ffeillki ****4*********iF*iE****iklfiklE***********ieiE****ik1E'IE3flhiEilekikikfffk*****lk***
DEVELOPMENT SERV ICES R E U I R E M E N T S
EXEMPTION FRO WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). Q
I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE;
Dale: Signature: BUILDING APPROVED BY ;
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE;
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. Whit CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y ; •
y�(A{l • DATE;
which this permit is issued(Section 3097.Civ.C). ************************ **1F aE*************************************LENDER; ************************ ***************************************** **
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 , 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Cade: The Contractors'State License Law TOTALS----> 54 . 50 0 , 00 0 . 00 54 , 50 54 . 50 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 54 . 50 OVER/SHORT: 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 , 00
50
❑ and Professions Code: TheContractors'
Stateprojects with License Law does not apply tt at owner of property who builds or improves thereon *******************************************************************************
and who contracts for such projects with a ctogs)license pursuant 10 the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BR EAKDOWN
o I am exempt under Section: B.8 P.C.
for this TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
Dale: Owner: SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 508 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
Property for inspection purposes.
Ole: signature: _ 01 00170599-00170600 TOT 54.50
` DATE: 10/28/94 TIME: 13:07
Driver's License r Social Security a:
1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit + Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
i
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3:'Electricat Conduit Utility-Undrgrnd. 54. Forms
el.-Electrical Conduit-gndrgrnd. 55. Electrical Bonding
• 5.-Sfeel Reinforcement 56. Rough Plumbing & Pressure Test
• 6. Electrical UFER-Grnd, - 57.57. APPROVAL TO COVER-GUNITE
•?..if • - 58. Electrical Conduit-Undrgrnd.
, L ,
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
7'1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sealer Cap .1
. 63. Heater & Vent-Final
13. Roof Drains ,, rt 64. Plumbing System - Final
14. Rough Plumbing 41 - 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 •
- - t
20,:,Rough Factory Fireplace , ;tr. 1 44 :APPROVALS . _ Permit #
r
21.riDucts, in,Striktcye, _ ; y . .. -;70. Cfnderground Hydro
22. Ducts, Ventilating ;71. Product Piping O Gas OOil
23.Gac;Pipe;Rough& Test z3Z5. r _ ' 72. Underground Flush', •,
24.;f?oof Framing �`,- . - ' t -73.`'Undergrnd.Storag@Tank OGas DOH,
25. Roof Sheathing .' t z-ZZ•actsj, , e 74:.Overhead Hydro?'-
26.:7-Bar Ceiling (Structural) &-Monocoat '-i .' • 75. Dry Chemical -I
27.'frame and Flashing c` t, ' ft, 76`'Dry Standpipe -
.28. Lathing& Siding,. - r-mi� ... •• - •- ' • 77' ' FIXED SYSTEM FINAL ' '
29. Insulation r' .'; o : " " ; , ... -..78.FIRE PREV. FINAL
i30. Drywall Nailing ••,r - '* HEALTHDEPT'. REQUIREMENT
..131. Plaster Brown Coit' I r -.i , ,, ,.79. 'FINAL IIJSPECTION
32. Electrical Power:Mater-Final, ^• r• . • �t • .80, FOOD CERTIFICATE ISSUED
.33. (Final Electric . j I .': '1Notes:
'34. Final Heatingl& Air Conditioning I I t j• - ,
35.'Final Gas Pip!-Test• I r . - -
It •36. Hood orCanopy , ^
'37. Final Factory Fireplace , ' y-'" : ' `
-38. Final Plumbing . . '• 7 ••
39. Water Service-Final- , . I' • ••
40. Gas Service-Final o „
•
41. Solar Domestic-Final -
-: i. ,
' 42. Backflow Preventer, • . i
43. Backf low Irrigation* • - i, ' . -
_
44. Landscape Irrigation 1.21"System,. 1.21" ,
45. Sound Attenuation • '
r
A6. Handicap Regulations I ,
'47. FINAL STRUCTURE & BUILDING a- 7_75- 64...;d0-- ' .
.
48. FINAL PLANNING "-o+ i _
.49. Electric Release to Edison ,
..50. Gas Release to Southern California Gas Co , -• . :.
r -
51. CERTIFICATE OF OCCUPANCY - .. , •
No. Date
OWNER SAN VTSI'A. BITIT.DING COMPANY DATE 6-1-61i.
JOB ADDRESS iaLex; a on lane BUILDING PERMIT NO. 22199
GENERAL CONTRACTOR same VALUE $ 11i,Ba5.0o
AP No. LOT _; TRACT 16n FIRE ZONE DESCRIPTION OF WORK rws w/att gay
INSPECTIONS Signature DAT GROUP T}a TYPE v ZONE R�33
Gas J �` � � PERMITS-ISSUED
� SUBCONTRACTOR DATE NUMBER
Water /�—
Rough Corn. Re g. .MI Cond. 0 —
Rough Heating rra rest . , ii a� �., e/-,2 -4,4i 3///1�
Rough Plumbing '��'frj�f� 'f .1 �.� _/n-/- Gf/ 1 33 ��1
MoSwr.ousLi I "SMS-. . _ `� ' 9 � 4 O C a > m,�P
Prop. Line 7 House Con. R St. Swr. 0�1i Ib`i
Strinkling System a
Construction Pole �p r: /, U
Underground 0 Power
Rou h Wiring Meal ••o C "aPan. Ir.'- r-09e- al,Y.... / R/
Trenches 0 Forms a Steel Reinf. p re Ad - '
Floor System r j I AMY
Bond Beam 0 Steel Reinforce 0
Sheathing FG ,:,
nr-
Frame and Flashing rC .
Lathing — In L'r Out j -���r . Ay r_
Plaster brown coat .5,2/ ��„yIrne -
Refrig. 0 Air Con. U Final
Heating, Final rljefa.Fe /./yv Rennin- neat.
Plumbing Fixtures, Final :et%4441(��✓�J,r F Spec.Req.Satisfied
Final Gas Test s, - i s _I l l}�tC1•
Electric Fixtures, Final 4E'yL1it' mum, Date
Buildin: Final el ral •
OCCUPANCY .
Form BU4-5M-3-63—S-B p SLD FOR SPECIAL REQUIREMENTS
•
22199 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA I�((�� PPTT 1 g gm
I For Applicant to Fill In Completely APPLI€Af �e,cE@MR
TYPE OR PRINT CITY B. L, EA IIVVVVIIIIttttJJJJAANN
For Office Use Only
BUILDING
ADDRESS 107 Lexington Lane RECEIPT NO.
COSTA MESA. CALIFORNIA G/ I `,`Q
RECEIV Y DATE IIHIVED� DATE ISSUED
/(
OWNER San Vista Building Co. '/1y 6 JUN 1 1964
BUILD NG
MAIL ADDRESS
FIRE
ADDRESS 1166 E. 58th Street L ZONE ��j4T
TETYPE
CITY Los Angeles 11, Calif. No.' AD 37181 .� GROUP /
APPROVED
ARCHITECT TEL BY DATE
OR ENGINEER Raymond Levanas NO. OR 3701C
ZONING
ADDRESS 3432 Via Oporto, Newport Beach • ,
I ‘,3
3f NO.NS _/O g2 USHOPSUILDINGN•i ..f
I PUI � 1 ,1
CONTRACTOR SAT, Ili era 0714 1din�n _ TTT W .f
oESCRIP ION Tract 5160 - Lot' 38
ADDRESS 1166 E. 58th Street J
CITY Los Angeles 11, California A.P.NO. 'L// 3(-/.J L"
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE
LIC.NO. 192782 No' AD 37187 90"TO SIDE ft REAR P.L.
VES
SIZE NO.OF SLOGS. O ALLOWED (U.B.C.REQUIREMENT)R
OF LOT 20 x 70 I NOW ON LOT YARDS APPROVED YARDS APPROVED ir
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. None c.,
(FROM C/ REET7+ C/ f,
SETBACK LINE FROM11 C�
CENTER OF STREET 131 REAR YARD FRONT rr. FT.
SIDE YARD I LEFT 0 I RIGHT 0 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE (�0 FT. Fr. 1'.NEW X ALTERATION ADDITION REAR \ / FT. FT. Pi
DISTANCE BET. BET.MAIN ft I-
REPAIR MOVING {{���,�11 DEMOLIISSH MAIN BLDGS. ACCESS. BLD09. Z
BUILDING NO.OV'2�� 3 3 VAR.# �y/{1 DATE /�/ /�7�j
SIZE i 6 )'3Z ROOMS S STORIES 2 J C.U.P.# • 1 APPROVED `" /" �' II
EE
EXTERIOR WALL ROOF APPROV
COVERING Stucco I COVERING Shingles BY DATE tc 'f.5 .rCE a
USE OF BUILDINGAND WOR T BE PERFORMEDW
i
Resience annnci
CC
ii
_9 36 N U
f 9Q.Fr. ya T w
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO N UNDER VALUATION IS FOR THE 1▪ in
AND STATE THA. HE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. a
PLY WITH ALL CIT ORDINANCES AND STATS LAWS REGULATING VALUATION U 2i
BUILDING CON Tau TION. PERMIT FEE $ / 2� I EL.
SIGNATURE OF ' / B
PERMITTEE �(( *�` $/J/cr�� /� O
ry C E 7 ¢O• mal
y 4
AUTHORIZE `A NT TOTAL FEE $ 7a — =