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HomeMy WebLinkAbout109 LEXINGTON LN - Building Permits PROJECT ADDRESS: 109 LEXINGTON LN UNIT; CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069568 /at OWNER'S NAME: GILES PENNY LEE nuns: 109 LEXINGTON LN PERMIT NO; B 069568 PLAN CHECK NO: N GOVT; N SUPP : N �, COSTA MESA,CA 92626 "I CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: ALT ARCH/ENGINEER: REC.NO.: JOB DESCRIPTION ; T/O RESTH & REROOF W/COMP & HOT MOP SQ FT: 2, 508 ADDRESS: UNIT: CLAIM VALUE; 2, 508 , 00 CALC—VALUE; 2, 508 . 00 GROUP OCC; R-1 / PERMITTEE: STOUT ROOFING INC ( 310 ) 923-6775 ADDRESS: P 0 BOX 4309 **********R**************Dr*******+PEfr****+TE*+Si*D**H*********************D********** DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIi.�00 �3 $TATE LIC.: 4 O 2 S puss) C�9 EXP : 10/95 Date __ C [�� signature. � vYV` �— FRNT; MAIN BUILDING ACCESSORY BUILDING WORKERS' OMPENSA7ION DECLARATION: hereby affirm that have a certificate of consent to self-insure or a certificate of Workers' FT I N REAR; FT I N FRNT; FT I N REAR; FT I N Compensation lwijia, Se2gcaCB(tilled copy thereol(Section3800.Lab.5, /19/95 LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: J o L O 7 7 EXP.DATE: COMPANY: AIG ,�-s4�7 PARKING REQ; PROV; PARCEL; 41916316 ZNE; REF NO; 0 Certified copy is hereby furnished. L'I' Certified copy is filed with he city Building Division. PLANNING NOTES> I` > Date: �O(O�I aLi, Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). D EVEL OP MENT SERVICES R E Q U I R E M E N' T S 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: Date: Signature: BUILDING APPROVED BY ; • NOTICE:II.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. mCONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; DATE: {Q ) which this permit is issued(Section 3097.Civ.Cl. ***************************'llNI' � ************************************ it LENDER: ***************************1* ***************************************** *** **** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'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 L 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 Code: The Contractors'State License Law TOTALS————> 54 , 50 0 , 0 0 0 . 00 5 4 , 50 54 . 50 , O O 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 ose of sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 0 0 5 0 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BREAKDOWN O I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: 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 I 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 state that the above information is correct.I agree to comply with all city and county ordinances fand sectolaws relating to building construction and her by her by out representatives of this city to enter upon the above-mentioned property tor inspeclio�Ipu'rpopses Dale',101 �I✓/ Signature'. 01 00170593-00170594 TOT 54.50 Driver's License or Social Security a: DATE; 10/28/94 TIME: 13:05 J 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • 1 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit 4 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 14..Electricai Conduit-Undrgrnd. 55. Electrical Bonding 5.-Steel Reinforcement 56. Rough Plumbing & Pressure Test .: 6.t Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7...Footinos - .• 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 & 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.ifough Factory F?r€place - r • • k rAPPROVALS 2 Permit # 21.`Ducts,in.Structa-e; :, - -- -j , ',i` 70. Underground Hydro • 22. Ducts, Ventilating . • - - • ••71. ProducVPlp ng 0 Gas 000 23.Gas"Pip* Rotilgh &Test t. - - ;72. Underground Flush • ry r . 24.:Roof Framing :a ‘ -• L: •7 ' • 73Y'Undergrnd.Storage'Tank 0 Gas 0 Oil 25. Roof Sheathing ' . �.-95-6tt.`.471 y 74._Overhead'Hydro 26-T-Bar Ceiling (Structural'. &-Monocoat • _ " ' r ! 75:Dry Chemical 27. Frame and Flashinca '? .., l 761-Dry Standpipe - ' 28. 'Lathing R,< Siding,.- i' s •• i• 7712 FIXEDSYSTEM FINAL- 29. Inr. Iati-n .. - .. '' � q �: , i I 713:,- FIRE PREY. FINAL 30. Drywall-.Nailing , • ii ` - I 't HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat' t I _-I „79..'FINAL INSPECTION '.32., -32..-Electrical- w 'Meter-Final.Poar MetenaL Iv ` : r+80,T'.FOOD CERTIFICATE ISSUED 33.tinai Eiectric , , '-Notes: _ ..34. Final Heating•& Air,,Conditioning, •, 35. 'Final Gas Pipe-Test n .1 Y. ' 36. Hood or, Canopy., -t rr. . ,• I 37. .Final Factory Fireplace : F ?. ' t' I' . I. l 38. Final Plumbing n t r o 1 39. Water Service-Final! T T ' i.40. Gas Service-Final- • ,;t ,,; I; .. .41. Solar Domestic-Final _ - I ,•• ' • . _ l r42.7Backflow Preventer '` i 43. Backflow Irrigation . . y :44. Landscape Irrigation System, ' . - _ • -: , ..,... -. -45. Sound Attenuation •. . .. . •46. Nandicap,Regulatiops . , . V. FINAL STRUCTURE & BUILDING 6_f_16:--f(.7 t - 48. FINAL PLANNING ' 'c-) v r 49.:-Electric Release to Edison . I '_` ; - n: ' . 50. Gas Release to Southern California Gas Co . ,7 51. CERTIFICATE OF OCCUPANCY - - . No. Date OWNER SAN VISTA BUTT.DAMG COMPANY DATE 6-1-64 JOB ADDRESS 109 Lexington LaneBUILDING PERMIT NO. 22198 GENERAL CONTRACTOR same VALUE $ 1158_5,00 AP No. LOT 37 TRACT 51 r,0 FIRE ZONE DESCRIPTION OF WORK res to/qtt gPT INSPECTIONS Signature DAT GROUP TYPE ZONE ; Soil ,IM- SW PERMITS SSUED Gas Iff// SUBCONTRACTOR DATE NUMBER Water C, /- _ Rough Corn. Re g. • s Cond. ;0 Rough Heating . /, wm-st %ertr _ i ,� Rough Plumbing a/,nZerft T)fl :..i�f�f'1J \r— 21 Miscellaneous . / Prop. Swr. Line,,! ♦i ouse Con. � St. Swr. 0 1542, -fim —, 4 U'b,a Sprinkling System LI CI Construction Pole Underground 0 Power 0 Rou•h Wiring `'4l[arg'al/ lJ��%/'�fji%J.� JJ1J -. - / Trenches'0 Forms 0 Steel Reinf. 0 Mgr l� � _ Floor System ;.�f/�AWAeoorill Bond Beam 0 Steel Reinforce 0 Sheathing /,ta c Agn _ Frame and Flashing - Lathing — In 1J------Out!E"" ' - 1 r' Plaster brown coat • ii t_ Ina Refrig. 0 Air Con. 0 Final Heating, Final AW—©M//f'' Plumbing Fixtures, Final 3�A1aW1 Mi Sac. Keg. sawed Final Gas Testi -" /ray ISlll[si Electric Fixtures, Final . / . Buildin_ Final dar r OCCUPANCY • Form BU4-6M-3-63-S-13 P urn n rnR SPF.CIAi. REMJIRPMENT5 • • - 22198 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT EY 1 9 Mei P.O.BOX 317 COSTA MESA,CALIFORNIA se FINANCE DEPT. For Applicant to Fill In Completely Apptiwrigr eG1REI@?E8A TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 109 Lexington Lane RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA 7-16 E RED E BY DATE RECEIVED JUN IH U196 OWNER San Vista Building Co. -/9 Gy 1 1964 BUILD NG MAIL ADDRESS 1166 E. 58th Street ADDRESS FIRE CITY Los Angeles 11, Calif.NO NO. 37187 ZONE TYPE GRouP�j� APPROVED ARCHITECT OR ENGINEER Raymond Levanas NO. OR 37010 BY DATE ADDRESS 3432 Via 0.orto Newport Beach ZONING 1,14 ZON NO.OF E UBE OF Nc 4 mi -,.� PLANH� BDILDINO n , ) CONTRACTOR San Vista Building Co. 4 LEGAL Tract 5160 - Lot 37 ADDRESS 1166 E. 58th Street DESCRIPTION CITY Los Angeles 11, California A.P.NO. L. 3 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN ' LIC .TNO. 192782 NE o AD 87187 30"TO SIDE&REAR P.L, EAVES SIZE I NNO.OP OW ON LOTS O ALLOWED (U.B.C.REQUIREMENT) OF LOT 20 X 70 . YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING t EXISTING BLDG. None (FROM C/JcSTREET)/� SETBACK LINE PROM 13 1 FRONT C 1 FT. G� FT. CENTER OF STREET REAR YARD 0( 1 SIDE YARD I LEFT 0 ' I RIGHT 0 R.SIDE FT. FT. DESCRIPTION OF WORK L.SIDE /0 FT. FT. E Z NEW X �ALTER4TION ADDITION ■ REAR 1 / FT. FT. Lu DISTANCE BET. BET.MAIN& W MAIN BLDGS. B ACCESS.BLDGS. GS.MOVING re,,yactrQLISH ed BUILDING Z Wits RSC DATE //gi 13 a SIZE 10x32 IWOMS 0 STORIES 2 APPROVED (� > EXTERIOR WALL I ROOF • 1�� - 4S y- 's[ = COVERING StUCCO COVERING Shingle D:TE USE OF BUILDING AND WORK TO BE PERFORMED . -11r ` ,� a Residence and . tl U L�jr..rif..Q_ w �/ a /36/BQ.PT/ 020 a t ` C I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F O AND BTATH THA E ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O U. PLY WITH ALLCITY RDINANCES AND STATE LAWS REGULATING T BUILDING CONSTRU ON. VALUATION U m Q SIGNATURE OF '��/`�`����\ PERMIT FEE $ / �� m 0 PERMITTEE / `- + .I .LSH 5 y)� 9�7/� �7lJ/ ' AUTHORIZED AGE T '"'7-I 0a .� I TOTAL FEE $ / .2 —