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Home My WebLink About112 LEXINGTON LN - Building Permits PROJECT ADDRESS: 112 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069571 OWNER'S NAME: ROSS I , MARY TR ADDRESS: 11019 N COGGINS DR PERMIT NO; B 069571 PLAN CHECK NO; N GOVT; N SUPP ; N SUN CITY,AZ 85351 CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH 6 REROOF W/COMP 6 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 COMMENTS • REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET, REQUIRED DOWNEY 3t CA 90241 ******** ************************************************$r*3** Pie ***********3r*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACK S CITY LIC 5��7(7 STATE LIC.: 40252,i cuss: 3 XP ; 10/9 5 Date:_— 11i nn signature.—_ _ MAIN BUILDING ACCESSORY BUILDING WORKERS' OMPE SATION DECLARATION: I hereby affirm 1 I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT I N REAR; FT I N FANT; FT I N REAR: FT I N Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C. LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: 5822699 EXP.DATE: U 5/19/95 COMPANY: AIG PARKING RE • PROV; PARCEL : 41916305 ZNE: REF NO: ❑ Certified copy is hereby furnished. EX Certified copy is filed with the city Building Division. PLANNING NOTES> Date: 11041 Applicant: ******************************************************************************* EXEMPTION ROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1M))or less). DEVELOPMENT SERVICES REQUIREMENTS 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 : DATE: NOTICE:de, If,gust making this declaration.Wiyou should become subject to the Workers'merempensation provisions of the Labor Godo.you must forthwith comply With such provisions or this permit shall be deemed revoked.CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED BY: DATE: e-1- which this permit is issued(Section 3097,Civ.C). •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/RESSGRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SMIP/NON—RES 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 TOTAL S————> 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 TOTAL S——> COLLECTED• 54 , 50 OVER/SHORT• . 00 improvement se DI sale).within one year of completion.the owner will have the burden of proving he/she did not build or improve Ie soldBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK farorthe purpose 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: 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. IND IVIDUAL F E E BR EAKD OWN ❑ I am exempt under Section: B.&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 • 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 Quality 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 and state laws relating to building construction and herby authorize representatives of this city to enter upon the above-mentioned property for inspectio pi/poses. Date: ��' �`� Signature: 01 00170630-00170631 TOT 54.50 DATE: 10/28/94 TINE: 13:14 Driver's License or Social Security 4: 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor w CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Servite or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd: 54. Forms ,4., lcctrical Condyit-Undrgrnd. 55. Electrical Bonding 6.-Steel Reinforcement 56. Rough Plumbing & Pressure Test �; 6.-1E1:ectrical UFER 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.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains64. 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 I i 20..-Roygh Factory Fir - eplace itii Cn •J.APPRQVALS' ',Permit# 21.-Duct's,in St4ictufe,*, ,. ' j ,; ; ; ;70. Underground Hydro - 22. Ducts, Vfentifating.It . •4 ' , 71. Product'Pfping O'4'us Don 23.1Gas Pip&-ftouih &'Test - ;_ i X72- Underground Fiusti f _ a s -i 24.,Rodf Framing . : • ; L+ + t73)Undergrnd.Storage Tmk O Gas 0 Oil 25- Roof Sheathing : t-l.R-'RS G vU r T74.-'Overhead Hydro ' • 26.;T-0ar Ceiling (Structural) & Monocoat l• •- o•� s r r 75.-Dry Chemical - - ' 27. Frame and Flashing 4. ,t • 76. try Standpipe • , -- 28. 'Lathing & Siding • •-•:^1 I. •• •• •••• i 77,_'FIXED SYSTEM FINAL '29. Insulation ;k - ' •' •; , 78::-FIRE PREY. FINAL a .. .30. Drywall Nailing y '_ , H.EALTHOEPTt REQUIREMENT 31. Plaster Brown Coat' : '79.• FINAL INSPECTION T.rt* , r _ _ 32. Electrical Power Meter-Final : I .A s 280.,,F000 CERTIFICATE ISSUED -w ' I _ 33.--Fina{ Electric ' ''No;tes: , ,34, Fina; Heating& Air.Conditioning r, n : 35, Final Gas Pipe-Test' t I I r- -- : .36. Hood or Canopy . , ' . ( 'i . *:-..- '. - _ I. „ It 37. Final Factory Fireplace ' - ` rr• " ' t 'II r _ 38. Final Plurnbing - j l: s ' • r 39. Water Service;Final; 1 - • ' 40. Gas Service-Final ::, s , _ _ - :41. Solar Domestic-Final - •• •• i . . .,. . . - 42. Backflow Preventer4 : - 43. Backflow Irrigation' • . :_ - - • if 44. Landscape lrrigatioo System !. • ' , _ a - _ 45. Sound Attenuation . ; 46. Handicap.Regulatioris - _ . 47. FINAL STRUCTURE& BUILDING - 4_,Ii�Jr' 4741-2*.- ? - 48. FINAL PLANNING; %' �. ; - . , - 49. Electric Release to Edison 1 ' r 50. Ga5 Release to Southern California Gas Co .$- .• • , 51. CERTIFICATE OF OCCUPANCY' -I--- . ,- i No. Date • OWNER SAN Vista Building Co. DATE OCT 3 0 1963 JOB ADDRESS . 112 Lexington Lane BUILDING PERMIT NO. 20622 GENERAL CONTRACTOR San Vista Building Co. VALUE $ 14,835.00 AP No. LOT 114 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar INSPECTIONS Signature DATE GROUP 2$4,7 TYPE V ZONE R-% Soil el/'. -C PERMITS ISSUED Gas / SUBCONTRACTOR DATE NUMBER Water 3 Rough Corn. Refrig. ❑ Air Cond. 0• / Rough Heating -r77 2$ 7 t-�' Jt vi'a t l-��.-II� °—a Rough Plumbing 17-a-- 2- g'Ly -YJ \� \\-\-CO .1,_ — • — Miscellaneous Prop. Swr. Line 0 House Con. 2I/St. Swr. ❑f.I-f9-7<J (Can,,[- en..-� . cloy 1 3 1963 110:11 .111-`�. Sprinkling System /('S /' Construction Pole / / /G( • Underground 0 Power 0 / On Rough Wiring - ,, Y `i1 r o� / /-25-6'/ A,//2769 -- Trenches O Forms 0 Steel Reinf. 0 ( . ;2.9— /'1 Floor System / - Bond Beam 0 Steel Reinforce 0 . e Sheathing 's Frame and Flashing v r - � i ('D/` Lathing— In. out 6 .' Plaster, brown coat 4— 6c Il Refrig. 0 Air Con. ❑ Final I,/ Heating, Final yfrff• Plumbing•Fixtures, Final f 6 X/YG7Final Gas Test LS* Electric Fixtures, Final e!-�- _ o° _ 47<",,4 //'06 Building, Final _/P '1/45--kit OCCUPANCY , Form 1U4- 5M-3-63—S-n P HULU FUR SPECIA I. Drill Yinriin...... - - ; 20622 . FEE RECEIVED • COSTA MES- A BUILDING-SAFETY DEPARTMENT2 6 1963 P.O.BOX 317 COSTA MESA.CALIFORNIA FIf�A�VCE DEPT. CITY OF COSTA MESA . For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT Lot 44 BUILDING BUILDING 12 Lexington�Lane ADDRESS For Office Use Only ], , RECEIPT NO. 5€t f 2 COSTA MESA, CALIFORNIA ��"�I((�J�� RECEIV O EY DATE RECEIVED DATE ISSUED OWNER San Vista Building Co. 7-4? td 3 OCT 3 0 1963 BUILDING// 2 1/ `; MAIL 1166 E. 58th Street ADDRESS OCi • 7L /( ADDRESSFIRE '/ I . NEGROUP CITY Los Angeles 11 No. AD 3718J� ARCHITECT TEL. APPROVEDBDATE OR ENGINEER Raymond Levanas No. OR 3701C ZONING ADDRESS 3432 Via Oporto, Newport Beach ca, s�,_p ZON NO.Or.2. USE OP NEW `3 I PLANS IBDILDI/�q, .w/ CONTRACTOR San Vista Building Co. 1T mt LEGAL Tract 5160 - Lot ADDRESS 1166 E. 58th Street DESCRIPTION �/ '16 T, - e CITY Los Angeles 11 r�,' A.P.NO. hit- .7•13--- / . ts" NOTE: NO EAVE OVERHANG SHALL BE LESS THAN ST TEN192782 TQ TEL AD 37187 30'TO SIDE 3 REAR P.L. EAVES SIZE 20 X 70 I NO.OF BLDGS. 0 ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF EXISTING BLDG, None MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE CENTER OF STREET FROM 131 REAR YARD 6 101e FRQNT P T. FT. (SIDE YARDI LEFT 0 I RIGHT 0 R.SIDE Ff. Fr. DESCRIPTION OF WORK L.SIDE FT. FT. NEW % ALTERATION ADDITION REAR FT. DISTANCE BET. BET.MAIN e - REPAIR ,C MOVING _DEMOL{aH MAIN BLDGS. ACCESS.SLOGS. Flan {t3 DATE BUILDING NO OP SIZE 20 x 32 ROOMS 5 STORIES 2 APPRQVED / EXTERIOR WALL ROOF ' 9 -/6j'-(U 2COVERING Stucco I COVERING Shingle !!: DATE -J USE OF BUILDING AND WORK TO BE PERFORMED Residence and Carport I 42/ fIlsit fie I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / 6 T SHOWN ODER VALUATION IS FOR THE O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY . • ANCEH AND STATE LAWS REGULATING VALUATION 9 p BUILDINGCONSTRU-_ -•, VISTA BUILDING CO. PERMIT FEE $ "• SIGNATURE OF PERMITTEE / G LL�� $ /Y o3S PLAN CHECK $� r E 0 AUTHORIZED AGEN James. N. Starbird TOTAL FEE $ 7a ---