HomeMy WebLinkAbout115 LEXINGTON LN - Building Permits A
PROJECT ADDRESS: 115 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069574
` OWNER'S NAME: WILSON, WILLIAM R
ADDREss: 115 LEXINGTON LN PERMIT NO: B 069574 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 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 CA 90241 +F**+F*+6************r*encu*r*ensu********************+E*+F*******r*eF****************+6**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I N G R E Q U I R E M E N T S
7000)of Division 3p of the Business and Professions Code,and my license is in full force and effect. S E T B A C K S
Date u�O� i3�� STATE LIC.: 402536�/�ss: C 39 EXP; 0/95
Date:__ tl/]{ Signawre:_�f�__ - MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION; Thereby aflirmI all have a certificate of consent to sell-insure or a certificate of Workers' FLINT FT IN REAR; FT IN FRNT ; FT IN AFAR; FT IN
Compensation lwela GG Ce2gc edified copy thereof(Section 3800,Lab.5.5/19 /95 LEFT; FT IN RGHT; FT IN LEFT ; FT IN RGHT: FT IN
POLICY NO.: J O L CC 77 EXP.DATE:
COMPANr: AIG y PARKING REQ• PROV: PARCEL : 41916313 ZNE: REF NO;
❑ Ced .Af
ilied copy is he eby furnished. Certified copy is filed with the city Building Division. PLANNING NOTES>
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Dale:— I -Ara Applicant:
EXEMPTION FRr M WOR ERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). D E V E L O P M E N T S E R V I C E S 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: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.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction fending agency for the performance of the work Lor APPLICATION ISSUED BY; ' 7. - DATE: ' . alp 22
which this permit is issued(Section 3097.Civ.C).
LENDER: ************************** * **************************************** *********
AODRESS: LEGALIZATION:N FEE E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I 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 SMIP/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.My violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(S500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the TOTALS----> 54 . 50 0 . 00 0 , 00 54 , 50 54 , 50 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
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 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 , 00
S O
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and wino contracts for such protects 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. I N D I V I D U A L F E E B R E A K D O W N
❑ I am exempt under Section: B.&P.C.
tor this reason: TYPE QTY DESCRIPTION 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 t0 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 tor
� ���+
inspection poses. 01 00170624-00170625 TOT 54.50
Date: I✓' ` Signature: I .1/A _ DATE; 10/28/94 TIflE: 13:12
Driver's License or Social Security a:
1641.46 Mute—Building;Green—Code Enforcement;Canary—Applicane 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
• 2. Soil Pipe-Undrgrnd. .. 53. Steel Reinforcement
`3. Electrical Conduit•EJtility'•Undfgrnd. 54. Forms 1
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
' 5.•Steel Reinforcement 56. Rough Plumbing & Pressure Test
`6. Electrical UFER-Grnd. : 57. APPROVAL TO COVER-GUNITE
' 7, Footings 58. Electrical Conduit-Undrgrnd. ,
B. 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 1 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.E Rough Factory Fireplace + cr.: ,t -t APPROVALS f' . Permit # c
.. - .. - .
21.'-b ucts,in,Stroctu{e, , ' ,. : . • - `70. Underground Hydro
22. Ducts, Ventilating I ' r 71. Product Piping OGas 0Oil
23.-Gas Pipe'-Rough & Test ,
,• I. ,r. _ 72. Underground Flush _ _
24:.Robf Framing - p - • 73. Undergrnd.Storage Tank O Gas ❑Oil
25. Roof Sheathing 2.2-q f�lswfL /z/'i/9qAg. 74. Overhead Hydro -
26.iT-Ba,r Ceiling (Structural) &fvtonocoat 75: Dry Chemical
27. Frame and Flashing - ° '' 76. Dry Standpipe r;
28. Lathing & Siding, , c.. „ -• •• • • 77.. FIXED SYSTEM FINAL
'2on ' ,.•.
- 9. Insulati .. • r't
-I
,,,, ` 1 78,-.FIRE PREY. FINAL
i30. Drywall Nailing -1. • _ - a - HEALTH-DEPT. REQUIREMENT
31. Plaster Brown CO5t, c ; , ' 7 79. FINAL INSPECTION '
_,32.-Electrical Pover'Meter-Final. =180.. FOOD CERTIFICATE ISSUED
33.'Final Electric Notes:
'f34 -Final Heating& Air.Conditioning ,r• ! - _ -
35:'Final Gas Pipe-Test' . - 't _ t . . . .
.136. Hood or-Canopy r ! - .. • .
-37. .Final Factory Fireplace. , 1 -,' , I
38. Final Plumbing �' - _
39. Water Service-Final' •
r ,• I•
X40. Gas Service-Final... , ;
41. Solar Domestic-Final . •• '
n, ,
42. Backflow Preventers - .
43. Backflow Irrigation_ I'.-. . -
X44. Landscape Irrigation System- •,- ., 0 - J I
'
A5. :Sound Attenuation '
,- . .. n r -
446. Handicap Regulations -• •
47. FINAL STRUCTURE & BUILDING al -(j.- 4
48. FINAL PLANNING . r. ' -_c. -•
49. Electric Release to Edison '
, j
50. Gas Release to Southern California Gas Co _ . • -
y_.
51. CERTIFICATE OF:OCCUPANCY -
No. Date
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 115 Lexington Lane ' BUILDING PERMIT N0. 22195
GENERAL CONTRACTOR same VALUE $ 12,635.00
AP No, LOT 34 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK its Watt gar
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R3
Soil /fJ Z` PERMITS ISSUED
Gas /� ,rf '4 / SUBCONTRACTOR DATE NUMBER
Water 4/)-9/49-vl_ .f/'
Rough Corn. Rettig. 17 Air Cond. 0 p
Rough Heating f� Asim �1 yW- 7-_, -4 3/L4Ed " j,
Rough Plumbing i� Alit!,,,, ./APPY !c-/,- & 1L LI ,j-�9-�!,t,Iq
Miscellaneous 1 "
Prop. Swr. Line ([House Con.��St. Swr. 0 I '' 9v//L 4Z t-'',,C £nom• s_lgcy 4 O�F,'?`33�t t
Sprinkling System �?61i
Construction Pole
Underground !] Power 0 ,
Rough Wiring Ia. 1' u- , ( ' - �� ! pic . i25_c4 �'3ao�/
Trenches 0 Forms 0 Steel Rein!. 0 /c
Floor System /J._ ({n
Bond Beam ❑ Steel Reinforce 0
Sheathing -. g y,) o - 7 CV
Frame and Flashing / Q • /7 /G
Lathing— In,pr/ Out�f 7. _ 9/ St
Plaster, brown coat / g. /c7/4 Cc
Refrig. 0 Mr Con. .0 Final
Heating, Final
Plumbing Fixtures, Final a
HIM r 7
Final Gas Gas Testiim /�`�� Si
Electric Fixtures, Final 7G: para
Building, Final t , / if
OCCUPANCY "lr •
Form BII4—GMS-63—S-13 P HUM FOR SPF.CIAI. PFnI TIRFMPMTfl
2x , 95 FEE RECEIVED
ICY 1 A 1951
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 917 COSTA MESA.CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
• For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING •
For Office Use Only
ADDRESS • a a. , i .�
P RECEIPT NO. pEBfA�T(��
COSTA MESA. CALIFORNIA /�-)'/) (J]
REGdrVED Y Od-E7Cli DATE ISSUED
OWNER San Vista Building Co. S JUN 1 1964
LD
MAIL 1166 E. 58th Street ADDDESS
ADDRESS `^�
FIRE
CITY Los Angeles 11, Kalif.Nj AD 37187 ZONE TYPE GROUP L`/- ]
APPROVED
ARCHITECT
GIRRaVIBOnd Levanas NOL OR 37010 BY DATE
OR ENE
ADDRESS 3432 Via Oporto, Newport Beach _ ZONING 6 4
ZO.1 NO.OF USE OP NE T
20.1 NO.
PLANO BUILDI ' B�r�I�� 0
CONTRACTOR San Vista Building Co. 1 �J ,,/�/��, _
1166 E. 58th Street LEGAL * YteC. -5 1bo t r
ADDRESS DESCRIPTION , /
3
CITY Los Angeles 11, California A.P.No. �'i` 3 I "" `/
n NO. NOTE: NO EAV E OVERHANG SHALL BE LESS THAN
STATE
LIC.NO. 192782 AD 37187 90.TO SIDE @REAR P.L
EAVES
OSIZE
F LOT 20 x 70 I NOW ONO.OF
LOTS. O ALLOWED (U.B.C.REQUIREMENT) fr..,
YARDS APPROVED YARDS APPROVED Cy
USE OF MAIN BUILDING ACCESSORY BUILDING G
EXISTING BLDG. None (FROM Cts-STREETH LI
SETBACK LINE FROM 1'31 FRONT .-.FT./e. FT. y`
CENTER OF STREET REAR TARO ,/�
SIDE YARDI LEFT 0 I RIGHT 0 R.SIDE ( ) Fr. FT.
DESCRIPTION OF WORK . L SIDE Fr. FT. ���CCCCJJ cn
F
NEW X ALTERATION ADDITION REAR Fr. FT. UJ
DISTANCE BET. BET. MAIN @
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. al
BUILDING .I NO.OF al
�'CH>•. Z VAR.?F i.-J DATE
SIZE .aL0XZ? ROOMS STORIES 2 C.U. Y APPROVED EXTERIOR WALL I ROOF APPR V dA.{{ i 6
COVERING StUCCO COVERING Shingle By 144y�.�h'_, ]"J, n \ DATE IJ /(
USE OF BUILDING AND WORK TO BE PERFORMED t`J1j J.1...-
al
�'l�/(
Residence & Stsretr-
L
kg.-A,,_ a.
a.
A7I (J v' N `)
/1 , 1'VY SO.FT j /�D N a
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 B+
PLY WITH ALL TY RDINANCES AND STATE LAWS REGULATING VALUATION u
BUILDING CONS'RUCT N: 1/ Ca
N ..3
!1 J PERMIT FEE $ /,2
ii tC:I
PERMITTEE SIGNATUREOF fir( `L t.I 4a� II; /35 PLAN CHECK $ 2/r_ Li
AUTHORIZED AGE T v / !L 3/ 0-
TOTAL FEE $