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Home My WebLink About116 LEXINGTON LN - Building Permits cI PROJECT ADDRESS: 116 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069575 OWNER'S NAME: WATFORD WALTER T JR ADDRESS: 116 LEXINGTON LN PERMIT NO: B 069575 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 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 ****+r*ik+ +r***+t****�k**************+H+FSE+e*****+k*+r***************4*** ******rpt******+e LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMENT S 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S CITYLIC.: 059.37(7 STATELIC.: 402536 CLASS: C 39 P: 10/95 10 a1a�1 Si / MAIN BUILDING • ACCESSORY BUILDING Date.__ _. gnamre:_ _ _ . _ _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS' MPuranre ON DECLARATION: I hereby affirm Ilial I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance a or a certified copy thereof(Section 3800.Lab.Cl, LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: 58 2 2 6 9 9 EXP.DATE: V 5/1 9/9 5 COMPANY: AIG PARKING REQ: PROV: PARCEL : 41916307 ZNE: REF NO: ❑ Certified copy is hereby furnished. Certified copy i filed with the city Building Division. PLANNING NOTES> -• r � > Date: IOi t1L Applicant ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)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 pertormance of the work for which this permit is issued,1 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:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. N' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; ' •.[ • • DATE- ' which this permit is issued(Section 3097.Civ.C). **************************** ***** ********************************** * LENDER: *************************** ********************************************* ** * ADDRESS: LEGALIZATION:N 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.My 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 Code: The Contractors'State License Law TOTALS----> 54 . 50 0 , 0 0 0 . 00 5 4 , 5 0 54 . 50 • 0 0 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 improvementoiIe 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 SMI P/TOT GRADING PLAN—CHECK rme purpose s of sale). I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 54 . 00 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 e cter(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 I V IDUAL F E E BR EAK D OWN ❑ I am exempt under Section: B.&P.C. tor 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 tar construction or modification Irbil the Air Quality Management District,Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that t have read this application and state that the above information 6 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 properly for insppecctid npure°es. �� _ 01 00170622-00170623 TOT 54.50 Date: lDli(i Signature: DATE: 30/28/94 TIt1f: 13:12 Driver's License or Social Security a: 1641.46 white—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor Arli-is CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit Date Inspector APPROVALS Permit dk 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 • i. :4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test _ .6.7 Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 'Y. Foundation 59. Gas Pipe, 0 Undrgrnd., Test I. -9. Water Pipe-Undigrnd. 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 • .i63. Heater & Vent-Final 13. Roof Drains 54. 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 i • r - r - APPROVALS Permit # • 21. Ducts,in Structurg ! ; •_ ` -: ' ; ; 1 170.0Undergrounii.' d H1'dro ff 22. Duffs, Ventilating _entilating ` _ 7.-.. • "71. ProducfPiping 7,1%s 0:011 23. Gas Pipe--Rough & Test ' . r , fr. -, ; „72. Underground FIt1Si?t r 24.,Roof Framing r .. 1 t73.' Undergrntl•.Storag2Tank C Gas 0 Oil 25. Roof Sheathing - C-fl 51 .4.4.4( t'74,; Overhead Hydro - 26. •T-Bar Ceiling (Structural) & Monocoat 1 n T 75,try Chemical 1 • z 27. Frame and Flashing' 76. 'Dry StandFipe •;-ii . .- ' . 28. Lathing& Siding j.. 77;' FIXEDSYSTEMIBJNAL '29. Insulation it ' .. • ' 78jFIRE PREY. FINAL '7'•30. Drywall Nailing . . - - i lv • I HEALTH.DEPTi REQUIREMENT 31. Plaster Brown Coat• ; I,_ i' ' -79. FINAL INSPECTION ,, 32. Electrical Power Meter-Final • L. t 11900f00D CERTIFICATE ISSUED 33. •Final Electric • ' " ' - • Nodes: '34- Final Heating& Air rConditioning . ' I I V. , • _ 35. Final Gas Pipe-Test• 4 'c r • ' r 36.'Hood or Canopy - �, r, • '1 • " r ..- 37.-Finai Factory Fireptate `' i' ' 1 ,r r , , :38. Final Plumbing • . ' - _ 39. Water Service-Final - - r _q _40. Gas Service-Final ' , r, - ' 41. Solar Domestic-Final 42. Backflow Preventer, - - i. - ' 43. Backflow Irrigation- . ,: - - • 44. Landscape Irrigation Systems;. ,, ', , , 45. Sound Attenuatidn i •- 46. HandicaP'Regalatipns 47. FINAL STRUCTl7RE& BUILDING 6.1L„gy'6r-:"LL ; 48. ' INALPLANNING' • . "'D! ; 11 "49. Electric Release to Edison • I t. - . - - 50. Gas Release to Southern California Gas Co r ',..i..--:• -• . 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 116 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 059053 OWNER'S NAME: WATFORD, WALTER T JR . ADDRESS: 116 LEXINGTON LN PERMIT NO: P 059053 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: REP ARCH/ENGINEER: (714 ) 549-2779 REG.NO.: JOB DESCRIPTION : REPLACE LEAKING GAS LINE(PARTIAL REPIPE) SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL—VALUE: GROUP OCC; R-3 / PERMITTEE: WALTER T. WATFORD, J. (714 ) 549-2779 ADDRESS: 116 LEXINGTON LN COMMENTS: GAS LINE REPAIR ONLY! COSTA MESA CA 92626 +ESE******4*********x**** ********x*>E*Ot**x-**g **********x>E+E•*K******* *****•>F** **** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business arid Professions Code.and my license is in full force and effect. SETBACK S CITY LIC.: STATE LIC.: CLASS: Date: signature. MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGH.T: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 41916307 ZNE: REF NO: ❑ Certified copy is hereby furnished, 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date' Applicant: ***********************************************************************lE1E1 ***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the pertht is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is i ed I all not employ an • on in an ma er so as to become subject t work s'�ornpensation Laws of California ej ZONING APPROVED BY . • DATE: 4 ! Z Signature: 2-- Date: BUILDING APPROVED HY DATE; NO ICE:If.after making this declaration.you shout become subject to the Workers'Com.'n .ion provins bor Code.you must forthwith comply with such provisions or this permit shall be deemed rev. e'. I CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agen. for the performance 01 the work for APPLICATION ISSUED B Y: tF F t�� .// DATE: �F — �F which this permit is issued(Section 3W.Civ.C). ************************* **** ** * ** x* *ft****************3e.�** 'rt ** ** LENDER: ****************************************** - ****Ia****************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for 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 7, 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 5 t 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.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars(3500). ISSUE FEE 20. 00 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 U structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS ----> 7. 00 20 . 00 0 . 00 27.00 27. 00 . 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: 27. 00 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 SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 27. 00 and Professions Code: The ctors'state License Law does not apply tan owner of Properly who builds or improves thereon ****************_**_******.******************.************************************* and who contracts for such projects with a eLice contractor(s)license pursuant to the Contractors'State License Law),I am aware that prool of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN I ar t exempt under Section: B.8 P.C. `��C�� for lhisreason: • 'A/ ��/7��1�//��iV//////// / p TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: 9-1/4C7/9 Z Owoer: .2 PLU 1 GAS RE—PIPE 7. 00 7 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections`: 05,255 a 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 I requireme for a permit lot 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 and state laws relating to building construction and hereby author¢ representatives of this city to enter upon he above-mentioned property for/{nspetlign purposes. /� �/ Date: 9! /`f 9' Bignalure: �r / �/ / . . _ !/ .. _ Driver's License or Social Security e: - 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 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. E 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,❑ Undrgrnd. 10. St•uctural 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 1,4. 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 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding i I 77. FIXED SYSTEM FINAL 29. Insulation 1 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final I 180. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning I -I 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace ' 38. Final Plumbing I I 39. Water Service-Final -/' 40. Gas Service-Final a/f•c//�� "ar 41. Solar Domestic-Final 42. Backflow Preventer I I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co $ 51. CERTIFICATE OF OCCUPANCY No. Date OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64 JOB ADDRESS 117 Lexington Lane BUILDING PERMIT NO. 22194 GENERAL CONTRACTOR same VALUE $ 1,3,895.00 AP No. LOT 33 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res w/att gar INSPECTIONS Sinature AT GROUP I&J TYPE V ZONE 03 Soil �� SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water Alta yn4Z Rough Corn. Re rig. ■ • ' Cond. 0 Rough Heating 's Gy- ,� Rough Plumbing n S%/6 / L J/t-i 7,17- /� it 1G ill/,f Miscellaneous / �,.f Prop. Swr. Line{[/House Con.tot. Swr. ❑ t/(A l///41-/L O�‘,t- tv-ele , DEC 9 1953 4 0 6 3 1 Sprinkling System tJ f" �� Construction Pole I� Underground ❑ Power C) Rough Wiring al tl "G", *&-4--'6't-J g_s,J �,� o7 9-�- r Trenches 0 Forms 0 Steel Reinf. 0 2 5C 6 Sc Floor System 0 ///G/ Bond Beam 0 Steel Reinforce 0 Sheathing ' e_. - /o Frame and Flashi 1 / ? /7 5 Lathing—In, Out y� , Plaster, brown coat tia 0 n Refrig. SCI Air Con. 0 Final Heating, Final <,2.&, !Y /ib7, Plumbing Fixtures Final / (. c,,.. rrr ,...�:r.x Final Gas Test 5, -- 1'� �'�' • Z1.�I _QL II 4r-(# Electric Fixtures, Final Ap •L- I„p,ah Por Building, Final _ / ‘d I • OCCUANCY ° , Form BU4-6M-3-63–S-B P FIOLI} FOR SPECIAL REOUIREN.EN-i OWNER SAN VISTA Ea—ladingQo. DATE OCT 3 0 1963 JOB ADDRESS flE exingtnn Lane BUILDING PERMIT NO. 2(16.2li GENERAL CONTRACTOR Sart V1Sta_Bll].Id111g_CO-. VALUE $ 12 .635- 00 AP No. LOT 116 TRACT 5 6n FIRE ZONE DESCRIPTION 6F WORK Resatt INSPECTIONS Signature DATE GROUP 184,1V TYPE ZONE R_3 $8r Soil A //-.2L- PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water aal li Rough Com. Refrig. 0 Air Cond. Rough Heating /et/ 162r_ �t - _ - 1/4l]1"!'J'1. ytt,` __�-� , _ alj�r Rough Plumbing „9:0/./. JVf-oi t� 1-1A 'a\-k-M" N "-\-V3 3c11C`I – i Miscellaneous apifivi Prop. Swr. Line 0 House Con.g St. Swr. 0 7f-A, 3-4._4;9 t .<."..,C e.!. In! 1 3 1963 Sprinkling System Construction Pole7% 3/eJ Underground 0 Power ❑ 6l Rough Wiring `r - - Ce ' ri aanJ r - . i_:7 Y-/a 4 i Si A --- Trenches Trenches 0 Forms 0 Steel Reinf. 0 Piz.a- AFAMIC Floor System _ .AI Bond Beam 0 Steel Reinforce 0 / C Shaa a- i=-_,,c/s„..,_54 iCIILvv Frame and Flashing � _ 4�4. �(6 `F I/Y Lathing — In, Out l Vrn,, d - [/ Plaster, brown coat r Q — so �Y .,n/ Refrig. 0 Air Con. ❑ Finale I/ I" f- Heating, Final e // SL 4 d Plumbing Fixtures, Final �_i T 2 Final Gas Test/ct ” Electric Fixtures, Final /- t15C 7, l yi<i _ of .-;--2 y/feu aG Building, Final S( /fj� L 7-r �7 1 OCCUPANCY a 1 Form BU4-5M-3-53—s-B P HOLD FOR SPECIAL RPI)1 IIRRMFNTC • ( 20624 FEE RECEIVED 7 COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 2 6 1863 P.O.BOX 317 COSTA MESA,CALIFORNIA rr''T�FyIINnAAFFNC�EE�QTD��EPyT��..�� For Applicant to Fill In Completely APPCICATfOIY'Ff7R`PPbNTT TYPE OR PRINT Lot 46 BUILDING For Office Use Only BUILDING / Lexin on Lane ADDRESS i i -'90 Tl. RECEIPT NO. 20E24 COSTA MESA. CALIFORNIA Q1AF� RECEI IY DATE RECEIVED OYI Jedeltl Oa OWNER San Vista Building Co, 7-7A..1:43 c J U yea MAIL BUILDING// / / Yaar y✓ ADDRESS 1166 E. 58th StreetFIRE ADDRESS Cp OCn/�/ TEL ZONE TYPE GROUP X r J� CITY Los Angeles 11 No.AD 37187 ARCHITECT TEL. APPROVED DATE OR ENGINEER Raymond Levans NO. OR 3701C 3432 Via Oporto, Newport Beach ZONING ADDRESS i 4L•, J I NO.OF I U880P N8 1�YYl��`// PLANS2_ CONTRACTOR San Vista Building Co. 1166 E58th Street LEGAL Tract 5160 - of 46 E.ADDRESS DESCRIPTION CITY Los Angeles 11 A.P.NO. 191 -3 (f3�- / 46 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE 192782 TEL AD 37187 30"TO SIDE a REAR P.L LIC.NO. NO. EAVES SI LOT 20 x 70 ZE I NNO.Or SLOGS.OW ON 0 ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF None MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LNE FROCENTER OFISTREETM 13 1 REAR YARD 711011 FRONT FT. SIDE YARD I LEFT 0 I RIGHT 0 - R.81DE FT. FT. DESCRIPTION OF WORK L.SIDE FT. NEW X ALTERATION _ ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN 3 REPAIR MOVING DEA1pLISH. MAIN SLOGS. ACCESS.SLOGS. BUILDING 20 x 27 NO.OF 5 WWI Tri 2 VAR. DATE SIZE ROOMS STORIES C.U.P APPROV• EDROOF ,�nT 'j COV ERI R EXTEWALLStuccO I COVERING Shingle BY P lid t. DATE / /v - ) USE OF BUILDING AND WORK TO BE PERFORMED Residence and Carport k /J V ,/ T N / / 60.FT. — 7�V R I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOW UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION n BUILDING CONSTRU /� SIGNATURE OF S VISTA BUILDING CO. PERMIT FEE 5 7'— j PER MITTEF p /� �� PLAN CHECK $ �/ C AUTHORIZED AGEN James N. Starbi / IL TOTAL FEE $ /3