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117 LEXINGTON LN - Building Permits
P11C{ECT ADDRESS: 117 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047763 / OWNER'S NAME: STEVE RIDDLE E ADDRESS: SAME AS ABOVE PERMIT NO: B 047763 PLAN CHECK NO: • N GOVT: N SUPP : N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; ALT 4. ARCH/ENGINEER: 714 /241-0608 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REROOF SQ FT; 850 • CLAIM VALUE; CALC—VALUE: 850 . 00 GROUP OCC : R-3 / • PERMITTEE J. ALAN ARMOUR CO. ( 714 ) 979-9336 ADDRESS: 116 YORKTOWN LANE COMMENTS: COSTA MESA CA 92626 *********************x*x*********************** *** *************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMEN TS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITY C.; - . 8 STATE uc.:4 0 8 0 4 C s: —3 9 S E T B A C K S r I Date: tj _1 IA.f Signature: C/ 2 b MAIN BUILDING ACCESSORY BUILDING WOR• 'COMPENSATION OECLARATtON: I hereby affirm at I have�e 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 RGHT : FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 41916312 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES> >. Date:_Cy Applicant: ******************************************************************************* EAEMPTIONFROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the pit is for one hundred($100)or less). DEVELOPMENT SERVICES R EQUIR EH E N.-T' S . I certify that in the performance of the work for which this D rmit is issued,I shall t; .joy a . in any manner so as to become subject to the Workers'Com. nsation Laws of California. / ZONING APPROVED BY DATE; • Date: ' _ I Signature: a Jr' . NOTICE: f,after ak g this declaration,you shout ecome s ' t to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: ' G Code,yo must forthwith comply with such provisio s or this rmit shall be deemed revoked. ! /� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: (/(/ DATE: __&3� /}J� ,, which this permit is issued(Section 3O97,Civ.C). ************** ***********************,psx a**********************,****3Fa z( UNDER: ******************************************************************************* ADDRESS: • LEGALIZATION: N F E E SUMMARY STRUCTURAL' SEGMENT:Y OWNER BUILDER DECLARATION: t 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 2 3 . 0 0 . 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 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the BusinessSMIP/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 PLAN " ' 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, wit da 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--——> 23 . 50 0 . 00 0 . 00 23. 50 23 . 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 improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 23 . 50 OVER/SHORT: . 00 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 23 . 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).l am aware .x.*.N****,,t.***.******.N.*******.********.N.**..N.********.****.**********.**.N.******.N.********.!E* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. i • for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date:_ owner_ SFR 850 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 850 . 00 I do hereby certify that I am aware of and understand the requirements of Califomia Health and Safety Code Sections 25505,25533,and END O F FEES 25534 and that I or any future building occupant will/wilt 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. • fj Date: Applicant: 1 I hereby certify that I have read this application and state that th•above information is correct.I agree to comply with all city and county ordinances and iect laws relating to building construction and y authodr :yetives of t'�yv to enter upon thaabove-mentioned prope for •state ecdon relating es. / Date:�I _ Signature: '` _ _I'L_ /4f ' Driver's Li •rise or' ial Security x: r 01 00063235-00063236 TOT 1,;.59 164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor QATES OS/�,�f/S(t. TIME: 16:26 4 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. Electrical 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, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final r 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. 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 G e) 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ! 75. Dry. Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • . 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 7/r71•0 ' 48. FINAL PLANNING .•r. 49. Electric Release to Edison "y 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 117 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069576 OWNER'SNAME: BIDART, SUSAN M t ADORES&: BIDART LEONARD A PERMIT NO; B 069576 PLAN CHECK NO; N GOVT; N SUPP ; N 2121 CEDAR ST ar BAKERSFIELD, CA 93301 CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/O RESTH 6 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 4309COMMENTS: REROOF DOWNEY CA 90241 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 and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 059377�ySTATE CIASs: C 39 EXP; 1 /• 5 Date:_Cialn_q_ Signature: _ MAIN BUILDING ACCESSORY BUILDING WORKERS' OMPENSATION DECLARATION: (hereby affirm that lhave acertificate of consent to self-insure pracenificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation Ikts,a2e2%k §titied copy thereof(Section 3600,Lab.R.5/19/95 LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: EXP. DATE: COMPANY: ,� PARKING REQ: PROV; PARCEL: 419 16 312 ZNE; REF NO; ❑ Certified copy is hereby furnished. (J Certified copy is I ed with the city Building Division. PLANNING NOTES> Date idjgy Applicant: —__ ******************************************************************************* EXEMPTION HAM WORKERS'COMPENSATION DECLARATION: (Thi section need not be completed if the permit is for one hundred(MOO)or less). DEVELOPMENT SERVICES REQUIREMENT 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; V.• • Date: Signature: BUILDING APPROVED BY ; NOTICE:II.alter 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. tt ^�1° ,L CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; DATE• b_ �1W which this permit is issued(Section 3097,Civ.C). '**'**'*'***"*****'***'*******'**'*** 'M'***'********************************* LENDER: **************************** ******************************************** **** ADDRESS: LEGALIZATION;N E 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 o1 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 properly 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 , 00 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 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 Q 50 ❑ and ProfessionsoCode: The projects with ate License Lawdoespursuaot apply nt to the Cerofpropenywhe License Law).improves thereon ******************************************************************************* and who contracts for such projects with a 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 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 Ouality 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 authorize representatives of this city to enter upon the above-mentioned property for inspection urposes. I�� /�j), I 01 00170620-00170.521 TOT 54,50 Date: �JLi N(a signawre. DATE: 10/23/94 TIME: 13:12 Driver's License or Social Security C: 1641,46 Whhe—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit .tet` 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 • 1 4,;Electrical Conduit,Undrgrnd. 55, Electrical Bonding 5. S'enr Reinforcement 56. Rough Plumbing & Pressure Test b.ljiectricalUFERGrnd. 57. APPROVAL TO COVER-GUNITE t • 7.>Flootings58. Electrical Conduit-Undrgrnd. 8.' Foundation ., L 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. I 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20...Rough Factory Fireplace r ,� ._ r r • :APPROVALS Permit 4 - 21:'Dutiu, in_Structure: ;. . L k en , . , •i70. Underground Hydro 22. Ducts, Ventilating ` • r. ti _ T `71. Product Piping 0G as ?Oil 23..GasPipe-Rough & Test ;*„ ; ,f - . x .42. Underground Flus•h - .. - 24:rRoof Framing 2, • • : ' ,.: '- '_73.! Undergrnd.StorageTank•OGas ❑Oil 25. Root Sheathing x12..-1 6c - r /Z/ S/fY e • 74: Overhead Hydro - 1 •' 26. Tear Ceiling (Structural) &_Monocoat 75"Dry Chemical ' • 27. Frame and Flashing 'r' ; e r, .„ u i '• 76. Dry Standpipe ` - 28. Lathing & Siding. , • • S „ r • 77) FIXED SYSTEM FINAL 29. Insulation _ ' 78 FIRE PREV. FINAL • ;30. Drywall Nailing • r , j I L - HEALTH::DEPT:. REQUIREMENT .'31. Plaster Brown Coat: .: �, ' 1` 79. FINAL INSPECTION ...32.-Electrical Po-titer,Meter-Final. • _,-i' • '80 ' F000 CERTIFICATE ISSUED 33,.-Final Electric - 7 -'t , 'Noies: •1 ,. _ .*I ,'34.-Final Hz'ating:& AirRConditionirig7 I . - - 35::Final Gas Pipe-Test. n . '� - " .. 36. Hood or canopy • j - - . - 37. Final Factory Fireplace _ ' ..;i• '• , • � i 38. Final Plumbing -� 39. Water Service-Final - I . • •:,{i0. Gas Service-Finan ; - " .11. Solar Domestic-Final . - '' r • a 42, Backflow Preventer, Ir . .43. Backflow Irrigation' _ i 44. Landscape Irrigation Systema, ;.,.• ' • - - ' , • •-45."Sound Attenuation- --+' ,;46.',Handicap Regulations t.I ,, - 47. FINAL STRUCTURE & BUILDING f2.4f Qy%6L - • 48. FINAL PLANNING • " " 49.-.Electric Release to Edison . -•1i _ _' 50. Gas Release to Southern California Gas Co i . 51. CERTIFICATE OF OCCUPANCY No. Date �� E4� FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT Ey 1 9 1994 P.O.BOX 917 COSTA MESA,CALIFORNIA 1 FINANCE DEPT. For Applicant to Fill In Completely APPCJP TI®f•1 (-PI'•NEMO TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS// �.(1✓l Q./F`9_ RECEIPT NO. Q}RM I�rvo. COSTA MESA. ALIFORNIA • f// •A} (� _ �hf1 n A`� Rime/�BY DAT RHC I ED DATE ISSUED OWNER 2(/.n �J� IS lact) / /� �J/ JUN 1 1984 /I BUIL ING MAIL // / 6 e.- s Taj ADDRESS FIRE ADDRESS (� (" -�r'y� ��f T CITY •( /'( /7 NEL we; ZONE TYPE )/ GROUP / `L�\ ARCHITECT T4 APPROVED BY DATE OR ENGINE' �1/VFE/Y`fACI_ NO.'S 0 •� rL//3��- {--- ZONING • 4 ADDRESS,c y 3 2 (dl p j1 ��� ��,���))) ZO •-7 I NO.OP I UEE OP NH l ' ' .S^ e✓1 L./ Opal - l�J PLANE :72, BYILOIN4� , CONTRACTOR //�.A/ �A `` p �/ W ADDRESS A/ /0 6 Or! J a ct LEGAL , N/ DESCRIPTIO 5/6 0 33 CITY ill Q/linen a// /� /7/(, A.P.NO. -y-I JOG (Q NO,9d,g//67 rTSIO SAV E TOVERHANG SHALL BE LESS THAN STATE TEL. NOTE:TO SIDE B REAR P.L. LIC.NO. l'.1 EAVES SIZE G>2� y �O I NO.OF NOW ON 0 ALLOWED (U.B.C.REQUIREMENT/ *--a OF LOT A n USE OF �7YARDS APPROVED YARDS APPROVED EXISTING BLDG. /j,. MAIN BUILDING ACCESSORY BUILDING ) `..„ (FROM Ce$TREET) SETBACK LINK FROM FRONT //JJ Fr. Fr. CENTER OF STREET A'j REAR YARD SIDE YARD LEFT © I RIGHT l R.SIDE G FT. FT. CI DESCRIPTION OF WORK L.SIDE (/°"1 FT. FT. FR NEW ALTERATION _ ADDITION REAR \ / FT. FT. DISTANCE BET. BET.MAIN B REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING 3 NO OP f /- ( VAR. / C, DATE / z 11 SIZE &O X 3 ROOMS.7 STORIES 2 , C.U.P. / ^7' APPROVED (s� �/ a EXTERIOR Y,3 CROOF OVVERINtJ P PROVHD/14. y,O1 DATE of (� COVERING 11� USE OF BUILDING AND WORK TO BE PERFORMED \) /./ 1 C 4 La et./ �— o-` ) /0271 HQ.n.,Q- yoto Y x °" N .... ./ I HEREBY ACKNOW E••E THAT I HAVE READ THIS APPLICATION THE AMOUNT SHON. UNDER VALUATION IS FOR THE = 0 ANO STATE THAT/TN- ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE( ONLY. O W PLY WITH ALL C(TY 0 DINANCES AND STATE LAWS REGULATING VALUATION a GBUILDING CONSTRUCTI-N. PERMIT FEE 5 . 15- SIGNATURE OF PERMITTE .c11...-2.A SDY $ ) ey�� JPLAN CHECK $ /9 2• / /'L `/I n AUTHORIZED AOfi TOTAL FEE $ 1