HomeMy WebLinkAbout118 LEXINGTON LN - Building Permits TI PROJECT ADDRESS: 118 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069577
OWNEN'S NAME: HUBBARD, HERBERT LAVERGNE
ADDRESS: TR PERMIT NO; B 069577 PLAN CHECK NO: N GOVT; N SUPP; N
118 LEXINGTON LN
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 S 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 *****TE***�r,ear************************************Te**********a *** +E*** Ear**+E**+r***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LI L�S9 77 STATE LIC.: 402.;)5 Cuss: C 39 EXP ; 10/95
Date:_ A Signature: _ MAIN BUILDING ACCESSORY BUILDING
WORKERS' MPE ATION 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 muran412e or a certified copy thereof(Section 3800. Lab.c1LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: 58 6 9 9 EXP.DATE: O5/19/95
COMPANY: AIG PARKING REQ: PROV; PARCEL; 41916308 ZNE; REF NO:
ID Certified copy is hereby furnished. (1 Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: �vlCJ77N Applica *******************************************************************************
EXEMPTION FB MWD KERS'COMPENSATION OECLARAT IN: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT 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: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 lending agency for the perlotmance 01 the work for APPLICATION ISSUED BY : DATE; I, T si
which this permit is issued(Section 3097,Civ.CI. **************************** ** ************************9F********** • • - • . *
LENDER: *************************** ***************************************it*d***i�****
ADDRESS: LEGALIZATION;N vF E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Lawlor 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
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SM I P/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(5500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, wit 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 $4 , 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 TOTALS--> COLLECTED • 54 , 50 OVER/SHORT
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 54 , 00 , 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
add who contracts for such projects with acontractor(s)license pursuant to the Contractors'Slate License Law).I am aware ****************************************************************************a6*a6
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE BREAKDOWN
❑ I am exempt under Section: B.6 P.C.
for!hie 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 buitdtng occupant wituwill not(ci¢le One)need to comply with said state codes acre the requirements lot 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 and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for i spection purposes.
♦ / 1::120,30:70:1179—_001.11:70:41189 T O T
Date. r a /S Signature. st
54.5D
TE08/94ME: 13:11
Driver's License or ociai Security e: w. .. ^l
1641-46 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DTE• '�� `• 1 •1 .00
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I s laMIMIM
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CONSTRUCTION AND PLANNING - POOL & SPA
APPROVALS Permit,` Date Inspector APPROVALS Permits Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
• 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3.1'Electrical Conduit Utility-Undrgrnd' 54. Forms
4. Electrical Conduit-Updrgrnd. 55. Electrical Bonding
r
• -5. Steel Reinforcemeht 56. Rough Plumbing & Pressure Test
b. Regtrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
.8. Foundation _ 59. Gas Pipe, 0 Undrgrnd.,Test
i 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
r
13. Roof Drains a 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 -, -• _ • TAPPROVALS - 'Permit # e =•
21.•Duces,in Structure; T. .., c _ _ . ; ;70. &dergrounca Hydro t
22. Ducts, Ventilating. 1 _ C : • 71, Product'P1pfng GG'as O'Oil
23.-Gas Pipe-Rough Wiestnt - T. '7. .3 .. X72. Underground Flush •,
24. Roof Framing II. - . :• C) =' - : 73J'Undergrnd.Storage Tank'0 Gas 0011
25. Roof Sheathing 1-10:/;'Ll " 44,4& ; 174.`Overhead Hydro ,
26..-T Bar Ceiling (Structural} & Monocoat t! ' !n r u 75.' ry DChemical •
27::Frameand Flashing: _ I.
.. '„ „ ; ' 76. 'Dry Stanaie'e ;''-,t - '
_28. Lathing& Siding;, - •• -- •• • 77 FIXED SYSTEM FINAL •
r
29. Insulatign 78kFIRE PREY. FINAL
-30. Drywall-Nailipg I., HEALTH DEPT REQUIREMENT
^
31. Plaster Brown Coat - ' - - ~Ilis-i ;,79. ''FINAL I&SPECTION t '
-..)32.-Electrical, Meter-Final Power r , `:r; ; 460.,f00D CERTIFICATE ISSUED
33._Final Electrid i , ' Notes: -t
:34, Final Heating..& Air.Conditioning . ' 1 c -
35. 'Final Gas Pipe-Test r I ' _ ;`t.- - - •.'
36. Hood or Canopy ,, , - - ai
37. -Final Factory Fireplace _ -- '- •"' • ''
________
38. Final.Plumbing r ,}. -t - •
-39. Water Service-Final- . I I ;
40. Gas Service-Final , ° {, _ f
•41. Solar Domestic-Final
y ,
42. Backflow Preventers ,. .,
43. Backflow Irrigation' • -
,44. Landscape Irrigation System_ rt t .: 7 _ t
45. Sound Attenuation, I'
•
-46.-Handicap,Regulatfons •• - -
47. FINAL STRUCTURE & BUILDING (-/ - ç g9.-6/_.
48. FINAL PLANNING, �t=�: - Il
' „ -
•-50..Gas Release to Southern California Gas Co i`1--r . - .- . - ,
51. CERTIFICATE OF OCCUPANCY •
-
No. Date
OWNER SAILMTA_Build.ing CO. DATE OCT 3 0 1983
JOB ADDRESS u$ Ta i netnn Lane BUILDING PERMIT NO. 206�5
GENERAL CONTRACTOR San Vista_B1i 1 rl iug_Co.. VALUE $'14},835=QQ
AP No. LOT k7 TRACT 516n FIRE ZONE DESCRIPTION OF WORK Res_.w/stt,gar,
INSPECTIONS Signature DATE GROUP TAT TYPE V ZONE
Soil , •/.. /f_-�L_j PERMITS ISgS D
Gas - --i A SUBCONTRACTOR DATE NUMBER
Water l./ --/X-f- 3
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating c.z -/- A -Q A_._ aii w eX+`
Rough Plumbing 'Q.� �L-/t 4tMtC. -V. ,�� t' -
Miscellaneous a : rs
Prop. Swr. Line D House Con. St. Swr. ❑ IC -A- A - • NOV 1 3-1953 '- .fil
Sprinkling System
Construction Pole j 31by
0
Underground ❑ PowerL v
Rough Wiring �YL'J�►/.
�i5- - " " - r#' . i-mss-av S ,,,F)7/
Trenches ❑ Forms 0 Steel Reinf. 0 a } - , C. 3
Floor System -,11
Bond Beam 0 Steel Reinforce 0 C_V `
Sheathing d 2 - 4 - 6 if i//"
Frame and Flashing _' / 7— . G 6 4 i
Lathing— In fn--.-- Out{[y - of- 7 ,�• it/
Plaster, brown coat d. c�- r • /61` A'
Refrig. 9 Air Con. [] Final
Heating, Final / AMIE
Plumbing Fixtures, Final jr. ®rife
Final Gas Test 11 '.if IN G
Electric Fixtures, Final r•.... _MR" der Cbz v/c y `{66
Building, Final i f 4 yr 6 i •
OCCUPANCY •
Form BU4-6M-3-03--S-B P HOLD P+ ' SPECIAL REQUIREMENTS
V ' 20625 FEE RECEIVED
SEP 2 6 Ido,.
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA ((!!��TT pppQ ((!`E(�Q jDe MTF.��
For Applicant to Fill In Completely fCPPLICATl61�-P�SR' I'El2MIT
TYPE OR PRINT Lot 47 BUILDING
BUILDING Lexington lane For Office Use Only
ADDRESS 118 RECEIPT NO. WA
COSTA MESA, CALIFORNIA
R8C81V8D BY D T8 RECEIVED DATE ISSUE
OWNER San Vista Buildin• Co. P -GL� ICT 3 0 196
BUILDING �•
MAIL ADDRESS // (B7C/ /
ADDRESS 1166 E. 58th Street
FIRE
- CITY Los Angeles 11 TEL. Al) 3718 ZONE TYPE GROUP LOVIJI
ARCHITECT TEL APPROVED
• OR ENGINEER Ra I.ond Levanas N O,- OR 37011 BY DATE
ZONING
ADDRESS 3432 Via Oporto, Ne .ort Beach pv,a
Z NO.OP U8OF N
CONTRACTOR San Vista Building Co. -'� Pune 2 BUILDI8p C
—/
1166 E. 58th Street LEGAL Tract 5160 - Lot 4�7
ADDRESS DESCRIPTION ! /
CITY Los Angeles 11 A.P.NO. '` "I� --- 3 ,� 7:,2(..;
,2� Ze4".
NO HAVE
STATE 192782 TEL. AD 37187 SO'T TO SIDE&REAR P.LNG SHALL BE LESS THAN
LIC.NO. NQ.
EAVES
SIZE 20x 70 I HOOF SLOGS.0 ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. None
(FROM C/L STREET)
SETBACK LINE FROMLL FT. FT.
CENTER OF STREET 131 REAR YARA 1101 FRONT
SIDE YARD I LEFT 0 I RIGHT 0 R.SIDE FT.
DESCRIPTION OF WORK L.SIDE FT.
NEW X ALTERATION ADDITION REAR FT"
DISTANCE BET. BET.MAIN&
REPAIR MOVING OEj.1 OLIS MAIN BLDQS. ACCESS.BLDGS.
BUILDING NO OF Plan V3 VAR.# DATE
SIZE 20 X 32 ROOMS 5 STORIES 2 C.U.P. APPROVED
EXTERIOR WALL,.„_ ROOF APP-•�../ 9 '1,61-6.
COVERING Stucco I COVERING Shingle BY 1u .\IS DATE
USE OF BUILDING AND WORK TO BE PERFORMED v
residence and Carport III-
36 .,x- r
_
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS FOR THE t',
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTIO VISTA BUILDING CO. PERMIT FEE $ /0�/O
j
SIGNATURE OF y/ , (f
PERMITTEE $ /Vi QS� C
o
• AUTHORIZED AGENT J ees N. Starbird ..
TOTAL FEE $ / ---