HomeMy WebLinkAbout119 LEXINGTON LN - Building Permits • "j PROJECT ADDRESS: 119 LEXINGTON LN UNIT: . CITY OF COSTA MESA BUILDING PERMIT PERM NO: B 069578
J — OWNER'S NAME: BRAC EYWILLIAM E TR
ADDRESS: 2601 W11NDOVER DR PERMIT NO; B 069578 PLAN CHECK NO: N GOVT ; N SUPP : N
11 CORONA DEL MAR,CA 92625
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 O BOX 4309 COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET, REQUIRED
DOWNEY CA 90241 ******dc+c****akicxz******x********?c******** kik*+k***aF*******************************
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 3 of the Business and Professions Code,and my license is in lull force and effete. S E TB ACK S
CITY LC p59 77 STATELIC.: 4025 . : S. - 39 EXP: 10/95
Date:_' signature:_ _ _ MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
WORKERS'COMPE SATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers LEFT; FT IN AGHT; FT IN LEFT: FT IN RGHT: FT IN
Compensation Copy thereof(Section 3800.Lab.
POLICY NO.: � ���7 7 EXP.DATE: S119
1 9195 9 S
COMPANY: AIG ,,��(( PARKING REQ PROV: PARCEL : 41916311 ZNE; REF NO;
❑ Certified copy is hereby furnished. CJ' Certified corn 's filed w the city Building Division. PLANNING NOT ES>
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Date: TI WTD _ Applicant DEVELOPMENT SERVICES R E U I R E M E N "T S
EXEMPTION IAOM WO ERS COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred WOO)or less). Q
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: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE•: I k� G�
which this permit is issued(Section 3097.Civ.CI. *************************** ** *********************************** **�1** * **
*************************** **************************************** **** ****
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/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 Z 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.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
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 properly 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
improvementisof sold sate).
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 sate).
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 *******************************************************************************
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. INDIVIDUAL F E E BREAK DOWN
❑ I am exempt under Section: B.P.P.C.
for this reason: TYPE QTY DESCR IP T ION 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 Safely Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/Mil 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 hereby authorize representatives of MU city to enter upon the above-mentioned
property(for inspectio purposes. //�
Date:AO - Signature I [`L L 01 04170615-00170516 �'I t�' .5.,. :
Driver's Lic nse or Social SecurityU0
DATE: 14/28/i4 TrE• li: :G
.:
1641.46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
P l ' t
; J
R
Cu,
NSTRUCTION AND PLANNING POOL & SPA
_ APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
I
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 UF ER 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 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
20.7 Rough Factory Fireplace + - ' • APPROVALS • Permit+
21..Ducts,in.Structure• , .. - - :70. Underground Hydro
22. Ducts, Ventilating -`• 71. Product Piping 0 Gas 0Oin
23.-Gas Pipe-Rough & Test - - ` 72. Underground Flush .
24. Roof Framing + - 73. Undergrnd.Storage Tank''0Gas 0Oil
25. Roof Sheathing 2.-.2gs Ge dr 141Zt/y �l 74. Overhead Hydro -
26.'T-Bar Ceiling (Structural) & Monocoat ' •• •• 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe i.
r
28. Lathing:& Siding• . • . -• •• 77. FIXED SYSTEM FINAL 7
29. Insulation • •, • ` I 78. FIRE PREY. FINAL . . t
30. Drywall Nailing
" , HEALTH.'DEPT. REQUIREMENT
.31. Plaster Brown Coat . ', - ;49. FINAL INSPECTION
-32.-Electrical Power Mater-Final. i,,_j-:- •80. FOOD CERTIFICATE ISSUED
33. Final Electric "Notes: _. ' ._•
•34. Final Heating& Air Conditioning, 1
35.•Final Gas Pipe-Test l' • +' ` •0
. r 1i
36. Hood or Canopy . .
1
37. Final Factory Fireplace:, ° - i
38. Final Plumbing ,i ' ,t •• I + +
'39. Water Service-Final-
40. Gas Service-Final - f. r - . -
. 41. Solar Domestic-Final - - ..
42.-Backf low Preventer '• . ,
43. Backflow Irrigation- .. ' +
44. Landscape Irciga(ion System .
45. :Sound Attenuation r
V - .
:46. 'Handicap:Regulatkns .
-
47. FINAL STRUCTURE & BUILDINGa_a.-Q •
48. FINAL PLANNING (- ~ .
.49. 'Electric Release to Edison `r
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 119 Lexington Lane BUILDING PERMIT NO. 22193
GENERAL CONTRACTOR same VALUE $ 14,835.00
AP No. LOT 32 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res Watt gar
INSPECTIONS S' are 'AT GROUP I&J TYPE V ZONE R3
Soil ISSUED
Gas /• �i` SUBCONTRACCOR DATE PER.MD NUMBER
Water rl Ar 4d
Rough Corn. Re Pg. 0 - • ' Cond. 0 //� �p
Rough bg Q/' Jik . . %%t, 9�-�.CL si'n' —
hough Plumbing .../A./rT /9 h ,t,y,gj/ ,!/ (o_/-(c' 0 �.4_ / ----
Miscellaneous / •-/
Prop. Swr. Line-House Con.["St. Swr. ❑ g1 j,,/ I/O/6!A ei,,c e.„-,/ DEC 9 1963 4 0
Sprinkling S stem
Construction Pole II
Underground 0 Power 0 -a9 1l"
Rough Wiring LQp V\ ` k�%tZ ' kr%11 5c- .9--(41a 4nL -
Trenches 0 Forms,0 Steel Reinf. 0 c G�-1 4G ��.
Floor System ,OX •
Bond Beam 0 Steel Reinforce 0
Sheathing k ita Ce-
Frame and Flashin_- on • _
Paster, — In %co Out: , .t /-
0),14/ -57
Plaster, brown coat Lo -
Refrig. 0 Air Con. ,tC Final
Plumb _ Ali"q PlaSpec.
Rea.ning Dec!Heating,
Fixtures, Final a, . s� Spee. pea. Dec!.te
Final Gas Test r �44 iv/ -,
Electric Fixtures, Final e Z. Iwools Dere
Building, Final - // / Y/ I
OCCUPANCY `7 _ I ,
Form BU4--SM-3-63—S-B p ' • I • 1 -I • • 'i'yr k..
•
. 2219 FEE RECELVED
•
COSTA MESA BUILDING-SAFETY DEPARTMENT wRy 1 g 9W
P.O.BOX 317 COSTA MESA.CALIFORNIA
FINANCE DEPT.
For Applicant to Fill In Completely APPI61II®1 CABTREM I A
TYPE OR PRINT BUILDING
For Office Use Only
BUILDING//Q
ADDRESS ! ! RECEIPT NO. PERMIT NO.
COSTA
J MESA, CALIFORNIA�1 , (/v� q�� 29
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OWNER��/ZM /V' 4CXlY� L-Pi LAS J BUIL RECSING EY /eR fl/ Ea�1U BY
ADDRESS / / 6 a �i I`�SGfi'I ADDRESS
FIRE
I/,( �Y //
/j TEL. / ZONE TYPE
��,-(y/- GROUP.._ TT
CITY ((/7 . /7 NQ�O3��� '
APPROVED DATE
ARCHITECT Q..� TE
OR ENGIN EE f l NO. ZONING �'; /Q,rr�
ADDRESS..?1,32.- N Z Of 2)I NO.OF•'� USE OP NE �1
� �/I I /I PLANBr_7/ EUILDINgIF 5 •
CONTRACTOR id
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ADDRESS // (J �� . u-/ DESCRIPTION
' �J /40 Ill 3 ON_
CITY (/•r�// A.P.NO. ' am' r� ��
STATE �Cn/7 P'7 NO A�J/I/6'/ 30NOT TO SIDE A REAR)- E: NO EAVE a—
SHALL BE LESS THAN
LIC.No. /rl <7/ C� J / a
EAVES
VIE-0T
IZLE OT p(2�//O ^ (1xl7d NO.OF CLOGS. ii
NOW ON LOT [/ ALLOWED (U.B.C.REQUIREMENT)
OF
D
USE OF `�/ __ J YARDSINBUILDING YARDSRY BUILDING
EXISTING BLDG. 2•CrYIlI�_ MAIN BUILDING ACCESSORY BUILDING
(FROMC REST)
SETBACK LINE PROM
FRONT FT. FT.
CENTER OF STREET /1/49 REAR YARD 7*
/'
SIDE YARD LEFT t ) I RIGHT Q R.SIDE( Ce5 FT. FT.
DESCRIPTION OF WORKL.SIDs re_0 i Fr. FT. �J
Li
NEW ALTERATION _ ADDITION — REAR FT. FT. (_,7JI
DISTANCE BET. BET.MAIN B e"'YL U
REPAIR MOVING DEMOLISH/ MAIN BLOCS. ACCESS.BLDGS. CC //11 f_
BUILDING NO OR r
natty VAR.* DATE / , /� IL
SIZE r0 I[ ROOMS 7 STORIESa C.U.P.# ' (AY APPROVED G �j�' G 3
EXTERIOR•74,4 �, COVERING�.�/i AP yyr 5.-
// iC Limey/ Q
USE ERIN D_ I _ _ BY ' '. DATE,\
USE OF BUILDING AND WORK TO BE PERFORMED • '
/� / C.
�, 1Y • ,I CE
4
�f \ice t d[e..� n �` l3 6� f<71-e7 m a
SQ.FT.
I HEREBY ACKN DOE THAT 1 NAVE READ THIS APPLICATION THE AMOUNT 8HO N UNDER VALUATION IS FOR THE F' ID
D.I
ANO STATE THAT TH ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. O 4
PLY WITH ALL CITY DINANCES AND STATE LAWS REGULATING VALUATIONy/ CA
BUILDING CONSTRUCT N. PERMIT FEE $ it ti O
SIGNATURE OF ��, ///,��I G
PERMITTEE f.u.e�A-i- _ \ s/ _ .lR.
\ $ /4/1.9_5—, LA C K 01. O¢ Q
AUTHORIZED GF T / $ `� 1 I` O
` TOTAL FEE / (/ T