HomeMy WebLinkAbout138 LEXINGTON LN - Building Permits •
ADDRESS a BUILDING: 138 LEXINGTON LN WE: CITY OF COSTA MESA - BUILDING PERMIT
OMENS NAME IF KNOWN: HAZLETT, JEAN LA VONNE DPPM Ki(1. P 072200
ADDRESS 138 LEXINGTON LN
COSTA MESA,CA 92626 PERMIT NO; B 072305 PLAN CHECK NO: N GOVT : N SUPP : N
APPL.MALINGADORESS: CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE; 0TH
ARCHITECT OR ENGINEER: MN0' JOB DESCRIPTION T/OFF SHEATH E REROOF W/COMP SHINGLES SQFT: 2 , 924
CM
AROR ENDS ADDRESS: WE:
CLAIM VALUE: 2 , 924 . 00 CALC-VALUE : 2, 924 .00 GROUP OCC : R-3 /
CONTRACTOR'SMAME: STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORS SWUNG P 0 BOX 4309 COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS DOWNEY CA u4M0.: 402536 ********+E+cr***u+c,c**********..>F***.* .*********+F+ARc.c****** .****.,F*.*.*.*. **********a:*+c*a
90241 BMT: ZONING R EQUIR EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Slim under penalty of perjury that I are licensed wider provisions of Chaper 9 SETBACK S
.(commencing with Section 7000)of Division 3 or the Business end Professions end my license is in lull force en effect.
DCITYate .NO.: 05°377 UC.CLASS: C 39 UC.NO.: 025--6 EX . 10 95n MAIN BUILDING ACCESSORY BUILDING
Date: /2/9 Contractor: At FRNT; FT IN REAR; FT IN FRNT ; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER ECLARATION:I hereby alum under penalty of perjury that I arra exempt from the Conlnee
Law for the
'Slowing reason(Section 7031.5 Business end Professions Coda:Any W or county which requires a permit to eppmrorosaaaroromtrtrtrtrtrtruuuuuudddddd Wier.improve.
demolish.srepel.any smxture,odor M 9s issuance.also requires the applicant is such Penne to fib a Wined statement that he Or she PARKING REQ; PROV: PARCEL ; 41916368 ZNE: REF NO:
a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7003)of Division 3 of the PLANNING NOTES> -
Business and Professions Code)or that he or she is exempt therefrom and the basis la the alleged exemption.My violation of Section >
7031.5 by any applicant loapermtL
subjects the appliantoadvdne
petdda
yremore than few hundred dollars(5500p. *************************************************************************s*****
❑ I.as owner of the property or my employees wih wages as thei sole compensation.wit do the work.and the structure I not intended
or offered for sale(Section Toa,Business and Professions Code:The Contractors Ucensa taw does res appy to an ownerd property DEVELOPMENT SERVICES REQUIREMENTS
who bolds or improves thereon.els who does such work himself or herself or through his a her own employees,provided that such
•
improvements me net mended a Stared for sale.I.however.the Gulling or improvement isac sold within s yeti completion.the • /
ownerbuilder will d
l have the nden proving he or she did nor build or improve forthe purposed pose sale). ZONING APPROVED BY DATE:
❑ I,as owner of the property,an exdjW sly contraaig with licensed contractors to construct the project(Seeun 7044,Business and DATE;
PMesina ocode:The Comd
raon Lipnot nte law does nop*to en owner d properly*ha who buior khr krpand who thereon awho BUILDING APPROVED BY
contract,for such projects with a cwarado(e)licensed pursuant to the Contractors license Law).
J
rGjmerwdSe o : B.SP.c.. Nlsnenao : APPLICATION ISSUED BY: DATE: � ' /Je: Owner.herebyo candy that I am aware d end understand the requirements d Californiah oria Health end Safely Code Sections 25505.25533.end LEGALIZATION:N FEE SUMMARY M M A R Y STRUCTURAL SEGMENT: Y
25534,and that t or any future buiding occupant will/wil not(circle one)need to comply with said sale codes and the requirements for
e peons for construction o modificatiphan theAk3u yylMaspement Disdd.Residential construction applicakmsareexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 54 . 00 , 50
Date: Applicant:
PLAN SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby df under penalty of perjury one d the IODowin;dederalone: ISSUE FEE
❑ I have and wit maintain a certificate of consent to selfinsure for workers'compensation,es provided for by Secton 3700 d the Labs
Code.for theperformance
oftheworkfopermit BUILDINGDIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE
µ
and d wilt maintain workers'compensaton insurance,ahrequired by Section 3700dme Labor Code., performance the perfoanceol the TOTALS----> 54 50 0 , 00 0 , 00 54 . 5050
54 00
)4ork for whiff this permit is issued.My workers'compensation insurance unix all policy number are:
Carrier nrr_ EXPIRES REVENUE DIVISION TOTALS > COLLECTED ; 54 , 50 OVER/SHORT: 00
Policy Number: cO7"coo 05/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed Arte pend le for one hundred dollen(51001 or less.) 54 , 00
50
❑ I econ1 sir ine the performancee*other d the work for which this permit a ieeu shell not am any person in�1 manner so .to
become subject to he Labs
Cofcompensation of ion 3700 a Labor Code, shall I sung�fply hose
Date:�� / /.// CI Applicant: //{/J IND IV IDUAL F E E BR E AK D OWN
Warning:Failure lo secureouf Merlcompenaadon coverage la wM.and shall subject an employer tocdM'IpenaMes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($104000),In addition to the coal of compensstfor4 damage. s Provided for In
Section 3705 of the Labor Cods,Interval,and attorney's Isla
SFR 2924 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2 , 924 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penaty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this perms is issued(Section 3097.Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have reed is application and state that the above information is correct.I agree to comply with all thy end county ordinances
end stale laws relating I building constuctin and hereby authorize representatives of this city to nter upon the above-mentoned property
for inspection prpwa� ,/J ��p A ,/
/Za/AP:)1& �/',/ C./ -723 D1 E: 05/12/95181833 15:39 54.50
DATE: D;'12/?5 TInE: 15:39Dda:Owner/AgenVAppgunVCOmreaa
(5151-45 WP) White-Building&Safely:Green-Flo:Canary-Appfcant: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. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE I
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. Structural Floor System 61. APPROVAL TO DECK' _
11. Property Sewer Line & Hoose 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 t
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 Conditionifig FIRE DEPT. REQUIREMENT
20, Rough Factory Fireplace APPROVALS Permit#
21, Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof SheathingS 2c{-g6 6W!F 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL tNSPECTION
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
48. FINAL PLANNING ( !r
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER sAisi VTSTA ,ilding Co, DATE OCT 3 0 1963
JOB ADDRESS 1 _LeYiyn¢ton ane BUILDING PERMIT NO. 206/11
GENERAL CONTRACTOR BariV1ata_Bnil_ ad—tng_CO, VALUE $ 14,_$35-,-00
AP No. LOT 2 TRACT 5 &0 FIRE ZONE DESCRIPTION OF WORK ReB.N/Rtt.gar,
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-
Soil '' moi/ /...1-244 PERMITS ISSUED
Gas _ SUBCONTRACTOR DATE NUMBER
Water air -S
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating - .2-17-4•Y
'-/P - 4. -,--,..!? i- O-45�_ {�/ —_
Rough Plumbing 2/y-4#' F1AaZ\ \'WW>�\� ll-Y to7. Ib -
Miscellaneous \
Prop. Swr. Line 0 House Con. El St. Swr. ❑ Q{ 3•/J_/,y CV,._4 duti f NOV 1 3 1962 :.y:.. tyr
Sprinkling System
Construction Pole J'
Underground 0 Power 0 V`1-11‘y
Rough Wiring ;4C4‘ • 7» - 7 .. i -ie - 6. J 0-7/ 7.?7
Trenches 0 Forms❑ Steel Reinf. 0 Tone.. c// -j g
Floor System
Bond Beam q Steel Reinforce 0 �
Sheathing /" /" c / �9 _ t/ ,n
Frame and FI shi t! /. c_ �,f,�
Lathing — In Out . / c- �� , P
Plaster, brown coat a u 0— 3/ G s •
Refrig. ❑ Air Con. 0 Final jJ
Heating, Final 6 e/ 4 LI
Plumbing Fixtures, Final 4-4/7/,
l' // 4
Final Gas Test /�
Electric Fixtures, Final cl./'CSL ni _
Building, Final --f'*e",mC .�'O G7.77 Sri
OCCUPANCY ,
Form BU4-5M--3-63-5-13 P HOLD FOR SPECIAL REQUIREMENTS
•
20631 FEE RECEIVED
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
SEP 2 61863.
P.O.BOX 517 COSTA MESA,CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT Lot 53 BUILDING
For Office Use Only
BUILDING
ADDRESS 138 Texi nEr.on Lane RECEIPT NO. a�y�''����++++yy
COSTA MESA, CALIFORNIA LIJUJ I
RECEIV�p BY DATE RECEIVED DATE ISSUED
OWNER San Vista Building Co. /'r/ ? 4Y 63 OCT 3 0 1963
BUILDING /13,4e2 ®T__)X/ -__ /
MAIL ADDRESS LB'✓T(� 'C�/
ADDRESS 1166 E. 58th Street
FIRE '/
CITY Los Angeles 11 no'AD 37187 ZONE TYPE {/ GROUP NS/'
APARCHITECT Raymond Levans TEL OR 37010 BY DATE DATE
OR ENGINEER �D NO.
ZONING
ADDRESS 3432 Via Oporto, Newport Beach �'� I' .
ZONE/_ NO.OF C> USE OF N . I /
(MEL/ PLANS BUILDIM'_1 ' Y •.
CONTRACTOR San Vista Building Co. - �vf / '
LEGAL Tract 5160 - Lot 53 �'= �/
ADDRESS 1166 E. 58th Street DESCRIPTION //
CITY Los Angeles 11, A..P.NO. / E .---3\D r
STATE 192782 TEL. AD 37187 90T TO SIDE a REARRP.LNG SHALL BE LESS THAN
LIC.NO. NO.
EAVES
SIZE OT 20 x 70 I No.Of BLOT TS. O
Now ON LOALLOWED (U.B.C.REQUIREMENT)
O
YARDS APPROVED YARDS APPROVED
USE OF
EXISTING BLDG. None MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET
SETBACK LINE FROM 13 1 6 11011 FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT 0 I RIGHT 0 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SID FT.
NEW X ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
SIZEBUIL
DING 20 x 32 NO.OF ROOMS 5 Plan
ST RIES 2 CVAR.
U.P.# APPROVED
EXTERIOR COVERING -6 StUCCL'1 ROCOVVERING • Shingle APBYPRDATE Q - / QU-U —c,_
USE OF BUILDING AND WORK TO BE PERFORMED
RGS'den Ca AM `(arltnrt ft ,
44-- 2t/ Gly .i ✓ilik,
/3Gfs0.FT Uy
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS FOR THE >
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O APICES AND STATE LAWS REGULATING VALUATION -�/ '
BUILDING CONSTRUCT Ili- N
VISTA BUILDING CO. PERMIT FEE
SIGNATURE OF S
PERMITTEE .� yq
61. 6 $ /ge L3S -LAL 0.EC 0
h AUTHORIZED AG i 0244--
James N. Starb ) 4
TOTAL FEE $ 702-