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HomeMy WebLinkAbout139 LEXINGTON LN - Building Permits0,,ROJECT ADDRESS: 139 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069639 OWNER'S NAME: ORF, JOHN MICHAEL ADDRESS: 139 LEXINGTON PERMIT NO; B 069639 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 6 REROOF W/COPM 6 HOT MOP SQ FT; 2, 508 ADDRESS: UNIT: CLAIM VALUE: 2, 508 . 00 CALL—VALUE; 2, 508 , 00 GROUP OCC; R-1 / PERMITTEE: STOUT ROOFING INC ( 310 ) 923-6775 ADDRESS: P 0 BOX 4309 *O********.R*EROO****O*E***DE****O**P.*********DE*BU****O*E*DE******QU*RED********* DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: I hereby affirm that(am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQU IR EMENTS 7000)of Division 3 of tee Business and Professions Code.and my license is in full force and effect- SETBACKS CITYLIC`.: 059371I epsTATELIC.: 40253 - cuss: C 39 EXP : 10/95 Date:_ op— ( k—I/ Signature' / • MAIN BUILDING ACCESSORY BUILDING WORKERS'lop MPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure ora certificate of Workers' FRNT; FT I N REAR; FT I N FRNT: FT I N REAR: FT I N Compensation) rypoge2oa,.p¢tiifiedcopythereof(Section3800.Lab.Cl.5 /19/95 LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: tl L b 7 tl EXP.DATE: V COMPANY: AIG PARKING REQ; PROV: PARCEL ; 41916374 ZNE; REF NO: ❑ Certified copy is hereby furnished. C%� Certified copy is filed with the city Building Division. PLANNING NOTES> Date: 1 L l t OI (� �f/y `+ Applicant: *********it****it***************tetra*************************at**at******et*Brit******* DEVELOPMENT SERVICES R E Q U I R E M E N- T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). `� 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 mere is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: f • K DATE:/07"9 which this permit is issued(Section 3097.Civ.C). ************************* * ************************************** * ** *** LENDER: ************************* ************************************************** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate 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 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 10 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 . 00 0 . 00 54 , 50 54 . 50 . 00 does not apply to en 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 fortheepurpose of sold le)hin 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 540 0 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 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 BREAKDOWN ❑ I am exempt under Section: B.8 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 1 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 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 herby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. 01 00170680-00170681 TOT 54.50 Date: 1,©/ 14 Signature DATE: 10/23/94 TIME: 13:28 Driver's License or Social Security a: 1641-46 White—Building;Green—Code EnlorcemenC Canary—Applicant;Pink—Revenue;Goldenrod—Assessor 11111111111 , COI.STRUCTION 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, 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 Ceding 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 Hy1Clro • 22. Ducts, Ventilating ' - - -. _ s ';71. Product'Pining ,E%'Gas J'Oil 23,-Gas Pipe-Rough & Test , , x,72. Underground Flush 24.•Roof Framing r 73.1Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing ' 2-47;4- .4' .74: Overhead Hydro. '- 26..T-Bar 26.•T-Bar Ceiling (Structural) &•Monocoat •1 • 75: Dry Chemical 27. Frame and Flashing III Y - 76: Dry Stand`Dpe 28. Lathing & Siding: r •• • .. 77.. FIXED SYSTEM'FINAL' '• 29. Insulation • 78'.: FIRE PREY. FINAL 30. Drywall Nailing -- i - 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., r 37. :Final.Factory Fireplace 'I ' • , 38. Final Plumbing - 39. Water Service-Final - T 40. Gas Service-Final , , , 41. Solar Domestic-Final I: r _ 42. Backflow Preventer i. I. -, 43. Backflow Irrigation 44. Landscape Irrigation System• _ - 45. Sound Attenuation • - 46. Handicap Regulations • • - - 47. FINAL STRUCTURE& BUILDING .-7_7C1647G' 7 - - 48. FINAL PLANNING - . 49. Electric Release to Edison - ' _ 50. Gas Release to Southern California Gas Co - F: 51. CERTIFICATE OF OCCUPANCY . - -, • No. Date 27782NOV 13-67PCAcDASA00 526* ****76.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92026 For Applicant to FIJI In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING :g gat? y p n For Office Use Only ADDRISS I 3J 1 `� ��^G•I.0 n-4/a.L R[C[IPT NO. 2 1182 I COSTA MESA, CALIF NIA LL &. REC[I ,CC lY-. /-1j NSD i SDt owNBR (dC ( / � � �j (� rki emLai NG ADDRB //a i 4G/i�LIN`K-(-LU1 OL r CA ADDREKS FIRE CITY l cz.L, ()Liu& NO'i-I�•Tcj ZONE TYPE 7/ GROUP \"l. APPROVED ARCHITECT eD` inTR�� 4 BY' DATE OR ENGINEER LY- L{ NO./ "1 ADDRESS qf7 2.S/t c •�4i1as4t. ZONING vv-L ZONR'� �'J PLAOP 2_ Ua[OINEW �S%"lat icyci CONTRACTOR Int DESCRIPTIONESCL 1._ ..SG7 I,r -S 423 ADORES* 41C-E4 -L.C `,,TYj 1 ) CITY `I QtiA4 e/ A.P.NO. I T' ��(.�/ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL SO'TO SIDE&REAR P.L. LIC.NO. NO. BIZLE OT 7- G ZD g .-1 d I No,or MaNNIN LOWED NOW ON LOT f U.B.G.REQUIREMENT/ `� OF YARDS APPROVED YARDS APPROVED 4 USE OPS — Y AIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C//L�STREET) "� SETBACK LINE PROM FRONT FT. PT. I CENTER OF sTR[ET REAR YARD J EF SIDE MARDI LT RIGHT till,' l ) FT. PT. DESCRIPTION OF WORK I L.SIDE o FT. PT.R1I IQ NEW I Lt.-ALTERATION L ADDITION 1 MAIN NCE e BLOOD. BET.ACCMA�BLD09. z z REPAIR yp�I��/ MOVING II 3 DEMOLISH y /vAn.* DATE //., /,' ILI DU LDIN��F Y /d agars STORIE*t C.LI.p.# /T>6 APPROVED "' /" 6 3 5 EXTERIOR WALLS ROOF �/�/]p APPROVED ' 1 ,, COVERING C1�FL(.�C_�1 COVERINw�.-/w��y� _ PT 1AV� DATE (�'����7 01 USE OF BUILDIN AND WOR TO BE PERFORM IL a (. i A4JI](q Ai- nedh*kL.--,,, w U 11 (y� I 0 (� (�Uo ILI C. /1 e SQ.PT. ! / o In I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS POD THE AND STATE THAT TN A •VI,IO CORRECT AND AGREE TO CON. FORSOOK OF ESTABLISHING A PERMIT FEE ONLY. A PLY WITH ALL CITY •RDI El AND STATE LAWS REOULATINO BUILDING CONBTRU ON. VALUATION G U. SIGNATURE OF PERMIT FEE 5 S/ PI SIGNATURE P {wlN. i. r .7.- s & 0/y PLAN CHZCK S 0 '5767 w AUTHORIZED AGE' A _ TOTAL PEE f 767-9