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Home My WebLink About141 LEXINGTON LN - Building Permits PROJECT ADDRESS: 141 LEXINGTON LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069640 GOVT; N SUPP: N OWNER'S NAME: BLOOMBERG MARTHA I ADDRESS: 141 LEXINGTON LN PERMIT NO: B 069640 PLAN CHECK NO: N COSTA MESA, CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : T/O RESTH & REROOF W/COPM & 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 COMMENTS; REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED ie DOWNEY CA 90241 ****************** P ******************************************** ************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chaplet 9(commencing with Section ZONING R EQU I R EMENTS 7000)of Division 3 al the Business and Professions Code.and my license is in full force and effect. SETBACKS c1TYuc.: 059377 sTATEuc.: 402536 cuss: C 39 EXP; 10/95 Date:_I� �6 Signature:— _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENS TION 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 lrpauynce2orr a ``9 certified copy thereof(Section 3800,Lab.C65/19/95 LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: 77 tltl GG EXP. DATE: COMPANY: AIG PARKING REQ: PROV; PARCEL : 41916375 ZNE; REF NO: O Certified copy is h reby furnished. I Certified copy is filed with the city Building Division. PLANNING NOTES> Date; to( A APDlicant ... *°-.17//.1-....- - ******************************************************************************* EXEMPTION FROM WOR ERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5119)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the peilormance of the work for which this permit is issued,I shall not employ arty person in any manner so as to become • • subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall he deemed revoked. ^��7 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: e p`••7'/ 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 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 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 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, 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 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. II,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 SMI P/TOT GRADING PLAN—CHECK for me purpose of sale). 54 . 00 . 50 I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ 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. A P.C. for Ibis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: OwnerSFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 002, 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 an 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 purposes Date: 1°/c31 Signature, iitY /�/1/1/- /l� 01 00170G7s-00170679 TY7 Driver's License or Social Security 4: HATE: 10/?$/94 TInE: 13:27 54.50 1641,46 While—Building;Green—Code Enforcement Canary—Applicant;Pink—Revenue;Goldenrod—Assessor iller 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 . .1 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings58. Electrical Conduit•Undrgrnd. if. Founthition • . 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 {jt 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. •Duc s, in Structure . - 70. Underground;Hydro 22. Ducts, Ventilatin 9 _ X71. ProducCPiping r7 Q,s O-Oil 23.Gas Pipe:Rough&'Test : : ' 72, Underground Fltrsh 24. .Roof Framing. 73."Undergrnd.Storage-Tank 0 Gas 0 Oil 25. Roof Sheathing - tel-15- Qw� : • 74.-Overhead Hydro • 26. T-Bar Ceiling (Structural) &,Mopocoat • , 75.-Dry Chemical - 27. Frame and Flashing, !' 76i Dry Standpipe - r 28. Lathing & Siding .. 77,: FIXED SYSTEM!FINAL 29. Insutatidn ,' " � , 78. FIRE PREY. FINAL i 30. Drywall Nailing - A, . - HEALTH DEPT;REQUIREMENT .31. Plaster Brown Coat I.i i„ 79. FINAL INSPECTION ., 32. Electrical-Poser Meier-Final . 80. .FOOD CEis r RTIFICATE ISSUED 33. Final Electric. - Notes: :34. Final Heating & Air Conditioning I. • - 35. -Finai•Gas'Pipe-Test - - ' .36. Hood or Canopy , , ` • 1 . • • ,. ! • 37. Final Factory Fireplace , r 'I I i, ' • t; 38. Final Plumbing •. •. I i I -� 1 39. Water Service-Final ' ' 90. Gas Service-Fihal . $ - . 1, Solar domestic-Final I. . 4 42. Backflow Preventer, �. . , 43. Backflow Irrigation - , - - 44. Landscape Irrigation System - L ' . - - .45. Sound Attenuation - -• - - 46. Handicap Regulations _ • 47. FINAL STRUCTURE& BUILDING -9 Fs- 4' p-_ v I - 48. FINAL PLANNING - - . 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co I 51. CERTIFICATE OF OCCUPANCY . No. Date j . OWNER BLOOMBERG, S. N. DATE 9/5/72 JOB ADDRESS 141 Lexington Lane BUILDING PERMIT NO. 35358 4GENERAL CONTRACTOR Owner DESCRIPTION of WORK Wall Relocation F AP No. _ LOT 60 TRACT 3160 FIRE ZONE VALUE S 100.00 • INSPECTIONS 1 Signature Date GROUP I TYPE V ZONE Rl SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF, ❑ FLOOR SYSTEM BONO BEAM R STEEL REINFORCE n SHEATHING ; FRAME AND FLASHING^ LATHING - IN L, OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST fl ELECTRIC, FINAL 4/PM / • 35358 PAID COSTA MESA BUILDING-SAFETY DEPARTMENT SEP —5-7?CNSi3OO 132* *****5.01 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI D : D•TE RECEIVED D• E ISSUED 1 BUILDING r .--5_ 5-'J O ADDRESS ., .. .ss , #a -a an a I / �" PE RMI77+�,,�� OWNER ' 1 • A.P. NO. .� n MAIL , BUILDING ,r Z ADDRESS �4-4-44 _e ADDRESS/�/ //� vv W W /'�� TEL. *------- I- ' TRACT 2/ D L0/0 BLOCK I-U CITY \y//J � NO. Z frb Z< CONSTRUCTION ' Y� r' NEW AD TER REPAIR MOVING DFMOI LSH LENDER ..p 0 m I _I D BRANCH '-- Jas OWNER - 77. / . ix m-I ADDRESS VALUE r ro ARCHITECT _-----.-- TEL. USE4 $ /D` ~ J< OR ENGINEER NO. U N Q FIRE '�// ,,..,. WCC ADDRESS ZONE GROUPaAPPROVJO CONTRACTOR �}// R BVJ,,/'YPE DATE r(�/ co Z Y ` Ale j-4t Ai S J 2 ADDRESS W W TEL. ZONE NO.OF USE OF N W7 0= CITY NO. J(1 raj- BUILDING Z_H WU STATE CITY YARDS APPROVED YARDS PROVED ca O LIC. NO. LIC.NO. MAIN BUILDING ACCESS RY BUILDING SIZE 9....‘ Iy' p� INO.OF BLDGS. (FROM C/L STREET) OF LOT 0 /I / r// I NOW ON LOT / FRONT FT. FT. USE OF // CC EXISTING BLDG. R.SIDE FT. / FT. • I- SIZE OF NO.OF Z NEW BLDG. ‘------- ROOMS STORIES L,SIDE FT. . FT. Cal EXTERIOR WALL ROOF A COVERING I COVERING REAR FT. FT. J USE OF BUILDING AN WORK T BE PER ORMED DISTANCE BET. i BET.MAIN 8/ ,,r1 Ti �..-s MAIN BLDGS. ACCESS.BLDGS. QVAR.# DATE O free LA-- ELa c ii -r1 C.V.P.# APPROVED I- APPROVED z 11Y _DAEIi VI hereby acknowledge that I have read this application and state /that the above information is correct and agree [o comply withall laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of CO the State of California. - co m Z I hereby certify that I am properly licensed as a contractor under SQ. FT. 0 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ee co am exempt from the provisions of the State of California Business VALUATION i� and Professions Code,Division 3,Chapter 9. ` as PERMIT FEE $ t N leaSignature of • 0 rep,L� .gym Permittee I/it�A ___ mil $ // /� PLAN CHECK $ E V `o Authorized Agent u. / TOTAL FEE $ 3 27783 NOV 13-67A1000 527* ****90.00 LRSA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 02020 _ For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS j LfnrtTiff RECEIPT NO. 2 l i . COSTA MESA, CA IFORNIA /� RED[IF�ED WF /O% [%6?. [1 5Y 6'1 OWNER San Vi. sta_ Bldg Co_ BUILDING BUILDING MAIL. 2249 Wanderer Drive ADDRESS ADDRESS FIRE /V �/ CITY San Pedro NO833-332( zone TYPR / GROUP !/LL APPROVED ARCHITECT RENGi ENGINEER Clif Olsten no 923-122: BY. DATE ADDRESS 90251 E. Florence, Downey ZONING SON NO.OF :mow NEW PLANS I SYILDING — CONTRACTOR Same �1 -]I� ��1�, f "'UUU J ,� LEGAL /V"L•6%.� l '`t-4- Se 6,j �" ADDRESS Same - DESCRIPTION CTTV Sallie A.P.NO. i l7- f— 7O/-- , NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SIC. ENjED S0•TO SIDE S REARp.L OOIF EAVES LOT 10 ,,// q'O NO.^OP-BLOOO.— ALLOWED NOW ON WT (U.B.C.REQUIREMENT) l., L USE OP YARDS APPROVED YARDS APPROVED EXI6TIN LDO MAIN BUILDING ACCESSORY BUILDING QOM C/L STREET) BETBA NE FROM FRONT LI FT. PT. CENTER OT �� SIDS YA_RO LEFT —mewR.BIDE 0 FT, PT. q DESCRIPTION OF WORK L.SIDS 6 FT. FT. 0 w NEW ALTERATION l ADDITION REAR RT. FT. W IIr —�' DISTANCE BET. BET.MAIN B REPAIR I MOVING DEMOLISH MAIN BLDGH. ACCESS.BLOOD. CC BUILDING �/ NO.OF VAR.# DATE j�_/ SIZE 2t�X 7.7 ROOMS 4 STORIES 2... C.LI.P.# / � Y APPROVED /V o Lu --- waxy"? ROOF Pot /� MFROVEp1 a COVERING (. 1C,O.J COVERING PERM DY �M�IR?�"� • ' I DATE �0— .� �' ,•] USE OF BUILD) AND WORK TO BE PER MED` c��/ _� 0. < /� 4/L V� a GO ( 3 Ito I HEREBY ACKNOWLEDGE THAT.I HAVE READ TNI•APPLICATION THE AMOUNT • WN UNDER VALUATION IS FOR THE .C1 II AND STATE THAT - ABOVE.IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. A PLY WITH ALL -.TY 0 •INANCES AND STATE LAW REGULATING BUILDING CON• -UCTIO . VALUATION { 7 ,-) SIGNATURE E OF A /J PERMIT FEE $ E S/ //y PLAN CHECK $ 349 w AUTHORIZED A•yr • �Tn 4 �..�.aS TOTAL PEE $ /[/