HomeMy WebLinkAbout2513 LITTLETON PL - Building Permits 111.
✓ CITY OF COSTA MESA
ABUILDING DIVISION
I jilt)' " 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
t. FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B09-00195
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 41913407 DATE ISSUED: 09/11/2009
ISSUED BY: RMD
JOB ADDRESS: 2513 LITTLETON PL CM Suite/Unit:
Vicinity: HOUSE AND GARAGE ROOF
Squares: 2800 Valuation: $6,100.00
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL 1 LAYER 30#FELT ON A 4:12 PITCHED ROOF AND REROOF WITH
30 YEAR ASPHALT SHINGLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 28 SQUARES. REPAIR AND
REPLACE SHEATHING AS NEEDED.
OWNER: TAYLOR MICHAEL D • Address: 2513 LITTLETON PL Unit:
PHONE: 949-274-5474 City/State/Zip: COSTA MESA, CA
APPLICANT: LIVINGSTONE,TERRY Address: 177 RIVERSIDE AV Unit: :
PHONE: 949-645-0104 City/State/Zip: NEWPORT BEACH,CA
CONTRACTOR: NEWPORT ROOFING INC License No. 524454
Address: 177 RIVERSIDE AVUnit: PHONE: 949-645-0104
City/State/Zip: NEWPORT BEACH,CA 92663 CELL: ,
ARCHITECT: License No. PHONE:
ENGINEER: - License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $139.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $140.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE O. INSPECTION TYPE OAS INT11IALS CODED INSPECTION TYPE DATE IN1TIIAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical _
1266 Pool Spa Final208 Final Plumbing
200 Final Re-Roof 9-1�01 67 a / 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention _
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy _
1 •
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
E l I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O I have and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding,falsework,or demolition
cCamer .. '� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be�competed•thepemN s valued at one hundred dollars(5100)or less) 2,Arta Sec.341,Title 8,California Administrative Code).
Policy Nupe
3 / —o0c9 2l 1
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the worke�+0'P'pensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code, I shall fo •rcOmphy with these provisio
g dr • 7/D /. Division of Industrial Safety Permit Number:
y
nature HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILUR TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and e(fecL /��� a registration form for acutely hazardous materials? ❑Yes 0 No
Licr'—� 5-2(Mc ass#CII (Section 25533 of the California Health and Safety Code, with some
• exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
car s tgge —Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which t0i5 permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Ouality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the California Government Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished onn applications la ran-residential building permits).
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees. provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property. am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
CII
exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of L ) /y /�,d,te
Signature Date / 'I
3057.46(3/07)
• Or. ed'App. t ' =Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.--r ' p
`CITY of COSTA MESA CONSTRUCTION PERMIT PER T NO. TRACT NO. I LOT NO. UNIT NO. [ 1 ;Q� I L
',Elect Address I 2513 1-11--rte oni PL--t-C, DI Co'00\' �7g 7 �/1 R _ - 3957 12/12/84 _ - .00 G4
TYPE OF CONSTRUCTION NEW D LL[JJ� ALTERATION LJ REPAIR F.
Applicant's Mailing Address
• ❑-CONVERSION '❑ DEMOLISH ❑ OTHER1e j.
Owner's Name SW-t Phone A'P'#4�q-- �'2 — - 'I Zone
DESCRIPTION OF WORK/USE OF BLDG. •
Address S Main Building: AccessorylBuilding:
Arch/Eng. License No. TYPE OF PERMIT • Li GRADING 13 FOUNDATION f. •UCTURAL E Front ys� t/_ . ZO
Address ��iiIl'�,�, ID TENANT El ELECTRICAL I3 PLUMBING III MECHANICAL MECHANICAL B Rear 0"
-
a-n1LI N
Contractor's Name S EC-SIC-tie/4=40S PhonA l `6°1 ❑ OTHER A I
�j l�,,1�,�,, �� PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right • r si Jo - N
Address(mailing) 182-7.0 W' tic- to- orr ,/-� K tO� G
1:',• 2Q 0 S CONSTRUCTION TYPE • VALUATION$ 1 1 ec.� S Left O - • R
City-License N0_ L� l ZONE GRADING CU.YDS'. ACRES - - E l
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided'
I hereby affirm that I am-licensed under provisions of Charter 9 (commencing Remarks: .c Planning Notes: (4.4 /p� AA y M
Ith with section 7000) of Division 3 of the Business and Professions Code, and ft C`Clr u� 1_ • �� '^� / � J """' T
my license is in full folio, and effect. / .
Li.cen • Clay / /l/ lias .+.; _'�. �' 37�/- SG S. ,finita. If /P,14/190Aq/e.k..e. 9 ,{n S
(1-s I I " ~OW.itired. .. PLUMBING FEES Ui cO / ", 7T"""
DO Date Signature
WORKERS'COMPENSATION DECLARATION Bar Sink Showers •
I I hereby.affirm that I have a certificate of consent o self-Insure or a certificate . ELECTRICAL , FEES
•
f Workers' Compensation Insurance, or a certified copy thereof (Section •
Backflow Preventer - Service Sink - - - - -' -
,800, Lab. C.) p-,sd • Automatic Washer' Transformer ❑ 15:50 KW
Policy No. �J2 1 t,D 4'� Canoe'. S't) \ 1-C/1"}� Backflow Irrigation Sewer Ca ❑ 50+KW P 9 P Construction Pole Sub. ,
Fedified copy is hereby furnish tl. .
yate fled cop •sated with the city a lyr- - Bathtubs •• Sewer Connection Cooking Unit Meter Dap to 100 amps
Date pL.�o ! Applicant •� p • .
EXEMPTION FROM WORKERS'COM' NSATION DE rLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the.permit is for .ne hundred ($100)or . Dishwasher •
less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%%'a
Workers' Compensation Laws of California. '
. Date Signature - Floor Drains, Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NOTICE: If,after making this declaration,you should become subject to the ' - ,
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal - Fixtures •• •-
comply with such provisions •or this permit shall be deemed revoked. - " Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets - Water Closet Device Boxes Pole,Light
I hereby affirm that there is a constructiomlending agency for the performance - - g
of the work for which this permit is issued (Section 3097 Civ. C.)
'
Interceptors Water Heater Outlets Range Name
Lender's Address Kitchen Sink - Water Service .
OWNER BUILDER DECLARATION _ Switches Sign
I hereby affirm-that'I am exempt from the Contractor's License Law for the Lavatories . Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • - Generator ❑0.5 KW❑5-15 KW Trash Compactor '
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 •
Roof Drains -
the Contractor's License Law(Chapter 9(commencing with Section 7000)of
Division' 3 of the Business and Professions Code) or that he/she!is'exempt -
herefrom and the basis for the alleged exemption. Any violation of Section - _ r
031.5 by any'applicant for a- permit'subjects the. applicant,to a civil -
analty of not more than five hundred dollars($500).
Li I, as owner of the, property,or my employees with wages as their sole Reinspection Fee V $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee' d 1 $ 3
for sale' (Section 7044, Business and Professional Code: The Contractor's . . - l MECHANICAL • - FEES
License Law 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 - - DEVELOPMENT SERVICES✓ REQUIREMENTS:! s r••� •Q�
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I D - ZoningApproved ByDX(--,e-AC- //s—/G o
sale. If, however, the building or improvement is sold within one year of com- Canopy : Type 11 D pp ��)�/� Dat¢
pletion, the owner,will have the burden of proving he/she did not build or im- Duct-Under Ground L
prove for the purpose of sale). - - Building Approved By 'rT"� ✓.d Date I C---(
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System , Application Issued By 1,0 DatZ -�Z
tractors to Construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who ' . Duct-Ventilating • 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves,thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that , Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT I SMTP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK - PERM! I
D i am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING ISS C $r
lit
Date Owner• Heating Syste�BLDucting Registers PLAN CHECK btbh ',,� - P.C.Y $'
I hereby certify •-t have read this application and state that the above 00-100,000 BTU Dioo,000 BTL - ELECTRICAL n �1'' ADING
information'is c. : t. I agr-e t. comply with all city and county ordinances b I ,I .� r r A ,f1/ $
and state laws -I ing toil il- g construction,and hereby authorize repre- 11,1/ r��, ICROF I LM $ '
sentatives of i!'- ty "the abve-mentioned property for • - PLAN CHECK 5 $ (' ��
inspection po 4. 't�j�� � � /q�b��J I MECHANICAL $ ,
Signature Date // TOTAL FEE •$ •
Drivers' License or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
-
•CMF 0865-46,rev.10/84 White - Building;'Canary -Applicant; Pink-Accounting; Goldenrod - Assessor -
1
CAONSTRUCTION AND PLANNING POG _SPA
PROVALS . Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location .
2. -Soil Pipe-Undrgrnd. ', 53. Steel Reinforcement . _t
•3. Electrical Conduit Utility-Undrgrnd. 54. Forms - r
"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 14a81Rf ,. 58. Electrical Conduit-Undrgrnd. '
. 8: Foundation - 59. Gas Pipe, O 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 I 63. Heater & Vent-Final
.
13. Roof Drains i . • 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. Ducts,in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
z 23. Gas Pipe-Rough & Test . ; .72. Underground Flush
24. Roof Framing 73.-Undergrnd.Storage Tank 0 Gas 0 Oil
25.'Roof Sheathing - 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 PREV. FINAL .
30.. Drywall Nailing • - - HEALTH DEPT-. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION F
I
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
1
1 37. Final Factory Fireplace ' '
38. Final,Plumbing
I 39. Water,Service-Final ,
40. Gas Service-Final - • "i _
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation . - "
44. Landscape Irrigation System • "
45. Sound Attenuation •
46. Handicap Rlegulations ,
47. FINAL STRUCTURE & BUILDING ti'91c ,
'48. Special Requirements Completed, -,
, 49. Electric Release to Edison- . . - - . -- - •
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY - - -•
No. - - Date .
MAIN OFFICE BRANCH OFFICES
1695 WEST GAYLORD ST..-P.O. BOX 9065 937 SANTIAGO ST.,SANTA ANA
KIMBERLY 7-6646
LONG BEACH 10,CALIFORNIA
HEMLOCK 5.7493
37015 N. 6TH ST. EAST-P.O. BOX 970
SPRUCE 5.2081pp PAALMDALE-WINDSOR
//7��5911
Twinin Laboratories off u(outfi 2Y2 CaCC f otnia, J12C.
Inspection and.Testing 'Engineers Soil Foundation Analysis • Chemical Analysis
May 13, 1960
"GUNITE"
REPORT OF X®RXRXLKSIDW TEST CYLINDER
Examination No. C60-1 239
Project For - Tahitian Pools - 1622 W. 17th St,
Santa Ana, Calif.
Sample from SWIM POOL - Cl inton Gately Residence
2513 Littleton P1 . , Costa Mesa
Architect
Contractor Aik 9 t0
Mix ev Rtcwifl j,
}Vater, gal./sk. cement n� MAY 18 1350 N,
City of Costa Mesa
Siumpc SIZE 6 3/8" x II 5/8" �\ Building Dot,
Date cast Li-15-60 �•
Date tested It-26-60 • 5-13-60
Cylinder No. 1 2 3 "Hold"
COMPRESSION TEST Fl days 28 days
Total load to destruction, lbs. 73,000 88,500
Pounds per square inch 2,288 3, 130
Cylinder made by lit
b'
Cylinder delivered by Bogart t Yh/ �1
Cylinder received by /4-19-60 !'', �
cc: Tahitian Pools TWINING LABORATORIES OF SOUTHERN CALIFORNIA, INC.
ClintonaGately ten, 4
Costa Mesa Bldg. Dept.
igaiilsd
SA Lab
ALL REPORTS ANE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORI.ATION FOR PUBLICATION OF OUR REPORTS. CONCLUSIONS. OR EX-
TRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL A. A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES.
OWNER GATELY, CLINTON E. DATE 4-1-60
JOB ADDRESS 2513 Littleton Pl. BUILDING PERMIT NO. 11691
GENERAL CONTRACTOR Tahitian Pools VALUE $ 3,000.00
AP.No.113-524-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Swim Pool
Ir •ECTIONS f„,_,_ �u ,..4._ , D•TE GROUP TYPE ZONE R-1
L ,Cground Soil U. :ter PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating . i
Rough Plumbing frig-yEr_,j' �,��;.ea„_.J `f-�a-.•-c-�/ 4--i- ‘e _?3.r.3 '�
Miscellaneous emet ke."1./', 4.[v 44/9-co
e-
Swr. Line House Con. St. Swr. - cy/ja:e-r&V .9-3/- Go 9i.2X G
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole /
Underground c/ ' LPower !!! AA �/- f- ..,c .,
Rough Wiring / ,,..-/ C Zy,.--r rte/ -/-/2.-i-/-/2.- 4 . i,Z iz1 . 4/Trenches Forms Steel 4 � to C4,...,C4,..., Ce&'Rr,'i'/eeas
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
F e and Flashing
L..._.,ng, In Out
Plaster, brown coat
Plumbing Fixtures, Final Z.714 St Ai/--sy
Electric Fixtures, Final ��M. -4-121-4D
Building, Final
`, n l i/l,/ 61
OCCUPANCY
Form 210-5M-11-59 S-B P 31691
Y,E,
0 r- Nv'II,-I a
11691 CJ �L�
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.` N-/ av
P. O. BOX 917 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING BUILDING
ADDRESS .i-/3
COSTA MESA. CALIFORNIA p.// For Office Use Only [nom •
OWNER a ---.LJ - h 47- .! I RECEIPT NO. I g V P /
MAIL - I a RECEIYED•BY DATEI$EC(=IVED�I . CSUV
ADDRESS 'nf�/ • P(`�P� !�!(J( (I// /Y/(''
TEL. L ; 5-73
3 ••% --.--e
��
CITY NO. ADBUIDRESDINGS C� G�(<-
-_
ARCHITECT TEL COSTA MESA. CALIFORNIA
OR 1INEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
CONTRACTOR APPROVEDYP (/�A DATE "//���1
ADDRESS ONING LA./`I
717 - / NO.OF 1,....,_ BEE OP NCW n�yV \\
CITY f/(, // /, [[[PL///ANe I BUILDING J./'/�/ 1 (J
LIC.NO.ATE �j0 /O l) S• NO. /l. / -1— $/G7 LEGAL / / �/`-(�LI .JZ/')' /
DESCRIPTIO // •I 1 // n n
OF LOT SIZE I Now ONNo. OF LOTA.P.NO. [ [ J ..c 7t — L• 1
USE OF YARDS EVES
EXISTING BLDG APPROVED ALLOWED
BBTBACK LIMB FROM // p ..,j �/ ICENTER LINE ST.)
CENTER OP STREET /3 '/ IMI �X REAR YARD Ire# FRONT / / FT. t c.f c IN.
SIDE YARD ILEFT /.. / I RIGHT / 3 tC •r R.SIDE /3 FT. 1(171 .6.
DESCRIPTION OF WORK L.SIDE / .SrFT. I IN:
NEV CLTERATION 1 e II ADDITION I REAR /FT. {-• IN.
REPAIR I D MOVING I II DEMOLISH I APBYPROVED ( /1 j) DATE i.-1.e7-C6°
BUILDING I / ✓ g NO. OF
ROOMS STORIES 1 L�// I .
SIZE i !O i‘/
) 3 l/ 6
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
/lam ,A�t....Y.,--' hAK--Q—../
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION is FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUY WITH ALL CITY ORDINANCES AND STAT' GULATING
BUILDING CONBTRION.
• VALUATION
SIGNATURE OF `fir PERMIT FEE $ /4' N
PERMITTEF ccc-TTTT--_���---sss���L-L- w
///��� $ PLAN CHECK S a - 4
AUTHORIZED AGENT` ,L...-L, a�'�L,N�YIQ-�. �C•OO e— E
J -_ TOTAL FEE $ /S 4
8019
-01-161 Vic—) y
COSTA MESA BUILDING DEPARTMENT FINFINCE bEPT.
P.0. BOX 317
COSTA MESA, CALIFORNIA CIIV 07 lfQTA eirsy
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDI
DDRESS 2513 Littleton Place • BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMITN O.
OWNER Mesa Highlands, Inc € 519
MAIL 1555 Placentia RC IVED BY DATE RECEIVED DATE ISSUED
ADDRESS
L 1 D ,�-s �� FEB 619513
CITY Newport Beach, Cal. 1-1 :5: 6
NO.MI –3227 AO EISS
ARCHITECT'NN
EER NO.
98m8
OR F NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS� try) same /� /� ZONE
CONTffACTV. Koll Const. CO. NO. 1217 ZONE NO.OF TYPE�/ G OUP
.CITY LIC. �/ PLLNB / ���
TEL. APPROVED •
ADDRESS same NO. Same BY DATE
LEGAL LOT CORRECTION
DESCRIPTION NO. 19 BLOCK TRACT 2029 '/ 7.1 j .. t. A\ !r�
P t I. jj i 44 +pp+�� (((''' y
A.P.NO. .( L:\:. :1 1 5 1 N. 5.4
SIZE I NO.OF SLOGS. j ^ T4. I.' II •Il t:"t '''F1
OF LOT irreg. 100 x 75 NOW ON LOT 0 t (: !1 y j I I / .c 1. S
USE OF
L./ \I."? :..1 II r v ::.d J..
EXISTING BLDG.
SETBACK LINE FROM [/.. I I ,
CENTER OF STREET 66 REAR YARD 12
r ' �E I n
SIDE YARD RIGHT 10 LEFT 10 I �:T I'I AEPROVED Le-n-67
DESCRIPTION OF WORK
NEW % ALTERATION II ADDITION
REPAIR MOVING DEMOLISH
BUISIZE LDING 1612 - 437 ROOMS 6 STORIES 1
EXTERIOR WALL ROOF
COVERING stucco COVERING wood shingle
USE OF NEW
BUILDING Residence & att. garage
Plan 5-BR
The Amount shown under valuation is for the
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND purpose of establishing a permit lee only.
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AN• STATE LAWS -EGULATING BUILDING CONSTRUC.
TION. VALUATION
SIGNATURE OF 1 dia d - PERMIT FEE 5 36.00
PERMITTEE
16,019 18.00
PLAN CHECK $
r $
TOTAL FEE $ dub
AUTHORIZED A 'NT 54.00