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Home My WebLink About2524 LITTLETON PL - Building Permits CITY OF COSTA MESA - - • 4as BUILDING DIVISION F ',I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT 403-00473 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2524 LITTLETON PL Status: ISSUED Suite: Applied: 03/24/2003 Vicinity: ROOF Issued: 03/24/2003 Parcel Number: 41913405 Zoning: Applicant: PELLICIO, JEFFREY ISSUED BY: Address: 1653 SUPERIOR AVE Phone: (949)642-7222 COSTA MESA,CA Zip: 92627 Owner: HAUSE, JOSEPH E Address 2524 LITTLETON PL Phone: COSTA MESA,CA • Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE Phone: (949)642-7222 COSTA MESA,CA Zip: 92627 License: 349686 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30 YEAR,COMPOSITION SHINGLES,AND 30#FELT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,900.00 Permit: $83.25 Claim Valuation: $2,900.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 • Total: $83.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS, • WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the for which tis permit is issued. 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 permit is issued. My workers'co Imp;natio Insurarce carrier and policy number are: /�.�� Carrier: r�-r��-"1"� �h,('/L Policy Number: rQY?8- a03 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) 0 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 o Californi an agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p /issiioons '1 Applicant Signature: 'r Date: d" y///7 WARNING:FAILURE TO URE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS( ,OW),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licer1 ndehpJovisione of Chapter 9(commencing with Section 7000)of Division 3 of the Busin=ss an.Prof .i.ns Code,and my license is in full force and effect.Lic.# 3 1 I tD(\tQ Class# Contractor's Signature: Date: - • CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its 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 License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health end 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 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 temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management end Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aRPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 end 42303 of the California Health and Safety Code). ..........Air Quality u . . 7 If a permit from the South Coast s prescri ed Management District or Sr airpollution control district agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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. Sig al re rat at tar(s) 3/02y to go.•r Authorize Applicant 'bate CODE I INSPECTION TYPE DATE MURALS ODE* INSPECTION TYPE • PATE JNTRUL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 7 208 Final Plumbing 200 Final Re-Roof 74/19 210 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. a - PER TRACT NO. LOT•NO. UNIT NO. 6360 14/06/6D 5o1]0 TL CITY Or- COSTA ESA CONST• CTVA (TLON PER IT Project Address -- sc. * a / V A��/1 t - a vv T • Applicant's Mailing Atldrss _ AP//.//J ! — '-= TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LJ.ALTERATION lb,WEPAIR r c • ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -WS • q A.P.# I Zone Owner's Name t . Phone a O DESCRIPTION OF WORK/USE OF BLDG. 1 Address ./n_ in • S Main Building: Accessory Building: , Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑y6UNDATION E 0 �/ El Front Address . ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear . N Li OTHER g Contractor's Nam a/A L one. C Right G �1 i `' PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) `� O lir A ` K 71" CONSTRUCTION TYPE VALUATION $ S Left • City License No. V ZONE GRADING CU.YDS. ACRES_ ' R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I herebyaffirm that I am licensed underprovisions of Charter 9 (commencing Q Remarks: • Planning Notes: RECEIVED APR - 1988 M with section 7000) of Division 3 of the Business and Professions Code,and T my license is in f for a and effect. - License I s License No / V S Date Signature - - — PLUMBING FEES i _ ` �� /Pr -__. _. __ WORK S' C MP I have / V S DateFEESI oo consent to se loopy a or a certificate I_J "It+ Workers' compensation Insurance, or a certifietl copy thereof (Section Backflow Preventer Service Sink 00, Lab. // ('�i Backflow • Automatic Washer Transformer D 15-50 KW _ Policy No� f��'7 Zit Company at"( Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW C ertified copy is hereby furnished. , Cer d cp,o filed with the city B ng D'vision. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date ��))4 JIa- Applicant • ..„,- ///y/ EXEM�P ION,F ROM WORKERS'COMP DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or ) less). / Dishwasher Solar Piping . O� � 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❑0-1 HP ❑1%-8 Workers' Compensation Laws of California. _ Date Signature Floor Drains ' Swimming Pool w/SpaF.A.U. Inc.Solar ❑9-15 HP ❑16-15+ 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 ' comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097•'Civ. C.) Interceptors Water Heater Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches / OWNER BUILDER DECLARATION 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 P 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 ' `erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars ($500). 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ' compensation, will do the work, and the structure is not intended or offered - Reinspection Fee . 'I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's 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: employees, provided that such improvements arc not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground - Building Approved By Date prove for the purpose of sale). , ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 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 00-100,000 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 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ #1.-„5. jA� C ERMIT ❑ i am exempt under Section B. & P. C.for this reason Firepl/Fact.BR. ICBG# Fire Dampers V J, $dT ISSUANCE $ • — PLUMBING $ Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above CI 0-100,000 BTU 0100,000 BTU GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for y�s-s�y1s • inspection pur•• e p MECHANICAL $ TOTAL FEE $ Signature / - Date ��0/�� Reinspection Fee . $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or SSyr � CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink - Accounting; 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd,; 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Tesi-i 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0:tjndrgrnd. 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 t.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 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 , 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 37. Final Factory Fireplace 38. Final Plumbing 413/88 LCD • 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 & BUI LDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - Date -__ - 8517 :"L P. L.vV....u V a,7- COSTA MESA BUILDING DEPARTMENT FINPJ' CE' DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CM. IC "nn? ASEC, FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS25242524 Littleton Place BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PER IT NO. OWNER Mesa Highlands, Inc. ,)'4 MAIL 1555 Placentia. RE ED BY DATE RECEIVED DATE ISSUED ADDRESS 4_3--_4-2-FEB 61959 CITY Newport Beach-, Cal. TN O.MI 6-3227 ADDRESS NE N ER NO. ARCHITECT gasameO. OR COSTA MESA. CALIFORNIA ENnE E - FIRE ADDE._.5 same ZONE CONTRAMoRK011 Const. CO. NO 1217 ZorvE ///]]] No.of TYPE 'OUP CITY LIC. ,0� PLANS Ai (/lG`/ ADDRESS same No: Elaine ABY PPROVED DATE LEGAL LOT CORRECTIONS DESCRIPTION NO. 17 BLOCK TRACT A.P.NO. OSIZELOT 87 x 75 NO.OF BLOCS. O F NOW ON LOT USE OF EXISTING BLDG. SETBACKLINE FROM CENTEROF STREET J CO REAR YARD 20-6" I SIDE YARD RIGHT 81-6" LEFT 8r-6" DESCRIPTION OF WORK NEW %'.ALTERATION I ADDITION II REPA,.. ' MOVING DEMOLISH SIZELDING 16l1 — 420 20 ROOMS 6 STORIES 1 EXTERIOR WALL ROOF Ly COVERING Stucco COVERING hot-mop USE OF NEW BUILDING Residence & att. garage. Plan 1-DR • The Amount shown under valualioi is far the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL purpose of establishing a permit fee only. CITY ORDINANCES O STATE LAWS REGULATING BUILDING ONSTRUC. TION. VALUATION SIGNATURE OF / .0 4, i PERMIT FEE 5 ,5.00 PERMITTEE �l / s 15,967.00 PLAN CHECK S 17.50 AUTHORIZED ENT TOTAL FEE $ 52.50 I '.rF