Loading...
HomeMy WebLinkAbout2525 LITTLETON PL - Building Permits 44a.S 61M69 CITY OF COSTA MESA BUILDING DIVISION :• ,,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER �r:.�ia PERMIT t. �"`� P07-00046 ittitsoRmso 43' (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.TEUMBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2525 LITTLETON PL Status: ISSUED Suite No Applied: 01/22/2007 Issued: 01/22/2007 Vicinity: Parcel Nunmber: 41913409 Applicant SZABO, KEVIN ISSUED BY: �a,iCli Address: 17390 MT CLIFFWOOD Phone: 714-474-7128 FOUNTAIN VALLEY Zip: 92708 Owner: WOOD, RICHARD J Address 2525 LITTLETON PL Phone: COSTA MESA,CA Zip: 92626 Contractor: COAST ROOTER PLUMBING HTG AND AC Address: 17390 MT CLIFFWOOD Phone: 714-241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 SCOPE OF PERMIT CHANGE OUT WATER HEATER FEE SUMMARY • AMT OTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 . _ P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 'Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank , $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower ' $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain , $0 00- 0I Sink,bar ` $0.00 • 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00. 0 -. • , Sink,commercial $0.00 0 - Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink, kitchen - $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 - . Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe , $0.00 0 - • Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.000 . Spa(public) - $0.00 . 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 -- 0 - REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS I SPECIAL CONDITIONS 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: ❑ 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 work for which this permit is issued. , L tthave 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 worI�ers'compensation Insurance carrier and policy number are: Carder• nDailr'/#COr1P4--r Po(icyNamb-,-0/3— Toy �a ? Q "flhii.Section need not be completed it the permit is valued at one hundred dollars($100)or less.) `� -- "'' - ❑ 1 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 Ca'omia, ee that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these,pro i - r>L rr Aoo■■plicerif8igneture:^--'/"' w ;Date: //y4 WARNING LURE TO SECU •COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECnON 37060E THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby-affirm.hat.am:licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full �t_O.ro�e and effect:12.4-''' ].2:viz- i class ftt,:C-3,6 f EContractoc Signatureti}_ ;o.--- -.../,-2 3 -0 7 CONSTRUCTION LENDING AGENCY: ❑ 1 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers 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: ❑ 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,talsework,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). ❑ 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 0 No (Section 25506 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 applicantt or or present or t or future building occupant need to file a registration form for acutely hazardous materials? ❑Ves 0 No (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 hazardous materials equal to or greater then 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 and 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. .......If an. M Pi presently required, has. c..... _..._ 4 If an RMPP is presently requiretl,has Section 25534 of the Califomia Health and Safety Code been fully complied with? CI Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aEEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes L.1 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? ❑Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or 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? ❑Yes ❑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 and 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. S.nature Of Legal Owner(s) Date 23 —a /,.nNorAuthomed Applicant,:t-<...-,.,.-,_ r.s ie-�?*7- =_4 . v CODE 1 INSPECRON TYPE PATE INnnAT, CODEI INSPECTION TYPE PATE (PNTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical �L-1 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final BIocldRetaining 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 _ J.!, PRO!CTADDRESS: 2525 LITTLETON PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067671 OWNER'S NAME: WOOD, RICHARD J ADDRESS: WOOD, FLORENCE L PERMIT NO: B 067671 PLAN CHECK NO: N GOVT: N SUPP : N 2525 LITTLETON PL COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT 714 ) 545-8184 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF ROCK ROOF & REROOF W/COMP. SQ FT: 4, 700 ADDRESS: UNIT: CLAIM VALUE: 4 , 700 . 00 CALC—VALUE: 4, 700 . 00 GROUP OCC: R-3 / PERMITTEE: LEE ROOFING ( 714 ) 642-7223 ADDRESS: 1653 SUPERIOR COMMENTS : SMOKE DETECTOR REQUIRED PRIOR TO A FINAL COSTA MESA CA 92627 ########################******###################*********##*#***#***#*#******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N I N G R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code, and my license is in full force and effect. S E T B A C K S CITYLIC.: 028751 STATE LIC.: 34968r. • •s - A FRP ; 03/95 /a+- Signature:_ _ _f —� MAIN BUILDING ACCESSORY BUILDING J — i FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'CO PENS ION DECLARATION: I hereby affirm that lee a certificate• consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN JU Compensation nsu a e o a certified copy thereof(Section •,,Lab.c). PoLICY NO.: 10� 38 48-94 E.'.DATE: 06/30/95 COMPANY: STATE FUND PARKING REQ: PROV; PARCEL: 4/913409 ZNE: REF NO: ❑ Certified copy is hereby furnished. ES Certified copy is filed with the i :uileinq Division. PLANNING NOTES> . p /y > EXEMPT N FR WORKERS'COMPENSATION DECLARATION: (This 5' run need not be completed if the permit is for one hundred($100)or less). D EVELOP MEN T S ER VICES REQUIREMENT S I certify that in the performance of the work for which this permit :issued,I shall not employ any person in any manner so as to become sable to the rkers'Compensation Laws of California. ZONING APPROVED BY DATE: Dale` Signature: NOTI If 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 be deemed revoked. . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: � DATE: , 6 _// • which this permit is issued(Section 3097, Civ.C). *#*#********** #******##*************ve *** ******########*######**4 i *# LENDER: ***********************#**************#*****************#*******##***#* :#**i..*** 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 72 . 00 • 5 0 repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN SMIP/NON—RES 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 or a permit subjects the applicant to a civil penalty 01 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—DI V—> 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——--> 72 . 50 0 . 00 0 . 00 72 . 50 72 . 50 . 00 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 employees, provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED • 72 . 50 OVER/SHORT improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve irov mpurpose of dale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,es owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 720 0 5 0 ❑ and Professions Code: The Contractors'Slate 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 theContractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.&P.C. for his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFR 4700 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 • 4 , 700 . 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 Duality Management District.Residential construction applications are exempt trots 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 here, authorize re nese es of tots city to enter upon the above-mentioned property for inspection p rposes. _ 01 00162574-00162575 TOT 72.50 Si9namre: GATE: 06520/44 TIME: 08:56 /De.4A/ Driver's tcense Social Security a: - 1641,46 White—Building:Green—Code Enforcement:Ca..y—Applicant;Pink—Revenue;Goldenrod—Assessor Pi CONSTRUCTION AND PLANNING POOL A 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 COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Writer Pipe-Undrgrnd. • 60. Backwash Lines, P•Trap, 0 Undrgrnd. • 10. Structural Floor System 1 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 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. Ducts, in Structure 70. Underground Hydra 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 OL)-1-4:1(/ 74. Overhead Hydro G `fit - 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 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 Preventer1 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 6,23-qq 6w4 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date -4-> COSTA MESA BUILDING—SAFETY DEPARTMENT I P. O. BOX 1200 15114 Costa Mesa, California 4154 B/"c8/'_1 6.00 TL PLUMBING PERMIT APPLICATION TRACT NO. PERMIT NO. RECD. BY — � )O- 75 CONTRACTOR General Installation Cc , LOT NO. DATE ISSUED BUILDING USE �� / Address 6558 West Blvd. a a", L. A Zip Code90043 Building Address 2525 Littleton State License No. 151839 Class. C36 Owner Wood O City License No. 006453 Tel.No. 523-0310 Mail 2525 Littleton �A I— Address < NUMBER TYPE OF FIXTURE OR ITEM FEE -�(((�� �' 545-8184 Bathtub City Costa Mesa s!(`t\lY Tel.No. r y- Laundry Tub or Tray I hereby acknowledge, that f have read this application and Automatic Washing Machine state that the above is Eoirect and agree to comply with all City Ordinances arfd`State Laws regulating plumbing. Shower I certify that'Iipossess the above valid State of California classi- J Sink,Bar ftcatiopforjl, am the legal owner of the residential property de- CC Sink, Kitchen scribediabove. Ui Wash Basin(Lavatory) �(� I tify that I have obtained a permit from the State Division of a Industrial Safety for excavations,other than swimming pools,five Water Closet(Toilet) (,\ C7 feet deep or deeper and intq.�yhick a person is required to descend. CC Drinking Fountains , \ti a�.u' g /iJ�� a.. Si nature o //iC Floor Drains --{{''I I Permittee / r Z Interceptors 1) ,/d- m Receptors INSPECTION RECORD 2 77// {q y' , Sinks,Com merciaLorilnddstral F Sinks, Floor An L t-� IP'Sinks,Seryide \Iy➢- 4 A..e1._, 2 Swimmingvi,'dbl" w' t 0lku7Tv�/ ./0 w _ Urinals) CAN7Gr�-1. :]3. 17 C- 1V Disliwasher ly\ O CC JL Garage Disposal Dp_- D Water Softener O 1 Water Heater and Vent 3.00 Gas System ...Outlets... APPROVALS Roof Drains Water Piping Alteration H INSPECTOR DATE I Backflow Preventer U/G Soil I— Lawn Sprinklers(Res or Non-Res) • U/G Water Property Sewer... Feet Services—Water 0 Gas 0 Solar Piping Rough Plumbing Cesspool,Septic Tank Sprinkler System Sewer Cap Gas Miscellaneous Property Sewer Pool Receptor Filter System Sub-Total .3 .U0 Pool Heater C Reinspection Fee Miscellaneous Q Processing Fee 3.00 t Final Gas j I Plumbing Final TOTAL FEE I 6.00 Utility Co. Notified 1 e/ CMF 0450-46 BLDG. PERMIT NO f"�C--7 • 85ti1I'-� c COSTA MESA BUILDING DEPARTMENT l'I11n1„ICt ) y EPI. P.O.BOX 317 COSTA MESA. CALIFORNIA - CTC,. FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING 2525 Littleton ace BUILDING ADDRESS P COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PER OWNER Mesa Highlands. Inc. v I MAIL 1555 Placentia RE EIVED BY DATE RECEIVEDG ATE{��JS 1509 ADDRESS nTEL �/� L .V �� DI `� ���" CITY Newport Beach, Cal. NO. VI 6-3227 ADDRESS ARC 'CT same LIC. OR VEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESSjBReZONE SONE I NOnS TYPE GR Cj.RALtjell Const. Co. city LNID. 1217 TEL. APPRO ,E .. ADDRESS Same NO. Same EY � J r I,'.+ EI A DA:1'Et E� LEGAL �E'T L. N 1 il A DESCRIPTION NOT 2l BLOCK TRACT 2029 V � �CORRECt•TiONS Ili N 12 fiat A.P. NO. .... f li 1I I li :IA. 11.1 i SIZE NO.OF SLOGS. ,'V J OF LOT 70 x 90 NOW ON LOT G USE OF EXISTING BLDG. ETBACN LINE FROM 50 '1AR No. sS F 1-PROVED ./=-Z9_35-7 CENTER OF STREET 50 REAR YARD 15 I. -! SIDE YARD RIGHT 10 LEFT 10 ��II DESCRIPTION OF WORK�I [HTS / g❑/+yp //T NE g ALTERATION p ADDITION j 6PP R V I +.D REPAIR MOVING IyV DEMOLISH CITY OI- CO;TA. ML:SA BUILDING NO.OF 61 i-%„. I I..�+u 1�.,� . SIZE 11 – 420 ROOMS 6 STORIES 1 SUBJtCT TO EBLuG. OLVT. REG. EXTERIOR WALL ROOF COVERING stucco COVERING hot–mop USE OF NEW L I f3Y-01 'X ��p�/},'t'E�I BUILDING Residence PT att. garage. PLAN T-CH.0.277 Plan 1–G The Amount shown under valuation is for the I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND purpose of establishing a permit tee only. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES A STATE LAWS REGULATING BUILDING NSTRUC• TION. SIGNATURE OF ge / / VALUATION PERMIT FEE S 35.00 PERMITTEE s 15,967.00 PLAN CHECK s 17.50 AUTHORIZE A ENT TOTAL FEE s 52.50 ,Air