HomeMy WebLinkAbout2232 ANAHEIM AVE - Building Permits 4`Og(RMFsq 1, 2Y OF COSTA MES,_
o q' . a% CALIFORNIA 92626 P.O. BOX 1200
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�. Ira a FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY
Project Address '232 ANO he6.wwY/ Sr permit # 'elg 2_/2.,
Project Name Type r/P C?
owners Name C>//ET C A W PI 1 o A/
Owners Address 222A Al A II/ E/✓1 S J- City Use only
DemersTelephone5-.4 '7 /7.2b
•
I ( ks % CA wrAD A as Cwner, Contractor, Agent (strike out all
except one) do hereby attest that employment of any person, or persons, is not
anticipated at the time of seeking the above-referenced permit. In the event that
any person, or persons, are employed under the provisions of this permit, I shall
immediately cause a valid Certificate of workmen Compensation to be filed with the
Costa Mesa Building Division.
I agree to defend at my wan cost, and to indemnify and hold harmless, the City,
its officers, agents and/or employees, from and against, any and all liability,
damage, costs, losses, claims and expenses, howsoever caused, resulting directly
or indirectly frau, or connected with the improvement under this permit.
I further state that I have read and fully understand the implications and re-
sponsibilities of the above statements, and will comply with all provisions of the
Contractors State License Law found under the Business and Professions Code,
Division 3, Chapter 9, of the State of California.
67/E i CA Irv-RI 0A/
Print Name
y iii" /0 71- AO
Signature Date
CMF 0777-46
APPLICATION FOR A BUILDING PERMIT
/ U BUILDING PERMIT NO. Electrical j/,?0-' 2 co
Tract ori 7 Block Lot Permit No.7 E
Building Plumbing `` S.
_
Address -2-2-72• n WAN wM —57-- 5-06 3 a Permit No,'71'352, to
Cross Mechanical 6
Area Street /,(.S'O41 Permit No. 0.
m
Owner Cyt_( C /lA IA/ T//0 N Type of Project: lam❑ New LiA
Alter i& tldltion
AddressG< al Al SA A ii I EM _A 17 III Repair [Et-Convert ❑Demo ❑ Occupancy Pmt.
Citylre)°S
TA MESA- Zip 7/2ee7Phone.9& /> A.P. IS sp.Area
Architect/ `— Zone SPI.Pmt.No.
Designer License No.
'
Setbacks P/L Front C/L St. Street Width
Address �----
Yards Left ' Right Rear
City Zip ` Phone '---
Eave Prof. Left Right F.Y.
Engineer ----__ License No. _—
C Parking Spaces Required Provide Covered
y Address -
A _— Struct No.of No.of
CO City r----- Zip �— Phone Height Stories Family
Y
. LICENSED CONTRACTOR'S DECLARATION Park Fees ❑ Yes Fee
10 Required No C.T. Receipt
m I hereby affirm that I am licensed under provisions of Chapter 9
t (commencing with Section 7000 of Division 3 of the Business and zoning Approved By: Date
Professions Code,and my license is in full force and effect).
License Class License Number
5- Date Contractor Misc.
E Address `- Proposed Use
jr City and Zip • Phone '— of Structurev----
a CONSTRUCTION LENDING AGENCY
sd. I hereby affirm that there is a construction lending agency for the
Code
1 performance of the work for which this permit is issued (Sec. 3097, Clas Type Year
Civ.C.). Class Const, Year
y Lender's Name USE/OCCUPANCY SIZE SO.FT.
5 Lender's Address
'/ OWNER-BUILDER DECLARATION
r I hereby affirm I am exempt from the Contractor's License Law 1.
w for the following reason:
0'I, as owner of the property, or my employees with wages as their 2.
c sole compensation, will do the work, and the structure is not
.0 intended or offered for sale.
3.
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project.
m 0 I am exempt under Sec.=4 ,{ B&BC f sen 4•
y Detet—5-----e Owner /
'Ji GT
E WORKERS'COMPENSATION DECLARATION Total Valuation
3 I hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Required ❑ yes ❑ No
or a certificate of Workers' Compensation Insurance, or a certified
C copy thereof. Grading Pmt. Grading
14 Policy No Company Required ❑Yes ❑No Pmt.No.
.a 0 Certified copy is hereby furnished. Rough Grading
a ❑ Certified copy is filed with Orange County, EMA. N
Approved by: Date
Date Applicant 3
CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATION INSURANCE z
c
(This section need not be completed if permit Is for $100 or less). 3
I certify that in the performance of the work for which this permit is tS
issued, I shall not employ any person in any manner so as to become ,a
subject to the Workers'Compensation Laws of California. PERMIT FEES
Date Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $
Exemption, you should become subject to the Workers'Compensation
provisions of the Labor Code, you must forthwith comply with such Electrical $ Special $
provisions or this permit shall be deemed revoked. Invest.
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing $
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
THE ABOVE M NTION D PROPERTY FOR INSPECTION PUR- Pre-Grade
POSE$- ���� q_��� Inspection $
S^ignsLa/t'L e�/of Applicant or Agent /Date Rec. o. $ Permit $
L HET Rec.Na. Issue
CAS/T//me
Print Applicant's/Agent's Name t
Plan Issuance
All spaces within this box must be cams to process Check BY: our • ' Approved:
CMF 0335-46(BU-28) rev.6/80
APPLICATION FOR A BUILDING P` 'lIT
4,/ BUILDING PERMIT NO. Electrical m
Tract 30 7.,5 Block Lot Permit No. C
Building /,/t / Plumbing , a
Address `7a,�a 4170 G ry. � J r_o / 1 / L Permit No. sig
?� /, Cross ��///( {{I Q V Mechanical a
Area Street/ / /0l / A 0,1 / Permit No.
0.
Owner ` // y75/e y y2 4"e/en / ) /L17M on 'Type of Project: ❑ New ❑ Alter Atldition
Address , 3- 1i /_///,ol- `� `.,�/./, ❑ Repair ❑ Convert El Demo ❑ Occupancy Pmt.
City COSfit )91,7,6_, ZI'/,,,b,7Phone/ V :19IG A.P. Sup.Dist./
tv Insp.Area
Architect/
Designer Vpin PH - atticiteiie No. Zone SPI.Pmt.No.
Address Setbacks P/L Front C/L St. Street Width
Yards Left Right Rear
City ZIP Phone
Eave Prot. Left Hight•
F.V.
Engine/ nen >4/ dee License No.
Parking Spaces ' Required Provide Covered
ry0. Address
m City Zip Phone Struct No.of No.of
Height Stories Family
u LICENSED CONTRACTOR'S DECLARATION Park Fees d Yes Fee
m Required No C.T. Receipt
In I hereby affirm that I am licensed under provisions of Chapter 9
t (commencing with Section 7000 of Division 3 of the Business and Zoning Approved By: Date
.. Professions Code,and my license is in full force and effect).
• License Class License Number -
_? Date Contractor Misc.
E Address Proposed Use
of Structure
jy City and Zip Phone
N CONSTRUCTION LENDING AGENCY
LI' I hereby affirm that there is a construction lending agency for the
9- performance of the work for which this permit is issued (Sec. 3097, CType Code
Civ.C.). Class Conti. Year
ai Lender's Name USE/OCCUPANCY SIZE 5Q.FT.
E Lender's Address_
'J OWNER-BUILDER DECLARATION
✓ I here y affirm that I am exempt from the Contractor's License Law 1.
m for following reason:
I, as owner of the property, or my employees with wages as their 2.
• sole compensation, will do the work, and the structure is not
.0 intended or offered for sale.
!' 3.
❑ I, as owner of the property, am exclusively contracting with ,
licensed contractors to construct the project.
d 0 I am exempt under Sec. B&PC,f6r�this�as@
cD
_ // `c
a Datng_7 501wner .[i
E WORKERS'CO PENSATION DECLARATION Total Valuation
I hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Required ❑ Yes ❑ No
or a certificate of Workers' Compensation Insurance, or a certified
C copy thereof. Grading Pmt. Grading
tR Policy No Company Required ❑Yes ❑No Pmt.No.
.a 0 Certified copy is hereby furnished. Rough Grading
O ❑ Certified copy is filed with Orange County, EMA. Approved by: Date Co
Date Applicant 3
CERTIFICATE OF EXEMPTION
FROM WORKERS'COMPENSATION INSURANCE 2
(This section need not be completed if permit is for $100 or less). C
I certify that in the performance of the work for which this permit is V
issued, I shall not employ any person in any manner so as to become to
subject to the Workers'Compensation Laws of California. PERMIT FEES
Data Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $
Exemption, you should become subject to the Workers'Compensation
provisions of the Labor Code, Special
you must forthwith comply with such Electrical $ Invest. $
provisions or this permit shall be deemed revoked.
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing $
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS -
RELATING TO BUILDING CONSTRUCTION,AND HEREBY AUTH- Mechanical $
ORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON
THE ABOVE M/Ey/TION Dn PROPERTY FOR INSPECTION PUR- Pre-Grade
) ,./y„/y�`, ' ' 1 Inspection $
ignature of Applicantor/A`gLenttL/ DGate / O (/ ec.Pre-Grade $ Permit —$
Rec.No. Issue
Print Applicant's/Agent's Name
ce
All spaces within this box must be completed to process _ Plan _ /j I Issuao
Check BY: /W. ,'(, Approved:
CMF 0335-46(BU-28)rev.6/80
OWNER CAwrHON, CAESri R & HELEN DATE 9/5/80
JOB ADDRESS 2232 Anaheim Avenue BUILDING PERMIT NO. 50630
GENERAL CONTRACTOR Owner—builder DESCRIPTION of WORK Int. Alt.
A' . 115-541-04 LOT 4 TRACT 3075 FIRE ZONE VALUES 862.00
IN... dCTIONS Signature Dote TYPE V—N GROUP R_Z ZONE Rl
501E SUBCONTRACTOR PERMITS ISSLED
GAS
Dote Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER
ROUGH WIRING I Heating and Vent.
l�J
TRENCHES (j FORMS STEEL REINF. ❑ r y P 1 k D
FLOOR SYSTEM L QCttOR5
BOND BEAM n STEEL REINFORCE n incomplete"ns
SHEATHING p/� /R/an�
FRAME AND FLASHING jot.V6 --1
LATHING — IN n OUT n Date JAY
•p PLATER. BROWN COAT
to S 'URAL, FINAL Electric
5 HER'iND, VENT., REFRIG. AND A,C., FINAL
r-i PLUMBING, FINAL AND GAS TEST n
124 ELECTRIC, FINAL
BUILDING, FINAL
i .- rev*
COSTA MESA BUIL AG-SAFETY DEPARTMENT APPLIL !1 5'IRg .PERMIT,9.`50 TL'
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVE Y`/ PERMIT 1�T0 5 0 6 3 0
For Applicant// to Fill in Completely— Use Ink Only / /// ��/��r 1V T-
OWNER DING
g;23; � noAP/ ✓n // ,,e/ A.P.NO. //G- -�/•--0T-
BUILDIN �3. AA4414E/41 AVE
TE N N OR ADDRESS
TENANT 0Je,e7C _
UNIT OR
MAILING ADDRESS 3, h /f'� J'- -c_ SPACE NO.
T R.N7O.6— LOT / IBLK.
-}-
TEL _ n30
CITV�/).'S/ CL G�.7 lV NO.((�Y.�-/7o7G
CONSTRUCTION NEW ADD
1---
BRANCH
D D/ ALTER REPAIR( MOVING DEMOLISH
LENDER /!////71,01( - /3 LI ade/7. ✓ 1 ((II
BRANCH l l tiEnnI t- i7i/r•N Iwrt1°./
OW NE�j /f ADP
�G CA rt/ /'/
S
ARCHITADDREECT nn� , / TEL/ _ �j USE 1` M /I DY 1X 1't/e/(It,KeLiuE gip‘2
OR ENGINEER. ._t/II'e.(' �(l//t'/PIS No.[J7�) -//1ST �f"' kr)
R I
ADDRESS ZONE ITYPEY N GROUP 3
CONTRACTOR 791,0 1���' -,f�////OP r BYPROV ED IJ DATE 7-sr-go
ADDRESS (��' -
TEL.
CITY NO.
i-.
STATE CITY APPROVED SETBACKS , �`/r/7
LIC. NO. LIC.NO.
W SIZE NO.OF SLOGS (FROM /L REET) /J
P OF LOT NOW ON LOT FRONT FT. .a2� ,
a USE OF / JM/
4 EXISTING BLDG. R.sior L. _,� it/
so
f—.
Separate permits are required for L.SIDE �'y
In
PI � I V
G electric,plumbing and heating work: REAR • r I
FW^ USE OF BUILDING AND WORK TO BE PERFORMED PLANNI G ACTION
'C
A /' DATE
Q �lQ✓h //A//`7--, �o ^ �,1 APPROVED
e - LJ/old / / ' APPROVED /j/'�r/6g (7_45 r
).
ern // 1 yx if a �_Y !AT///�C K.O DATF
C4 WIu/
W
O I hereby acknowledge that I have read this application and state N
Esd that the above information Is correct and agree to comply with
'. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws ofv
the State of California. /
/ SQ. FT gl2` �- 7
I hereby certify that I am properly licensed as a contractor under 11
the State of California Business and Professions Code, Division 3, THE AMOUNT S WN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
em exempt from the provisions of the State of California Business VALUATION PERMIT FEE
and Professions Code,Division 3,Chapter 9. E ql• -
m
Signature of PLAN CHECK E i.
/� r /I 0
Permittee�l La'G�/i/r/ § gg�. ^- TAX E • ` u
Authorized Agent Date / cm - n ` TOTAL PAID $ q,s ) U
OWNER EASTMONT DEVELOPMENT CO. DATE 11-19-56
JOB ADDRESS 2232 Anaheim-Ave. BUILDING PERMIT NO. #3963
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 11,236.00
...-
L4140 14 BLOCK TRACT 3075 Single res. w/att. gar.
GROUP I & J TYPE V ZONE R)y FIRE DISTRICT 11004
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench _,{ - /1701.4.:6
Foundation Forms a�nd,tGrade tooGGa"r'7age
Rough Framing Ok A r.� /:r. ip/436
Plumbing, Rough to Blab 'sL;, „if ti. y , . � _ _ / _ i/ a y->/` y VS—Plumbing, Rough Complete J;%1 -a./-S2
r
Temporary Pole
Wiring, Rough JAN2_ 1957 VCR .-7, _ l l
- 'N 101957 3,9..1- o- ---' _
Heating, Rough `yr- ,l•-7/
Heating, Final ti'/, `• .94) ?„:.,16,,,Z-,-._ rte")aril tr.?- 3/.4-4 7a a --
e
Sewer,,tious .$ wer, t./1 R 9-/ �� ao ...9-6,0,--(1.--,_ /_ ,cc •7 6 Al 5'K.
Sr-"c Tank or Cessool f}
L ig, In Ill Out 171 ,—
Plastering r /,a
Plumbing,Final,Fixtures Comp ete .
Plumbing, Final Gas Test a SZ2_,2_,. _ ..,9, ,_,../ ,$— 3 ,.,
7-2
Wiring,Final A•• 4± $3F /1 „ a-- 3-4-7 ^, .�.._r✓
Occupancy ,, iPi
4%5-Si
FORM 210 3M 10.55 G •/
•4ta Mesa Building Department 1 APPLICATION FOR PERMIT
r _ P. 0. $o;; a B00¢ BVaLDING 1
COSTA MESA, FORNIA �_
a FOR OF111fCE USE ONLY
r • FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building
A3 9 G
Address 2232 Anaheim Avenue
Received by Date Recd. Date Issued
Costa Mesa, California
Nearest . 7•1-17,37-. /7— /7 J2 //-7f---C'
cross St. Wilson Street Building
Address
Owner Piedmont Development Co. Costa Mesa, California
Mail
Address 419 E. 17th St. Nearest
Tel. Cross St.
City Costa Mesa No.Li. B-11j Zone //c I No of I Type y Groot/
Architect or Lic. Plans
Engineer Carl non & MiddlebrOlpk Approved
by Date
Address Garden Grove CORRECTIONS
City Lic.
Contractor Dike and 1461 ColegroveNo. 5
Address )419 E. 17th St.
Legal I LotI
• Description No. )4 I Block I Tract 3075
(Attach Metes and Bounds)
I No.of Bldgs.
Size of Lot 61 S 98 I Now on Lot none o
Use of I No.of 1 I No.of ak F
Existing Bldg. none Families Rooms 2 GS
Setback Line from _ Rear Yard 251 2.
Center of Street 51 Side Yard 6 t D
DESCRIPTION OF WORK
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No.of Fa
Size 1297 eq ft Rooms 6fr Stories 1
Exterior Wall I Roof —
Covering stucco I Covering comp & roc APPROVALS
Use of New
Building Single family residence Foundation Location Inspector Date
Forms,Materials,
irQ. _ yeta, . Under-Pinning a
Plan 64os Frame: Fire Stops, N
Bracing,Bolts
Cil
I hereby acknowledge that I have read this Application o
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath.Ext.
Signature of
Permittee CrPlaster,Int.
Authorized Agt. CPlaster,Ext. - C
C
Valuation Permit Fee $ — Masonry Reinforced .Q
$ /f 83 ,G Plan Check $ //� —— Bond Beam 0
Total ' /
Fee $ rFINAL
/
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0
a.
Street
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PLOT PLAN
Show location and distances from
s property line and between buildings.
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OD 8/07/80 •I 151.51 TL
• COSTA MESA BUILa -SAFETY DEPARTMENT APPL[C ^ OR STRUCTURAL PERMIT
$ P.O.BOX 1200 CO .%MESA,CALIFORNIA 92626
7 RECEIVED B ` PERMIT jj
For Applicant to Fill in Completely —Use Ink Only .A ..... C�1 { 5 d 4/
For b i
BUILDING i A.P. NO. t —.S4 I.'-Or'
ADDRESS �a�� (i k,m 1
BUILOI NG
'/ •"'
TO NANTWNER OR 0 , n ADDRESS a�..n or lir'�t77 f/-Q_
Wte UNIT OR
MAI LINGl nn � SPACE NO.
ADDRESS D.-D.3(..). vu-I!!p/ nil GA—c..._.
T3O 7 3,....,
� LOT BLK.
TEL. / V
CITY Q � Sa____� NO�y-�l/g�{, NEW , ADD REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH l J,, /
OWNEI (�SJft ,//c-/ Pn ap 1lLA//
ADDRESS / / VALUE
ARCHITECT /1 . ��n, NOL piy... ei 4/ USE A��y. $ J____
OR ENGINEER n if
. FC
,{` V `, `n
ADDRESS ZONE • s' " TYP63/"'N GROUP A- J
/ y O �
APPROVED// (�s�
CONTRACTOR aln if If -at.I id(t BY (/ DATE U --So
ADDRESS i--3TEL. Cl--{v�
CITY NO.
I-I STATE CITY APPROVED SETBACKS
LIC. NO. LIC.NO.
512E NO.OF BLDGS. (FROM C L TREET)
0. OF LOT NOW ON LOT FRONT FT.
a USE OF �C
V) EXISTING BLDG. R SIDE !� FT
cn
I-1
Separate permits are required for L.SIDE FT.
G electric,plumbing and heating work. REAR I t FT.
1.1) USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
..1 I pn - 4rIc/ DDAzwE sS .44,-.)(�y.)
YI �j J
.'.1 _BBV ROVC -1-+)t
_DATE a 7/Mf)
W
0 I hereby acknowledge that I have read this application and state t.
(Y, that the above Information is correct and agree to comply with
0+ all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of IQ /
the State of California. 609--. SQ. FT. 2t r., .— _m:
I hereby certify that I am properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business
VALUATION PERMIT FEE $ I OO' �^ ,‘,1
and Professions Co a,Division 3,Ch ter 9.
_ m
PLAN CHECK E m
Signature )) 'Sz S�' �� o
Permittee p ././ice $ 2/ �J C-'�" TAX $ ' 5
2
Authorized Agent Date D - 7- V / TOTAL PAID 3 /s/ ,s / U