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Home My WebLink About2240 ANAHEIM AVE - Building Permits A, CITY OF COSTA MESA BUILDING DIVISION • 4 > :� '_ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER b. w t. t011.41k PERMIT J B02-01152 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2240 ANAHEIM AV Status: ISSUED Suite: Applied: 07/26/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 07/26/2002 Parcel Number: 42218102 Zoning: Applicant: GROSKRITZ, THOMAS ISSUED BY: ,-_ Address: 2240 ANAHEIM Phone: 949-722-3544 COSTA MESA,CA Zip: 92627 Owner: GROSKRITZ, THOMAS Address 2240 ANAHEIM Phone: EX�ENS�OL L\ COSTA MESA,CA Zip: 92627 XTENW � Contractor OWNER-BUILDER ALLOT LiD L Address: PER Phone: Zip: License: 0 EXPIRES I a3 Arch : Eng: Address: - Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF AN EXISTING SFD(ATTACHED GARAGE)WITH ASPHALT COMP SHINGLES.PREINSPECTION REQUIRED TO CHECK PITCH AND THE NUMBER OF LAYERS OF UNDERLAYMENT REQUIRED.ROOF IS APPROX 1000 SQ FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,200.00 • Permit: $44.85 Claim Valuation: $1,200.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $45.35 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: KUBOT_BJ 07/26/2002 OK TO ISSUE PERMIT PER BDM;APPIJPROP OWNER DID NOT HAVE DRIVERS LIC. 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) I DECLARATIONS • I z' 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. ❑ 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed If the permit is valued at one hundred dollars($1 00)or less.) O 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 of California,and 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 provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I 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 force and effect.Lic.# Class a 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). Lenders Name: Lenders 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 Profession 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 s civil penalty of not more than five hundred dollars($500).): 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.). O 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 - . / Business and Professions Code for this reason: Signature: /i:4_ Date: ) -- Owner Owner ID verffie•by drivers license. • 'es 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): I r 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,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 Cade). 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 0 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,ora 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 tile a registration form for acutely hazardous materials? 0 Yes ❑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 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 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. 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 akiermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes U 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 and 42303 of the California Health and Safety Code). 7 ff 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 inspe ion purposes.I agree not to occupy or allow occupancy of any building authorized byt is permit until final inspection. ZD Signatur Legal Owner(s) Date And/Or Authorized Applicant Date CODE# INSPECTIONTYPE DST€ INTRIALS CODES INSPECTIONTYPC pATF, INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 <I_ _Aar' nn-e7-6-• - 9+ 2--Z, 0 0 5 • f--(14042- �"` _ - ;, yetex_emxviA._ l �b2 _ D i 5 01 OYU-- q4q -1ZZ - 35cH j d4 /6/a , IN a are 0l�� reyeit. SW03 b �� Osi. vil $-Citt`, "I<A • . Property Profile Page 1 of 1 • Property Profile is 2003 DataQuick Information Systems This information is compiled from public documents and is not guaranteed. Primary Owner: GROSKRITZ,THOMAS Secondary Owner: Mail Address: 2240 ANAHEIM AVE COSTA MESA, CA 92627 Site Address: 2240 ANAHEIM AVE COSTA MESA, CA 92627 r1/41M Telephone Number: . APN: 422-181-02 u%. ReferenceAPN: Census Tract: 638.081 Housing Tract Number: 3075 Geo Level:0 Lot Number: 2 Page Grid Old: 27-C6 Page Grid New: 888-J2 Legal Description: N TR 3075 LOT 2 Subdivision: Property Characteristics Bedrooms: 3 Year Built: 1956 Square Feet: 1,071 Bathrooms: 1.5 Garage: Y Lot Size: Total Rooms: 5 Fireplace: Number of Units: 1 Zoning: Pool/View: Use Code: Single Family Residence • Heating/Cooling: Sale& Loan Information Transfer Date: 09-24-1968 Seller: Document: 0087300072 - ---- - - - --- Transfer Value: $21,500 Cost/Sq Feet: $20.07 Title Co.: First Loan Ann: Lender: Last Trans W/O$: Loan Type: Interest Rate Type: Last Trans W/O$ Doc: Assessed& Tax Information Assessed Value: $40,213 Percent Improvement: 54.26 Homeowner Exemption: Y Land Value: $18,393 Tax Amount: $658 Tax Rate Area: 15039 Improvement Value: $21,820 Tax Status: current [_Report Menu] [ Select New Target Property] • http://www.gotitl e.com/cgi-bin/profile.asp?rmt=TOPS&graphic=%2Faccounts%2FT073 7... 02/20/2003 attributes : Costa Mesa Parcels Page 1 of 1 • Map Laya. Attributes for Parcels Property Address Address 1 2240 ANAHEIM AVE Address 2 COSTA MESA CA 92627 Parcel Information Assessor Parcel Number 42218102 Legal N TR 3075 LOT 2 Range Township Section • Quarter Section Area 6007.4437600000001 Acres 0.14000000000000001 Owner Information Owner GROSKRITZ THOMAS Owner Address 1 2240 ANAHEIM AVE Owner Address 2 COSTA MESA CA 92627 Property Specs Year Built 1956 Building Square Feet 1077 Building Count 1 Stories Number 1 Parking Spaces 2 Number of Units 0 garage Square Feet 0 Front Footage 61 Depth Footgae 98 Bedrooms 3 Map Layer Attributes For Address Points Address 2240 ANAHEIM AVE Apt/Suite City State Zip Building ID APT/Space Phoen SIC Code 0 Data Siurce parcels Plan Type http://mesagis2x/website/costamesa/parcel/default.asp?opt=attributes&sessid={50924820-52CC-427C-9... 01/08/2004 OWNER EASTMONT DEVELOPMENT CO. DATE 11-19_56 - JOB ADDRESS 2240 Anaheim Ave. BUILDING PERMIT NO. #3961 GENERAL CONTRACTOR AikP_& Cnleg nve. VALUES 9,268.00 L 2 BLOCK TRACT 3075 Sing1P res._w/att. gar. GROUP I & J TYPE V ZONE R4 FIRE DISTRICT 1i002 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR 04-6 DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing ,,,,a.¢ A/ ♦✓ /' Plumbing,Rough to SlabO/L '— %L- -'S , _._/ / - 7 9V-3 — Plumbing,Rough Complete i /-2/-s7 Temporary Pole Wiring, Rough h. „ ,,0r i ' A •' ? ,ea .--. Heating,Rough ,_ - / Heating,Final r.' 4., /f -23-^7_ ,":�,f,_/j4 f),•-ri /2- 2,/_C7 76 `e — Sewer,Mous ///��SS Sewer,Ft. -4-2,-.4...e."2-::. / L':.1-- 7 6, r Septic Tank on Cesspool/ n L Ig, Ing Out Oc / S5/ Plastering r 'avi % /r7 Plumbing,Final,Fixtures Complete an H V-29-6 Plumbing,Final Gas Test 04, L ,.L.-6 , _Aid ,S- 3 -Z - w . ,, ✓ Wiring,Final Al` R & 1951 VCS ,/ " SC - 3- 7 _ ' , ...-a---"'Occupancy • /{', / 1? ; S 777 FORM 210 3M 10.55 / / Costa Mesa Building Department APPLICATION FOR PERMIT `�� r P. O. Box "'' "102 BrLDING 1 COSTA MESA, C FORNIA I FOR OFFICE USE ONLY IFOR APPLICANT TO FILL IN Receipt No. Permit No. —Building / 6 7 Address 22110 Anaheim Ave. / Costa Mesa, California Received by Date Rec'd. Date Issued Nearest ....---2 e L-72/ //- 7,..j-Le 77 /9-Co, Cross St. Wilson Street Building Address Owner Eastmont Development Co. Mail Costa Mesa, California* Address 1119 E. 17th Street Nearest Tel. Cross St. City Costa Mesa No. Li. 8-1159 zone I No .of I Type ve Groulp!/d� Architect or Lic. Engineer Car]son & Middlebrtlmk Approved by Date Address Garden Grove CORRECTIONS City Lic. . Contractor Dike and ColegroveN1161o• 5 Address 1119 E. 17th St. : Costa Mesa Legal I Lot I Description I No. 2 I Block I Tract3o75 (Attach Metes and Bounds) Size of Lot 61 Z 98 1No.Now of onBldg Lots none ,' Use ofNo.of 1 No.of m Existing Bldg. none I Families I Rooms)-ft I) Setback Line Center of Street from 55' ReariYard 291 61 > DESCRIPTION OF WORK r New I X I Alteration I I Addition I z Repair I I Moving I I Demolish I Building No.of `1 Is Size 1051 so5. ftl;ooms Stories 1 `D Exterior Wall I Roof Covering stucco ICovering comp. & rock APPROVALS 1 Use of New Foundation Location Inspector - Date Building Single family residence Forms,Materials, ¢/ q-r�i . �t� Under-Pinning W Plan 630A / Frame: Fire Stops, p Bracing,Bolts O I hereby acknowledge that I have read this Application o and state that the above is correct and agree to comply Lath. Int. Alwith all City Ordinances and State Laws regulating I building construction. - Lath.Ext. Signature of Permittee Plaster, Int. •�j�t Q Ext. D Authorized Agt — Plaster, Ex 1 D Valuation Permit Fee $ 02 9' — Masonry Reinforced 4 ge i Plan Check $ /o? — Bond Beam $ 9 a 6 V Total 34 -- Fee $ FINAL FORM 209 10.55 O.P.&5. All c c u - .J 6 J C a 0 a - • J Street PLOT PLAN Show Location and distances from •.` property line and between buildings. 4—t O. r i • tJ . ti Cr.; . O Iil 0