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HomeMy WebLinkAbout2002 ANAHEIM AVE - Building Permits CITY OF COSTA MESA 41 , BUILDING DIVISION o,e'. 4„���s,_,,rq!�."� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca s S134,‘,./so- PERMIT FOR INSPECTIONS CALL:(714)754-5626 13""° ° PERMIT NUMBER. P08-00006 PERMIT TYPE PLUM STATUS: ISSUED APN: 42213408 DATE ISSUED: 01/03/2008 ISSUED BY: SOK JOB ADDRESS: 2002 ANAHEIM AV CM Suite/Unit: Vicinity: SCOPE OF WORK: RE-PIPE S.F.D. OWNER: GALLUZO,CHARLES Address: 2002 ANAHEIM AVE PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: BOCK, DALLAS Address: 1200 N JEFFERSON :SUITE G PHONE: 714-688-1228 City/State/zZip: ANAHEIM, CA CONTRACTOR: ALSTATE PLUMBING HEATING AND AIR License No. 570480 Address: 1200 N JEFFERSON SUITE G PHONE: 714-688-1228 City/State: ANAHEIM,CA ZipCode: 92807 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $33.30 TOTAL FEES: $33.30 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. CODES. INSPECTION TYPE DATE INITALS CODE I INSPECTION TYPE DATE INTMALj 1616 Fixed System Final Fire Prevention 206 Final Mechanical ry 1266 Pool Spa Final 208 Final Plumbing�Sl On/1 y/yn p /0 200 Final Re-Roof 210 Final Electrical V"� _L)) 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 WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivi. Act.. . 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O 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. Crbave 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:"7. person is required to descend,will be made in connection with work authorized /n��� by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier.—‘7#‘0%..r.“' i S(-CL A. l In 4•r oan e- ���k..,r or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed,f the permit is valued at one hundred dollars(SIa1)or less.) _ r-- 2,Art 2,Sec.341,Title 8,California Administrative Code). CPolicy Number: w6 0 g,g 2 7 2 f-- 0 As owner-builder, I will not employ anyone to do work which would O 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 workers' compensation provisions of Section 3700 of Applicants Signature Date the Labor Code, shall forthwith comply with these provisions. ,r1 . .. 024 - . !-. j- 3 •-OS Division of Industrial Safety Permit Number: •• s Signature j' ' _.------r7 ...• Dames r HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE 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? ❑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 iissiinwfull force and effect. 1 a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# 6' 'i St I Class_# C2 0 C3‘ (Section 25533 of the Califomia Health and Safety Code, with some ' - / exceptions, requires registration with the Costa Mesa Fire Department by _ 3—4, each business which at any one time has on hand a quantity of acutely ' ignature ---- - - Date------- hazardous materials equal to or greater than a weight of 500 pounds, or a ' _ f 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 this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 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? 0 Yes 0 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 Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 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 0 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 California 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 employees, provided that such improvements are not intended or offered for 8. (If"yes*,attach certificate of compliance from the appropriate air pollution 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(hereon,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 ❑ I am 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. Sign-lure of L.t I Owner(s Date /, Signature Date �1--. _ _ 1--3 -U2 3057-46(3/07) � r OZ'• •ptlCdel- _ %ate _ • i OWNER Anders Paul W. I/ DATE 2 - 5 - 54 JOB ADDRESS 2002 Anaheim Street BUILDING PERMIT NO. 79 GENERAL CONTRACTOR Owner Builder VALUE $6 ,000 .00 LOT 23 BLOCK TRACT 1480 / GROUP I TYPE 5 ZONE R - 4 FIRE DISTRICT Jf�J • INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED 7 � //S// DATE NUMBER Footing Trench GCU/v /b Foundation Forms and Grade to Garage -421,07/ /� Rough Framing 5G /J • ,� Plumbing,Rough to Slab �Gc�� A, b /i e�/U 'lM 6r I✓rJ Lam/ i<4.---- Plumbing, J� Plumbing, Rough Complete 11 v% ' J- /8 Temporary Pole / Wiring, Rough );$1-/.2z3 . /�'/y A/r—eR-S - 7u / %I �� /.[C (� Heating,Rough ;J/ / Heating,Final ' %.0.,..cr Sewer !4.F JJ >� e2.�ino a -42.Sj( NJ Septic Tank ordCess poo. ,015 y2/J], {'1/ Lathing //I) �L (9-r A'C•' 7fl-/ -/,/ 4y Plastering ,Or3xau, NCas�` _ii .$ .Yx%%JJ 3--if Plumbing,Final,Fixtures Completer Plumbing,Final Gas Test �li(i/-J- 3`1)-",c7)-",c7� Wiring, Final wr/#y /� ... ,�" Ca_ze.c.(-.L./. Occupancy ,e4.-"4-- Y/( L— C__- `/47/1 le Form 210 G-H IM 12-68 Costa Mesa Building Department APPLICATION FOR PERMIT COSTA M:ph 11i CT 20th STREET, CALIFORNIA 83 - .- BUILDING . v FOR OFFICE USE ONLY j FOR APPLICANT/��1TO FILL IN I - ReeceiiNo. Permit No: , Address G G �1%y (J • ' ' I "bike Ia 7f i Received b Da Recd. Date Issued ', Costa Mesa, California 41 '7 t i s.— / FEB• f/ 5 41954 NearestS /4 X CP' - St.Cross KK Building Address Owner /_,,,/ 2. f • Costa Mesa, California Mail I Address , / . . Nearest , (nQ ��,�.fA/ �,t Tel. Cross St. . . City ed{ rad Q NittL-G_ No. Zones / ' I No.of 3 I Type I Group— Engineer No. by Approved _G r &Stb• 1954 Addressor CORRECTIONS City tic. • Contractor No. , Address LegalLot 1'(, ' P 4 . DescriRtion I No. I Block I Tract/ I) - - . - I (Attach Metes and Bounds) //S 07 3 %/• / I No.of Bldgs. > Size of Lot 5 j j V,` Now on Lot %q - 0 Use of - - i , I No.of I No.of ' , S Existing Bldg. •- 1 Families Rgor n Setback Line from Rear Yard fY b -- - -- -- -- -- Z • Center of Street .2sf I Side Yard Sr _ D • DESCRIPTION OF WORK • -- - - • ••- r < New I Alteration I I Addition I j r1 L 1 r .. '_Repair I I Moving I I Demolish I ' ■, ,- . -` ! S. r. Building ,/ No.of - Size .�6 /t Rooms re Stories fnce,, Exterior Wall /. I Roof • Irl---R A)- IQ;�t Covering _ , Covering a - - APPROVALS IIJ� �. UseofngeW r. 7 f, Foundation i nInspector /' Date Forms,UnderPin i MOF COSTA MESA • Frame: Fire Stops, Bracing,Bolts Lath. Int. I hereby acknowledge that I have read this Application f . and state that the above is correct and agree to comply • Lath. Ext. ' with all City O .inances and State- :ws regulating bidlding•constru`c .' . /� / • i' Plaster, Int. Signature of J r�` Permittee J, A' Plaster,Ext. Authorized Agt. Masonry Reinforced • Valuation‘ �^DU Permit Fee S Plan Check $ Bond Beam . $ Total `p .:..,,.• .- , _ Fee $ if FINAL • • O - C C J C - o a a u • p. Street ' PLOT PLAN Show location and distances from property line and between buildings. t OWNER GALLUZZO, Blanche T. DATE 3_11_58 JOB ADDRESS 2002 Anaheim Ave. BUILDING PERMIT NO. 6499 R CONTRACTOR Owner-Builder VALUE $ 960.00 11 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Detached Pvt. Garage C IF J TYPE V ZONE R4 PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED / DATE NUMBER Trenches erms Steel °,42Y/C1 Floor Syst m I Steel Reinforce Chimney Re-Rod / I(Q, Ax Bond Beam �L W J .76 Frame and Flashing Lathing, In Out V *- ;D —Sfj Plaster, brown coat /� el 4'-7 -n Underground soil W/G Pipe est / Top Out Furnace Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System , Hr•1ng Final P inq Fixtures, Final Fina. Gas Test Construction Pole Underground Power • Rough Wiring at 1l-ictipi.t4 L� Merl inn/ 4 4,3r‘-s0-sr .3rr Fixtures, Final ,$" %7- It11--; 1 -OCCUPANCY SI l'ry I�---/z_?y/ Form 210-5M-1-57 6b99 64 3 COSTA MESA BUILDING DEPARTMENT s— n- 55 vU.. P.O.BOX 317 o-lC11cME DEPT. COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS ,2ono2.641.4L.ri„d (I n, BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY / jw RECEIPT NO. PERMIT NO. . OWNER 11 vLF�(1 Ve-z-te el ` �! 9 MAIL RECEIVED BY D7ATE RECEIVED p DATE ISSUED ADDRESS iQ Qrj7'LU --e-7n-'11.21 V -i/- rS -//-� ! TEL BUILDING' CITY Nat..) Q -393u ADDRESS ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE ZONO.OF TYPE GROurat //�� CITY LIC. f PLANS // CONTRACTOR V tn.,,� .fr. , NO. Iry� V Y !/�" TEL. APPROVED ADDRESS NO. BY DATE LEGAL LOT CORRECTIONS DESCRIPTION NO. �YBLOCK TRACT A.P.NO. / J_/ W3 -I-- 3 / SIZE u '' // lam, NO.OF BLOCS. OF LOT 5-0 K /y(5- -L(C/I- ` NOW ON LOT / USE OF t— EXISTING BLDG. e�,,_,,A y SETBACK LINE FROM �y .k)1\ a� CENTER OP STREET C. Jl ye...�4cq AR YARD II Y1 �.M SIDE YARD RIGHT Sr_ LEFT �.jfi CITY O COSTA MESA ite r. DESCRIPTIOF WORK ECT ULD A SU ECT � � BLDG. DEPT. RFG NEW >C ALTERATION ADDITION BY` REPAIR I MOVING DEMOLISH [ ll��TE FLAN Te CH /// BUILDING NO.OF • ���y�/� SIZE .20 X 1-.V ROOMS / STORIES EXTERIOR WA ROOF / COVERING LCT COVERING USE OF NEW �(Q1^/- BUILDING VlN' G .�� l/�I' THIS APPLICATION AND t..." / 6 I HEREBY ACKNOWLEDGE THAT I HAVE READ 414,0I STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUE. TION. VALUATION SIGNATURE OF//���� :^y� PERMIT FEE S 6 — PERM ITTEEA r�`LZ��!'T..1i, wle-j -jr, _ 9‘ O — PLAN CHECK S 6 � � AUTHORIZED AGENT • TOTAL FEES i