HomeMy WebLinkAbout2002 ANAHEIM AVE - Building Permits CITY OF COSTA MESA
41 , BUILDING DIVISION
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4„���s,_,,rq!�."� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca s
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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