HomeMy WebLinkAbout2212 ANAHEIM AVE - Building Permits PROJECT ADDRESS: 2212 ANAHEIM AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 064065
OWNER'S NAME: WUNDER HENRY
• AODIIESS: 2212 ANAHEIM AVE PERMIT NO: B 064065 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O & REROOF W/ COMP SHONGLES SQ FT: 2, 200
ADDRESS: UNIT:
CLAIM VALUE: 2, 200 .00 CALC-VALUE: 2, 200 .00 GROUP OCC: R-3 /
PERMITTEE: ROOFING CONCEPTS (714 )645-7518
ADDRESS: 657 BEACH ST COMMENTS: REROOF W/CLASS "A" COMP SHINGLES 1. 5 j4tA1 %flC•
C.M. CA 92627 ********4********************************** �P*+t*+t***********iE+ ****************yr
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect.
SETBACKS
CITY LIC.: 0574163 STATE UC.: 441271 cuss: 39
Dale: 47 t--
- e( Signature: c; � MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICYNO.: 1282254-92 EXP.DATE: 10/01 /93
COMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 42218109 ZNE: REF NO:
'7 Certified copy is hereby Wmished. N Certified copy is filed with the city Building Division. PLANNING NOTES>
J7 Date: 91-'2 0-93 Applicant: c..y-^ef •
********************************************************************IF**********
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the punt is for one hundred WOO)or less). D E V E' L OPMENT SERVICES R E Q U I R E M E N 'T S
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. ZONING APPROVED BY
•
• DATE:
Date: Signature:
NOTICE:II.atter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: '•'r
Code.you must forthwith comply with such provisions or this permit shag 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: �F DATE: i 0*1 �
which this permit is issued(Section 3097,Civ.C). **************•***************** *********************************** * * **
LENDER: ********************************************************************** ********
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
,OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or P ERM I T 54 . 00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed5 0,
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars MOO). ISSUE FEE -';
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> 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 TOTAL S----> 54 . 50 0 . 0 0 0 . 00 5 4 . 5 0 54 . 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
improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
torose purposeof sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 . 00 . 50 r
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware **.**********.*.**************.*********************.***************************,****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN /.
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST 'TOTAL COST
Date: Owner SFR 2200 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 200 . 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 wilMvnll 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 from
these provisions.
Dale: Applicant: `i•
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 hereby audio ie represent lives of this city to enter upon the above-mentioned
property 12 n ectior pururses. 3
.....7 L1
Date / /207 9 Signature: 0rf
1 00147239-00147240 TOT 54.50
Driver's License or Social Security it: BYTE: 09720/93 TINE: 11:20
164146 White-nodding:Green-Code Enforcement:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor
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51 CEVIFICATE OF OCCUPAj\1CY - I
I
No -_ Date
OWNER EASTMONT DEVFLOPIJENT CO. DATE 11_19-56
JOB ADDRESS 2212 Anaheim-Ave. BUILDING PERMIT NO. #3968
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 9,268.00
u 9 BLOCK TRACT 3O�5 Single res. watt. ear.
GROUP I & J TYPE V ZONE 104 FIRE DISTRICT 4009
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench t 3?;: '
Foundation Forms and Grade to Gar e
Rough Framing V
Plumbing,Rough to Slab _a„. moi _e&.A //-_27 co7 5/5 �j '—
Plumbing, Rough Complete -vim
Temporary Pole
Wiring, Rough JAN 441951 VG/B 'JLc„„_-- -_J JAN 10157 is'
Heating,Rough •la- -1/-.Sj
Heating, Final / Fib�l'. r 7.„ -Cet,t„ .�,yj /- /S=ST 771$
Sewer,-House 3eMewer,i t. is ... % T-4/do . �.- /-js - l� / 4, 90 / —
Septic Tank�orC ss pool/
La- .ng, in.iY1 34/.1/ out 1,1-1
/i/s77
Ph ring. '"V old
/7/,}-/
Plumbing,Final,Fixtures Comps to �--��--+—
Plumbing,Final Gas Test/ S 479 y/.�/,,y/ 0..,a,...2.„ .5- 3- r 7 -�L-
Wiring,Final , g - i ...- 7 _ r—- ,.: I
Occupancy ----__L .. -,
FORM 210 3M 10.53
Costa Mesa Building Department APPLICATION FOR PERMIT \`
'D. Box iiiil �� BUILDING 11
• COSTA -SA, CALIFORNIA 1
• FOR APPLICANT TO FILL IN BUILDING
OFFICE USE ONLY
Receipt No. Permit No.
Building 3 96 8
Address 2212 Anaheim Avenue
Costa Mesa, California - Received by Date Recd. Date Issued_
Nearest P ft'/y-a ` //- l/9'4.;
Cross St. Wilson Street Building
Address
Owner Eastmont Development Co.
Mail Costa Mesa, California
Address 419 E. 17th St. Nearest
Tel Cross St.
City Costa Mesa No.Id. SA1159 Zone (/ No.of Type // Group p
Architect or Lic. Y I Plans I Y �d Y
Engineer Carlson & Middlebvslpk Approved U,7
by Date
Address Garden Grove CORRECTIONS
Dike and Cole rovf.'7 Lic. 4615
Contractor g ql o,
Address 419 E. 17th St., Costa Mesa
Legal I 9
Lot
Description No. . I Block I Trac3075 _
(Attach Metes and Bounds) '
N .of Bldgs.
Size of Lot 125 z 132 Irrl.Now on Lot none o
Ilse ofNo.of 1 No.of
Existing Bldg. none I Families I Rooms 52 z
.
O
Setback Line from ,_ Rear Yard 181 Z
Center of Street 1 Side Yard 6 t D
DESCRIPTION OF WORK r
New I $ I Alteration I I Addition I
Z
Repair I I Moving I I Demolish I Q
Building No.of 1-+
Size 1051 SQ ft. Rooms 5it Stories 1 -0
Exterior Wall 1 Roof —
Covering stucco 1 Covering comp. & roc} APPROVALS •
Use of New Foundation Location Inspector - Date
Building Single f- 1amily residence Forms,Materials,
WeUnder-Pinning Se)
plan 630A • [/ Frame: Fire Stops, C
r.
Bracing,Bolts n
I hereby acknowledge that I have read this Application CD
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating Al
building construction. Lath.Ext.
Signature of .
Permittee /'� /� Plaster, Int.
Authorized Agt. C1,L,+ .. t,v r/i Plaster,Ext. 0
IN.
Valuation Permit Fee $ c?.ty — Masonry Reinforced A
�j d Pian Check $ �c2 - Bond Beam
$ 7 Q Total _L
/ Fee $ 3 ' FINAL 0
FORM 209 10.55 D.P.6 Sal
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Street
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PLOT PLAN
Show location and distances from
property line and between buildings.
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