HomeMy WebLinkAbout2213 ANAHEIM AVE - Building Permits p •
' CITY OF COSTA MESA y
4 "pp
BUILDING DIVISION
ri;:,. ,r a DEVELOPMENT SERVICES DEPARTMENT P IT NUMBER
fPERMIT 05-02048
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.B.1MLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2213 ANAHEIM AV Status: ISSUED
Suite: Applied: 11/14/2005
Vicinity: Issued: 11/28/2005
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 42218112 Zoning:
Applicant: MARTINEZ, VIDAL
Address: 2213 ANAHEIM ST ///�//�'f
Phone: 949-689-5871 CELL ISSUED BY: V Vj -
COSTA MESA,CA Zip: 92627-2511 I
Owner: MARTINEZ, VIDAL AND RITA
Address 2213 ANAHEIM ST
Phone: 949-646-5234
COSTA MESA,CA Zip: 92627-2511
Contractor OWNER-BUILDER
Address'. .
Phone: •
•
Zip:" - - License: 000000
Arch : .. • Eng: _ -
Address: Address:
Phone: . Phone:
License: - • • .- Licenser
SCOPE OF PERMIT
ADD 163 S.F.TO EXISTING S.F.D.WORK TO INCLUDE:EXTEND EXISTING BEDROOM.
EXISTING 3 BEDROOM,2 BATH-S.F,D.TO REMAIN THE SAME.
FEE SUMMARY -
Plan Check: ' $172.41 . Calc Valuation.• sis,06f20
Permit: $265.25 Claim Valuation: ` 1- 50.00
SMTP Res: $1.51
SMIP Com: $0.00
Other: $0.00 .r
Inspection: $0.00 •
•
Total: •$439.17 •
•
PLANNING &ZONING
SETBACKS ..
MAIN STRUCTURE Front 0.0 Rear 14-0 Left 58-0 , Right 0-0
ACCESSORY Front 0-0 Rear. . 0-0 Left 0-0 Right 0-0
•
PARKING Existing:. 0 . • Required: - '0 - •Proposed: 'J0 - -
�. RR1
•
•
•
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)
•
DECLARATIONS .
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:
Cartier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ 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,end 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 MID CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706OF 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.A 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).
Lender's Name: Lender's 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 filesigned 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
Bus'
ss and Professions 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
ts the applicant to a 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 en 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.).
I,as owner of the• ope• ,am EXCLUSIVELY ONTRAC NG WI r LIC SED • ' • • : - to - struct •e project Sec.7044,Business a.• Professions
contra to - Ice'-. :w.•,• .p. t• - •w - . •r.•. w I ds or improves neon, . •wh• .. . s • . . .-: , a contractor(s)
license pursu: t - e •ntract• Tense Laws..
■ a. e : es. n•.r Business and Professions Code for this reason: a+-
Signal • % . / ��/lit 1'.•
xpiresW0
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 Code).
❑ 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,or a 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 file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safely 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 0 N
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health end 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 aggermit 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 LJ No
(Section 65850.2 of the California Govemment 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? ❑Yes 0 No
y�'IfNies",the fatty must tt6i�eat thhequirerr4ent of Sections 25534 and 42303 of the California Health and Safety Code).
7 pIQ,( rmit frorii'the Soutb!ce'aiAir Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this
ap lit tion,have.all of the'disdlosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 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 end 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 o comply with all state :ws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d d pr e r ,sectio•'. poses.Ases.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
L/w"
•'enat rept Le.. Owner(s) Date
II _ La
And/Or Authorized Applicant Dal'
CODE I INSPECTION TYPE DISE BMA CODES INSPECTION TYPE BAIL MEL5
•
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 Irl d 0 ,
el CITY OF COSTA MESA
4 BUILDING DIVISION
>• , DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
Ft.t 'PI i
PERMIT
4111:4100RATO IP
05-01235
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa fTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2213 ANAHEIM AV Status: ISSUED
Suite No Applied: 11/28/2005
Vicinity: Issued: 11/28/2005
Parcel Nunmber: 42218112
Applicant: MARTINEZ, VIDAL AND RITA
Address: 2213 ANAHEIM ST
Phone: 949-646-5234 ISSUED BY:
COSTA MESA,CA Zip 92627-2511
Owner MARTINEZ, VIDAL AND RITA
Address 2213 ANAHEIM ST
Phone: 949-646-5234
COSTA MESA,CA Zip: - : 92627-2511
Contractor OWNER-BUILDER
Address: •
. Phone:
Zip:
License:000000 '
•
SCOPE OF PERMIT ,
ADD 163 SF BY EXTENDING THE BEDROOM.REF B05-02048. -
2 LIGHTS]SWITCH AND 7 OUTLETS -
FEE SUMMARY
Quantity - • . - - - Quantity
ISSUE FEE • $23.50Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway(100 ft $0.00 0
Res.a/c package $0.00 • Standing Section , $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 -0 ' Transformers up to:1 kva/kw $0.00 0 - '
Pool/Spa •
$0.00 • -,0.... __ -• - ' up to 10 kva/kw $0.00 0
Lighting Fixts =- $2.20 2 - - : up to50kva/kw $0.00 0 •
Recept Outlets $7.70 7 up to'100 kva/kw $0.00 0
Switches $1.10 1 over-100 kva/kw $0.00 0
Non Res Appl - $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 - 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00 0 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 - Misc.Conductor $0.00 0
Service over 1000a $0.00 - 0 Circus(gen or ride) $0.00 0
Motors to 1 hp - ., $0,00 - --0 ; - - Circus(mech ride or lights) $0.00 0
Motors to 10hp - $0.00 '0 ' Christmas Tree Stand $0.00 0
Motors to 50hp - " '.$0.00 - ' 0 . - Fireworks Stand ',,,, - - $0.00 0
Motors to 100hp • $0.00 • "0 Other Electrical Fee , $0.00
Motors over 100hp $0.00 , . 0 •
Communication drops . $0.00 - 0 • - Investigation-Fee : ' $0.00
Sub panel to 200a . , $0.00 , ; -0 - Plan Check Fee $0.00
Pole Light Pkg $0.00 0 ' Reinspection Fee $0.9
Sign Circuits $0.00 0 •
Temp o $0.00 -0 TOTAL CALCULATED 34.50
Intermeded Polele $0.00 :0
COMMENTS/SPECIALCONDITIONS
r
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. ,y
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)7545626 /'
2448-4e(N00) /
•
DECLARATIONS
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($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shell 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,DANAGES AS PROVIDED FOR IN SECTION 3706 OF 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#
Contractors 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: Lender's 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
Busin and Professions 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
u ' cts the applicant to a 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.). '
❑ 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 pursu- t to the Contractors License Laws.).
❑ I em e • "• Nd.' , . Business and Professions Code for this reason:
Signafu a /��////����. ,, - ..,Dete� 2 t'!/•�/�_�0 L�
-Owner ID verified by d vers lice se. '••l5 0 No Drf'ers License.N�.'/ 'lies:// Qyr')7
Verification of Ownership by(type of document.i.e.-property tax bill or deed):
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 Code).
❑ 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 Califomia 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 file a registration form for acutely hazardous materials? 0 Yes 0 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 a plication a permit for such construction or modification
from the South Coast Air Qualityy,Mlanagement District or from any other air pollution control district or agency? D Yes jNo
�j�xm 6585026f the CaprrlgNa'G9vemment.Code requires that the requested information be fumished on applications for non-residential building permits).
6 1( 'deny pan of ihe�facility to,, �ZOnstructed uei this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
T. v r.r to.
(If yes?,the facility" must m6el,the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If 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? 0 Yes 0 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 penally 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
abo cn rep for' on purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until fi I inspect' n.
iSI' i" LegarOwner(s) —Date___J
And/Or Authorized Applicant Date
cODE f INSPECTION TYPE MI 1NTTALS coot? INSPECTION TYPE QM 181riALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing y r r'4 4 �4/
200 Final Re-Root 210 Final Electrical WI^^1
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
UWNtI SNOW, Rosaline UAIt 10-7-76
JOB ADDRESS 2213 Anaheim Avenue BUILDING PERMIT NO. 42833
caelitRAL CONTRACTOR South Coast Pools DESCRIPTION of WORK weds-wall
115-541-12 LOT TRACT FIRE ZONE VALUE $300.00
INSPECTIONS Signature Dote ,TYPE V GROUP ZONE R-1
'SOIL . SUBCONTRACTOR l PERMITS ISSUED
GAS i Date I Number I Signature
ca1WATER Plumbing
I IROUGH PLUMBING I
PROP: SWR. LINE [] HOUSE CON. 0
SPRINKLING SYSTEM
4MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND H POWER 0
ROUGH WIRING -/ ',n Heating and Vent.
TRENCHES Li FORMS Li STEEL REINF. -/ct.iJ , 'v -7i �J c
FLOOR SYSTEM ��'//i"•
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
1 'ER, BROWN COAT
-
S,...JCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST P
ELECTRIC, FINAL fin(_ _ / /� /��f
BUILDING. FINAL K Q- �0 •• -2It ,p 1 7...1a. i4...J0t..4/ 1
" 42833 Fd IP *
. ^ T —7-7h -00 31(^ *; *: _..50
cry,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
�PP4{ICA ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink O y (/r�
E V DATE RECEIVED
ADDRESS 2 /3 44h�E.vi G Dg TE f$$'F 4
�e/4/e SNDA —/ PERMIT NO.
OWNER A.P.A.P,NO/
MAIL BUILD'
ICT , f ffia
4�ADDRES
ADDRESS v' 5s/ J�
Cr"7 � . MOOS ���� TRACT 3c LOT
�' BLOCK
CONSTRUCTION i� /� NEW JL -ALTER REPAIR MOVING OFMOLLSH
LENDER l�.N/
BRANCH UA//� /���JC �
OWNER
cc)
ADDRESS
ARCHITECT ,r �j��� TEL. USE /A JO ALU$j `.� didARCHITECT
ENGINEER Il/ Lf o v
FIRE
ADDRESS '— ZONE I TYPE GROUP
CONTRACTOR SQDy bQ /ls? ta�ç ByPROVE (
DATE D '� -�
ADDRESS he lit 60 /9,47 /Kee ,Sr / `
��� NO ZO RNO.OF USE OF NS/
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CITY TEL
P111NSBUILDINGr�� ,
EH STATE '] yy CITY V a VA DS APPROVED YARDS APPROVED
LIC. NO. 3UT0 /O LIC.NO. MAIN BUILDING ACCESSORY BUIL NG
W SIZE NO.OF BLDGS. (FROM C/L STREET)
A. OF LOT NOW ON LOT FRONT FT. pe SOT.
Q USE OF �'1
V) EXISTING BLDG. R.SIDE eaT.
H
HSeparate permits are required for L.SIDE/�(J,IJ— FT.
O electric,plumbing and heating work. PEAd T. OFT.
W USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
Q� ti �' -MAIN BLDGS. ACCESS. BLDGS.
VAR.# DATE
ID Wan C.U.P.# /// i APPROVED/� —/71
APPROVE(Q�/ / /[/l 'l..T /D—7 / �V
> _ B_YAP /v/t(/�\ DATE
C4
w
O I hereby acknowledge that I have read this application and state n
N
L that the above Information is correct and agree to comply with es
all laws regulating building construction, and I shall not employ
Z any person in violation of She workman's compensation laws of x
Lai S the State of California. m
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. ,v
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that su licenses : e in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE N9 LV:
am exempt from th *ovHlo -�•-the State of _,lar rnia Business VALUATION (J ?°
and Professions Co�Dlvle / •- tar` PERMIT FEE $ J N
/ lir V PLAN CHECK $ Cl
SlBnatm= �y, j 9 _ o
Permltt:.-/ ��`�% $ (/(/ TAX $ , E
Authorized Age "%�..�� TOTAL PAID $ 5 r L� U
OWNER EASTMONT DEVELOPMENT CO. DATE 11-19-56
JOB ADDRESS 2213 Anaheim Ave. BUILDING PERMIT NO. #3971
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 11.260.00
L. 12 BLOCK TRACT Rh3075 Single res. w/att. ear.
GROUP I & J TYPE V ZONE FIRE DISTRICT 4012
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Footing Trench 001- l b
Foundation Forms and Grade to Gara
Rough Framing ai: ,. / ,1
Plumbing,Rough to Slab 'p/y « I. It."pare .1.4 if ��._ - . /In-574 7 S/.57.3
Plumbing, Rough Complete tit; / /-yfs7
Temporary Pole
Wiring, Rough JAN 2 5 1951 VCB ^^->-...-:.J JAW-W ' 3 g Z---ep
Heating,Rough Sr / /-24--s7
Heating, Final a / H-S cqi-,�q/-.!7 �/L. . .�-,._"tel 7.J�/-/.3=�7 - . 7- OP
Sewer;Hp45= �j� /Sewer, 'l� /a Aa,-67 f,-, 0_,) .t!/,�+ to J / - 2,.C-C7 6 70 Cf
Se-•ic Tank or Cessp oI I
L ng, In v/� 0 lout / .2-6-61
Plastering VV cS��v,,,f 9
Plumbing,Final,Fixtures Complet ht's y.19-57 //J��
Plumbing, Final Gas Test/S MAP S y-/9-47UC//a- -74-1 5Y--2/f-6 7 �.-t�2'-...-'
Wiring,Final APR 9 1'57 VCBa 4 /i -/
666
Occupancy / —�y�i37
G ,,,210 iM 10.55
l osta Mesa Building Department Arra.
ii P. O. Box 3I7
�—ni2 BUILDING il
•- COSTA MESA, CALIFORNIA
moiFOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building
Address 2213 Anaheim Avenue 39 7/
Costa Mesa, California Received by Date ReedDate Issued
Nearest ii--L y-J./6 i/-fi -S-6
Cross St. Wilson St. Builder
Address
Owner Eastmont Development Co. Costa Mesa, California
Mail
Address 419 E. 17th St. Nearest
City Costs Mesa
TeL Cross St.
Noa da g-1159 Zone/ No.of Type / Grou�pt
Architect or L'c. r_ • I Plans I v vip �}^
Engineer Carlson & Middlebroq� Approved v
by Date
Address Garden Grove CORRECTIONS
City Lie. 4615
Contractor Dike and ColegroveNo.
Address 419 E. 17th St. , Costa Mesa
Legal I Lot
Description No. 12 I Block I Tract 3075 -
(Attach Metes and Bounds)
No.of Bldgs.
Size of Lot 125 a 135 Irr Now on Lot none
Use of No.of lI No.of �1 Pt
Existing Bldg. none Families Rooms $$
D
Setback Line from, Rear Yard 12'
Center of Street 421 Side Yard 61 y
DESCRIPTION OF WORK r
New I X I Alteration I I Addition
Repair I I Moving I I Demolish I a
Building No.of
Size 1300 sq ft Rooms 64 Stories 1
Exterior Wall I Roof --
Covering stucco I Covering comp & rock APPROVALS 77
Use of New Foundation Location Inspector Data
Building Single family residence P
Forms,Materials,
a ( Under-Pinning e.
Plan Z650BR Frame: Fire Stops, ti.)
Bracing,Bolts O
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int. G
with all City Ordinances and State Laws regulating — Al
building construction. Lath.Ext.
Signature of
Permittee Plaster,Int
Authorized Agt. CLIC, t.C. Plaster,Ext. Q
Pt
Valuation Permit Fee $ aJ8' — Masonry Reinforced .,Z:
$ J1,0260 -
, a 6 0 _ Plan Check $ �7 Bond Beam
Total /J O
/ Fee $ /� FINAL o
FORM 204 10.55 0.P.&S.
r '
•
0
J e
6
J
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� � a
a
Street
I1
PLOT PLAN
Show location and distances from
u property line and between buildings.
-C.
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OWNER PRICE, Cl. F. DATE 6-8-77
JOB ADDRESS 2213 Anaheim Avenue BUILDING PERMIT NO.44124
GE"ERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Legalize Patio Cover
L 0.115-541-12 LOT 12 TRACT "075 FIRE ZONE VALUES 500.00
INSPECTIONS Signature Date ,TYPE R-1 GROUP IV ZONE J
SOIL PEf2MITS ISSUD
GAS
WATER
SUBCONTRACTOR 1
Date Number Si an°tura
Plumbing
ROUGH PLUMBING
PROP. SWR. LIRE Q HOUSE CON.
y1� SPRINKLING SYSTEM
r` MISCELLANEOUS
T ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING Neatinq and Vent. .
TRENCHES FORMS STEEL REINF. I
FLOOR SYSTEM
BOND BEAM 0 STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
f 'ER. BROWN COAT
S. .:TURAL, FINAL Eleettie
HEATING, VENT.. REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL
BUILDING, FINAL Qfr. 6 -9.77
I• PAia
1 IUN -8-77�4 ,00 856x *t y`10.50
44:12
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only gECEI DATE RECEIVED TE r Ur
BUILDING �J�� .(%
ADDRESS �2.2-e,,.?�/N/d J/fiy�li/��4`P e7l�2„ PERMIT NO
OWNER ,cV/ f /'��C A.P. NO. /�'> -5-1/4—/Z
MAIL 1` / •f'' ,r, ,[` ADBUDLDING RESS
ESS ZZI3 �NRfJ.B/i�l �F
ADDRESS w`//7,�/.5D 4' Ao ji{ SZ y. .
CITY 4ryy1/�.H'SrErt NO.TETRACT 3o 7S I LOT /Z BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMO'ISH
LENDER
•
BRANCH a F. "p n t C�
OWNER J I
ADDRESS P
LUE —
ADDRES
ARCHITECT TEL. USE S ��
OR ENGINEER NO,
lialir
FIRE
ADDRESS ZONE V ORO{U/.p /}�I+� 7
APPROVED I� ti, V 6
- CONTRACTOR �/.I//j/��' p�/[,��, BY DATE
ADDRESS ,46,-.4./.-/{dC
TEL.
6 d/{e'-
TEL. ZONE R4 INO.OF USE OF NEW /9/1 7/0
CITY NO.
PLANS BUILDING aovQQ
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. (LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE INO.OF BLDGS. (FROM Cl,�2J-ERE BCG `. c I) r
a OF LOT I NOW ON LOT FRONT n " FT. FT.
a USE OF
EXISTING BLDG. R.SIDE n N-FT, TO X V FT,
ll F Separate permits are required for L.SIDE 'S T. FT.
electric,plumbing and heating work. 2p"{
WREAR �T. FT.
[—, USE OF BUILDING AND WORK TO BE PERFORMEDDISTANCE BET. BET. MAIN& \-
QL•F l AC/r-lam ,'gt/70 5771/G72ill®f MAIN BLDGS. ACCESS.BLDGS.
VAR.* DATE
'-a C.U.P.de APPROVED
Q
APPROVED(€41) C_8' -7-I
} —BY DATE
.d
a
OI hereby acknowledge that I have read this application and state In
a that the above information is correct and agree to comply withfa
a all laws regulating building construction, and I shall not employ
i
Z any person In violation of the workman's compensation laws of v
W the State of California.
- SO. FT. a ,EE ry
I hereby certify that I am properly licensed as a contractor under
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:
am exempt from the provisions of the State of California Business v
VALUATION PERMIT FEE $ /)
and Professions Code, Division 3,Chapter 9. (�f op n
m
.-- PLAN CHECK $ ^I
Signature o1O
Permittee (D F. Pte, $ �0 TAX E 5 0 U
r
Authorized Agent TOTAL PAID $ /a/ 50