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Home My WebLink About2224 ANAHEIM AVE - Building Permits 44491! 9 CITY OF COSTA MESA ort; A BUILDING DIVISION • ruaoa;rzsrr;• � DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER asa 1. 1 rI y PERMIT 07-00606 oaoRi, (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.B.UILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2224 ANAHEIM AV Status: ISSUED Suite: Applied: 05/07/2007 Vicinity: HOUSE AND GARAGE ROOF Issued: 05/07/2007 Primary Occ: R3U1 Type of Construction: V-N Parcel Number: 42218106 Zoning: Applicant: CHAMBERS, DARRELL Address: 414 N SHATTUCK PL Phone: 714-422-9011 ISS BY: ORANGE,CA Zip: 92866 Owner: SHAVER, GLEN THOMAS - Address 2224 ANAHEIM AVE • Phone: 949-678-3112 COSTA MESA,CA Zip: 92627 Contractor SONRISE ROOFING INC Address: 414 N SHATTUCK PL• ; Phone: 714-422-9011 ORANGE,CA Zip: 92866 License: 880521 Arch : Eng: Address: Address: Phone: Phone: Zip: - License: License: • SCOPE OF PERMIT TEAR OFF(E)ROOF MATERIALS,INSTALL 2 LAYERS OF 15#FELT ON A 3:12 PITCHED AND ROOF WITH CLASS A ELK 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 19 SQUARES.REPAIR AND REPLACE SHEATHING AS NEEDED. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,500.00 Permit: $111.25 Claim Valuation: $4,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other $0.00 Inspection: $0.00 Total: $111.75 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 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 suction 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ..tMJworkerLs'compensationoInsurance carrier and policy number are: Carrier:- .5 !Q5� f7) Policy Nu` ber:� 265-2470 (This's ion 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,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 thes /stuns. A Applicant Signature: r/ nzni�l[ ` ' J Dal Jr- 7- OS 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 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'end.effect.Lic.# _r5 G',? 9 Conttract�Signire: r AA. .v".. Date:S' 7-42e 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:- 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 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 subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,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 pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: _ 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,1alsework,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? ❑Yes ❑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). .building occupant o file Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification U from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 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? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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? ❑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 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/ainspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ate OSC i9(eoni/.val Ow,e 7—z;iS3 �Annd/OrAuthortzed:Applicant --- -- CODE♦ INSPECTION TYPE PAIL INTITIALS CODES INSPECTIONTYPE PATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof a$II/, 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 OWNER EASTMONT DEVELOPMENT CO. DATE 11-19-56 JOB ADDRESS 2224 Anaheim-Ave. BUILDING PERMIT NO. #3965 GENERAL CONTRACTOR Dike & CelegrovQ VALUE $ 9,268.00 L... 6 BLOCK TRACT 3075 Single res. w/att. gar. GROUP I & J TYPE V ZONE Rh_ FIRE DISTRICT 1ioo6 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR /t DATE NUMBER Footing Trench ,Ti Re . r Foundation Forms and Gra e to Garag a_ Rough Framing , eir Plumbing, Rough to SI b g f :ti., 1/6 . ,, ,J4 /4,2 f• Sc 7 5/44/7 -- Plumbing, Rough Complete WI pi- Temporary Pole Wiring, Rough JAN+ 2 1957 VC; "2li'-r-. - I t A • 3 g..z EV — Heating,Rough ri, / -1/rir Heating,Final/y/79// nn /' a i 7t��„ ,4-, .cf S,,# -5/- C 710.?0� -- S � Sewer usiver,At /ff / g' ... S. -':Tank or Cess ool L ng, In 0r Out r.4 I -S • Plastering 4; . Tom, s Plumbing,Final,Fixtures Complete/- YS 9.i9-$— Plumbing, Final Gas Test !,$� / (0 �� li f/ ,-,j,../ S .. ...s- ..--..,• ere„, Final R 71951 NCB „ i• - 3 -s ? _ _--. -•`"----- Occupancy ' 5C---5 FORM 210 3M 10-55 Costa Mesa Building Department 1 APPLICATION FOR PERMIT •'. P. O. Box " 411116 BVILDING 11 COSTA• MESA, C. .=ORNIA 1 minsFOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. Permit No. Building G Address QQp11 Anaheim n Ave +e >/ (SS Received by Date Recd. Date Issued Costa Mesa, California Nearest /) //— 79'J(O ,tt-/9-&4 Cross St. Wilson St. Building Address Owner Eactmnnt Devnlnpment CO- Costa Mesa, California Mall Address 1419 E. 17th St. . Nearest Tel. Cross St. City Costa Mesa Noll. 5-1159 Zone D No.of / Grou Architect or Lic. JL Plans I Type v Engineer Carlson & Middlebrook Approved by Date Address ilbleyaniest,Atmiet Gnrdnn (trove CORRECTIONS City Lic. Contractor Dike & Colegrove No. 11615 Address 419 E. 17th St. . Costa Mesa Legal I LotI Description No. 6Block I Tract30T5 (Attach Metes and Bounds) NSize of Lot fil T 9R I NowoB Lot none Ilse of I No.of 1 I No.of 5fr M Existing Bldg. none Families Rooms Setback Line from 1 Rear Yard X91 Center of Street 55 Side Yard 51 D DESCRIPTION OF WORK r New I X I Alteration I I Addition I Repair I I Moving I I Demolish I Building No.of Size 1051 sq ft Room Stories 1 Exterior Wall I Roof Covering stucco 1 Covering comp. & roc APPROVALS . Use of New Foundation Location Inspector - Date Building Single family residence Forms,Materials, Cl!l • am. Under-Pinning %.i Plan 130A / Frame: Fire Stops, CIS Bracing,Bolts n I hereby acknowledge that I have read thio- Application p 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 — �(,�„µ. �`..`„( Plaster,Ext 0' Valuation Permit Fee $ pi (// —_- Masonry Reinforced 1+: qclef Plan Check$ 1P — Bond Beam J $ fj d Total Fee $ 3 v FINAL FORM 204 10.55 0.P.8 5. c o J • a J o. a • I O.- . 37Ottb ::C .1. 1.... r d Street I .. . I PLOT PLAN Show location and distances from property line and between buildings. a .. .. On.) • c.../ . u c IA f'.,