HomeMy WebLinkAbout1912 ANAHEIM AVE - Building Permits UVYIVL'K i.Vvv vain •”.1.,1-,ad
JOB ADDRESS 1912 Anaheim Avenue BUILDING PERMIT NO. 2388T
GENERAL CONTRACTOR owner DESCRIPTION OF WORK dem. res. w/att gar
AP No.115-321-35 LOT TRACT FIRE ZONE VALUE $ 1100.00
1P" 'CTIONS Signature Date GROUP I&J TYPE V ZONE el
St \ PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water Plumbing
Rough Plumbing /.��.,� �y� Mb/3- NZy-Gs / ,1/SGS .416;/47,7 Yl Mc
Swr. Line Ho -
Prop. 0 se se o 0
Sprinkling System
Miscellaneous _
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond-Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In 0 Out 0
Plaster, Brown Coat
Str ntural, Final cfp...47n:.p-Fr ee/ /47Lf Electric
I Ig, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0 nht5 0-1,2q-4?
Electric, Final
Building, Final
Snorial Remiirements
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OWNER SCHILLING, KARL L. (9 DATE 8-8-56
JOB ADDRESS 1912 Anaheim BUILDING PERMIT NO. #3432
GENERAL CONTRACTOR Armage, Inc. VALUE $ 7,320.00
AP115-321-34-36
LOT BLOCK TRACT Res. Watt. per
GRvUP I & J TYPE V ZONE CI FIRE DISTRICT 3457
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
9� DATE NUMBER
Footing Trench /T 7- .S
Foundation Forms and Grade to G ge /
Rough Framing 5 .' " t � �G
Plumbing,Rough to Slab c.„._ jiv•. 42 uy on S
Plumbing, Rough Complete '712 t- /'Y 92f/„r,/,�a, �, LIT tie) 66 A ,C/
A;
Temporary Pole ' a9��,y J p,
Wiring,Rough ' '5'fl IrttL
)7 /fll� l' '. ?1 Pr 3a /TJ —
Heating, Rough /'�G �� tr
Heating, Final _ The 5 / ,-y . . ,24' ✓iic-/ / vY-r- •it-hr.�-.rro l oS/q—.
kb/ewer, Housed 514”Viewer,St. 7ID 6; A e.g.n . I6-13-st .513 9/
Septic Tank or Cesspool
Lathing, Int OutX 7r-/D •
P ting
PI.._.bing,Final,Fixtures Completeme5 /� - 4 —,
Plumbing,Final Gas Test /6 // ,j- - i„_ LSF
1
Wiring,Final / / _
Occupancy 7,7 %r/ � //a}7 S
a e:�� 3h32
OWNER SCHILLING, KARL L. DATE 8-8-56
JOB ADDRESS 1912-4 Anaheim BUILDING PERMIT NO. #31431
GENERAL CONTRACTOR Armage, Inc. VALUE $ 7,320.00
AR115-321-31t-36
LOT BLOCK TRACT Res. w/att. gar.
GROUP I & J TYPE V ZONE Cl FIRE DISTRICT 3)456
PERMITS ISSUED
INSPECTIONS DATE/ SUBCONTRACTOR DATE NUMBER
Li�
Footing Trench .- rpm ,2 Y/54
Foundation Forms and Grade to Ga ie
Rough Framing 4. / _. a.-tett c
Plumbing, Rough to Slab-3*A / ' 1./
Plumbing, Rough Complete /
d it s-g cud �in i,- fi/,S s& ko D
Temporary Pole ��/ ia- / /yc
Wiring,Rough "Z- 6 - ' - -!i!/ �--er--r�l' ,?/1_1�e c3 0 4 —
Heating, Rough �/27,.aflta)('c , tx6i ??.-1S41 (o0S0 �-
Heating, Final ,,/ Yyl e_5 I, S-7 6 7/ q
sewer, House e ' fr1�cwer,St. r6 ' 1+g2-• re 03_e.. -2f$A 9- ! `j -� Ca I f
Septic Tank or Cesspool
Lathing, In A Out Apr Jo-vD C
P eying 4 ,0 - -a
P,,....bing,Final,Fixtures Complete/7)&5 )/ 3_ / --
Plumbing,Final Gas Test /S / j.7 .$-9 aecae- Q/ 69 a -
Wiring,Final a / 4r ba/r _
Occupancy /1/4;1/46. I'
FORM 210 3M 10-55 3431
CITY OF COSTA MESA
06-oi aft " BUILDING DIVISION
Fa 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBER: E10-00190
PERMIT TYPE ELEC STATUS: ISSUED
APN: TPN007227 DATE ISSUED: 08/03/2010
ISSUED BY: RMD
JOB ADDRESS: a1$j!2 ANAHEIMft CM Suite/Unit: •
Vicinity: LANDSCAPE"S1DEWALKAREA -
SCOPE OF WORK: ELECTRICAL PERMIT FOR A 100A SVC PANEL FOR"AT&T"PEDESTAL LOCATED IN LANDSCAPE/SIDEWALK AREA.
OWNER: CITY OF COSTA MESA Address: 77 FAIR DRIVE Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: BENSON,HARMON Address: Unit:
PHONE: 714-612.6378 City/State/zZip:
CONTRACTOR: HHS COMMUNICATIONS License No. 913107
Address: 305 N SACRAMENTO AVEUnit: PHONE: 909-230-5170
City/State: ONTARIO,CA ZipCode: 91764 CELL:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00
TOTAL FEES $54.00
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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.
CODE S. INSPECTION TYPE DATE INTmALS CODEC INSPECTION TYPE, DATE INITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical _
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical IC BhiIio
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 drivers license. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:1
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.
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are' person is required to descend,will be made in connection with work authorized
CemleC.� NATIONA'� t/.v.i J Grey �Or by this permit,and that no building structure,scaffolding,falsework,a demolition
(this section100)or lebe nme peep is valued at one hundred dWars(5100)or less.) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
2,AR 2,Sec.341,Title 8,California Administrative Code).
PoiI mber:
D As owner-builder, I will not employ anyone to do work which would
❑ 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 Applicant's Signature Dale
the LaborQQQQQ/ode,I/y�h,all forthwith comply with these provisions.
T' en9.-----
JG7/03/0 Division of Industrial Safety Permit Number:
ApgKaM'y6tgnarure p! � 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? 0 Yes ❑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 is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic-#_---_ A- 0-1 Claw•#— "C (Section 25533 of the California Health and Safety Code, with some
f exceptions, requires registration with the Costa Mesa Fire Department by
O 0 J each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date 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
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 ❑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 ❑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 Cone: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? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished 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? 0 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? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
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 thereon,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.
,zse eget Owner(s) Dale
Si nature Date
305746(3107) g —' /{ �
i MCIor AnthoM1fellNipWaM- Date �
rj- Cgsta Mesa Building Department . APPLICATION FOR PERMIT
' / P Box 317 3456 'WILDING 1• yoga.
COSTA A. CALIFORNIA
4• FOR APPLICANTLTO FILL IN ; FOR OFFICE USE ONLY
Building l n
2Receipt No. Permit No.
Address t7/ r &ingilLipiV`... 1 I 3Y3
Costa Mesa, California I Received by Date Redd. Date Issued/
Nearest / ' �r 7-6 -Sc e — er—s-6
Cross St / q i--it ! Building
I G Address
Owner_Stitt l/I&e kit/2 L L ' Costa Mesa, California
MAddress i Q l� MeV// /t.J M1W'I Nearest
Tel. Cross St.
City Co s/ p Ih Zone A No. ` ofNo. {{ Type / Crory
Architect or Lle. G/ I Plans
t'
Engineer No. Approved
by Date
Address CORNFg(3TJONS
Contractor if ' p10., e 1 it(, Nioty Llc.
Hyj - 2 / , 01141
Address /7°). l 4 S a - . I
Legal
l /l! C/�p 2l5 Ilia T[i �H1 CITY OF COSTA MESA
Description I Lot No. I Block I Tract PL • N! GL'F_P;'.
(Attach Metes and Bounds) i/_..4.---'3-.2. /"3y le ^- /
No.of Bldgs /
Size of Lot,// G— X /Y.2 I Now on Lot d �� , / _`%`�` _
Use of No.of No.of 1
Existing Bldg. I Families I Rooms - plait T ria
Setback Line from //.)j / j� � Rear Yard as— - Z1
Center of Street /.J r.4e4 Side Yard 6 j D
DESCRIPTION OF WORK 7 /� .� r
New X I I Alteration I I Addition I J7S c , ,5�• N - .�
P I I g I I I ,; roesb
Repair Moving Demolish
Buildingi u No.of 1i.) 1�.='_� -
Size Z7 f i t V Rooms 5— Stories I — ����'
Exterior Wall Roof - '
Covering s/Ucc 6r, I Covering PO c.-IL- APPROVALS ` -,{y a,
Use of New nn -
Building /S.CS !f MIT• acLa C q e Foundation Location Inspector i;agate'-
/ Forms,Materials, !! ei l.3�
nY
Under-Pinning . 4J J
Frame: Fire Stops, ‘ -
Bracing,Bolts `\
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int.
with all City Ordinances and State Laws regulating
building construction. Lath.Ext
Signature of yi�Prmittee
Plaster, Int
Authorized Agt �Le, i C, 14 C7e.„/"...— Plaster,Ext
Valuation Permit Fee $ (-#1,2,0 1 Masonry Reinforced
/� —O Plan Check$ /O — _ Bond Beam
$ J Total
Fee $ 3d — FINAL
FORM 204 1055 O.P.G S.
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PLOT PLAN
Show location and distances from
property line and'between buildings.
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i Costa Mesa Building Department APPLICATION FOR PERMIT•
• P 1Box 317ijeag734570UILDING 1
r COSTA _A, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No, Permit No.
Building
Address /tn- Q,r,.s ,ttea, 3 V3 6Z,
J Costa Mesa, California Received by Date Reed, Date Issued
Nearest iyfh i f -s6 icf- fast
Cross Building
Address
Owner SC 1t /it'. q Ma a L L ,
Mall a Yt 1 Costa Mesa, California
Addressj ` ta. I, /i'A tete in Nearest
CTel. Cross St.63 City `63/ ti the [{ No. Zone i I No.
I Type / Group i
Architect or Lic. Ik �.(�Or
Engineer No. Approved
by Date
Address
1.
City uo. l CORR
Contractor /a ajn C e (it C/ No. 7yg , A ;,ii..'�'�lintt o
Address /702. Al Fel 1[S A Speak flint .. rl iY or WSTA MESA . I
Le I Lot
Description I No. Block I Tract _ •FL nhIM1G DEPT.
£U•.5.1,-C: iU LLLIi. LL^I hLli. I
(Attach Metes and Bounds)//y - 31/ - 34—31. I '
No.of Bldgs. //����,� //
Size of Lot S/ G /92. 1 I Now on Lot 0 16Y_lw"_ D.IT:'.0_V —, c
Use ofNo.of No.of L r ", 1 ` r:. c,^�
' • Tp
'
Existing Bldg. I Families I "
Rooms - - - 6
Setback Line from -.,x1 Rear Yard e'
z
Center of Street eS (s Side Yard [a y
DESCRIPTION OF WORK • r
New X I I Alteration I I Addition I (P 6-0?.�, S1',,.�r 1, I.
Repair I I Moving I I Demolish I .'Z So h/ - .Q'
Building i Jr No.of / f _ nPQ\I•\ •�'�
Size .1,7 l X 2/ Rooms J Stories / "1-n! `�\ uv
Exterior WallRoof / —
Covering ST CCO I Covering Rae. APPROVALS
Use of New
' Building c5 i i ,7g. C—a act ie Foundation Location Inspector • Date
Forms,Materials,
• Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances and State Laws regulating
building constriction. Lath.Ext
Signature of
Permittee (roan Plaster,Int
Authorized Agt.Jtn/Ai ( ftk2 .4.15 J�^�� , Plaster,Ext.
Valuation Permit Fee $ -O — Masonry Reinforced
#7.) 3 0 — Plan Check $ /O — Bond Beam
$ Total
Fee $ 3 c — FINAL
FORM 20e 10.35 0. P &5.
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Street
PLOT PLAN
Show location 'and distances from:,
property line and between bulldinga::
,
.,fit � . ,.
23 "'7 CITY OFcL's TA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT APR 15 1965
fP.0.BOX 317 COSTA MESA.CALIFORNIA
For Applicant to Fill In Completely APPLICEN OMMI3
TYPE OR PRINT B ILDING
BUILDING ��jf /{� /,�//n ' For Office Use Only
ADDRESS / 7 Jp( (1i/,L.u/�w—yam 0-/L'2, R1I�HQ
RECEIPT NO. 8[_____
COSTA MESA, CALIFORNIA //��JC4Jf lyJ�
/J//� (� �. �/�j RECEI w/}B R73,1D w IB
OWNER CY (ll�Lt�1 U/ (l-f-c• / q j/ /5/� ��f
MAIL VVV /' // �/n''�y// ADDRESS / ! I Z ,Q /�{/$I/. /A/\
ADDRESS /9./ o f YIS�..1-460-/L�/ ""'q
IFIRE .19r
1/7CITY e, ' . NO. 66J7'O SC ZONE --$ .4 TY GRO�� /
ARCHITECT TCL. BYPROVED141
DATE 4//�' //AL.
OR ENGINEER NO. y
ADDRESS `` _ SON NO DP USE ZONING of NEW
�
70-f.-4--&-:"_.( / I PLANS D I BUILDING 112.1„.50 1
CONTRACTOR -
ESCR /� n ! . �: FI:PI /
ADDRESS DESCRIPTION v / II ^p�� Y �/ _1 /
A.P.NO. /JS -3a/ - 3s
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 90'TO SIDE S REAR P.L.
LIC.NO. NO.
AVES
SIZE I NO.or BLOCS. / ALLOWED (U.B.C.REQUIREMENT/
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. D .d
(FROM C/L STREET
SETBACK LINE FROMFRONT F7 PT.
CENTER OF STREET -REAR YARD
SIDE YARD I LEFT I RIGHT R.SIDE PT.
DESCRIPTION OF WORK L.SIDE FT.
NEW _ ALTERATION _ ADDITION REAR FT.
"', DISTANCE BET. BET.MAIN a
K
REPAIR _MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS.
BUILDING NO.OF �j� VAR.# DATE
SIZE ROOMS eSTQRIE r� C.U.PP.# APPROVED
EXTERIOR WALL �r7 I ROOF COVERING BY
CW
1L I // 1 i,[� /5`!5
COVERING DDff�_J�DATB _/ {W
USE OF BUILQINWOR/CITO B:4.21/1FORMED
s�XJ\ VV_GL// C._
M
S0.PT. B
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION a
BUILDING CONSTRUCTION. djcit soH
PERMAITTEF OF`�J / ( 4/7" -- JJJJ PERMIT FEE $ B
$ 1C/O6) - Ah . C e
AUTHORIZED AGENT / ��
^ TOTAL FEE $ 3