The URL can be used to link to this page

Home My WebLink About1996 ANAHEIM AVE - Building Permits, . CITY OF COSTA MESA < " � BUILpING pMS10N > _ � � DEVELOPMENT SERVICES DEPARTMENT ggg-01184 � PERMIT PERMIT NUMBER �� (714) 754-5273 • Feu (714) 754-4856 gUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1996 ANAHEIM AV Suite: Viciniry: Parcel Nunmber: 42214142 Applicant ALLISON, SCOTT Address: ACCESSORY PARKING NOTES: Zoning: Phone: 714-997-9449 *....:cv..:�r ._w., � �Y%_; r' ._✓—� Status: ISSUED '/�/ Applied: 07I06/7998 V Issued: 07/O6/1998 EXPIRATION: This permit shall automatically ezplre and become void if work is not commenced within 180 days, or ii woik is suspended or abandoned for a period of 7 80 days. iNSPECTIONS: In order for the work authorized under this permit to be considered lagal, such work must comply with all applicable codes, and all requlred Inapectlone end flnel approval must be obteined. Failure to obtain inspections and final approval will resutt in the expiration of this permit. FOR INSPECTIONS CALL: (710) 7545828 WORKERS' COMPENSATON DECLARATION: . � � I hereby eflirm under penalry of per�ury one of Ihe following dacleretions: -. ' . . , . ❑ I heve end will malnteln e certlficete of consent to selt-Insure for workers' compensetion, es provided for by sectlon 3700 of the Lebar Cade, for the pertartnence oi ihe work for which lhis permit Is issuetl. ❑� I heve end will meintein workers' compensetion insurence, as required by section 3700 of ihe Lahor Code, for the peAortnance of ihe work for which Uiis pertnit is issued. My workers' nse�ti n Iansuran rtier entl licy number ere: �/ �"`� . Cartler. �✓lJ� �/�� . , PolicyNum6er.�%)Y.��i/0�0 (Thls section need not be comp/eted ll the pertnif is valued et one hundred dollers ($700) or less.) . ❑ I certNy ihat in the peAortnence of the work tor which ihis permit is issueQ I s�all not employ any person in any manner so as to become sublecl to the workers' compensation lews of Califomia, end egree thet If I should become subject to ihe workers' compensetlon provlslans ai Sedion 3700 of the Lebor Cotla, I shall forthwith comply wiM these prI�vi ns.�i�Q G Applicent SlgneWre: l, c.� V 1 Deta: �� "— C� WARNINQ: FAILURE TO SECURE WORKERS' C01.1PENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINqL PENALTES AND CIVIL FlNES UP TOIXJE HUNDRED T/IOUSAND OOLLARE (E100,000). IN ADDITION TO THE CQST OF COMPENSATION, DMMGES AS PROVIOEO FOR IN SECiION 3108OF THE LABOR COOE, IPfIEREST, AND ATTORNEI"S FEES. LICENSED CONTfiAC70RS DECLARA710N: I hereDy effirm that I am licensed under ravis4 o pter 9(cwnmencing with Section 7000) of Division 3 ot Ihe Business and Praf ions Cade, end my license is in tull force end eHect. Lic. # � �� Class # � Contractors Signature: f% �'�-(_— Date: — — G% � CONSTRUC710N LENDIN6 AGENCV: ❑ I hereby affirtn ihat ihera is e construction lending egency for the peAartnence oi the work for which Nis pertnit Is issued. (Sec. 3097, Givil Code). Lenders Neme: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby effirtn that under penelry af perjury ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Cotle: Any city or counry whlch requlres a permlt to construct, alter, Improve, demolish, or repalr any structure, prlor to its Issuance, elso requlres the applicant for such perml� to Hle e signed statement thet he or she is licensed pureuant ta tha provisions af ihe Contrectore License Lew (Chepte� B(commencing wlth Sedlon 7000) af Division 3 of the Business and Proteuions Code) or that he or she Is exempt Iherefrom end Ihe besis lor ihe alleged exemption. Any vloletion of Section 7031.5 by eny applicant tor e permi� sub�ecGa the appliwnt to a civll penalry of not more then Ove huntlred dollars ($500).): ❑ I, es owner of the properry, ar my employees wlth wages es thelr sole compensatlon, WILL DO T}iE WORK, antl lhe structure is not Intended or oHered far sale (Sec. 7044, Business and Proteuions Code: The Contrectors License Law does not epply to en owner of properry who builtls or improves thereon, end who does such work himself or hereelf or thraugh his ar her own emDloyees, proNtled Uet such improvemenis are not intentletl ar oXeretl for sale. It, however, Ihe Duilding or improvement is soltl within one year of completlon, ihe owner-builder wlll have the burden o1 praving Ihet ha or she tlitl not Dulld or improve tor purpose of sale.). ❑ I, es�owner at the property; em EXCLUSIVELY CONTRACTING WITH LICENSED COMRACTORS to construct the project (Sec. 7044, Business and Professlons Cotle: The contractors License Lew does not epply to an owner oi praperty who bullds or improves Ihereon, and who conirflcts for such proJect with a contractor(s) license pursuant to the Coniractors License Laws.). ❑ I em exempt untler sec. Signeture: Owner ID venfied 6y drivefs Ilcensa. ❑ Ves ❑ No Busineu and Protesslons Code tor this reason: Verlflcation of Ownership by (rype oi dacument, i.e. - properry ta�c bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION: Dnvels License No. Date: Expires: ❑ I �ereby certity ihet no excevation five (5) ar more feet In depth into which e pereon is required to tlescend, wlll be made in connection with work authonzed by t�is pertnit, and ihet no bulltling stmcture, scattolding, falsework, or tlemolltion or dismantling thereot, will be mare then thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Celifomla AtlmiNstretive Code). • ❑ As awner-bullder, I will not employ anyone to do work which woultl require e perml� from Ihe Division of Intlusirlal Sefery, es noted ebove, unless such person hes e pertni� to do such work from �he division. Signeture: Date: Dlvisian oi Industrial Sefery Pertnit Number. - CERTIFlCA7E OF COMPLIANCE AND AUTHOBQA710N OF ENTAV: I cetlify under penalty of perjury that I heve read thls application and stete that the information given is cortect. I egree to comply with all stete laws end Gry ordinances relating to building construction, antl aNhorize representatives of ihe City of Costa Mesa to enter upon the above-descnhed pr ( erty for inspeclionpurposes. I egree not to xcupy or allow occupancy of eny building authodzed by ihis pertryt unti�nal inspection. i ��-�%� �'i-c°.� _ 7�6�9 Signeture LegelOwner(s) �� _D�e n AnNOr Authonzed Applicent Dete COpE �. INSPECTIOXTYFE � �¢ IIlIID�65 1616 Flxetl System Finel Fire Preventlon 1266 Pool Spe Flnel - � � � 200� Final Re-Roof � � � � �9 201 202 203 204 266fi 4fi Final BIocWRetaininq Wall Final Fedory Fire Place � � � � Final Sign COUEI pSPECTIONME 206 Finel Mechenical 20B � Final Plumbing � 210 Finel Eleddcel - 212 Final Fire Prevention 220 � Finel Plenning ADProval 222 Finel Siie 250 Final Building/Occupan< DA7E . It�lL4 � 5 3 � .-� _ ' ' COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill fn Completely — Use Ink Only F�+ iTi W o. Q y y S F C w a � .d a > � � a w d O � 0. � OWNEF �/., MAIL TEL. CITY NO. BRANCH ADDRESS ARCHITECT TEL. CONTRACTOR /��/jh„�j�� ADDRESS TEL. CITV NO. STATE CITY IIC. NO. LIC. NO. SI2E NO.OF BLOGS OF LOT NOW ON LOT USE OF E%ISTING BLOG, Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I haraby acknowlatlpe thet I hovo rontl thlf applleetlon antl stnie Mat the ebova informetlon ia correct entl aBrea to comply wIM ell laws reyulaUnp buildinp conrtru<tlon, entl I shall not employ any parson In vloleUon ot Me workmon'a compensallon lews of Me Stete of California. I hareby eertify that I em proporly Iicancetl ea a contrector untlM Ma Stnte of Californle Buaineu antl Profaealonf Cotle, Dlvtaion 3, Chaptar 9, and that suc� Ilcenwf are In tull torce antl affxt, or I em eaempt from Me provislona ot tha Stata of Celltornia 8usinen enC Profassions Cotla, Dlvi�lon 3, Chaptar 9. Sipnat�re of Parmittee A�thorized ABent 6u��7 �� +��d� C��SA RECEI BUILDING ADOflESS � TRACT ED 20NE VAR. # c.u.v. ye FOR S'I'RUC'I'URAL I,�7 BLOCN VALVE USE OF NEW BUILDING VAflDS APPROVED ACCESSORV BUILDII BEf. MAIN & ACCESS. BLDI D.4TE THE AMOUNTSHOWN UNDER VALU TNE PURPo6E OF ESTABLISHING A PERI VALUATION PERMIT FEE E PLAN CHECK S $ TAX S TOTALPAID S O 0 n Om m' � . � m (� 7� LL � , . _: "� 5710 . .COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDRESS � / �//"�/H��"/ /l�� OWNER �(/�L %.�N SO� i�'�Cc(T�S� F � 1 Q .�. ' F G F Q Q .] 6 > � .J C W 4 O a a z 3 ADDRESS �IOL �"/OI��OE W A� CITY C�S�� /�/ES�7 NOL �i� CON5THUCTION /�N� �r—T� IENOER ��•-�r cy BRANCH /VCLfJrO/�� ADDRESS ARCHITECT �� p,GGb,s.1 TEL. ORFNf:WFFii ��G / NO. CONTRACTOR ADDRESS CITV STATE LIC. NO. SIZE OF LOT USE OF TEL. NO. CITV UC. NO. INO.O BF L� NOW ON LOT Separate permits are required for elec[ric, plumbing and heating.work. UILDING AND WOFK TO BE PERFORMED 7995 3/24/78 FOR STRUCI'URAL PERMIT TRACT FIRE ZONE TVP APPROVED BV 20N NO.OF PLANS VAR�S APPROVED MAIN BUILDIN (FqOMGLST ) R M F . / ...� S. SIOE �/ FT �L. SIDE FT.� i REAR FT. DISTANCE BET. MAIN BLDGS. VAR. 9W C.U.P.M�%7 � % VALUE $ — GROUP DATE USE OF N BUILDIN YARDS APPP iACCESYORV e BET. MAIN & I hereby ecknowletlpe ihat I heVe raad this epplieetion end stete � that the ebova Informatlon Is cOrreci entl a0�ee to eomply with _ ell laws ree�ie�i�a builCinp construeNon, entl I ehall not employ eny perwn in vlolaiion of Ma Workmen'e compenmtlon laws at the S<ate oi Celifornie. 1 hereby cartity Met 1 am propef�Y Iiconeetl as a contrector untlar O S�. FT. the Swte ot Calitornle Business a�d Profauione Cotle, Division 3, THE AMOUNT SHOWN UNDEF VALU Chapier 9, and thet such licensai ere in full force end effect, or I TNE PURP�E OF ESTABLISHING A PER1 em ezemp� from tho provisiona of ihe Steta of CalHornia Businecs VALUATION PERMIT FEE S entl ProfesNons Cotle, Dlvlaion 3, Chapmr 9. ^,igneturo of /A PLAN CNECK S Permittea �� $ ( D O TAX E Authorizatl ABent TOTA� PAID E 26000 TL �� n C � : 7 1 IS FOR m E ONLY: � BO � m m r Q o �� f U 1 � _ _ : � _ � �- �., _� � � 4843 ' FEE RECEIVED � �� ., ... C4STA MESA BUILDING DEPARTMENT ;, 5 � /9 �� •� ' P. O. BOX 31� !+ �NA�N�CrEn D�EPT. GOSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICTA�Y'INJN"`F O F 1�� F 5�RMIT aooRe'ss � BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER /�///yN I� M. RlSSS RECEIPT NO. PERMIj.�/� / / l/ %' O 1 MAIL IARCHITECT OR ENGINEER lEG/.L LOT OESCRIP�ION NO. APNo r�, srze G OF LOT USE OF EXISTING BLDG. TEL. NO. LIC. NO. CNY►"�[�l , �z / '_ � U1p.I i�� / J/ NO. OF BLC av �J J BUILDI G ADORESS COSTA MESA. CALIFORNIA FIRE ZONF APPROVED BV SUBJECT TO SETBRCN LINE FROM /� CENTER OF STREET "� L� REAR YARD �`J , / � �� ! SIDE YARD RIGHT b LEFT .=- PLAN TE DESCRIPTION OF WORK � � ' � i NEW ALTERATION qDDITION ' REPAIR MOVING DEMOLISH I SIZ'EDING/��21 �� ROOMS STORIES � � • i� EXTERIOR WALL�,� ROOF COVERING ,JIU U COVERING USE OF NEW ) i /' / � BUILDING �/W ADDr Tio Al TG � / DEPT. REG. /S �� I s pcR �yss� ��.e. � � . . . 1 MERE9V iCNNOWIEDGE TM4T I HRVE PE4� TMIS TPPLIC.�TION /�ND� $T�TE THRT THE NBOVE I$ CORPECT AND /�GFEE TO COMPLY WITH RLL CITY ORDINRNCE$ iNO STATE LPWS FEGUL�TING BVII.D�NG CONSTRUC- T�o�. VALUdfION SIGNATURE OF , �� PERMiT FEE $ PERMITTEE /JI �'�� ^ g ��G �( � PLAN CHECK S ._� ' O O I AUTMORIZED AGENI^ ��•�} TOTAL FEE.$ � � �.F • • .. � � , . . .. b l�; ?��; 2a�Z . . �. �, `' ,33 �.,�.�; �� ; ��;��_ • COSTA MESA BUILD�NG-SAFETY DEPARTMENT � • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCI'URAL PERMIT For Applicant to Fill in Completely — Use Ink Only M RECEI D T ECEIV D�/jj E 1 UED BUIIDING I N/Tj/f��'II 0 J, � ADDRESS OWNER //CL� f�/y"C SO/l% q p Np S /�� PERMI NO. —/ BUILDING ADDRE55 3�0 � /�Im�✓RmC� U%/f� y ADDRESS TEL. TRACT LO BLOCK CITY �`dJ%.q' /%�%ElJ� N0.6�1i'J� CO DEUCiION ca,�. �E,oE�P9�- w no BRANCH OWNEP EL L S� � ADDFE55 /�� s V �, ARCMITECT TEL. ��✓ 7 S OR ENGINEE� FIRE ADDRE55 ZONE TV E GROUP CONTRACTOR O�NE APPqOVED � Ln�.� BV DATE `� ADOHESS TEL. IONE NO.OF USE OF NE CITV NO. P�� BUILDING t F STATE CITY �'ARDS APPqpVED VAqDS APPR ED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING (� SIZE NO.OFBLOGS (FROMC/LSTRF�ET) Ci OF LOT NOW ON LOT M FT. J a USE OF � D �' ,.N. E%ISlING BLOG F N � v � Separate permits are required for � s�o FT Fr. electric, plumbing and heating work. � �' WREAR S FT FT. �.,, USE OF BUI4DING AND wORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & ' QQ MAIN BLDGS. ACC�. BLDGS. VAR, t /� DATE 3 � Coi✓STifucT/cn/ a�.P.s. G — APVROVE — a j, o� i✓6 T'P/Pct `�R° _.�C . .� m w � I haraby eek�owladpe Mat I hava raatl this application antl ttnro OLD FOR SPECI� L REQIifREPhEiVTS � y� Met Me ebova Inlormatlon b correct entl aprae to compiy wiM o�l � ell law� roy�leilnp bulltlinp conrtrucNon, antl I shall not employ ' � any panon Ir� ��aletion of tha workman'e compensation lawa of ` Ma Smta of Celifornle. � �1 3 I herabv canitv tnet I am properly IlcansaE es a convacior untler � �vSQ. FT. '� a �_ V� Ma Stnta of Ce��te��ia Busineu antl Professione Code, Dlvision 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR m� Chapter 9, antl t�et sue� Ilcenses ere in tull forea anE effeti, or 1 THE PURPO6E OF ESTABLISHING A PERMIT FEE ONIY: � em exampi from Na provlalons oi the State of Celifornia Business VALUATION a� entl Proteulons Catle, Dlvlsion 3, Chapter 9. PERMtT FEE E m / � VLAN CHEC1t E o Sipnemra of � _ � �/ . �� Parmittee �'�✓ ` A�� $, � TAX S AuffiorizatlA7ant TOTALPAID E/�5,[� 7� Y - 46720 COSTA MESA BUILDING-SAFETY DEPARTMENT R'J.BOX 7200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely — Use lnk Only� , BUILDING /��.i /f�/A�/r-..,,�. OWNER MAIL CITV LQ,S'�/i ��-J /�y NO.� LENDEfl�IONC //� ��. /T BRANCH ADDRESS ARCH�TECT TEL. ADDRESS CONTRACTOR � � ADDRESS TEL. CITV , NO. F STATE pTY � LI0. NO. LIC. NO. {y� SIZE NO.OF BLDGS. 0. OF LOT NOW ON LOT a USE OF ^ EXISTING BLDG. � FSeparate permits are required for � electric, plumbing and heating work. � USE OF BUIIDING AND WOFK TO BE PERFORMED Q Q ✓%J t. y /r�� Su�r �rJrhr'S � .P � A+A/�� T s%PEET >- .a a v� a � 4865 9/14/78 5.50 TL AP 1 TI N FOR�STRUCfURAL PERMIT ''' "' RE V DATE RECEIVED D TE ISS 0. G .� -.�+' � D ERMIT NO. A.P. NO. �1 BUIIDING � ADDRESS t. � TRACT LOT BLOCK W ADD A P OWNEFi CL L--/i'v , VAIUE- SE C� Q $ FIRE ZONE T PE GROUP APPROVE � . �/ �� ZONE NO.OF USE OF NE �� PLANS BUILDING VARDSAPPROVED VARDS BVI�DING DISTANCE BET. � BEf. MAIN & MAIN BLDGS. ACCE�. BLD VAR.# DATE - /J�' � I hereby acknowletlpe thot I have reatl this applicatlon antl staie y� that the abava iniormation ts correct and agrae to comply with a ell lews reOuleNng building conshuciion, end I shall no[ amploy Z any person in vlolatlon of the workman's compensetion laws of Zffie Stete ot Calitornle. 3 I heraby cartify that I em proparly �icansetl as e conttector untler SQ. FT. the State of Californla B�siness a�tl Protessions Coda, Division 3, THE AMOUNT SHOWN UNDER VAIU Cheptar 9, antl that such licenses are in tuli forca anA attact, or I THE PURP06E OF ESTABLISHING A PERI em axampt trom the provisions of the Srote oi CelHornia B�sinass VALUATION PERMIT FEE $ and Professions Cotla, Division 3, Chaptar 9. � PLAN CHECK E SlBnetura of o � Permlttee � � /( C __� $ � TAX S AuthorizatlApant TOTALPAID S � m 'm m N N IS FOF m :E ONLY: " e N m m 0 LL �. � U �� COSTA MESA BUILDING•SAFETY DEPARTMENT ,, R,�a7. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant Yo Fill in Completely — Use Ink Only ADORE55 I�/� � ��H�I/� �• OWNEF f��L L�i/ZSflN FDORESS 3�Dp �� (�� CITV �UST.� ��I.�S� NOL S7G'� LENDER�'�N C'OL �� BFANCM f1��,v7-i.v�roti ��' ARCHITECT TEL, Ofi ENGINEER NO — ADOR -, 6550 )0/OB/78 —• . . ,. . h_ .. FORSTRUCTURALPERMIT DATE FECEIVED nnr� icwicr. / VALUE l 5 APPROVEp CONTNACTOR eV DATE �' ADDRE55 ZON NO.OF USE OF NEW �' TEL. � p�p,µ� BUILOING CtTV NO. F STATE �� CITV YARDS APPROVED VAROS APPROVEO �U4 NO. LIC. NO. �-� MAIN BUIL�ING ACCESSORY BUILDING W SIZE NO.OF BLDGi. (FROM C/L STREET) 0. OF LOT NOW ON LDT �'�'� R NT ' FT a USE OF ,_�, EXfSfYNG eLDG. �S y � FSeparate permits are required i'or L SIDE FT. �— Q electric, plumbing and heating work. REAR F ' FT � H USE OF BUILDING AND WORK TO 86 PERFORMED D15fANCE BET. 6ET. MAIN & Q MAIN eLOG$. ACCFSS. BLOGS. VAR. #'• DATE Q C.U.P.q� APPftOVEO y APPROV i- a m w � 1 hefeby BcknoWletlBa that I have feetl this ep0�icetlon end sta<a y� that Yhe above intormatlon is conect and aBree to comply �+�th a all laws reguletfnp bulltlfn0 const�uciton, antl I shall not employ Z, any peraon M vlolailon of the workman's compensetion laws of � ffie Siata ot CalitorNe. 3 I hereby c¢rtity thet I em proporly IieenseG as a contracto� under S�. FT. She State of Calitornie Businesa and Professions Code, Dlvislon 3, THE AMOUNT SHOWN UNDER vA4UATIOM IS FC Chepier 9, end that suct� iicenses are in full force antl effact, ar 1 THE PURPOSE OF ESTABLISNMG A PERMIT FEE ONU am gxempt from Ne provisions of the Siate ot California Busfness VALU0.710N PEftMIT FEE 5 and Protettlanz Code, Oivision Che te� 9. OO i 0� �_ PLAN CHECK $ .^-� Signatuta of � (/(,. Petmlttae �„("�� -'�� S �� TAX 5 ��p AUChofized Agent TOTAI PAID § � �/j 5.50 Tt � �.. n ro i u 7 m m a N ro m 0 LL � �U