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Home My WebLink About1544 ELM AVE - Building Permits CITY OF COSTA MESA 4 BUILDING DIVISION / IY %j4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NU BER 4. !�y i PERMIT V MO" 00630 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1544 ELM AV Status: ISSUED Suite No Applied: 11/22/2004 Issued: 11/22/2004 Vicinity: - Parcel Number: 13930111 ISSUED BY: Applicant: CRANDAL, WENDY Address: 1544 ELM AVE Phone: 714-557-1981 COSTA MESA,CA Zip: 92626-3802 Owner: CRANDAL, WENDY Address: 1544 ELM AVE - - ' Phone: COSTA MESA,CA Zip: 92626-3802 " Contractor: Address: `• Phone': - Zip:" ' _ ` License: SCOPE OF PERMIT LEGALIZE WORK ALREADY DONE.REPLACE FURNACE<100K BTU IN UNIT A " ' FEE SUMMARY = ". Quantity :Quantity ISSUEFEE $23.50 Repair/Alt Absorbtion Unit ' , $0.00, 0 ' ' • Inst FAU<100 k BTU . $14.80 1 Repair)Alt Refrigeration Unit $0.00 0 ' Inst FAU>100 k BTU $0.00 _ 0 - _ ¶ . Ventillation System, _ $0.00 0' Repair/Alt Cooling/Heat $0.00 '0' ' Evaporative Cooler $0.00 0. Inst/Rep.Recess Wall Htr $0.00 0 - Commercial Incinerator / :' 'MOO •"_0 ' ' Refrig Sys<100 k BTU - $0.00 0 Domestic Incinerator • , $0.00 0 , Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems - ' Gas Piping • - $0.00 0 Up to 3 hp/100 k BTU ., ,`$0.00: 0 , l - - ' eplace $0.00 0 . 3 To 15 hp/500 k BTU ,i:,, ,-`$0:00 0 '� ' Hood w/Mec -haust $0.00 0 : '- -15 To 30 hp/1,000 k BTU , '--$0.00 -0- / VAV Box' $0.00 0 - 30 To 50 hp/1,750 k BTU , /,:1,' $0.00 0/ Vent Fan/Single Duct ' ' $0.00 0 " Over 50 hp/,Over 1,750 BTU $0.00';r 0 Appliance - $0.00 0 , , Boilers - Fire Dampers - - - ,$0.00 0 ,, Up to 3 hp $0.00,- 0 Smoke Dampers $0.00' 0 " 3 To 15 hp • - $0.00 0 Inst or Relocate Appl Vent $0.000 - - 15 to 30 hp _ - - " ." $0.00 0 Air Handlers< 10000cfm $0:00 - 0-: , X30 to 50 hp- ' ' " 1. $0.00 0 Air Handlers> 10000cfm $0.00 0 • ' Over 50 hp- $0.00 0 Floor Furnace $0.00 0 - Other Mechanical Fee ' - ' Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 ' Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 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 fora 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(6'001 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: (f771isy�section need not be completed if the permit is valued at one hundred dollars($100)or less.) E :311 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 o e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. l I --aa plicant IDneture:` �N GC...�cDate: WARNING:FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),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 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: Lenders 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 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(5500).): ❑ 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 old 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.). • t' 6gs;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.). 0 I am• :me under se•i a S Business and Professions Code for this reason: Si•n- ei! 11WWW, r-'Date:;t.� — — � • Owner ID verified by drivers licer•:. ❑Yes ❑NoD vers'LicensezNo. • (/.; Expfres:>- - _ Verification of Ownership by(type of document,i.e.-property tax bill or dee r� ' 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,Califomia 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 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 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 application armit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? al p2eYes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 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 0 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? 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 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 ci dinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-de cribed prop for i ction purpos:- to occupy or allow occupancy of any building authorized by this permit until final inspection. H nature-Of Legal Owner(sJDate ? . �3•AnWOrAuthorized Applicant Date CODE I INSPECTION TYPE DANE INTmALS CODE t INSPECTION TYPE PAIL 1616 Fixed System Final Fire Prevention 206 Final Mechanical I r9 •7 -n't Utr 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 1114.0 FEE RECEIVED to - Ir - v-`c COSTA MESA BUILDING DEPARTMENT • "1-% P.O. BOX 317 FINANCE DEPT. COSTA MESA. CALIFORNIA . CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS 1544 ELrn 6v E.. A)$ (` BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY Kenkol Investment Co. RECEIPT NO. /PERMIT NO. OWNER pp O /PERM 4zD MAIL ' 1555 Placentlµ RECEIVED BY DATE RECEIVED DATE IS��S//UE A ADDRESS 0t-7'<) /g- /S .-17 /4/1/�V, Beach TEL / BUILDING ! / CITY Newport Beach M'QT 6-3?27 ADDRESS ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA ' FIRE ADDRESS ZONE ' K. N. Kell CITY LIC. 4316 ZONE PLANS TYPE / GROUP �� CONTRACTOR C NO. Z (/ Aie( ADDRESS 1555 Placentia TN 16-3227 APPROVED ADDRESS DATE n 4 LEGAL NO. i 1 BLOCK E „Wry Wt CQR-R'EC I IONS.0 j/.(/�(/� d� • DESCRIPTION 2 (( CK [1 A.P.NO. it / J r- (� 1-..4-0\ �� e. SIZE 50 X 143 NO.OF SLOGS. 0 �' I� �J�� `� OF LOT NOW ON LOT /'V'v-K_( -J USE OF 1//' EXISTING BLDG. .•/C) _ tit SETBACK LINE FROM /�•� J \� 1 CENTER OF STREET J'1 t .REAR YARD,33 \.Le�J-� , ,-.--.1 SIDE YARD RIGHT 5 LEFT 7 - \7 DESCRIPTION OF WORK ' NEW ALTERATION I ADDITION • ' REPAIR • MOVING DEMOLISH SIZEBUI DING 'm 0 0 p/ ROOMS ( D STORIES 2.., • I EXTERIOR WALL -I/' ROOF "J�� DPV COVERING CCD COVERING IL USE OF NEW Tr;, ' _ _ • / BUILDING A. T _ 'R I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. VALUATION SIGNAT AF PERMIT FEE S ea.. GO PERMI Q 7 qh PLAN CHECK S (, 3,00 AUTHO- • A •�" • �I I TOTAL FEE $ E1 .DD 'Pi' ,y 11..2':0 EEE DECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O.BOX 317 COSTA MESA. CALIFORNIA . � /� -E 6 FINANCE DEPT, FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR, PERMIT • vu I Ju 1 VJl4 IYICJA • TYPEORPRINT BUILDING BUILDINGDRESS 1544 Elm Avenue ADr/� USE MESA.. CALIFORNIA . " FOR. OFFICp E USE ONLV )� ,, RECEIPT NO. q, PCIII,At .NOn OWNER : Kenkol Investment Co. _ JLit.4-LU AMAIL DDRESS 1555 Placentia RED .1.2l I DATE,RECENEge I DATE ISSUED Beach M1awaq ��.•((�J' 1 �L/ ////{��EE'///n44 //s/�njj�ti a ,o... CITY Newport Beach TNO.��3227 ADDRESS j Y • �C'14 �l�A•e ARCHITECT _ LIG. COSTA MESA. CALIFORNIA OR ENGINEER _ - NO. / q� ADDRESS 4W/9r5- ZONE TYPE - �Y/ GROUa;////y,� • K.M�♦ K011 STATEAS& APPROVED J� I 6/- i/6 /�L {7 CONTRACTOR LIC. TE AP MATE L y DATE / O L ADDRESS 1555 Placentia Z NING LEGAL LOT B }y�,Iairview ZONE / NO.OF USE OF NEW DESCRIPTION I NO. 11 I BLOCK !TRACT / 1 ,- I PLANS // �I"BUILDING 24r' /�/, �T�I(f A.P.NO. BYPROVED/i /I �-/ Q I_DATE /'/--((1"I!° SIZE NO.OF BLOCS. A /_ I"•E/�'�( OF LOT 50 x 143 NOW ON LOT 1 YARDS EVES _ REQUIRED ALLOWED USE OF (CENTER LINE ST.),,-/ y/ 7,-�' C EXISTING BLDG. Triplex FRONT 65'Li .( tFT./1JL/I-jFI �IN:e-.' SETBACK LINE FROM 'n�`I`' 15 / CENTER of BTREET-P OK" -_"'L REAR YARD/ t R.SIDE • / /�iJ;FT. / IN. • SIDE YARD I LEFT 8' VT I RIGHT • 16I ^ L.SIDE ' ,'1 FT. IN. DESCRIPTION OF WORK r /`J `` ///.1s FT. ),} / X 1( 7`/ ((i IN. NEW I II ALTERATION I II ADDITION REAR I X REPAIR I I MOVING I II DEMOLISH I -- SIZIEDING. 20 sq.f`t.ROMS O1 STORIES 1 EXTERIOR JJWA ROOF COVERING a�iu coo I COVERING Rook • USE OF BUILDING AND WORK TO BE PERFORMED Attached garage Add to Permit No, 11140 • • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGRE€ TO COM THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH A ITY ORDINANCES AND STATE LAWS EGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING •ONS RUCTION. VALUATION SIGNATOR. W I ab 590.00 PERMIT FEE $ 00 PERMITTEE $ PLAN CHECK $ AUTHOR D AGENT 4.00 TOTAL FEE $