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HomeMy WebLinkAbout1548 ELM AVE - Building Permits • 1 CITY OF COSTA MESA 4.,egon ms„ BUILDING DIVISION t14I^_ 77 FAIR DRIVE.COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us A FOR INSPECTIONS CALL: (714)754-5626 ,d PERMIT NUMBER: BC11-00286 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 06/07/2011 ISSUED BY: KJB • JOB ADDRESS: 1548 ELM AV CM Suite/Unit: APN: 13930112 Zoning:R3, , Vicinity: FRONT UNIT-UNIT A Primary Occ Const Type: V-B SQ. FT: 0 Valuation:, $15,000.00 ' SCOPE OF WORK: NON-STRUCTURAL FIRE DAMAGE REPAIR. SCOPE OF WORK TO INCLUDE: NEW DRYWALL IN KITCHEN, LIVING ROOM CEILING, HALL CEILING AND BEDROOM CEILING. NEW KITCHN CABINETS.ALL REPAIRS LIKE FOR LIKE. MECHANICAL TO INCLUDE: 1 VENT FAN. ELECTRICAL TO INCLUDE:6 OUTLETS, 6 LIGHTS, 3 SWITCHES. PLUMBING TO INCLUDE: KITCHEN SINK. OWNER: BUTTON, CHRISTOPHER L Address: 9242 CHRISTINE DR Unit: Phone: City/State/Zip: HUNTINGTON BEACH,CA APPLICANT: IKON BUILDERS Address: 32158 CAMINO CAPISTRANO Unit: : Phone: 714-902-9334 City/State/zZip: SAN JUAN CAPISTRANO,CA , CONTRACTOR: IKON BUILDERS ,License No. 693947 r . Phone: 714.902-9334 Address: 32158 CAMINO CAPISTRANOUnit: - Cell: City/State: SAN JUAN CAPISTRANO,CA ZipCode 92675 ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: $251.25 Electrical Fees: $40.00 Mechanical Fees: $30.75 Plumbing Fees: $43.10 SMIP Residential: $1.50 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $367.60 **Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day,Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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 X. INSPECTION TYPE DATE INTITIALS CODEX INSPECTION TYPE R O2& DATE P0111ALS n 1616 Fixed System Final Fire Prevention 206 Final Mechanical X R..2&'I, /0_40- .1266 Pool Spa Final 208 Final Plumbing ;, '�L/� n 200 Final Re-Roof 210 Final Electrical 'f0��� mr by ma 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 i 6 WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive, license. ❑Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ 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 by this permit,and that no building structure.scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This seoon need not be corn a ed d She perms a valued at ehu ed dollars(5100)or less.) 2,Art 2Sec.341,Title 8,California Administrative Code). •olicy Number: ❑ As owner-builder, I will not employ anyone to do work which would t,. 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 is I d, 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 suect to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor Qobe,I II forthwith comply with these provisions. Division of Industrial Safety Permit Number: e 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? ❑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 ATTORNEYS 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. /�—r-�_ a registration form for acutely hazardous materials? 0 Yes ❑No 4.`-7—'' :# 6 A_____, i 7 -1"C ass.#_ef (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 a �.-L�a hazardous materials equal to or greater than a weight of 500 pounds, or a y �"'' ., volume of 55 gallons. or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). O 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)? ❑Yes CINo (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 Dale 4. If an RMPP is presently required. has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑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 Code: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? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment 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 6. Will anypart of the facilil to be constructed under this permit be within Business and Professions Code) or that he or she is exempt therefrom and Y the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑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? 0 Yes ❑ 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 control officer). 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 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 CII, 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 the information given is correct. I agree to comply with all state laws and city- r - 0 •I am exempt under sec. 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. 'air Signe of Le Ovmerls� Signature Date 4y'�/ 3057-46(3107) :Auuwcrzetl cant >.4.apa j. Fite Incide `# I /" 'yG'C 4S • I TA MESA FIRE DEPARTMENT Police Incirnt# P.O. BOX 1200 COSTA MESA, CA 92628-1200 (714) 754-5106 RELEASE OF PROPERTY AFTER EMERGENCY INCIDENT �(t.*-t-r- ! The Costa Mesa Fire Department, in the interest of the safety and welfare of the community at ) d i c (time) — (date), assumed control of the property located at I'ill t. E l tan A U-? -I'A-- C OS;'t, MP!' r A' The necessity for assuming control of the property was because of r..i/t ,LA 4 P✓l n✓' c-k 64 IL,.✓c F 1 "C • . Pursuant to the conditions contained herein; as of. } rt..1)‘1/4. F,Cil (time) („—LI H (date),the-select property is released to, vi and is to be under the control and the responsibility of /2 G JP J h v CQ,! ) (name), who is the owner( ),owner's representative( ), tenant( YOU ARE HEREBY PLACED ON NOTICE OF THE FOLLOWING CONDITIONS(Check applicable conditions): (l) A rekindle or an additional fire from a hot spot is possible. The Fire Department recommends that a fire watch,with a means to extinguish hot spots, should be posted for 24 hours. (%.1 The following utilities:electricity(.), gas(/), water( ), serving the property have been shut off. It is advisable to / contact the appropriate utility company before restoring the service. (� ) The structure may have been weakened by the incident.Until a structural survey can be made, it is advisable to keep all unnecessary people out of and away from the building. ( ) Buildings that cannot be locked or secured by normal.means must be secured by alternative means. Barricades and/or (Jfencing are required to prevent unauthorized entry. It,may be necessary to provide a security guard. ) Rebuilding ding and/or_repairing the damage will require Permits (e.g., building,electrical, etc.) from the City of Costa Mesa's • D ve et6(39 imt Services Department,Building Safety Division.They maybe contacted Monday through Friday between , ' • the hours of 8:00 a.m. and 5:00 p.m.by calling(714)754-5273. ( The Costa Mesa Fire Department and the Costa Mesa Police Department retain the right to re-enter the property at reasonable hours,should their investigation of this incident require such re-entry. . ( ) Other precautions/conditions(specify): f/G IA n l" t U f t4 R til t 1) II 1 i-(I'c (iv i 1 ) G n • 16.`11 qi'l' rbA•rtn.n t,iI r.r.. ieini/n ft tnt ✓( Cif /CT1 cr-'xifvif f' ' 3,4.,7-r.irm Srl ) . V 0)1 P t✓cUin1, ;' ,t1 i{Ilii rye),m.AfiniFs.. . to nv'ii'1I 12/6LIGU / lir.' 1 1-,-,-/-7,-, rit,Iner71 r;i✓ -P-fr.riff-ftI t A ir, 4r LA l.n c.c l J„r-v l., /•4 ,,wh&ari 4r• ..t'tP r.,,,,,r(-. of-- 4 In-P V3 IrIAA .t r. rvt.4P/A ✓r- I rtf. 1J The conditions listed above are not all inclusive. They are intended as guidelines for the City's Fire Department in exercising their : discretion in providing emergency assistance advice. Information concerning a copy of the report for this incident can be obtained by calling the Fire Department Business Office at(714) 754-5106, Monday through Friday,between the hours of 8:00 a.m. and 5:00 p.m. You may be entitled to a reassessment and subsequent reduction of your property tax as a result of this incident. For further information contact the Orange County Assessor's Office at(714) 834-2727, Monday through Friday,between the hours of 8:00 a.m. and 4:45 p.m. The OWNER, OWNER'S REPRESENTATIVE, and/or TENANT shall protect, defend, indemnify and hold harmless CITY and its elected and appointed boards, officers, and employees from any an all claims, liabilities, expenses, or damages of any nature, including attorney fees, for injury to or death of any person, and for injury to any property, including consequential damages of any nature resulting therefrom, arising out of or in any way connected with the negligent performance of this Release by act or omission, by or on behalf of OWNER, OWNER'S REPRESENTATIVE, and/or TENANT, or resulting from any violation by OWNER, OWNER'S REPRESENTATIVE, and/or TENANT of any statute, law,regulation,or other legal requirement. Signed: , . ,_ . .. ,--.A . % ,".I-I Date: lI" H) Time: 17O Owner( )✓`Owner'sRepresentative( ) Tenant Costa Mesa Fire Department FSigned: v' ✓ . Assignment: ') I Officer in Charge 2523-44 white-Fire Administration,Yellow-Owner/Owner's Representative/Tenant.Pink-Development Services/Building Safety � .�, 1 141 • FEE RECEIVED �� 1 :1 , 14. -5'e, \j LL COSTA MESA BUILDING DEPARTMENT FINANCE O. BOX 317 DEPT. COSTA MESA. CALIFORNIA CITY OF COSTA MESA . FOR APPLICANT TO FILL IN • APPLICATION FOR PERMIT ADDREBUILDISNG I% $ �LM . 2Va' V. '8G . BUILDING 'COSTA MESA. CALIFORNIA ' FOR OFFICE USE ONLY OWNER Kenkol Investment Co. RECEIPT NO. %//Tj�j MAIL �555 Placentia RECEIVED BY DATE RECEIVED DATE ISSUE ���-�JJ/// ADDRESS /I.a/Cr0 /a-/1L"-` 7 /1//;/ CITY Newport Beach i TNTI 6-3227 ADDRESS / /. I ORCHGENE LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS W. ZONE K• Koll CITY LIC.,✓�.316 ZONE PLANS NO.OF TYPE ,/ GROUP //���� CONTRACTOR K. NO. (� v/, TEL. APPROVED _ADDRESS - • - - NO. U • BY DATE C\ _ 'feta // LEGAL LOT n/ -CORRECTIONS g DESCRIPTION NO. Lr "CIS TRACirvi.�iw/r �. 11 I 3 -e -C • I \ [� C/ SIZE 50 x 11.3 NO.OF BLDG® (� / / OF LOT NOW ON LOT 1 L -/I A 9 USE OF `.+, :. I /� 1 EXISTING BLDG. J _ SETBACK LINE FROM / l.� nI Jn ��f'�/ CENTER OF STREET `ACJ -2 REAR YARD J 1�(X, " 3S II SIDE YARD RIGHT , LEFT /0 DESCRIPTION OF WORK NEW ALTERATION ADDITION - REPAIR MOVING DEMOLISH BUILDING 2.s-it/ NO.OF SIZE fa ROOMS 5 STORIES Z., //�f.//3/ EXTERIOR WALL[' T / :1 ROOF 1— ` �C" . COVERING ,J^/1 (f (.LV COVERING F') G I 4 a1� BUILDING f U_ss..r G,..ke `. y • • 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 /I SI: TURF OF PERMIT FEE $ /A6 I/ P TEE I M1 p I $ ��// / d.D PLAN CHECK $'li�. G y �6 37 8 — AUT • I D AIGENT 1 TOTAL FEES 404- 0 0 2 : FEE RECEIVED \CVSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA FOR APPLICANT TO HIL /N COMPLETELY APPLICATIONA MESA PERMIT TYPE OR PRINT - BUILDING BUILDING ADDRESS 1548 Elm Avenue - . . Kenkol MESA. CALIFORNIA FOR OFF/CE OSE ONLY OWNER Kenkol In•vestment Co, - I RECEIPT NO. q PERMY/L 1,7 JL�-fi1JL1 MAIL 1555 Placentia RECEIVED BBYY- DATE/RECCgIVED DATES ISSUED ADDRESS'" Midway / -4 -�O JNN 6 19R(I TEL.111dWa'y BUILDING ///J /A�/� CITY Newport Beach NO.6-3227 ADDRESS ti,--“, '€ ,, aO✓L. ARCHITECT LIC. COSTA MESA. CALIFORNIA OR ENGINEER NO. / FIRE ADDRESS T! 6////1 ZONE TYPE GROUP CONTRACTOR ' K.101. K011 LIC.NO. agzir BYPROVED /l- ATE //),17 ADDRESS 1555 Placentia ( /TONING Fa11•V reli ZONE. �/ NO.OF USE OF NEW ityDESCRIPTION I NO.LEGAL LOT 12 I BLOCK E TRACT A J (PLANS p/YI BUILDING(9,(/./s//r t.....1 A.P.NO. r OF BYPROVE%/i L/• L= DATE I �lYl,`IL' Lv SIZE . ES OF LOT 50 . x 143 I NOW ON LOT 1 REQUIRED YARDS . `AELLOWED USE OF (CENTER LINE S/T.)) '//�— / /� EXISTING BLDG. -Triplex FRONT / n, ('FT. �17.L47/�/l/pN/ SETBACK LINE FROM ////////J.+++,,,,����, CC CENTER OF STREET'c�ry REAR YARD 15 R.SIDE n FT. / IN. SIDE YARD I LEFT 161 IRIGHT 8t L.SIDE /`-/SFT. IN. DESCRIPTION OF WORK . j nn V REAR /V FT. /AC'� 1i ( 7 /;IN. NEW I II ALTERATION I II ADDITION X . REPAIR I II MOVING I II DEMOLISH I - SIZIE DINGS20 $�y ftRO MS 1 ' STORIES 1 • EXTERIOR WA{,.y `1 ROOF COVERING atU000 ICOVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Attached garage -- Add to -Permit No. 11141 • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH AL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING RUCTION. VALUATION SIGNATOR / / •iiiiii /•. / 59 PERMIT FEE $ 4.00 PERMITTEE 0�Q0 $ PLAN CHECK $ AUTHOR ED AGENT TOTAL FEE $ 4.00 S