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HomeMy WebLinkAbout338 SANTA ISABEL AVE - Building Permits CITY OF COSTA MESA BUILDING DIVISION r DEVELOPMENT SERVICES DEPARTMENT PER IT NUMBER F t j4J �-`�11� PERMIT M03-00535 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 338 SANTA ISABEL AV Status: ISSUED Suite No Applied: 10/24/2003 Issued: 10/24/2003 Vicinity: Parcel Number: 43914338 ISSUED BY: /_imillr Applicant: SCHNIERER, STEVE Address: 2057 MANDARIN DR Phone: 714-719-1689 COSTA MESA,CA Zip: 92626 Owner: BLAKENEY, BETTY TR Address: 338 SANTA ISABEL AVE Phone: COSTA MESA,CA Zip: 92627 Contractor: ALLIED PLUMBING - HEATING -AIR CONDITIONING Address: 422 JENKS CIR Phone: 714-998-4300 CORONA,CA Zip: 92880 License:610780 SCOPE OF PERMIT CHANGE OUT FURNACE<100K BTU. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst MU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventilation 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 $0.00 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 ' Factory Fireplace $0.00 0 - 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $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 $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 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 $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $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 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 2448-46(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 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: Cartier: 7ortc -J\rr 3r art Policy Number. (UC.243%1 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 1 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 lifornla,and agr th if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr Applicant Signature: Date: (O/Z'•I/03 WARMNG:FAILURE TO CURE WORKER COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML RNES UP TO ONE HUNDRED THOUSAND DOLLARE(5 %,c0o),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060f 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.p Class It C20 C SC, Contractor's Signature: 2 Date: /n/2iiJn 3 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,CMI Code). Lender's Name: Lender's 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).): O I,as owner of the properly,or my employees with wages es 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 ere 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 properly,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,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). O As owner-builder, I will riot 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: I Will the applicant or pres nt or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ji No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Flre 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 ❑No (Section 25533 of the Califomia 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 Califomia 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&8ermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? U Yes No (Section 65850.2 of the Califomia Government 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 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 Duality 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 prescnbed by Califomia 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 penally 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 COMPIJANCE 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 inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. bignatt>r egal Owner(s) /0/244/0SDate And/Or Authorized Applicant Date CODE 6 INSPECTION TYPE PDF( INSPECTION TYPE JtAIE3/� 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing -. 200 Final Re-Roof 210 Final Electrical 201 Final BIocidRetaining Wall 212 Final Flre Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER DOYLE & SHIELDS Development Co. ,Inc. DATE 6-3-63 JOB ADDRESS 338 Santa Isabel Ave. BUILDING PERMIT NO. 19728 GENERAL CONTRACTOR Doyle & Shields Dev.Co.,Inc. VALUES 19,417.00 AP No. LOT 144 TRACT 3433 FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar. INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-2 _ Soil A-4Z G��V/� PERMITS ISSUED A� - � SUBCONTRACTOR Gas /r " Ai-9 ,673 DATE NUMBER � Water Rough Coin. Refrig. ❑ Air Cond. 0 Rough Heating R 7-7-G2 /A 1Sal 2_1 J•1116 _ Rough Plumbing 5 a -,- , , `'' _. a- _e-J-6„,_ 1' / 1 Miscellaneous _ Prof. Swr. Line p House Con. 0 St. Swr. 0 /1- {�7 c�'- l�L�/Q_w _—L -23-G 3 _g1J_22'O Sprinkling System v Construction Pole `t� Underground 0 Power :0 Rough Wiring Q, —/6-Vi- A a Q. are. k- 3o-63 -% c Trenches Forms Steel Reinf. ❑ fjt G�� '' -�t�[ Floor System ,1/rf-c< Bond Beam 0 Steel Reinforce 0 d Sheathing - it:// d Frame and Flashing / /' �p G" �r ' Lathing - In Y1/Out.1i----.-- f' 1.,, /.- t - _Plaster, brown coat //,�/, . j Refrig. 0 Air Con. 0 Final � r Heatinal bFiixt si_�.� PlumbingFixtures, Final ��--G Final Gas Testti ��/ L-,5--(� N Electric Fixtures, Final 6d -- J Building, Final 9 yle' OCCUPANCY ' frTny^crC• '--wn-w y% n n.n RRdzGM V_R't�C_R P •in.n •.�— —..�. ylniCcintiN J.:, ! 9728 FE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ii)N . 3 7993 P.O.BOX 917 COSTA MESA,CALIFORNIA INANE DEPT. L For Applicant to Fill In Completely ittliCkfiCGOSBRMERIT TYPE OR PRINT BUILDING a p \ . � For Office Use Only ADDRE S "Vg O X11.¢,` �.1_C�(, ADDRESS Y1� {J RECEIPT NO. �F,gpl1�0 COSTA MESA. CALIFORNIA (y-y, RE• -D BY DATE RECEIV D j1 HATE ISSUED .5"--- 5-4 3 MY f mea OWNER Doyle & Shields Dev.Co. ,Inc MAIL Bu �INo33� i , fP • ADDRESS 831 So. Manchester Ave.TEL AD=-Ess p FIRE ,^1 CITY Anaheim NO. 2R 8020 ZONE TYPE GROUP&�� ARCHITECT TEL. 871 BYPROYED DATE OR ENGINEER Hai C. Tan NG. 2810 /ZONING ADDRESS 4100 W. Commonwealth, NO,DFJ ) 0FNE ' Fullerton ` ( PLANE J/� BUILUSEDIN�J CONTRACTOR Same • ADDRESS Same DDESCRIPTION Lot 144, Tract 1413 CITY Same A.P.NO. eir-- NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE I LIC.NO.l51-250-B-1 NO.PR 2-8020 90"TO SIDE REAR P.L. EAVES SIZE OF LOT 33 x 53.50 INOW ON LOT -- NO.OF BLDGB. ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING 1 EXISTING BLDG. —i.� (FROM C/L STREET), SSCETTECKO IF'N;FERE GM 40 I REAR YARD ---- FRONT OFT. FT. CENTER F S ! -- p� I SIDE YARD LEFT I REAR R.SIDE V FT. FT. DESCRIPTION OF WORK L.SIDE ID0 FT. FT. NEW X ALTERATION ADDITION REAR FT. FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS. BUILDIN NO OF VAR.# DATE SIZE .s3x53 .50 ROOMS 6 STORIES 2 C.U.P.# / APPROVED EXTERIOR WALL,,, J ROOF Y. APPRO ` COVERING braCCV COVERING 3""OmpO• BY RATE 0Cl /51✓✓✓ USE OF BUILDING AND WORK TO BE PERFORMED ]�aiAanrP w/attar�hed garage Model 32C (gyp 1F04 so.Fr. 1'. Jao ° N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH• UNDER VALUATION IS FOR THE AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF E =LISH IND A PERMIT FEE ONLY. 0 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. 3 a1 N � ya F/��-. Von PERMIT FEE $ O PERMITTEE O„ "_ _ p_ pet, bud •e4 e $/�� V / co �U'B'Uy� 7 EC (� S / Gj 0 AUTHORIZED AGENT C. f"6 LAIL. TOTAL FEE $ /