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Home My WebLink About3141 HARBOR BLVD - Building Permits (5) .. - ,L---....:7-1 CA. OF COSTA Ma rcji Development Services, Division of Building and Safety CERTIFFIIC2 TyErOF��C_CUPANCY - f This certificate is issued pursuant to the requirements of the•2010 Califomia'Building Code,Section 111 adopted by rL t v ' m _+* �- r----- ui d•''n the City of Costa Mesa certifies that.at the:time.of its issuance the building structure herein below described was inspected and approved for occupancy as follows: NA\ ii Building Address 3141�..Il rliol_�Blva 1:01:1,.., .•'.. �Bldd rmit NumberBC1 2-0021 1 Use McD aB ds est_'au -ant.— � �� El icil Group A2 Tyy�,pee of€€oonstruc onriT1) THE.4Fire: e II' 0p�li Use Zone Pat11]lCia JSttin �ti- • ( p.] Owner of Building qe �� , Tenant � Vit\-1\ r1 �/ Address 344 Mesa R %a'nt do ,� rc � //�J��j J��// '✓fin iai I:r�'.k!%iya'�.By� - I ......----- BUILDING BUILDING OFFICIAL-Khanh Nguyen, C:B.O tS, oC�` / w"`J o Date-e1A , c-9-e) � a a.„) . REQUIRED TO BE POSTED'IN A CONSPICUOUS PLACE Car ' , 010 CITY OF COSTA MESA o FS BUILDING DIVISION a ,, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • vwiw.costamesaca.nov 7e. Silia FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: BC12-00211 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: COM NEW DATE ISSUED: 07/30/2012 ISSUED BY: RMD JOB ADDRESS: 3141 HARBOR BL CM Suite/Unit: APN: 13950111 Zoning:CL, Vicinity: Primary Occ: Const Type:V-B SQ. FT: 3847 Valuation: $345,845.30 SCOPE OF WORK:CONSTRUCTION OF A NEW 3,847 SQ FT"MCDONALDS BUILDING WITH DOUBLE DRIVE THRU AND TRASH ENCLOSURE. 1 FAU < 100 K BTU, 3 FAU > 100 K BTU, 3 REFRIG SYST< 100 K BTU, 1 REFRIG SYST> 100 K BTU,3 HOOD W/DUCT AND MECH EXHAUST, 2 VENT FAN TO SINGLE DUCT, 3 KITCHEN HOOD WITH MECH DUCT, 1 BKFLW PREY, 5 FLOOR DRAINS, 4 ROOF DRAINS,4 FLOOR DRAINS, 1 EARTHQUAKE VALVE, 5 GAS OUTLETS, 1 GAS SVC, 1 GREASE INTERCEPTOR, 3 COMMERCIAL SINK, 13 FLOOR SINKS, 1 SVC MOP SINK, 1 URINAL, 3 WATER CLOSETS, 3 WASH BASIN, 1 WATER HEATER, 1 WATER SERVICE, 138 LIGHT FIXTS, 103 OUTLETS, 5 SWITCHES, 1 SVC TO 1000A,4 MOTORS TO 10 HP, 7 SUB PANEL TO 200A, 1 TRANSFORMER TO 10 KVA,6 TRANSFORMER TO 50 KVA,4 LOW VOLTAGE EQUIP. REF: G11-00024/DR-12-03 OWNER: ELTINGE,PATRICIA Address: 344 MESA RD Unit: Phone: City/State/Zip: SANTA MONICA,CA APPLICANT: MONDE,CHRIS Address: Unit:: Phone: • 909.730-0346 City/State/Zip: • CONTRACTOR: J G CONSTRUCTION . License No:671997 Phone: 909-993-9393 Address:15362 EL PRADO RD Unit: Cell: City/State: CHINO,CAZipCode91710 ARCHITECT: FIEDLER GROUP License No.C28742 PHO :213-381-7891 ENGINEER: DAVID E PEYTON License No.3288 PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Chock: $385.35 Building Fees: $2,371.35 Electrical Fees: $777.28 Mechanical Fees: $209.40 Plumbing Fees: $404.65 SMIP Residential: $0.00 SMIP Commercial: $72.63 Bldg Std Admin Fund $14.00 TOTAL FEES: $4,266.01 "Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC EXPIRES Sec. � 9 � tn ' Wqk3yPbi .EIPPAYtlgh ORPl an ine suRA tkneTorlwfnoeday toha e latedregulations.( r 9y Day,pendence Day,Labor Thanksgiving tChristmas Day EXPIRATION: PERMIT 180 DAYS FROM DATE OF ISSUE UA I LAS I INS tGIiu 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 t INSPEGPONTITi MIE INTITIMS CODE/ INSPECTION TYPE pgA1E ly)IDy¢ 1616 Fixed System Final Fire Prevention 206 Final Mechanical r 22f /2 999. 1266 Pool Spa Final 208 Final Plumbing I E 3 12. tni- 200 Final Re-Roof 210 Final Electrical 1211 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 lin v A' a WORKERS'COMPENSATION DECLARATION: • Owner ID verified by driver's license. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: • Drivers 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 ❑ 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 I , II__ r by this permit,and that no building structure,scaffolding,falsework,or demolition Caa rtier' WI GV` (...i.) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This seam need not be completedCele berm is vaned at one hundred awars/5100)oriess.) 2,Ant Sec.341,Title B,California Administrative Code). PV'Number: .C.S00 J jT.\$6" 0 As owner-builder, I will not employ anyone to do work which would o 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 emplo 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' co t• . '•• laws of California, and agree that if I should• become subje •v e wor.- 'compensation provisions of Section 3700 of Applicant's Signature Date the Labor ,; , s t. .rthwith comply with these provisions. -7—90 — (2 Division of Industrial Safety Permit Number: 'Applira 's Sgnature ('�a^"�� 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 0 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 kill.force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Lip �•Class* �[3 (Section 25533 of the California Health and Safety Code, with some /�/r� ti - exceptions, requires registration with the Costa Mesa Fire Department by i— ^-3�� aeach business which at any one time has on hand a quantity of acutely .ntradar;signbture Vete hazardous materials equal to orgreater than a weight of 500or (r q g paa, a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDINGAGEF.Y: 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 Lenders Name: .+ hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: iJ Costa Mesa Fire Department may require the preparation, certification and i 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 Califomia OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 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? 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 License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). 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 Califomia 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 (hereon,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 at ree not to occupy or allow occupancy of any building authorized by this pe A,N1 ntil mal inspection. ' Sig JJ!/egal Owner(s) Date Signature Dea.43J ---1z_ 30576(3107) --� da Authorized Applicant' (-Date