HomeMy WebLinkAbout121 18TH ST - Building Permits CITY OF COSTA MESA
05 Q BUILDING DIVISION •
Ft ®,,,-�1. 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
-4, rat FOR INSPECTIONS CALL: (714)754-5626
'` � PERMIT NUMBER: BC11-00390•
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PERMIT TYPE: B_COMBO 'STATUS: ISSUED
Sub Type: COM ALT DATE ISSUED: 08/26/2011
ISSUED BY: •
JOB ADDRESS: 121 E 18TH ST CM Suite/Unit:
APN: 42544315 Zoning: - ' • ..
Vicinity: INTERIOR AND PARKING LOT Primary Occ:
Const Type: V-B SQ. FT: 4968 Valuation: $150,000.00 --
SCOPE OF WORK: 4,968 SF INTERIOR TI FOR"CV WELLNESS CENTER".WORK TO INCLUDE THE RENOVATIONS OF AN
EXISTING GYM; DEMO OF EXISTING BATHROOMS AND REBUILD OF NEW BATHROOMS/LOCKER ROOM, RECONFIGURE
WORK OUT AREAS, OFFICES AND RECEPTIONIS AREAS, UPGRADE ACCESSIBLE PARKING
NO FLOOR AREA ADDED-HEALTH CLUB APPROVED UNDER ZE-81-82. •
MECHANICAL INCUDES 2 RIFRIG SYS<100K BTU,2 AIR HANDLER 0-10K CFM. ELECTRICAL INCLUDES 96 LIGHT
FIXTURES,15 SWITCHES AND REPLACEMENT OF EXISTING SVC600V/200 AMP. PLUMBING INCLUDES 2 DRINKING _ _
FOUNTAINS,4 SHOWERS,4 SINK COMMERCIALS, 1 SINK SERVICE MOP, 1 URINAL AND 5 WATER CLOSETS.
OWNER: HOGLAND,DENNIS W TR Address: 1769 NEWPORT BLVDri
Unit:,'1 ' S' .. L ,
Phone: City/State/Zip: COSTA MESA,CA
APPLICANT: DEWEESE,JEFF Address: Unit: :
Phone: 916417-4173 City/State/zZip: -
CONTRACTOR: VALLEY COMMERCIAL CONTRACTORS LP License No. 739378
Phone: Address: 21110 OXNARD STREETUnit: SUITE 760
Cell: 818-710-7838 City/State: WOODLAND HILLS,CA ZipCode 91367
ARCHITECT: LAWRENCE ARMSTRONG License No.C14024 PHONE:949-660-9128
ENGINEER: License No. PHONE:
COMBINATION PERMIT FEE SUMMARY IF AN
Building Plan Check: $206.99
Building Fees: $1,273.75
Electrical Fees: $147.98 ()/
Mechanical Fees: $74.40
Plumbing Fees: $190.10 I�Jt\
SMIP Residential: $0.00
SMIP Commercial: $31.50
Bldg Std Admin Fund $6.00 • *`.,t! f',
TOTAL FEES: $1,930.72
**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 Californiastatutes 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 k. INSPECTION TYPE DATE INTITIALS CODE 4 INSPECTION TYPE OATS pTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical b I , 1
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical I Z , n n }1
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval '
203 Final Sign 222 Final Site _i I - •
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes 0 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
pert ance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
s ion 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
perry)* '- issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
r • bey a e: person is required to descend,will be made in connection with work authorized
Carrie : k%ere 5 A/(j—1-t( 1 M.S , r I by this permit,and that no building structure,scaffolding,falsework,or demolition
(This section need not be completed II the permit Is valued al one hundred dollars(3100)or less.) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
!/� 2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: `7CP DCDOC �,js'Z 1\
0 As owner-builder, I will not employ anyone to do work which would
❑ 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 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 subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code shall forth ' • omply with these provisions.
/._ r Division of Industrial Safety Permit Number:
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
nse is in full force and effect. a registration form for acutely hazardous materials? ❑Ves ❑No
37p
♦ to (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
comr-�. e - Dale 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
CONSTRUCTION LENDING AGENCY: 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
Lender's Name: hazardous materials)? ❑Yes 0 No
(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? El Yes ❑No
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 (Section 65850.2 of the California Government Code requires that the requested
information be furnished on applications for non-residential building permits).
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 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? ❑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? ❑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
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 Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ 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 agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Sig ure of Legal• er(s) Dalen
Signature Dale , 4C —'
3e57-46(3/07) And/or.0ized..4* . 1 D
44665 6 6 5 CITY OF COSTA MESA
SIGN PERMIT Tag No.
V /������
0 Electric Ad rvof Sign L SEP 16-77PatB
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Planning & Building Safety Departments �� Cn,p00 796
# ******46.8('802 Type
on-electric
' ,, Office Use;0air R`. .
Location -
'/ /('� �y P rtY' /
Building Site Address /�/ Ail r/� �/ Phone (7� ���� A.P.No. //7— `�7 3- 20 Zoning - C� `2'
Name of LesseeSitizy 054 � G�/j-. �, G Sign Dist. /� /� 'I),at/etReceived:
q 42'27
t' w'^ State License No. F/� are?/ Received by: t'dd" F �t 1
Contractor 4/h.l=c 6 4/5- 6 X00 City License No. Street frontage: /J�
W / �. Front: b ft. Street: /�T�
Q Address Q'7/ Peer 10 CPj t> City 414•4 if ea . Zip q-<,C Right: ft Street:
)�' Left: ft. Street:
Legal Owner of Sign /i e l�� Al/Chloe, Phone ��'< -1 a e Rear: ft Street:
Address 12/ E. �!y S rs City
C ist. at Zip 92C2 7 Building set back from center line of street ft.
„-j Master Plan Highways ultimate right-of-way ft.
CO
ftlSign Location
0 Descriptions Illumination Front Right Left
ae
a. �//
Z
0 Ground Canopy L7 lon-illuminated Between property line&ultimate right-of-way
rrl 0 Wall 0 Attraction Board Ground Signs
0 Roof 0 Advertising Statuary
0 7 ft.& 15 sq.ft/or 0 Table 2 Planter Area=
❑ Projecting 0 Other 0 Directly lighted
W
0 Construction 0 Tract Sign(Security&Right of Entry Agreement) Sign/ /
E-, ❑ Convenience 0 Special Event(Request form submitted) Area of Sign ft. l x l ft in._ /.
U 0 Super Graphic 0 Change of Copy(amortization) 0 Ind recdy'ligh ted ' &l ft.
LWL Ground Clearance�y..,�, '� p�
W ams Overall height :Cc+/"e" /0 • O ��
W Letter height �1 .,
❑ Planned Signing 0 Shopping Center/Integrated dev. ❑ Variance Items of Information /
W C.U.P.No. ❑ By Owner/or 0 by City
Total sq.ft.of all Signage Ir3
a. (Date letter sent ) 0 Minor Variance _ Amortization
Subject to Amortization: yes 0 no
All applications must be C y the Applicant footing,framing,electrical and final Inspections shall be called. (714)556-5273 Expiration Date
Valuation:
$
der
/ �/ d/, Plarming fee L 30 Office- Use Only . r.- —
Signature of Permittee �_ _'/• 2.0.0
(7✓ -S r S�-�/ Budding fee Insp B Px BPx No Fin., Px A ,p�i PNoAuthorized AgentPlan Check fee •D .. - �:'R"'
Total Fee $ ‘• yo ' s 5-•rr.1,*. i yy r` .,.t,ki_.`
/ Txte� ' .r hp v' a R ,( E-ge i s
Received by Date �1_` 7) Date Approved Q��S � 7 7 / 5i^=
111777 — - / ., t- d ?`
i /{ nr• � aiYba� ;q r� � • •, 'Q-' •t...
Signature(Bldg.Staff) I i �� Signature(Planning Staff) y- r '}-.J°J'"```sr OM 71414,j.;,a .i 1-{s'a -z
Date (Approval subject to the condition of Ord.74-25 Sec,III 3.d)
CMF 0068-26 White - Building; Green - Customer; Canary - Planning; Pink - Finance; Goldenrod - Assessor
Date September 8, 1977
Subject : Request for Sign Permit `
Location : 121 E. 18th Street , Costa Atesa, Calif.
Tennant : Jerrie ,Nichol dba Richard ' s Gallery & Custom Frames
Owner Dennis Ilogland
Work by : Ante% Manufacturing and Supply Co.
871 Production, Newport Beach, Calif.
Description : Painted sign on canvas awning attached to face of
building
Awning height : 32" Sign height 10"
width : 65" width 18"
depth : !18" area : 180 sq. in.
Distance above sidewalk: 7 feet
Building frontage : 75'
City of G st �Ie,a BUildi�nnc, Dee it.it
BY___ I_ _ ._DATE.._[/V IF_ f
MAKE
THESE PLANS MUST SE ON JOB A.' ALL TIMES
NO CHANGES WITHOUT PRIOR APPROVAL
OF DEPT.
K'UC ANO I .5Hor tt
' �� l SSUANCE Jft�ryTING OF A PERE IT OR.APPROVAL
f; rc I HUCTURgL AIRY OF PLAUS AND SPECIFICATIONS SHALL NOT BE CONSTRUED
L;-- -� ?OVAL ONLY i0 BEA PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION
SEP'R 1: �_ 'F ANY OF THE PROVISIONS OF THIS CODE. NO PERMIT PRE-
PERMITS , FUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
TSO ECTRICAL, RE REQUIRED ROVISIONS OF THIS CODE SHALL RE VALID, EXCEPT IN SO
r ' f. LUC961NG AR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL.
TI"G, vrivp,.a
RErRIGERA710N W O AND THE ISSUANCE OF A PERMIT BASED UPO;J PLANS AND
WORN g ECIFICA710NS SHALL NOi PREM BASED
,... .. _
IN SAID PLANS AND SPECIFICAT ON C OR EFRO:.; PREVFJiTINBSG
T., . ,22:7f. >r BUILDING OPERATIONS BEJNC CARRIED ON TH EHLL3DER YMNEN
St IN.iVIOL GTION OF THIS
ALL 11•SPE ACCOMPANY OF THE CITY. COBE OR OF ANY O'THER ORDINANCE
CT ION REQUESTS — }}
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CITY OF COSTA MESA
Development Services, Division of Building and SafetyI sir
(iiir I-7
CERTIFICATE OF OCCUPANCY
This certificate is issued pursuant to the requirements of the 2007 California Building Code,Section 110 adopted by
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:
Building Address . 1 21 R. '1 RTH STRRFT - Bldg.Permit Numberer1 1 —fl fl l0 n
Use Tanant
Group V—B tType of Construction A-3 Fire Zone Use Zone
Owner of Building Dennis' lioaland Tenant CV WELLNESS
CENTER
Address 1 769 Newport' Blvd. , 'Costa 'Mesa? ._ ' , % ,i
-- Br ,,/G t A /^
BUILDING OFFICIAL-Keith Clarke, C.B.O. FoR ,.-----'---
Date 10etemffier 16,
REQUIRED TO BE POSTED IN A CONSPICUOUS PLACE
OWNER RICHARD'S GALLERY & CUSTOM FRAMES DATE 9-.16-77
JOB ADDRESS 3.23. East 18th Street BUILDING PERMIT NO. 44665 •
GENERAL CONTRACTOR Amtex DESCRIPTION of WORK Kinn-Flprtrir rnnnpy Si P '
An `lo. 137-093-20j _
LOT TRACT FIRE ZONE VALUE E 2()(1 on
I. 5CTION5 Signature _ Dote TYPE - GROUP ZONE C-P
SOILI
SUBCONTRACTOR PERMITS ISSUED
ROUGH
Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
I4ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE •
UNDERGROUND 0 POWER 0 _
ROUGH WIRING Heating and Vent. . .,�r
�TRENCHES [:1 FORMS H STEEL REINF. ! ,,,q \X
FLOOR SYSTEM _jam -„ \1 til ti
BOND BEAM n STEEL REINFORCE 7 e if v I`" 1 'I
SHEATHING Y\ {11 S\ 't� �O \
FRAME ANO FLASHING [4ti \ �'1 �. w 7`
LATHING — IN n OUT 7 (,'��V l% `>> ',A
PLASTER, BROWN COAT l{ l, �, `4
5' -.TURAL, FINAL X Electrie u rNG, VENT., REFRIG. AND A.C., FINAL I MG i�
A
PLUMBING. FINAL AND GAS TEST 7 1 1 J•
ELECTRIC. FINAL `T ^ ! _/
BUILDING. FINAL \ 011\V�