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HomeMy WebLinkAbout3036 ENTERPRISE ST - Building Permits b1kt Hk Development Services, Division of Building and Safety CERTIFICATE OF OCCUPANCY This certificate is issued pursuant to the requirement of the Uniform Building Code,Section 308 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 30'36 Enterprise St : Bldg.'Permit Number B06-00016 Use Manufacturing .(10 , 361 s . f. ) Group B/S3 VType of Construction -N Fire Zoe XXXXXXXX Use Zone MB Blake Brett Industries LLC Owner of Building Blake Brett .Properties , LLC Tenant 14926 Bloomfield , Norwalk,. CA 90650 Address 7 i By BUILDING OFFICIAL-Khanh Q. Nguyen, C.B.O: 44- ) / Date 02/01/08/ ' REQUIRED TO BE POSTED INA CONSPICUOUS PLACE • r Sta,! - _ CITY OF COSTA MESA -+ 4 QQ.6 BUILDING DIVISION e e 8 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Fit t•• I PERMIT • B05-01937 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caBUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite: • Applied: 10/27/2005 Vicinity: Issued: 10/27/2005 Primary Occ: B Eat<50/Office/Bar<50 Type of Construction: V-N Parcel Number: 41822302 Zoning: MG Applicant DAVID TILLER • Address: 17772 COWAN Phone: 949-251-8512 ISSUED BY: IRVINE,CA Zip: 92614 Owner: L A CHAPTER OF NAT'L TOOL atD Address !NG&MACHINING ASSN TRNG PZ '" NORWALK,CA Phone: 1o. -1 14926 BLOOMFIELD Zip: 90650 i to 0 tt . Contractor: JJS INC GENERAL CONTRACTORS OAT£ ifi Address: 17772 COWAN •n„.,y,,.`. sf1 Phone: 949-251-8512 :!1` -;o:. ` trey, Wit,, IRVINE,CA ,,,• ?et. - ; ,(. Zip: 92614 License: 571849 t s �`' '. zygl .`e a r - #Y. : # k 1 ;' 9 Yfl 'f• 1/2„;:i.1;1.• ' 1 Arch : a .4 C Ma x..frOW- ". +/ Address: =' Addres's ti'x r, r - I Phone: A In;, 4)" . 'Thole:. ,:'is. k ,. Zip: License: :.,„,....m w9i{'s. F T • Licensr 4 e -. `4,4 SCOPE O .(PERMIT J ®a ' �. INTERIOR DEMOLITION FOR FUTURE TENANTOMP�ROVEMENTS DEMIOLISHiINTERIOR NQNrBEARING PARTIONS AND WALLS.NO PLUMBING,MECAHNICAL OR ELECTRICAL'tISPARTrOF THIS'PERMIT. ° fir; .' .i . ±t'�FEESUININ'ARY4t4j / 11S1 ' I Plan Check $117 81 //y f Calc Valuation f"t P t $9,800.00 Pernll 181 25 or:-.i'",,, / „ ; ,7101,,;,I: Claim Valuation $9800.00 SMIP'Res r `$0 00 ei MlPPy�Com ` -: $2106 `+ a .,-,iii;'-, pit t � Oiher + o:V.00 r;''" '., ask^.., ?Q"_;-' a ka ;zlnspectio c.,-;t:' $0.00 A. ,. t4 ,',44, Total: $30112 f' Rv T.PLANNING I&:ZONING SETBACKS z '= "'' ti3 1 r • r :',,,SETBACKS STRUCTURES P,roon 0 0 'kr `-F2ear 0 0 Left 0-0 Right 0-0 y...� `tf 5 it C 4F, EI-4.-ACCESSORY r z,,F‘ron1 0-0 `w.t / Rea s 0-0 Left 0-0 Right 0-0 * 'fwPARKI NG a Existinq: 0 - Required: 0 Proposed: 0 1{.,f . ,GkJ' 3 -±h‘-±10'? a�, sem V3 • .t' 04 r •'., 3' ' .,' 9 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 it 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 2446-46(6/00) • DECLARATIONS !`\ • ". ( 1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of penury one of the following declarations: o I nave 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 nave 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: (This section need not be completed it the permit is valued at one hundred dollars(5100)or less.) ❑ I certify that in the performance of the work lir 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 fiat if I should become subject to the workers'Compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with(nese provisions. Applicant Signature: Date: WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL TIES AND CIVIL FINES UP 10 ONE HUNDRED THOUSAND DOL-ARE 15100.000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,ANDATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: /) I hereby affirm that I am licensee undo.provisions of Chapter 9(commencing with Section 7000)of Division 3 of Cho Business anti Professions Code,end my license is in full torte and effect.Lie.A Class a_ ./ 1 1 1 Contractors Signature: Date: V. \ 7 CONSTRUCTION LENDING AGENCY: \ • \ I l ❑ I hereby affirm Incl mere is a construction lending agency for the performance of the work for whit this permills issu d.•(S_ee.3097,Civil Code). Lancer's Name: Lender's Address: i ' it Signature: - I Date: OWNER-BUILDER DECLARATIONS: I • /-1 ' , `' - . J I humpy 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 perrnil to construct,alter,improve,demolish,Or repair any structure,priui,to its issuance,also requires the applicant for such permit to ale a signed statement that he or she is licensed pursuant to the provit ons 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 sublacis the applicant to a civil penalty of not more than five hundred dollars(S500).): 1- I / . ,/ I1 as ❑ I,as owner of the properly,or my employees with wages their sole Cpnpeniation,WILL DOiTHE 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 herselt or through his or her own employees/prey/dad that such Improvements credal intended or offered for sale.II,however,the building or improvement is sold within one year of completion,the owner-builder iia have the burden of proving that he or she did not.buifd or improve forlpurposee of sale.). o I,as owner of ire property,am EXCLUSIVELY CONTRACTING WITN LICENSED CONTRACTORS a'constiuct the project(Sec.7044,Business and Professions Code:The contractors License Law.Ooes not apply then owner of propert)+who builds or improves thereon,and who ronlrncl i for Stichjproject with a contractor(s) t license pursuant to the Conadtdrs License Laws.)( '] 1 j I 1' 0 I am exempt under sec. - +- •' r\ Business and Professions Cade for this reason: Signature: ."' ;- ^' :- r 1 I" ( I - I I.. . I Date: p. Owner ID verified by driver's•aoBese: , 0 Yes\ Lu NO ) 1 Diver's Licence No. I Expires: Verification ul Ownership (type of document.La.-property tai bill or deed): I I ,�h' -•{ /. . , ,—.:. .. / f . I DIVISION OF INDUSTRIAL,SAFETY PERMIT CERTIFICATION: I iI I ❑ I hereby certifythat no excavation five(5)or more feel In depth Info which a person is required to descend,will be made in connection with work authorized by this Permit.ana ilial rho building structure.scaffolding„tatsewoik,or demolition or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2.Grp 2,Art 2,Sac. 341,Title 6,Calitdmia Administrative Code). / x1 U F i, ❑ As owner-buildei;l ria not employ anyone to do wo.k'which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a Dermal()do seal work from the division. - y ( • Signature: 1.1-a . . t - - ` Date: Division of IndustrialtSately. Permit Number :?_ I \ • J HAZARDOUS MATERIALS'AND EMISSIONS CERTIFICATION: I Will the applicant or,preIent or lu'mrebeading occupant need to file end coney a Business Plan for emergency response to release or threatened release of a hazardous materiel? 0 Yes' .,'❑N0 +.1.../ (Section 25505 hop the Celitomre Heathrend Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Firo Department by every business which has at anyone time during a mooned 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 Ur will the aripacant or.presenl'or future building occupant need to Ido a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 n1(tie California.Hoalth and Safety Code,with some exceptions,requires registration with Iho Costa Mesa Fire Department by each business which at any one me has un haad.e.goantity 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 compresses gas al standard temperature and pressure). , 3 Does ur will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Vet 0 flu (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with(he Fire Depanment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Depanment. 4 If an I1MPP is presently required,has Section 25534 of the California Health and Satety Code been lolly complied with? ❑Yes 0 No _._tu._ Ma__.. 5 trues of will the oast or present ar future building occupant at require lir the work which is the icolis application a Parsed for such construe-bun or Modification trom the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No t Section 55850.2 al the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facili),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 d a permit born 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,nava all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? (3 Yes 0 No 8 (II yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that unser 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:t certify under penally of perjury that I have road this application and stale 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 properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owners) Date Angler Authorized Applicant Date Mils INSPECTION reit 13111 INTmkti MEI INSPECTION TYPL au IhTRIU c 1616 Filed9pim, 'Fire Prevention �" --' �` 2001 -'FYgl Mechanical - 7 I2E6 Poal.Bpe Final.r •••.. ,.> • J + 209 float PLmh4tg• .:/ ; \\ I . 200, 'Final Ra cool \%-v-A"" • id '`-' ` 210 Final Electrical ,'* �Y/ y, 201.,' Float Block/Retaining Wan \' 212•t..Fliml.FJts Prreventlon \.- . / • 202 F Peclory Fire PI - 7~ T \ r 220 Fetal Plenninp•Ap41 pmval r;- I. 203 FlRe151\ ,T"^•—�s� 221 y Final-B• ile 204 Final Denicetfan �1. L- it 250 . Final BuitdinWOccuponcy CITY OF COSTA MESA -*4TS' O MFs. BUILDING DIVISION F4 i 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci,costa-mesa.ca.us pica FOR INSPECTIONS CALL:(714)754.5626 PERMIT NUMBER: BC10-00266 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: COM_ALT DATE ISSUED: 07/21/2010 ISSUED BY: RMD JOB ADDRESS: '3036 ENTERP_RISEST_CAQi Suite/Unit: APN: 41822302 Zoning:MG, , Vicinity: Primary Occ: Const Type: SQ. FT: 0 Valuation: $30,000.00 SCOPE OF WORK: LEGALIZE METAL AWNING IN FRONT OF PROPERTY.APPROX 256 SQ FT. REF: PA-10-01 /C09-2854. NO OTHER WORK AUTHORIZED BY THIS PERMIT. OWNER: BLAKE BRETT PROPERTIES Address: 3036 ENTERPRISE ST Unit: Phone: 714-327-0640 City/State/Zip: COSTA MESA,CA APPLICANT: RULEY,CAMERON Address: Unit: : Phone: 949-648-9358 City/State/zZip: CONTRACTOR OWNER-BUILDER License No. 000000 Phone: Address: Unit: Cell: City/State: ZipCode ARCHITECT: License No. PHONE: ENGINEER: LARRY D GARRETT License No.2366 PHONE:714-893-2979 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $287.46 Building Fees: $442.25 Electrical Fees: $0.00 Mechanical Fees: $0.00 Plumbing Fees: $0.00 SMIP Residential: $0.00 SMIP Commercial: • $6.30 Bldg Std Admin Fund $2.00 TOTAL FEES: $738.01 **Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. CODE I INSPECTION TYPE DATT INTmAL$ CODE II INSPECTION TYPE DATE INTmAL$ 1616 Fixed System Final Fire Prevention 208 Final Mechanical 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 p O�� 204 Final Demolition 250 Final Building/Occupancy 8130//0 Ceram WORKERS'COMPENSATION DECLARATION: Owner ID verified by 9dver s license. Yes 0 No Sp I Rereby a llirm under penalty of perjury one of the following declarations: Driv is-Licehse'Nd. V97° ❑ 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. O I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 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 ❑ 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.a demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (this sedan need'Vibe cwnpete.JShe aenna a.awed atone hundred dollars(E100)or less) 2.Art Z Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ,anyone to do work which would pf--FEertify 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 Lab ,I shall forthwith comply with these provisi s. LL./ /1.7 Division of Industrial Safety Permit Number: Ap if anfc Signature— ' 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? 0 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 full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# Class# (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 contractors Signature Date 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 permitisissued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 13No (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? 0 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 Cole: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 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 License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications fa tion-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 Bred 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 THEE 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 0 No 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 8. (If'yes",attach certificate of compliance from the appropriate air pollution 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 contractors)license pursuant to the Contractors License Laws.), certify under penalty of perjury that I have read this application and slate 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. -/2/1/l e re of Lege "ds) Da LOagnarate— Lame 305746(3/07) 4And/c Aulhbnzed Applicant DeM�-� , CITY OF COSTA MESA 4 41Mb. BUILDING DIVISION . u.r. .'1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER Ft —"r - I • PERMIT 1306 01937 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 3036 ENTERPRISE ST Status: FINALED Suite: Applied: 10/27/2005 Vicinity: Issued: 10/27/2005 Primary 0cc: B Eat<50/Office/Bar<50 Type of Construction: V-N Parcel Number: 41822302 Zoning: MG ISSUED BY: Applicant: DAVID TILLER Address: 17772 COWAN Phone: 949-251-8512 IRVINE,CA Zip: 92614 Owner: BLAKE BRETT PROPERTIES, LLC Address NORWALK,CA Phone: 14926 BLOOMFIELD Zip: 90650 Contractor JJS INC GENERAL CONTRACTORS Address: 17772 COWAN Phone: 949-251-8512 IRVINE, CA Zip: 92614 License: 571849 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT INTERIOR DEMOLITION FOR FUTURE TENANT IMPROVEMENTS. DEMIOLISH INTERIOR NON BEARING PARTIONS AND WALLS. NO PLUMBING, MECAHNICAL OR ELECTRICAL. IS PART OF THIS PERMIT. FEE SUMMARY Plan Check: $117.81 Calc Valuation: 59,800.00 Permit: $181.25 Claim Valuation: $9,800.00 SMIP Res: $0.00 SMIP Com: $2.06 Other: $0.00 Inspection: $0.00 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 2446-48(6/00) 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: (This section need not be completed/l the permit Is valued at one hundred dollars($100)or less.) ❑ I 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 become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Dale: WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,0110),IN ADDrr1ON 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.0 Class 0 Contractor's 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). Lender's Name: Lenders Address: Signature: Date: OWNER-BUI DER DECLARATIONS: I hereby t u ... enalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:A iry .cifor "' i.1.quires 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 ed st"!4 .. or she I nsed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business o ; A t:, • that 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 appli iTlry t more than five hundred dollars($500).): ❑ I,as owner of the pro.% . . oyees with wages as their sole compensation,WILL DO THE WORK.and the structure is not intended or offered for sale(Sec. 7044,Business and Professio 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 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 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.). ❑ 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,California 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? 0 Yes 0 No (Section 25505 of the California Health end 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 2cc.l 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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Application aggermsuch for construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Govemment 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 Califomia 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 prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No ...__..(I.f.._..___ 8 (If'yes",attach certificate of compliancepol 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 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. Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE4 INSPECTION TYPE ME MALS CODES INSPECTION TYPE PALE NRIDAL4 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 BtocidRetaining Well 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 43Eat 2(3-151 ...i. II A 1f: . ���j;���`J'� CITY OF COSTA MESA °4--.-1. 11''=' ^RBUILDING DIVISION F ... DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER i 1 J PERMIT # y' • F06-00308 4 ii FIRE SUPRESSION PERMIT (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite: ' Applied: 11/13/2006 Vicinity: Issued: 12/11/2006 Parcel Nunmber: Zoning: ISSUED BY: Applicant: MARTIN, DON Address: /i ifr.— -----1/4C----1 Phone: 714-777-3477 7 / (%i' C A t Zi• . Owner: /L'A CHAPTER OF.NAT'L TOOL_ ' " - ' Address' ZING'&MACHINING ASSN,TRNG,- �.-.`\ \„NORWALK,CA\jj;ii: Phone: J , 14926 BLOOMFIELD� Zip: 90650 Contractor: MARTIN FIRE PROTECTION ,Av / )`Andres 33571EMIRALOMA ,- '-,� \ 1 ,"7 , / SUITE-157 Phone:- 714 777-3477 • it \-j ANAHEIM,CA i Zip: 92806 • .. - - j//1,// _ •"License: 604132; ” - / /,; -, , 1/4- 1/4.:\.--; SCOPE OF PERMIT . N . -- . 1p ,INSTALLATION OF ANEW OVERHEAD FIRE SPRINKLER SYSTEM(113 HEADS)FOR A-10,361 S.F. r ; INTERIOR"TENANT-IMPROVEMENT FOR"BRETT MOTORSPORTS" ' ' ' ; k, , i n REVISED PLAN.ADDED 21 SP HEADS _ .. �' i dli V , .REF#:B06-00016 I/ 4 �'7rr-_I 1} 4" . / t- ', '� iIl` � 1 FEE SUMMARY C Plan'Check:, ; '$181.51' it__;' " J'`� • - —� _ . -„ r ,.'��' .. Calc Valuation: $17,000.00 , + ' Permit $279.25 - - ' ' ' =' - Claimed Valuation: $17,000.00 �, ,--Other'il x'$0.00 I _ , c /11 ,_'/ rv• \ A • � `, l � '� , i, - • N \ ti cTotal:\ $460.76 ' / \i ,. ". AAV _� n /moi /� v . V , - , it , -- - - - ''. '-: - 'f ,'; C)/' _v " - _' � ' ' _ elf t � '''� • 1 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) III w 1 • 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. MylWerkeerrs'compensate suran e carrier and policy number are: /� /�/ -Canter: S9 t'{ - �/'�- Policy N tier: �' /8 t (This sectio need not be c plated i t e permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the rfo ente of the work for whit this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' ' compensation I s of alifomia nd re that i shoo become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with th e visio ,Ap•plicant Signatu' / � Date:///1/11,7 WARNING:FAILURE TO SECURE WORKERS'COM NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3rut OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that.l em lice••: r grvisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and mylicense is in full force end eHed�Ll�� /� z��I' Class•a Contractor.s,Slgnature' "// i 496_ ./ _ e: Dat /J 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). 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 Lew(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($500).): ❑ 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 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 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 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,California 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: I 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 ❑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 ❑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 en 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 akpermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the Califomia Govemment 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 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: CERTIFICA 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 ree to comply with all st;e laws end city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-d e property for ins.e. .n purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection, 6 �/ •i: a ,4 Of Legal Owner(s) Date LY/`�1 An.lOr Authorized Applicant ; �'Date,N ^ CODE I UISPECTION TYPE PAIL INTRIAL@ CODEC INSPECTIONTYPE Wm INTRIALS 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 Block/Retaining Well 212 Final Fire Prevention tD-Oro 7 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy _ 4 .4 • 7t-L CITY OF COSTA MESA efAa BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER V. t ' PERMIT �``"ott F06-00308 FIRE SUPRESSION PERMIT (714)754-5273 • Fax(714)754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 • Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite: Applied: 11/13/2006 Vicinity: Issued: 12/11/2006 Parcel Nunmber: Zoning: Applicant: MARTIN, DON ISSUED BY: / Address: Phone: 714-777-3477 - Zip: Owner: L A CHAPTER OF.NAIL TOOL Address /ING F.MACHINING ASSN TRNG - ''NORWALK;CA - Phone: '44926 BLOOMFIELD - Zip: 90650 Contractor: MARTIN FIRE PROTECTION Address: 3357 E MIRALOMA SUITE 157 Phone: 714 777-3477 ANAHEIM,CA Zip: 92806 .. License: 604132 • SCOPE OF PERMIT INSTALLATION OF A NEW OVERHEAD FIRE SPRINKLER SYSTEM(113 HEADS)FOR A 10,361 S.F. INTERIOR TENANT IMPROVEMENT FOR"BRETT MOTORSPORTS" REF#: B06-00016 •FEE SUMMARY Plan Check: $39.07 - - - - Calc Valuation: $1,700.00 Permit: $60.10 Claimed Valuation: $1,700.00 Other: ' $0.00 Total: $99.17 • • 04ti vi,• (-1”27 (1 /LP orf-5 - QImM15, 'I'0✓j,�yaGu� • • • 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 2446-46(WOO) 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 ork for which this permit is Issued. I have and will malntai workers'corn nsat insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is ^vied. My workers'oo n I s nce ca a and pollcylkumber are: �/ / Cartb 'Z Carrier: r Policy Number: CoL-✓ `I Z CI (This section need not be compl i he pe is valued at one hundred dollars($100)or less) ❑ I certify that in the p orman of th work for which permit Is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws f Call la,a e roe t t it I s • Id be • a subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these5. /j / / "Appll signet a � / i2 Date: /'�' �� / �� O -WARNING:FAILURE TO S CURE WORKERS' PENSATI• COVERAGE IS UNLAWFUL AND 51-W1 SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AN GVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORSCATION: I hereby affirm that I am I ase rf Chapte (commencing with Section 7000)of Division 3 of the Business an Professions Code,and my license Is in full force and effect.Lic.a 1 / �5qp Class# G•/9 ( "Contractor's SignatureC /AV „,'” it it Date: /'2"/)f /oto 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: 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($500).): ❑ 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 appy 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 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 property,em 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 drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(ype 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,faisework,or demolition or dismantling thereof,will be more then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California 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? 0 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 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 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 aPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes u No (Section 65850.2 of the California 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 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: CERTIFIC OF OMPLI CE AND AUTH•7Ir 'TION OF ENTRY:I certify under penally of perjury that I have read this application and state that the information given Is correct. gree compl Ith II st law`'• city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov -tlescri d epee for ion ••/ e- I :•ree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ♦ r � g g ) SI rat• • Le el Owner /�//! 0(re C_Anc!2L.A odzed,Applicant Date ODE I INSPECTIONTYPE PATE MOM CODE( INSPECTION TYPE . 26TE IML$ 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 Block/Retaining Wall 212 Final Fire Prevention /O'7'l••ion G44.," 202 Final Factory Fire Place ' 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 'Final Building/Occupancy yTh CITY OF COSTA MESA ` 44/IP'. BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT FO6-00141 FIRE SUPRESSION PERMIT (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite: Applied: 05/30/2006 Vicinity: UNDERGROUND Issued: 11/08/2006 Parcel Nunmber: Zoning: Applicant: SEWARD, LAURA _ ISSUED BY: r. Address: 17772 COWAN / --) :� Phone: 949-251-8512 IRVINE CA!/'� - Zip: 92614 % Owner: L A7C1:1APTER,OF NAT'L TOOL Address /ING.&MACHINING ASSN TRNG sNORWALl CA, - Phone: _ i :, '414926 BLOOMFIELD% 'i - Zip: 90650 7,/ Contractor: ALPINO,:VINCEt- Address: 17772 COWAN/ -;'"2'' Phone:, .949-251-8512 IRVINE,CA Zip: 92614 License: 571849 SCOPE OF PERMIT UNDERGROUND FIRE SUPRESSION:FOR A 10,361 S.F.INTERIOR TENANT IMPROVEMENT FOR"BRETT M0TORSPORTS2J N� - - - REF#:;806-00016 FEE SUMMARY Plan Check: $287.46 • ' . Calc Valuation: $30,000.00 Permit: $442.25 ' ' . - - Claimed Valuation: $30,000.00 Other: , $0.00 Total: $729.71 ,,: _ .- . • • • 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 older dor the'work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end 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(8100) 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. jr 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: 11 , f 7Cerrler.' 3Cj"i 1"�_/�`l\^\/ PolyN�mber:`�-1 o7 G l(Thls section need not be completed ll the permit is valued at one hundred dollars($100)or lass.) ^ ❑ I 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 agr that If I should come subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with th sg a p}ovisions. �� b AppllcanPSignature:C-, Date:'" I (( S T` WARMNG:FAILURE TO SECURE WORKERS' ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TOSIM NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 370a OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed unler provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Businjss and Professions Code,and my license is In full force and effect.Lic.N I 01 el •Class Wy -Contractor's Signature:�Cn�,� cr- G—: Date: ..- 11I ? 1 D !^ 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). Lender's 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($500).): • ❑ 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 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 drivers license. ❑Yes 0 No Drivers 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,talsework,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,California 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? 0 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 Flre 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). need to pr_ _s mae..)_...... 3 Does es will the applicant or present or future building occupant to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?" 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 a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes No (Section 65850.2 of the California 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 ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end 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 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. Cy signature Of Legal Owner(s) 7/ `r)a C \'cAnd/Or Authorized Applicant - I D coos it INSPECTION TYPE RAM III$IELS GQQEd aCPEc1Y$LEcIYSLEc.1 N YLEgYTYPEy�xPE PAM MEW 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 Block/Retaining Wall 212 Final Fire Prevention 4--01-07og-07 1-'84-01 PH 202 Final Factory Fire Place - 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition • ' ' 250 Final Bullding/Occupancy " •1 • AniCITY OF COSTA MESA 4 , BUILDING DIVISION Fy ..al DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT itt*PaRaty, F07-00130 .. FIRE SUPRESSION PERMIT (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite: Applied: 05/03/2007 Vicinity: BRETT MOTORSPORTS Issued: 05/22/200 i /Parcel Nunmber: 41822302 Zoning: MG MG -y�` - - ` •- ISSUED BY: // Applicant: O'SULLIVAN, GREG - Address: '2'<'- - , , Phone: 949-322-0849 r Zip / j Owner: /LSA CHAPTER OF.NAT'L-TOOL; ; , , - cm,.. �..... ._(...----/- � ,-.C.,-� \- Address "ING'8 MACHINING ASSN TRNG 77NORWALK,CAS" !.'� - Phone: / ' '/( 14926 BLOOMFlELD— Zip: 90650 N ' V� j ..yy :" A' / -2/2�j , ",,,,N,\7-) / v Contractor : OMNISECURITY SYSTEMS ��y; �' . \\;•\,` Address:, 23591"ELTORO RD /I` .' ///,12,, Phone:c \ ''NN /V'' ‘ \ � LAKE _-FOREST i Zip: 1 92680 - _`�(�.'\ j - l' /�'�_. 'License: 602950"•0' , ;�.V ��N, ' _v i :_SCOPE OF PERMIT. INSTALLATION OF A'-FIRE ALARM MONITORING SYSTEM-IN CONJUNCTION WITH,THE 10,361 S.F. - INTERIOR TENANT IMPROVEMENT FOR"BRETT MOTORSPORTS \'',1,/ A \ , ' REF:B06-00016 `/ l �\ -\ . _FEE,SUMMARY. ,_,,nr-;,.r Plan Check: $63.21 > '/ 1;i'c: 7' ,s'!-'(;:IIt.._,\\ Calc Valuation: $3200.00 , Permit: $97.25 - - Claimed Valuation: $3,200.00' Other: $0.00 '� .�� - - —_ -- 2 l`,;_ /1,0 I % - .----;.// Total: $160.46 - I %7i < - ��, ". � � - �, iii �, �, ;C ) a` /'// - AA - A A \'',/ 'Ov 7('' /� / v2\ / %' 'mil %, ,N, / / /7 i 1 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 2448-4e(9''00) • r/ DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I a 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 rork for which this permit is issued. ..I have and wirmaintain 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: (���r` ��� - q t Cartier. • Policy Number: Q C/C V -(This section need not be completed If the permit Is valued at one hundred dollars($100)or less.) ❑ I 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 tha should become subject to the workers'compensation provisions of Section 700 of the Labor Code,I shall forthwith campy with these provisions. GkAppllcani Signature: eri yt ,Data: \.4 C3-01101 `WARNING:FAILURE TO SECURE WORKERS'COMPENSATION(XWERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,030),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u••e provi- •ns•f •erg(commencing with Section 7000)of Division 3 of the Business a Profe io Code,and my license Is in full force and effect Lie,N- _1 Ly a Class p - Conn ctor's Signature: w r�'� Date: ,'S/C4t?/Q 7 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). Lenders 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:My 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 Ucense Law(Chapter 9(commencing with Section 7000)of DMsion 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($500).): ❑ I,as owner of the properly,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 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 Ucense 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 Ucense 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 Drivers Ucense 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,end that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California 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? 0 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 cur will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 en 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 a ermit for such construction or modification from the South Coast Air Ouallty Management District or from any other air pollution control district or agency? 0 Yes 0 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 me outer bountlaries of a school? ❑Yes ❑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 COMPUANCE 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 e to comely 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-de••r•pri for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. P01I, Signature Of Legal Owner(s) Date -•f�� LS-701a 107 And/Or Authorized Applicant ( Date ••: fr.i. st' DAIE g1IinEL4 VDgf( IBSPECIION TYPE DAIS EMI 161: ed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention !A'17'D7 C[.L� 202 Final Factory Flre Placa 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy �1:I:: CITY OF COSTA MESA BUILDING DIVISION >',�,,,, ;.► DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER o j PERMIT 06-00016 �� `� - y (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BtiNLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST ' • Status: ISSUED Suite: ' Applied: 01/03/2006 . Vicinity: Issued: 11/08/2006 Primary Occ: B/53 Type of Construction: V-N Parcel Number: 41822302 Zoning: MG Applicant: ANDREW MIRRZAOFF • - Address: . . Phone: 949-683-6811 ISSUED BY: Zip: • Owner: L A CHAPTER-OF-NATL TOOL • Address ING&MACHINING'ASSN TRNG ! 1, ' r NORWAL'K,CA ",',----\ ', Phone: 14926•B <,/LO/OM_ 'FIE, LD,%, !�_ Zip: 90650 Contractor .- 'JJS;INCGEN ERAL-CONTRACTORS- . - Address:' 17772 COWAN--'//- ' Phone: 949-251-8512 ',• 'IRVINE,-CA' //' / Zip: 92614,,) License: 571849 /Arc` :,' JOHN SCHROEDER IV- JJS INC Eng: Address .17772 COWAN Address: _ ' /;4/1 Phone: 949-251-8512 : - - Phone: • ' IRVINE,-CA 'v,-. - - • Zip: . 92614/ - , ,License: ''C174597: ", • License: = SCOPE OF PERMIT 10,361 S.F.INTERIOR TENANT-IMPROVEMENT FOR"BRETT MOTORSPORTS" /'� PLNG.REF:PA-06-39 , / -- ,- 1,/ FEE SUMMARY Plan Check: $1,373.94 • Calc Valuation: $300,000.00 Permit: $2,113.75 ', • Claim Valuation: $300,000.00 SMIP Res: -- $0.00 SMIP Corn:.1/4,,', $63.00 ---- _- - ' Other. $0.00 ._ - ' 'Inspection:' " " $0.00 • 'Total: $3,550.69 - ..4-7-PLANNING &ZONING SETBACKS ' . �v - ' MAINSTRUCTURE Front '0-0 . J+= - - 'Read ' 0-0 - Left 0-0 - • Right 0-0 V'N ACCESSORY Front O,O���� Rear6- 0 0 Left' 0-0 Right 0-0 , PARKING - - - ' ��Exishnq/� 0 ;-� Required��0- --\ - Proposed:o "0= , _ _ _ ' 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 S FOR INSPECTIONS CALL: (714)754-5626 2446-46(WOO) •• . DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ ve 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. 13 _Ipavand will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Ls issued. My workers'compensation Insurance carrier and policy number are: 1. Camey: COm/ r5RR' ON / Fe�' ' 4 Colley Number? bZ � 7? 97— 2-004 —(Thls'sectlon need not be completed/l the permit Is valued at one hundred dollars(Sf00)or less.) L ❑ I 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 Cafomia,and agree that III should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these • s. _Applicant Sjrureh l G, . y ' f SNIP Dae: t?tD. 2-0,69‘ C_WARNING:F ULAI RE TO SECURE W.'id RS'•• i.. :r,•.'/ E IS UNLAWFUL MID SHALL SUBJECT MI EMPLOYER TO CRIMINAL PENALTIES AND CML RHES UP TO ONE HUNDRED THOVSMID DOLLARE($100,%W),IN • • O -• OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby.affirm.that.Lam.licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of be$usiness and Professions Code,and my license is in full force and effect.Lic.e 7/ S 9 lass -!3 I Contra» .Signature:— jr�r � 5 ziar • "ate: — rY/fLY/. 7-0•9C, 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 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business end 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 ha or she is exempt therefrom end 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 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 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers 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,faisework,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,California 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? 0 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,ore 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 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 end Safety Codo 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 ❑No 5 Does or will the applicant or present Or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ._......__.._ ilily_ _._ —rill _._ __._.__ —1--Will any pan of the facility to be constructed under this permit be within 1000 feat from the outer boundaries of a school? ❑Ves ❑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;Wel err po control district or agency is required for e work which the subject of this application,have all of the disclosures prescribed by California Health and Safety Code this Section 42303 been made? ❑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 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. "- 4Signature Of al Own Date // • �' . zoos r�r riz nt ( Date —'------.._._ pop,I. INSPECTION TYPE PAIL MELD CODE( INSPECTIONTYPE PALE I!{IIDALB 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 Block/Retaining Wall 212 Final Fire Prevention -e 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site ,i"-- 204 Final Demolition 250 Final Building/Occupancy /040/7 CITY OF COSTA MESA • BUILDING DIVISION ill• ,,' ;.1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT M 07-00083 oa' (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite No Applied: 02/13/2007 ,g�/_ Z� Issued: 02/13/2007 Vicinity: BRETT MOTORSPORTS r� Parcel Number: 41822302 '-.. ` 4.7 ISSUED BY: /�I Applicant: PETERSON, TERRY Address: 1135 S LAS BRISAS Phone: 714-572-8914 PLACENTIA,CA-, Zip: 92670 j �/i� Owner. L=f-SHAR„,.TER n_F NAT'l TnGE 51 (i.. 1�jKii+ 9r V eVirh a LIG Address:/ ,ING&MACHININ• G ASSN TRNG UA�(�-G 6 NORWALK,CA - - - Phone: 14926 BLOOMFIELD - Zip: 90650 • Contractor: CONTEMPORARY HEATING AND AIR CONDITIONING INC Address: 1135 S LAS-BRISAS ' Phone: 714-572-8914 PLACENTIA,CA Zip: 92670 License:582686 SCOPE OF PERMIT 10,361 S.F.INTERIOR TENANT IMPROVEMENT FOR"BRETT MOTORSPORTS" REF:B06-00016 6( &R-C - 13iZeir L iVD.V01 L�i 1 VENT FAN/SINGLE DUCT,3 SMOKE DAMPERS FEE SUMMARY Quantity ' Quantity - ISSUE FEE 57.25 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 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 $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 $7.25 1 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance, $0.00 0 Boilers Fire Dampers, $0.00 0Up to 3 hp - $0.00 0 Smoke Dampers ' $21.75 ' 3 '.- 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 $0.06- ;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 $36.25 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related 1 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 2446-46(WOO) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 !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 issue& riihave and will maintain worke 'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ily w•• s•.'com•ensation 1 -urance carrier and policy number are: Carrier: Lie Ilti,,/ Policy Number: (52.2- an (This set need'jt be owl., -• (g pain*Ls valu: :t ono hundred dollars($100)or loss.) O I certify that in the •• ormance of the •- .r w• • this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation law-of Callfomia,and :f :hkidt( should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thes: •r• Worts. /AM Applicant Signature: I Ateira Date: 2r43 °7 I WARNING:FAILURE TO Pr URE •- RS'•• •ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOU_ARE I I,CCO).IN •DITI• TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEC TION: I hereby affirm that I am limns d4er;prlions of Chapter g(commencing with Section 7000)of Division 3 of the Business rt,papssion s Code,and my license is In full dr 'erne and effect.Lic.II Z 6 n Class It •••••62 Contractor's Signature: Date:_41/2, 4.-- ...dy• CONSTRUCTION LENDI AGENCY: O I hereby affirm that there Ls a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: - Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penally 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($500).): O I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO 711E WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply loan 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 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.). O I,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.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: I:1 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,California Administrative Code). O 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: I Will the applicant or present or future building oxupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 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 2NN/13 of the California Health and Safely 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)? Dyes 0 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 a Rermit for such construction Or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility lobe constructed under this permit be within 1000 feet from the outer boundaries of school? 0 Yes 0 No (11'yes',the facility••• t meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code). 7 If a permit from e South Coast Air I., alit),Management District or other air pollution control district or agency is for the work which Is the subject of this application,ha : all of the disclosures• :scribed• California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",atta• certificate of compli. from t/t.eppropriate air pollution control officer). CERTIFICA OF COMPLIANC 1 •irtify IF: under tai•i ly of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regard • :zardous M: e;als a••Emj;.,0,j, Signatur i ir I Date: "..L- -- -0 7--------- CERTIFICATE 0 • P • CE 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 it :e to co ply with all state laws • d city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-.. cribed property for imp: o pu y••es,I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / S'i • yi egal Owner(s) _Pate .A Asia / 2-17-(-07 rr .nd/Or Authorized Applicant Date EIOE f NSPECTION TYPE ME BOMALE PEEE‘t INSPECTION TYPE EAR 1111. 1618 Fixed System Final Fire Prevention 206 Final Mechanical 11 -I -o? •. al 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 , �GI:f4n s- CITY OF COSTA MESA 4 i BUILDING DIVISION :tit t � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER/ 0 PERMIT B06-01899/• • • (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.cal9ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST q2-(0 2 / Status: ISSUED Suite: ' Applied: 11/13/2006 Vicinity: Issued: 11/13/2006 Primary 0cc: B Eat<50/Office/Bar<50 Type of Construction: Parcel Number: 41822302 Zoning: MG Applicant: JJS INC GENERAL CONTRACTORS :. . Address: 17772 COWAN • " I61- /L) Phone: 949-251-8512 ISSUED BY: 1 J '/� ) "/ IRVINE,CA - Zip: 92614 Owner -r GHAPT[Ror_NATI _TOOL i6[a4 r ret-! znd,ustrte4 LLC Address ING&MACHINING ASSN TRNG NORWALK,CA , , -- -, , i Phone: - - . - 14926 BLOOMFIELD -' '', ' Zip: 90650 Contractor , ;JJS INC GENERAL CONTRACTORS , _ Address:.- '17772 COWAN',''. -^`'. - - - /2 Phone: 949-251-8512 -IRVINE,CA //' Zip: 92614 '" License: 571849 Arch : ii, ,-. Eng: Address: - / /,`% , . . Address: Phone: '- _ Phone: Zip: ' - ' License: - License: SCOPE OF PERMIT REF: B06-00016.REPAIR/REPLACE SHEATHING AS NEEDED AND COVER WITH URETHANE FOAM.4G84M- Ca--31 S z I • GENERAL CONTRACTOR IS DOING WORK IN CONJUNCTION WITH TENANT IMPROVEMENT.REF:806-00016. ' , FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 Permit: $111.25 N Claim Valuation: $5,000.00 SMIP Res: , $0.00 ;•,i (\,/ `, SMIP Com: ' $0.00 _ ' '� Other $0.00 - - Inspection: $0.00 Total: ,_^ $111.25 ' ,1 'PLANNING &ZONING SETBACKS . ,��• '- MAINSTRUCTURE'Front ' 0-6'. t;".fi—'Rear 0-.0 Left 0-0 •• ' Right 0-0 ACCESSORY'- Front 0-0 ��H.., ,Rear 0-0 , _ Left 0-0 Right 0-0 , PARKING, `Existinq:'/0 >,� Required: :0, _ - Proposed : =0 . - . N� _ - • 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 244848(6'00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 aqqd policy number are: /7� Carrier: .rri11�iE UZ91UP'&45417 ii )inuj&zmcA awn Policy Number. /10792-97- 2c9a5 (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ I 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 Call •ria,and agree that f I should become subject to the workers'compensation provisions of Section 37 of the bor Code,I shall forthwith comply with these•a•.I. Als. I t r,^ Applicant lgneture:�% //.. . ' ,I ii 16. ' S ' • Date: ? U (/ WARNING:FAILURE TO S CURE W- ;el. ••,..t. • AT RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADS ON T• gr•-•-T OF COMPENSATION.DAMAGES AS PROVIDED FOP IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS 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 Professions Code,and my license is In full force and effect.Lic.i .5'7/A' 9 Class A ti ( / Contractors Slgnature:� li/.1i/ e[rl- �/w 1,��•�isf Date: I ( /�/{�[n // I l LJI� r 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). Lender's 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 cf not more than five hundred dollars($500).): ❑ 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 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 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California 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: I 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? 0 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). ant need fl.aregstrati.. form..r acutely _ 2 Does or will the applicant or present or future building occupant need to fila a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 01 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 Zinagement and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Flre 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 Ls presently required,has Section 25534 of the California Health and Safety Code been fully compiled with? 0 Yes 0 No ...._ _ _.presse.__. future._.__l...__.__ 5 Does hr will the ap stcAir ou present or emen building occupant at requirer for the work which is the subject this application eLpi Nnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ Na (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facilityto be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes —❑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 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. ��/ Sign Leg��y (y� r �,y /J 7rte..//) (/��/�DDe �! An,fOAuuth{• •pini Mg' (�YL( , ( I 1 Date // " C VE2 INSPECTION TYPE ERIE It4TIDALS Mal IXSPECTK� PATE B1Tm•ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof /0/i tic Pr rpm, 210 Final Electrical 201 Final Block/Retaining Wall iii 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 • -cilL!1 ,„ ` CITY OF COSTA MESA 4 � BUILDING DIVISION tett_� F ( .. I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT `*ro.�ds. E06-01266 (714)754-5273 • Fax(714)754-4856 • wvAv.cl.costa-mesaraustLtCTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 'ENTERPRISE ST - • • Status: ISSUED Suite No Applied: 11/08/2006 Vicinity: Issued: 11/08/2006 Parcel Nunmber: 41822302 Applicant: ANDREW MIRRZAOFF . 4,41 / Address: 17772 COWAN Phone: 949-251-8512 ISSUED BY: IRVINE,CA - , -- "Zip 92614 Owner L A CHAPTER'OFNAT'L TOOL. Address ING&MACHINING ASSN TRNG'‘ ' /NORWALK,CA ; -/ - Phone: ' • 14926 BLOOMFIELO`', Zip: -- 90650 ' /% \ / - - Contractor: �JJS'INC"GENERAL CONTRACTORS 'Address: 17772-COWAN" •i� " % :,j; Phone:,949-251-8512 IRVINE;.CA Zip: 92614 i License:571849 • SCOPE OF PERMIT " • 10,361 S.F.INTERIOR TENANT IMPROVEMENT FOR"BRETT MOTORSPORTS"REF.:B06-00016 ELECTRICAL TO INCLUDE:231 LIGHT FIXTURES,80 OUTLETS,25 SWITCHES, 1 NON RES APPLIANCE,1-SERVICE TO 1000 AMPS,7 MOTORS TO 1 HP,5 SUB PANELS, 1 TRANSFORMER ' -OVER 100 KVA AND'1 LOW VOLTAGE EQUPMENT. �,�' ,FEE SUMMARY , Quantity Quantity ;. ISSUE FEE $23.50 ' Temp Dist System/Lighting $0.00 0 Temp service test $0.00 ,-.� -- Busway/100 tt $0.00 0 Res.a/c package $0.00 _ • - " N Standing Section $0.00 0 New Res(1-2 units) $0.00 -0 - - - Misc Electrical Equipment $0.00 0 New Res(3+units) - $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa - $0.00 0 "up to 10 kva/kw $0.00 - 0 Lighting Fixts - $176.03 231 up to 50 kva/kw $0.00 0 Recept Outlets $65.80 80 .. up to 100 kva/kw $0.00 0 Switches $25.65 25 over 100 kva/kw $74.50 1 Non Res Appl ' \-\ $4.75 1 "Cow Voltage Equipment $18.20 1 Res Appl• • - \ .$0.00 0 =t' . - Low Volt Wiring System/Ckt $0.00. 0 Service to 200a ',' '$0.00 0 • --! Misc.Conduit - $0.00 0 Service to.1000a $62.15 I. .,- 1 ••• - Misc.Conductor - $0.00 0 • Service over 1000a $0.00, 0 - • Circus(gen or ride) $0.00 0 Motors to 1hp, , , ,, $33.25 / 7 "" Circus(mech ride or lights) $0.00 0 Motors to 10hp' - '/"' ,$O.00'- • 0 - _ Christmas Tree Stand $0.00,, 0 Motors to 50hp AV1- $0.00 `.--,1>---01\:•,,,t2 • , ,Fireworks Stand . $0.00 - -0 Motors to 100hp ��,A •,.../50.06-2/---...„,_ 0 ���,- _ , Other Electrical Fee- . ' $0.00 - Motors over 100hp \: $0.00' ' , 0 ----• _ ' - Communication drops $0.00 ' 6 ., _ Investigation Fee $0.00 Subpanel to 200a - - - _ ' $152.50 5 / Plan Check Fee $0.00 Pole Light Pkg --,50:00-._ `' 0 • - - Reinspection Fee ' $0.00 Sign Circuits $0.00- ./ _ 0 - Temp Pwr Pole $0.00'- ' 0 - - ' :TOTAL CALCULATEDFEES $636.33 Intermed Pole ' $0.00 0 : - - . " . COMMENTS/SPECIAL CONDITIONS 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. • rJ 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 f8rm under penally of perjury one of the following declarations: ❑ eve 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. f4t £ZO 1P.E4454 SA) /4t1 - re,0 U Policy Number: /t 9297 - 2._e06 (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I 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 become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these ons. C /- ,, Applicant Signature. ,/��//jjN� 6ZJ Date: CP/A 9• 2000 WARNING:FAILURE TO SECURE WOpRERS' T RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLIARE($1%.000),IN m O E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS 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 Professions Code,and my license Is in full force and effect.Llc.e 3" 9Class M Contractor's Signature' d((jahf r Date: ?AM . aet9AY 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: 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 fine hundred dollars($500).): ❑ 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 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 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers 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,California 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 Safely 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? 0 Yes 0 No (Section 25505 of the California Health end 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 then 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 needeedtoto file a registration form for acutely hazardous materials? 0 Yes 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 et 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)?T ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification end filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Flre Department. 4 If an RMPP is presently required.has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No _y r.._.r_s.._..__.__—._ __require ermitti.__._____ 5 Does e willo the applicant or present or future building occupant other for the work which the subject of this a pliestion a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes �No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). _,,. _. _. de___ _..w1ut........._._....__..o._..._..____..... _...._._ _ _._ 6 Will any part of the facility to be constructed under thU permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely 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? ❑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 AUTHORQATION OF ENTRY:I certify under penally 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. �.Cf Signature, eget Ow er� 2," Date/ ei " (41And/ than; 9gpmcanl Date RODE I, INSPECTION TYPE RAIL RfImEL4 cooE! Ri$PECTI9N TYPL • RAIL It Ai¢ 1616 FixedSystem Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof. C/ 210 Final Electrical � W7 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 CITY OF COSTA MESA , 4:e BUILDING DIVISION . :4' DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER F1 sem.-_ . ! : +� PERMIT 06-00700 , •(714)754-5273 • Fax(714)754-4856 • www.ci,costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 . MECHANICAL-PERMIT Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite No Applied: 11/08/2006 Issued: 11/08/2006 Vicinity: Parcel Number: 41822302 ' '` • ' ISSUED BY: Applicant: ANDREW MIRRZAOFF .. ..,-.4,--,-- - Address: 17772 COWAN C. /%<_,: Phone: 94 i9-251-8512 - IRVINE,.CA2272. Zip: 92614 / /2% vv A,ice `• , 1 _ Owner: L'ACHAPTER,OF'NATL TOOL - -- -: ,_ .. . Address:/,ING&MACHINING�ASSN "TRNG- ' - -- - • / NORWALK,CA��j,'i� Phone: _ . 14926 BLOOMFIELD-1_ - Zip: 90650 Contractor: JJS INC,GENERAL CONTRACTORS ' Address:. 17772 COWAN ,, .APhone: 949-251-8512 • IRVINE,CA Zip: .92614 • . u, .; //7.%X •h-License:571849, 1 % = = DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ i,have and will'maintaln 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. 17J 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 end policy number are: - Carrier: st l9nferiT) ,4fl/tV /NS 4a022 Policy Number: /1779.2.97 a Z0.96 (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ t certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calif o I nd agree that if I should e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr „ Applicant Signature: idleu r/:f F� Date: no' WARNING:FAILURE T RE ORKERS' 110N EMGE I WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($l00,000),IN ADDmO E COST PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.Llc.$ SfirAC3,19 Class 4 _5 Contractors Signature: .s 73 / / C P /Yr'. Date: 'Aird2 . 006 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is e construction lending agency for the performance of the work for which this permit Is Issued.(Sec.3097,Civil Code). Lenders 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($500).): ❑ 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 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 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 properly 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 drivers 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,California 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? 0 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. _enful__._ wit__ _..._ __._ _._...._._.. 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 a_ormit for such construction or modification from the South Coast Air DualityManagement District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ...._ yto be constructed i10.__ 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 subjectof this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑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 city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 'Signature Off( Owntie �y Date 'oil ir nNer �rdzed Date yODE t INSPECTIONTYPE PATE !MALE ;ODEt INSPECTIONTYPE PATE /���� 5 1616 Fixed System Final Fire Prevention 206 Final Mechanical )c to-07 L-�IV 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 ••Final Block/Retaining Wall - - 212 Final Fire Prevention 202 F ni a4,F�actory Fire Place - 220 Final Planning Approval •203 Final Sign 222 Final Site , • 204 Final Demolition - 1 250 Final Building/Occupancy ��"�'cr CITY OF COSTA MESA BUILDING DIVISION >:/, � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER �' % PERMIT /96-00910- ate (714)754-5273 • Fax(714)7544856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT . - Job Address: 3036' ENTERPRISE ST Status: ISSUED Suite No Applied: 11/08/2006 Issued: 11/08/2006 Vicinity: Parcel Nunmber: 41822302 Applicant: ANDREW MIRRZAOFF ISSUED BY: _Lat._ Address: 17772 COWAN ,>/- " - .Phone: 949-251-8512 IRVINE,CA ,- --(1,---- Zip: 92614 7 2 \ ---v , /� Owner: L A-CHAPTER OF"NATL TOOL . " Address/'INC&MACHININGASSN TRNG -. , . -NORWALK,CA -' , , - Phone: 14926 BLOOMFIELD -„, Zip: 90650 ' /,-/./.5''' i • Contractor: JJS INC-GENERAL CONTRACTORS ,,Address:/ 17772 COWAN , ,, -7- , Phone: . 949-251-8512 'IRVINE,CA . Zip: 92614 -'N License: 571849 �i N. SCOPE OF PERMIT ' 10,361 S.F.INTERIOR TENANT IMPROVEMENT FOR"BRETT MOTORSPORTS"REF.:606-00016 - ' -PLUMBING TO INCLUDE: 1 BATHTUB,3 DISHWASHERS,2 FLOOR DRAINS, 1 GAS(1-4 OUTLETS), 1 GAS SERVICE, 1 INTERCEPTOR, 1-LAUNDRY TU&WASHER, 1 SEWER CONNECTION,2 SHOWERS, 1 ,i BAR SINK,2 COMMERCIAL SINKS(2 KITCHEN SINKS,4,SERVICE SINKS, 1 URINAL,4 WATER . , CLOSETS, 1 WATER.HEATER,AND'T WATER PIPING. - .. - ' ' ' FEE SUMMARY- C C . AM ' QTY- ., _ . AM7 ,QTY AMT QTY ISSUE FEE $23.50 -- Laundry Tub/Washer. $9.80 1 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap ,50.00 0 Trap Primer $0.00 0 Bathtub $9.80 1 -' Pressure Regulator , $0.00 -.0 Urinal $9.80 1 Clarifier System • $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) „$0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units . ';'$0.00 0. Septic Tank;: $0.00 0 Wash Basin $0.00 0 Dishwasher - $29.40 3 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Fldor` - , $19.60\ 2 Sewer Connect - $24.65'' 1 Waste and Vent System $0.00 0 Drain,Rainwater • $0.00." 0 :• ..Sewer Private Line $0.00 .0- - Water Closet(Toilet) $39.20 4 Drain,Roof r $0.00 ',-0 - Shower $19.60 2 Water Heater/vent $12.30 1 Drinking Fountain i $0.00 N 0 > Sink,bar , $9.80 1 Water Piping(Inst or Rep.) $9.80 1 Expansion Tank , ,;50.00 - -0�_-. �. - Sink,commercial - $19.60 2 Water Re-pipe $0.00 0 Gas Earthquake Valve x.$0.00-.' -.0 \� ,.Sink,Floor , $0.00 0 - Water Service $0.00 0 Gas(1-4 outlets) �\ $6.151,7".1.,-... ?Sink;kitchen - _ $19.60 ` 2' . - Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0,' Sink,service/mop ' $39.20 4 OTHER $0.00 Gas Repipe N $0.00 /0„ -Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $9.80\ 1-" ' Spa(public)., $0.00 0 PLAN CHECK .$0.00 Interceptors(Grease,Oil) $0.00- .=`0 i ' „ - REINSPECTION $0.00 0 Interceptors(Sand Auto) $19.90 1=: ""- " - - . " - - TOTAL CALCULATED FEES: $331.50 COMMENTS/SPECIAL CONDITIONS • 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: Ttiis'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 Iicable all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in thdxpiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244848(8/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ ave 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 end policy number are: Cartier: SLAT T contp t-i s n?N I_ S. PUN I D Policy Number: '1 19 21 1 - ZOWa (This section need not be completed it the penult Is valued at one hundred dollars($100)or less.) ❑ I 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 Celifo la,end agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these• •:44,4F. r q -1 Applicant Signature: ( 44 4/ — t ate • Date: V I�o V . 2-0_D IO WARNING:FAILURE TO SECURE WORKE p "•• t•COV IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN AD• TO TH ft COM TION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed nder 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.N S l• `$61 Class N 6 Contractors Signature: i . _,../. , _S- „ . Date: e, 14 OV• 10 G.b 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($500).): • ❑ 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 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 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.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,Le.-properly 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California 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? 0 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? CI Yes 0 No (Section 25533 of the California Health end 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 Cale provides that the Costa Mesa Fire Department may require the preparation,certification and tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 yes 0 No _.... _..__cu _ __ ..._.._.. ._.__ . 5 Does or willo the applicantsir present n bustling o from at require for the work ontch isi the subject agency?this U estion apermil tort such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or LJ Yes ❑Na (Section 65850.2 of the California 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 Caiifomia 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 Safely Code Section 42303 been made? ❑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 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. Sig re Of Lege err( Date ,r.� 7sc • B Nov ?mob Or ad Applicant Date C006 ii INSPECTION TYPE PATE giMala 0000 INSPECTIONTYPE PATE PALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing An4(7 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire act Q. 220 Final Planning Approval - 203 Final Sign 222 Final Site 204 Final Demolition ' 250 Final Building/Occupancy fit' ' CITY OF COSTA MESA BUILDING DIVISION o p_s DEVELOPMENT SERVICES DEPARTMENT P IT NUMBER PERMIT E07-00302 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesags,fCTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST Status: ISSUED Suite No Applied: 04/10/2007 Vicinity: Issued: 04/10/2007 Parcel Nunmber: 41822302 Applicant: AGUSTIN VALDOVINOS / Address: 14551 ANDEL DR Phone: 909-574-1400 ISSUED BY: _fer �k FONTANA,CA Zip 92335 - Owner: L A CHAPTER�OF NAT'L TOOL Address ING 8 MACHININGASSN,TRNG . - /NORWALK,CA % 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. • 1 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. y workers'compee1sation Insure a carder and policy numnae: are: • mar:.,, )-C UPl¢rs 11(opcy - �asunl j rC`a ku ictTu3 419 'fzol •Io6 tion need not be completed If the petit Is valued one hundred dollars(S I O)or less.) ❑ I certify that in the performance-1 the w•rk for which is permit is issued,I not employ any person In any manner so as to become subject to the workers' compensation laws of Cellfomi /and a••i:- that I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. W;U1 I,, Ignature: _�%�YPu(di ea!.�a b 4 16 0 9- Pr/• 3 ••RET70 "•'!fit�.. - NS ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN a MINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(SI•I,OW),IN• i • COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37C6 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DEC •-ATION. I hereby affirm t at,.amJlcensed and=r LaCf0 CI JJ p�ovlsslortgof apter 9 e• mencfng with Section 7000)of Division 3 of the Business and Professions Code, -nOmy license Is in full ' •si- 07 [CT�9l'Jci:q o a-R-0MS gnature: _ .T7' ....efiCrialr it,r / 11111191• CONSTRUCTION LENDING AGENCY ' , ❑ I hereby affirm that there is a const on len.'ng agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders 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 Dhdsion 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($500).): ❑ 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 appfy to an owner of properly 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 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 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes ❑No Drivers 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,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safely,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 25s-1 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? ❑Yes ❑No 5 Does or;Tithe applicant or presear or future building occupant require for the work which is the subject of this a plication apermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes U No (Section 65850.2 of the California 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? ❑Yes ❑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 Safely Code Section 42303 been made? ❑Yes LD 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 slate 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. Signature Of Legal Owner(s ^ of 4 /at$ + F . a FJ .. 0 I a • L - l 17•' or A3titilzetl"Applii hil .- ODE• INSPECTION TYPE PATE MAU CODE it INSPECTION TYPE PATE UEDAIA 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Electrcaie 200 Final Re-Roof 210 Final Electrical l 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 CITY OF COSTA MESA 4 BUILDING DIVISION ,.:t; ;.4 DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER F 1 . PERMIT i/B07-00630 J � V BUILDING PERMIT (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.r.d.ua 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST Status: ISSUED - Suite: Applied: 05/10/2007 ' Vicinity: Issued: 05/10/2007 Primary Occ: Type of Construction: Parcel Number: 41822302 Zoning: MG Applicant: ANDREW MIRZAOFF Address: 17772 COWAN al - Phone: 949-251-8512 IRVINE,CA — ' -Zip: .92614 _ ISSUED BY: Owner: L A CHAPTER OF NAT'L TOOL / Address ING&MACHINING'ASSN-TRNG , / ���� NORWALK;CA . " Rhone: " /, i ` 14926 BLOOMFIELD !, ) - _ ..— :Zip: 90650._ t ,. A-1 'i �� Contractor. JJS INC GENERALCONTRACTORS -' - / Address: . 17772 COWAN :'� .\\ // / // - Phone: 949-251-8512 \ �,/ , • • i �N ' 'IRVINE,CA— / S NA. Zip: 92614/ License: 571849 •• y y v A\,`\ 'Arch :, /7--// _ Eng: A,," , - Address: I - Address: _ ` , • Phone: ;Phone: �' �• e-'Zip: - License: ;_" _ License: _ A SCOPE OF PERMIT CONSTRUCT 8'HIGH X 18 L.F.RASH ENCLOSURE FOR"BLAKE BRETT ENTERPRISES".REF.:.B06-00016 �\ / -- - - FEE SUMMARY- ` Plan/Check: $29.15 i ""I" it `''III '` -„ ',"..Calc Valuation: , 51,200.00 Permit: $44.85 - �`-- - • - -` if- Claim Valuation: • , 51,200.00 SMIP Res: $0.00 . SMTP Com: $0.50 / Other: $0.00 -t://6-it`; i 1,i/ Inspection: $0.00 i ,' r i// Total: $74.50 - � - PLANNING &ZONING ' SETBACKS" " .. "'"'', 12/7/ MAIN STRUCTURE Front 0-0 Rear, - 0-0-•r , Left - 0 Or',',-_ Right 0;0 / 7', / 1 , / ACCESSORY ' Front 0-'0, Rear • 0 0 '"Left 0 0 ' Right -0-0 /, � / / 0 PARKING ��� Exishnq ` 0 _Required 0' Proposed 0 / �/ / i,A \ - - \A.A - f C //// / �d ,77 moi? i • 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 244846(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ ave and will maintain a certificate of consent to sell-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. 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'co�mppenNsation Insurance carrier end policynumberare. T N I f�g.igA [ e/T/K,L— `C� poky‘Number S©.2/ (This section need not be completed If the permit is valued at ono hundred dollars($100)or lass.) ❑ I certify that in the performance of th work for which this p:rmit is Issued,I shall not employ any person In any manner so as to become subject to the workers' compensation taws of Calif I agree that f shout. r= • •subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shaft forthwith comply with these pro p('p'WN�m-sLgmaLbra—,Pr ./�Gr ••- 4D/AJC • �p�5 to �JRd07 IY IYC�IyGf1.�_'wETd5ER1HE WORKER CPAP AT •� •' E IS U L AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ArydM CL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000},IN ADDITION TO COST ' •• • SATION,D GES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: —FherebyadlrmthaLLa licensed under revisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business errofesslons Code,and my license Is in full —loraem,d•efeet-tlr.10 et/9 ��/(, s1 - fApVeCIOCSSigdabvw' et/1;g ifs /ISA) d/Z' . •- , _ or (CONSTRUCTION LENDING AGENCY: �7 if r>/YJA ❑ I hereby affirm that there is a construction lending agony 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:My 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 ls licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of OMsion 3 of the Business and Professions Code)or that he or she Ls exempt therefrom and the basis for the alleged exemption.My 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($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure ls 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 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 property,am EXCLUSIVELY CONTRACTING WITH LiCENSED CONTRACTORS to construct the project(Soc.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 see. 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 ls 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California 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? 0 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 Masa 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 ono 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). ...._. ._ 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. _ lt....__........__..._ _.._ _..._,.._._... ..__ �._.. 4 If en RMPP is presently required,.has Section 25534 of the California Health and Safely Code been fully complied with?—0 Yes ❑No 5 Does or will theapplicant or present or future building occupant require for the work which is the subject of this application aQQermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes U No (Section 65850.2 of the California 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 t]No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safely Code). _ 7 If a permit from the South Coast Air Quality Management District o other air pollution control district or agency is required for the work which is the subject ormis 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 city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes..II Iaaaggree not to occupy or allow occupancy of any building authorized by this permit until final inspection. : i/f � f/O, Date a�D C�. ., ::irP,plldanirr n.�..,—..., CD- 'The.,L, cODE• INSPECTIONTYPE , gAff. UI'RUALS CODE iLISPECTION TIDE PAN BMW& 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 Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final She 204 Final Demolition 250 Final Building/Occupancy 4.510/7 CITY OF COSTA MESA �1 ; BUILDING DIVISION F i ____L ,i DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER !s PERMIT B06-01726 v J "'e�o'm,1na • l� BHILOINO rortroFT (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.r.a.ua 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: ' 3036 ENTERPRISE ST Status: ISSUED Suite: Applied: 10/12/2006 Vicinity: BLOCK WALL FOR BLAKE BRETT ENTERPRISES Issued: 05/10/2007 Primary Occ: Type of Construction: Parcel Number: 41822302 Zoning: MG / Applicant: •MIRZAOFF, ANDREW f �/ Address: 17772 COWAN 0 Phone: 949-251-8512 IRVINE,CA -,_ . ='-- -,Zip:, 92614 ISSUED BY: Owner: L A CHAPTER,OF;NAT'L TOOLf - -, -:-----.,\ Address ING&MACHINING ASSN-TRNG " \ NORWALK,CA , - Phone: 14926 BLOOMFIELD ) -- _ -Zip 90650' i - �) / N4 Contractor:" , JJS.INC GENERAL.CONTRACTORS � , y A Address: 17772 COWAN-, s, i� i Phone: 949-251-8512 - \IRYINE CA /7---,1/ \\v V < - ` Zip:' 92614' ,:. License: 571849 - A'`v - A'V\ / „ .. -\:‘ASA Arch :' Eng: A " v ' Address: I Address: - - V', ,, , • Phone: - _ , Phone: , - �- Zip: .Licensei -'... .. r License: -. -^� • �' SCOPE OF PERMIT " N� CONSTRUCT 128LF(64LF-EACH SIDE),8FT HIGH TO 6FT TO STEP-DOWN TO MATCH AN EXISTING-TIE-IN BLOCK WALL FOR"BLAKE BRETT ENTERPRISES.", \ \ REF:BO6-00016 AND PA-O6-39 . - ._ T' ; . r - j -. �, - ,� � • " FEE SUMMARY Plan Check: $54.11 "// Calc Valuation: - $2,560.00 Permit: $83.25 �, _ - . ./ ` i,/",, Claim Valuation: ���1 $0.00 SMIP Res: . $0.00 = -' ,,r- / , _ 0 , SMIP-Com: $0.54 - ��� �� ' ,' Other: - $0.00 �r Inspection: $0.00 m o - , Total: $137.90,. ). " /7 ; Wit.?._. i�''''/ I .,, S "PLANNING & ZONING ' !/1/ ',;-'/ SETBACKS ?,t ; ` '' t, /i • '1 MAIN STRUCTURE Front/ 0 0 Rear 0 0" , 0 Left 0 0 , Righ�7/Oi"\ i . / , ACCESSORY VA�,. Front -0I--6 -<�Rear 0=0 T a,„ Left 0-„9 �� Right /070 PARKING v\Existing:v—0; - ' Required: 0 _ /l-Pr000sedP_ 0 " �'V � ' / / / �A V --/ ,: /i . I _ -- _. , -v, (--:;,,,-,7-,://,)) / ! ' / „-iil ii! ' • • 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 244646(&W) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: . ❑ ave 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. iiit I hi-Arland 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: 1 Sanion-- - .ketle44Vefra/.O icy NumbeiT--"'pa'l2.rDZ/72-60 (This section nsa pst be completed if the permit is v u�at one hundred dollars($700)or less.) ❑ I certify tOcictheaelealwork for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Central] ,and agree that if I sh Id become subject to the workers'compensation provisions of Section 3700 of the Labor Coda,I shall forthwith comply with theser9�jy� \ P�/y cant I e:�-( Date: --r) 0 / ui // WARNING:FAILURE TO SECURE WORNE ' E IS UNLAWFUL AND SHALL SUBJECT Na EMPLOYER TO CRIMINAL- ES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($I W,OW),IN ADDM 0 TN COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: •;rabyaffirmthal-Laltlicensed under provision o Chapter 9(commencing with Section 7000)of Division 3 6e.Busl(tess and rofesslons Code,and my license is In full ' force and affect.Uc.# i��, 7� Class# "` w V. - • s gnature:i='%fi /.�i'�F i?S/�'a7/.,* 7 Date: '0 247/17 _ 1.^---4''''' 0 / 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). Lender's 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($500).): ❑ 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 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 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.). ❑ 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 Drivers 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 B,California 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: I 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? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be flied with the Costa Mesa Fire Department by every business which has at any one time during a roportod 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/Ft 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)? ❑Vas ❑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 .._..._......................._..o....he w_..k_.._.._...___ ___ _..._...._ 5 Does e will the oast Air or present or future building occupant frmarequire lar the work which is the subject of this a estion eUermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes L-1 No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). 6 Will any pail 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). If a .._ _t_ __...._ _.._..i.__ 7 a a permittin from the SouthCoast s Quality Management eal or other airtpoe control district03ben agencye? is required for the work which Ls the subject of this application,have all of the disclosures prescribed by Californiala 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 end 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 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. ,�II agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. nd /(Ti i�•nd/,r A�•;:* nIicanl, 1/ -D"ate -r goof a . : t•, x x PIIS Mall CODEa INSPECTION TYPF MI 1NTITIAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1288 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 67/ 7 /7 . 5 <OaGTr,-,, CITY OF COSTA MESA - oOa) BUILDING DIVISION � __ DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 4 1h I PERMIT I�wr+4� E06-01000 (714)754-5273 • Fax(714)754-4856 • www.ci.costa•mesafa.u5CTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3036 ENTERPRISE ST tLt Status: ISSUED Suite No Applied: 09/14/2006 Vicinity: Issued: 09/14/2006 Parcel Nunmber: 41822302 / Applicant: GOMEZ, JOSE • a� Address: 14551 ANDEL DR • - Phone: 909-574-1400 ISSUED BY: _ FONTANA,CA -;,. Zip 92335 _ Owner: L A CHAPTER-OE NAT'L TOOL , Address ING&MACHINING ASSN TRNG 'NORWALK,CA - Phone:_ _ 14926 BLOOMFIELD 7 Zip: - 90650 - - / , j - /"/ Contractor: ' NATIONAL CONSTRUCTION RENTALS , Address: 14551/ANDEL DR - . , ' i Phone:909-574-1400 - , ' FONTANA',CA Zip: 92335 ' 1 " - ' License:687160 • - ' >--./ v " SCOPE OF PERMIT ' 1 TEMPORARY POWER POLE FOR SITE. - FEE SUMMARY N .Quantity Quantity ISSUE FEE $23.50 - _ - - _Temp Dist System/Lighting $0.00 0 Temp service lest $0.00 ,' __ /' 1" ..-f' Busway/100 ft ',,• ' . $0.00 0 Res.a/c package $0.00 '- -- -- - - - - Standing Section $0.00 0 :New Res(1-2 units) $0.00 , 0 Misc Electrical Equipment $0.00 0 'New Res(3+units) $0.00 \ 0 - Transformers up to 1 kva/kw $0.00 0 Pool/Spa - $0.00 , 0 -- , up to 10 kva/kw $0.00 0 , Lighting Fixts $0.00 0 _ ; , " ' up to 50 kva/kw $0.00 0 Recept Outlets $0.00 r -0 - up t6 100 kva/kw $0.00 Switches $0.00 0 ' over 100 kva/kw $0.00 0 , Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0-- ' ,• Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit / . $0.00 0 Service to 1000a ' $0.00 0 Misc.Conductor $0.00 0 , Service over 1000a • , $0.00 0 -Circus(gen or ride) $0.00 " 0 Motors to-1 hp $0.00 0 _ Circus(mech ride or lights) $0.00 0 Motors to 10hp - $0.00 0 - "" Christmas Tree'Stand : $0.00 ,' 0 Motors to 50hp \ $0.00 Q.. Fireworks Stand . $0.00 0 Motors to 100hp $0.00' .� 0 . Other Electrical Fee' $0.00 Motors over 100hp / - $0.00 0 , Communication drops $0.00' z. 0 . '"Investigation Fee $0.00 j Sub panel to 200a :.; _ $0.00, 0- ," ; Plan Check Fee - . ' $0.00 ' ' -- Pole Light Pkg ,,A v $0.00,', 0,�; .-,,,_ Reinspection-Fee - -- , ,;$0.00 , = Sign Circuits \ ' N $0.00 0 - Temp Pwr Pole $23.50 ' 1- . J_ - TOTAL CALCULATED FEES $47.00 ' Intermed Pole '. COMMENTS//SPECIAL CONDITIONS • , ' . • • r 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 24413-441(&00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: . I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end 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 finer a poll �n�wttber a : / '-7— / �Cemleri �`/^G /f' /{'�-U �'z/ �Cz.�Gt4 Odiry`.Nainber-T-�(./R Y/QL/ C27 $O yo i '(This section need not be completed if the permit s valued at eJr 4 hundred dollars( )or less.) ❑ I certify that in the performance of the rk 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,an ee that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p 'ons. -/V-06/' l Applicant Signature:. ..------- �Dele_--- �C/v/Ll_ ` WARNING:'FAILURE TO SECU WORKER COMPENSATION RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I em ken d under pro sions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license Is in full force and eHect.Lic.f Class'*- `C/Q �G...---rs Sig-11615m. `'Dale:7' / K-6‘o, 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 Codo). 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 fore permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,es 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 sold within one year of completion,the owner-builder will have the burden of proving that ho or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sac.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. ❑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,faisework,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,California 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 W III 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? 0 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 ❑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)? 0 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. _.__.._ �._..._...._.._.._..._..__ _..__._ .r— --..__...._____._ 4 If an RMPP is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? 0 Yes 0 No .�. .._... __ __._..hi........__...._ subject ub ._ r._ 5 Does-dr will the CoasttcAir .Orpresent a emen building occupant at any other for the work which d the sor this application a I fl No for such construction or...modification from the South Air Quality Management District or from other air pollution control district or agency? Yes 8 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 ❑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 Californiaia Health and Safety Code Section 42303 been made? ❑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: Dale: 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 Ls 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. nature Of Legal Owners) Date d/Or;Authorized �."".nt - -: , _ _ Date---- ' ;ODE L f(SPFCTION Mg USE EMU my t ptSPECRON TYPE . MTh It_L_ 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing i 200 Final Re-Roof 210 Final Electrical /S 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 • City of Costa Mesa • Building Safety Department CERTIFICATE OF OCCUPANCY N? 2203 C P. 0. Box 317 _ .. Costa Mesa, California • . The Building located at 30136 I 10304, Sheet- tteito C A Si has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group V-2 Occupancy. Use of Building_ Light tftinufteturingAsi7A�na Legal Description ale° Q 05 (See reverse side for Metes and Bounds) Building Permit No. 031.591 Electrical Permit No. P3932 Plumbing Permit No. U&398 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C. 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms .. 3) Ownership If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartments and/or guest rooms ISSUED TO: Building Official Z&ci s8'Pin MIELORr by // 41, Dote tt'zch Rl, 1965 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form BU34--1M_11-83-3-B P • PROJECT ADDRESS: UNIT: OWNER'S NAME: 3036 ENTERPRISE ST CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 071108 ,ADDREss: L.A. CHAPTER NATIONAL FLOOD: X 47 TOOLING E MACHINE PERMIT NO; B 071108 PLAN CHECK NO: 03552-94 L GOVT: N SUPP : N 14926 BLOOMFIELD NORWALK, CA 90650 CONSTRUCTION TYPE: III-N PERMIT TYPE: SIR PURPOSE: ALT ARCH/ENGINEER: J.T. WALTHOUR REc.No.: NO JOB DESCRIPTION COMMERCIAL T, I . (COMBINE TWO SUITES) SQ FT: 10, 360 ADDRESS: 16611 NORTH SINGINGWOOD PERMITTEE: ORANGE CA 92669 CLAIM VALUE; 15 , 000 . 00 CALL-VALUE; 98, 366 , 12 GROUP OCC; B-2 / ADDRESS: COASTAL PACIFIC CONST ( 714 ) 770-1555 23121 LA CADENA C COMMENTS : LEGALIZE COMMERCIAL T , I . , REPLACES EXPIRED PC#5023-92L LAGUNA HILLS CA .92 p **********************************�t�lr�l********************il******** ******�L*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions C caDer 9(commencing with Section 70001 of Division 3 of the Business and Professions Code,and my license is in lull force and effect. Z O N I N G R E QU I R EM EN T S CITY LIC.: STATE III � EXP ; S E T B A C K S 4 Date:.9,LI41 c Signature:� YI �/ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICYNO.: WP94-486432-06 UPDATE: 11 /01 /95 t COMPANY: FREMONT COMP PARKING REQ: 33 PROV; 33 PARCEL : 41822302 ZNE: MG REF NO; PA-92-60 0 Certiliedcopy,is/�hereby furnished. L72 Certified copy i rteD wi,,th,,�'�e�•c�4ityBuil ingDivision. PLANNING NOTES> INT ALT FOR A TRAINING CENTER IN AN EX INDUSTRIAL BLDG, pp, 14,• e �f} > ROOM FOR 33 PKING SPACES EXISTS , P ( TO CONFIRM PKING) �) Date: Applicant: ******************************************************************************* / EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if We permit H la one hundred(S100)or less). D E V E L O P M E N T S E R V I C E S R EQ U I R E M E N T S I certify that in the penormance 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 Cakfomia. ,( ZONING APPROVED BY (�, 1�' DATE C. ; 2/((-1 ( Cj- Date: Signature: "`7` NOTICE:If,atter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE; Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. // CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. / ^�' (-e-. (2,1)M DATE: `Z- ( (l.( 1C which this permit is issued(Section 3097.Civ.C). ********************************** * * * * ** ******************** * **it*** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:Y F E E SUMMARY STRUCTURAL SEGMENT : Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAD INC (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed PERMIT 1 , 270 , 00 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7D00)of Division 3 of the Business SM I P/NON-RES and Professions Codes or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 825 , 50 20 , 66 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILD ING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 1290 . 66 0 . 00 412 . 75 1703 . 41 1703 . 41 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.II,however the building or improvement is sold within one year of completion.the owner wig have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 1290 . 66 OVER/SHORT: ,00 for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1270 . 00 20 , 66 ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or Improves thereon and who , , contracts for such projects with a contractorlsl license pursuant to the Contractors'Stale License Law).l am aware **** *********,********,*;rt,******************************************************* that proof al their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.A P.C. IND I V IDUAL F E E B R E A K D OW N for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby cenify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFC 5853 IND-INT, ALTER TYPE I Z I-N -AVER 6 , 56 38, 395 , 68 25534 and that l or any suture building occupant willhvin not(circle one)need to comply with said state codes and the requirements for a SFC 4507 OFF-INT, ALTER TYPE III-N -ALTER 11 . 72 52, 822 , 04 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from SFC 10360 EQU-ALT COMM. AIR COND -AVER . 69 7, 148 . 40 these provisions, END OF FEES Date: Applicant: I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and here authorize representatives of this city to enter upon the above-mentioned properly for inspection urposes. 01 00176613-00176614 T 10 T 1290.56 Date: Signature: DATE: 02/14/95 TIME: 12:06 1 Driver's License or Social Security.: 164646 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor , CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service q1 Pole ' • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. •10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1B. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts,in Structure70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas.Pipe:Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations /j 47. FINAL STRUCTURE & BUILDING S/��/CD/'C 48. FINAL PLANNING 7 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 23 ( 52 FEE RECEIVED .COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 2 6 ltd-, P.O.BOX 317 COSTA MESA.CALIFORNIA - FINANCE DEPT: For Applicant to Fill In Completely APPLICRIArgagANMESA TYPE OR PRINT BUILDING r,� �a�- 0 s For Office Use Only BUILDING 303 �,.rl J�Q ADDRESS RECEIPT NO. PERMIT NO. COSTA MESA, CALI ORNIA -2-31 52 /� 1 ftE IVED9"Y ��T@/�IHCBIVED� DATE ISSUED OWNER Mt Leal L4.4 ThC�o2 Y//// /2'61 Q MAIL `' l BUILDING ADDRESS 80X' 5 f ADDRESS 3O c,(((�/( A���( �e R--?1:21 ST"' FIRE t •' /I r-2--- CITY Apples OAL.ccyjA TEL ZONE E GROUP �aF, NO. APPROVED // ARCHITECT TEL. BY DA>fE0 �� OR ENGINEER TNO.EL .'� ZONING i ADDRESS / / NO.OP USE OF NEW / PLANS(Y I BUILDING CONTRACTOR {SA/CPE'LL1+ Mc..Qagyr.I LEGAL JO /' 4 /} _�j / i"W pF //n DESCRIPTION V J /J % J {� ADDRESS ZO p/j�D� �4.00iL�0044 '! �I ('— CITY K i'' jla q A.P.NO. ,7( �v ��• - t( ll"U () da _ � NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. 2a...2_7 3 NO. 90'TO SIDE&REAR P.L. SIZE // es EAVES OF LOT 2.- C,7k U�/ I NOW ON LOTS Q ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USEISTOPING BLDG. MAIN BUILDING ACCESSORY BUILDING EX (FROM C/L STREET) SETBACK LINE FROM FRONT FT. FT. CENTER OP STREET REAR YARD HIDE YARD I LEFT I RIGHT -- R.SIDE 1,-- FT. FT. DESCRIPTION OF WORK L.SIDE /'3 FT. PT. NEW f A/LTERATION — ADDITION I REAR (p/ FT. FT. DISTANCE BET. BET.MAIN& MAIN SLUGS. ACCESS.SLOGS. REPAIR - MOVING DEMOLISH BUILDING �j NO.OP VAR.# DATE SIZE /h3 (X ROOMS,5 STORIES / C.U.P.# APPROVED EXTERIOR WALL ROOF APPROVED APPROVED ' COVERING .1._ COVERING 8,,.1+ BY " /.A/ TE .40 >/ USE OF BUILDING AND WOWt TO BE PERFORM D tir III ILA— fit A.1,11.4 >ru2cs/6 N /J3Go so.pr. B • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 5 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO LOM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. G PLY WITH ALL CITY O-DINANCES AND STATE LA REGULATING BUILDING CONSTRU VALUATION �O N SIGNATU- O' PERMIT FEE $ /pl V_.�e / B PERMITTE $//l //`/� PLAN CHECK $ 670 AUTHORIZED AGENT / Af Ci[ �v / TOTAL FEE $ • 34795 PAID N°'1 -2-72�M�;00 153* ****10.02 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 Y,_. APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely ` �J/ atilt RESBY D/p_TE RECEIVED DATE ISSU DBUILDING `7 ADDRESS .?d3G L t TC/ilmac'4/c (! I r(' -.2-73_n /� �,./,�!-/r/ OWNER Fi,C/N//i9 , in-72`A F.� A.P.NO. NI 0 6a• PEtRvMA5T41 95 BUILDING s MAIL 3(J.i C.t/1rtp/�/2� ADDRESS ;03(� �1tJ7��pR/Sfd}Ut Z ADDRESS TJ CL U CITY Lu ILI (j`9},g7h NOL TRACT 3(0.- LOT BLOCK ZQ CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH a co LENDER . /<\ J 7 BRANCH ' J N OWNER OD J ADDRESS VALUE -CO ARCHITECT TEL. USE $ < OR ENGINEER NO. U Q FIRE W Q ADDRESS ZONE TYPE ^-_GROUP a.I-9 _ /J �_` �j'� APPROVED JO CONTRACTOR WCS`AAS/404.47&Tt?�- BY DATE -J 67o-7 r//- e (tl�Tr tcR ALTtUZA-7ro4J .paL� J ADDRESS i2z YG ul W TE _ ZONE NO.OF USE OF NEW SP/�� _ 4-1,_ L •A�c�V �J / PLANS BUILDING Y Z CITY gC�/T///°"YGV' .� NOs/`3�O�/ IFv\ YJ J 11•TI-F W 0 STATE f� ,,,ttt p- p,/� CITY / YARDS APPROVED YARDS APPROVED to CC LIC.NO. TIr--)SO4yB ` LIC.NO., MAIN BUILDING ACCESSORY BUILDIN 70 SIZE `J NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRO FT. FT. USE OF EXISTING BLDG. R.SIDE T. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE . FT. VEXTERIOR WALL ROOF _ COVERING COVERING _REA- FT. FT. J USE F BLL14.DI1JG AND WS l(40 BE PE �RMED DISTANCE BET. BET.MAIN& 1 /'-“,,, .[[ r u ,, ,t� '1//S/� /I• ( MAIN BLDGS. ACCESS. BLDGS. d fl VAR.+ DATE o ti l EI&O zt A-q c 2�7o C U.P,kik APPROVED /_ APPROVED ~ C�Z/7L Z niuLY —BY I� � �ArE 0 • U I hereby acknowledge that I have read this application and state qY TRX D that the above information is correct and agree to comply with I1 er all laws regulating building construction, and I shall not employ t O d" F any person in violation of the workman's compensation laws of H the State of California. al ZI hereby certify that I am properly licensed as a contractor under SO FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o am exempt from the provisions of the State of California Business a and Professions Code ivision 3,Chapter 9. VALUATION "",,�g,, y / J - /(//j�� �(/,!� • In) PERMIT FEE $ /0-- N l sTl�4 TJc• v!ms's © / F Signature of Permittee 'tea)" $ PLAN CHECK $ E 0 Authorized Agent / e,— u. TOTAL FEE $