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HomeMy WebLinkAbout3555 HARBOR BLVD - Building PermitsCITY OF�COSTA MESA F, BI/ILDING DIYIS/ON i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • wvnv.ci.costa-mesa.ca.us r �. ` FOR INSPECTIONS CALL: (714) 754-5626 *�'"°'�� PERMIT NUMBER: E10-00092 PERMIT TYPE ELEC APN: 41508134 JOB A Vicinity: A THRU G STATUS: ISSUED DATE ISSUED: 05/25I2010 ISSUED BY: RMD it: SCOPE OF WORK: ELECTRICAL PERMIT FOR 13 DISCONNECTS IN CONJUNCTION WITH THE CHANGE OUT OF 13 ROOFTOP UNITS (UNITS A-G). REF#: M10-00047 OWNER: C J SEGERSTROM & SONS PHONE: APPLICANT: PEREYRA, MICHAEL PHONE: 714 241-1769 CONTRACTOR: AMP MECHANICAL Address: 3554 BUSINESS PARK DRIVEUnit: SUITE E Ci[y/State: COSTA MESA, CA ZipCode: 92626 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: 50.00 Electrical Permit Fee: $37.80 Reinspection Fee 50.00 TOTAL FEES $37.80 Address: 3315 FAIRVIEW RD Unit: City/State/Zip: COSTA MESA, CA Addiess: Unit: Cily/State/zZip: License No. 799431 PHONE: 714-241-'1769 CELL: NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under Califomia sfatutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPEC710NS: In order for the vrork authorized under this permit to be considered legal, such work must comply vrith all applicable codes, and all required inspections and final approval must be obWined. Failure to obtain inspections and f nal approval will result in the expiration of this permit. COOE �. INSVECTION TYPE QA,]_ �M�jIR�.$ �QOga INSPEC710N TVPE DFTE INTRIRlS 1818 Fixetl System Final Fire Prevention 206 Finat Mechanical 1266 Pool Spa Final 208 Finai Plumbing �/ 200 Final Re-Roo/ 210 Final Electrical � ��_23 � i 0�� h�0 201 Final BIocWRetaining Wall 212 final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby aNirm under penalry ot perjury one of the following declarations: ❑ I have and will maintain a certifcate of consent to self-lnsure for workers' compensation, as provitled for by section 3700 of the Labor Code, for Ihe peAormance o( the work for which this permit is issued. ❑ I have and will maintain v.orkers' compensation insurance, as required by 5ection 3700 of Ihe Labor Cotle, for the perfortnance of lhe work (or which this pertnit is issued. My vrorkers' compensation Insurence carrier antl policy number are: CGetriC[:.. �/y�///�Q!% . f/41' �'o . (ilut sepqn neetl nd Oe mmpele0 d Ihe pe:rm9 is ✓alued al one hun/d�/etlnOdla�s (St00) a leu.) Policy,Number. ���a Z 2 07 l ❑ I certify [hat in Ihe peAormance o( the vrork for which this permit is issuetl, I shall not employ any person in any manner so as to become su6ject to the vrorkers' wmpensation lavrs of Califomia, and agree thal if I shoultl bewme subject to he vrorkef¢ ' compens lion provisions of Section 3700 0l the Labor e all 1 1 Ih co +pl Ih lhese provisio`ns. / ���^� LAao' ' ' naWre ale � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl untler provisions of Chapter 9(commencing vrith Section 7000) of Division 3 of the Business antl Professions Code. antl my license is in full force and effect. ���- 3 r. �c�s. ±l.. �''� � f 2S /� �C§utnd8fi`Signalure � .�� CONSTRUCTION LENDING AGENCY: ❑ I hereby affum that there is a construction lending agency fa the peAortnance of the work fa v.fiich this permit is issuetl. (Sec. 3097. Civil Code). Lender s Name: Lentlers Address: Da�e OWNER-BUILDER DECLARATIONS: I hereby affirm Ihat unaer penalty o( perjury thal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5. Business antl Professions Code: Any cily or county which requires a permit to consWct, alter, improve, tlemolish, or repair any slrucWre, prior to ils issuance, also requires the applicant for such permit to file a signetl statemenl that he or sha is licensed pursuaN to Ihe provisions ot the Contraclors License Law (Chapter 9(commencing vrilh Section 7000) of Division 3 ot the Business and Pro(essions Coae) or that ho or she is exemp[ lherefrom antl the basis for Ne alleged exemption. Any violation ol Seclion 7031.5 Dy any applicaN for a permit subjecis the applicant to a civil penalry of not more than five hundretl tlollars ($500).): ❑ I, as owner ol the properly, or my employees vnth vrages as their sole compensation, WILL DO THE WORK, and the structure is not intentletl or oHered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not apply to an owner ol propeny who builds or improves thereon, and v+ho tloes suc� work himsell or herself or ihrouqh his or her own employees, provided that such improvements are nol inlended or offeretl !or sale. If, hovrever, the 6uiltlinq or improvement is sold within one year of completion, the ovmer-builder will have the burden ol proving that he or she did no[ build or imprOve (or purpose of sale.). � I, as ovmer of the property, am EXCLUSIVELY CONTRAC7ING WITM IJCENSED CON7RACTORS to consWct the projecl (Sec. 7044, Business and Professions Code: The contractors License Law dces not appty to an owner ol property wfio builds or improves thereon, antl who contracts for such pmject with a conlracta(s) license pursuant lo the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: ]OS�.d6(YO"!) Owner ID verifed by driver's license. ❑ Yes ❑ No Onver's License No. Ezpires: Venfication o( Ownership Dy (type of aocument, i.e. - property taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereDy certAy that rro ezcavation frve (5) or mwe leet in tlepth into wfiich a person is requiretl to descend, will be made in connection with work authorizetl by Ihis permil, antl that no building structure, scaHdding, (alsewnrk, or demolition or dismantling Ihereof, will be more than thirty-six (36) leet high. (Chap. 3.2, Grp 2, M 2, Sec. 34t. Ttle 8. Califomia Adminisl2tive CoCe�. ❑ As ovmer-builder, I will not employ anyone to tlo vrork which vrould require a permit from the Division of Industrial Safety, as notetl above, unless such person has a permil to tlo such work from Ihe division. Applicml's Signature Division of Intlustnal Salety Permit Number: _ HAZARDOUS MA7ERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or IuWre Ouilding occupant need to file and certity a Business Plan for emergency response lo release or I�reatened release of a hazardous matenall ❑ Yes ❑ No (Section 25505 0l the Califomia Health and Safery Code requires, with some exceptions, thal a Business Plan be filed with the Costa Mesa Fire Depanment by every business which has at any one time dunng a reported year a quantily of hazartlous materials equal to or greater than a weiqht of 500 pounds, or a volume of 55 gallons. or 200 cubic (eet o( compressed gas at stantlartl lemperature and pressure�. 2. Does or will Iha applicant or preseN or tuture building occupaN neetl to file a registration tortn for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health and Safety Cotle, with some exceptions, requires regisUation with the Cosla Mesa Fire Department by each business whic� at any one time has on hanA a quantity of aculely hazardous materials equal to or greater Ihan a weight ot 500 pountls, or a volume ol 55 gallons, or 200 cubic feet of compressetl gas at standard remperaNre and pressure�. � 3. Does or vrill Ihe applicaM or preseM or fuNre building ocwpant neetl to prepare an RMPP (Risk Management and Prevention Program for acu[ely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Cotle proviGes Ihat the Costa Mesa Fire Depanment may require the preparation, certifcation ana (iling wilh lhe Fire Department of an RMPP by businesses which are required to register acutely hazardous materials vrilh the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health and Safety Code been fully complied vrith7 ❑ Yes ❑ No 5. Does or will the applicant or present or fulure building occupant require (or Ihe vrork which is the subjecl of this application a pertnit (or such consWction or modification Imm Ihe South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Calitomia Govemment Code requires that the requested information De fumished on applications fv rron-residential DuilCing pertnils). 6. Will any part of the facility lo be constructed under this permit be within 1000 (eet (rom Ihe outer bountlaries ol a school? ❑ Ye5 ❑ No (II yes", ihe facility musl meet the requirement of Sections 25534 and 42303 of the Califomia Health and Sa(ery Cotle�. 7. It a pertnit Bom the Soulh Coast Air Ouality Management District or other air pollulion Gontrol di5lritt or agenty is requiretl for Ihe work which is the subject of this application, have all of the disclosures prescnbetl by Cali(ornia Health and Safety Code Section 4230J been made7 ❑ Yes ❑ No 8. pf'yes", atWch certifiwte of wmpliance from the appropdate air pollution comrol oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the intormation given above is cortect. t agree to comply with all state laws and city ordinances regartling Hazardous Materials antl Emissions. SignaWre Da1e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cerlify under penalty of perjury lhat I have read this application and state that t�e inlormation given is wrrecL I agree to wmply with all state laws and city ordinances relatinq to builtling construction, and authorize representatives o( the Ciry o( CosW Mesa to enter upon the above-descnbetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. e otye ner(s) Date j�� 2f�/9 �or�i o�AVPli�nt �Oate� ' CITY OF COSTA MESA " o F BUILDING DIYIS/ON i � 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wNnv.ci.costa-mesa.ca.us °.�`w� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: 610-00156 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 41508134 DATE ISSUED: 06/03/2010 ISSUED BY: RMD JOB ADDRESS: �3555yHARBOR'GATEWdY S,;CM Vicinity: COMMERCIAL ROOF Squares: 16000 SuitelUnit: Valuation: $80,000.00 SCOPE OF WORK: TEAR EXISTING ROOF MEMBRANE AND REPLACE WITH A FOUR PLY BUILT•UP ROOF SYSTEMS. TWO COATS OF ACRYLIC WITE COATING (CRRS 0646-0005) OVER NEW ROOF SYSTEM FOR A COMMERCIAL BUILDING, APPROX 16,000 SF. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. OWNER: C J SEGERSTROM 8 SONS PHONE: APPLICANT: WEILS, WAYNE PHONE: 714-632-6929 CONTRACTOR: MESA ROOFING CORPORATION Address: 2550 E MIRALOMA VJYUnit: City/State/Zip: ANAHEIM, CA 92806 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reroaf Permit Fee: $853.75 Reinspection Fee: $0.00 Bldg Std Admin Fund $4.00 Address: 3315 FAIRVIEW RD City/State/Zip: COSTA MESA, CA Address: 2550 E MIRALOMA WAY City/State/Zip: ANAHEIM, CA STE 100 License No. License No. License No. 564151 PHONE: 714-632-6929 CELL: PHONE: PHONE: Unit: Unit: :STE 700 AL FEES $857.75 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3I18/2010 - PER CMMC Sec. 13-279 Monday thru Fritlay - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksoivina Dav and Christmas Dav NOTICE: The vrork authonzed by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ortl. 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 ezpiration of this permit. CODE /. INSPECTONTYPE OR INTRIALS COUEt INSPECOONTYPE DRTE IN RL 1676 Fized System Final Fire Prevention 208 Final Mechaniwl t2fi6 Pool Spa Final p (��(� ���/��/ 208 Final Plumbing Z00 Final Re-Roof �°� 1� l ��y�" 210 Final Electriwl U 201 Final Block/ReWining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Si9n 222 Final Site 204 Final Demolition . 250 Final BuildincyOccupancy 0 ' WORKEi2S' COMPENSATION DECLARATION: I hereby aKrtn under penalty of perjury one of the following declaralions: ❑ I have and will maintain a cetlificate o( consen[ to self-Insure lor vrorkers' wmpensation, as provitletl for by section 3700 of the Labor Code, lor the peAormance of the wvrk for which this permit is issued. ❑ I have antl will maintain workers' compensation insu2nce, as required by seclion 3700 0( lhe Labor Cotle, (or the peAortnanca of the work for whkh Ihis permit is issuetl. My worker5' compensalion Insurance carrier and policy number are: � (Ca+r"�r: �7�71-T'i ��'�+II� (Thif s�iu� neetl nd De mmpletM d Ine pemN is vaNeO el one nuntlred tlollars (S100) a less.) P�,Number: UUJOIO2— ZU �l'� ❑ I cerli(y that in the performance ol Ihe work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subjecl to the vrorkers' compensatio laws ol Califomia, and agree that i( I should ecome subject to�the worke ' compensation provisions of Section 3700 of the a�or Code, I h II fp 11 i comply with ihese provisions. / —�j� ZU ( CJ pp.- tSipnaWre �W�o WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencinq with Section 7000) of Division 3 of lhe Business and Professions Cotle. and my license is in full force and ftect. {',c�- �.S �4 S a�'� C-3� / ��uco �/ 'n' 110F4Signalum ba�1e� CONSTRUCTION LENDING AGENCV: ❑ I hereby affirtn that there is a consWction lending agency (or the perfortnance of the v.ork for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Dale OW NER•BUILDER DECLARATIONS: I hereby aftirtn that under penalry ol perjury that I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counly which raquires a permit to wnstruct, alter, improve, demolish, or repair any struclure, prior lo its issuance, also requires the applicant for such permit to fle a signetl statemenl that he or she is licensed pursuant to Ihe provisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) ol Division 3 of the Business anC Prolessions Codo) or that he or she is exempl theretrom and the basis lor the alleged exemption. Any violation of Section 7031.5 by any appliwnt for a permit subjecls the applicanl to a civil penalry of not more than five huntlred dollars ($500).�: ❑ I, as owner ol lhe property, or my employees with vrages as their sole compensalion, WILL DO TME WORK, antl the siructure is nol intendetl or offered lor 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 lhrough his or her ovm employees, provided thal such improvemenls are not intended or otleretl for sale. If, hovrever, Ihe building or improvement is sold within one year of completion, the ovmer-builder will have Ihe burden o� proving Ihat he or she ditl nol build or improve for purpose ot sale.). ❑ I, as ovmer of ihe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Protessbns Code: Tha contractas License Law dces not appty to an owner of propeAy v.ho builds or improves thereon, and who contracts for such projecl vnth a conl2ctof(s) license pursuant to the CoN2clors License Laws.). ❑ I am exempt untler sec. Business and Professions Code tor this reason: 309-a6 (3I0]) , Ovmer ID verifetl by driver s license. ❑ Yes ❑ No ' Driver's License No. Ezpires: Veri(ication ol Ownership by (type of tlocument, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certdy thal no excavation frve (5) or more feel in depth into which a person is required to descend, vrill be made in connection vnth work authonzetl Gy Ihis pertnit, and that no building sWcWre. 5c�fdding, falsexork, or tlemolition or dismaniling ihereo(, will be more lhan Ihirty-six (36) leet high. (Chap. 32. Grp 2, M 2, Sec. 341, TiUe 8, Califomia Atlminislrative Cotle). ❑ As ovmerbuilder, I will not employ anyone lo do work which wou10 require a permit from the Division of Intlustrial Safery, as noted above, unless such person has a permit to do such work from the division. Appiranl's SipnaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will lhe applicant or present or fuWre DuilGing occupant neod �o file and certi(y a Business Plan (or emergency response to release or threatened release of a hazar0ous material? ❑ Yes ❑ No (Section 25505 of lhe Calibmia Health and Safery Cotle requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity ol hazardous materials equal to or greater than a weight o( 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard lemperature and pressure�. 2. Dces or will the applicant or present or tuWre building occupant need to (le a registration tortn tor awtely hazardous matenals? ❑ Yes ❑ No (Section 25533 ot the Calitomia Health antl Safery Code, with some eaceplions, requires registration with t�e Costa Mesa Fire Departmem by each business vAiic� 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 o! 55 gallons, or 200 cuDic feet of compressed gas at standartl temperature and pressure�. 3. Does or will the applicant or present or future builtling occupant need [o prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Cali(omia Health anC Safery Code provides that the Costa Mesa Fire Depanment may require ihe preparalion, certificalion antl filing vrith the Fire Department of an RMPP by businesses which are requiretl to register acutery hazardous materials wit� lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Calitornia Health and Safely Code been (ully wmplied with? ❑ Yes ❑ No 5. Dces or will Ihe appliWnt or present or (uture builtling occupant require for the work which is the subjecl of this appliwtion a pertnit for such conslruclion or modification from Ihe South Coasl Air Quality Management Distnct or from any other air polWtion contml disMct or agency? ❑ Yes ❑ No (Sectbn 65850.2 0l the Calitomia Govemment Cotle requires that the requestetl infortnation be fumisheC on applications fa rmn-residential building pertnits�. 6. Will any part of Ihe facility lo be constructed under ihis permit be within 1000 leel from Ihe outer boundanes of a school? ❑ Yes ❑ No (II yes", lhe laciliry must meet the requiremenl of Sections 25534 and 42303 of Ihe Califomia Health and Safery Code). 7. If a permit fmm the South Coasl Air Quality Management District or other air polWtion control district or agency is required �or tha work which is Ihe subjecl of t�is appliwtion, have all o/ the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made7 ❑ Yes ❑ No 8. Qf yes", attach cenifcale of compliance from the appropriate air pollution control offcer). CER7IFICATE OF COMPLIANCE: I certify that under penalty of perjury the information qiven above is wrrecL I agree to comply with all state laws antl ciry ordinances regarding Hazartlous Materials and Emissions. Sie^alure CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury thal I have read this application and state that the information given is correct I a9ree to comply with all state laws and city ortlinances relating to building consWction, and authonze representatives of the Ciry of Costa Mesa to enter upon the above-tlescribetl property for inspection purposes. I agree not ro occupy or allow occupancy of any builtling authorized by lhis pertnil until final inspection. sie^aWre L g I 1) /,, oate � � lY_� �ZO�� a,a ..a�i. �....