HomeMy WebLinkAbout572 ANTON BLVD - Building Permits� . .�. .. . � • . . . .. ♦ .� .� ._ a .� -� �, v ^ < : I i. v . ��CN`Y�
� CI" . Y OF COSTA MI _;A �
Development Services, Division of Building and Safehj
CERTIFICATE OF OCCUPANCY .
This cerHficate is issued pursuant to the iequirements of tlie Uniform Building Code, SecHon 308 adopted by the City
of Costa Mesa tertifies that atthe Hme of its issuance the building shucture herein below described was inspected and
approved foroc[upanty as follows:
BuildingAddress 572 .Anton B1, 2 g�dg.PermitNumber BC08-00073
�I Use �ffice �y (7(',393.s.f.)
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1-A XXXXXX PDC
I Group H Typ`e of Construction Fire Zone Use Zone
\ .
I OwnerofBuilding RREEF A.merica Reit II Corp..Tenant p' CIFIC COMMUN3CATIONS
CCCC2
I Address 101 California St.,�San Francisco „Ca Ste 6�4� /) �
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BUILDINGOFFICIAL-KI1driIl Q. NgUj�2ri, C.B.O. '06/04/OB
Date
REQUIRED TO BE POSTED IN A CONSPICUOUS PLACE
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CITY OF COSTA MESA
BUILDING DIVISION
. ,� •
77 FAIR ORIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC08-00073
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PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: COM_ALT DATE ISSUED: 04I1712008
-- ISSUED BY: RMD
�osaooRess: 5752ANTONBLCM�. �` '- SwfelUnit._�,,2
APN: 41050103 y'Zoning:PDC , ,
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Vicinity: 2ND FLOOR � s _ = Pnmary Occ B�'
ConstType: I-A '.cr ;=— SQ''FT . � 0[ _ '' Valuatfon: $54,081.90
,�'�' 1=_'.,;'`,': �`�r x.r
SCOPE OF WORK: 1,393 SF, INTERIOR T.I`;FOR "PACIFIC COMMUNICATIONS" WITH,16,LIGHT FIXTS, 7 SWITCHES, 15
OUTLETS, 3 ALT/REPAIR COOL`ING/HEAT. � '��
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OWNER: RREEF AMERICA REIT�IPCORP,-CCCC2 Address. 101 CALIFORNIA�ST' . Unit SUITE 2600
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Phone: ,-t� + r�'; R 4` City/State/Zip. � SAN FRANCISCO, CA ' '# A4j ...•. ;',
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APPLICANT: DEREK E EBYLER �y�� - � � �Address. 1565 N HARMONY CI � � `=,4v � � '- ; .��� Unit: � 4. ;. ,�_
Phone: 774 948-0913 ' kf'=�� City/State/zZip: ANAHIEM HILLS, CA ' k >, -'��' . `�.1 ��
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CONTRACTOR: AMARON CONSTRUCTION CORPORATION " License No. ,.674301 `�'
Phone: 714-993-9220 �� � - .- . -� �Address: � 1565 N HARMONY CIUniL• � ' � � ""
��: � �''�;?. '- � �e.'. " �. ..- _=,':,-.., . -,� �p �`de 92807
Cell: Cit /State ANAHEIM HILLS; CA Zi Co
ARCHITECT: �:> - � . � ' License No. - � - - � "' PHONE' .
ENGINEER: ih' ���5�. �-� �� Litense No. ` ���' .PHONEi�"
_ � :�i:, . .�_ _ . _ . _
COMBINTATION PERMIT FEE-SUMMARY
Building Plan Check: -� > � $441.19 -- - -
Building Fees: - �``,$678.75' ` "'
Electrical Fees: ` `: $65.30 = "
Mechanical Fees: _ -• $153.40 . � � � ,
Plumbing Fees: $OAO ; - ,
SMIP Residential: '.. $0:00 ,. ` � " '
SMIP Commercial: ' �`-._$1087 : �
TOTAL FEES: $1;349 51 ' '
"Refer lo fee receipis for all (ees pald for projec� _�_ __ e_-
.. .. "','�l
NOTICE: The work authorized by this permit shall comply vrith all applicable handicap access requirements under Calitomia statutes and related
regulalions. (Ord. No. 92-28, § t, 12-21-92) •
EXPIRATION: PERMIT EXPIRES 780 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 inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
COpEt, INSPECTIONTVPE �RTg IN71TIR15 SQUEr VECiIONTYGE DRTE IN71� �
1816 Fized System Final Fire Prevention 206 Final Mechanical P�� 5/� /1'K'11�
1266 Pool Spa Final . 208 Final Plumbing ��
200 FinalRe-Roof
201 Final BlocklRetaining Wall
202 Final Factory Fire Place
203 Final Sign
20a FinalOemolition
210 �inal Electrical P/�
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy �j�
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WORKERS' COMPENSATION DECLARATIOI.
I hereby affirm under penally of perjury one ol the following declarations: �
❑ I have and will maintain a certificate of consent to self-Insure for workers'
compensation, as providetl for by section 3700 of the Labor Code, for the
performante of �he wOAc (or which this permit is issued.
❑ 1 have antl will maintain v.orkers' compensation insu2nce, as requiretl by
sectbn 3700 of the Labor Code, for ihe peAortnance of the work tor which this
permit is issued. My workers' compensalion Insurance wrrier and policy
number are:r� //
Cartier. /Ci✓N'Lvov� �7��C � caSF,h� %/7S.
L�(inrsseCimrieedno�t0{ecanpeteOlmepemNavalueeaima etldooarsfffo0laieu.)
Policy_Number: `7�n��0��5% �OQi`
❑ I certi/y tha[ in lhe peAormance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become subject
to [he workers' compensation laws of Califomia, and agree that if I should
become subject to the v.orkers' compensation provisions of Section 3700 of
the Labor C�ode, I shall forthwith comply with [hese provisions.
�r«�te!�ia /i l c7 a
ApWiwn�s5ipnaWre �D9le.�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNUIWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm thal I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Cotle, antl
my license /is_in f/u�ll (o2rce^ anId eRect. �2,
Lic�-lo� 7 ..J� ( C- -Glass # .L�
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ContmclofsS nawre rDa�e
CONSTRUCTION IENDING AGENCY: `
❑ I hereby affum Ihal lheie is a consWction lending agency for the
peAormance of the work fa which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lenaer's Address:
OWNER•BUILDER DECLARATIONS:
I hereby a(frm thal under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5,
Business and Professions Code: Any tity or counry which requires a permit to
wnsWct, alter, improve, demolish, or repair any strucNre, prior to its
issuance, also requires the applicant for such permit to file a signed statement
[hat he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 70W) of Division 3 0/ the
Business and Professions Code) or that he or she is exempl therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
appliwnt for a permit subjec[s ihe applicant to a civil penalry 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 sWcture is no[ intended or
o((ered (or sale (Sec. 7044, Business and Professions Code: The Contractors
License Law dces not apply to an owner of property who builds or improves
thereon, and who dces such work himself or hersel( or through his or her ovm
employees, provided that such improvements are not iniendetl or offered tor
sale. If, however, the builGing or improvement is sold within one year of
wmpletion, lhe ovmer-builder will have the bur0en of proving lhat he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS to wnstmct the project (Sec. 7044. Business and
Pro(essbns Cotle: The contractors License Law tices not apply to an owner of
property who builds or improves ihereon, antl who conlracts for such prqect with
a cont2cta(s) license pursuant to the Contractors License Laws.).
❑ I am exempt untler sec.
Business and Professions Code for this reason:
SlgnaWre
305]�d6(3/O))
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Owner ID verifed by tlri ,ice ,] Yes ❑ No
Dnver's License No. Expires:
Venfication of Ownership by ([ype o( document, i.e. - property tax bill or deed�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no exwvation frve (5) or more feet in depth into which a
person is required to tlescend, will be made in connection with work authorized
by ihis pertnit, and Ihat no building slrucWre, scaffdding, falsewnrk, p tlemolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Tille 8, Califomia Administrative Code).
❑ As owner-builtler, I will not employ anyone to do work which would
require a permit fmm the Division of Intlustrial Safety, as noted above, unless
such person has a permit to do such work from �he division.
APd����'S SignaWre Da�e
Division of Industrial Sa(ety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or (uture building occupant need to file and
certify a Business Plan tor emergency response to release or Ihreatened
release of a hazardous material? ❑ Ves ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, wilh some
exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire
Department by every business which has at any one time during a reponetl
year a quantity of hazartlous matenals equal to or greater than a weight o(
500 pounds, or a volume ot 55 gallons, or 200 cubic feet of wmpressed gas
at standard femperaNre and pressure).
2. Dces or vnll the applicant or present or future building occupant need to file
a regislration fortn for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and SaTery Code, with some
exceptions, requires registra[ion with lhe Costa Mesa Pire Department by
each business which at any one time has on hand a quantity o( acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressetl gas at standard
temperaWre and pressure).
3. Does or win the applicant or present or fWure builtling occupant need to
prepare an RMPP (Risk Management and Prevention Proqram for acutely
hazardous materials�? ❑ Ves ❑ No
(Section 25534 ot the Calitomia Healih and Safety Code provides lhat the
Costa Mesa Fire Department may require the preparation, certif�cation antl
filing with lhe Fire Department of an RMPP by businesses which are required
lo register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of lhe California
Health and Satety Code been fully complietl with? ❑ Yes ❑ No
S. Does or will the aOPlirant or present or fuWre builtling occupam require for
the wOrk which is ihe subject of this application a permit for such conslNction
or modi6cation from Ihe South Coast Air Qualiry Management Dislrict or from
any other air pollution control tlislnc[ or agency? ❑ Yes ❑ No
(SecCron 658502 0( the Califomia Govemment Code requires that the requested
intortnatbn be fumished on applications fn ran-residential builtling pertnits).
6. Will any part o( the facility to be consWctetl untler this permit be vrithin
1000 (ee[ from the outer boundanes o( a school7 ❑ Yes ❑ No
(If yes". the facility must meet the requirement of Sections 25534 and 42303
of the Califomia Heal[h and Safety Cotle).
7. If a pertnit from the South Coasl Air Quality Management Dislrict or other
air pollulion control disMct or agency is required for lhe vrork which is the
subject of this application, have all ot the disclosures prescribed by Califomia
Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No
8. pf yes", attach ceAificate ot compliance fmm the aDP�opnate air, polNtion
control oKcer�. �
CERTIFICATE OF COMPLIANCE: I certity thal under penalty of perjury lhe
information given above is covecL I agree to compty wit� all state lav+s and
ciry ordinances regarding Hazardous Materials antl Emissions.
SignaWre Daie
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury ihat I have reatl Ihis application antl state that
the infortnation given is correcl I a9ree to comply with all slate laws and cily
ordinances relating lo builtling cons[ruction, and authorize representatives of
ihe Cily of Costa Mesa lo enter upon the above-descnbed properly for
inspeclion purposes. I agree not to occupy or allow occupancy o( any building
authorized by this permit until final inspection.
SignatureolLegalOwner(s) Dale
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