HomeMy WebLinkAbout3333 BEAR ST - Building Permits (48)(714) 754-5273 • Fax (�ia) �sa-aess - www.ci.costa-mesa.��SLDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3333 BEAR ST
Suite: 120
Vicinity:
Parcel Number: 41249207
npplicant: BOWERS, JOHN
Address:
Owner: SOUTH COAST PLAZA
Address %C J SEGERSTROM & SONS
COSTA MESA, CA
3315 FAIRVIEW RD
Zoning:
ISSUED BY:
Phone: 714-838-4112
Zip:
Phone:
Zip: 92626
Contractor: SNEDEN 8 BOWERS GENERAL BUILDING CONTRACTORS
Address: 7081 ST REGIS PL
Phone: (714) 838-4112
Status: ISSUED
Applied: 01/22/2001
Issued: 05/78/2007
SANTA ANA, CA
Zip: 92705 License: ' 776885 ' ,
Arch : OLSON, DAVID eng:
Address: 15375 BARRANCA PRKWY Address:� -
F101 Phone: 949-450-0093 � - Phone:
IRVINE, CA
Zip: 92718 License: C19424 � License:
' - - SCOPE OF PERMIT
ADD TWO WALLS FOR WALK-IN�COOLER ADDITION TO RUBY'S DINER. EXTENDING WALLS INTO EXISITNG F00T ,
LOCKER. - , . ,� �� "
� FEESUMMARY:",�,�' �
Plan Check: $99.61 .. � _ - . Calc Valuation:
Permit: $15325 Claim Valuation: ',
SMIP Res: $0.00 �
SMIP Com: , $1.68 • -
Other: $0.00 _ _ , _ , �. j "; � ,
Inspection: $0.00 '� ' �- ",`
� �,- � .
Total: 5254.54- ,-�-.. � � '.-t�,.a=-'•��:::`�.�: �'� ��.
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SETBACKS' '-: " ' , _ „
MAIN STRUCTURE �Front 0-�0� '- , Rear 0- 0
ACCESSORY Front 0- 0^ ; '. Rear 0- 0
PARKING
NOTES:
Existin : 0 ����- �' �Required: �0
�NNING 8 ZONING_ f ���j i; � � ��
� - , � �, i . .
Left- �0-0 RighE -,°0-0 .
,�` \
�Laft � 0- 0 -- � .� �• � � Right -0 ;0 � �
j,
� . Proposed: ` � 0 �
,�
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'�. ��. ,-
$B4O00.00
se,000.00
NOTICE: The work authorized by this permit shall comply wi�h all applicable handicap access requirements under California statutes and related
ragulations. (Ortl. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire antl become void if work Is not commenced within 780 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
requlred ine'peetions end final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 .
zauae (siool
WORKERS' COMPENSATION DECLARATION: —
I hereby aHirm unAer penalry ol per�ury one of the tdlowing tledaratbns:
❑' 1 have flnd will maintain e certilkete of consent lo self-Insure tw workers' oompensetlan, es provitletl for 6y sectlon 3700 ot the Labor Code, for Ne pertormance of Ihe
, y1Yrk fof which IhLs permlt I5 Issued.
Certler.
(Th/s 5e
as reqWred by sectim 3700 ot Ne Lebor Code, for Ne poAwmance ol the work tor vhic� ihis pemut is iswed.
gpmDer ere: _ � �
JC i Policy Number:�
ne hundred dollers (S I00) or less.)
❑ I certify t�at In t�e peRortnance o1 Ihe work tor w Nis permit is issue0, I shell no� employ any peraon In eny menner so es to becom �ect to t�e workere'
compensatlon laws of Celif la, A egree that if shoulO become su��ect to Ihe workers' compensetlon provlsions ol Sectlon 370Q of e Lebor Cotle, I shaU torthwith
compty with these Drovisi � �/ n_/^ �
Appllcant Slgneture: De�e: r� (' )
WARNINO: FAILURE TO SE WORI(ERS' OOMPEN TION COVERAGE IS UNLAW FLL AND SIMLL CT AN EMPLOVER TO CPIMINAL PENAL7IES ANO CML FlNES UP TO ONE MUNDRED
THOUSAND DOU.ARE (5 �, IN ADDfT10N TO TNE COST OF COMPENSATIOM, DMUGES 0.S PFOVI�ED FOR IN SECTIdJ 3%OB OF THE IABOR CODE, IMEREST. M1D RTfORNEY9 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atfirtn that I am Ilcensetl u der provisions al Chaptar 9(commencln8 with Seciion 7000) of Division 3 of the Business end Prafessions Cotle, arM my Iicense is In full
�0lCB entl BRBCL UC. A CI048 M
Contractors Siqnature: Date: �� � �
CONS7RUCT10N L DING AGENCY:
❑ I hareby eNirtn ihet Ihere Is e consiruction IonCing egency tor tho poAormenco ol Ihe work tor which this pormit I9lssued. (Sec. 3097, Civil Cotle).
Lentlefs Name: Lendefs Atltlrass:
Sipneture:
OWNER-BUILDER DECLARATONS:
Dala:
I �ereby eHirtn Ihat untler penalry ol per�ury Ihel I em E%EMVT FHOM 7ME CONTFiACTORS LICENSE LAW lar the follawing reason (Sec. 7037.5, Business antl Professiwu
CoOe: Any ciry or counry whic� requires a pertnit ro construd, alter, imprwe, demWish, or repeir eny siructure, prior to Its issuance, also requires Ne apDlicant tor such permit
to file e signed slatement Uet he or ahe Is Iicensed pursuant to Ne proNsbns af the Contreclors Ucense Lew (Chapter 9(commendng wit� SecUon 7000) of DMsim 3 ot Ne
Business antl Professbns Cade) or Uet he or she is exempt Iherefrom and the basb for the ellaped exemptlon. Any violatlon of Section 7037.5 by arry applkem for e pertnit
subjects Ne applicant to e clvll penelry ol rwt more ihan Me hundred ddlars (5500).):
❑ I, as owner oi the properry. or my employees with wages as Iheir sde compensallon. WILL DO THE WORK, end the sirucNre Is not intendetl or oNeretl for sele (Sec.
7044, Business and Professions Cade: TTe Contrectors License Lew tloes not apply lo an owner of property who builds or improves thereon, and who does such work
himself or herself or ihrough his or her own employees, provided Net such improvemenis are not intentled or oNeretl for sale. If, however, Ihe building or imprwement Is
sold within one year of cnmpletlon, ihe owneo-6uiltlar will heve t�e burden ot Drovin9 ihat he or she ditl not build or improve for purpose ol sale.�.
� I, es owner oi lhe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl Iha pro�ect (Sec. 7044, Bu5in859 and Protession9
Code: The contractors License Lew does not epply to an ownar ol property who hulltls or impmves thereon, and who contracis for such project with a crontractor(s)
license pursuam to Ihe Contractors License Laws.).
❑ I em exempt under sec. Business end Prolessions Code tor this reason:
Signalure: Date:
Owner ID venfied by tlrivers Ilcenso. ❑ Yes ❑ No Drivels License No.
Vedflcetion oi Owrrers�ip by (rype of daumenl, i.e. - pmperty ta�c bill or deetl):
Expires:
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICA710N: .
❑ I hereby certily t�at no excevetion INe (5) or more feet in depih into whic� e person is required to tlescen4 will De matle in connection with work euihorizetl by thls
pertnit, entl that no buildinp structure, scattdding, lalsawork, or tlemdltlon or dismantling thereof, will be more then thirty-sl: (38) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, 71t1e 8, Celifomia Adminisiretive Cotle).
❑ As owner-builtler, I wlll noI omploy enyone to do work which woultl requlre e permit from ihe Divislon ol Induslriel Sefety, as notetl ebove, unless such person has e
permit to tlo 5uth wark from Ihe divi5ion.
Signature: Date:
Dlvision of Intlustnal Sefery Permit Number.
CERTIFICA7E OF COMPLIANCE /WD AI7TNORIZATON OF ENTAY: I ceM1ify un0er penelty ol perjury ihat I have reaU t�is epplicetion end stete Ihat ihe informetion given Is
correct I egree to comply with ell stete lews end ciry orCinances releting to bulltling construction, and eWhonze representatives of t�e Ci�y ol Costa Mesa to emer upan the
ebove-descnbed properry tor inspection puryoses. I egree not to occupy or allow occupanry ol eny builGing authonzetl by Ihis permil until (inal inspection.
COUE �. INSVECTIONTYPE
1616 FIxeC System Final Fire Preventlon
1268 Pool Spe Final
200 Final Ra-Root
201 FInaI B1acWRetaininp Well
202 Final Fectory Fire Plece
203 Finel Sign
206 Final Domolition
5���0 i
Q1¢, �$ CODE� INSVECTIONTYPE
_. 206 Final Mec�enicel
200 Finel Plumbing
210 Final Electtical
212 Flnel Flre Prevention
220 Final Plenninq Approvel
222 Final Site
250 Final BuiltlinyOccupency
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