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Home My WebLink About3333 BEAR ST - Building Permits (61)CITY OF COSTA MESA BYILDING D/Y/SION 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (774) 154•5626 . PERMIT NUMBER BC07-00006 PERMIT TYPE: 6 COMBO ' STATUS: ISSUED Sub Type: COM_ALT DATE ISSUED: 07/20/2007 � ISSUED BY: RMD Joe aooRess: 3333 739 BEAR ST.CM' , Suife/Unit: 139 Vicinity: SPACE 139 � : , . . - Primary Occi � . � Const Type: II-1 � � � So.�6T.-, � ��3200 Valuation:- 5100,000.00 . SCOPE OF WORK: 3,200 S.F..INTERIOR;TENANT IMPROVEMENT FOR "HALLMARK; �IN SPACE 139. 11 LIGHT SWITCHES, 81 OUTLETS, 1 SIGN CIRCUIT, MISC ELECTRICAL EQUIPMENT AND 2 . � VAV BOX. r ' OWNER: SOUTH COAST PU1ZA -�, � ..'.. �Address:, � °hC J SEGERSTROM &.SONS UniL•COSTA MESA, CA PHONE: " � � CirylStatelZip: 3315 FAIRVIEW RD APPLICANT: SIEBERT, DON . � � PHONE: 949-361-0111 " � �. , . � � , CONTRACTOR: �HURST AND SIEBERT . Address: 2377 SO EL CAMINO REALUnit: SUITE 103 City/State: SAN CLENIENTE, CA ZipCode: 92672 � , � Address: Unit: - .,CitylStatelzZip: t' � License No. 622681 . � _ PHONE: 949-367-0711 � . � � CELL: , ARCHITECT: HENRY�C KLOVER ' license No.C23423 - ENGINEER: License No. . COMBINTATION PERMIT FEE SUMMARY.' Building Plan Check: , . , �161.49 Building Fees: � , : � $993.75 �.. � Electrical Fees: ' ,$175.69 Mechanical Fees: � � �. . . .$44.80 Plumbing Fees: _$0.00 SMIPResidential: �� -�$0:00 SMIP Commercial: $21.00 . TOTAL FEES: $1,566.41 "Refer to fee recelDts /or all focs paitl /or projecl , � PHONE:913-940-0566 PHONE: NOTICE: The work authorized Dy this permit shall wmply with all applicable handicap access requiremenls under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) �• EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST IN3PECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applipble codes, and all required inspections and final approval must be obtained. Failure to obfain inspeclions and flnal approval will result in fhe expiration of �his pe t. CODE/. INSPECTIONTYYE p� IN � $�� INSPECTIONTYPE 9�rS17 �� 1878 Pixed System Final Fire Pravention 208 Final Mechanica� 1268 Pool Spa Final � 208 Final Plum6ing // —7_l/ 200 Final Re-Root ' 270 Final ElecMcal Ly J� 201 Final BIocWRe�aining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 212 220 Final Fire Prevenlion Final Planning Approval 222 Final Sile 250 FinalBuilCing/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one of lhe favwing tleclarations: ❑ I have and will maintain a certificate of consent lo self-Irisure (or workers' compensalion, as providetl for by sec(ion 3700 0( the Labor Cotle, (or the peAortnance o( the work for which this pertnit is issued. ❑ I have arM will maintain workers' compensatbn insurance, as required by sectbn 3700 of lhe Labor Code, for lhg peAortnance of the work fw which this permit is issued. My workers' compensation Insurance carrier and policy /number are: lCarrier7 STAT� �JN� (1ks attTqn nee0 not pe cwrr{/etMl Nepemtl a rdLed a1 m liwib'ea cbWs (f f 001 a kv ) POIicyNumber. � i�O%88 � — �eOb `� ❑ I cerlify that in the pertortnancl of the work for which this permit is 755ued, 1 shall no! employ any person in any manner so as to become subjecl b the workers' compensation laws of Calilornia, antl agree that if I should become suGject to the ers' compensation provisions of Seclion 3700 of ihe Labor C I� with wmply with these provis� Za�O � Appinnib9gnawrc �-�oa�a ��i WARNING: FAILURE TO SECURE W4RKER5' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. IICENSED CONTRACTORS DECIARATION: I hereby affirm thal I am licensed under provisions of Chapter 9(commencing vrith Section 7000) of Division 3 af Ihe Business and Prolessions Code, and my license is in full force and eflect. � 62 Gass #��j ConVaaor's Siy�alure Oele�J � CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that there is a constnicUon lendirg a9eixy for lhe pertormance of the Hork for vfiich this permit is i55uetl. (Sec. 3097. Civil Code). Lender s Name: LenCer's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrm that unGer penal[y of perjury that I am EXEMPT FROM THE CONTRAG70RS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions Coda: Any tiry or county which requires a permil to cOnstrucl, alter, improve. demolish, or repair any sWCWre, pnor to its issuance, also requires me applicant (or such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contrectors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 0l the Business antl Professions Code) or that he or she is exempl therelrom and the basis for the alleged exemption. qny violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant ro a civil penalty of not more lhan five hundred tlollars ($500).): ❑ I, as ovmer of tha property, or my employees with wages as thair sole compensation, WILL DO 7HE WORK, anC the struclure is not inlended or ofleretl for sale (Sec. 7044, Business gnd Professions Cade: The Contractors License Law tices not apply to an owner ol property who Duilds or improves Ihereon, and v+ho dces such work �imsel( or hersetl or through his or her ovm employees, provided Ihat such improvements are not intenCed or offered for sale. If, hov+ever, the buildinq or improvement is solC wilhin one year of completion. the owner-builder will have the buttlen of Droving that he or she did not build or improve for purpose of sale.). ❑ I, as ovmer of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constNct the project (Sec. 7044, Business and Professbns Cotle: The contractas License Law dces rat appty lo an ovmer of property who builds or improves thereon, and who wntracls for such project vrith a cmtractor(s) license pursuant tothe Gontractors License Laws.). ❑ I am exempt untler sec. Business and Pro�essions Code for this reason: SignaWre Date JOS]J6(10]) - Ovmer ID verifed by drivi ,ise. ❑ Yes [] No Driver's License No. Expires: Verification of Ovmership by (rype of tlocument, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: - ❑ I hereby certify that rro ezcavation frve (5) or more feet ui depth into xfiich a person is required to descend, will be matle in connectbn with work authorize0 by this permit, and that no builtling slnicture, scaf(ddim�, (alsewOrk, a demolition w disman[ling lhereof, will be more Ihan Ihirty-s& (36) (eet high. (Chap. 3.2, Grp 2. Art 2. Sec. 341, Title 8, Califomia AdministraWe Coae). ❑ As ovmer-builder, I will nol employ anyone to do work which vrould require a pertnit from the Division of Industnal Safety. as noted above. unless such person has a permit to tlo such work from the divisinn. Ap0licinl's Sipnalure Dale Division o( Industrial Sa/ety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Wiu the applicant or present or (uNre building occupanl need to fla antl certi(y a Businass Plan for emergency responsa lo release or threatened release of a hazardous malerial? ❑ Yes ❑ No (Section 25505 of Ihe Calitomia Health and Safety Code requires, with some exceptions, lhal a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one lime tlurinq a reportetl year a quantity of hazartlous matenals equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic leet o( compressetl gas at slantlard temperature antl pressure). 2. Dces or will ihe applicant or present or future DuilCing occupant need to file a registretion form for acutely hazartlous materials? ❑ Ves ❑ No (Section 25533 of ine Calitomia Health and Safely Cotle, wit� some exceptions, requires registration vnth Ihe CosW Mesa Fire Oepartment by each business which al any one time has on hand a quanlity of acutely harardous materials equal to or grea[er than a weigM of 500 pountls, or a volume o( 55 qallons, or 200 cubic feet of compressed gas at stanaard temperalure and pressure). 3. Does or will Ihe applicant or present or (uture building occupant need to prepare an RMPP (Risk Management an0 Prevention Prog2m for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of [he Cali(omia Health and Safery Code proviCes that the Costa Mesa Fire DepaAment may raquire the preparalion, certification and filing wilh lhe Fire Department of an RMPP by businesses which are required to register awtely 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 complieE vnlh� ❑ Yes ❑ No 5. Does or will the applicant or present or tWure building occupant require for tha work which is the subjecl of lhis application a permit lor such construclion or motlifcalion from the South Coasl Air �uality Management Disinct or from any other air polWtion control dislrict or agency? ❑ Ye5 ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that me requestetl infortnation be fumished on applications fa rmo-residential DuilCing pertnits�. 6. Will any part o( the facility to De conswcted under this permit De within t0001eet from Ihe outer boundaries of a school? ❑ Ves ❑ No (I('yes", the facilily must meet ihe requiremenl of Sections 25534 antl 42303 of the Califomia Health and Safety COEe). 7. If a permit from tha South Coasl Air �ualiry Management Disirict w ather air polWtion control tlisMct or agency is requiretl for the work which is Ihe subjecl of I�is applicatioq have all of ihe disclosures prescribed by Califomia Health and Safety Code Seclion 42303 been made7 ❑ Yes ❑ No, 8. (If "yes", attach certificate ol compliance trom Ihe appropriate air pollution control officer�. , . CERTIFICATE.OF COMPLIANCE: I certify Nat under Denalty of perjury the information given above is cortect. I agrae to comply with all state lavrs and city ordinances re9arding Hazardous Materials antl Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I cenify under penally of perjury that I have read Ihis appliwtion and slate that the information given is correcL I agree ro comply with all state laws and ci[y ortlinances relaling to building conslmction, and aWhorize representatives of the Ciry of Costa Mesa to enter upon the ahove-described propeny for inspection purposes. I agree not lo occupy or allow occupancy of any building aulhorized by lhis permit until fnal Inspection. S rl Ovneqs) noa^�e i✓ � L - MtlIM Aul o zC0 Applipnl _. �_ W�e .- �