HomeMy WebLinkAbout3333 BEAR ST - Building Permits (95)I �
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PflOJECT RUGHESS: 3 3 3 j B�R ST uxir: 1 3 6
OWNEB'SNqME:C,J. SEGERSTROM 6 SONS
nooeess:3315 FAIRVIEW RD
COSTA MESA
CA 92626
NPCH/ENGINEEfl: ( 7 S 9� S 9 FI— O 1 S O pEG.NO.:
SHLSPPY/HEZMALHALCH C91Q�
aooxess:16715 VON KARMAN ° � 220
IRVINE CA 92714
eenminee:L.B. PLUMBING (714)838-5975
nooness:11632 MARBLE ARCH DR
SANTA ANA CA 92705
IICENSEO CONTPACTOfl UECWNFT�ON: I hereby allirm tha� I am licensetl untler D�ovi5ion5 0� Chap�er 9(commencing wil� Sec�ion
70D0� ol Dmvon 3 0� �he Bus��ess antl Pmfessions COGe. anE m lit¢nte u in full farte and e�lect.
cirvui.:p17860 _ST"?Eu�.28724,Q��i^ss:C 6 - -- -
Da�e:.�_ _ Signamr{/�. _
WONRENS' COMPENSpTI_�ION: I here�Y albr�i��at I have a[¢rtilitale o� consen� lo Seli-insure Or a cetlilitale 01 Workers'
ComDensalion Insurance, or a cetlifietl copy ihereol (Seclion 3800, Lab. C�. ,/��
'Ol1CY NO.: EXP. �PTE: "j
LOMPqNV: l-�'+
❑ Cehiliea c00Y is here�y �umiSheE. ❑ L¢nitie0 capy is liletl with t�e ciry Builaing Divisqa r;
Date: Applicani: � �
E%EMPTIONiNOMWOflNEBS'fAMFEN$ATIONDECLAMTI�N: (i�i55ecli0nn¢edno�becample�eCiftAepermil$�oronehunGr¢tl(4100�ark55�.
I cenity ��a� in Ihe pedormanre a� ��e work lor wAic01�i5 permil i'SSueE. I shall noi empl0y a/n�/Yprson m any mdnn¢r Sa a5 io beCome
sublecl �o t�e Workers Com0tn5aiion Laws o� Catilomia. x�ll�
�ate: �--��� Signa�� � �" �-'t�
NOTICE: II, al�er makmg �his aeclara�ion. you s tl come suUlect �o Ihe Workers' Compensation provisions oi �he Lahor
Code. y0u mus� fotlhwi�� tomD�Y'M�h 5uc� pmvisi0n5 or Ihis permii Shall be �¢em¢U revoke0.
CONSTflUCTION LENOINC AGENCY: I here�y allirm Ihai �here is a constmtlion lentlmg aAency �or �he petlormance ot the wark �or
wNch ��is permil is i=sue0 (SB��ion 3W7. Gv. q.
LENOEH:
AOONE55:
OWNEfl BUILOEH OECLl�BATION: I hereby a��irm Ihai I am exemp� hom IM1e Conirac�ors' Sia�e License Law lor Ihe lollowing reason
(Seciion 7031.5 Business anC Pwlessional COAe: Any ciiy ol county which requires a permit �o cons�mci, alter, improve. Oemolis�, ar
repai� any slmcWre. prior �o i15 i55uance. also re0uires Ihe ap0�itdni �Or Such permii to lile a 5ipneG Siatemen� I�ai �¢/She i5 1ic¢nSeE
pursuant to ihe o�ovisions ot me Comracmrs' State Lit¢nse Law (Cliap�er 9(COmmen[ing vnih Sedion 7000) 0� Oivisi0n 3 0� Ihe Bu5ine55
ana Professions Code) or tha� �e/s�e is exempt t�er¢imm and Ihe Da4s lor �tre allegetl e�empiion. Any viola�ion oi Se[�ion 7031.5 hy
any applicant lor a permi� subjec�s Ihe aODlicani Io a civil penalty of no� mOre than live �undred tlollars (5500�.
I, as owner of ihe pmpeny or my emyloyees with waAes as Iheir soie compensation, will Ao ihe work, an0 ihe
❑ slmaure is not imenaeA or oilered lor sale (Section 70a4, Business anU Pmiessional CoOe: The Coniracmrs' State License Law
. Ooes noi aOV�Y Io an owner ol a property wM builtls or impmves I�ereon, anG wtq tloes such xrork �imsell/�erseti or t�rouAh
�i5 ar �er Own employee5, pmviDeO Ihal Such imDmvemenls are n0� int¢ntletl Or oifereU �or Saie. I�, hOwever f�e builOinA Or
imprwemenl is soltl wi�hin one year ot completion. Ihe owner will have ihe bur0en al proving ne/5he tliC not Ouiltl or imD�a�e
lor I�e Durpose ol sale).
I, as owner of Ihe proDe�Y. am exclusively conlraciing with IicenseA conlractors lo constmct the Orolect (Section 7044. Business
❑ antl Pm�essions Code: The Comracmrs' Slaie LiCense Law tloe5 nol ap01y Io an owner ol Oropetly who �uilUS ur improves fhereon
antl w�o conlracis lor Such pmlects with a contracmqs�license Oursuantto ihe Contractors' State License Law�. I am aware
��al ptool 01 t�eir Worker'S fAmpensdtion insurance shoultl Ee proviAea to me.
� I am exempl unaer Se6�ion: B. 8 P. C.
lor Ihis reason:
Oaie: Ownec
I tlo �ere0y ce�ily Ihat I am aw2�e o� and unAerSlanA t�e repuiremen�s ol CalAomia Healt� ana Sale�y Code S¢c�ions 25505, 25533, anE
25534 ano @al I or any imure ouiloing oCcupant wiluvnil nol (circle one) neea ta tompry wiln 5aie slate co0es an� ihe repuiremenis for a
oermit lor conslruclion or modi�icalion Imm ihe Nir Ouality Managemenl OisVict. flesiaenlul consimdion apDlications are exempt Imm
ih¢SC pfOVI510f12.
Dale: Applitani:
I hereby cetlity thal I have rea01�i5 appl¢ation anA Slale Ihat ihe above inlorma�ion is [orretl. I agree lo comply wilh all ciry antl counry
orUinancesantlsiaielavrsreW�inB�oGuileingconstrunionanGhereU Mfizet resentativesoliha ' roenteruponiheabove-mentimeJ
propeny lorinspeclion purpases. /
h .�
�ate: � `Z � SignaWr
' y
oriver's License o� Sociai Securiiy
16aLa6 Wb�te—Buileing: Gr¢en—CODe Eniorcemenl: Canary—ApDlicanl; Pink—Revenue: GdEenroC—Assessor
c,
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: P 060698
PERMIT NO; P 060698 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE; IFR SP PERMIT TYPE: PLU . PURPOSE: OTH
JOH DESCRIPTION : COMMERCIAL T,I. (RETAIL SALES) SQ FT;
CLAIM VALUE: CALC—VALUE; GROUP OCC: H-2 /
COMMENTS: THE "TINDER BOX" STORE T,I. / RE:B60525 PRIMARY BLDG, PERMIT,
*r�t�t*�t**�t�t�t�t**�t�r�t�*�r�t�t��*�r�r�e*�e�e�e**�t�r�r�e�e�t**��t�t�r�e**�r*�r�+t*+t**+r*�tx��r�r***�t�r*�t�r�r*�t*���
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT ZN
PARKING RE • PAOV; PARCEL: 41249207 ZNE: REF NO:
PLANNING N 1'ES>
7
k if �k if if 1f k ik �f If iE �f M iFlF iE iF �E k 3k fE 1E iF 3F fF ik IFif M 1E �k 1f k iE 1E if 1f ikif if �E if �1F1k if iF N9f �F iE 1k if iF if if ff i! aF k iF if if k if iE �f iF if if iFiF iE 1F if 1f iE 1E if iE
D E V E L O P M E N T S E R V I C E S! R E Q U I R E M E N T S
ZONING APPROVED HY .�: DATE:
HUILDING APPROVED BY : .� DATE:
APPLICATION ISSUED BY; � DATE• �
ifikif�fifififiEkkiflfiFlfiEiE�fifilkifiF �fifiE*kiEi!lEifik iE�f
kifitkiflklklF�f�fikiflEiEifiEiEkif�flEifiFkkiflflf�fifiElhiFiFkifMiflf�flFk�fiF iFikkiFk�f�flEltklEiEfEikififfffEiFikifklFlfifkiFkitMiFikif
LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
PERMIT BLDG PMT PLU14I00 ELECTRIC MECHANIC FIRE SMIP/RES GRADING
'15i SMIP/NON—RES
PLAN
ISSUE FEE 20,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 14.00 20,00 0,00 34,00 34.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 34,00 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
34,00
ikifiEklEiflElFitififkMitiFkikifiFifitikMiFkitififiEkfFkiFiFMiE�EfFffifiFikiliFifMkikitifiFkkifif3tlf�f�lk�EifiklfiFlfiFif*ifiF�tkiFif3Fkifit
I N D I V Z D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WASH BASIN 7,00 7.00
PLU 1 WATER CLOSET (TOILET) 7,00 7,00
END OF FEES
�l� 1;1�_ !' �:-ii. � ,'I
CHY�: f,. , ._ ''� , � . 1 , '
CONSTRUCTION AND PLANNING � � � :L & SPA
' APPROVALS Permit # Date � Inspector qppROVALS Permit # Date Inspector
1, Temporary Electrical Service or Pole �� " 52. Pool & Equipment Location
2. Seil-Pipe�Undrgrnd. '� 53. Steei Reinforcement
- �3.� Electricat C�rtduiLUfility-Undrgrnd. 54. Forms
4� Ei��$rCcal Contluit�tlndrgrnd. ' 55. Electrical Bonding '
� 5.-�teet Reinforcemuni 56. Rough Piumbing & Pressure Test
'��'Electrical UPER Grnd. - 57. APPROVAL TO COVER-GUNITE
i.=•2,�ootinge - � . � 56. Eloccrical Conduit•Undrgrnd.
�._Foundatio'ri _ '+ 59. Gas Pipe, � Undrgrnd.. Test �
9. Water Pjpe-Undrgrnd. � 60. 8ackwash Lines, P�Trap, L7 Undrgrnd.
18. Structural Floor $ystem . � 67. APPROVAL TO DECK '
1}. Properry Sewer Lida& H6use'Connection 62. Backwash & ReceprorPinal �
12. Sewer Cap � � � 63. Heater & VenhFinal '
73. Roof Drai�S' _ � ' 64. Plumbing System - Final
14. Rough Plumbi�ng �/L�� �/� 65. EleCtfical-Final
�
15. Rough Electrica7-Conduit , ' 66. Solar SYstem-Pinal -
16. Rough �IectriclNiring � 67. fencing & Access ApPruval .
�17. Rough Wiring Sign i 68. APPROVED FOR PLASTERING "�
18. Rough Electricai-T Bar Ceiling 69. POQI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning , 7 FIAE_D,�PT. fj�EQU1REMENT
t' �
20.yflo49h Factoay F.irgplace �� � _� , �APPROVALS; ��'PeriPit # , �- _
21. -0utts, ih Structure- - -70. UndergfoanSl Hytlro �
- x -�
22.,,Du�c'is, tlkntilating" ' '' � - ` r7�, ProductP�Pin9 CJGas L7xOi�
23.-GarPipe-Rough & Test . . - �' ' �< ��72. Undergrountl FlrrsiC -
.. ';-.
24.=Roo`f Praming `�' - '"" - _Y'' „73=Undergrrf57.Storag�Tank�Gas`OOiI
25. floof Sheathing - w . � _ -> �7 �� 74;'Overhead Hydrd= � - '
26.`T�Bar Ceiling (SULCturap &-Moaocoat . - � 75. Dry Chemical �" " ,Z;i
27,:Frame n.d Flashin' �� i �' �,: �
a 9 - _ 76. Dry Stand�ripe .:i �
` �.
28. Lathing� Siding_ _' ° � � �.� .t 77 : FIXED �Y,S.TEf4i FIAIAL . - %
�29. In9tilatipn �- � 78z�fIRE PREV. FINAL •- '; �
�
^3b. DrywailNailin9 � - - ;?r� .^'AEALTH,DEPT:RECIUIREPhfNT
�-37. Plaster Brown Coav ��_ y* 79.�fINAL INSP.ECTtON - -
�32: Elettritat PnCyer�NTetpr-Final �- � ' � 80; �FOOD CERTIFI�ATE I�S�ED� -
�83; Fin'al Electric • � � • I �+ . - �-_^
Notes: ; � .� *
_ � _
��34t'Firia1 Heating.& Air ConditiOning� ' +� '� � �„« � � -
�� .+ '� <
� � � .
35,-FinalGasPipe-Tes6 - - � i.�� �:o c�-
r ---l-.
-36. Hood or_CanoPY' � ' . . . , ' i .�= .
� [ ,^ T
37."Final f0etory FiieP.tace- ' : � � � - � .,, --
_-/, �
38. Final Pluinbing a - _ �j�(/p7J �f)' ` �' ` -
. _ '� , i � .
'�39. Water Service-Pina( . ' . , . . , . '
- i
40. Gas Service-Final�- � �� = � a' a o�� �
- - .' � ,, i
�41. Solar pomesticFinal ' " �' � `' _
" I ' ''� "{ -
42. �Backflow Preventen - � � �.c -� - > .7 .
r�
43. Backflow Irrgation � - ' ' �'' � � -.
c.
-44. Landscape Irrigation System .. - � ' � ti ��1 �: c'
' '�, 5, -
n
� �45`-Sound Attequatioh " , " " , : ;_ , "�
46. Handicap Regulations . , � � �r� -.
47.-Flf�{AL STRUCTURE & BUILDING . �C" ,= � `
48. PIf�ALPLANNWG - .. ' ; �' : i �*
�='49-EIeCtric Release to'Edison � , _ � ;
� 50��Gas Release to Southem California Gas Co • � i � %n�� _ �•
`` _
-c51. CERTIFICATE OF OCCUPANCY � , �.o • � � : ..-
No. Date
�
�
�I
Pfl0.lEfjj AOOHESS: 3 3 3 3 B EAR ST
OWNEfl'S NAME: C J SEGERSTROM
aooxess:3315 FAIRVIEW RD
C,M.
uxiT: 1 3 6
aecx�eNciNeex:SHLEPPY/HEZMALHALCH pEG.N0.:C9�n�
RODflE$S: S 6% 1 S �iQN ](i��`i� �I 2 2 0
PEqMinEE:IRVINE CA 92714
nooness: WEST RAY CO, ( 714 ) 556-0213
130 E, GARRY AV 130
SANTA ANA CA 92704
LILENSED CONTNRCTOB OECLABATION: I �e�e0y al�irm Nal I am IiCenseA un0¢r prOvisions al Ctupter 9(COmmencinp wi�� SectiOn
7000� 01 QYL00 7 01 illE BYLIICA dM Pf01CS5M115 COE2, dllU Illy IICCO50 i5 ill �UII IOICC dllU EIIMi.
ciTvuc.:006139 sr�r¢uc.:23787 uss:r,.,1�'pr
Daie: `20�+�� � � Sipnatum: _ _ _ _ —�^�--
WOflNEflS' COMPENSATION OECIAflpT10N: I �er¢Ey allirm t I ve a ceni�icate of cansenl lo selbinsure or a ceniliwte al Workers'
CAmpenSatbn InSurance. oi a cendie0 cooY ��e�eol (Stttion . LaD. CI.
POLICY NO.: E%P. O�TE:
-omvnNr:
� CerliliBE mpy 4 �CrCOy �umiSimG. ❑ CeniliM copy is hle0 wit� t�e ciiy BuilGinp Oivision.
Oaie: Applican�:
EMEMPf10N F1i0M WONNENS' COMVENSRTION OELUPPTION: (i�is seclqn nttd noI Ue mmDkleU il IIre permn is iw me MmCred �5/00� a less�.
I cenily tlul in ine oenoimdnce ol Ine wark lo� wNcn tNs Dermit is 6wed shall not empl0y any ce�san in airy manne� W u to CeCOme
suq¢cl to I�B WOrkers' Compen5aiion LawS ol Cahlomia. I'A
Oa�e: 7 ��-!`���"� SipnaWre: ^"�--� �'�
NOTICE: II. alter maMing t�is Oedaratqn. y0u s�oul0 Oe e su I�� �a I�e Workeri fAmpensati0n prOviSbnS o1,Ne laGOr
CaOe. you mus� lohhvnih comply wil� suc� pmvisions o� I ermil s�all Oe tleemeC revoketl. %1
LONSTPUCTION LENOING RGENCY: I here�y allirm tAat iAer¢ is a canstmction IenUinp aAency lar Ihe Oeho����e,of ihe xrork lar
wNch inis permit is issue0 (Sectian3097. Civ. C6 -�
LENDEP:
AOUflE55: . �
OWNEH BUILDEP DECUBATION: I hereby aHirm ihai I am exem0� ��am the Coniractors State License Law for Ihe lallovnng reasan
(Stttion 7031.5 9usine55 anG Protessional CoUe: Any ciiy ofcoun�y w�ic� reQuires a permitio wnSirutl. alter, imprwe, Gemolis�, or
repair any 9mcture. 0/ior to ils iuuance. als0 repuires tAe aODliWnl for wch permil lo lile a sipneA statemenl thal hpJs�e is IitenS¢tl
pursuanl io I�e O�ovisions ol �he Cantractars' S�ale License Law �ChaO�er 9(commeircing vn�h Section 7000) ol 0ivision 3 0l t�e Business
anC Pmlessions Catle) ar rtut �e/she is e�empt t�erttmm and tAe havs lor the all¢pea exemD��on. My violatim of Section 7031.5 by
any apP�icant lor a permii suEjecis ine aOD�icam ta a civil penal�y ol no� more than live hunAreA Oollars �E500�.
I. as owner ol tAe pmDerty or my employees wiih waAes as iAeir sole compensaiian, will Ca tAe work. antl the
O sirucwrt a not intenae0 ar allerea lor sale �Section 70aa, Business anE Pmtessional Coae: ihe Contracmrs' SGte Licenu Law
ooes �rot a00N �o an owner ol a pmperty wli0 �uiIES or impmves t�ereon, ana wlw Eoes such work �imseif/Aersell or Ihmugh
his Or �er own empl0y¢G5, prO�nGeE itut Sut� improvemenls are noi inten0e0 or oflere0 lor sai¢. It, however IAe Ouilding or
imOwvem¢nt i5 5010 mt�in one year o� com0lelion, ihe owner vnll have Ihe �urAen of proving he/S�e Gid nai 6uilA or imprOve
lor the purpoSe ol Salel.
I. as owner ol t�e pm0eny, am exclusiveN romracting witA Iicense0 comracmrs to consiruct Ihe D�ole�� (Section 704d, Business
❑ anU Pmfessims Cotle: T�e Contracmrs' Staie License Law Eoes noi apply to an owner oi D�aPertY �o Uuilas or imprmes iherean
anE who mmracis lor suc� prole��s wi�� a comractaqs) license pursuant lo Ihe Comracmrs' State License Law�. I am aware
Ilut pm01 0� I�eir Worker'S Compensation insurance s�oula Ge Omvitl¢tl Io me.
� I am eeemp� undet Section: B. 8 P. C.
lor Ihis reasan:
Daie: Owner.
I eo �em0y cetlily t�at I am aware 01 anG unOerslanC I�e repuiremenis ol Calilornia Heallh antl Sate�y Cotle Sec�ians 255Q5, 25533, antl
2553E ane inat I or any lulure �uil0inp occuDanl will/will nol (circle one� neea lo comply with said slate co0es antl �he reduiaments lor a
permit lo� wnsimclion or madification imm iM1e Air Ouahty Manapement Disiricl. ResiOenlial consiNclion applications are exempt imm
I�CSe pmvisions
Dale: Fpplitanl:
I neieoy cetlily Inal I nave ieao inis aoD��calion ana stale tAal lne a6ove
or0inance5 anC Stale Wvnrelatinp�o buJOinperosimclian anG �ereGy auih
pio0erty loi m5pec�ion purpoies.
Oale: EYL�1eai_� Sipnalwe:
�river's �icense o� Sociai Securi�y
Canery—ApO�icanl; Pink—Favanue; Galtlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 060668
PERMIT NO: E 060668 PLAN CHECR NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; Z FR SP PERMIT TYPE; ELE PURPOSE; ALT
JOB DESCRIPTION : 1230SF STORE T,I., RE;#B60525 SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: B-2 /
COMMENTS: THE "TINDER BOX" STORE T,I.
+r�r�r�r*��r*r*�e�e**�*r��er**�r�r**�r*�r+r�t+t*�e�r**�**�rr�r**�*�r**�e�e*�r***�r*�*r*�e*r*****+t*�r�t�***
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING ---------
IFRNT; FT IN REAR; FT IN FRNT; FT ZN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARRSNG RE(� • PROV; PARCEL: 41249207 ZNE: REF NO;
PLANNING NOTES>
i
if k iF if if Iflf if k if 1t M k M �Fif ik iF if ik 1f if if ik it if if M if 1k ik 1f if k kih k if �f M k if 1f M iF if it k kiF if if it!! M It if 1F if if if k if if if 1F I! iF k if if If iE k k it iE if if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
DATE:
BIIILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; DATE: � � � �—
iF iF k ik k k 1E if k ik it iF 1E if if ik IE if iE iE if 1E iE if iF if %if iF 1F iE �E�iiif iF k
M if k iE it if iE ik k �f iF 1F iF iE �! ikif if if iF 3t If if iF 3f IE M iE iF k fF if k ib M ik iF M it if ik 1F iF k if k k if if i! iE iEif ik k iE kif ik iF if k ik iF iF iE iE if iF iE if if itr if if iklE iE it
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADZNG
PERMIT 51,05
SOt SMIP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 51,05 15,00 0,00
REVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRIC MECHANIC
66.05
TOTAL PAID DUE
66,05 66.05 .00
66,05 OVER/SHORT; ,00
FIRE SMZP/TOT GRADING PLAN—CHECK
iFif if iF 3F iE M iE k M it iF if if �F iE iE k if �f �f k ik k if M if 1f �t if �k 1f �f if if ik iE k iF iF if iE if iE iFlk 1E iE k iE k�! it 3f iE if it M ff ik M Ik M if iF iE if if i! iF ik if if iFM iE if iE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 20 FIXTURES, LIGHTING 1 ST 20 EA, ,75 15.00
ELE 9 FIXTURES LIGHTING ADDITIONAL EA, ,45 4.05
ELE 18. RECEPT/O{1TLET ST 20 EA, ,75 13.50
ELE 1'� SERVICES BELOW 600 V� BELOW 201 AMP 18.50 18,50
•��` END�jOF FEES
�•
h'
EXPIRED
�, I p te Inspections
� 1 3 --
� � -
•�4
/
' � CONSTRUCTION AND PLANNING -
� �' inPPROVALS Permit ,xr
I 1, Temporary Electncal Service or Pole
�
2. �ed Pipe-Undrg�nd.
+. 3. Electrical Conduit Utdity�Undrgmd.
' 4. ElectricaLCOrttluit•Undrgrnd.
.�. $teel ReinfDrcement
6. Electriwl UFE'& Grnd.
��J. footingi, ,
r8. Foundat%te
� Water P�pe-Undrgmd. .
10. S[ructural Floor SYttem
- ____- _ . _-. __...
� 71. Property Sevder Line& Ho�seConnection
PC 9 SPA
Date. Inspector P ..,� Date Inspector
12. Se.ver CaP -
13. Roof Drains'" - •
14. Rough Piumbing
75 Rough @lectricat•Condu�t
76. Rough ElectricjrViring ��
17. Pough Wiring Sign
78. Rcu�h Electriral��T Bar Ceilmg
19. Rough Hecting & Air Conditioning
20. Aou4h Faetory Ft�epzce '
21. Ducts,inStrutturo •' • �
22. Dvcts. Ventii�ting -; � , � '
23. Gas Pip:-Rough & Test - _
24. Root Freming � i " �
25. Roof Sheathing • .
26. T-Bar Ceiling IStruchural) & P.lpnocoat
27. F�ameaad Flashing. ,�•T
28.lLafh�ng-& Siding , � � �'- ,
�29. Insulation - - �
30. Drywall'Naiiing . _
,37. Plaster ffro�+m Co3t- , r �
�2: _Electrical Power tNet2rFinal.
33.�-Finai Electriy • ,
�34. Fina7 He3ting"& Ah Co�ditionirig '
35. Fi�al Gas Pipe•Test .
36. Hood or�Canopy � -
37. Final Paetory Fireplace .
38. Final Plumbing �
39. 1Vater Service�Final S
'A0. Gas Service-Finai •
41. Soiar pomestic-Final � '
42. Backflov+ Preventer ..
43. Backflow Irri�ation
44. Landswpe Irripation System '
'45. Sound Atteauation ,
46. �Handicap Regulations
47. FINP,L STRUCTURE & BUILDING
48.FINALPLANNING
�49. Elearic Release to Edison
50. Gas Release to Southern Ca�ifoinie Gas
Date
APPROVALS ermit ,�
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electricai Bonding
56. Rough Plumbing & Pressur¢ Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash (.ines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-�inal
63. Heater & Vent-Final
64. Piumbing System • Fina�
65. Electrieal-Final
-66. Solar System-Final
�� 67. Fencing & Access Approval
68. APPflOVED FOR PLASTERING
69. POOVSPA SYSTEh7S FINAL
, ,FIRE DEPT. REQUIRF�MENT
� " APPROVqLS `Permit,$ -
' 70. Underground-Nyqro
� 71. Product.Piping � Gas O�Oii
� 72. Underground Flusli � •
.,
�•.73. Undergrnd. StorageTank O Gas ❑ Oil `'
� • 74. Overhead HYdro'
''-',, � 75., Dry Chemicai � ` � �
-r . . J
• 76. Dry Standpipe - - � ,
, 77. FIXEDSY5TEM_F1NAL . �
i • '
1_i • 78:'�FIRE PREV. FiNA�L � '
(.; F `� NEALTI-,�EPT,:REQUIREMf'NT
� -79. FINAL IN§Q£CTIQN • - -�
�. ' '80.'FOOD CERTIFIGAik' ISSUED '
� - Noxes... -
„ . .., , • .
�� �. _
i '
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i
� - _
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�I
PflOJECT FODFESS: 3 3 3 3 B EAR 5T u"�'' 13 6
awNcesxame:C,J, SEGERSTROM 6 SONS
aooRess:3315 FAIRVIEW RD
CO5TA MESA
CA 92626
RflCM/ENGINEEP: � 714 � S�i 6—O S 1 O qEG.NO.:
aoonEss:SHLEPPY/HEZMALHALCH C91�Qi�
16715 VON KARMAN 220
PEPMITTEE: ZRVINE CA 92719
aonness: ALERT FZRE PROTECTION ( 714 ) 993-2822
J��4jJ7�j4.j07BRYSON ST o j{n
LICENSEO CONTHPCTOA-B�EIA�$OM � nereby atlirm mat � am �icensee uneeCrFp'rovis on2s oT Ch D er 9(commencing with Seciion
7000) ol Division 3 0� I�e Business and Pm�essions Cotle. antl my license is in �ull force an� efleci.
CRY IIC.: STRTE LIL.: U1SS:
Q0�28�316324 / - 16A�
Oate: �L SignaWre: _ �'
WOPNEFS' COMPENSFTION OEClA8RT10N: I Aereby alhrm ihat I Aave a cemhcate oi consent to self-insure or a ceniticate ol Workers'
Compensalion Insurance, or a cenifietl.copy ��ereof (Semion 3800. Lah. C�.
roucrr+a.:NWC206898 E%P.ORTE:lOIOLI93
comvaxr:GOLDEN EAGI.E
❑ Cenifie0 cooY �s hereby fumished �(J cem�iea coov �s �ea Im me cay ewmmg oivlsion.
Da�e: Li� L/ 2 Applicant � --L��-•
E%EMPIION FflOM WOflKEflS' LOMPENSNiION OECIAflATION: Q�is secuan nee0 noi he comp@ted it Ne perma r one huMreA �5100� ar less�.
I certity I�al in Ihe pedarmance ol Ihe work lor which Ihis permii is issued, I shall noi employ any person in any manne� so as �o become
sublect la �he WOrkers' COmpenSation Laws of Califomia.
Da�e: SignaWre:
NOTICE: If, afler making ihis tleclaration, you shoul0 become sublect to ihe WorkeK Compensation pmvisions of ihe Labor
Code, you musl tortAwii� comply wiih such pmvisions or ��is Oermil shall 6e tleemeU revoke0.
CONSTBOCTION LENOING FGENCY: I �ere6y a�firm thai Ihere is a conslmciian lending agency �or Ihe pedormance o� Ihe wark �or
whiCh I�is permit is issued (Setlion 3097. Civ. C�.
LENOEP:
FUDflESS:
OWNEfl BII1LOEfl UECLAflPTION: I hereby aflirm �ha� I am exemp� �mm �he Comracmrs S�a�e License Law for the following reason
�Section 70315 9usne55 anU Pmfessional Code: Any ci�y o� coun�y whic� requile5 a permi� �o conslruc6 al�er, impmve, tlemolish, or
repair any slmc�ure, prior lo its issuance, also requires Ihe applicant �or such permi� �o �ile a 5igne0 Slatemeni �hat he/she is licensed
pufsuan� m �he pmvi5i0n5 0l �he Con�radors' S�a�e Litense Law (ChaD�er 9(tOmmenting with Set�iOn 7000) o� �ivision 3 Of Ihe 9USine55
antl Pmlessions Cotle) or t�at he/she is exempt I�erefmm and the basis lor Ihe allegetl ex¢mption. Any violation o� Section 7031.5 Dy
any applicam �or a permi� sublems Ihe applicant m a civil Denalry o� no� more Ihan �ive hunArea Jollars ($500).
I. as owner of IM1e pmperty or my employees wi�h wages a5 their 5ole cOmpenSaiion, will do �he work, and Ihe
❑ s�mcNre is no� imendetl or o0ered lor sale (Secnon 7044, Business and Pro�essional Code: The ConVacmrs' Sia�e License Law
tloes no� apply lo an awner of a Oropetly w�o �mitls or impmues ihereon, and who tloes suc� woB himsel�/hersell or �hmugh
his or Aer own employees, provitled iha� such impmvemenis are not in�en0etl or ofieree �or sale. 11, however the �uiltlinp or
_ impmvemenl is sold within one year oi comple�ion, ��e owner will have Ihe bur0en o� pwving he/she �itl no� bulld or impmve
lor ihe purpose o� sale�.
1, a5 owner of Ihe pmperiy, am eKCNsively contrac�ing with licensed conVac�nrs to canSlmci �Ae pmlecl (Seclion 7044, Business
❑ and Pm�essions Code: The Contrac�ars' Stale License Law daes nol apply to an owner af pmperry who 6uiltls or impmves Iherean
and who conlrac�s lor such pmjecls with a conlraclor(5� license OurSuan�Io the ConVactors' S�ale License Law),I am aware
Ihal pmol o� iheir Worker'S Compensa�ion insurance 5houlU be pmvitle0 Io me.
� I am exempt under Seclion: B. 8 P. C.
lor lhis reason:
Oa�e: 6wnec
I tlo hereby certi�y I�at I am aware o� and unders�antl the requiremen�s of Cahbmia Heal�h antl $atery Cotle Sections 25505, 25533, antl
25534 antl Ihai I or any lu�ure buil0ing occupan� willlwill nol (circle one� neeA Io camply wi�h sai0 s�aie codes and Ihe reQuirements for a
permil fm consimciion or mo0ificaiion Imm �he Nir Oualily Managemen� UiStrict. Resitlenlial cons�mction apDlicalions are ezemp� imm
IIIP.SP �fOVi510t15.
�ale'. ApPlicanP.
I hereby certify Iha� I have reatl ��is applicalion ana s�ate I�aI the above iniormation i5 carrecl. I agree to comply wi�h all city antl counry
ortlinancei and sialelawsrelalingl0 �uilding tOnSimtlion and herebyautharizeiepr¢5en�a�ive5oi�histily�o enier uponthe above�men�ione0
pmpeny lor inspeciion purpases. �
c c ,��/��
Oale: � —'; " / � SignaWre: �.��/�"—K
�river's Lirense or Sacial Securiiy a: �
t64L06 Whrte—Butltlmg', Green—Cotle Enbr<ement; Canary—Applicanq Plnk—Revenue: Goldenmd—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 0608'78
PERMIT NO: F 060878 PLAN CHECK NO: 00187-93 L GOVT; N SUPP; N
CONSTRUCTION TYPE: IFR SP PERMIT TYPE: FIR PURPOSE: OTH
JOB DESCRIPTION ; COMMERCIAL T,I. (FIRE SPRINKLERS) SQ FT:
CLAIM VALUE: 1,200,00 CALC—VALUE: GROUP OCC: B-2 /
COMMENTS: THE "TINDER BOX" STORE T,I. / RE;B60525
1F if iFlF 3F if 3FlF if �E i! if if fklf iE iE i!!F!E it if iE IFiE 3f iF iF 1f iF ik iF iE iFit ik iF 1E iEikiE 1E iF if 1Eif iE ik iElE if ik iE ik if if if iF �f iE 1f itlF �E 3EiF iE iF iE Ik iE iE iE if iE iF if iE if
Z O N I N G R E Q II I R E M E N T S
ssTBa.cxs
------------ MAIN BUILDING ------=--- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL; 41249207 ZNE; REF NO;
PLANNING NZSTES>
>
1f iF k if if k k it ik if iE ik ik iF k iF iE if iF iF if �Eit if iF iF iE if i! iE ik if iliE iFiE iE iF iE iE it iE 3f iE iF i! iE iE k iE iE �F iFiE �E �! if ikif iE 1F iFi! if� 3E jf iF iE IE iE�E iP 1F 3E �k iE ik if iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . DATE:
HUZLDING APPROVED BY ; DATE;
APPLICATION ISSUED BY; �L�t—�Ir 2}y-i— DATE; ����
1E�lilififlliflEif�klfiflFiF1ElkiElFiEiPklE7FiF�fFiFiFSF�'�FfF?i�R�FiFTFiFib�F�if3F�F3F3F'�F3FiFiFifkiE1F1f1fiEiflE i4ik
iE iE if 1FiFlt k 1E iE 1ElE if 1E iE iE ff 1E 1E iE iE iF iE iE iE iF 1E 1E 3! if iE k 1f iE iE 3f iE iE �F �EiF iF IF IE 1k iF 1E iE if ik iF 1E ik iF iF iElf if iElE iF if if 1k if �F iFlF 1E iF iE iE 1f iFiE 3f iE ik iE iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT z9�53 SMIP/NON—RES
PLAN 18.85
ISSUE FEE
BUILDING—DIV—>° PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 29,00 0,00 18.85 47,85 47.85 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 29.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
29,00
lE1ElflEiEiFiEiElklEiElk!liFiEiE!liEiFifiEiE-IE1EiEiEifiEif�lEiE1E1EiFit#1E1ElEifiE�lEiEiFiE1klkifihikiEit�IF1F lfiflEiElF3EiEiE�lEiflFiEiEiElEiEiflEiEiFiEiE'1Fif
I N D I V I D U A L F E E H R A D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAI, COST
FIR 29 FIRE EQUIP FEE (FROM BLDG VAL TABLE)� 1.00 29.00
END OF FEES
� � 1.
�
. � ' �:
_ `
, :i
l'hlf�, �' �r!". - � �-'[ "' _ . .�
�CONSTRUCTION AND PLANNING '
PROVALS Permit# � Date
i, �
1. Temporary Electrical Service or Pole .�
��i
"2., Soil Pipe-Undrgmd. . , .
3. Electriwl Conduit Utility•Uri�grnd.. � '
��4: Electricat Condurt�Undrgrnd. � -
5. Steef Reinfo.cement
6. Electrical UFER G�nd.
• '7,'footings �
B.. Foundatio'n � � � � r
9. Water Pipe�Undrgmd. ' i/; �•�
10. Structural Fioor $Ystem � � �
� 17. Property SevJer line & House Connection
12. Sewer Cap
� 73. Roof Orains �� � '
14. Rough Plumbing �
..,
/5. Rough Electrica6Conduit
; i6. RoughEleCtricWiring
17. Rough 4Viring Sign
78. Rough Electriwl•T Bar Ce�ling
19. Rough H�ating & Air Conditioning
��
20. RouQh Factory FifeD�ace � � '-
27.. Ductz, in Structure ' ' •
22. Ducfs, Ventitatinj � ,
23. Gas Pipe�Rough & Test _
24. Roof Framing � -
25. Roof Sheathing � '
26. T-Bar Ceiling ISvuciural) & Monqcoat
27. Frame and Flashirig -
' P8. Lathing & Stding ' � '
29. Insulation • �
� 30. Drywall Nailing
:37. Plaster Brown Coat
32. Electrical,Power Meter�Fipal'
33. Final Electric •�
34. Final Heating & Air�Conditioning- �
35.�Final Gas Pipe�Test •
36. Hood or Canopy � -
37. Final.Factory Firep�ace , �
38. Final Plumbing
39. Water $ervice-Final
40. Gas Service-Final
47. Solar pomestioFinal � �
42. Backflow Preventer
43. Backflow Irrigation '
44. Landscape Irrigation System • -
45. Sound Attenuation '
�46. Handicap Regulations �-
47. fINAL STRUCTURE & BUILOING
48. FINAL PLANNING -
49. Electric Retease to Edison
50. Gas Flelease to Southern California Gas Co
Date
Inspector
PO(. � SPA
APPROVALS Permit # Date Inspector
52. Paol & Equipment Location
53. Steei Reinforcement
54. Forms
55. ElecVical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash C.ines, P�Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Finai
63. Heater & Ven[-Final �
64. Plumbing System - Final
65. Electricai-Final
66. Solar System-Final
67. Fencing & Access APproval
68. APPROVED FOR PLASTERING
69. POOUSPA SYSTEPAS FINAL
, FIR€ DEPT. R�QUIREfVIENT
APPRQVALS � _ ��erri3it # ,
70. Undergr��nd-Hydro ',
71. Product�Piping 0 Gas ❑ Oil
➢2, lJnder9round,Flush - '
73. Undergrnd. Storage Tank � Gas i7 Oil
74. Overhead ":'�-- �i J
75.-�Dry Chemical ' . ' "
76. Dry Standp+�ie _ •
77. FIXED SY5TEM:FINA� - ^. ��
78. FIRE PREV. FINAL � • �
' HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION - �
80. FOOD CERTIFICATE ISSUED .
NotBs: - � . .
.�
�
1
:�
PflOJECTRdDBESS: 3333 BEAR aT � j'—�' i
OWNEfl'S NRME: C J SEGERSTROM �'_.
_ aooxess: 3315 rAIRVIEW RI"-`
C.M. -
uNir: 136
neexrtNeieEen: SHLEPPY/HEZMALHALCH xec.xo.:C9101
�oosess: 16715 VON RARMAN 0N1T 220
IRVINE CA 92714
PEFMITTEE: WALTER M, ANDERSON ( 719 ) 891-1627
ADDNESS: lOS%Z BARBETTE AV NONE
GARDEN GROVE CA 97643
LILENSEO CONTNpCT�P DECLAflATION: I here0y affirm I�al I am IicenseE un�er D�ovisions ot Chapter 91�ommencing wii� Seclion
70W� ot Oivision J of Ihe Business antl Pmfessions CoOe, anA my license is in full force and effect
cirr uc.�= TprE uc.:301942n cus����
Date: Signamre. __.��
WOflNEflS' LOMPENSATION OECNflRT10N: I here�y allirm thal l �ave a cenilicate ol con5ent to 5e14in5ure or a ceni�iwte of Workers'
Compensa�ion Insurance, or a certilied copy Ihereot (Section 3800, la�. C). -
POLICYNO.:BWCZZO%SS E%P.ORTE: I1�OS�S3 .
comrnxr: HIGHLANDS
❑ Cenifie0 copy is �ere0y Wmis�eA. � CenilieA copy is lil/etl�)v ith ihe city BuilOing Division.
�ate: Applicani: _S(fA/%:'1�%i/�r /
E%EMPTIO FflOM W NEBS' fAMPENSATION UECLAMTION: QNs section neeU no� be comp@(e0 ii Ue permi� k for one AUMretl (5100) or less�.
I tenity ihal in ine pedormance ol ihe H'Urk for w�ich iNs Dermit is issue0. I shall no� employ any person in any manner 5o as to Oetame
subjec� to Ihe Woders Compensalion Laws ol Catilomia.
Date: SiqnaWre:
NOTICE: Ii. at�er makinp ihis Aeclaration, you shoul0 bewme subleC �o the Workea' Compensation pmvisions ol I�e LaOor
Code. you musl fohhwith compty wit� suc� O�ovisions or Ihis permi� shall �e deemeA revoketl.
CO�STHUCTION LENDING RGENCY: 1 AereGy aHirm tlu� there is a consirucuon IenOing aAency for the DeAormance of ihe work lor
w�icA this permit is issuetl (Sectian 3097. Civ. C�.
IFNOEfl:
RDOHE55:
OWNEB BUIL�EB OECtAMTION: I AereOy affirm tAat I am exempt imm tAe CantractoK SWte licenu Law far Itre lallovnng reasan
�Seclion 7031.5 Business an0 Pro�essional Cotle: Fny ciry ol counry whic� repuires a permit to conSlmcl, alter, impmve, GemoliSR or
r¢pair any simtture. Orior lo its iuuance, also repuires IAe applicant lor suc� Dermit to file a signeA statement ihat he/she is litensetl
pursuant �o Ihe pwvisions af I�e CanUactors' S�ate license Law (Ctupter 9 �commencinp wit� Setlion 70W� o� DiviSion 3 0� IAe BuSineu
anG Professions COAe� or tAai �e/she is exempt ihereimm an0 Ne Uasis for ihe allepetl exemp�ion. l+ny dolatian ol Section 7031.5 by
any aDDlicant for a Oermit suUlecis Ihe apDlicant to a civil penalty of not more ihan five hunUreU tlollars (E500).
I. as owner ol ihe pmpeny or my emyl0yees witA wages as their sole tompen5ation, wiil tlo Ihe work, anU ihe
❑ stmcWre is not inten0ea or olleretl for sale (Section 704d, Business antl PmfeSsional Cotle: The Coniraclor5' Slate License Law
tloes not ap01y to an owner of a pmpeny who builds or impmves tAereon, anU who tloes suc� work �imseli/hersell or thmuAh
' his or Iler own employees, pmvidetl ihal such imDmvemenis are not inten0e0 or olferetl for sale. II, hawever tlle UuilAinA or
impmvemem is sole wiinin one year of cample�ion, the owner will have �he DurOen ol DmvinA he/she tlitl not UuilU or impmve
lor I�e purpose al sale).
I, as owner of t�e D�aDerty, am e�clusively contracting vn�� Iicense0 contrapars lo conslmci Ihe pmjeci (Section 7044, Business
❑ antl Prol¢Ssi0n5 CoOe: T�e CanUaCtOfs' Sla�e License Law Ooes no� aDDly lo an owner o� pmperiy w�o �mld5 or impmves ��ereon
anA who conlracts for such pmlecis with a coniractor(s) license Dursuant to Ne ConVaclors' State License Law). I am aware
inai 0��� al t�eir Worker's CamDensation insurance shoul0 6e O��+tleA to me.
� I am erempt un0er Seciion: B. 8 P. C.
lor Inis reason;
Da�e: Ovmec
I ao nereey cenity IMt I am aware ol an0 unOerslan0 Ihe requiremen6 oi Califomia Health ane Safety Cotle Secti0n5 25505, 25533, antl
2553< an0lha� I o� any luture builEing Occupanl wilVwill no� (cirUe onq neea lo comph/ vn1A ui0 state cotles an� lAe requirtment5 for a
permii lor conslmciion or modilicalion Imm �he Air OualitV Manaqem¢nt DiSiric�. flevaential conslmciion applic��ions ara eKempl Irom
inese o�oviLons.
Dale: Applicanl:
I hCreDy tttlily I�al I have reaC ��is aD7liw�ion antl s�ate Ihat the above in�ormaiion a correcl. I apree to compty vnih a0 ci�y an0 caunty
or4inancesana9atelawsrelating�o�uiltlingconsimaionanA�ereUyaNMr¢erepreuntalivesol�Nscr�y nleruponlheaUove-m¢nlqneG
pm0erry lor in50et�ion Durposes.
- Daie: J2 l / �,� Signature' '�
Uriver's License or Sociat Security p:
t6AL06 While—Builtling�, Green—Cotle EnlorcemenL Canary—ApplicanC Pinh—Revanue; Goltlenm0—Assessor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 060525 PLAN CHECK NO: 0502�-92 A
CONSTRUCTION TYPE: I FR SP PERMIT TYPE: STR
JOB DESCRIPTION ; 12305F STORE T.I.
CLAIh1�VALUE: 15,000.00 CALC-VALUE:
PERM NU: B 060525
GOVT: N SUPP: N
PURPOSc: ALT
SQ FT: 3,690
17,835.00 GROUP OCC: B-2 /
COMMENTS; THE "TIt3DER BOX" STORE T.Z.
*+�� �r*��*� � �**�*****+t±�x * r�*****�***�***�***+r�*�*+t*+r**+�**�** ��•*x*�+c-*�r**�r*�+��+t� **�
7 O N I N G R E Q U I R E M E N T 5
S E T H A C K S
-�------------ MAIN BUILDING ---------- ------- - ACCESSORY BUILDZNG --------
FRNT; FT IN RF.AR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN iEFT; FT IN RGAT; FT IN
PARKING RE • PROV: PARCEL: 41249207 ZNE: C1-S REF NO;
PLANNING N�TES> 'i'ENANT IMPROVEMENTS TO CONVERT EXISTING RETAIL SPACE INTO A
> "TINDER BOX" OUTLET.
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ll E V E L O P M E N T S E R V I C E S R E�,i U T R E N7 E N T S
ZONING APPROVED HY : S C� DATE: ��=�--��2
BUILDING APFAOVED BY C DATE: ,_f��/�
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APPLICATION ISSUED BY: DATE• �2/.3���
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LEGALIZATION:N F E E S U M M A R Y STRi7CTIIRAL SEGMENT:Y
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BLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE �MIP/RES GRADING
PERMIT 189,00
� 1�
PLAN 30, 71 '� � '
ISSUE FEE „ '"
BUILDIhG-DIV-> PERMIT ISSUE PLAN-CHECR
TOTALS----> 192,75 0.00 .!�i30.71
REVENUE DIVZSION TOTALS--> COL'�,ECTED:
HLDG PMT Pi.UMBING ELECTRIC,MECHANIC
189,�� '•/'
SMZP/NON-RES
3,75
TOTAL PAID DUE
223.46 223.96 .00
].92.75 OVER/SHORT: 00
FIRE SMIP/TOT GRADSNG PLAN-CHECIC
3.75
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I N D I V I D U A i F E E B R E A K D O W N
r. .
TYPE QTY D E 5 C R I P T I U N UNIT COST TOTAL COST
. �
SFC 1230 STO-INT. ALTER TYPE Z-'II F R, -AVER 13.48 16,580.90
SFC 1230 EQU-ALT C MM, SPRINKLr�'.R SYS -AVER .33 405.90
SFC 1230 EQU-ALT C�MM. AIR COAJD -AV�i},� .69 848.70
. END �;OF FEES , ,
� EXPIRED
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CONSSRUCTION AND PLANNING , •- PGvL & SPA -
- Date Inspector Date Inspettor
APPROVALS Permit # ' , APPROVALS Permit #
-� 1. Temporary Elecirical Service or Pole 52. Pool & Eq�ipment Location -
2. Soil Pipe•Undrgrnd. - ` 53. Steel Reinforcement ".
3. Electriwl Conduit UtilitV-Undrgrnd. 54. Forms �
4. Elecirical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
B. Foundation 59. Gas Pipe, � Undrgrnd., Test -•
. 9. Water Pipe�Undrgrnd. . 60. Backwash Lines, P�Trap, O Undrgrnd.
'Q. $tructural Floor System- � 67. APPROVAL TO DECK
it. Property Sewer Line & House_Connection 62. Backwash & ReceptorFinal �'
12. Sewer Cap 63. Heater & Vent-Final �
13. Roof Drains �'. 64. Plumbing System � Final .
14. Rough Piumbing •' 65. Electrical-Final �.
75. Rough Electrical�Condu�t 66. Solar System•Final
16. Rough Electric Wiring � ' 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air CAnditioning FIRE DEPT. REQUIREMENT
20. Rough Faciory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Root Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structura�) & Monocoat 75. Dry Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation . 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat � � 79. FINAL INSPECTION �
32. Electrical Power Meter-Final ' � 80. FOOD CERTIFICATE ISSUED f
33. Final Electric � Notes: � ,,/ L L����� !tJy�i� CG��
�5 l �r �`- G
34. Final Heating & Air Conditioning / ��%�/�.
i !4C- f��F/ / ��dHnD.�jt,�J �� .
35. Final Gas Pipe-Test . ' � ( j ; - ..0
36. Hood or Canopy . • � = '
.7
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Soiar pomestic-Final
42. Backflow Preventer
. 43. Backflow Irrigation
44. Landscape irriqation Sysiem
45. Sound Attenuation �
4fi. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ,
48. FINALPLANNING �
49. Electric Release to Edison �
50. Gas Release to Southern Calitornia Gas Co � �
51. CEflTiFICATE OP OCCUPANCY ,
No. Date