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Home My WebLink About3333 BEAR ST - Building Permits (90)(714) 754-5273 • Fax (714) 754-4856 �ob Address: 3333 BEAR ST Suite: 0214 Vicini[y: SPACE 0214 Parcel Number: 41249207 � �, CITY OF COSTA MESA B11►LDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Zonin9: r PERMIT 77 FAIR�DRIVE, COSTA MESA, CA 92626 npp�icant: KRAMER, LEO ISSUED BY: Address: 446 S. ANAHEIM HILLS RD. _ -- --- __ ANAHEIM HILLS, CA �� ya'-P,hone:� �(909)�.845-5874-y�� "�- - —�C�'�.. SUITE 150 /��/-� ;�� "�Zip: 92807 �-� �� y\� _� �� / i7�'�� L' ' 1 �� /��A�� Owner. SC Address °hC „ii ,/„�� %, , ,. ;, � , . Zip: � � ;Arch-:� /��f�� Address: / ,�� J _ � ��j� i / ' ;"�� Zip: � , ; �'� 1 - I��v��% � ;�� , � . �� /�2,444;SFy TORE TE�NAI � � I �'� �. � � Plan Check.ti $127.93 � �'� Permit , ti .�.$787.26 �,�� SMIP Res'; t ; $0.00 � �.5'M�P-�iOfTl �.1 r� $�7.64 �\�InspeOction \\\'� $0.00 \��\ Tota \ \\$932 82 � .. �� . � �� SETBACK MAIN STRUC' ACCESSORY PARKING NOTES: Status: ISSUED Applied: 07/30/1999 Issued: 08/27/1999 T PL"AZA � , � I ; � / � ��`` ��- � : � �j OM-880NS �� ! � ' 1 _� �-� ��_./ � I/ � '�i �, . � � �J ,-i Phone:,�` � __:_` _ �l ` ,\\i � \\\ D � �jr,S -= =Zip: 92626�--��`��\�; \^i\\� \ �\ �� ' \�'": � ' � ' \� ACIFIC DEVELOPMENTCORPORATION �� i��\ HILLS RD. �� i� \��` CA Phone: (909) 845-5874 ��✓ ��VA� �-�� . �/.!=... i � � �� . ti- �� jPhone'�r -� . . , - r -f �5". �-_ �, _ ti.^ -;,,- �License: \ , 555936 I ; E�9 � �Address " ( �. � � %' \' , � � . _-- . \ � ;�.�� s� � . -� �% ��EME_yNT�_�FOR "RANGONI OFFLORENCE" (SPACEO: - `fll l'l.�" . ... . � . C � � ,_ ,..�,. - ..,, ��"`_ - -- -__ _= = FEE SUMMARY ; �_,;_ � + �� , � _ r' .� ,� ir�l�i -�'-.c'X�'7'vv �-; _.` �-<i:�:-i ��t� � e �c,- -- __ —� � _� . _ : f -� . / � 6t:) � •: � �.••:..K • : ir! y � �, i. i . , � . , , �-�. . � . C I Valuation. Claim Valuation. —'i i � ♦ � .-�I / , . %i��i i � � ;' - ' ` saa,000.o'o ' � $84,000.00� ir�/ ��lJ � ;� r /i�i � (� -,�� i' � l ; -- � ��; � �/ / �` •.�.%/ � `�/ �^J ��/ <�� \\�A\� � � - _' PLANNING"BZONWG �. �/� ; � ��'; \ � � � i�� .:� ' £l ��- � / � � -� / �i� �� -- ` � � �', i � i��// � / , %' � � �� _ � > - � - � RE FronC -0-0 � -.Rear 0.0_ � �LeRr 0-0 �- . Rigfit �0.0 �, _ � � — � , � �� /// �� ,�� , � . z' � _ ,,, r � �-'/ �� Front 0 0 �� Rear -0 0_ `-�CeH 0 0- -� Right� � 0 0 ,��; j � \�`_\ �7 � / , - - � .\ / /r: � � '% Exlstinq:��.0�� '�Required: �� 0- �� - , .Proposedi �0�.`� � ` ; � j `�� .. A\. -= � � ,�, "l ''- ; -��' � . ✓.✓!/ j �� r _- � , I NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related � regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754•5626 � WORKERS' COMPENSATION DECLAR�ON: I hereby attirtn under penelry ot par�ury one oi Ihe I011owing tleGarations: ❑ I heve entl will melntein e certiticete of consent to self-Insure for workers' compensetian, es provided tor by sectlon 3700 ot the Lebor Cade, for the pertortnance oi the woM for whic� IhiS pertnit is issued. �I �ave entl will maintein workers' compensation insurance, az required by sectbn 3700 of fhe Labor Code, lor Ihe peAortnance oi the work tor whiU this permit is issued. My workers' mmp nsetlon Insurence cerrier and policy number are: Garder: �T 7�/-„NA PollcyNumber: /Z�ZOSB (Th/s sectlon need not be comp/etetl i! the pertnit is ve/ueC ef one hundred dollars ($700J or less.) ❑ 1 certlfy ihat in ihe peAortnence of � e work lor�yh fch Nis pertnii � issuetl, I shell nat emplay eny pereon in eny menner bo as to become subjact to ihe worker9' compensatlon laws ot Celifomia, e a ee t('(I 5�oultl becortl s ject to the workers' compensetion proNsions ot Sectlon 3700 of t e Lebor Cotla, I shall forthwilh comply with these Orovisions. ��oq Applicant Signeture: — Date: � ! / WARNING: FAILURE TO SECURE WORIV R COMP JSATON COVERAGE IS UNL4WFUL AND SMALL SlIB1ECT AN EMPLOYER TO CRIMINAL PENALTI S M!D GVIL FlNES UP TOONE HUNDRED TFqUSAND DOLLARE (5100,000). IN AODRI TO THE WST OF COMPENSATION, OAh41GE5 AS PRONDED f-0R IN SECTION 3108 OF THE UBOR CO�E, INTEREST, AND ATiORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm ihat I am force antl eflect. Lic. a_ Contrectofs Signature: CONSTRUCTION LENDING AGENCV: with Section 7000) ot Olvislon 3 oi ihe Buslness end Professions Cotle, antl my license is in full _ Class q � / oace: f3 29 99 ❑ I hareby aHirtn that t�ere is a constructlon lending egency for the peAarmance of tha work for whlch Ihls pertnit Is Issuad. (Sec. 3097, Civil Cotle). Lentlels Name: Lendefs Address: Signa�ure: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirtn thet under penalry of perjury ihat I am EXEMPT FROM TME CONTFiAC70R5 LICENSE LAW for Ihe following reason (Sec. 7037.5, 6usiness and Professions Code: Any city or counry which raquires e partnit b construct, alter, impmve, demolish, or repair any sirucNre, pdor lo its issuence, elso requires t�e applicant for such permit to file e signed stetement ihet he or 9he Is Iicensed pureuent to the provisions ot �he Conirectors lJcense Law (Chapter 9(commencing with Saction 7000) of Divlslon 3 of Ihe Business and Professlons Code) or thet he or she is exempt therefrom and tha 6asis for the allegeG exemption. Any violation ol Section 7037.5 by eny applicant for a permlt subjects the applicant to a clvll penalry of not mora Ihan liva hundred dollars (5500).): ❑ I, as owner of the pmpetly, or my employees wlih wages es their sole compensetion, WILL DO THE WORK, entl Iha strucWre is not intantletl or otterad tor sale (Sec. 7044, Business antl Pmfessions Code: The Contrecmre License Law does not appty to en owner of properry who builds or improves therean, antl who tloes such work himsetl or �erselt or through his or her awn employees, providetl that such improvements are nat inlendetl or oNered tor sale. Ii, however, Ihe building or Improvement is soltl within one yeer oi completion, the owner-huiltler will have Ihe burden ot proving that he or she did not bulltl or impmve tor purpase oi sele.). ❑ I, as owner ol Ihe properry, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to canstruct ihe pro�ect (Sec. 7044, Business antl Professlons Code: The contrectors Licensa Law does not epply to en owner ot property who builds or Improves thereon, end who contrects for such project with a contractor(s) licensa pursuant ro the Contrectors IJcense LewsJ. ❑ I em exempt under sec. Business antl Professions Cotle for this reason: SiqnaNre: Date: Owner I� veniietl 6y tlrivefs Ilcense. ❑ Yes ❑ No Driver's License No. Ezpiras: Venfication ol Ownarship by (type of document, i.e. - properry tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thel no excavation five (5) or more teet in depth Into which e person is requlretl ro tlescentl, wlll be matle in connectlon wilh work authonzetl hy this permlL entl Ihet no bullding stmcture, scaRoltling, falsework, or tlemolitlon or tlismentling thereof, will be more ihan thl�ty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Californle Adminisiretive Code). ❑ As owner-huilder, I wlll not employ enyone to do work which would requlre a permit irom the Division of Industriel Safery, as notad ebove, unless such person has a permit to tlo such work irom Ihe divislon. Signalure: Date: Division of Industnal Sefery Permit Number: CEH7IFlCATE OF COMPUANCE AND AllTHORRATON OF EMAV: I certity under penalry of per�ury that I heva read this application and state that tha infortnation given is correct. I agree to compy with all state laws and ciry ordinanc relating to 6uilding construction, end authorize representatives ol the Ciry of Costa Mesa to enter upon t�e a�ove-descnbed property lor ins0ection purppses. I agreg� o occupy or allow acupancy of any �ulltling authonzea by this pertnit until final inspection. CODE t. INSVECTONTYVE Q$j( INfITIplS 1616 Fixed System Finel Fire Prevention 1266 200 207 202 203 Pool Spa Finel Final Re-Roof Final BIaWRetalning Wall Finel Fectory Fire Place Finel Sign 204 Final Demolition CODE � INSPECTION TYVE 206 Finel Mechanicel 208 Final PlumCing 210 Final Electncal 212 Final Fire Preventlon 220 FInalPlanning Approval 222 Final Site 250 FinelBuilding/Occupancy �/�� sy � �a UATE �NTRIRLS � (714) 754-5273 • Fex (714) 754-4856 Job Address: 3333 BEAR ST Suite: 0214 Vicinity: Parcel Number: 41249207 Applicant: Address: Owner: Address LOONY, SHEILA 5200 E HUNTER AV ANAHEIM dress: 'S200 E'HUNTER AV � ANA�� / � � i 14 ao= ' , CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Zoning: ra 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: OB/23/1999 Issued: 09/08/1999 ISSUED BY: % � �Y" _ -c_� �;.-��_ r�?` - � _� i �Phone:-,714-993-2822c �'��\ �_� -- �i2ip: ; 928071 ��\-�� i i ,�� // � �A� �� _ � �-- �1 � / /J � �S 1 � � �—=` � `I � (`� �\\\ � �Fhone::i � �\ ,i�\ � Zip: 92626 \ % \ � / � �TION INC � �j�� \ _�� \ � Phon � 714-993-2822 Zip: 92807 Licensei 316324 , {��"� ��,/SCOPE OF-PERMII RINKCER HEADS & INSTALL 15 NEW;F.IF ��'�r� _ -"-_ --- _- � - � \ \� � � \ ��,\\` \ �"J �`� — \��\\�%��, �� V'�� 1 :- ��;5'� L�' \>>` RINKLER� � �� :�� \ -.` i � �� . \�i , ,,,�,_/ , � �� 1 � � `�'�� ;��:�''�� ' �,c - - "' FEE SUMMARY � . , •` � ` P,lan Check�.� ;�$54.11 � �' � �° ��i� ��:��; ' �� • � , , � �„�j , ,�L.,� i �A _;�.. ,�( . -t: Calc Valuation� ., Permit:j, �$83.25 ��- -.----_- - _--- -----_ - �i—=`ClaimedValuation� __ _ Other `� $0.00 ,,,, �'. � �.�,/�y r,� / �I �""� �` ��' , �r 1`� -�Na�^�' / .A %.�J"ti � ?� �r1� �. 4, � i. � rJotal.��h�'5137.36 � �__'� s �� - �� ii�i. � '03LL = ' -- _. /R � ^ �� r � ✓M�� l _� � � ..r:� �"� 2� � ' ; v •CS' i' � nl' \� �'"� 'r.x? h'`� _ F ' -� i i � � ' ' - � / � ' \ / i� J. � Si � �A� l .� �� //` � � 1 �� t � i /I'/ /J/ / "�/;� �� " n .4� / _�� /�� , �� /�\ \ v \\ � / v \�` J v ' S � /.'\��// / i i � �� 1.'^ 1 -' S-4 " ! Y^ V (/� �� - ,.♦ �� / � ` l � �i , � �� '-� i� - _. � , �� V �/�, � _�i -� ' -� �/�; ��.� 1,--�'. ; ' ` j ,/, � � �;� _ `'� �, r - � � - � � �'� � , � ` c��.` \_-'J �_i��._ .. .: •- � !� �` $ ':.Y �, j,.' ' I/ �'��l% $2,460.00i s2,aso.00 ; NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ., � � EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order�for the work authorized under this permit to be considered legel, such work must comply with all applicable codas, and all required Inapectlona and final epproval must be obtained. Failure to obtain inspections end tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545628 WORKERS'COMPENSATION DECLAR/RION: . I hereby ettirm untler penelry of perjury one of Ihe following tleclaratlons: ❑ I heve and will maintein e certificate of consent lo self-Insure for workers' compensation, as pmWtled for by sectlon 3700 of the Labor COCe, For the peAortnance of the work for w�ich f�is Pertnit is issued. 61�' I have anA will mainteln workers' compensation insurance, es requlretl Dy sectlon 3700 of Ne LeEor Code, for Ihe pertortnence oi Ne work for which this pertnit is issueO. %� My workere' pensation Insurance cartier and policy num6er ere: '� /, / Carrier: .. ' Policy Numbec wH ��7G3�.3 �A � (This section ne�nat be campleted il the permit is valued et ane hundred dollers (5100) or /ess.J ❑ I certiy ihat in the peAortnance of the worl( for which ihis Dermlt is issued, I shall not employ eny person In eny menner so as to becoma subject lo Ihe workers' compensation laws oi Califomia, end egre h f I sh Id became syy bject ro the workers' compensation provisions ot Sectlon 3700 of the Lebor Cotle, I ahall forihwith �pjy�wttll��,�provisions. � / p C pplicant Slgneture�: OT� Date.� 9— O - y� 1YARNINO� FAu1JRCT0 $ECURE WORKERS' OOMPENSATION COVERAC�E IS UNLAWFUL A� HALL $UBIECI AN E O CRIMINAL PENr1LTIE5 AND GVIL FINE$ VP TO ONE HUNDRED TFIOUSANDDOLLARE(5100,000),INAODITIONTOTHECOSTOFCOMPENSATION,DAMAGE PROVIDEDFORINSECTION3lO80FTHElABOR�OE,INTEqEST,ANOATTORNEV'SFEES. LICENSED 9(commencing wlth Sectlon 7000) of lorce and ettect. contreaors sigi Cless a Coda, antl my Iicense is in tull CONSTRUCTION LENDING AGENCY: ❑ I hereby atflrtn Ihet ihere Is a construction lending agency br ihe peAortnanca o1 the work for which this pertnit Is isaued. (Sec. 3097, Civll Code). Lendefs Neme: Signeture: _ OWNER-BUILDER DECLARATIONS: Lenders Atldress: Date: I hereby eHlrm thet untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a pertnit to construct, elter, impmve, damolish, or repair eny sirucWre, pnor to its issuance, elso requires the applican� for such permit to tile e signed stetement ihet he or she Is Ilcensed pursuem to the provisions of the Contractors License Lew (Chepter 9(commencing with Sectlon 7000) af Dlvision 3 of the Business end Professions Code) or ihat he or sha Is exempt theretrom and Ihe basis lor the elleged exemptlon. Any vlolatlan af Sectlan 7031.5 hy any applicant for e permit su6jecis ihe applicant to e civil penalty of not more then iive huntlred dollars ($500)J: ❑ I, es owner oi the properry, or my employees with wages as thelr sole compensetlon, WILL DO THE WORK, end the structure Is not intendetl or oftered lor sale (Sec. 7044, Business entl Professions Cotle: The Conirectors License Lew tloes not epply to an owner of property who Duiltls or improves thereon, end who does such work himsell or herself ar Ihrough his or her own employees, provided thet such improvemenis are not Intendad or ottered far sale. If, however, ihe 6uilding or Improvement Is sold within one yaer of completion, the owner-hullder will heve ihe Curden of Oroving that he or she did not bulld or Improve for purposa oi sale.). ❑ I, as owner of t�e property, am E%CLUSIVELY CONTFiACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business antl Professions Code: The contrectors License Law does not epply to an owner ot pmperry who bullds or Improves thereon, entl who contracls for such pmject with a contractor(s) license pursuent to the Contraciors IJcense Laws.). ❑ I am exempt untler sec. Buslness anO Professions Cotle tor Ihis reason: SlgneWre: Date: Owner ID verified by drivefs license. ❑ Yes ❑ No Dnvefs License No. Verificatlon of Ownershlp by (rype of daument, i.e. - proDerty tau bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I �ereby certlly t�et no exwvation tive (5) or more leet in dept� into which a person is reQuireO to descen4 wlll be made in conneclion with work authodzed by this permit, antl t�at no builtling strucNre, scaHolding, lelsework, or demolitlon or tlismaniling thereof, will Ee more than thirry-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tule e, Celilornia Adminisirative Code). ❑ As owner-builtler, I wlll not employ anyone to do work which woultl require a permit trom the Division oi Intlustdel Sefety, es noted above, unless such person has e permit to tlo such work irom ihe division. Signature: Dete: Division ot Indusirial Sefery Permii Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfSiV: I certify untler penalry ot per�ury t�at I have reatl this epplication antl state that the informetion given is correct. I egree to comply with all state laws antl ciry ordlnences relating to building construction, enG authonza representatives of ihe Ciry ot Casta Mesa to enter upon the e6ove-descdbetl property tor inspection puryoses. I egree not to occupy a ellow occupancy of eny bulldlnq authodzed by ihis permit until final inspection. CODE t. INSPECTONTYiE 1616 7266 Fixed System Finel Fire Prevention Pool Spa Flnal 200 Final Re-Root 201 Finel Block/Reteining Wall 202 Finel Factory Fire Place 203 Flnel Slgn 204 Final Demolitian 26a&ae P9Ti � 1tII¢LA43 � U•tG 9q lA�I•) CODE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 270 Final Electricel 212 Finel Fire Preventlon 220 Finel Planning Approval 222 FIneI5lte 250 Finel Bullding/Occupancy ' 9- �'� 9, 3 Q$� INTRIRLS Gv-d9-aq � (774) 754-5273 • Fex (714) 754-4856 Job Address: 3333 BEAR ST Suite No 0214 Vicinity: SPACE 0214 Parcel Nunmber: 41249207 Applicant: KRAMER, LEO Address: 446 S. ANAHEIM F J CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT �, � , ;� 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/2711999 Issued: 08/27/1999 ISSUED BY: ! .'..-'".`_�'"X:C�-r.�i- �-� x�l=- '' �`_ -'��-- y� ... LCS'RD.' - ' "J � , . .' -� �� --_`<'- \.. �" � . . i�J ^ � \ i� 4 ! ? � 'Phone: (909) 845-5874 � � ;c _ � � C� � � � '� z�a; szao� � � � / / ,� � � ,�, .i� � 1 - . '� I � 1 � �� VA� �/ " f \ � \�� /�� -l- +. ) _ ; A ' � � � � _ 4 -9 �� ,� \A �� PLAZA4 �` \\�.�\. �, / � �' �� .�. �soNs �\ � ��% j��\ Phone: Zip: 92826 ' �� V�\ �i �VAA\ ,.;J 1 /�l%'/ \;; `:�. ,i'�.� �:,� � �// =" �. ^: � � t �� , ,;,� j .11 � >, r �",� ��. � � � Contractor� REGENCY - PACIFIC DEVELOPMEN;l CORPORATION � A';�� % � ` ' l,; �% ��i� �.. i � .� �� -��\ k�' Address: �446 S ANAHEIM HILLS RD. � • • � ��- , � - • i �` ��--, �� i � � , �`` ��A�� HEIM HICL�S�CA �,��Phone (909) 845-5874 � � � �,��,�, � � � �� 3UITE 750 �. ' / y�`�� `�.��Zip: 92807 . ��; 4 , f �. � , � �/f ` � - _ ,/ � !� � ! � ` �� ') l v ' _ L'ICCoSB: 555936 " `� ' �,�' ^ ` � J �� -�" - = A ,��2 � .� �,r � ;--�- �� , �f�� TA�hlEng�/��.��/ �� °1��,� �' j Address �!'1 _ _ � .V� � � 'l' � ' ' ' C � �. ' /� ' r � t `P.hone � ; � � � c � . , ��.\ � ( ` +� �� -� � � �� bif ._IIp ..�� J �. _ �A.� I � i �� ' License. ,� J � � � . ' ` �'_��. � � 1�� \ -M yY I, 11�V�1 ( � �, � �J ��„PLUMBINOPERMIFF �� \,� 1=WATER CLOSET. \ � ' � `�' - �� REF: B99-Ot 180 / \n�\v�;� �� ISSUE FEE�� " Backflow irrigation �-�� ' Backflow PreJenter Bathtub �A ClarifierSystem \�� Connect (Ice,Soda;etc), Dental Units �'� Dishwasher Drain, Floor Drain, Rainwater , Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) n .-.� .��_ ...� J, r '.r : , .. � ,� , �' -�.� SCOPE.OF:PERMIT"�A/ - �:� ., �'�' �t4� ; OR�STORE.T.I�.�FOR "RANGONP (SPACE 0214) INSTALL 1-WASH BASIN &�-' f i� � - /� � ��;-� , , ,,�� - . �i' �-, i� � . • - : � - � � t , ,�i'i . ��. l,� /� \\\V�.. <a�� _. •,FEESUMMARY t;! (��'� !;�� ; ",'� �'AMT QTY . �"'r.� .. � . :AMT QTV � .:i�i .. .�AMT � $23 50 � taundry Tub / Washer f $0 00 ' 0 ' � Sump Pump � ' . �g0:00 � $0 00��0 �, �t6andscape Irrigation o $0 00 ,,, 0 �� , y..Swimming Pool � � , �� $0.00 $0�00 �A0� �`-�7�� P Trap -, o� y ` i $0 00 � ` 0 ; . Trap Primer� � � ; $0.00 �$000 '0•��,�' i�PressureRegulator � ;'y' $000 � "0 �'� %Urinal��%j�,� �i� $0.00 '�SD.00 ;� 0 �� ;1Process Piping (per 10 ftj'r $0.00. ,,� �0 ., "�%�Vacuum.Brkr BkBow(1-4) $0.00 \ $0.00'/^�0. ��Raceptors' � � , ,�- � $0.00 . 0 �Vacuum Brk� Bkflow(5l) $0.00 � $0:00� � 0-, ��SepticTank ` �, � $0.00 �=0 - Wash Basin ,� � $9.80 ��;$0;00�;> 0 `�--Sewer Cap for-Demo � $0.00 0 , �� =. Wash Basio Set= $0.00 ��$0.00-�, 0�:, ; ��SewerConnect $O.OD. 0�� ',�Wasteand�Ve`ntSystem $0.00 $0.00 . � 0 , ', Sewer Private line �. $0:00' -0 � ' Water Closet (Toileq $9.80 $0.00 -. �0-�- � � �Shower . $0�00 - 0'-- � „�WaterHeater/vent $0.00 $0.00 '0-� -= ' --. Sink, bai- �J . . ��A , . � . $0.00 0 - %j %, Water Piping (Inst or Rep.) $OAO $0.00 0 ' � �� ' Sink;.commercial $0.00 ' -0�✓ �� - Water Re-pipe $0.00 $0.00 0 �Sink, Floor" -:-„�: - .�� ' �$0.00��0 Water Service $Q00 $0.00 0 Sink, kitchen - �$0.00 � 0 Water Softener $0.00 $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 $0.00 0 Spa (private) $0.00 0 VIOIATION $0.00 $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 $0.00 0 REINSPECTION $0.00 $0.00 0 COMMENTS I SPECIAL CONDITIONS TOTAL CALCULATED FEES: $43.10 QTv 0 0 0 0 0 0 1. 0 0 1 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 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 required Inapeetione and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARATON: I hereby eRirm under penelly of per�ury one ot Ihe following tleclaratlon5: � ❑ I heve and will malntein a cetllficate of consent to selt-Insure for warkers' campensation, as provided for by sectlon 3700 0l tha Labor Code, for ihe pertormence of the work lor which lhis permit 14 �ssuatl. � 1 have and will mainteln wofkers' compensalion insurance, as requiretl by section 3700 ot the labor Code, for the peAortnance of Ihe work for which ihis permit is issuetl. My workers' compensetlon Insurence carrier end policy number ere: Gerner. STAT�_�UNO PoIlcyNumber: IZZZOSB (Tliis secNon need not be tomp/efed i/ the permlt /s velued et e huntlred OW/ers ($100) or less.) ❑ I certify that in the peAormance of Ih tor h this pertnit is issued, I all not employ eny person In any manner so as to become subject to the workers' compensetion laws of Celifomie, an gr th should becoma subject to e orkers' mmpensetian provislons ot Sectlon 3700 of �e Labor Cotle, I shall tonhwith comply with these provisions. Applicant SignaNre: � — S. Date: �/% % WFRNINO: FFILURE TO SECURE WO� PENSA ION G1�VERAGE IS UNLAW FUL AND SHALL SUBJECf AN EMPLOVER TO GRIMINAL NFLT S AND CNIL FlNES UP TO dJE HUNDRED THWSANDDOLLARE(5100,000),INMDfTIqJ THECOSiOFCOMPENSATIdJ,DAMqGE5A5PROVIDEDFOHINSECllIXJ3%OBOFTHELABORCODE,IMEREST,AN�ATTORNEYSFEES. LICENSED CONTRACTORS DECLARA710N: I hereby etlirm that I em licensetl under provisic torce and enact. uc. x S 55936 ContrettoYs SlgnaWre: with Section 7000) of Dlvlslon 3 ot the Business antl Professions Code, antl my license is in full Class A / � _ Dete: g _ CONSTRUCTION LENDING AGENCY: - ❑ I hereby ettirtn ihet there is a constmction Iending egency br ihe pertortnance oi t�e work for whlch this permit Is Issued. (Sec. 3097, Civil Code). LentleYs Neme: Lentler's Address: Signature: OWNER-BUILDER DECLARATIONS: Da�e: I hereby affirtn that under penelry ot per�ury Ihei I am E7(EMPT FROM TME CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Pratessions Code: Any ciry or counry which requires e permit to construct, alter, impmve, demolish, or repalr any siructure, pnor to its issuence, elso requires the applicant for such permlt to flle e signetl statemem thet he or she Is Ilcensed pureuent ro the provisions of Ihe Contrectors License Lew (Chepter 9(commencing wl�h Sectlon 7000) of Division 3 of �he Buslness antl Professlons Cotle) or Ihet he or she Is exempt therefrom entl ihe basis lor ihe allegetl exemptlon. Any vlolation of Section 7031.5 by eny appllcaN for a permit sub)ects the epplicent to a civll panelry of not more Ihan ilve hundred dollars ($500).): ❑ I, as owner of the Oroperty, or my employees with wages as their sole compensetion, WILL DO TME WORK, end the structure is not Intentletl or ottered for se�e (Sec. 7044, Business antl Professions Cotle: The Conirectors License Law tloes not epply to an owner of property who huiltls or improves thareon, and who does such work himsetl or herealf or t�rough his or her own employees, provided that such improvemenis ere not intended or otteretl for sale. If, however, the building or improvement is soltl withln ona yeer of com��etion, Ihe owner-builtler will hava the burden of proving Ihat he or she did not Dulitl or Improve for purpose of sale.). ❑ I, as owner of the pmperty, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ecl (Sec. 7044, Business antl Pmtesslons Cotle: The contractors License Lew does not flpply to an owner of property who builAs or Impmves Ihereon, and who comracts tor such project with a contracmqs) licensa pursuani to the ConUactors License Laws.). ❑ I am exempt under sec. Business end Protesslons Code for this reason: Signawre: Date: � Owner ID veritied by drivefs IlcenSe. � Yes ❑ No Drlver'S LicenSe No. Ezpires: Veritication of Ownershlp by (rype ot tlocument, i.e. - properry ta+c bill or deedJ: DIVISION OF INDUSTRIA� SAFBn' PERMIT CERTIFICATION: ❑ I here6y certify that no e:c&�etlon Ilve (5) or more leet in tlepth into which a person Is requlretl to tlescend, will be mada in connection with work authonzed hy this permit, and Ihat no builtling S�rucWre, scattolding, talsework, or tlemolition or dismentling ihereol, wlll be more t�an Ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title B, Gelifomle Adminisiretive Catle). . ❑ As owner�builder, I wlll noi amploy enyone to tlo work which would require e pertnit irom the Division of Intlustrlel SaFery, as noted above, unless such person has a permit to do such work from ihe tlivision. Siqnature: Date: Division of Intlusirial Safety Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AUTTIORIZATON OF ENTFiY: I cenity untler penalry of per�ury that I have read this application and state that the information given is correcL I egree to comply with all stete laws end ciry ordinances releting ta 6uiltling wnstruction, and euthonze representatives at Ihe Ciry ot Coste Mesa to enter upon the ebove-tlescrlDatl property for Inspection purposes. I egree not to occupy or ellow occupancy of eny bullding euthonzad by Ihis permit until final inspection. COOE I. INSPECTIONTYVE 1616 Fi:etl Syslem Finel Fire Prevention 1266 Pool Spe Final 200 Finel RaRoof 20/ Final BIxWRe�aining Well 202 Final Fectory Flre Plece 203 Final Sign 204 Finel Demalition 244&OB P�IE U�LS COOE I INSPECTION TYVE 206 Finel Mechenical 20B Final Plumbinp 210 Final Eledncal 212 Finel Fire Preveniion 22o Final Planning Approval 222 250 Flnal Site Final Building/Occupancy P�lIE � IIIIIII� I � -19 i9 � � .'�`.. . y'� 1 � (714) 754-5273 • Fau (714) 754-4856 Job Address: Suite No Vicinity: 3333 BEAR ST 0214 SPACE 0214 � ' CITY OF COSTA MESA BI/ILpING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT MECHANICAL PERMIT . 6 77 FAIR DRIVE, COSTA MESA, CA 92626 s�wg: issueo Applied: 08/27Ii999 Issued: 08/27I7999 Parcel Number: 41249207 ' • ISSUED BY: ,. Applicant: KRAMER, LEO - - i r: � -- . ,� �'-- s . _ Address: 446 S. ANAHEIM HILLS RD: �- = - � � . � Y ': �- � ;( , ANAHEIM HILLS; CA �� , � Phone: (909) 845-5874 � � �, _ ; SUITE 150� � �-' !- � 2ip: 92807 � � � � � � , \ � . /' �' . r' %i �, � �� ; _� � =. � ;�. Owner. SOU7H�GOASTPLAZA � �' � � ,-� � . . � ,_�<� - - •>=� _- � �� J�`; � Address: �%C J 5EGERSTROM & SONS c _ -_ � ��_ � � , -� � , � _ ��COSTAMESA,CA�� %�� Phone: ��' �� '-� U�i � /� -�� . i /� �A� �� 3315 FAIRVIEVII;RD � 2ip: 92626 ��- � � � i �� ,��/ ` \ �// %� �� i � �,��.\\ Confrector. REGENCY- PACIFIC DEVELOPMENT CORPORATION V� ;� / `;�V'�, �� , , i/i�/i 'Address:� 446 S.'ANAHEIM HILLS RD. � � ; � �, �'� � „� / ii.-i ': � � �� ,�` � ��i ! \ ANAHEIM HILLS, CA Phone: �_ (909) &455874 � ; j i.ii,i �. i . �, `,�; - ' �� i �- 3UITE 750 2ip:.- 92807, _ _ , • � � �.. �� , _ . . i . . `.�� : .�, ; � /'//�i - � �. License:- 555938 ' , , , � � �..' � Afch I Eng �j ��_ ', , �� - _ . , � � �, - � . ` : � ; �1 ; �Address. '�� ! �� _ _ ' _ .f-, � j A - - : � ; �!�' � � � ; � � �E � - � Phone: - .% �`� „ � ��0� . � , � fiJ ,� �, 1-�''-� / � � Zip: �, .. �� ` � ' � i Lioense: � � f � % � ' 'SCOPE MECHANICAL PERM�T FOR STORE T.I. FOR BOXES. \ �'1 � , ',`� r��REF: 899-01180 , �, � � e �,� �-1 : ---, ��._ � n , _ '� ,-.. '�;, �� "� % AA, 1 ��. � .. �V�; - �Quantity ISSUE FEE �� A � \� ;A, $23.50 Inst �FAU�<700 k BTU, �-�� E0.00 0 Inst FAU�>700 k BTU� �� `` 50.00� 0� Repair/Alt�CoolinglHeat � �� 50.00 0 \ � .. Inst I Rep; �Recess Wall Hh �. �� 50.00 0 _ Refrig Sys <700 k BTU � ��` � 50.00 0 - Refrig Sys>.100 k BTU� ///;;; \��_50.00 �- 0' �' Gas Piping �� 'E000 . 0 =� Faotory Firepla �� /�, ; 50.00� -0 " = � Hood wlMech Exhaush �/ ; E0.00 ��0 '� � VAV Box ��,-� - � , $21".30 2 �, �� . Vent Fan / Single Duct� �� `,'-.50.00' �.0 � Appllance � � $0;00 0 � . Fire Dampers � - �,$0.00' � 0 - "� � - Smoke Dampers ' , - 50.00 0 �� InstorRelocateApplVent ��$0.00_ --0 � AirHandlers< t0000dm $�.00 -�0�, ; Air Handlers > 10000cfm 50.00 � 0 - Floor Furnace 50.00 0 � � Floor or Suspend Heater 50.00 0 i tMIT �, � � � - 11" (SPACE 0214). INSTALL 2-NEW VAV f r,i„�,�/�. � , �� „ � / i i' n, r t �,; ; /i , Repair/AltAbsorbtionUnit, � �$0.00, Repair / All Rafrigeration Unit . ,' $0.00 � � . � Ventillation System � ��50.00 - Evaporative Cooler %-i ; 50.00 Commerciallncinerator � „ . E0.00 Domestic Incinerator - " 50.00 � Comoressors / Absorption Svstems � ' ' '% Up to 3 hp I 100 k BTU " '�. E0.00� "- 3 To 15 hp / 500 k BTU�� . �'i� %$0.00 . � 15 To 30 hp L7,000 k BTU � � - ' � -i $0.00 " _ ' �30 To 50 hp I 1,750 k BTU , � � " � ! 50.00 � Over 50 hp I Over 1,750 BTU � -��$0.00 Boilers , Upto3hp .. � � 3To15hp „ - . " V� 15to30hp - . ; � � � � 30 to 50 hp -, -, i� � _' � .- .. . _ r, . Over 50 hp �' ' .� , � Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTALCALCULATEDFEES COMMENTS / SPECIAL CONDITIONS Quantity � „ � 0� 0 ' 0; 0 0 0 0 0 0 0 $0.00 0 50.00 0 $0.00 0 $a.00 0 $0.00 0 50.00 $0.00 $0.00 E44.80 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This parmit shall automa�ically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a periad af 180 deys. , INSPECTIONS: In order for the work euthorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona end (Inel approval must be obtained. Failure to abtain inspections and final epproval will result in ihe axpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WOflKERS'COMPENSAnON DECLARAR}6N: I hereby atlirtn untler penalry of perjury one of t�e following tleUaretlons: ❑ I have antl wiil malntain a certilicate of consent to self-Insure for workers' compensation. es provitlad lor by section 3700 of Ihe Lebor COAe, �or the paAortnence ot Ne work for whlch this pertnit is issued. �I have entl wW maintein workers' compensatlon insurance, as requiretl by seclion 3700 oi Itie lehor Code, tor ihe peAortnance of the work iw whkh thLa perrttit is issued My workers' c0�ensetlan Insurance carner antl poliry numher ere: Cerder: 7A76 �UH� PoIlcyNumber: I ZZZ OSS (Thls secNon need iWt Oe comp/efed ll Me pertnlf /s vafued �at one huntlred tld/ers (5100) or less.) ❑ I certiy that in lhe peAormance af th w rk fo Ifich Nls perm' I5 issued, I s�all not employ eny person In any menner so es to become sub�ect to tho workers' compensation laws ot Celifornla, en � e ib I shoultl beco su6�ect lo Ihe workers' compensetion provislons of Sectlon 3700 of Ihe Labor Code, I shall forihwl(h comply wlih ihese provl9lons. Applicant Slgneture: i Dete: WARNING: FAILURE TO SECURE WORKE 5' EN 710N COVERAQE IS UNUWFUL AND SMALL SU6IECT Ml EMPLOYER TO CRIMINAL PE TIES �D GVIL FlNES UP TOONE HUNDREO THOUSAND DOLLARE (E100.000). IN ADO�TIO TO THE COS� OF ODMPENSATION, DAM1NGES AS PROVIDED FOR IN SECTION 3]Cfi OF THE IABOR CODE, I EREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby efllrtn Ihet I em lorce entl etfect. Lic. M_ Coniredofs Signaturo: (commencing with Sectlon 7000) ol Divislon 3 of t�e Busine�s and Professions Code, entl my license is In iNl Gless N LS - Date: 7i '� CONSTRUC710N LENDING AGENCV: ❑ I hereby eHirtn thet Uere is a constructlm lentling agency for the peAortnance oi Ne work for whlch this permlt Is Issued. (Sec. 3097, Civll Cadej. LentlBYs Neme: LantleYs AAdre%: Signeture: OWNER-BUILOER OECLARATONS: Date: 1 hereDy ettirtn Ihat under penalry ol per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business and Profeulons Code: My ciry or coUnty wNch requires e pertnit to Construct, alter, improve, tlemolish, ar repair eny structure, prior to Its issuenca, also requires Ihe epplicant tor such permit to file e signetl stetement ihat he or sha Is licensea pursuant to ihe provisions of Ihe Contrectors Ucense Law (Chepter 9(cammencing with Section 7000) of DlWsion 3 of Ihe Business and Professions Cotle) or Ihat he or she is ezempt therefrom end Ihe basis lor Ihe elleged ezem0�lon. Any Woletlon of Sectlan 7031.5 hy eny epplicant lar e pertnit sublects ihe appllcani to a civil penalty of noi more than /ive hundretl tlollars ($500).): ❑ I, as owner ol �he property, or my employees with wegas as thelr sole compensetlon, WILL DO THE WORK, end Ihe structure I5 not intendatl or ottered lar sele (Sec. 7044, Buslness entl Professions Code: The Comractors Licenae Law does not epply to en owner of property who builtls or impmves Ihereon, end who tloes suc� work himself or herse�� or lhmugh his or her own employees, proNdetl that such Improvements ere not intended or ottered for sale. tl, however, the Ouiltling or impmvement Is soltl within ane year oi completion, the owner-builtler will hava the burtlen of proving Ihat he or s�e tlid not builtl or impmve for purpose of sele.). ❑ 1, as owner of ��e properry, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, 9usiness entl Protessions Cotle: The coniwclors Llcense Law tloes not appty to an awner ot pm0erry who 6ulltl5 or improves thereon, end who contracts for such pro�eq with a contractor(s) license pursuan� �o the Cootrflcmrs License Laws.). ❑ I am exemp� under sec. Business end Prolessions Catle for this reason: Signature: Date: Owner ID vedfled by dnver's license. ❑ Yes ❑ No Drivefs license No. Expires: Venfiwtion of Owner6hip by (rype of tlocument, i.e. - properry tez blll or tleed): DIVISION OF INDUSTA�NL SAFETY VERMIT CERTIFICA710N: ❑ I �ereby cenlry thet no eacavation five (5) or more feet In tlepth into w�lch e person is requiretl to descend. will 6e mflde in connecilon with work eut�orizetl by this permit, anA ihat �o Cuilding struaure, scattoltling, talsework, or tlemolition or Cismentling t�ereol, wlll be more t�an thirry-six (36) fee� �ig�. (Chep. 32, Gry 2, An 2, Sec. 347, iltle B, Celifomle Adminlsiretive Code�. ❑ As owner-bulltlb�. I wlll not employ anyone to tlo work whlch woultl require e pertnit Irom the Division of IndusMal Salery, as notetl above, unless such person hes a permll to tlo suCh work trom t�e tlivision. Signawre: Date: Divisian oi InCustdal 5afery Pertnit Number. CERTIFICATE OF COMPIIANCE AND AUiMORIZA710N OF ENiAY: I cenify under penalty of per�ury that I have read ihis epplication and stete tha� the Infortnation given is correc�. I epree to camply with all state laws antl ciry ordinences releting to bulltling constructlon, entl euthoriza representetives of Ihe City of Caste Mese to ente� upon the ebove-describetl prapeny �or Inspectian purp�ses. I agree not to occupy or allow occupancy ol eny builtling authoAzed 6y Ihis permit untll Iinel Inspection. CODE /. iNsvetnoxmE QAIE 1676 Flxed Systerq FInalFlre Pravention 1268 200 201 202 203 Pool Spe Final Final Ro-Roo� Flnal BIacWFetainlnp Wall Finel Fectory Flre Plece Flnel Siqn 204 Final DemdiUon 2a4&48 � � 4�a1 `I ete � �j INSVECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Finel ElectAcel 212 Final Fire PrevBntlon 220 Flnal Plenninp ApD�'el 222 Finel Slte 250 Finel Builtling/Occupancy �. 1 .1111. . � .L (714) 754-5273 • Fa�c (714) 754-4856 Job Address: Suite No icindy: Parcel Nunmber: � CITY OF COSTA MESA `� BUILDING DIVISION - DEVELOPMENT SERVICES DEPARTMENT PERMIT 3333 BEAR ST 0214 SPACE 0214 41249207 ELECTRICAL PERMIT Applicant: KRAMER, LEO Address: 446 S. ANAHEIM HILLS.RD:. �; �; �-�-�� ANAHEIM HILLS,-CA�//�, ] �Phone: SUITE 150-�� 1 Zip. �/�%� � \�. '� �� 1 �i ,'��i// �V A ^� � - owner: �"SOUTH;COAST PLAZA, � � � /i1= = • --=- . � , � �,� 7 -_ 3315 F� \/ i,�� _'/i �dontrec�t�or; REGEI n� i i/v ��,�;�AdtlreSS:� 446S�A / � �� ANAHEI �. � � �V �SUITE 1 � r� ly , �%' , � ;�, , , Phone: Zip: NUMBER 77 FAIR DRIVE; COSTA MESA, CA 92626 s�aws: ISSUED Applied: 0812 7/1 9 99 Issued: 0 812 711 9 9 9 ISSUED BY: ..:�.: � _.- � _ i � �. (909) 845-5874 � -c �A 92807 �� rr\� \ � � � �� i (\� � \ x�, _�.�,��\\�\ \ �\\�� \ �\ ��A�V�_%� /��';� 92626 `\�� . �� VA� \�\\\ � / \�\�� \h �� \ ;Y - PACIFIC DEVELOPMENT� CORPORATION ��'`� '� '�� . � r � � 4HEIM HILLS RD. _3 j� i _- - � ��V�'., %� � �` � HILLS, CA , , , Phone:3�� (909) 845-5874 � � ,-� - �\� � � �� i i � � � � /Zip: 92807 1 � , e A\ � � � ��,. � r � 1 ;!j. - l�License. Sb5936 �a", . i''� t " �� \` �. �, � . �_ _ � _ � - `�� _ . �� , � •� '� i/ , � � '� � , • � �l. � __ � `'� % �' � �� /�� SCOPE OF PERMIT � � � ' �.ELECTRICAL PERMIT FOR STORE T.I. FOR "RANGONI" (SPACE 0214). INSTACL 77-LIGHT ' � FIXTURES,16-RECEPTACLES,89-SWITCHES.- „-�-��;� � , � , �� ., �. . .. , - , � � � REF: 899-01180 _ . : > �. ) .� . . ". . "'.. .... . , . - . , ... ,.. . V - � �.-� -�i � ;�� >fiEE SUMMARY +� `�� i•, -•/ i - , � � �.- � � �Quantity _ - . '' . � � . : quantlt � , " . y� - < ��, ISSUE FEE � t� g23.50 Temp Dist System I Ughting 30.00 0!= '� . . Temp eervice test'� .. 50.00 � - Busway /t00,fl `- �50.00 D, �� ',Res. alc package ��'�,'�,� .� E0.00 ' � � New,Res(1-2.unite)� ��A��„ $0.00 0 �• -� New Res (3lunits) 30.00 -0 ' � PoollSpa� � ' V�;�$0.00 �� 0 ��.� Lighting�Fixts � ��$67.67 77 - ' ReceptOutlets �817.60 .. 16 � � Switches V�� i � �39.90�� -9:'- -"^'' Non Res Appl -- ��, / , $0.00� � 0-�, ��" , ResAppl ` � i� $0.00 � ��A0\-`. � .i;: Service to 200a� � � �i , Service to 1000a � � � �� ,$0.00 �• � �0-- � A � � Service over 1000a ` � - ` �� 50.00 , , '�. 0 � - _ - �� Motors to 1hp �`�=�, $0.00' �' � �0' , Motors to tOhp ". $0;00� �� , -0 �; � Motors to SOhp �� ,$0.00-, � 0 - . , Motors to 100hp $0.00' 0 ' ' Motore over t00hp $0.00 � _ 0 � � Communiwtion drops 30.00 , 0- ' ` Sub panel to 200a $0.00 0-� �'� -� Pole Light Pkg $0.00 0 � Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 Intermed Pole $0.00 0 Standing-Section_ � �$0.00 ,0 � - � Misc Electrical Equipment 1 i50.00 %0 � ' j,� Transformers up to 1 kva/kw � 50.00 ,�� 0' �'� . - ��......up to 10 kva/kw � 50.00 ,��', 0 �-� � ......... . :..........: .�....:up to 50 kva/kw -, 50.00�-% ' 0 . . ....:............upto,100kvalkw � .�E0.00, 0.� - ' -:z ... :.........oJer.100 kvalkw .� "�$0.00 0 � , � ' -Low Voltage Equipment � � . . %30.00,', �' 0 � � � � --Low Volt Wiring System / CkF, j$0.00 �',0 " �'Misc Conduit � ��- � $0.00 � /„0 ��' � i .�'� AAisa Conduotor_.. �� ,�-$0.00 j Oi;, j" ` Circus ( gen or ride) " � ` "$0.00 -'0 . Circus (mech ride or Ilghts) �.,-$0�00 i,�- 0' Christmas Tree Stand� � -- $0.00;��,-'0 ' � Pireworks Stand - � , $0.00-' 0 � -� Other Electrical Fee ' � ' �'$0.00 \... Investigatlon Fee� _�;��-�' � � $p.00 ' �-Plan Ctieck Fee - $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E112.61 COMMENTS / SPECIAL CONDITIONS NO710E: 7he work authorized by Ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regula�ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned far a period of 180 days. INSPECTIONS: In orcler for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepeetlone and Ilnal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMVENSAnONDECLARATON: � 1 � I hereby eHirm untler penelry ot per�ury ane of the tWlowing Geda2tion5: ❑ I have end will meintein a certlticate at consent ro seH-Insure for workeB' oompensation, es proNAetl for by sectlon 3700 oi the Lebor Code, for the pertortnance of the wolk tor which Ihi9 pemlil is issuad. � I have end will mainteln wakers' compensatim insurance, as requlretl by sectbn 3100 01 tlie Lebor Code, tOr the pertortnance ol NB work for which this pertnit is issueO. My workers' compensatlon Insuranca carrier end poliry numbar ara: Cerder: S�C9�7A_ FoNd PolicyNumber: lZZ�IOS g (Th7s sect7on need not Oe completetl i! tne pertnif !s valued at one hunOred ddlers (St00) or IeSsJ ❑ I certity thet in ihe pertormance ot Uey'ork for � this pertnit is ued, I shall not employ eny persan in any manner so es to become sub�ect lo the workers' compensellon lews ol Califomia, entl gre th� should become Ject to t�e workers' compensation provislons of Section 3700 of t e Lebor Cotle, I shell toM1�with compty wlih Ihese D�a`/�sions. /�/ ApplicaNSignawre: � S_ Data: —� S/L7J —91 WARNINd: FAILURE TO SECURE WORKER ' Cjl PENSATION COVERAOE IS NLFWFUL PND SHML SUBIECT AN EMPLOYER TO CRIMINAL PENALTIE6lWD GVIL FlNES UP TO ONE MUNDRED THOUSMlD DOLLAFE (E100.000�, IN ADDIiION YO THE OOST OF COMPENSATION, DAMAGES AS PROVIDED f-0R IN SECfION 31080F THE LABOR CODE, INfEREST, AND FTTORNEI^5 FEES. LICENSED CONTRACTORS DECLARA710N: I hereby elfirm thet I am Ilcensetl under rovlsions ot force antl eflect. Llc. a " S' �36..� Contrectors Signeture: with Sectlon 7000) ol Dlvlsion 3 of the Business end Professions Code, entl my license Is In lull _ ciess x b Date: � % i 4 S CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm thet thore is e construction lending egenry for the peAortnence of the work lor which Ihis parmit is Issued. (Sec. 3097, Clvll Code). Lendefs Name: Lentlefs AOtlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I �ereGy eNirm that untler penalry of perjury thai l em EXEMVT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons Code: Any ciry or counry which requires a pertnit to conswct, alter, improve, demdis�, or repair any strucWre, prior to Its iuuance, elso requires Ihe epplicani tor such permit to file a signed stetemeN that he or she Is licensed pursuant m the provLsions oi the Conlraciors Ucense Law (Chapter 9(commencing wlih Sectlon 7000) o� Dlvlsion 3 0l Ihe Business end Professlons Code) or thet he or she is exempt iherefrom entl t�e basls for the ellegetl exemptlon. Any vidation o1 Section 7031.5 by any applkflnt for a permit su6�ects the epplicent ta e civil penalry o1 not more than fve hundred dollers ($500).): ❑ I, as owner ot the pmperty, or my employees with wages es their sole compensation, WILL DO THE WORK, and the strucNre is not intended or oXered tor sale (Sec. 7044, Business antl Professions Code: The Coniractors Licensa Law tloes not epply to an owner of property who builds or improves therean, and who does such work himselt ar herself or t�rough his or �er own employees. Drovided ihet such improvemenis ere not intended or oRered for sale. If, however, ihe building or imprwement is sold within one year of compleuon, Ihe owner-builder will have t�e hurden ot DroNng ihet he or she ditl not 6uiltl or improve for purpose of sale.). ❑ I, as owner oi ihe property, am E%CLUSIVELV CONTRACTNG WITF1 LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Prolessions Cotle: The conirecrors Llcense Law does not appy ro an owner of properry who bullds or improves t�ereon, antl who contrecls tor such pmject with e contractor(s) license pursuant to ihe Conirectors License Lews.). ❑ I am exempt untler sac. Business entl Professions Cotle tor this reeson: Signe�ure: Date: Owner ID verifletl by drivefs license. ❑ Yes ❑ No Dnver's License No. Expires: Venfication of Ownership by (type of daumenL i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I �ereby certily thet no excaveUon Me (5) or more feet in Aept� into which e person Is requlretl to tlescenA, will be matle in connedlon wiN work aut�orizeG by tMs permit, entl t�e� no bulltling structure, swttoltling, talsework, or tlemolitlon or tlismantling ihereoi, wlll De more Ihan thlrty-six (38) Feet hig�. (Chap. 3.2, Grp 2. AM1 2, Sec. 341, Tltle B, Calilomia Admini5iretive Cade). ❑ As owner-builtler, I will no� employ enyone to tlo work w�ich wwltl requlre a permit Irom t�e D'Msion of Intlustrial Safery, as noted ebove, unless such person �es a permlt to tlo such work Irom the tliWsion. Signature: Date: Dlvlsion at IndusMel Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENfAV: I certity under penelty of perjury ihat I have reatl this application and state that tha information given is correct. I egree to comply with ell state laws end ciry ordinances relatlng to Cuiltling wnsiruction, end authonze representatives ol the Ciry oi Costa Mesa to enter upon the ehove-doscdbed pmperty lor inspectlon purpases. agree not to �upy or ellow occu ancy oi eny bulltling aNhorizetl by ihis permit untll tinal InsDection. . signemre of Lg ed � � D9 % ' / And/OrAuth ize Applice t � De FODE �. INSFECTIONTYVE Q�¢, �$ 1616 Fiaod System Finel Fire Preventlon 1268 200 201 202 203 Pool Spe Finel Finel Re-Rool Final BIaWRetalning Wall Finel Fectary Fire Place Finel Sign 204 Finel Demolition zaaese CODE � INSPECTION TYGE 206 Finel Mechenical 208 Finel Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Finel Plenninq Approvel 222 Finel Site 250 FinelBuilding/OcCupenCy �� l ij:fi'i1 .I�11