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Home My WebLink About3333 BEAR ST - Building Permits (85)� :.r,',,,j�,� .riY-.f.':+.-..' ..�.�.;r� .. Nnx;�;..-:..'„rf�;::`,'.rir..;��..s'r� .e.�. ��I `:��5„�,;;1'o-1,�-tL,..-F'".. ".f h'.N,,.,..--`� ^Y' ..,:.r t4.✓ti ,. o CI"�Y OF COSTA MT' ��A � Development Serv�es, Division of Building and Safety CERTIFICATE OF OCCUPANCY This cerNficate is issued pursuant to the requirements of the Uniform Building Code, Section 308 adopted by the City of Costa Mesa certifies thatat the Hme of its issuance the buifdingstructure herein below described was inspected and approvedforoccupancyasfollows:� ��-, � i �� . . �'��' . ... BuildingAddress 3333 Bear`�.St. St'e 710. i i BIdg.PermitNumber B07-00082 `- i Use Retail !(1,100 s.f.) ~ Group M Type of Construction OwnerofBuilding South Coast Plaza Address _ T ___. _.- 1--F R. ; ; .: .-u .�i�X�bii� Tenant � � Use Zone P DC � SIMONE PEARCHE 3315 Pairview •Rd.�, 6oata tdesa, CA 92626 . ., BUILDING OFFIC[AL-Klldrill Q. NgUj�@ri, CB.O. Date REQUIRED TO BE POSTED IN A CONSPICOUS PLACE 4 � ,lob /+dtlress: 3333 BEAR ST Status: ISSUED Suite: �-32z+�� Applied: 01/24I2007 Viciniry: Issued: 02R6/2007 Primary Occ: M Display/Sale Merchandise Type of Construction: I-FR ParcelNumber: 41249207 Zoning: �Tl� !l App�icane IRENE BENCOMO Address: 3195 AIRPORT LOOP DR � B Phone: 714.825.8888 X114 COSTA MESA, CA ,- � , - - - � Zip:_, 92626 � ISSUED BY: — _ ij'%.,- _ �. , � � � -" . � Owner SOUTH COAST PLAZA "- � � � Address %C J SEGERSTROM &.SONS � " ' ' �� COSTA MESA, CA � � �� Phone , � �� - � \ 3315 FAIRVIEW RD � ` �� i - — - Zip 92626' _ � � , j \ ��\� � p/.. � , / __ -� - _ �� \�� i . , �- �i � / �� Contracror: , "SUMMIT GENERACCONTRACTOR ` Address: %31716 SOUTH COAST HWY" � �� ' �- � , �� -� � �' � � - : .'i`-�%� Phone: 949-499-9700��\\ `_. ,"�. �,� � ,�\ , . � � LAGUNA-BEACH. CA �� ! / ` ��, - ' Zip: 92651-6974 �� License: 624235 �� .,��`\ � � nrch: MICHAEL�DAVIDROBINSON Eng: � Address: ' ROBINSON HILL ARCHITECTURE, INC i Address: - � , IRVINE, CA' . — , Phone: 949399-0880 -��- ' � � , 19762 MAC ARTHUR BL '� , �: � %" ' . � , Zip: . 92612. . . Licenae: "C20737' • '• , � . , ' , -' ' .. ' - � - - - ' � � SCOPE OF PERMIT ` 1,100 S.F. INTERIOR TENANT IMPROVEMENT FOR "SIMONE PEARCHE" W SPACE222-Z/Ii � i� � ��?hone: � License: �� ' _ - _ - FEE SUMMARY � � Plan Check: $509.44 'i' �` _,� �' " !'�' . -', � - �';Calc Valuation: ' s�o,000.00 Permit: $783.75 _ - - � �r' ?' • � � ' �-' �� • �� Claim Valuation: � ��.5�0,000:00 SMIP Res: $0.00 � � ^ - i SMIP Com: �' $14.70 � "� �� • �" � ,f. � ; � Other: $0.00 f�".. � -� � i - 'r �` � � G� ��, Inspection: $0.00 �' ,_ ; ' � s� h - - , f ' � � ; � , /, �� , i Total: $1,307.89 � l=,>/� � G � ; � %i%�� PLANNING & ZONING " , , SETBACKS- � ; �o i�. '- � ; ' , MAIN STRUCTURE Front; � 0-0 Rear ,�0 �0 �� ` Left .�0 Ot� �„ Right 0 0/ i � �� . . � � � '� i :"_.ro':<. J�_i� ' • ACCESSORY Front 0-0��--'� �Rear� 0-0� � � "�Left� 00 "' �-Right, �0-0 - - �'� , � , .. - i .. _ o� / i ; PARKING ��.� Existina 0 �\ ..� Re uired 0 ��, � � <- Br000sed � �0, . ,-s j � i;�l� ! �;�� , l � � �� . i '. � � � � ; ��. � 0� ` - _,` i % � �� .i A��i � / vi, / � �'.. `�;�� ;;. , _ . ,�_� _ " �\V' \,; � ,� , ,� � �.. / ,, � �, � , _ , �, �, ,, , ,., ,. � � v � �' �' :_ � - � _ ,�� ,,�,i. . ; ;,. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related regulations. (Ord. No. 92•28, § 1, 1241-92) 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. INSPEC710NS: In ortler for the work authorized under [his permit to be considered legal, such work must comply with all applicable codes, and ail required Inspections antl flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 'a46<B (6/00) WORKERS' COMPENSA710N DECLARA710N: � I hereby aHirm untler Oenalry of perjury one of the lollowing declaratians: ❑ I heve and wlll melntain e certificate at consent to seli-Insure lor workero' compensation, as proviCetl for by section 3700 oi �he Labor Cotle, tor the pertortnance ot the work for which this perml� Is Issuetl. ' .{]' I have antl wlll malntain workers' compensetion Insurence, as required by section 3700 oi ihe Lebor Gode, far the padortnance ot ihe work far which this pertnit I5 Issued. My warkers' compen atlon Insurance cerrier antl policy number are: �� l�� Carner. .`��I�l� �c� n i� PolicyNumbec (Th/s sectlon nee�d nof De comp/efed i! the permit ts veluetl at one hunared dollars ($7 ) or less.) � � ❑ I certify that In the peAortn$yCe of ihe work for which ihis pertnit is issued, I shall not employ any pereon In eny manner ao es to become subject to the workers' compensetlan lews at Cey�6mia, en g e Ihat'(I should become sub�ect ta t�e workers'.compensation provisions ol5ectlon 3700 01 the Labor Code, I shall forthwith Complywithihe �9T 9. � / Applitan� Signeture: ' Dete: WARNINO: FAILURE TO SECURE WOFI� S' CA�/ EN� TJ%� COVERApE IS UNLAWFUL AND SHALL SU�ELT AN EMPLOYER TO CFIMINAL PEWILTIES AND GVIL FINES UP TOIXJE HUNOflED iFIOUSPND DOLURE (5100.000�, IN AD ITION TOYHE COST OF Q'kAPEN5AT10N, DAMAGES PS PROVIDED FOR IN SECTION 3]O60F THE LPBOR CODE, INfEFEST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn that I en farce end eHect. Lic. N � Comrectors Signetura: of Chapier 9(commencing with Section 70g0}af Divlslon 3 of Ihe Busin�s and Proteulons Code, end my license is in full � Class a � G / Date: � � 7 CONSTRUCTION LENDING AGENCV: ❑ I hareby eflirtn that ihere is a conswction lending egenry tor the peAormance of ihe work tor which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: , I hereby aflirm that untler penelry oi perjury Ihei 1 em EXEMPT FROM 7ME CONTFiACTORS LICENSE LAW far the following reeson (Sec. 7031.5, Businass and Protessions Cotle: Any ciry ar counry which requires e pertnit to construcL aller, impmve, demolish, or repair any siructure, prior to its issuance, elso requlres Ue appliwnt tor such pertnit to tile a signetl statement Ihel he or she Is Iicensetl pursuent to t�e provisions of the Contrectars Llcense Lew (Chapter 9(wmmendng wit� Section 7000) ot Dlvision 3 af ihe Business entl Profassions Cotle) or thet he or she is eaempt Ihereirom end Ihe basis for the alleged eaemption. Any vloletion of Sectlon 7031.5 by eny applicant for e permit subjects the epplicant to e clvil penalry of not more ihan five hundred dollars ($500).): � ❑ I, es owner ot the properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business end PrWessions Code: The Contractors License Law does not appy to an owner of Oroperty who builOs or impmves thereon, end who does such work himself or heraelt or thwugh his or her own employees, provitletl that such impmvemenis are not intended or ottered lor sale. If, however, the building or improvement I5 sold wit�in one year of completion, the ownerbuilder will heve Ihe burden of proving that he or she did not builtl or improve for puryose ot sale.). ' ❑ I, es owner ol the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the praject (Sac. 7046, Business end Professions Code: Tha contreclors License Lew does not epply to an owner oi propeny who builds or Impmves thereon, entl who wntracts for suc� projed with a conirector(s) licanse pureuanl to Ihe Conlractors License Lews.). ❑ I em exempt under sec. Business antl Professions Cotle for this reason: Signawre: Date: Owner ID venfied by dnvers license. ❑ Ves ❑ No Driver's License No. Verificetion oi Ownership by (rype ol tlocument, I.e. - property t� 6ill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ � hereby cenity Ihet no eacavation tive (5) or more teet in depi� into which e person is raquiretl to descend, will be made in connectlon with work euthorizetl Dy this permit, anG ihat no builtling siructure, scaHoltling, falsework, ar demolition or dismantling ihereo�, will be more than Ihirry-slv (36) feet hig�. (Chap. 32, Grp 2, Art 2, Sec. 341, Title e, Celitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo work whic� woultl require a pertnit irom the Division ot Industrial Satery, es notetl ebove, unless such person hes e permit to do such wark irom Ihe divislon. Signeture: Date: Division ot Industnal Satery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfAV: I certify under penalry oi perjury that I have read Ihis eppliwtion and state Ihat the information given is correct. I egree to comply wlth all stete lews and ciry ortlinances relating to building consiruction, and euthodze representetives of the Ciry ot Costa Mesa lo enter upon Ihe ebove-descnhetl property for inspection purposes. I egree not to occupy or allow occupancy of eny building authorized by this permi� uniil finel inspaction. �I �•-c n ut�ad COUE �. INSVECTIONTYPE 7616 Fixetl System Final Flre Preventlon 1266 Pool Spe Final 200 Final Re-Root 207 Final8lock/Retaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demalition Owner(s) n...a:.e... / �g L�� CODE 1 INSiECf10N TYPE 206 Finel Mechanicel 200 Finel Plumbing 210 Finel Electdcal 212 Final Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 Flnal Building/Occupency Q� INf1ilAL3 c // w• (714) 754-5273 • Fax (714) 754-4856 • www.ci.coste-mesa.ca.us T/ FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 3333 BEAR ST Suite No J22'a //� Viciniry: Parcel Number: 41249207 Appiicant SSHANE OXLY ;�;�_%%"'�'� .'_� — . Address: - . i7 �' - - - - � i. ' y� ;_..- "�� Phone� 949-099-9700' . s" . Zip: - � � . �' ` / \ ,: , . ,_ , . . / owner. �SOUTH COAST PLAZA ' - ; i - Address: " %C d-SEGERSTROM & SONS - � - ' v , - - /�; COSTA MESA; CA �%�� ' Phone: � �� ' 3375 FAIRVIEW RD�:-/ Zip: 92626 / : � ,' \ % .'�/�� Contrecroc SUMMIT-GENERAL CONTRACTOR ,;Address:� 31776-SOUTH COAST HWY �, , � �'-, Phone:-,949-499-9700 ' LAGUNA BEACH, CA � Zip: •92651-6974 , ;' License: 624235" ;�`;' . � . . . _, � , . , � � � .� INSTALL 5 VENT FANS fOR'SIMI ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair/Alt CoolingMeat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU . Refrig Sys >100 k BTU � Gas Piping Faciory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appllance Fire Dampers " . . SmokeDampers -� Inst or Relocate Appl Vent, Air Handlers < 10000cfm Air Handlers > 10000cfm Stalus: ISSUED Applied: 02/26/2007 Issued: 02/26/2007 ISSUED BY: _� , v� �� .-.-' � PEE SUMMARY � ' �� Quanlity �� Quantity, 523.50 � � � � RepairlAltAbsorbtionUnit ,; $0.00 0 � S0.00 0� �`,f �,,,�_;' ' �',','_�Repair/AltRetrigerationUnit - � 50.00� 0 , , 50.00 � - 0 -� _ �-!' - • � � � - � �Ventilla(iomSystem �--� � , E0.00 0 - 50.00 0 -` � Evaporelive Cooler - . 50.00 - 0• $0.00 0 . Commerciallncinerator � £0.00 0 50.00 0� .�,� - Domestic Incinerator ; 30.00 0 . 50.00='0� . "-`ii �;ComnressoislAtisorolionSvstems t%; '- 50.00: '0 �'- ,�' _ , Up to 3 hp /-100 k_BTU , g0.00 0� , $0.00 � 0 " "- '- 3 To 15�hp / 500 k BTU 50.00 � 0� 50.00 0 15 70 30 hp / 1,000 k BTU ''. 50.00 0 $0.00 0 30 To 50 hp /.1,750 k BTU �� ' S0.00 �. 0 � 83625 5 Over 50 hp / Over 1,750 BTU � ,-` i�, �'S0.00 � 0 . 50.00 0 Boilers � � ," 80.00 0 ;�� r�-0:: ��'.UP to 3 hP ' � SQ00 �0 � 50.00 0 ,.;ii,`�' 3To;15hp .- . -50.00, 0 � - 50.00 0 , ,� 15 to 30 hp` „_ ii %� � 50.00- 0� ,�:-50.00 0 ' � � "'•,301o50hp',-',-;:..�:--., ;'i � �$0.00� "�0 -50.00 0 . �� - Over 50 hp'`� � � � 50.00 � 0 Floor Furnace - � ,; �SOAO. 0 � ,� � .,Olher Mechanical Fee �i /� /� � �: , Floor or Suspend Heater , ,�� , $0.00 -0 <` ;. � ; , lnvestigalion Fee _ �% /�" ` � �50.00 . �� Plan Check Fee �'��i �% i ' SO 00 � . �• , � ��. .� - ��ReinspectioniFee�� ,�A�i �.� /'�g0.00 . �� - � _ . . - - . � - " �t �� .:i /�. '/ ' � ��-, � � - _ TOTAI.CALCUCATEDFEES� 559.75 i .. � GVMMtN I J/ SPtGIAL GONDITIONS , j�% � �_ - , / � - `� � „ . . -�i , -/ 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) E%PIRATION: This permit shall automatically expire and become voltl if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for ihe work aulhorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 zaas-ee �eroo� WORKERS'COMPENSAnONDECLARAnON: I hereby aftirtn untler penalry of perjury one or the tollowing tleclarations: ❑ I heve and will maintaln a certifiwte of Consent to self-Insure for workers' compensation, as provided for by section 3700 of the Le6or Code, for ihe pertortnance ot the work tor which Ihis permit is issued. . ❑ I have antl wlll maintain workere' compeq�tion insurance, as requiretl by section 3700 of Ihe Labor Cotle, For the pedormance W �he work for which Ihis pertnit is Iuued. My workers' compensaiion Insurance cp�rier end policy num6er ere: / Cartier. Sffl`f'(= Fi� i7 � / PolicyNumber: �p� �� %/�Y(I % � (This section need not be cromp/eted i! the permit is veluetl a! one hundretl tlollars ($100) or lessJ ❑ I certify Ihat in Ihe performenca of the work for which Ihis permit is issuetl, I shall not employ any person in any manner so as to become subject to the workers' compensatlon laws ot Califo nie, and egree t iat 1 � should bacome sub�ect to lhe workers' compensation proNsions ot Section 3700 of ihe Lebor Code, I shall fonhwith comply with these provisi � s. Applicant Signature: � '\ Dete: G�/ % � WARNING: FAILURE TO SECUFiE WORKE ' COM NSAN COVERAGE IS UNIAWFUL AND SIiALL SU&IECT AN EMPLOVER TO C INAL ENALTIES AND CIVIL FlNES UP TO IXJE HUNDRED TNOUSAND DOI.LARE ($10p,000), IN ADDITION TO THE CqST OP CAMPENSATIQV, DAMAGES AS PROVIDED FOR IN $ECTION 3]OB OF THE LA60F CAOE; INTEREST, AND ATTORNEV'$ FEES. LICENSED CONTRACTORS UECLARA710N: I I hereby affirtn that I am force and eNect Lic. q_ � ConlrectoYs Signamre: of Chapter 9(commencing with 5�000) oi Division 3 of the 6usin� antl Professions Code, and my license is in full � Class # D / ��' Dete: i T� .dI �7 ' CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn that there is a constructlbn lending agency for ihe performence ot the work br which Ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). LentlaYs Name: Lendar's Atldress: Signature: OWNER-BUILDER DECLARATIONS: Date: 1 hereby aflirtn thet untler penalry of perjury tqet I em EXEMPT FROM THE CONTAACTORS LICENSE LAW br the tollowing reeson (Sea 7031.5, eusiness end Professions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repeir eny strudure, prior to its issuance, also requires the applicant tor such pertnit to file a signetl stetement Ihat he or she is licensed pursuen� to ihe provisions of the Coniractore License Lew (Chapter 9(commencing with Sadlon 7000) of Division 3 ot ihe Business and Professions Code) or t�at he qr she is exempt therefrom and the basis for ihe alleged exemption. Any violetlon of Section 7031.5 by any eDPlicant far a pertnit sub�ects the applicent to a civil penelry of not more than five �untlred tlollare ($500).): � I, es ow�er of ihe property, or my emplpyees wltb wages es ihelr sole compensation, WILL DO TME WOHK, antl the stmcWre is not intentletl or ofleretl for sele (Sec. 7044, Business and Professions Coda: The Coniractors License Law tloes not apply to an owner of properry who builds or improves ihereon, and who does such work himself or hereelf or through his or her own employees, pmvided that such improvements are not imentled or ottered tor sale. tl, however, Ihe building or improvement is sold within one year of completion, ihe ownet-builtler will have ihe burden of proving that �e or she did not 6uild or improve tor puryosa of saleJ. ' ❑ I, a5 owner of Ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projeCt (SeC. 7044, BuSinesS entl Profe55ion5 Coda: The coniractors License Law doas not epply to an owner ot propetly who builds or improves thereon, and who contrects for such project with a contractor(s) license pursuent to Ihe Comractors Licanse Laws.). ❑ I am ezempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver5liCense. ❑ Ves ❑ No Drivels License No. Verification oi Ownarship by (type of documenL i.e. - property tau 6ill or deed): Expires: DIVISION OF INDUSTRIAL SAFE7Y PEFiM1T CERTIFICATION: ❑ I hereby cenity that no excavetion tive (5) or more teet In tlepth into which a person is requlred to descend, will be mede in connedion with work authorized by this pertnit, and that no building simcNre, scaffoltling, falsework, or demolition or dismantling ihereof, will be more then thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Atlministrative C�e). ❑ As owner-builder, I wlll not employ anyone to tlo work which woultl require a parmit from ihe Division of Industriel Safety, es noted above, unless such person has e permit to do such work irom the division. Signature: Date: Division of Industnal Satery Permit Numbar: CEFi71FlCATE OF COMPLIANCE AND AUfryORPJ1TON OF ENTRY: I cenify under penalry of perjury Ihat I �ave read this applicalion and state Ihat the information given is correct I agree to comply wilh all stete laws ena ciry ortlinances relating to building const�uciion, and authorize representatives ot the Ciry oi Costa Mese to enter upon �he ebove-described propetly tor inspection purposes. I eqree not to occupy or ellow occupency of any building amhorized by this permit until finel inspection. COOE t. INSFECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roo�. Final BIocWRetaining Well Flnal Fectory Fire Place Final Sign 204 Final Demolition (5) � � 30� J�g f� CODEt INSPELTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electnwl 212 Final Fire Prevention 220 Final Planning Approval 222 Flnel Site 250 Flnal Building/Occupancy Q�� /� ,r1 � -O% 1LJJ` __ Job Address: 3333 BEAR ST Suite No �2i2y o7� (� Vitini�y: Parcel Nunmber: 41249207 App�icant: SSHANE OXLY Address: - � �Phone: 949,499-9700 , � . ��//�>! /�1Zip -� " _ _ - ' y . ' _� / ,: , " -' 1= - _ . ' Ownec SOUTH COAST PLAZA � Address %C,J SEGERSTROM & SONS - �. - --. ^ - ; COSTAMESA`„CA�, �;, .�. �-;Phone...-.� /; , �3315=FAIRVIEW RD � � � 'Zip. � � 92626 ' 'i . � ; �� i:, Contractor. �SUMMIT'GENERAL CONTRACTOR - Address: 31716 SOUTH"COAST HWY � � "' � � Phone:' 949-499-9700 � LAGUNA BEACH, CA Zip: '92651-6974 � � License:624235 ; .�' Staws: ISSUED Applied: 02/26/2007 Issued: 02/26/2007 � _ �� i � � ; _"i '", • SCOPE OF PERMIT � - � � ; INSTALL 61 FIXTURES, 30 OUTLELTS, 3 SWITCHES AND 1 ELECT-SERVICE(200 AMP) FOR 'SIMONE PEARCHE" STORE TI, RE:607-00082 - ' " ��' � . . � �:, ISSUE FEE � Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fizls ' � Recept Outlets . • Switches Non Res Appl , Res Appl Service to 2002, Service to 1000a . � Service over t000a Motors to 1hp � Molors to 10hp � , Motors to SOhp . Motors to 100hp _ � Motors over 100hp � A ' i, Communicalion drops�� Sub panel to 200a � . ,' Pole Light Pkg � � � Sign Circuiis Temp Pwr Pole � Intermed Pole \, , � _ FEE SUMMARY V ` � ' Quanlity � ;� - - " � -: �-..v� •r,�-,�� -j.� r„-:. ; � V Quantityi � - � 523.50'� � � �;:_`' ;'TempDistSystemXLighting , 50.00 0 ` ' - 50.00 . � �- - _. _ . �Busway I100 ft - ' $0.00 0 ; ' � 50.00 •. Standing Section� :.� � 50.00 0'. 30.00 � 0 ?�^� Misc Electriwl Equipment 50.00 0 ' � i $0.00 ,..� 0 �._;��^� '. - Transforrtfers up-to'.t�kya/kw�, $0.00 0 � f . - � , , $0.00 . . 0-..-=.---� I-.�..t....:....upto�l�Okda/kw ; 50.00 0 7'�,� . - . $51.93 , � �. 61 - - �- � - '�• ... ".........�:up,to 50 kva/kw � $0.00 0 f� - , 529.30 30 , up to,100 kva/kw $OAO 0�„' ; � $3.30 � 3 .......... �E:.over700kva/kw �_ $0.00 0�',, , i�� , $0.00 0 LowVoltage'Equipment �$0.00 0�� , ---r� � $0.00 0 Low Volt Wiring System / Ckt ;$0.00 -.0� �� ' ' $30.50 1 T, ,��.�.Misc.,Conduit �$0.00 �' Oi � � � $0.00 0 _;;,r-'t-�'.. Misc: Conductor �$0.00 '� ��0 . � � � $0.00 0 ��";"< '��' � Clrws (gen or,ride) �$0.00' ;��%0 ` ,� i�� '-$0.00 0 � � Circus (mech ride'�or lights) _ 50.00- j 0, " 50.00- • 0- �.�" , Christmas Tree Standl r`=.`c ""50.00' 0 � i 50.00�� 0 > FireworksSland - � ;50.00 .- 0 ' SO 00 _� �A 0 � � � ,�Other Electrical Fee � ",j,$O.00�i � . �� $�.�0 � � �� 3 � � ' ' - l ��/ �/ �� i �� . $0.00�- �0��_� � ;InvestlgatiomFee, ��"� �g0.00.��`�J��i �� $0.00 �-�r__ ; , 0 �� _ _ � , _ Flan Check Fee: ' � , �� ;$0 00� �� /� � $0.00/ % �0-�. - _. .Reinspection�Fee ', � �50.00 ��.-'' �$0.00. ' 0 ' _ �-- � �� .' : i"� ��$0:00 � '0 -� � �/�� -- ,TOTALCALCULATEDFEES E138.53"�j� -$0,00� � p ,� , . � - � _ . /, �, _ � � _� � , � � _ . ��U �= - " . �/ . � _ _ COMMENTS / SPECIAL CONDITIONS' NO710E: The work authorized by this parmit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is susperWed or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe wo�c authorized under this permit to ba consitlered legal, such work musl comply with all appticable codes, and a11 required Inapeetlona and final epprovel must be obtained. Failure to obtain inspections and final approval vnll result In the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754562fi 244&/6 (fi/00) WORKERS' COMPENSATON DECLAfiAnON: I �erehy aHirtn under penalry of perjury one of the following tleGaretions: ❑ I heve end wlll meintain a cerllficale of consent to seli-Insure for workers' compensatlon, es provitletl for by sectlon 3700 of the Lebor Code, for ihe pertormance of ihe work tor which ihis permit is IssueA. ❑ I have and wlll meintain workers' campensatlon insurance, as requiretl Dy sectlon 3700 of t�e Lebor Code, tor the peAortnance of Ne work far which Nis pertnit is issued. My workers' compensalion Insurance wnier and policy number are: l _ Certiec permit is va/ued at one hundred dW/ers ($ iQ7J or less.) Polity Number: % ❑ I cenity that in the peAortnance of Ihe work for which this pertnit is issuad, I shell not employ eny peroon In eny menner so as to become subject to the workers' compensetion laws ol Calil le, antl agrea that i� �aultl becrome sub�ect to the workers' pensallon provisions of Section 3700 oi Ihe Labor Co�e, I shell forihwith comply with these proNs s. y - Applicent Signature: Date: �/7� / �L WARNING: FNLURE TO SECURE WORKER ODM TIdJ COVERAGE IS UNLAWFUL rWU SMALL SU&IECT AN EMPLOYER TO CWMINAL PE T1E5 AND CML FlNES UP Tb ONE HUNDRED TMOUSRND OOLLARE (5100,000), IN MDITI TOTHE COST OF dJMPENS4TI0N, DPhNGES AS PROVIUED FOR IN SECTION 3/O60F THE LABOR CODE, INfEREST, AND ATTIXiNE'f5 FEES. LICENSED CONTRACTOHS DECLARATON: I hereby efflrm Ihel I em Ilcensed untler ro�vl lons of Chepter 9(commenr.ing with SeclioR 7000) ol Dlvision 3 of the Busln§} s and Prolessions Code, and my Ilcense is in full lorce end ettecl. Lic. a �n Zf'l Z�i/ � � Class a LS Contrador'sSigneWre: \ y/ Date:��L(�fj�7 CONS7RUC710N LENDING AGENCY: . ❑ I here6y eHirm thet ihere Is e construction lending egency for ihe pedormence of the work far w�ich this parmit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Neme: LenAer's Atldress: SipneNre: OWNER-BUILDER DECLARATIONS: Date: I hereby aflirtn ihat under penelty of per�ury ihet I am E%EMPT FROM TME CONTRACTORS LICENSE LAW tor ihe following reawn (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit to constmc6 alter, improve, tlemolish, or repeir eny structure, prior lo Its issuance, elso requires the ap0��nt for such permit to file a signed statemenl ihal he or ahe Is Ilcensed pursuant to the provislons Oi ihe COntrettors LiCense Lew (Chepter 9(commencing wilh Section 7000) ot Divisian 3 af ihe Businass and Professions Cotle) or that he ar she is exempt therefrom end the basis for the elleged exemption. Any violation of Section 7031.5 by any applicant for a pertnfl subjecis ihe appllcant ro e dvll penalry of not more than tive hundrad dollars ($500).): ❑ I, as owner of the property, or my employees with wages es iheir sole compenution, WILL DO TME WORK, antl the strudure is not Intended or oHeretl for sale (Sec. 7044, Business end Pmfessions Code: The Contractors License Law tloes not apply to an owner of properry w�o bulltls or improves thereon, and who does such work himself or herself or �hrough his or her own amployees, provitled that such improvemenis ere not IntenAetl or oHeretl lor sale. H, however, the building or impmvement is sold wil�in one year of completion, t�e owner-builder will have ihe burden oi proving ihat he or she ditl not �uild or improve for purposa of sale.). ' ❑ I, as awner af the propetly, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to consiruct t�e project (Sec. 7044, Business entl Professions Cotle: The contrectors IJcense Lew tloes not apply to an awner at pmperry who builtls or Improves thareon, and who contracis lor such pmject with a contrecior(s) license pursuant to the Coniractors License Laws.). ❑ I em e:empt unAar sec. Signature: Owner ID vanfled by dAvers license. ❑ Ves Vedlicelion ol Ownership hy (type ot tlwument, i.a. Business and Pmlessims Gode tor Ihis reason: ❑ No Drivels License No. property tae 6ill or tleetl): DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION: Oata: Expires: ❑ I hereby certify Iha� no excevetlan tive (5) or more fee� in depth into which a person is requlreC to tlescend, wlll be mede In conneclion with work authorized by ihis pertnit, antl that no builCing siructwe, scaHolding, falsework, ar demolition or tlismantling Ihereoi, will be more ihen thirty-six (36) faet high. (Ghep. 32, Grp 2, Art 2, Sec. 341, Tille 8, Celifomia Atlministrative Coda). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a pertnit from t�e Division of Industriel Sefery, es noted ebove, unless such person hes e permit to do such work irom the division. � Signelure: Date: Division of Industdel Safery Pertnit Number. CERTIFIGATE OF COMPLJANCE AND AUTHORIZA710N OF EMAY: I certify untler penalty of perjury that I heve read this epplication entl state that the information given is correct. I agree to comply with ell stete lews entl ciry ordinances relatinq to builtling consiruction, end authodze representatives ot ihe Ciry oi Costa Mese to enter upon �he ebove-descnbed praperty for inspection puryoses. I egree not to occupy or ellow occupancy of any building authonzed by this pertnit until finel inspection. I Si n re Oi Legal Owner(s) Date [.� v�z/e� 7 � ��7. rAuthorizedApplicent � Date COpE t. INSPECTONTYGE Qejj INTITI�LS 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roat 201 Finel BIaWRetaining Well 202 Finel Fectory Fire Place 203 Final Sign 204 Final Demolition COOE� INSVECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 270 Final Electrical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final BuildinyOccupency Q�g INf1iI�L3 X �� Job Address: 3333 BEAR ST Status: ISSUED Suite: 210 Applied: 01/11I2007 Viciniry: SPACE 320 Issued: OZ26/2007 Primary Occ: M Display/Sale Merchandise Type of Construction: Parcel Number. 41249207 2oning: Applicant: BOWERS, JOHN .,. Address: Phone: 714-883-5172 - ' _ �� zi � ' . ISSUED BY: ; � i_ _ P� ".. -� -. Owner: SOUTH Address %C J SEC ntractor:, /�SNEDEN AND �ddress: /1306 E EDINGER f , ' - SUITE C ;�/ �%;- , �,,.�r,. ,,.�......-�- � �//�-/ _- .-.- " '-,-..„ � ` _`\ aZA' � - j �'� >ONS � �� I ' . � �� 1 , Phone:� ' 'i . , . ��• � .�� ,� � �� _� Zp,.: 92626. � ' -� - �� /.� .�� . . , '.,� ��A . -� . JERS INC-' ��- � �'� � • � - A.�. .. Phone: 714-838-4112 � , . �.t - � � License: 811856 �, � �; � , . A :A � ,�Arch :� TIM DOSS=/ Eng: Address: �5154 SIERRA RD � . Address: � ' � ! ' - � '// ��'�. - - � � Phone: 714728-7284 � , . „ �, ��-� SAN�BERNARDINO,CA'. �,��,�-: -. "� � � Zip:- ',: �%� . � � � � License ,� C23447' - ' _ . __ � . _� il�i„:; r .�� .�.;(7 ' _ �-• . �� ; �-_ �" i � �- - � � • f. !`DENIOLISH STORE FRONT FOR SPACE 210. �; `� �%� i' ' ' - _-_ ' , � Plan Check: ,; _," $81.41 j� /�' %"'� � �' � Permit: ' $125.25 � �= �� y ``6„ SCOPE OF PERMIT � Phone: � � `License: \\„ ., ' FEE SUMMARY � n'_�� ,' ,�, ,, %�-; ;�CalcValuation: � - ` - - `" • �"' ' - Claim Valuation: SMIP Res; $0.00 \ - SMIP Com'. $1.26 �'�' - � Othe7: $0.00 � �`_ w�ti . - _ % j � . , �,� , Inspection:"�' $0.00 - �_ - _ ' - � _ j � / - / i J � �` �Total: ��`� � $207.92 � �� /% . �,�A� \t �_., i cr__`p ss,000.ao ss,000.00 SETBACKS� � � � � ,-;,� � ' �fF�_� MAIN STRUCTURE Fr nt `Oi 0 Rear 0� O�i.� - Left '-0 0� Right 0 0 ji ,! '' \\. � ��2 :.�� . ,. ; ,� �i , ACCESSORY " Front� 40.� ��''" "vRear 0-0� "-Left 6-0 �'�� Right -0.0 �- \ \ �/� �;�0� . . . - _ . PARKING ti��`� Existina:i) 0�� Reuuired 0�_ a Pr000sed: ��0 �j � ��`�� ,� '' " . :jA ` �i �\ � �� , i ��A� �i�� ,_ � ti.�_, ' ., i�.,' �;�� i � • �• �`� � �'� ��/� � .i � � , . ' � �� ." ' ' �� <� ,��il�-� �� :. -, -`1 ij�/'i � / \�7�\ �"/.:�.. . . -' ' ' ' � /, / \ � �� _, �'/. _ -iiJ.CJ!/'-�i: , NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related ragulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for e 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 requlred inspectlons end tinal epprovel must be obtained. Failure to o6tain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 24dBd8 (BI00) r , WORKERS' COMPENSATION DECLARA710N: I hereby aKrm under penalry ot perjury one ol the lollowing tleclarations: ❑ 1 �ave antl will maintain e certificate ol consent lo self-Insure lor workers' crompensation, as provitled for by section 3700 of the Lebor Code, lor the pertormance ot t�e work.forwhich �his permit is issued. , ❑__ I have and will mainiain workers mpansation Insurence, es required by secUon 3700 0l Ne Labor Code, for the pertortnance ot Ihe work Por which ihis pertnit is issued. My aco ers' compensation Insur ce cartier tl policy number ere: -7 �j 'Car�ner � ' /i `/—f �—P� �Number: � • O ��p� �''O'� �2 � -(fhis sectian neetl no! be cromple(e i! fhe permit is velued ef one hundred dollars (5/00J or less.) � ❑ I certity that in Ihe partormance af the work tor whjph ihis pertnit is issued I shall not employ eny person in any manner so es to 6ecome subject to the workers' compensation laws ol IHo ia, end egrae tha Pl should become sub�ect to the workers' compensation provisions of Section 3700 0l ihe Lebor Code, I shall forthwith comp�it wesep sio . Applicam SignaNre: Date: � �� WAPNING: FNILURE TO CUFE WORKERS' COA1P SATION CUVEMGE IS UNLAWFUL AND SMALL SUBIECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FlNES UP TOOfJE MUNpRED i!N%15PND DOLLARE 00.000). IN ADDfiION TO TME CO6T OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3106OF TME UBOR CODE.IMEREST, rWD ATTOqNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn that I am li�^ setl under roNsi ol Chapter 9(commencing with Section 7000) ol Division 3 0l the Busin�j and Professions Cotle, end my license is in full force and ettect..Ua A S�S �� S� � Class a�{) � I• Contrectors�Signeture: l _ Date: _ �CONSTRUCTION LE�G AGENCY: ❑ I hereDy attirm at there is a consimclion lending agency for the pedormence ol the work for which ihis permit is issuad. (Sec. 3097, Civil Code). Lentler's Name: Lentler'S Address: SignaWre: Date: OWNER-BUILDEH DECLARATIONS: I hereby aHirtn that under penalry ot perjury ihat 1 am EXEMPT FROM TME CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a pertnit to consiruct, elter, improve, tlemWish, or repair any simcture, prior to its issuance, also requires the epplicam tor such permit to tile e signed stetement Nat he or she Is Ilcensed pursuant Io Ihe pwvisions ol the Contractors License Law (Chapter 9(commericing with Sectlon 7000) ol Dlvlslon 3 0l the Business and Pmfesslons Cotle) or ihat he or she is ezempl therefrom entl Ne basis for Ihe elleged exemption. Any violetion of Section 7031.5 by eny epplicent lor e permit sublecis the applicant to a civil penalry ol not more Ihan five huntlretl dollars ($500).): ❑ I, as owner of ihe property, or my employees wlih wages es t�elr sole compansation, WILL DO 7HE WORK, and ihe siructure Is not Intendetl or oMered for sale (Sec. 7044, Business and Pmlessions Catle: The Conirac�ors License Law does no� apply to an owner of properry who builds or Improves ihareon, and who doas such work himsetl or herseN or through his or her own employees, provitled that such improvements are not intentletl or oHered for sale. H, however, ihe building or Improvement is sold wilhin one year of completion, the owner-builtler will have Ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). ' ❑ I, as ownar of the property, em EXCWSNELV CONTRACTING WITH LICENSED CONTFiACTORS to construct iha prqect (Sec. 7044, Business and Professions Cotla: The coniractors License Law tloes not eppty to en owner of pmperty wha builds or imprwes thareon, and who coniracts for such pro�ect with e contrector(s) license pursuant to the Contractors Licensa Lews.). ❑ I am exampt under sec. Business antl Professions Code lor this reason: Signature: Date: Owner ID venfietl by tlriver's license. ❑ Ves ❑ No Drivers License No. Vedtication of Ownership by (type of tlwumem, i.e. - properry tex biil or deed): DIVISION OF INOUSTRIAL SAFETV PERMIT CERTIFICATON: Expires: ❑ I hereby cenity that no excavation flva (5) or more feet In depih into which e person is required to descend, will be mede in connection with work euthotlzed by this pertnit, end that no building slructure, scaffoltling, felsework, or tlemolitlon or dismantling thereot, will be more than thirty�six (36) feet hiqh. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, Califomia AtlmlNSlretive Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit Irom the Division of Industrial Sefery, as noled ebove, unless such person hes a pertnit to tla such work Irom the divl5ion. SignaWre: Date: Division of Industrial Satety Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORI7ATON OF ENTAY: I certity under penelty of perjury that I have read this application end stete lha! the informetion given is wrrect. I agree to comply with all stete lews entl ciry ordinances relating to building constmction, end authorize represen�atives ot ihe Clty ol Coste Mesa to enter upon Ihe ebove-descnbed property for inspection purpases. I egree not to occupy or ellow occupency of any builtling authorized by this permit uNil linel inspection. cooe"• INSPECTIONTYVE 7616 Fiaetl System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demdition . Qd¢, �¢ �1p� INSPECfIONTYPE 206 Final Mechanical 208 Final Plumbing 210 FinalEleciriWl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy �F 0 . u