HomeMy WebLinkAbout3333 BEAR ST - Building Permits (83)�
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� '�'I'Y OF COSTA 1V� :�SA c
Development Services, Division of Building and Safety
CERTIFICATE OF OCCUPANCY
This cerHficate is issued pursuant to the requirements of the 2007 California Building Code, SecHon 110 adopted by ,
the City oE Costa Mesa certifies that.af the time of its issuance the building structure herein below described was
inspectedandapprovedforoccup na cyasfollows:
BuildingAddress �L=Z����t�� BIdg.PermitNumber BC11-00086
Use Commercial
Group M Type of Construction ` I'A Fire Zone
OwnerofBuilding SOuth Codst PldZa
Address c/o B J Segerstrom & Sons,
Use Zone
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� Tenant _FChico �„8
3315 Fairview Rd., Costa Mesa, CA 9262
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BUILDING OFFICIAL-KI1dTlll Q. NgUyet'l�, C.B.�.
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REQUIRED TO BE POSTED IN A CONSPICUOUS
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CITY OF COSTA MESA
��'ipMFq BUILD/NG DIVISION
rY�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
'"'�""' PERMIT NUMBER: BC11-00086
PERMIT TYPE: B COMBO
Sub Type: COM ALT
�os aooReSS: 3333 203 BEAR ST CM
STATUS: ISSUED
DATE ISSUED: 04, 197I2011
ISSUED BY: ���
Suite/Unit: 203
APN: 41249207 Zoning: , , �
Vicinity: SPACE 203 Primary Occ:
Const Type: I-A SQ. FT: 2964 Valuation: $225,000.00
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SCOPE OF WORK: 2,964 SQ FT TENANT IMPROVEMENT FOR "CHICO'S". SCOPE OF WORK TO INCLUDE: PARTITIONS,
CEILINGS, LIGHTING, FIXTURES, ETC. MISC MECHANICAL AND ELECTRICAL WORK . NO PLUMBING WORK. MECHANICAL
TO INCLUDE: ALTER DUCT WORK / 2- ZONES. ELECTRICAL TO INCLUDE: 80 LIGHTS, 20 OUTLETS, 3 SWITCHES.
OWNER: SOUTH COAST PLAZA
CA
Phone:
APPLICANT: SMITH, JAMES
Phone: 949-582-3735
cON7fsnC70R: CEDARS ENTERPRISES
Phone: 714-685-0775
Cell:
ARCHITECT: SHREMSHOCK ARCHITECTS, INC
ENGINEER:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
Address: %C J SEGERSTROM 8 SONS
City/Sfate/Zip: 3315 FAIRVIEW RD
Address:
Ciry/State/zZip:
License No. 650785
Address: 18757 TURFWAY PARKUnit:
City/Slale: YORBA LINDA, CA.y
License No.C27005
License No.
$275.24
$1,693.75
$145.10
$50.90
$23.50
$0.00
$47.25
$9.00
52,244.74
'Monday thru Friday • 7:00 am thru 7:00 pm. Saturdays• 8:00 am thru 8:00 pm.
UniL COSTA MESA,
Unit: :
ZipCode 92886°
PHONE:
PHONE:
- Sundays and the following Federal holidays:
::
NOTICE: The work authorized by lhis permit shall comply vnih all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EJ(PIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order (or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final appraval must be obtained. Failure to obtain inspections and fnal approval will resull in the expiration of this permit.
GOUEt, INSPECiIONTYPE �� INiRIALS COOE� INSPELiIONTYPE �/ �ATE IN� n� n
1816 Fixetl System Final Fire Prevention 206 Final Mechanical /��rL_ WL l.� 6ll �
1268 PoolSpa Final 208 Final Plum�ing +x � �_�Z �� �.�
200 Final Re-Roof 270 Final Electnwl
207 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site �/ /� I�
204 FinalDemolition 250 FinalBuilding/Occupancy /y �O^`I"lI Y�hJ�
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WORKERS' COMPENSA710N DECLARqT10N: •
I hereby aKrm under penalry of perjury one of Ihe (ollowing tleclaralions:
❑ I have and will maintain a certifcate ot consent Io sel6lnsure for workers'
com ensation, as pmvided for by section 3700 of the Labor Cotle. for the
ormance of the work for which Ihis permit is issued.
I have antl vrill maintain workers' compensation insurance, as required by
secibn 3700 ot the Labor Cotle, ta the pedormance of the xork tor v.hich Ihis
pertnit is issuetl. My rs compensation Insurance carner and policy
number are: � r �^ , n
erri . � � � vFi
(Thissecfionneetl e pe�eddfnepe.mp�valuedarmenundreddoNarsf5i00)alessJ
Er: / �T�%CJQ �T�i-' �'����
❑ I certify that in the pedormance Of [he vrork for which this permit is
issued, I shall not employ any person 'rn any manner so as ro become subject
lo the work�per�ae ion 5_of1' li(omia, and agree that if I should
become sub' o Ihe cers' compensation provisions of Section 3700 of
the La ode, I shall � h comply with these provisio
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C95ignaNre �ate.�'.�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF 7HE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions o( Chapter 9(commencing
with Section 7000) of Division 3 of the E3usiness and Professions Code, antl
my license is in full force antl eHect.
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CONSTRUCTION LENDING AGENCY:
❑ I hereby atfrm Iha[ there is a consiruction lending agency fw the
pertortnance of lhe work !ar wfiich this permit is issuetl. (Sec. 3097, Civil Cotle�.
Lender's Name:
Lentler's Address:
SipnaWre Da�e
OWNER•BUILDER DECLARATIONS:
I hereby aHirm ihat under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or [he follovnng reason (Sec. 7037.5.
Business antl Professions Cotle: Any city or counry which requires a permit to
construct, aller, improve, demolish, or repair any sWCWre, prior to its
issuance, also requires the appliwnt for such permit to file a signed statement
that he or she is licensed pursuant to the pmvisions of the Comractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or tha[ he or she is exempt Iherefrom antl
the basis !or the allegetl exemption. Any violation ot Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of nol more Ihan
fve huntlred dollars ($500).):
0 I, as owner of the property, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and the strucWre is not intended or
ofleretl for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, Ihe building or improvement is sold within one year of
completion, the owner-builder will have the burtlen of proving ihat he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces nol apply to an ovmer o/
property who builds or improves Ihereon, and who contracls for such project with
a cantractor(s) license pursuant lo the Contractors License Laws.).
❑ I am ezempt under sec.
Business and Professions Code for this reason:
SignaWre
JOS]J6 (3/Ol)
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Ovmer ID verifed by tlriver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property laz bill or deetl�:
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby ceAAy that no excavation (ve (5) or mwe feet in depth into wfiich a
person is requi2d [o descend, will be made in connection with wnrk authorized
by this pertnit, and that no building sWCWre, scaHdding, talse�wrk, a demolition
or tlismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, TiUe 8, Califomia Administ2tive Code).
❑ As ovmer-builCer. I will not employ anyone to do vrork whicn would
require a permit from the Division ot Intlustrial Safety, as notetl above, unless
such person has a permit to tlo sucb work from tbe division.
Appl¢anfs SignaWre
Division of Industrial Safely Permit Numbec _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant neetl to file and
certify a Business Plan for emergency response lo release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 oi [he Califomia Health and Safery Code requires. with some
exceptions. that a Business Plan De filed with the Costa Mesa Fire
Department by every business vfiich has at any one time tluring a reponed
year a quantity of hazardous materials equal ro or greater Ihan a weight o!
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard lemperawre and pressure).
2. Does or will the applicant or preseN or tuture building occupant need to file
a registration fortn for acutely hazardous materials? ❑ Yes ,❑ No
(Seclion 25533 0/ the Califomia Health antl Safely Cotle, with some
excepiions, requires registrdtion with the Costa Mesa Fire Department by
each business which at any one time �as on hantl a quanlity of awtely
hazardous matenals equal to or greater Ihan a weight o/ 500 pounds, or a
volume of 55 gallons, or 200 cubic teet o! compressed gas at standard
temperature and pressure�.
3. Does or will lhe applicant or present or future huiltling occupant need to
prepare an RMPP (Risk Management and Preven�ion Program !or acutely
hazardous malerials)? ❑ Ves ❑ No
(Section 25534 of the Cali(ornia Health and Safety Code provides that the
Costa Mesa Fire Department may require lhe preparalion, certifca[ion an0
fling with Ihe Fire Department of an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. I! an RMPP is presently required, has Section 25534 0( the Califomia
Health and Satety Cotle been fully complied wilh? ❑ Yes ❑ No
5. Does or will the aOPliwnt or present or fuWre building occupanl require (or
the vrork which is [he subject of this application a permil for such consWction
or modifica�ion from the South Coast Air �ualiry Management District or from
any other air pollution conirol district or agency? ❑ Yes ❑ No
(Sectbn 658502 0( lhe Califomia Govemment Cotle requires Ihat the requested
infortnation be fumished on applicatbns (a noo-residential builtling permits).
6. Will any part o( Ihe (acility to be constructetl untler this permit be within
1000 feet from Ihe outer boundaries of a school? ❑ Ves ❑ No
Qf 'yes", the faciliry must meet the requiremenl of Seclions 25534 and 42303
of Ihe Califomia Health and Safety Code).
7. If a permit fmm the South Coast Air Quality Management District or other
air pollution control districl or agency is required for the v.ork which is the
subject o! this application, have all o! the disclosures prescnbed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of compliance from the appropriate air polWtion
control oflicer).
CERTIFICATE OF COMPLIANCE: I certify lhat under penally of perjury the
information given above is correcL I agree 10 comply with all stare laws and
city ordinances regartling Hazardous Materials and Emissions.
CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and sta[e that
the information given is correct 1 aqree to comply with all state laws antl city
ordinances relating to building wnstruction, and authonze represenlatives of
the Ciry o� Costa Mesa to emer upon the above-described property for
inspection purpose ot to occupy or allow occupancy of any building
authorized�b pertnil until final inspection.
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