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Home My WebLink About3333 BEAR ST - Building Permits (81)vi �p; O�p MFS 4 9 0 ) . � h � C J A %�� ,+ ,� : ,.. P..ERMIT TYPE: Sub Type: ?; i JOB ADDRESS: APN: 47249207 Vicinily: Const Type: I-A CITY OF COSTA MESA � BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaw.aov FOR INSPECTIONS CALL: (774) 754-5626 B COMBO COM ALT 3333 202 BEAR ST CM SQ. FT: PERMIT NUMBER: BC12-00161 STATUS: ISSUED DATE ISSUED: 03/27/2012 ISSUED BY: • KJB Suite/Unit: 202 Zoning: , , Primary, Occ: 200 � ' Valuation: • $80,000.00 . � SCOPE OF WORK: 2,000 SQ FT T.I. "MARTIN LAWRENCE GALLERIES", DEMOLITION OF THE EXISTING INTERIOR INIPROVEMENTS EXCEPT STOREFRONT. CONSTRUCT NEW INTERIOR INCLUDING; FLOORS, CEILING, PARTITIONS, 3 VAV BOX, 192 LIGHTING FIXTURES, 35 OUTLETS, 16 SW ITCHES, 19 COMMUNICATION DROPS, 1 200 AMP SUB PANEL, 2 10 KVA TRANSFORMERS, 1 PTRAP, 1 KITCHEN SINK, 1 WASTE AND VENT, 2 WATER HEATERS, 1 WATER PIPING .' {' OWNER: SOUTH COAST PLAZA Address: qoC J SEGERSTROM & SONS Unit: COSTA MESA, CA Phone: Ciry/State/Zip: 3315 FAIRVIEW RD APPLICANT: SIEBERT, PHIL PFione: 949-361-0111 173', CON7RACTOR: HURSTANDSIEBERT Plione: 949-361-0111 Cell: :I.'t ARCHITECT: PAUL J RUFFING, AIA ENGINEER: COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: ElecVical Fees: ' Mechanical Fees: FlUmbing Fees: SMIP Residential: ' �SMIP Commercial: 81iig Sld Admin Fund TOTAL FEES: � Address: City/StatelzZip: - License No. 622681 Address: 2377 SO EL CAMINO REALUnit: Ciry/Stale: SAN CLEMENTE, CA License No.C4264 License No. $138.74 $653.75 $297.61 $55.45 $82.30 $0.00 $16.80 $4.00 $1,448.65 thru Friday • 7:00 am thru 7:00 Om. Saturdays- 9:00 am thru 8:00 pm. Unit: : • SUITE 103 ~ . ZipCode 92672 PHONE:949-660-8062 PHONE: 'ER CMMC Sec. 13-279 - Sundays and the fotlowing Fedcral holidays: r� NOTICE: The work authorized by this permit shall comply with all appliwble handicap access requirements under Califomia statutes and related �{egulations. (Ord. No. 92-28. § 7, 72-21-92) �EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 7NSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must compty with all applicabie codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and flnal approval will result in the expiration of this permit. ��, INSPECTIONTYPE �L I�q4$ �ODEt �NSPEC110NiYFE � Q� INTRIRLS 1�t6 Fixed System Final Fire Preventlon 206 Final Mechanical �/�� j � �I,�6 Pool Spa Final � 208 Final Plumbing � '-' � �' ¢00 Final Re-Roof 270 Final Elecirical 2b1 Final BIocWRe�aining Wall 212 Final Fire Prevention [; 202 Final Faaory Fire Place 220 Final Planning Approval �3 Final Sign 222 Final Site �� p_ 4 Final Demolition 250 Final Builtling/Occupan�y -�! a � .z n r � WORKERS' COMPENSATION DECLARATIQN: 1 hereDy affirtn under penalry of perjury one of the lollowing declarations: ❑ I have and will maintain a certificate of consent to self-Insure tor workers' compensation, as providetl for by section 3700 of the Labor Code, for lhe peRortnance o( Ihe work !or which Ihis permit is issued. I have and will maintain xorkers' wmpensation insurance, as reduired by s' n 3700 0l the Labor Cotle, fw the peAamance ol the v.ork for which this pertnit is issued. My v.orkers' compensation I�nce carrier and policy numberare: �+ � Carner: L �{4-1�1" V (TNs sectm metlnot ee mmpeted ifM Pe� is wNeaat ara nimmeembrs (t�OD! abu7 PolicyNumber: PiDD.SHI �^��L/ ❑ I certify Ihat in the peRortnance of the work lor which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws f Califomia, and agree Ihat if I should become bject to t work rs' co pensation provisions of Seclion 3700 of Ihe Lab , 5 11 ort rrit c hjWith lhese provis'ons. 3 Z App iwn'S Sgna Wre W y WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND � AT70RNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provisions o� Chapler 9(commencing with Section 7000) of Division 3 of the Busirless and Professions Code. and my license is in full force a(n'd; eHect. Lic. # b Class # Con� r' Si e ate CONSTRUCTION LENDING AGENCY: ❑ I hereby aH'um that the2 is a conshuction lending agency for [he per(ormance of Ihe �wrfc for which this pertnit is issued. (Sec. 3097. Civil Code). y Ovmer ID verifietl by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: � Verification of Ownership by (type of documenl, i.e. - property lax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceAify that no excavation fve (5) or more feet in Gepth into wfiich a person is requiretl to tlescen4 will be matle in connection with wnrk auttqrized by this permiC and that no building struclure, scaf(dtling, false�wrk, a demolition or dismantling thereof, will be more than thirty-six (36) teet high. (ChaD� 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia AOministrative Code). ❑ As owner-builder, I will not employ anyone to do work which wouW require a pertnil lrom the Division ol Industnal Safety, as notetl above. unless such person has a pertnit to tlo such vrork (rom lhe division. Ap0licanCs SignaWre Daie Division of Intlustrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fWure building occupant need to file antl certily a Business Plan !or emergency response to release or Ihreatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Salety Code requires. vnth some exceptions, that a Business Plan be filetl vrith the CosW Mesa Fire Depanment by every business which has at any one lime during a reported year a quantity of hazardous matenals equal to or greater than a vreight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperawre antl pressure). 2. Dces or will the applicant or preseN or future building occupant neeA to file a registration form for acutey hazardous matenalsl ❑ Yes ❑ No (SectiOn 25533 of the California Heallh and Sa(ety Code, with 5ome exceptions, requires registration with the Costa Mesa Fire Departmenl by each business which a[ any one time has on hand a quantity of acutely hazardous matenals equal to or grealer than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feel of wmpressed gas at stantlard temperaWre antl pressure). 3. Does or will the applicaM or present or fuWre building occupant need to prepare an RMPP (Risk Management and Prevenlion Program for acutely Lender's Name: hazardous matenals)? ❑ Ves ❑ No (Section 25534 of the Calilomia Health and Satery Cotle provitles that the Lender's Adtlress: Costa Mesa Fire Department may require the prepa2lion, certifcation and filing with the Fire Department of an RMPP by businesses which are requiretl to ragisler acutely hazartlous materials vrith lha Fire Departmenl. SipnaWre Da�e 4. If an RMPP is presently requiretl, has Section 25534 0( t�e Califomia OWNER•BUILDER DECLARATIONS: Health and Safety Code been fully COmplied wilh7 ❑ Ye5 ❑ NO I hereby affirm thal undEf penalty of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5. Business and Professions CoAe: Any ciry or County which requires a permil ro construcl, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed DursuaN to thC provisions of the Contractors License law (Chapter 9(commencing with Section 7000) of Division 3 0( Ihe Business and Professions Code) or thal he or she is exempt therefrom and ihe basis lor Ihe alleged exemption. Any viqlation of Section 7031.5 by any applicant (or a permit suDjects the applicant lo a civil penalty of not more than five hundred dollars ($500�.): ❑ I, as owner ol Ihe pmperty, or my employees with waqes as I�eir sole compensation, WILL DO THE WORK, and the slructure is not intendetl or offered for sale (Sec. 7044, Business and Prolessions Code: 7he Contractors License Law does nol apply to an owner of property who builds or improves thereon, and who dces such vrork himself or �erself or through his or her ovm employees, provided that such improvements are not intended or offeretl for sale. If, hovrever. the building or improvement is sold vrithin one year ol completion, Ihe ovmer-builder will have the 4urCen of provinq that �e or she did not bui10 or improve (or purpo5e o( sale.). ❑ I, as ovmer o! tha pmpeRy, am El(CWSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and Professions Code: 7he contractors License Law dces not apply to an owner of property who builds or imprwes Ihereon, and who cont2cts tw such project with a contractor�s) license pursuant to the Contracfps �cense Laws.). ❑ I am ezempt under sec. Business and Professions Code for Ihis reason: SiB^aiure 3051<fi (3I0"!) 5. Does or will the applicant or present or fuNre building occupant require for lhe work which is the subject o( this application a pertnit tor such conSttuCGon or moCification from the South Coast Air Quality Management District ar trom any other air polWtion wntrol dislrict or agency? ❑ Yes ❑ No (Sec�bn 65850.2 of the Califomia Govemment Code requires ihat Ihe requested inlormalion be fumishetl on applications fa rwn•residential buildinq permits�. 6. Will any part of Ihe faciliry ro be conslructetl under this permit �e within 1000 leel from tha ouler bountlanes of a school? ❑ Ves ❑ No Qf'yes", lhe (acility musl meet the requirement o( Sections 25534 and 42303 of lM1e California Health and Salety Coda). 7. If a pertnit from Ihe SoWh Coast Air Oualiry Management Distdcl or other aii polNtion contml district or agency is required for the vrork which is the subject of Ihis application, have all of the disclosures prescribetl Dy Calilomia Heallh and Salely Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf'yes", attach certificate of wmpliance trom the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty ol peryury the infortnation given above is conect I agree to compiy with all state taws and city ordinances regartling Hazardous Materials and Emissions. Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that 1 have reatl this application and slate Ihat the information given is cortect. I agree to compty with all state laws anC city ordinances relating to builtling construc�ion, and authorize representatives ol the Ciry o( Costa Mesa lo enter upon the above-0escribed property for inspection purposes. I agree not to occupy or allow occupancy ol any builtling authonzed by Ihis permit until final inspecl n. lur ol e O«n qs I te a� Z An0/or AulhonzeG APW��nI Dale