The URL can be used to link to this page

Home My WebLink About3333 BEAR ST - Building Permits (69)^ . CITY OF COSTA MESA �o�°MF=, J B!/ILDiNiG-'DIV/S/ON ' - . Q i� .. p$ 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.qov F '� d �. FOR INSPECTIONS CALL: (714) 754-5626 ��*�o � . PERMIT NUMBER: BX12-00102 PERMIT TYPE B MISC STATUS: ISSUED APN: 41249207 DATE ISSUED: 03/27/2012 Zoning: , ISSUED BY: CAC JOB ADDRESS: 3333 143 BEAR ST CM Viciniry: SQ. FT: 0 Suite/Unit: 143 Primary Occ: .. � . Const Type :?? Valuation: 51,700.00 � . SCOPE OF WORK: FOR UNIT 143 ANTHROPOLOGIE REF BC12-00017. 1 ILLUMINATED STORE FRONT SIGN AIVD TWO NON ILLUMANTED SIGNS 1 SIGN CIRCUIT �, : -� � - ' OWNER: SOUTH COAST PLAZA Address:: %C J SEGERSTROM & SONS MESA, CA CirylState: 3315 FAIRVIEW RD Zip Code: 92626 Phone: APPLICANT: SARA STORMONT City/State: ESCODIDO, CA Phone: 856-435-0622 CONTRACTOR: Address: City/State: Zip Code: ARCHITECT: Phone ENGINEER: Phione MATTHEWS SIGNS INC 550 W 6TH AVE ESCODIDO, CA 92025 FEE SUMMARY Building Plan Check: Building Permit: Electrical Permit: SMIP Residential SMIP Commercial Bldg Std Admin Fund Address: 550 W 6TH AVE Zip Code: 92025 License No. 951207 Phone 858-435-0822 $39.07 $60.10 $48.10 $0.00 $0.00 $1.00 License No. License No. Cell: Unit COSTA Unit: UniC TOTAL FEES $148.27 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3N8/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Day, Memorial DaY, Independence Dav, Labor Dav, Thanksqivinq Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handiwp access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DA7E OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the ezpiration o( this permit. COpE 1, INSPECTION TYPE OATE �4$ �Q�Ep INSPELiION iYPE Q5¢, IN71TIpL5 1818 Fixed Syslem Final Fire Prevention 206 Final Mechanifal 1268 Pool Spa Final 208 Final Plum6ing . ^ y'� � ��/� 200 Final Re-Roof 210 Final EleclriUl ��0�� L(/�"�"V' 201 Final BIOCkIRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place � 220 Final Planning Appmval 203 Final Sign ` a' ��a" �� 222 Final Site 204 Final Demolition 250 Final Builtling/Occupanq WORKERS' COMPENSATION DECLARATION: — . I hereby aKrm untler penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to sel4lnsure (or workers' compensation, as provided for by section 3700 of ihe Labor Code, for ihe pertormance of the vrork for which this permit is issued. ❑ I have and will maintain wnrkers' compensation insurance, as required by seclbn 3700 of the Labor Code, for the performance of the wnrk (w which this pertnit is issued. My workers' compensation Insurance cartier and policy number are: 1 j`��ej C-�� cjR�n F�a1�. �nS�sahcv L.r-(7nasea� eetl,rro�fCeYm7m�pletT�Qf1rn )pemNuvaNe0alonenuMmtlCMars(5100)wleu.) P Cy�Number �dSY�,� ��)��3SB351`i ❑ I certify lhat in the peAormance ot the vrork for which this permit is issued, I shall not employ any person in any manner so as [o become subject to the workers' compensation laws o( Califomia, and agree that i( I should become subject to lhe workers' compensation provisions of Seclion 3700 0( the L erCOde, I shall forthwith comply with these provisi ns. � %i� 2 ot Si9nalure [_Oate� S�Y WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensed under provisions o( Chap[er 9(commencing vnth Section 7000) of Division 3 ot the Business and Professions Code, and my license is in full (orce antl eHect. �,.� lI G l,+c�� IaG sS"# ' ` J V 3 .12 , ¢G�M-r pY.sSignaWre QetE� CONSTRUCTI� ON LENDING AGENCY: ❑ I hereby aKrtn [hat there is a consWction lending agency for the pedortnance of the work fa wfiich Ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre Dale OWNER•BUILDER DECLARATIONS: 1 hereby affirtn Ihal under penally of perjury lhal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or county which requires a permit lo consWct, alter, improve, demolish, or repair any strucWre, prior lo ils issuance, also requires the applicant for such permit to fle a signetl statement thal he or she is licensed pursuant to Ne provisions o( Ihe Contracbrs License Law (Chapter 9(commencing with Seclion 7000) of Division 3 of the Business antl Professions Code) or thal he or she is exempt [herefrom antl �he basis for the alleged exemption. Any violalion of Sec�ion 7031.5 by any applicant for a permit subjects ihe applicant to a civil penalry of not more than five huntlretl dollars ($S00).): ❑ I, as ovmer of the propeny, or my employees with vrages as their sole compensation, WILL DO THE WORK, antl the slructure is not intended or offered for sale (Sec. 7044, Business anC Professions Code: The Contractors License Law does not apply to an ovmer of properry who builds or improves thereon, and who tloes such work himself or herself or through his or her own employees, provided that such improvements are not intendetl or oKered for sale. If, however, the builtling or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve tor purpose o( sale.). ❑ I, as owner o( the propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70R5 to consirucl lhe project (Sec. 7044, Business and Professions Code: The conhactors License Law does not appty to an ovmer of propetly wfio builds or improves ihereon, and who contrac�s (or such project with a conlractor(s) license pursuant tothe Contractors License Laws.). ❑ I am exempt under sec. 8usiness and Professions Code for this reason: 305]-a6�3/0]) �_ • Ovrtier`ID verified by Ori icense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type o( document, i.e. - property tax bill or deetl�: DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N: ❑ I hereby certAy that no excavatbn frve (5) or mae feet in depth into which a person is required to tlescend, will be made in connection with work autMrized by Ihis pertnit, and Ihat no huilding structure, scaHdding, falsework, or demolition or dismantling Ihereo(, vnll be more than thiM1y-six (36) feet high. (Chap. 3.2. Grp 2, AA 2, Sec. 347, Tue 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone [o do vrork which woultl require a permit from the Division of IndusMal Satery, as nored above, unless such person has a permit to tlo such work from Ihe division. Apolicanfs Signatvre Dale Division of Industrial Safety Permit Numbec HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fulure building occupant neeC to file antl certify a Business Plan !or emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 of the Calilomia Health and Sa(ety Code requires, wiN some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one lime dunng a reported year a quantity of hazardous ma[erials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or vrill the applicant or present or future 6uiltling occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 0! the Califomia Health and Satery Code, with some exceplions, requires registration wiN the Costa Mesa Fire Department by each business which at any one lime has on hand a quantity of acutely hazardous materials equal to or greater than a weigh[ of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at standard tempereture and preswre). 3. Does or will the applicant or present or fuWre building occupant need lo prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials�? ❑ Yes ❑ No (Section 25534 of ihe Califomia Health and Sa(ety Code provides that the Costa Mesa Fire Department may require the prepara�ion, certifca[ion and filing with the Fire Department o( an RMPP by businesses which are required to register acutely hazardous matenals wiih the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future builtling occupant require for the work which is the subject of lhis application a permit for such consWction or motlification from lhe Soulh Coast Air Qualiry Managemen[ Dislrict or from any other air polNtion wNrol tlistrict or agency? ❑ Yes ❑ No (Sectbn 658502 of Ihe Califomia Govemmenl Code requires Ihat the requestetl information be fumished on applicalions fa non-residential building pertnits). 6. Will any part of the faciliry ro be constructetl under this permit be vrithin 1000 feet from [he outer boundaries of a school4 ❑ Yes ❑ No (If'yes", ihe facility mus� meet �he requiremen� of Sections 25534 antl 42303 of the Califomia Health antl Safely Code). 7. If a permit from Ihe Soulh Coast Air Quality Management District or other air polNtion control district or agency is required for Ihe work which is the subject of this application, have all of the disclosures prescribetl by Calitomia Heal[h and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'Yjes", attach ceni(cate of compliance from the appropnale air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of peryury the information given above is correct I agree to comply with all state lavrs and ciry ordinances regarding Hazartlous Matenals and Emissions. Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read Ihis application and state that the infortnation given is correcL I agree to comply with all state laws and city ortlinances relating to builtling construction, and authonze representatives of the Ciry o( CosW Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorized by this permit until final inspection. ignawr�Lega10/meqs) Da�e � Da�e �A�� I � /or�_-I zeaap I¢ant /OdfE