HomeMy WebLinkAbout3333 BEAR ST - Building Permits (49), [ ;
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mese.Ca.us 77 FAIR DFIVE, COSTA MESA, GA 92626
BUILDING PERMIT
JobAddress: 3333 BEARST
Suite: 121
Vicinity: STOREFRONT
Parcel Number: 41249207
Appliwnt: BOWERS, JOHN
Adtlress: 1081 ST. REGIS PL.
SANTA ANA, CA
Owner: SOUTH COAST PLAZA
Address °hC J SEGERSTROM & SONS
� COSTA MESA, CA - Phone:
3315 FAIRVIEW RD 2ip: 92626
Contractor: SNEDEN 8 BOWERS GEN BLDG CONTRACTORS
Address: 1081 ST. REGIS PL.
Phone: (714) 350-2415
SANTA ANA, CA
Zip: 92705� � License: 635444
nrch : BOZARTH, PAUL Eng:
Address: 18661YALEAVE � Address:�
Zoning:
Phone: (714) 350-2415
Zip: 92705
Phone: (714) 538-5777
ISSUED BY:
0
Status: ISSUED
Applied: 09I06/2000
i55�ea: osio�n000
Phone:
SANTA ANA, CA
Zip: 92705 License: � License:
SCOPE OF PERMIT
INTERIOR STORE T.I. TO ALTER EXISTING STOREFRONT FOR FUTURE TENANT. , �
Plan Check: $99.61
Permit: $153.25
SMIP Res: $0.00
SMIP Com: $1.68
Other: $0.00
Inspection: $0.00
Total: $254.54
SETBACKS '
MAIN STRUCTURE �Front 0- 0 �
ACCESSORY Front 0.0
PARKING Existin : 0 ,
NOTES: �
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lefl 0. 0
ProDosed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0. 0
88,000.00
$B4O00.00
NOTICE: The work authorized by this 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 if work is not commenced within 1 BO days, or if work is suspended or abandoned
br a penod of 180 days. .
INSPECTIONS: In orde� for �he wo/k authorized under this permit to be considered legal, such work mus� Comply with all epplicable codes, and all
requlred Inapectlone and final approval must be obtained. Failure to obtain inspections and linal approval will result in the expiration ol this permi4�
FOR INSPECTIONS CALL: (714) 7545626 �j
24aBd8 (8'00)
WORKERS'COMPENSAnON DECLARAnON:
I heraDy ettirtn untler penalry of perjury one of the tWlowing declarations:
�I have entl wlll maintaln e certificata at consent to selFlnsure tor workers' compenselion, es pmvided br by section 3700 of the Lebor Cotle, for the pedortnence ot the
work tor which this pertnit is issued.
1 have ena will meintain wo ers' compensation Insurflnce, as raquiretl by section 3700 of Ihe labor Code, for Ihe pertortnance oi the work lor wMch lhis permit Is IssueU.
My wa mpensatlon suranca carrier entl poliry number are:
Cemer: �T� `%�C •-�----� Policy Number: I��� I Y 2- DO
(This secHon need not be complete0 if Me pem�il ls veluetl e( one hundretl tlollars ($100) or less.) �
❑ I certify thet in Ihe peAortnanca ot the work Iw which ihis pertnit is issued, I shall no� emplq eny person In any manner so as to become sub�ect to Ihe workers'
compensation laws ol Celifomia, end egree tha It I shoultl Decome subject to tha workers' campensetlon praWsions of Sectlon 3700 of Ihe Lebor Cotle, I shall foMwlih
comply wlih these D� sio . �` �f
Applicant Slpnalure: Date: / ` �U
WAqNINO: FNLURE WRE WOfY(ERS COAWENSAT70N CWEMGE IS IRMWFUL AND SHML SUBIECf AN EMPLOYER TO CRIMINAL PEWLLTIES AND CML FlNES UP TOONE HUNDRED
TTIp15FND 100,000), IN AODfTION TO THE CO6T OF C�OMPENS4TION, DAANGES AS PROVIDED FOR IN SECfION 3�080F THE LABOR CODE, IMERE5f, AND �lTOfiNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eMirtn thal I em
lorce en0 eHect. Llc. a_
Coniractols SlgnaWre:
9(cammencing with Sectlon 7000) af Dlvislon 3 of che Busin s end Professions Cade, entl my Ilcense Is in full
Class q �
Date: " — � f�
CONSTRUCTION LERDING AGENCV:
❑ I �ereGy affrm t�at there is a conswdion lending apenq br ihe peAortnance ot Ihe work tor which Ihis pertnit is issued. (Sec. 3097, Civil Catle).
Lentlers Name: LenOers Atltlress:
Signeture:
Date:
OWNER-BUILDER DECLARATONS:
I here6y eHirtn Ihet under penelry of per�ury Ihet I em E%EMPT FROM THE CONTiiACTORS LICENSE LAW lor Ihe tollowing reeson (Sec. 7031.5, Buslness end Professions
Code: Any clry or counry w�ich requires e pertnit to cronstruct, elter, improve, demolish, or repair eny slrucNre, pnor to its issuance, elso requires the epplicant tor such pertnil
ta tile e signed statement t�at he or she Is Iicensed pursuent to Ne proWsions oi Ne Conirectam Llcense Lew (Chapter 9(commencing with Sedlon 7000) ot Division 3 of the
Business antl Prolessions Code) or Ihet he or she Is exempt t�erefrom antl the Dasis tor the elleged esemption. Any viWatlon oi Sectlon 7031.5 by eny epplicant tor a permtl
subjects t�e epplicent ta e civil penalry of nol more than tive hundred dollers ($500)J:
❑ I, es owner ot the properry, or my employees with weges es Ihelr sole compensatlon, WILI DO THE WORK, entl the structure is not intentletl or otteretl for sale (Sec.
7044, Business and Professions Code: The Contradors Licensa Law does not aDPh �o an owner of DroPerty who builds or improves therean, entl who Ooes such work
himself or hersaN ar through his or her own employaes, provided ihat such impmvemenls are not intended or oNeretl for sflle. II, however, the builtling or improvement is
sold within one year of completion, the owner-Duiltler will have Ihe burdan of proving thet �a or s�e tlitl not Guild or improve tor purpose ol sale.).
❑ I, es owner of the properry. am El(CLUSIVELV CONTRACTNG WITF1 LICENSED CONTRACTORS to construct ihe Dro�ect (Sec. 7044, Business entl Professions
Cotle: The contraciors License Lew does not eppty to en owner at pmperry who builds or impmves ihereon, entl who contracis tor such project with e wntrector(s)
licensa pursuant to the Conlraaors License Laws.).
❑ I em ezempt under sec. Business and Pmtessions Cotle for Ihis reason:
Signature: Date:
Owner ID verifietl by drivers license. � Ves ❑ No Drivels Ucense No.
Vediicetion of Ownership by (rype of tlocument, i.e. - property tet �III ar tleetl):
Erzpire5:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICAiION:
❑ I hereby certity Ihet no excavation five (5) or more taet In depth Into which a person is reqWretl to Cescenq wlll be matle In connectlon with work authodzed by this
pertnit, antl Ihat no builtling structure, sceXolding, telsework, or demolition or Oismanlling thereol, will 6e more then thirty-siM (38) leet high. (C�ep. 3.2, Grp 2, An 2, Sec.
341, 71t1e B, Califomla Adminlsiretiva Code).
❑ As owner-bulltler, I will not employ enyone to tlo work which woula require e pertnit Irom Ihe Division of Indusirial Sefery, es notetl ebove, unless such persan has e
permit to do such work irom Ihe division.
Signa�ure: Daia:
Division ol InAustrial Selery Permit NumDer.
CERTIFlCATE OF COMPLIANCE AND AUTHOROATON OF EMAV: 1 cenify under penalry ot perjury thal I have read this aOPlicetion and state that Ihe infortnation given is
conect. I egree to compty wlth ail state laws end dy ardinances relatlng to Duiltling construalon, entl euthodze representatives of the Clry ol Coste Mesa to enter upon the
ebove-descnbed properry lor inspection purposes. I egree not to ocaOY or allow accupenty of eny building eutharized by ihis permit unul linal inspec6on.
cooe �.
1618
1288
Fixed System Final Fire Preventlon
Pool Spa Flnel
200 Finel Re-Rool
201 FIneI BIocWRetaining Wall
202 Finel Factory Fire Place
203 Final Sipn
204 Final Demolilion
y _ �e,a �
0
Date
CODE � ixsveenox nve
208 Finel Mechanlcal
20B Finel Plumbing
210 Final Electrical
212 Flnel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 FinalBuilding/OccUpency
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