HomeMy WebLinkAbout3333 BEAR ST - Building Permits (54)(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3333 BEAR ST Status: ISSUED
Suite: 728 Applied: 01/13/2004
Vicinity: � Issued: 01/13/2004
Parcel Number: 41249207
Applicant: MOHLER,GUS
Address: FOVELL ENTERPRISES WC . � �
CORONA, CA ,. �
1540 COMME(2CE ST UNIT G
Owner. SOUTH COAST,PLAZA
Address , %C J SEGERSTROM.B SONS �
� - COSTA'MESA, CA .
�3315 FAIRVIEW RD �� ��- � �
�
Coritractor. �SOUTHWEST-SIGNCO
- Address: FOVELL'ENTERPRISES INC
� CORONA;CA
1540 COMMERCE ST UNIT G
Zip: 92880- .
Arch :
Address:
Zip:
Phone:
i �, �
� „ License:
Zoning:
Phone: 909-734-6275
Zip: 92880
Phone:
Zip: 92626
Phone:'�� 909-734-6275
� License:�� 724929
Eng:
� � � . -.. Address:
ISSUED BY: �
Phone:
License:
, , . - SCOPE OF PERMIT .
INTERIOR MALL SIGN FOR USC COLIECTIONS. UNIT,128_ ' . � _ : , � _ . , " � _ . �
FEE SUMMARY
Pfan Check: � $63.21 < Calc Valuation: Sa,soo.00
Permit: $97.25 — - - � —' - -' Claim Valuation: $3,500.00
SMIP Res: $0.00
SMIP Com: $0.74 �
�, Other: $OAO � - � � � � � �
Inspection: $0 00 _ � �
� Total: �.,5161.20 ,,:",��. � ,��,, � � ",
SETBACKS �- �
MAINSTRUCTUf2E Front 0-0 Rear 0-0
ACCESSORY Front 0-0� . ,, Rear 0-0
� .
PARKING Existinq: o Required: o
NOTES:
PLANNING & ZONING
Lek 0- 0
LeH 0- 0 .
Proposed: 0
Right � 0- 0" �
Right � 0� 0 �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Cal�rriia 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 780 days, or if work is suspended or abandoned
for a period of 180 days. i/
INSPECTIONS: In order for lhe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectiona and finel approval must be obtained. Failure to o6tain inspections and final approval will result in the expiration of this permi�.
FOR INSPECTIONS CALL: (714) 7545626 %
244&IB (HW)
WORKERQ' COMP�NSATION DECLARATION: -
I hereby �Xirm under penalty oi perlury one of the followinq declerations:
❑ I heve end will maintain e certificate of wnsent ro selt-Insure tor workers' compensation, es providetl for by section 3700 oi the Labor Code, tor the pertormence of ihe
work fOr whiCh ihis pertnit is issued.
I heve end will maintain workers' compensation insurance, as requiretl by sectlon 3700 of Ihe Lebor Cotle, for the pertortnance of I�e work tor which this peimit is issuetl.
. orkers' compe ation Insuranfc-e- carner nd policy number ara: �} � � �
rtier. ��'D��� I�U.N � Poli Num � l0 9 3l �-�o �
(This section need not be comp/eted i/ the permit is valuetl at one hundred dollers ($100) ar less.)
❑ I certiTy that in the pertortnance of the work for which this permit is issued, I shell nol employ any pereon in any manner so as to become subject to the workers'
�compensation laws oi Califomia, end agrea that it I s�ould become subject to the workers' compensetlon provisions oi Secllon 3700 oi ihe Labor Code, I shall tort�with
ply ith these Orovision�\��/ //
plican naWre: � ♦_ C� De1e�� � l/'��J/� y
RNING' FAILLIRE TO $ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL pENALTIES AND CIVIL FlNES UP TOONE NUNDRED
THOUSAN� DOLLARE (510p,Op0), IN ADDITION TO THE COST OF CAMPENSNTION, DAMAGES AS PRWIDED FOR IN SECTION 3]OB OF TME LABOH CODE, IMEREST, AND ATTORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
I�m license�der p�visl�ons of Chapter 9(commencing with Secfion 7000) of Divisio e Business and Professions Code, antl my license is in full
Class p �- `T
�re: �= � — � �3 , D °/
CONSTAUC710N LENDING AGENCV:
❑ I hereby atfirtn that there is a construction lending agency for the pertormance of the work tor which this pertnit is Issuetl. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's Address:
Slgnature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eflirtn that under penalry of perjury Ihat I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any strudure, pnor m its issuence, elso requires the applicant for such pertnit
ro file e signed statement that he or she is licensed pursuant to the pmvisions of ihe Contrecrore License Lew (Chepter 9(commencing with Sectlon 7000) ot Division 3 of the
Business end Professions Coda) or that he or she is eaempt iherefrom antl the basis for the elleged e:emption. Any violetlon of Sectlon 7031.5 by eny epplicant for e pertnit
subjecis the applicant to e civil penelry of not more than five hundred dollars ($500).):
❑ I, as owner of the properry, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and ihe stmcture Is not intentletl or oHered for sale (Sec.
7044, Business and Professions Code: The Coniractors License Law tices not aDPly to en owne� of property who Duiltls or improves thereon, and who tloes such work
himself or herself or ihrough his or her own employees, provided that such improvemenis era not intended or oHered for sele. If, howevar, iha building or improvement is
sold within one year of completion, ihe owner-builder will have ihe burtlen of proving that he or she did not build or improve for purposa ot sale.). •
❑ I, es owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to construct ihe projact (Sec. 7044, Business and Professions
Cotle: The contractors License Law does not apply to an owner of properry who builds or improves ihereon, antl who coNrects for such project wit� a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID verifietl by drivers license. ❑ Ves ❑ No
eusine55 and Protessions Cotle for this reeson:
Ventication of Ownere�ip by (type of document, i.e. - property taz bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Driver's License No.
Date:
Expires:
❑ I hereby certiy that no axcavation five (5) or more feet in depth in�o which e person is required to descend, wlll be matle In connectlon wlth work euthorizea by Ihis
permit, and Ihet no building structure, scattoltling, falsework, or demotition or disman�ling ��ereof, will be more ihan ihitly-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec.
341, Title B, Californla Atlminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Industriel Sefety, as notatl ebove, unless such parson hes e
permit to do such work irom Ihe division.
SignaNre: Date:
Division of Intlustnal Safery Permit Number:
CERTIFlCATE OF COMPLJANCE AND AIJfliORVATON OF ENTFiY: I certity under penalry of perjury Ihet I have read ihis epplicalion entl stete that the informa�ion given is
correct I egree to comply wit� all state laws and ciry ordinances relating ro builtling consWction, end authodze representatives ot Ihe Ciry of Costa Mesa to enter upon the
above-describad property for inspection purposes. I agrae not to occupy or allow occupancy of any building euthorized by ihis permil until finel inspection.
` Nre Ot L�
And/OrAu nzed Applicapt
yOUE �. INSPECTIONTVFE
1676 Fixed System Finel Fire Prevention
1266 Pool Spe Finel
200 Finel FB-Rooi
201 FIneI BIocWRetalning Wall
202 Flnal Fadory Fire PlaCe
203 Finel Sign
204 Final Demolition
COpE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Electncal
212 Final Fire Preven0on
220 Final Planninq Approval
222 Final Site
250 Final BuildingiOccupency
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ALUMINUM REVERSE CHANNFl. LETTERS WITH BLACK PAINT FlNISH AND WFATE L.E.R
1/4" TMCK ALUMNUM LETTERS PAINTED BLACK ON "COLLECTIONS".
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PRO/ECT• 1
USC COLLK.TIOI�6
SOUT}i CMST PLAZA
COSTA MESA.CA
CLffWi
USC COLLECTIOKS
SouTH Cc.lasr e�Azn
COSTA MESA. CA
FA.ENAME: USC-SCP2
REVISIONS:
6�1NLL DFSICd�I 9/11/2003
REV. DESIQJ 10/11/2003
APPROYALS:
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REVISIONS: '
PJNLL DESICN 9/11/2003
REV.DESIGN 10/11/2003
APPROVqLS: �
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SOUiH CQ4ST PtNA
COSW MF5A CA
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' REVISIONS:
V�(Tb1LDE51GN 9/11/2003
REU.DESIQJ 10/11/2003
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FlLENAME: USCSCP2
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(714) 754-5273 • Fau (714) 754-a856 • www.ei.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Ycinity:
Parcel Nunmber:
3333 BEAR ST
128
41249207
Applicant: MOHLER,GUS
Address: FOVELL ENTERPRISES INC �
CORONA,CA
1540 COMMERCE ST UNIT G
Owner. SOUTH COAST PLAZA
Address °kC J SEGERSTROM & SONS
COSTA MESA, CA -
Contractor:
Address:
ISSUE FEE
Temp service test
Ras. alc package
New Res (1-2 units)
New Res (3+units)
Pooi I Spa
Lighting Fixts
Recept Outlets
Swilches
Non Res Appl
Res Appl
Service to 200a ,
Service to t000a
Service over t000a
Motors to thp
Motors lo tOhp
Motors [o SOhp
Motors to 700hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Lighl Pkg
3315 FAIRVIEW RD
FOVELLENTERPRISES
Phone: 909-734-6275
Zip: 92880
Phone:
Zip: 92626
Phone:
Zip:
License: 724929
SCOPE OF PERMIT
INTERIOR MALL SIGN FOR USC COLLECTIONS. UNIT 128. ILLUMINATED
SIGN.
$23.50
ao.00
so.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
E0.00
$0.00
$0.00
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Disl System / Lighting
s�s�y n oo n
Standing Sectlon
Misc Electncal Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up l0 100 kvalliw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Winng System / Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electri�l Fee
Investigation Fee
PIar�Cyeck Fee
ReintpecUon Fee
�
Status: ISSUED
Applied: 01/13/2004
Issued: 01I13I2004
ISSUED BY:
Quantity
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0'
50.00 0
$0.00 0
$0.00 0
50.00 0
30.00 , o
30.00 0
$0.00 0
50.00 0
$0.00. 0
50.00 0
50.00 0
$0.00 0
$0.00
50.00
50.00
50.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under
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 N
for a period oi 180 days.
and related
orabandoned
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlone end final epproval must be obtalned. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545828 ,
zanaae �aroo�
WORKERS' COMPENSA710N DECLARATON:
I here6y aHirm uhder penalry ol per�ury one of the lollowing declarations:
❑ I heve entl wlll mainteln e cenificate of consent to sell-Insure tor workers' compensetlon, es prodded far by sectlon 3700 at Ihe Lebor Code, lor Ihe peAarmance of Ihe
� work tor which this pertnit Is issued.
� I have end will main�ain workere' compen%tion Insurence, as required by 5ettion 3700 of Ne LBDor COde, lor Ihe pertortnence af Ne work for whiCh NLs permit is 19sued.
w��tlon �nsurenc,Ie- �cerrler �tl policy numher ere: � � � �q / _ 1 I _ �� �
aMer. 0--'� ti r�A+l P cv Number. I vi �
"�sectlon neetl not completetlll I�e permit Is ve/uetl e! one �untlred dd/ars (5100) or less.)
❑ I certify that In ihe peAormance ot lhe work for which this permit is I55ueO. I shall not employ eny person In eny enner so es to becoma suDject to the workers'
wmpensetlon laws oi Calitomia, end egree that if 1 should become sub�ect to the workers' compensatlon p� 0\1 Section 3700 of Ihe Lebor Code, I shall fonhwlth
ApPll n t Slg_, n�tut ' Se P ..s�e� � — Dete: — ��/� Y
�/ \
1—
WARNI FNLUHETOSEGUREWORKERS'COMPENSATIONWVEMGEISUNLAWRILANDSHALLSUBIECfrWEM%.OVERTOCRIMINALPENnLTIESANDCMLFlNESUPTOONEHUNDRED
THOUSAND DOILARE (5100.000),IN ADOITION TO THE COST OF COMPENSATION, DAANGES AS PROVIDED FOR IN SECTIpJ 31080F THE UBOR CODE, IMEAEST, AND ATTORNEI"S FEES.
LICENSED CONTiiACTORS DECLARATION:
I hereby am�.IhatFem licene�tltl unde� �ovisions of Chapter 9(cammencing vrith Sectlon 7000) at Dlvision 3
Code, and my license is in full
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn ihat there Is a construc�ion Iending egency lar Iha peAortnence oi t�e work lar which ihis permll Is issuetl. (Sec. 3097, Civil Code).
Lendefg Name:
Signature: _
OWNER-BUILDER DECLAHATIONS:
Lentlers AOtlreu:
Date:
I hereby aflirtn Ihet untler penelty ot perjury lhat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowlnp reason (Sec. 7031.5, BuSiness end Prolessions
Code: My dry or counry which reqWres a pertnit to construct, elter, Improve, demdlsh, or repeir any swcture, pdor to its Issuance, also requires t�e applicant for such permlt
to tile e signed statement Ihet he or she is Ilcensed pursuent to the pravisions of Ihe Conirectors License Lew (Chapter 9(commendng with Section 7000) ot Dlvision 3 ot the
Business end Protessians Catle) or that he ar she is exempl Iherelrom end Ihe Desis lor tho elleged exemptlon. Any violation of Secllon 7031.5 6y eny apDlicant tor e pertnit
subjects the epplicam co a civil penalry ot not more t�an flve �untlreE tldlars (5500).):
❑ I, es owner of Iha properry, or my employees with weges es t�elr sde compensatlon, WILL DO TME WORK, antl t�e siructure is not intentletl or oHeretl tor sele (Sec.
7044, Business entl Professions Code: The Contraqore License Law daes not appty ta an owner o1 property who builOs or improves thereon, and who does such work
himselt or herself or Nrough his or her or.n employees, providatl thet such impmvements ere not imended ar ottered lor sele. tl, however, the building or improvement is
sold within one yoar of compleGon, the owner�builder will heve the burden of proving thet ha or she did not build or imprwe br purpose ot saleJ. '
❑ I, as owner of Ne D�a0er1Y. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTAACTORS to wnsWct the D�qect (Sec. 7044, Business and Prolessions
Code: The contredars License Lew does not eppty to an owner ol property who bulltls or Improves ihereon, enA w�o contracts for such pro�ect wlth e contractor(s)
license pursuant to Ihe Contrectors Ucense Laws.).
❑ I em exempt under sec. Business enC Professions Cotle for this reason:
Signe�ure: Dele:
Owner ID verifietl by tlrivers Iicense. ❑ Ves ❑ No Drivels License Na. Expires:
Verifcetion ol Ownership by (rype of documenL i.e. - D�operry tex bill or GeeO�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certily that no excavatlon five (5) or more feat In depth Imo which a person is requlred ta tlescend, wlll be made In connectlon with work euthodzed by this
pertnit, end that no building siructure, scefloltling, lalsework, or tlemoli0on or tllsmanlling Ihereol, wlll be more Ihen thirry-slx (3B) faet �ig�. (Chap. 32, Gry 2, Ar12, Sec.
341, Title 8, Galifomia AGminlstrative Cotle).
❑ As ov.•ner-builtler, I will not employ enyone to do work whic� woultl reQuire a permit Irom the Division ot Induslnel Setery, es noted above, unless such person hes e
pertnit lo tlo such work hom t�e tlivislon.
Signflture: Date:
Division of Industnfll Sete�y Permil Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORRATION OF EMRV: I cenify under penalry ot perjury Ihal I heve read thls epplicaUan entl state t�et the Inlarmatlon given Ls
cnnect. I egree to compty with ell stete laws end ciry orUlnances relating ro bullding constructlon, end euthodze representetives of the Clry oi Coste Mese to enter upon t�e
ebove-descnbed property for inspection purposes. I egreo nol to acupy or ellow occupency of eny building eulhorizo0 by tNs permit until tinel lnspeclion.
COpE 1, INSPECf10NT1PE Qdjf, Qj�ELS
1616 Pixetl System Final Fire Preventlon
12fi6
200
207
202
203
Pool Spe Final
Final RaRoof
Final BIocWReWINng Wall
Final Faaory Fire Place
Final Sign
20C Final Demditlon
CO�E I INSPEC710NTYVE
208 Final Mechanlcel
208 Flnal Plumbing
210 Final EIecMCal
272 Finel Fire Prevenibn
220 Final Plenning Approval
222 Finel Sile
250 Finel Builtling/Occupancy
PdiE Iti�ll65