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Home My WebLink About3333 BEAR ST - Building Permits (118)CITY OF COSTA MESA `�gTUMpQ BUILDING DIVISION F`�� 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • �wr.v.ci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754-5626 '�^�°'' PERMIT NUMBER: BC11-00438 PERMITTYPE: B COMBO Sub Type: COM_ALT �n�,4'r,.��. ros aDOREss: 3�309=6EAR�ST�GM� • APN: 41249207 Zoning: , , Vicinity: UNIT 309 Const Type: I-A SQ. FT: 3250 STATUS: ISSUED DATE ISSUED: OS/30/2011 ISSUED BY: KJB ' Suite/Unit: 309 Primary Occ: Valuation: $8,000.00 SCOPE OF WORK: 3,250 SQ FT TENANT IMPROVEMENT FOR SALON/RETAIL USE: "STADE". SCOPE OF WORK TO INCLUDE: MISC PLUMBING, AND ELECTRICAL. SCOPE OF ELECTRICAL TO INCLUDE 6 OUTETS AND 1 ELEC WATER HEATER. PLUMBING TO INCLUDE: 2 COMMERCIAL SINKS AND 1 WATER HEATER OWNER: SOUTH COAST PLAZA CA • Phone: APPLICANT: SHEETS, JEFF Phone: 714-896-6720 CON7RACTOR: SHEETS CONTRACTING Phone: 714-896-6720 Cell: 949-735-7257 ARCHITECT: 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/State/Zip: 3315 FAIRVIEW RD Address: City/State/zZip: License No. 705956 Address: 2780 BLUEBIRD ClUnit: City/State: COSTA MESA, CA License No. License No. $24.90 $15325 • $34.85 • $0.00 $52.90 • $0.00 $1.68 $1.00 $268.58 Unit: COSTA MESA, Unit: : ZipCode 92626 PHONE: PHONE: riouRS FOR CONSTRUGTION ACTIVITY: EFFECTIVE 3/18I2010 - PER CMMC Sec. 13-279 Monday thru Friday -7:00 am ihru 7:00 pm. Saturdays- 9:00 am thru 8:00 pm. Prohibited all houf5 - Sundays antl the following Federol holidays: Naw Years Day, Memorial Day, Intlependence Day, Labor Dav, 7hankspivina Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California staWtes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. GOUE t. INSiECiIONTYPE �AIE INPTIALS OE� INSGELIIONTYPE ORTE INPTIRL 1616 Fixetl System Final Fire Prevention 206 Final MethaniCal 1266 Pool Spa Final 208 Final Plumbing 'O� _Q� 200 Final Re-Roof 270 Final Electncal • • �_ 201 Final Block/Re�aining Wall 212 Final Fire Preven�ion 202 Finat FaCtory Fire Place 220 Pinal Planning Approval 203 Final Sign 222 Final Sile 204 Final Demolition 250 Final Building/Occupancy �� • � WORKERS' COMPENSATION DECLARA710N: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by sec�ion 3700 of the Labor Code, for Ihe erforman o( the work for which Ihis permit is issued. ave and will maintain workers' compensation insurence, as required by sec n 3700 of the Labor Code, (or the pertortnance of the work for wfiich Ihis pertnit is is ued. My workers' compensation Insurance carrier and policy number ar : I Cartiec 1 �,IOS �(S (Tnrs sMon nF�d rrol0e cnmpletetl `n/�ne pe�mrt rs varvve1tlnat o1ne�nIundreE7 tl�ollars( (S,f .00) w ress ) Policy NumDer: ��^� �� l l C.�� V ��1J �� ❑ I certify tha[ in the performance of the vrork for which this permil is issued, I shall not employ any person in any manner so as to become su�ject to the workers' co ensation laws of Califomia. antl agree that if I should become subject to 1 workers' compensalion provisions of ection 3700 of Ihe Labor Code. I sh II hhwith comply with Ihese provision . Appi 's Sig re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND 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 affirm that I am licensetl under provisions of Chapler 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions C e, and my license is in full forc and effecl. (\ Lic. # ii Class # � � � � �+ � 3� ignaWre Date CONSTRUCTION LE G AGENCY: ❑ I hereby affirtn that there is a construction lentling agency for the peRormance of �he v.ork for which lhis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's AOtlress: SignaWre Oa1e OWNER-BUILUER DECLARATIONS: I hereby affirm Ihat under penalry of perjury tha[ I am EXEMPT FROM THE CONTRAC70RS 1.ICENSE LAW for the following reason (Sec. 7031.5, Business and Pm(essions Code: Any ciry or counry which requires a permit to construct, alier, improve, demolish, or repair any slrucWre, prior to its issuance, also requires the applicanl for such permit to fle a signetl statement tha[ he or she is licensed pursuant to [he provisions of �he Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of t�e Business and Professions Code) or thal he or she is exemp[ Ihere(rom antl the basis for the alleged exemplion. Any violation of Section 7031.5 by any applicant (or a permit suDjects the applicant to a civil penalry o/ not more than five hundred dollars ($500).): ❑ I, as ovmer o! the property, or my employees vnth wages as Iheir sole compensation, WILL DO THE WORK, and Ihe structure is not intended or oftered (or sale (Sec. 7044, Business and Prolessions Code: The Contractors License Law does not apply lo an owner of property who builds or improves lhereon, and who does such vrork himself or herself or through his or her ovm employees, provitled that such improvements are not intended or offered for sale. If, however, Ihe building or improvement is soltl within one year of completion, Ihe owner-builder will have the burden of proving that he or she ditl not build or improve for purpose of sale.). ❑ I, as owner of the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business and Professions Code: The cont2clas License Law dces not apply ro an owner of property who Duiltls or improves thereon, and who wn[2cts fw such pmject with a contractw(s) license pursuant to the Contractors Ucense Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: Slgwwre 305)-a6(YO]) Owner ID verified by driver s iicense. ❑ Ves ❑ No Driver's License No. Expires: Verifrcation of Ownership by (type of tlocument, i.e�. - propeAy tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certily that no excavalion fve (5) or more feet in depth into wtiich a person is required ro descend, will be made in connectbn vnth work authonzed by Ihis permit, and lhat no building sWcture, scaffdding, (alsewnrk, or demolition or dismantling Ihereof, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminist2tive Code). ❑ As owner-builder, I will not employ.anyone �o do work which would require a permit trom the Division ot Industrial Safery, as noted above, unless such person has a permil to do such.work from the division. AOW�� s Signawre Division of Industrial Sa(ety Pertnit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file and certily a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 0( the California Health and Safety Cotle requires, with some eaceptions, that a Business Plan be filetl wilh the Costa Mesa Fire Depanment by every business vmich has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight o! 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard tempereture and pressure). 2. Does or will the applicant or present or fuWre building occupant need b fle a regis[ra�ion (orm for awtely hazardous matenals? ❑ Ves ❑ No (Section 25533 of the California Health and Safely Code, with some exceplions, requires regisiration with Ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazartlous malerials eqval to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at slantlartl temperature antl pressure). 3. Does or will the applicant or present or tuture building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for awtely hazarAous materials)? ❑ Yes ❑ No (Section 25534 0( the California Health and Sa(ety Code pmvides that the Costa Mesa Fire Depanmem may require the preparation, certifiwtion antl filing with the Fire Department ot an RMPP by businesses which are requiretl t0 regi5ter acutely hazardous materials with ihe Fire Department. 4. If an RMPP i5 presently required, ha5 Section 25534 of the Cali(omia Health antl Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will �he applicant or presenl or fuWre building occupant require lor the work which is the subjecl of this applicalion a permit for such wnslruction or motlifcation from Ihe South Coast Air �ualiry Management Districl or fmm any other air polWtion control district or agency? ❑ Ves ❑ No (Seclion 658502 0l the Cali(omia Govemment Code requires that Ihe requestetl information be fumished on applications (or non-residential building pertnits). 6. will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundanes of a school? ❑ Ves ❑ No Qf'yes", ihe (aciliry must meet the requirement of Seclions 25534 antl 42303 of the California Health antl Satery Code). 7. If a permit (mm the South Coast Air Qualiry Management Disirict or other air pollution coNrol district or agency is required for Ihe work which is the subject ot this application, have all of the disclosures prescribed by Califomia Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certilcale of compliance Gom Ihe appmpriale air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct I agree ro comply wth all state lavrs and city ordinances regarding Hazardous Materials and Emissions. S�gnaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury Ihat I have read this application and sWte that t�e infortnation given is covect. I agree ro comply with all state laws and city ordinances relaling to building wnsWctian, and authorize represenlatives ol Ihe City of Cosla Mesa to enter upon the above-described property !or inspection purposes. I agree not to occupy or allow occupancy o� any building au�horiZetl by ihis pefmil un�il fnal inspection. Sgnat re Legai Owneqs� Oa�� M01 Ap0licanl Oate �