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Home My WebLink About3333 BEAR ST - Building Permits (129)(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT � Job Address: 3333 BEAR ST � Suite: 328 Viciniry: SUITE 328 Parcel Number: 41249207 Applicant: ANDERSON; BRUCE M Address: 5309 W HENDERSON PL -' SANTA ANA, CA�� ' . y,, Owner. SOUTH COAST PLAZA. Address "/oC J SEGERSTROM & SONS j �� COSTA MESA, CA � - � 9315 FAIRVIEW RD' : ' . - Contractor: BMA ENTERPRISES Address: 5309 W HENDERSON PL . � SANTA ANA, CA Zip: 92704 � Arch : Address: - � .. ,- . .� . , � Phone:. Zoning: Phone: 7�4336-8143 ' Zip: 92704 Phone: ' Zip: 92626 Phone: 714-336-6143 � License: 778271 Eng: Address: Status: ISSUED Applied: OB/20/2004 Issued: 08/20/2004 ISSUED BY: , � � �� ,' � . ' � �` � , � Phone: Zip: ' License: , � �License: SCOPE OF PERMIT INTERIOR DEMOLITON OF EXISTING FINISHES CLEAR SHELL FOR FUTURE TENANT IMPROVEMENT. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 53,000.00 Permit: $8325 - - Claim Valuation: S3,000.00� SMIP Res: $0.00 - - . -_ _ : , SMIP Com: $0.63 �- , � Other: ,',� $0.00 . � ' - l �Inspection: . �; �.�$0.00 � � ' - -- � . ; '_ � Total: . 583.88 ' � ii� ;_- ,_ � � � PLANNING 8 ZONING " - � SETBACKS ' . � � . � ' % ��, ,� /; ' / MAWSTRUCTURE Front 0.0 � � Rear��,0-0 � � �Left 0.0 , .�;Right,; �0'0,�� , ;�� ' � , ' , "-� _ - _ . .. . - , ;�� „' . ACCESSORY �-Front 0-0 %Rear 0-0 - _ Lek �0-0 , Rigfit�,�-'60.0 , % �/ . , . _ " � - ' ��'i � - � � , � PARKING Existinq; 0 Re ui ed: '- o ' aroposed: o' � �� ' ��' � NOTES: � , � � -�' �%' ,- =_ _,�� > -� . _- , e NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under California 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 180 days, or if work Is suspentled or abandoned for a period of 180 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 240646 (8/00) WORKERS' COMPENSA710N DECLARATION: I hereby eHirm under penelty oi perjury one of the following tlecleretlons: ❑ I have end wlll maimeln e cetllficete ol consent ro seN-Insure for workers' compensatlon, es provitletl tor by sectlon 3700 of the Lebor Cada, for t�e peAormence of ihe work lar whlch ihis permit is Issuetl. ❑ I heve��PP69 wlll melntein workars' compe tion I rence, es requlred by sectlon 3700 oi ihe Labor Code, for the parformance ol tha work far wNch thls pertnit is luued. My w�orpp� t n In uranc nd pplicy number ere: Carrier;i %� i Policy Number. al one orless.) �I cenity that in Ihe pert rtnance ot the work r w ch this partnit Is issuetl, I shall not employ eny person in any menner so as 1 become sub�ect to t�e workers' compensetlon lews alitomia,eee///WWW egre th f I should become sub�ecl to the workers' compensetion provisions of Sectlo � 3700 of he Lebor Cotle, I shell torthwith wmply with Ihese m� sions. /'/ � T Applicem Signeture: �� Dere: U WARNINO: FFILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SU6IECT AN EMROVER TO CRIMINFL PENAlTiES D pVIL F ES UP TO dJE HUNDRED TKKISMlD DOLL4RE (5100,000). IN ADDRION TO TME WST OF COMPENSATION, DAMAGES AS PRWIDED FOR IN SECTION 3]O60F TME LABOR COUE, IMEREST, M!0 ATTORNEYS FEES. LICENSED CONTRACTORS OECLARATION: I hereby eMirtn ihet 1 em Ilce under pr visions o(�apter 9(commencing with Seclion 7000) of Divislon 3 ot the Business antl Profession COAe, and my license is in tull force end eHea. L(c. a Class # Contrectols Signeture: �L _ Dete: i CONSTRUCTION LENDING AGENCV: � I hereby affirm that there is e consiruction lending agency for Ihe pertormence of t�e work tor whic� this permil is issued. (Sec. 3097, Civll Code). LentleYs Nema: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I �areby eflirtn thet under penalry ot perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professlons Code: Any ciry or counry which requires e permit to construct, elter, Imprave, tlemolish, or repair eny structure, pnor to its Issuance, alsa requires t�e eDP��enl tor such pertnit to file e slgned stetement ihet he or sha is Iicensed pursuem to ihe pmNslons of �he Contrectore License Law (Chepter 8(commencinp with Sectlon 70W) ot �Ivision 3 of the Busineu entl Pmtessions Code) or that �e or she is exempt tharelrom entl the �asis br ihe alleged eaemption. My vidatlon oi Sectlon 7037.5 by eny eppllcant for a pertnit sub�ects Ihe epplicen� to e clvil penelry at not more t�en tive hundred dollars ($500).): ❑ I, es ov.ner ot the properry, or my employees wl�h weges es their sole compensa�lon, WILI DO THE WORK, and the siructura Is not Intended or oHeretl for sale (Sec. 7044, Business anA Professions Code: The Coniractors License Lew does not apply to an owner of properry who builds or impmves thereon, flntl who tloes such work hlmself or hereelf or ihrou9h his or her own employees, provided that such improvements ere not Intended or ottared for sale. If, however, Ihe builtling or improvement is soltl within one year of complelion, the owner-Duiltler will heve Ihe burden of proving ihal he or she did nat build or improve tor purpase ot sale.). � ❑ I, es owner ol the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTAACTORS to construct t�e pro�ect (Sec. 7044, Business and Protessions Code: The contrectors License Law tloes no� apply to en owner of pmpeny who builtls or Improves Ihereon, and who conirecls for such pro�ect with e conirecmr(s) . license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Signeture: Owner ID verilied by tlnver's licensa. ❑ Yes Vedficatlon ot Ownership by (type of dxument, i.e. Busineu end Professlons Code tor this reason: ❑ No Driver's LiCensa No. properry tex blll or deed): DIVISION OF INDUS7iilAL SAFETY PERMR CERTIFICATION: Date: Expires: ❑ I hereby carlity �het no excevetion flve (5) or more teet In tlepth Into which e person is required to descend, will be mede in connection with work euthorizad by ihis permil, and thet no bullding sWCWre, scaftolding, talsework, or demollfion or dismentling thereof, will be more than �hirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomla Atlministrative Code). ❑ As ownerbullder, I will not employ anyone lo do work which would requlre e permit from the Division ot Intlustnel Setety, es noteC ebova, unleu such person has e permii to do such work from iha division. SlpnaWra: Date: Division o1 Indusidal Setery Pertnit Numbec CERTIFlCATE OF COMPLIANCE AND AU7HORI ON OF EMAV: I cenity under penalry of perjury that I have read this appliwtlon antl slate that Ihe intortnation given is correct. I egree to comply wlth ell stete lews aq ty ordinences releting to Cuiltling constmcNon, and authorize representetives of the Gty of Coste Mese to enter upon ihe ebove-descnbed prapeM tor inspectbrt pury fe . I agree not to occupy a allow occupancy of any building authorized by tbis permit until �inal inspecfion. nature � egal Owner(s) C� � /� 6 Q LJ nNOr Auihorized Applicant —�r' Da COOE �. INSVELTIONTYPE 1816 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Fletaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolltion p�¢, ��$ y�Qp$� INSPEGTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Flre Preventlan 220 Final Planning Approval r 222 Final Site � G� 250 Final Building/Occupancy P.AIE 1[�d1�4