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Home My WebLink About3333 BEAR ST - Building Permits (79)�'�11:� I , . �r�� i �.:.�::� ; : �. (714) 754-5273 • Fax (714) 754-4856 Job nddress: 3333 BEAR ST Suite: 2 Viciniry: 2ND FLOOR Parcel Nunmber: 41249205 Applicant: EMMA KLEYMAN Address: �•- \ CITY OF COSTA MESA ` � BUILpING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT FIRE SUPRESSION PERMIT Owner: SOUTH COAST PLAZA Addfess %CARTER HAWLEY HALE STORE 3880 N MISSION RD . PROPERTY TAX DEPT Zoning: Phone: (714)874-8770 Zip: Contractor: G.F.P., INC DBA: GARVIN FIRE Address: 501 W SOUTHERN AV ORANGE CA Phone: Zip: 90031 Phone: 714-974-8770 Zip: 92665 License: 702554 SCOPE OF PERMIT 310 FIRE SPRINKLER HEADS FOR 2ND FLOOR. Bf�rB� FEE SUMMARY Plan Check: $233.19 Permit: $358.75 Other: $0.00 Total: $591.94 NUMBER � v F99-00062 77 FAIR DRIVE, COSTA MESA, CA 92626 Slatus: ISSUED Applied: 03Ii2/1999 Issued: 04/28/1999 ISSUED BY: �� Calc Valuation: Szs,Eoo.00 Claimed Valuation: szs,eoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 180 days, or if work is suspended or abandoned for a penod of 180 deys. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlone and finel approval must be obtained. Feilure to obtain inspections and finel approvel will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DEC�ARATION: � . - ' . I hereby afllrm unGer penalry of pe�ary ona ot the following declarations: ' - ❑ I heve antl wlll maintein e cartificate of cansent to self-Insure for workers' compensatlon, as provided for by sectlon 3700 of ihe Lebor Code, for the pertormence of the wOrk tor whith Ihis pertnit 19 isbuetl. . ❑ I have entl wlll maintein workers' compansation insurance, es required by section 3700 of ihe Labor Code, for Ihe peAortnance of Ihe work ior which this pertnit is issuetl. My workers' compensetlon Insurence cerri§ r end policy mber ef e: � Carrier. ��YNPl1.TCA.GI� riQii C:O �.� �lIN.Q �� PalicyNumber: �V(� lo67�i4o443 (This sectlon need not be crompleteo!l the pertnif /s ve/ d et ane huntlr ollars ($100) ar IessJ � ❑ I certly thet in the peAormance of the work tor which Ihis permit is issueU, I shell not employ eny person In eny manner so es to become subject to the warkers' campensatlon lews af Califomle, end egree Ihat if I should become sub�ect to ihe workers' compensetion provlsions af Sactlon 3700 oi ihe LeDor Code, I shall forthwith comply with these provislons. C ,y�1�� / /J/� Applicant SlgnaNre: L • � '^�J/ �? �� Date: � � z / . 7 % WARNING: FAILURE TO SEIXIRE WOFi1�RS' OOMPENSATION MOE IS UNLAW R1L AND SHr1LL SUBIECT M! EMPLOVER TO CRIMINN. PENALTIES M1D CML FlNES UP TO ONE HUNDRED THOUSAND OOLURE (5100,000), IN ADDmpN TO THE COST OF COMPENSATION, DAlMOES FS PROVIDED FOR IN SECr10N 31W OF THE LABOR CODE, INfEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ailirm ihet I em Iicensetl force and eHect. Lic. x Gontrectors SlBnature: _ 9(commencing wlih Section 7000) of D"rvision 3 of the Business�nO p�eulons Cade, and my license is in tull Cless k � a/{n/ CiSLI, Date: _�. 9 7 L� CONSTRUCTON LENDING AGENCY: ❑ I hereby eXirm that thera Is e construction lending egency lor the perfarmence of Ihe work tor which this permit Is issued. (Sec, 3097, Civil Cotle). Lender's Neme: Lentlefs Atldress: Signature: Date: OWNEH•BUfLDER DECLARA710NS: I hereby aHirm ihet untler penelty of per�ury ihat I am E%EMP7 FROM TME CONTfiACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business and Professions CoOe: My ciry or counry which requlres a partnit to consiruct, elier, improve, demolish, or repeir any strucWre, pnor lo Its Issuence, also requires Ihe applicant for such pertnit to file e signed stetement �het he or she is licensed pursuent to the provisions at Ihe Coniractors License Lew (Chflpter 9(commendng wlth Sectlon 7000) of Division 3 of the Business end Professlons Code) or �het he or she Is exempt theretrom end the besis tor tha alleged exemption. Any violation of Sectlon 7037.5 by eny epplicant for a permit suble�is the appllcant to e dvll penalry of not more Ihen Me hundred dollers (5500).): ❑ I, as owner ol ihe proPerry, or my employees with weges as their sole compensation, WILL 00 THE WORK, end lhe structure is nat Intentletl or oHeretl for sale (Sec. 7044, Business en0 Professions Cotle: The Contrectors Llcense law tloes nat epply to en owner of property who bullds or imprwes ihereon, entl who does such work himself or herselt or Ihmug� his or her own employees, pmNded Ihat such imOrovements are not intendetl or oHered for sale. tl, however, the building or improvemem is sold within one year oi complellon, Ihe owner-builtler will heve the burden of pmving �het he or she did not bulitl or improve for purpose of sale.). ❑ I, as owner ot the property. am EXCWSIVELY CONTRACTING WITN UCENSED COMRACTORS to constmd the pro�ect (Sec. 7044, Business end Professions Coda: The coniractors Licensa Lew does no� apply lo en owner ot properry who 6uilds or improves ihereon, end who contrects lor such projec� with a coniractor(s) license pursuent to ihe Contractors License Lews.). ❑ I em exempt under sec. Siqneture: Owner ID verifietl by drivefs licanse, ❑ Ves Vedilcatlon ot Ownership by (type of tlocument, i.e. Business entl Professions Catle far this reason: ❑ No Drivef9 Licen9e No. praperry teu bill or tleetl); DB�9: Explre5 DIVISION OF INDUSTRIAL SAFEry pERM1T CERTIFICATION: ❑ I hereby cerilfy Ihet no ezcavatlon five (5) or more leet in depth Into which e person Is requlretl to descend, wlll be mede in connection with work euthonzed by this pertnit, entl Ihet no building siructure, scaHalding, falsework, or tlemolitlon or dlsmanUing t�ereof, wlll be more Ihen thlrty-six (36) teet high. (Chep. 32, Gry 2, Art 2, Sec. 341, Title 8, Callfomia Adminisiretive Coda). ❑ As owner-builder, I will not employ anyone to tlo work which woulG reduire e pertnit irom Ihe Division of Industnal Safery, as noted ebove, unless such person has a pertnit to tlo such wark irom the tliNsian. SignaNre: Date: D'Msion of InduslAel Sefety Permil Number: CERTFICATE OF COMPLIANCE AND AIJTHORIZATON OF ENTRY: I certify under penelry of perjury that I have read this appllcetion end state ihet t�e infortnation given is correct I agree to comply with all state laws and ciry ordlnences relating to building wnstruction, and authonze represemaWes o� the Ciry of Costa Mesa to enter upon the above-tlescrlbed propeny for inspection purposes. I egroe not to occupy or allow occupancy of any 6uilding euthodzed by t�is pertnit until Ilnal inspectlon. � � n_ Sgn�lure O� I Owner(s) � 2�• ��ete •(�G(,/�'!�T i AnNOr Authorized Applicant Dete COpE �, INSiEC710NTYVE � �$ 1616 Fixetl SyStem Final Fire Prevention � 1266 200 201 202 203 204 2a48�d8 Pool Spa Finel Finel RB-Raof Finel BIocWRetalning Wall Finel Fectory Fire Plece. Finel Slpn Finel Demolitlon _ _ COUE I INSPECTION TYVE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Praventlon 220 Final Plenning Aoprovel 222 Final Site Final Builtling/Occupency j1�g IMRI�LS "�— '-'F- , ; ��. � y�. 7 .m ':: f �: (714) 754-5273 • Fex (714) 754-4856 CIN OF COSTA MESA BI/ILDIN6 p1YISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PER �NUMBER � F99 00108 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3333 BEAR ST Status: ISSUED Suite: 2 Applied: OS/07/1999 Viciniry: CRYSTAL COURT Issued� O6I03/1999 Parcel Nunmber: 41249207 ZOf11119: ISSUED BY: �-✓_.1/-Y.:_.+` ,-. Applicant SAMUDIO, SUE � �� _ ~ ?' �� _ Address: � ' � ---G .. .. � . - r`r.. � �'��'% ��%� � � Phone: � � / -_'�� --�-. / % .- ', �. � . � / �A' � � �� C Zip:, �� / � � � �l ��i � \``� \ \ % _ - ._`f � (��J / % \� �, . � � C Owne�,�SOUTH'COASTPLAZA� �'.- s �'"'�`_-' �,- �j \��\�� Address/��%C J SEGERSTROM B:SONS % '�`� y�� `� c,� �i � � � \ i i / �/ii>�� \�. ��A \ .!��/COSTAMESA,CA�=�/ , Phone: \\\� �/ � ) \�� ,U l � 3315 FAIRVIEW.RD� Zip: 92628 �� /�`� � -� /�i;v� � %/%/'/ �\</ �, C'ontraaor G.F.P�INC DBA: GARVIN FIRE �\ \ /� �\ �� in .i.:,� /' �� /Address,� 501,W SOUTHERN AV t, ��-�; �� i ' � �� Phone � 714-974-8770 : �� , � � �,`� � M ORANGE CA � • • Zip � ��92665 ; i � � �` � f i i � -�... � . _ . • r, , . � \ ` � \ � i � �/% . �i Y� ,, � , A �, ( - .� � A �'/ / r i/ /- (�- iCicense� 702554 � � � � - i �'� , - � � � ( �. � �_ i �,^ � i � � � JS r . �t � � / `, r r � � � � � 1 I RlI � � i "l�/,1 �J t, ,�� r! ' U�i'r _ `— SCOPE OF �PERMIT= _' � �� ;,,�% � �.' �`'`. t �a �� ' i\11 � l�'� III��847 F RE�SPRINKLER HEADS FOR 2ND FLOOR REMODEL OF CRYSTAL COURT�(NEW MALL�AREA). --� �� i�Y'i /�_.i � /� �� A� � � ��'� � y �. � � � � � . f�� /, . �'�" � - PEESUMMARY , � •� ,� ' `��' � �� Plan Check:,,. $458.90 % � ; ;, � �'��; = ' , � Calc Valuation: ` � a�o,5o0.00 � � � � � - Permit: � $706.00 � ''- � _ ' � ` ` �� ` �� Claimed Valuationr Sio,Soo.00 �' � � ��i Othe�:'�, $0.00 � � � � t . , a' i �� ' ' �1 , i _ � � . � ;�� r,� ,--_��_ _�``� � �/ ;< f� - �� % ;� � a� ti. � i 1 �. ., - = . ' � _. i � � ;��r � � `" Total � 51,164.90 - — L � � �,�; � � � , � A"' �� .;; � �.� - - � � - � _ - ' � ;,�; � � \\�� , �� \\��, - ._ � — � i � � � � � �� ' • �� '�� .,a �i . � � i �,% �� \.: � / ` \\\ y t -_ ` � j, � / / � 7 �x � , ' �� `J�\ \� \ -r �; r �rC � i� � / �i � // � � q i - _ / i. / � \ �I� //� �\ �� • / - t� i i�� / _./� �� A �r, /� �A / / �A / �/: � �� 9 �� -? � ��"� ,'i� �'i �� iir, �� / � � �� . _ � � . . � /' %� � � /��.� � � � � _ � � _ / ./�� _T � -4 --i' � � .� `-� /� . � i�� / �� l � �,y � \i�/�Ji_ � _- ., � "�� / �� ,��`- _-i� . % ./;j� -� �� ;J �,��., . .' '" / � _ � /�� - - j_ - - _ . �,'� '� � � . , ; r' i: . .t'=/ . � NOTICE: Tha work authorized by this permit shell comply with all applicable handicap axess requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 1241•92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legel, such work must comply with elI applicable codes, and all required Inepeetlone end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSATION DECLARATION: � , . � I hereby eHirm under penalty of perjury one of the following decla(atlons: �� . ,,.. ,. , ❑ I heve end will meintain a certiticate ot consem ro seli-Insure tor workers' compensation,.as provitletl for by section 3700 of ihe Labor Cotle, For Ihe peAormance of the �'}work for whiCh thi5 Dermit is i55ued. '' - ' - � �J/I have and will maintein workers' compensation insurance, as requiretl by section 3700 of the Labor Coda, for Ne pertortnance of the work lor which this,permit is issuetl. My workers' compensetlon Insur ce carriar and policy number ere: ! �a..�a.��O�J.L�".�/CK7� �i0_C . C—CJ PolicyNumber � G /i5b �� orless.)'"' � ' � ❑ I certify ihat in �he pertortnance ol the work for which this partnit is issueq I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Califomia, antl agree ihet it I should become su6ject to the workers' crompensation provisions of Section 3700 of the Le6or Cotle, I shall forihwith comply with �hese r ons. U. .AppliceniSignatur�-C- �� Dete: 3 � � WARNWG FAILURE TO SEW E WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT MI EMPLOVER TO CRIMINAL PENqLTIES AND CNIL FINES UP TOONE HUNORED THOUSAND OOLLARE (5100,OOD), IN AODITION TO THE WST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN SECTION 31080F THE LABOR WDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licensetl under provisions of Chepter 9(commencingy� h Section 7000) of Division 3 of the Business aoA Protgss}'�ns Code, and my license is in full force and aNad. Lic. # %D�-�1`i..Tjv qass M �"' � C4J ContractoYs Signature: _� Date: ^. � � L� CONSTRUCTION LENDING AGENCY: ❑ I here6y atfirm thet there is a construction lending egency for ihe perfortnance oi the work tor which this pertnit Is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Lenders Address: Siqnature: OWNER-BUILDER DECLARATIONS: Date: I here6y attirtn Ihat under penalry of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement thet he or she is licer.sed pureuem ro the provislons of the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 ot the Business and Professions Cotle) or that he or she is exempt therefrom and ihe basis for the alleged exemption. Any violation of Section 7031.5 6y eny applicen� for a permit subjecis the epplicant to a clvil penalty of not more ihen tive hundred dollers ($500).): ❑ I, as owner oF tha property, or my employees with wages as their sole compensetion, WILL DO THE WORK, and the structure is not intentletl or oHaretl for sale (Sec. 7044, Business end Professions Code: The Conirectors License Lew tloes noi appty to an owner of property who builds or improves thereon, and who does such work himself or herseli or ihrough his or her own employees, providetl ihet such improvements are not intended or oHered tor sale. If, however, ihe builtling or improvement is sold within one year oi completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct lhe prolect (Sec. 7044, Business antl Professions Code: The contrectors Licanse Lew tloas not epply to en owner ot properry who builds or improves ihereon, and who contracis for such project with a contractor(s) license pursuant to the Contractors License Wws.). . ❑ I em exempt under Sec. Signamre: Owner ID verified by tlriver'Slicense. ❑ Yes ❑ No Business and Professions Code for this reason: Venfica�ion ot Ownership by (rype ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certity ihet no excavatlon tive (5) or more feet In tlepih Into which a person is requiretl to descentl, wlll be matle In connection with work authorized by ihls permit, antl ihat no Duiltling structure, scattolding, felsework, or demolition or dismantling thereof, will be more then ihirry-six (36) feet hlgh. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Calitomia Adminisirative Cotle). ❑ As owner-builtler, I wlll not employ enyone to do work which would require a permit irom ihe Division of Indusirial Safery, as noted above, unless such person has a permi� to do such work trom the division. SignaWra: Date: Division of Intlustnal Safery Partnit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATON OF EMAY: I certify undar penaly ot perjury that I have read this application antl s�ate �hat t�e intormation given is correct. I agree to comply with all stata laws and ciry ordinances relating to building consiruction, antl authorize representatives ot the City of Costa Mesa to enter upon the above-describetl property for inspection purposes. I agree not �o occupy or allow occupency of any Duilding authorizetl by this permit until final inspection. � 5' ur Le al Owner(s) � ` � r 3_�ate� Gc�K> / AnNOr Authorized Applicant Date COpE.N, INSPECTIONTYPE '� ' 1616 Fi:ed System Finel Fire Prevention 726fi Pool Spa Final 200 Final Re-Roof " ' � 201 Final BIocWRetalning Wall 202 Finel FeMory Fire Plece ' 203 Final Sign � 204 Final Demolitian 2446d6 `,, ' g� . ..� COOE� "INSPECTIONTYVE ' � 206 . Final Mechanical 208 Final Plumbing 210 Final Eledrical 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Finel Si�6 250 Final Building/Occupancy � � � ' � I INTTIALS "�t— �-