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Home My WebLink About3333 BEAR ST - Building Permits (23)(714)754-5273 • Fax(714)754-4856 JobAddress: 3333 BEAR ST Suite: 1 Vicinity: FIRST FLOOR CITY OF COSTA MESA ` BUILDIN6 p1VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT FIRE SUPRESSION PERMIT PERMI UMBER l� V 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/18/7999 Issued: 07I15/7999 Parcel Nunmbec 41249203 J �, Zoning: , , ISSUED BY: Applicant: KLEYMAN, EMMA�" � 1 � - . ��- � � �- � Address: i� �� - ' � � � : i��' - . .. � ' Phone: � . . ' - - � � � � i,�� _�� - i , Z�p. - _' . � � ` ��% �^ � � . �-„ . _ ' ' . . - „ - , owner.- C.J. SEGERSTROMS ;- � � � ��`� � Addres��/ \ /,�, �. `-- .- � ,, AA.�,. %� � �: ,-t! �� / ��-'>%'/ Phone: \� \ � � � � / '� % l��/ V �� P: � � ZI �� i �� / � �� _ � �� A ��•Contrector.' G.F-.P ,%INC DBA: GARVIN FIRE � � � � - � � Address:; SOb W SOUTHERN AV ' " � � - • � `� � �, _, �. , , . � .: � Phone: 714-974-8770 , �\�, - -� � � � vORANGE CA • � Zip: 92665 ' . " . . . � . , ' . j � " , , �' 'Li,cense: 702554 _ � � . .�� . , .. � , , /' - - ' . . I t.�; � ; � � �<;',:_ SCOPE OF PERMIT i �, � \, �� 265 PIRE SPRINKLER HEADS FOR FIRST FLOOR. 8�0. � � _ �,� . e.A , . , ' � - , . � f '. /� � � %�_ �� ;_ FEESUMMARY � � ` � Plan Check:, $170.46 _� Calc Valuation: Sn;szo.00 �' � Permit:. $26225 Claimed Valuation: Sn.32o.00 � � �,-Other.,.$0.00 -- . _ �i.�. � .-�. �� ` � - � - -- . � a" i . �� `�` ' Total: . ��' 5432.71 _ � �� , ,; ' '� ' - � �� a - �� (, '��, ,,. • -. �� , � , . . . � : : � <��. �� , ��;�� VA�. � . . . ' i �� . . . . � _ ._ � � - . �� / � \ _ , . � ' . \ � � � A / � � �. . _ - . . _ . �� .. , � , . � - ' . - - . NOTICE: The work euthorized by this permit shall compty with all applicable handicep access requirements under Celifomia slatules and related regulations. (Ord. No. 9248, § 1, 12-21-92) � EXPIRA710N: 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 period of 180 days. INSPECTIONS: In ordar for tha work authorized under this permit to be considered legal, such work must comply with all applirable codes, and all requlred inapeetlone and (inal approvel must be obtained. Failure to obtain inspectlons end final approval will result in Ihe axpiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 � WORKERS'COMPENSAnON DECLARAnON: 1 hereby ettirm untler penalry ot perjury one of Ihe tdlowing tledarations: ❑ 1 have entl wlll maintdln e certllicate ol cronsent to sell-Insure br workers' campensetlon, as proWtletl far by secMian 3700 at t�e Lebor Code, lor t�e petlortnance ol lhe work tor which ihl5 pe�� S �ssued. ❑ I heve entl wlll meinta�n workers' compensatlon insurence, as requlred by secllon 3700 of Ne Lebor Catle, for Ne perfortnence oi Ihe woilc for which this permll Is issuetl. My woBers'tompen9elion Insurance cerder and poliry number ere: Cartier. . Policy Number. (Th/s section need nof be cwnpletetl I/ the perm/f is valued ef one hundred dollers ($700) or /ess.) ❑ 1 certify thet In ihe peAortnence oi the work for which Ihis pertnil is issueQ I shell not employ eny person in eny manner so ea to become suDject lo the workers' cwnpensaibn laws ot Gelttomta, efuf agree lhat it I shoultl become sub�ect to ihe workers compensatlon provisbns oi Sectfon 3700 ot the Labor Code. I shall tortMvith camply wit� t�ese Dro�lsions. �% � /� Applicant Signeture: F ��"��J��iil �i�— Date: �� • % � WARNINO: FNLURE TO SECURE WOfiKE1LS' COMPENSFTION �VEM�E IS UNUW FUL AND $HALL SUBJECf MI EMPLOYER TO CRIMINAL PENALTIES AND qVIL FlNES UP TO ONE HUNDRED T7%7USFND DOLLARE (S10D,00�I. IN ADOff10N TO TME COST OF COMPENSATON, OAMAGES 0.5 PROVIDE� FOR IN SECfIIXJ 3N60F THE LABOR COOE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70q5 DECLARATION: I hereby aflirm �het I am lic�nsetl und�er �r�/o,.}L'i� force end ettact. Lic. a___^- J��C Coniractors Signature: 9(commencing with Section 7000) ot Divislon 3 oi Ihe Business ana�professions Cade, and my Iicense is In full Class p C � �i� C.— Date: I. • � CONSTRUCTON LENDING AGENCV: ❑ I hereby ettirm that t�ere Is e construcilon lending egency lor Ne pertormanca oi the work for which Ihis permit Is IuueC. (Set. 3097, Clvll Catle). LentleYs Name: Lenders Atltlress: Signeture: Date: OWNER-BUILDER DECLMAnONS: I hereby eHirtn thet under pB�alry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, 8usiness and Professions Cotle: Any ciry or counry wP�ch requires e pertnit m construcL elter, improve, demollsh, or repelr eny siructure, pdor ro iLs issuflnca, elso raqulres lhe applicant tor such pertnit to tile e sipned stetement ihe� he or she is licensed pursuent to the provislons of Ihe Contractors ticense Lew (Chepier 9(commencing with Sectlon 7000) ot Dlvislon 3 of the Business entl Professlons CAde) or t�al he or she is exempt therelrom and the Gasis for the ellepetl e:emD�on. My violatlon of Sectlon 7031.5 by any epD�lcant lor e permit sub�ects the epplicant ro e C�I penelry of not more than INe huntlr6G dollars ($500)J: ❑ 1, as owner of the propeM. or my employees with wages es Iheir sale compensatlon, WILL DO TME WORK, and Ihe structure Is not intended ar attereC for sele (Sec. 7044, Business and Prolessions Cotle: 7T8 Coniractors Llcense Lew does not appty to en owner of prOperty who builtls or improves Iheraon, antl w�o tloes Such work himself or herself or tMroug� his or her own employees, providetl that such Improvements are nat InienCed or ottered for ule. II, however, t�e building or improvement is sofd within ona year of compfetion, tha owner-builtler will have the Curtlen of prov� ihat he or she did not build or imprwa tor purpose ot saie.). ❑ I, es owner of the prOperty. am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construd Ihe proJect (Sec. 7044. Buslness antl Prolessions Cotla: TTe contrector5 �cense Lew tloes not epply to en owner oi property who builds or improves ihereon, and w�o contrects tor such pmject wit� a contrectar(sJ licensa pursuant to thB Contrectors License Lews.). ❑ I em ezempt under sec. Buslness and Professions Catle lor this reeson: Signeture: Date: Ownar ID veritiad by drivef8 Ilcense. ❑ Ves ❑ No Dnvers Licanse No. Ezpires: Vedlication ol Ownership by (rype o1 document, I.e. - properry taa bill or daed): OIVISION OF INDUSTRIAL SAFETY PERMR CERTIFlCATION: � ❑ I hereby certity ihet no exceve�lon tWe (5) or mare leet In tlepih into whlch a person is repulred to descend, will be metle in connectlon with work authorized by this permll, end Ihet no bullding strucNre, sceMolding, telsework, Or demolltion or tlismantling thereof, wlll be more than thirry-six (38) feel high. (Chep. 32, Gry 2, Atl 2, Sec. 341, Title B, Calilomie Atlministrative Catla). ❑ As awner-bulltler, I wlll not emplay enyone to tlo work whlch woultl require e permit from the Divislon of IndusMal Safery, es noietl above, unless suc� person hes o permit to tlo suc� worN «om Ihe dlWsian. Signature: Date: Dlvlsion oi Intlustdal Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENRiY: I certily under penalry of per�ury thet I heve read this epplicalion end s�ate thet Ihe informetion given is correct. I agree to comply wUh all stete lews end ciry ordinances relatlng to building consiructlon, end euihorize represeniatives oi Ihe Ciry oi Cosle Mesa to enter upon the ebove-described property for Inspecllon purposes. I egree not to occupy or allow occupancy oi any builtling euthonzed by this permi� untll final inspection. SlgnaNreOfLega� nerf�) ��— � /! Dat� i� fo � AnNOr AuthorizeC Applicent Date CQOE �. INSPECTION TYGE 18/6 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 207 FInaI Block/Retfllnin8 Wall 202 Finel Facrory Fire Placa 203 Flnal Slgn 204 Final Demolition 2a&68 Qdjf, �$ COpE� INSPECTIONTYPE �_ � 208 Final Mechanicel 208 Final Plumbing 210 Finel Electncal 212 Finel Flre Preventlan 220 Flnel Plenning Approval 222 Finel Site 250 FInelBulltling/Occupancy �g I � •R �R - ;� (71a)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Atldress: 3333 BEAR ST Suite: 1 Vicinity: CRYSTAL COURT REMODEL Parcel Nunmber: 4�2492�7 Applicant: SAMUDIO, SUE Atldress: FIRE SUPRESSION PERMIT Zoning: Phone: Zip: / �� Owner': . SOUTH COAST PLAZA Addrees %%C J SEGERSTROM & SONS � �� COSTA�MESA, CA i ' � 3315 FAIRVIEW RD i, Contracror. G.F.P., INC DBA: GARVIN FIRE Address: 501 W SOUTHERN AV � Plan Check: Permit: Other: Total: ORANGE CA Phone: Zip: 92626 Phone: 714-974-8770 Zip: 92665 - - License: 702554 NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05I07l1999 Issued: O611711999 ISSUED BY: �C SCOPE OF PERMIT 847 FIRE SPRINKLER HEADS FOR FIRST FLOOR REMODEL OF CRYSTAL COURT (NEW MALL AREA), �BH. $515.78 $793.50 50.00 $1,309.28 FEE SUMMARY Calc Valuation: 5sa,�oo.00 Claimed Valuation: Saa,7oo.o0 NOTICE: The xrork authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 9248, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire erM become void if work is rrot commenced within 180 deys, or it work is suspended or ebarMoned for e period of 1 BO days. INSPECTIONS: In orcler tor the work authorizad under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlone end finel approval must be obtained. Feilure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSAnON DECLAfiAnON: - I hareby aflirm under penalry of perjury one ot Ne lallowing deGarations: ❑ I heve and will malntain a Genificate oi cansent to setl-Insure for workere' wmpensetion, es provided lor by sectlon 3700 of Ihe Lebor Cotle, for the peAormance oi the work tor whlch this pertnit iS issued. ❑ I have antl will maintain wotkers' compensation insurance, as required by SecUon 3700 of Ne Labor Cotla, for Ne peAortnence of Iha work for whkh tftis pertN� L9 issuqd. My work�ere�' jmpensation Insurenca car r enA p�ollQ' number are/: � � / `� '/ Cerrier: J�/ME /C+4 ('�!I_C L�O PolicyNumber: �e � d b�9�'� �`� (This section need not be comp/e�etl !/ Me perm/t is veluetl ef one hunOred dW/ars ($100J or /ess.J ❑ I certlly that in the peAormence ol Ihe wark for which this permil is issueQ I 5hell not employ eny person In eny manner so es to becOme 5ubject to the workers' compensation laws af Celifomla, anA egree that If I s�oultl became sub�ect to the workers' compensation provisions at Section 3700 oi the Labor Cotle, 1 shall torNwilh wmply with the�se pr � ^ y 9 Applicani5lgnature ��+'^-�- � / � Date: /u � / WARNINO: FAILURE TO SECURE WO��' ��PENS4TION COVEMGE IS UNUWFUL AND $W1Ll5UBJECr AN EMPLOYER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLARE (5100,000), IN ADDfTIIXJ TO THE C0.ST OF WIAPENSATION, DMAAGES FS PROVIDED FOR IN SECTION 3]OB OF THE UBOR CODE. INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eilirm that I em Ilcensetl untle�r IQWsions ot C�apter 9 mmencing with Sectlon 7000) ol Dlvisian 3 of Ihe Busineu a�n irole spi ns Cotle, entl my Ilcense �s In full torce ano enect. LJc. x ! O aC.7^�- Cless x `— �v ComrectoYsSigneWre: —_ _ - - �1 Date: • � � CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm Ihat Ihere is a canstrucNon lentling egenty br Ihe pertarmence oi t�e work for w�ich t�is permit is Issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: Lentlers Address: Slgnature: Date: OWNER-BUILDER DECLARATIPNS: I hereby eMirm that untler penalty ol per�ury thet I em EXEMPT FROM TNE CONTRAC70RS LICENSE LAW for the lollowinp reeson (Sec. 7031.5, Buslness end Profeulons Code: Any ciry or counry which requires a permit to consiruct, elter, improve, demolish, or repeir eny structure, prior to Its Issuence, also reQuires ihe applicant lor such permit to file e signetl statement ihat he or she Is licensed pursuant to the provisions oi ihe Contrectors License Lew (Chapier 9(commencing with Section 7000) of DlWsion 3 of ihe Business antl Professions Code) or thet ha or she is axempt therefrwn entl t�e besis for the ellegad examption. Any violation of Sectian 7031.5 by eny eppllcent tor e pertni� sub�ects the epplicant to e civil pe�elry o1 not more Ihan frve �untlretl dollars ($500).): ❑ I, es owner ot the property, or my employees vrith wages es Iheir sde compenseNon, WILL DO THE WORK, and the structure Is not intentlatl or oXared tor sale (Sec. 7044, Business and Professi�s Cotle: The Contreciors License Law does not epply ta an owner ot properry who builtls or improves thereon, entl who tloes such work himself or hersetl or througb his or her own emplqrees, pmvided that such improvements are not imenAetl or oRered tor sele. II, however, the Duiltling or Imprwement is sold within one year of comp�etion, [he owner-builtler vnll have ihe burden of proving that he or she tlid not build or improve for purpose of ule.). � I, es owner of the property, am EXCLUSIVELV CONTFiACT1NG WITFI LICENSED CONTRACTORS to construct the prafect (Sec. 7044, Business antl Professions Cotle: The conirectors License Lew tloes not eppty to an owner ol property who bullds or improves thereon, anA w�o contreds br such pro�ect with a comranor(s) license pursuam ro the Com�actors License LewsJ. ❑ I am exempt under sec. Business and Professions Cotle for Ihis reason: Sig�eture: Date�. Owner ID venfietl by tlnver's license. ❑ Yes ❑ No Drivefs License No. F�cpires: Veriflcation of Ownership by (rype ol tlaument, I.e. - proparty tax bill or deed): DIVISION OF INDUSTRIAL SAFEn' PERMR CERTIFICA710N: ❑ I hereby certity t�at no exca�e�ian tive (5) or more teet In depih Into w�lch a person Is requlretl to tlescenq wlll De made In connaciion wit� work euthoAzetl �y this partnl4 end that na 6uiltling sirucNre, scaMWding, falsework, or tlemolitlon or Olsmentlinp thereat, will be more Ihen ihlrty-six (36) feet Ngh. (Chep. 32, Grp 2, An 2, Sec. 341, Title B, Calilomia Admi0�5lraGve Cada). ❑ As owner-bullder, I will not employ enyone to Co work which would require e permlt Irom ihe Division oi Intlustriel Safety, es notetl ebove, unless such person hes a permit to do 5uch work irom Ne tllNsion. Signeture: Date: Dlvlslon ol Industrial Safery Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I certily under penalty of per�ury that I have read this application entl state that the infortnation given is correct. I egree to compty with ell steta laws end dry ordinances relaUng to buliding consiruction, and authonze representaWes ol the Ciry ot Cosia Mesa to enter upon the ebove-descrlbed properry tor Inspe��on purposes. I agree not to occupy or ellow occupancy ol any 6uiltlinq authorized by this pertnit until Iinal Inspection. C��E 1. INSPECTIONTYPE QAIF � 1818 Fl:etl System Finel Fire P�eventlan / �-�. -^f 4 (�/_ 1268 200 207 202 203 204 26a&48 Pool Spa�Finel Finel Re-Rooi Finel BloCk/Reteining Wel� Finel FaMory Fire Place Flnal Slgn Final Demolition � COOE 1 INSPECTION TYPE 208 Final MeChenlCel 208 Finel Plumbing 210 Final Eleclrical 212 Final Fire Preventlon 220 Finel Plenning Appro�al 222 Pinal Site 250 FinelBullding/Occupancy ..e 1 i p� 11�4' 4g w�i_