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Home My WebLink About3160 PULLMAN ST - Building PermitsCITY OF COSTA MESA BUILDING D/V/SION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 FIRE SUPRESSION PERMIT Job Address: 3160 PULLMAN ST , Suite: Vicinity: ACCO ENGINEERED SYSTEMS SUBTYPE: OVERHEAD -�. Parcel Nunmber: 42706109 �� Applicant: �Gj�,.G(..�� %Q�,yby�(i-- Address: 232 N SHERMAN AVE � CORONA,CA Phone: 951-735-5560 Zip: 92882 Owner: GOULD, B MICHAEL KNAPP STREET PROPERTIES Address ATTN MICHAEL GOULD � CHATSWORTH,CA ' Phone: 20960 KNAPP ST Zip: 91371 Contractor. CJ SUPPRESSION Address: 232 N SHERMAN AVE CORONA,CA Phone: 951-735-5560 Zip: 92882 License: 721124 F09-00161 Slatus: APPROVED Applied: 11/19/2009 Issued: 11/79/2009 SCOPE OF PERMIT: FIRE SUPPRESSION PERNIIT FOR THE INSTALLATION OF 147 PENDANTS AND UPRIGHT FIRE SPRINKLER HEADS FOR A 15,554 SF INTERIOR TI FOR "ACCO ENGINEERED SYSTEMS." REF#: BC09-00413 FEE SUMMARY Add'I Inspection Fees: $0.00 Total Fees: $541.00 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia sfatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure lo oblain inspections and final approval will result in the expiration of this permit. COOEl. INSPELTIONTYYE URTE INTIilAlS COOEt IN$PECTIONTYPE pA1E INTITIRLS 1816 Fized System Final Fire Prevenlion 206 Final Mechanical 1286 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Elecincal !� 201 Final Block/Retaining Wall 272 Final Fire Prevention L Z� �� 1/J 202 Final Factory Fire Place 220 Final Planning Appro�al 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Builtling�Occupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one o( the (ollowing declaralions: O� I have and will maintain a certificate of consent to selbinsure for vrorkers' compensation, as provided tor by section 3700 of the Labor Cotle, for the performance of the vrork for which this permil is issued. O�I have and will maintain workers' compensation insurance, as requiretl by ection 3700 0( the labor Code, for the pertormance of [he vrork for which this pertnit is issuetl. My workers' compensation Insurance carrier and policy number are:�J Carzier. G�ilr� (Thk seCun neetl irol0e cnmdeted n tne ce�� is valued at one nundmtl Nllars (5100) w less ) � wc.utio► �� Policy Number: ❑ I certify that in the performance of [he vrork for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, antl agree that i! I should become subject Ihe workers' compensation provisions of Section 3700 of th abor Code. shall rth 'th comply with these pmvisions. v � ' ' lOi9 � '.�J' '�0 Appl¢anl's i aWre Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. o LICENSED CONTRACTORS DECLARATION: I hereby affirm Ihat I am licensed under pmvisions ot Chapter 9(commencing vnth Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full ( rce and e((ect. /1 /,, Li �t p 2� Class il (. —�W e i��,� ,! e "Di� / �-lo pL�AlO 'omracmr's Sgnawre �aie CONSTRUCTION LENDING AGENCY: ❑ I hereby aifrm that there is a constructbn lentling agency fw the pedortnance of lhe v.ork !a wfiich tltis pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Date OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the follovring reason (Sec. 7031.5, Business antl Pmfessions Cotle: Any city or counry which requires a permit to construcl, alter, improve, demolish, or repair any structure, prior lo its issuance, also requires Ihe applicanl for such permit to file a signed statement that he or she is licensed pursuant to ihe provisions of Ihe Contraclors License Law (Chapter 9(commencing wi[h Section 7000) of Division 3 0( Ihe Business antl Pro(essions Code) or that he or she is exempt therefrom and the basis lor the alleged exemption. Any violation of Section 7031.5 by any applicaN (or a permit subjects Ihe apDlicant to a civil penalty of not more than five hundred tlollars ($500).): ❑ I, as owner of the property, or my employees wilh wages as their sole compensation, WILL DO 7HE WORK, and the swcture is not intentletl or oRered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, provided that such improvements are not intended or offered for sale. If, however, Ihe huiltling or improvement is sold within one year of completion, the owner-builtler will have the burden o( proving that he or she did nol build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construci the project (Sec. 7044, Business antl Protessbns Code: The contractors License law dces not apply to an owner ot property who builds or impmves Ihereon, and who cont2cts for such project with a contractw(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SignaWre Dme JOSI-dfi(109) Owner ID verified by driver s license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation o( Ownership by (rype o! document, i.e. - pmperty tax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cert'rfy that no excavation Me (5) or more feet in depth in[o which a person is required [o descend, will be made in connection with work authorized by this pertnit, and that no building sirucWre, scaHdding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title 8, Califomia Atlminist2tive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permiHrom the Division o! Induslrial Sa(ety, as noted above, unless such person has a permii to do such work from ihe tlivision. Applicanl's SignaWre Dale Division ot Indus[rial Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will ihe applicant or presenl or fuWre building occupant neetl to file and certi(y a Business Plan for emergency response ro release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Cali(ornia Health antl Sa(ety Code requires, with some exceptions, that a Busioess Plan he� fled �with the Cosla Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at standard temperaWre antl pressure�. 2. Does or will Ihe applicant or present or fuWre building occupanl need to fle a registration form (or acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of Ihe Califomia Heallh and Salety Cotle, wi[h some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one lime has on hantl a quantity of acu[ely hazartlous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o! compressed gas at standard IemperaWre and pressure). 3. Does or will the applicani or present or /uNre building occupaN need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Healih and Safety Cotle pmvides Ihat Ihe Costa Mesa Fire Department may require the preparalion, certifica[ion antl fling with the Fire Department o! an RMPP by businesses which are required ro register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of Ihe California Heallh antl Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building ocwpant require for lhe work which is the 5ubject OI lhis applicatiOn a permit for such constroclion or modifwlion (rom the South Coast Air Quality Management Disirict or (rom any other air polWtion control districl or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested informa�ion be fumishetl on applications fa noo-residential builtling pertnits). 6. Will any part of the facility lo be constructetl untler this permit be within 1000 (eet from the outer boundaries o! a school? ❑ Yes ❑ No Qf'yes", the facility must meet Ihe requirement of Sections 25534 and 42303 ot the California Health and Safety Code). 7. I( a permit from the South Coast Air Quality Management District or other air polWtion control districl or agency is required (or Ihe work which is the subject of this application, have all of the disclosures prescribed by Califomia Health antl Sa(ery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", aitach certifcate of compliance from the appmpriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is correcL I agree to comply with all state laws and city ortlinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this application and state that the information given is correcl. I agree to comply vnth all state laws antl ciry ordinances relating lo buil0ing consWction, and authorize representa[ives of the City of Costa Mesa to enter upon the above-described property for insp tion purposes. I agree not ro occupy or allow occupancy of any building autho izetl by this permit until fnal inspection. G Signa ur o1 L Ovmeqs) Date u : n �t �-,�-�b AnalorAulM1orrzetlAOPliwnl Date - CITY OF COSTA MESA 5�° F BUILD/NG DIV/SION F� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wviw.ci.costa-mesa.ca.us ° " FOR INSPECTIONS CALL: (714) 754-5626 �`^+nenmo rh PERMIT NUMBER: BX10-00038 PERMIT TYPE B MISC STATUS: ISSUED APN: 42706109 DATE ISSUED: 04/07/2010 Zoning: , ISSUED BY: RMD JOB ADDRESS: 3160 PULLMAN ST CM Vicinity: �' SQ. FT: 0 Suite/Unit: Primary Occ: - Const Type :?? Valuation: 51,100.00 . SCOPE OF WORK: RELOCATE 12' AND 13' HIGH FIXED RACKS IN CONJUNCTION WITH A 15,554 SF INTERIOR TI FOR "ACCO ENGINEERED SYSTEMS." � REF# BC09-00413 OWNER: GOULD, B MICHAEL KNAPP STREET PROPERTIESAddress:: ATTN MICHAEL GOULD Unit CHATSWORTH, CA City/State: 20960 KNAPP ST Zip Code: 91311 Phone: APPLICANT: VALLES, RANDY City/State: Phone: 714-906-1135 CONTRACTOR: CENTRE BUILDERS Address: 2901 W MAC ARTHUR BL 113 City/State: SANTA ANA, CA Zip Code: 92704 ARCHITECT: Phone ENGINEER: FATEEN, SAL E Phone FEESUMMARY Building Plan Check: Building Permit: Electrical Permit SMIP Residential SMIP Commercial Bldg Std Admin Fund Address: Zip Code: License No. 736518 Phone 714�24-0078 $27.17 $41.80 $0.00 $0.00 $0.50 $1.00 License No. License No. 25969 Cell: Unit: UniC SUITE TOTAL FEES $70.47 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/1812010 - PER CMMC Sec. 73-279 Montlay thru Fritlay - 7:00 am thru 7:00 pm. Satrudays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Dav, Memorial Dav. Indeoendence Dav, labor Dav. Thanksoivino Dav and Christmas Dav NOTICE: The work authonzed by this permit shall comply vrith all applicable handicap access requirements under Califomia statutes and related regulations. (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 authorized 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 final approval will result in the expiration of this permit. CODE/, INSPEGTIONiYPE DRTE INTIiIRLS COOEf INSPEGiIONME OAiE IN1111RL5 1876 Fixed System Final Fire Prevention 206 Final Mechanical 1286 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electnwl 201 Final Blwk/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 1 \203 Final Sign 222 Final Site 204 FinalDemolition 250 FinalBuiltling/Occupancy 4-l3-ro 1rr�bn.-� WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalry ot perjury one of the following tleclarations: ❑ I have and will maintain a certificate of consent lo sel(-Insure for workers' compensation, as provided tor by section 3700 o! the Labor Cotle, for the pedormance of [he work for which this permit is issued. ❑ I have antl will maintain workers' wmpensation insurance, as required by secfron 3700 of the Labor Code, (or the peAormance of the work !or which lhis pertnit is issued. My workers' compensation Insurance carrier antl policy numberare: � CaRier,_ ��ii�C ��i�^,QfF.S�: i �+.. �iv 4. i'U�L� (Thisseclinnneetlnolbemmple(edA( epermRisvaluetlatonehundretltlollars($100JoilessJ P.olicy.Nu� 7(( — �� lD�:�O ❑ I certi(y tha� in the pertortnance of Ihe work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree thal i( I should become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall orth th comply with these provisions. �, � � oy_ o�-/� �ppycam'>3�gnblGre �ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FWES UP TO ONE HUNDRED THOUSAND OOLIARS (5700,000), 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 aKrtn that I am licensed under provisions of Chapter 9(commencing with Sec�ion 7000) o! Division 3 of the Business and Professions Code, and my license is in full force and effect. t;r.s�-73 � Sl B cc�5 �.� 1� �/�-� / � /��/� r77-/O Comractor's^ S�naWre . Oa�e L_i� [� CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a construclion lending agency for the performance of the wurk fa wfiich this pertnit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender'S Address: SlgnaWre Date OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, eusiness and Professions Code: Any ciry or counry which requires a pertnil to construct, alter, improve, demolish, or repair any structure, pnor to its issuanCe, als0 requires lhe applicantlor such permit to fle a signed statement that he or she is licensed pursuant to the provisions o( ihe Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code) or that he or she is exempt there/rom antl �he basis for the alleged exemption. Any violation of Section 7031.5 by any applicaM tor a permit subjects the applicant to a civil penalty of nol more than five huntlretl dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe structure is not intentletl or offered for sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Law does not apply to an ovmer of property who builds or improves thereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvements are not intentletl or offered for sale. If, however, ihe building or improvement is sold v+ithin one year of complelion, the owner-builder will have Ihe burden of proving thal he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVEIY CON7RACTING WITH IJCENSED CONTRACTORS to construcl the project (Sec. 7044, Business and Pro(essbns Code: The cont2ctors License Law tices not apply lo an ovmer o( property who builds or improves thereon, and who contracls tw such project with a contraclv(s) license pursuant tothe Contrectors License Laws.). ❑ I am exempt under sec. Business and Professions Code for t�is reason: Owner ID venfied by drivo. .. license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by pype of document, i.e. - pmperty tax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereby cert'rfy Ihat no excavation frve (5) or more feet in tlepth into which a person is required to descend, will be made in connection with wvrk authorizetl by this pertnit, and that no huitding structure, scalfdding, (alsevrork, or demolition or tlismantling Ihereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, California Atlministrative Code). ❑ As owner-builder, I will nol employ anyone to Oo vrork which would require a permit (rom Ihe Division of Industrial Safery, as notetl above, unless such person has a permit to do such work from the division. AOPlicanl'S Signature Division of Indusirial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuWre building occupant neetl lo fle and certify a Business Plan for emerqency response to release or threatenetl release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 ot the Cali�omia Health and Safery Code requires, with some exceptions, tha[ a Business Plan be filed with the Costa Mesa Fire DepartmeN by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight ot 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature antl pressure). 2. Does or will the applicant or present or fuWre building occupant need to file a registration form (or awtely hazardous materia151 ❑ Yes ❑ No (Section 25533 0( the Califomia Health and Safery Code, with some exceptions, requires regislretion with the Costa Mesa Fire Department by each business which a� any one lime has on hand a quantity o( acutely hazardous materials equal to or grealer than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). 3. Does or will the appliwnt or present or future buil0ing occupant neetl lo prepare an RMPP (Risk Management and Prevemion Program (or acutely haZartlous material5)? ❑ Yes ❑ No (Section 25534 of the Cali(omia Heallh and Safety Code provides lhat �he Cos[a Mesa Fire Department may require lhe preparation, certification and filing with the Fire Department of an RMPP by businesses v+hich are required to register acutely hazardous matenals with the Fire Department. 4. If an RMPP is presentty required, has Section 25534 of the Calitomia Health and Safety Code been fully complied wilh? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future building occupant require for Ihe work which is the subject of this application a permit (or such conSWction or modification from the South Coast Air �uality Management District or (rom any other air pollution control district or agency? ❑ Yes ❑ No (SeCtion 658502 Of Ihe Califomia Govemment Code requires Ihal the reque5tetl infortnation be fumished on applications fa nornresitlential building pertnits). 6. Will any part of Ihe (aciliry to be construcletl under this permit be vrithin 1000 feet fmm the outer boundaries o( a school? ❑ Yes ❑ No (If'yes", the lacility must meet Ihe requiremen[ of Sections 25534 and 42303 of lhe Califomia Health and Safe�y Code). 7. If a pertnil (rom the South Coasl Air Quality Management District or other air polWtion control disMct or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health an0 Safety Code Section 42303 been made? ❑ Ves ❑ No 8. (If'yes", attach certificate of compliance (rom the appropnate air pollution control oKcer). CERTIFICA7E OF COMPLIANCE: I certiy that under penalty of perjury the information qiven above is correcL I agree to comply with all state laws and ciry ortlinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry o! perjury that I have read this application and slate that the information given is correct. I agree to comply with all state laws antl ciry ordinances rela[ing lo building consWction, and authorize representatives of ihe City of Cos[a Mesa [o enter upon the above-tlescriDetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until (nal inspection. SignaWreolle IOvmeqs pate SiannWre Date �s� /�. Oy—O�—/O 009-46 (3/W � —T.� �� uw.a�"AGl�arkEQ"Appliwnl r--Oale._. l.-"..� \ CITY OF COSTA MESA D�pMFq BlIILDING DIVISION F�� 7 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wcci.costa-mesa.ca.us � FOR INSPECTIONS CALL: (714) 754•5626 4�� ' PERMIT NUMBER: BC09-OQ475 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: COM_ALT DATE ISSUED: 12I1412009 ISSUED BY: BJK �oa A��aess: 3160 PULLMAN ST CM APN: 42706109 Vicinity: 3160 AND 3170 PULLMAN ST Const Type: V-6 SQ. FT: Zoning: , , Suite/Unit: Primary Occ: Valuation: 590,000.00 SCOPE OF WORK: STORE FRONT REPLACEMENT FOR 3 ENTRANCES TO BUILDING AT 3160/3170 PULLMAN. WORK IS BEING DONE IN CONJUNCTION WITH TENANT IMPROVEMENTS. REF: BC09-00412/BC09-00413. PER NOTE ON T. I. PLANS, THE STORE FRQNT/GLAZING WORK TO BE UNDER SEPARATE PERMIT. OWNER: GOULD, B MICHAEL KNAPP STREET PROPERTIESAddress: CHATSWORTH, CA Phone: City/State2ip: 20960 KNAPP ST APPLICANT: SCHALCHLIN, CURT Phone: 949-887-3130 CON7RncioR: STEEL CITY GLASS INC Phone: 949$87-3130 Cell: ARCHITECT: ENGINEER: DW ASSOCIATES INC Address: City/State/zZip: ATTN MICHAEL GOULD Unit: License No. 582447 Address: 236 FISCHER AVEUnit: City/State: COSTA MESA, CA License No. License No.2890 COMBINATION PERMIT FEE SUMMARY Building Plan Ch�ck: $150.11 Building Fees: $923.75 Electrical Fees: $0.00 Mechanical Fees; $0.00 Plumbing Fees: $0.00 SMIP Residential: $0.00 SMIP Commercial: $18.90 Bldg Std Admin Fund $4.00 TOTAL FEES: $1,096.76 "Re(er to fee receipts for all /ees paid for project Unit: : ZipCade 92626 PHONE: PHONE:805-778-0802 NOTICE: 7he work authorized by lhis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (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 authorized 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 final approval will result in the expiration of this permit. COOEN. INSPEGTIONTYPR UATE IN7ITIALS LOOE� INSPEGTIONTYPE DAIE INTIIIRL 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-I2oof p70 Final Elecirical 201 Final Block/Rgtaining Wall 212 Final Pire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site p�� 204 Final Demolition 250 Final Builtling/Occupancy y�./..��-L� WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one ot Ihe following declarations: ❑ I have and vnll maintain a certificate of consent to self-Insure for vrorkers' compensation, as providetl for by section 3700 of the Labor Cotle, for the p,�e,rt�ormance o( the work (or which Ihis permit is issued. -� i have and vrill maintain w9rkers' compensation insurance, as reQuired by � section 3700 of the Labor Code, for the performance o( the work for which Ihis permit is issued. My workers' compensation Insurance carrier and policy number a`re'.Y �p Cartier.` 1��'��at+-d\�w.a��R��+S `�J (IDrs sMon neerd rro( be mmpleletl i/fhe permR uCva,lue� al onecM1�u�nCretl Eollars (5100) oi less ) Policy�Number `J�C.C� e�3> U�OQ'l ❑ I certi(y Ihat in the pedormance of �he work for which [his permit is issued, I shall not employ any person in any manner so as to become subject to the vuorkers' compensation laws of California, and agree that if I should become subject to the workers' compensati0n provisions o/ Section 3700 0! t��a4�-C�o�de_, \I forth�'`w�([ with lhese provisi ns. �� \2 l C"�Q Apphcanl's$i8�alure Dale * WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 affrm [hat I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Busi�ess and Professions Code, and my license is in (ull force and eflect. �lic. # ' - �� 2 �'�' � Class # � �--� ��t� Z � Camracbr's Signalure a�e. CONSTRUCTION LENOtNG AGENCY: ❑ I hereby a�rm Ihat there is a consWctbn lentling agency tor the peAortnance of the work for wfiich �his permi[ ia issued. (Sec. 3097, Civil Code�. Lender s Name: Lender's Address: SignaWre Da�e OWNER-BUILDER DECLARATIONS: I hereby affrm thal under penalty of perjury Ihal I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Pro(essions Cotle: Any city or County which requires a permit to construcC alter, improve, demolish, or repai� any strucNre, prior to i[s issuance, also requires the applicant for such permit to fle a signed slalement that he or she is licensed pursuant to th2 provisions of Ihe Contractors License Law (Chapter 9(commencing with 3ection 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for ihe alleged exemption. Any vi0lation of Section 7031.5 by any applicant for a permit subjects Ihe apDlicant lo a civil penalty o! not more than fve hundred dollars ($500).): ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentled or ofteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvements are not intentled or oRered for sale. I/, however, the building or improverhenl is sold wilhin one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of [he property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business and Professions Cotle: The contractws License Law dces not apply to an ovmer o( property who builds or improves thereon, and who cont2cts tor such project with a conl2cta(s) license pursuanl to the Cont2ctws License Laws.). ❑ I am exempl under sec. Business and Professions Code for Ihis reason: 305�-a6�3i0]) Owner ID verifietl by drivei s license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (type of document, i.e. - property fax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cert"rfy Ihat no excavation fNe (5) or more (eet in depth into vfiich a person is requiretl to descen4 will be made in connec�bn vnth work authonzed by this pertnit, and [hat no builtling structure, scaffdding, falsework, or demoli�ion or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2. Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which woultl require a permit from the Division of InOustrial Safety, as noted above, unless such person has a permit to tlo such work from the division. Applicanl'S Signature Date Division of Industrial Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will �he applicant or preseM or future building occupan[ need to fle antl certify a Business Plan for emergency response to release or threatened release of a hazardous ma[erial? ❑ Yes ❑ No (Section 25505 of the California Heal[h antl Safety Code requires, with some exceptions, that a Business Plan be filed with the Cos[a Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous materials equal to or greater [han a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will the applicant or presen[ or fuWre building occupant need to file a regis�ration form (or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of �he Califomia Heallh and Safety Code, with some ezceptions. requires registration with the Costa Mesa Fire Department by each business which at any one lime has on hantl a quantiry of acutely �azardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas al stantlard lemperature and pressurej. 3. Does or will the applicant or preseM o� fuNre building occupan[ neetl to prepare an RMPP (Risk Management and P�evention Pmgram (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of Ihe California Health and Safety Code pmvides Ihat the Costa Mesa Pire Department may require Ihe preparation, certifcalion and filing with the Fire Department of an RMPP by businesses which are required lo regi5ter aCulely hazardou5 malerial5 wilh lhe Fire Department. 4. If an RMPP is preseMly required, has Section 25534 of the Califomia Health and Safety Code been fully complietl with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or fuNre building occupant require tor lhe work which is Ihe subject of Ihis application a permit for such constmction or motlifcation (rom Ihe South Coast Air Qualiry Management Districl or (rom any other air pollution control disMct or agency? ❑ Yes ❑ No (Section 658502 of the Cal"rfomia Govemment Code requires that the requested information be tumished on applications for non-resitlential building permits). 6. Will any part of �he faciliry to be constructetl untler this permit be within 1000 feet from the ouler bountlaries of a school? ❑ Ves ❑ No pt'yes", the faciliry must meet the requirement of Seclions 25534 and 42303 of the Cali(ornia Health and Safety Cotle). 7. If a pertnii from Ihe South Coast Air Quality Management DisMct or other air polWtion control district or agency is required for the work which is the subject o( this application, have all of the disclosures prescribed by Califomia Heal[h antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qi "yes", attach certifcate of compliance from the appropriate air polWtion control offcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcl I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury Ihat 1 have reatl this application antl state that Ihe information given is correcL I agree to comply with all state laws and city ordinances relating to building construction, and authorize repre5entatives of the City of Costa Mesa lo enler upon the above-described pmperty (or inspection puryoses. I agree no� to occupy or allow occupancy of any building au[horized by this permit until fnal inspection. Nr I�nBc{ ale � 2 t � An�lor AutM1orrzetl AOP��can1 . � Date ' CITY OF COSTA MESA � � os`""'FQ BIIILDING DIVISION r .. .. � 77 FAIR DRNE, WSTA MESA, CA 92626 •(714) 7545273 • Faz (714) 754-4856 • �wvw.ci.costa-mesa.ca.us f 6 �.� � FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBER: BX09-00235 PERMIT TYPE B MISC STATUS: ISSUED APN: 42706109 � DATE lSSUED: 10/29/2009 Zoning: , ISSUED BY: BJK i JOB ADDRESS: 3160 PULLMAN ST CM " Suite/Unit: Vicinity: 3160 AND 3170 PULLMAN ST Primary Occ: �- � Const Type :?? SQ. FT: 0 ' Valuation: � $50,000.00 � SCOPE OF WORK: . ' 35,286 SF INTERIOR DEMOLITION FOR 3160 AND 3170 PULLMAN STREET IN PREPARATION FOR THE FUTURE TI. INTERIOR NON-STRUCTURAL-DEMOLITION ONLY. REF: BC09-00412 & BC09-00413 OWNER: GOULD, B MICNAEL KNAPP STREET PROPERTIESAddress: - ' ATiN MICHAEL GOULD CHATSWORTH, CA City/State: 20960 KNAPp ST Zip Code:' 91311 Phone: .� ' - � APPLICANT: RINGER, KEN - '- City/State: SPRING VALLEY, CA � � � Phone: 619-247-8122 �� .� ' �'� � , � . . ... �� CONTRACTOR: CASPERS CONCRETE CUTTWG INC Address: 3825 BANCROFT DR City/State: SPRING VALLEY, CA Zip Code: 91977 � ARCHITECT: Phone ENGINEER: Phone FEESUMMARY Building Plan Check: Building Permit: Electrical Permit SMIP Residential SMIP Commercial Bldg Std Admin Fund TOTALFEES Address: 3825 BANCROFT DR , Zip Cade: 91977 License No. 478960 Phone 679-589-6001 Cell: License No. License No. $418.76 $644.25 $0.00 $o.00 $0.00 $2.00 $1,065.01 Unit: Unit: Unit NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requirements under California statutes and related regulations. (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 authorized 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. CODEp. INSPEC➢ONTYPE pATE INTITIpLS COOEp INSPECTIONTVPE DATE IN7111A�5 1616 Fixed System Final Fire Prevention 206 Final Mechaniral 1266 Pool Spa final 208 Final Plumbing� 200 Final Re-Roof 270 Final Electncal 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition �� 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARA710N: I hereby aKrm under penalry of perjury one o( ihe following declaretions: ❑ I have and will maintain a certifcate ot wnsent to sel4lnsure for workers' compensalion, as provided for by section 3700 of the Labor Code, for the pedormance of the work (or which this permit is issued. C�I have and will maiNain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for ihe pedormance of the vrork for wfiich this pertnit is issued. My workers' compensation Insurance carrier and policy numberare: � �. (,Cartier �M�C�Iwc.Jr�, �.�Q.J�`,. (This secfion need no( De mmpleted il the pertnd is value0 at one hun�dre7tl �Ilars ($100J w less ) Policy.Number: � �� —� 2� �� C� ❑ I certify Ihat in the peAormance of Ihe vrork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that if I should become subject to the ykerre�q�pensation provisions of Section 3700 of the labor Code all fort with afiply with these provisions. o� �C�^Z 1.,0"L pplicanfsSigna�ure , �-_Date� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 affrm that I am licensed under provisions o( Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eRect. �Cic.-#. C% Class:#+. � 2l � \ o - 2W.--c� onVaclor's $ignaWre Date��'^ CONSTRUCTION LENDING AGENCY: ❑ I hereby affrm that there is a consWction lending agency for the peAortnance of the work fa wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: oate OWNER-BUILDER DECLARATIONS: I hereby aKrm thal untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for [he following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit ro cons[ruCt, atler, improve, demoli5h, or repair any SimtNre, prior to its issuance, also requires Ihe applicant for such permit to fle a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Code) or that he or she is ezempt iherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects [he applican[ to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the sirucNre is not intended or oRered for sale (Sec. 7044, Business and Pro(essions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or oRered (or sale. If, however, [he building or improvement is sold within one year of completion, the ovmer-builder will have the burden o� proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construct the projecl (Sec. 7044, Business and Professbns Code: The contractors License Law dces nol apply to an owner of pmpetly who builds or improves thereon, and who contracts for such prqect vnth a contrector(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code (or this reason: SignaWre Da�e JOS]-a6 �3I0]� Owner ID verifetl by driver's license. ❑ Yes ❑ No Oriver's License No. Expires: Verifcation of Ownership by (rype of documenl, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation fve (5) or more (eet in depth into wfiich a person is required to descend, will be matle in connection with work authorized by this permi[, and [ha� no building structure, scaffWding, falsework, or tlemolition or tlismantling thereof, vrill be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-builder, 1 will not employ anyone to do work which woultl require a permit (rom Ihe Division of Industrial Safety, as noted above, unless such person has a permit to tlo such work from �he division. Applicanfs Signature Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Will the applicant or present or future 6uilding occupant need to file and certify a Business Plan (or emergency response [o release or threatened release of a hazardous ma[erial? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, Ihat a Business Plan be filed with [he Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater lhan a weight o! 500 pounds, or a volume of 55 9allons, or 200 cubic (eet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or fuWre builtling occupant need to file a registration form for acutely hazardous malerials? ❑ Yes ❑ No (Section 25533 of the California Health and Sa(ety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry o! acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at slandard temperature and pressure). 3. Does or will Ihe applicant or present or future building occupant neetl to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of Ihe Calitomia Health and Safety Code pmvides thal the Costa Mesa Fire Department may require the preparation, certifcation and filing with ihe Fire DepaAment of an RMPP by 6usinesses which are required to register acutely hazardous materials with lhe Fire Department. 4. If an RMPP is presently required, has Section 25534 0( the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future building occupant require for the work which is ihe subject of [his application a permit for such construction or modification from the South Coast Air Qualily Management District or (rom any other air polWtion control distnct or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requestetl information be fumished on applications for non-residential building pertnits�. 6. Will any pah of �he facility to be constructed under [his permit be wi[hin 1000 feet (rom the outer boundanes of a school? ❑ Yes ❑ No (If'yes", the (aciliry must meet Ihe requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permit fmm Ihe South Coast Air Quality Management District or other air polWtion control tlistrict or agency is requiretl for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Heal[h and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance from the appropnate air polWtion coMrol officer). CERTIFICATE OF COMPLIANCE: I certify ihat under penalty o! perjury [he information given above is correcL I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cerlify under penalty of perjury that I have reatl this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and au[horize representatives of the City of Costa Mesa to enter upon the above-described propeny for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by [his permit until final inspection. SignaWrep � Da�e r` (O -'Z��C)�1 � o� Aul�onzeC Aoolican� LDale—x