HomeMy WebLinkAbout3180 PARK CENTER DR - Building PermitsCity of Costa Mesa
Building Sefety DepartTent
P.o. Box 1200
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CERTIFICATE DF OCCUPANCY
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Costa Mesa, California r� �
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The Building locatetl et '27 f'!t A,?o^�• ��nni-rn i�mian _ Pii��+w�i Aicn4 �,.!1 L' �
has been inspected and found to comply with the provisions�of all City of Costa Mesa Ordinances applicable thereto
for a Group �'-F Occupancy!� � - '
UseofBuilding r..,fi..�i c„„,,.;,. ��ni..,+ c.-. �.. r,...... r..,.,.,. �
Legal Descriptio
Buildirig Perm,it,.No
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(Sea raverse side fOr MBtBs and Bounds)
eotrical Permit No. I�'����� � Plumbing Permit No. �^ni,�
Number of apartments ..n_ and/or guest rooms -�-
iSSUED T0: ; Buildin`g' �Official
� i' � A � � �. � � ,_� .
. ji by �.f�s' .. � �. !.L-Lr�c.f�i'�Z �,
rr�: 'i', r�-;'"'K} .,^cry/`T^TiAF.� �. 'll' . . . , � - , .
, Victor C. i.eti•iton-Director .uil�iic-c : �.�.I ;
. oate �_,7_0,
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Co#a�Mesa under Sec. 306 (e) U.B.C. -
Form BU 34 Rev. 11q0 � ' � .
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(714) 754-5273 • Fex (714) 754-4856 77 FAIR DRIVE, GOSTA MESA, GA 92626
BUILDING PERMIT
.lobnddress: 3180 'PARK CENTER DR
Suite:
Vicinity: CENTRAL PLANT
Parcel Number: 41049101
App�icant: BILL CASKEY
Address:
Zoning: TC TC
Phone: (714)624-7086
Zip:
Owner: FIFTH STREET PROPERTIES, LLC
Address JAMES ANDERSON
LOS ANGELES, CA Phone:
633 WEST FIFTH ST, # 7200 Zip: 90071
Contraaor: MATT CONSTRUCTION
Address: 9814 NORWALK BLVD., SUITE 100
Phone�. (562)903-2277
ISSUED BY:
Status: ISSUED
Applied: O6/27/2000
Issued: O6/27/2000
SANTA FE SPRINGS, CA �
2ip: 90670-2936 � License: 631020
nrch : BILL CASKEY & A5SOCIATES Eng: JOHN A MARTIN & ASSOC INC
Address: 630 CAMEO HIGHLANDS DR � Address: 1212 SOUTH FLOWER ST
Phone: (714)624-7086 Phone: (213)483-6490
CORONA DEL MAR, CA LOS ANGELES, CA
Zip: 92625 License: 90015 License: .
SCOPE OF PERMIT
DEMOLITIONIREMOVAL OF EXISTING CONCRETE WALL TO THE EXISTING CENTRAL PLANT.
Plan Check: $90.51
Permit: $139.25
SMIP Res: $0.00
SMIP Com: $1.47
Other: $0.00
Inspection: $0.00
Total: $231.23
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existina: 0
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
Calc Valuation: s�,000.00
Ciaim Valuation: $�,000.00
PLANNING & ZONING
Left 0- 0 Right
Lefl 0- 0 Right
Pr000sed: 0
EX?��?£D
DA1 t
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if wo�k 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 permit to be considered legal, such work must comply with all applicabls codes, and all
requlred Inapeetlone and final approvel rtiust be obtained. Failure to obtain inspections and final approval will resul� in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLAflAnON:
I hereby ettirm under penalry at perjury one oi ihe following declarations:
❑ I have end will meintain a certificate of consent lo self-Insure for workers' compensetlOn, es provitletl for by section 3700 of the LabOr Code, for ihe perlormence of thB
�l�w/prk tor which this pertnit is issuetl.
lID`�nave antl wlll meintan woAcers' compensatlon insurance, as required by seclion 3700 ot Ne LeDor Code, for Ne peRortnance ot Na work for which this pertnit is issuetl.
My workere' compensation Insurance cerder and policy number ere: �
Carriar: Policy Number:
(Th/s secfion need naf be completeU i/ the perm/t!s ve/ued ef one hundred dollers ($100) or less.)
❑ 1 ceniy t�et in the peMormence oi the work or which Ihis permit is issueQ I shell nol employ any person in eny menner sa es to Decome suhject lo the workers'
com ensetion lewspE,Califomia, antl eyyyre t I If I should become sub'ect to Ihe workero' com ensation mvisions ot Sectlon 3700 of t�e Labor Code, I shell fonhwlih
comply with these'[iralnsions /�� I P P / /� �
Applicenl Signeture: ��� I A cT Dete: �•/'/� F��
WARNING FAILURE TO SECURE WORKERS' CqMPENSATION CAVERAGE IS UNLAWFUL NND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PHJALTIES M1D CIVIL FINES UP TOONE HIINDqED
TNOUSAND DOLLARE (5100000), IN ADDITION TO THE CQST OF COA9PENSATION, OAMAGES AS PROVIDED FOR IN SECiION 3]W OF THE LABOR WDE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby atfirtn that I am licensed under provisions oi Chapter 9(wmmencing with Section 7000) of Division 3 of ihe Busine� antl Professions Code, and my license is in full
lorce end ettect. Lic. x � class tt .nn
Gonireclor5 Signature: � �� Date: � (� /S'f/
1
CONS7RUC710N LENOING AGENCV:
❑ I hereby eHirm ihat Ihere Is a consimction lending egency for tha peAortnance of the work for which Ihis parmit is iuued. (Sec. 3097, Civil Code).
Lenders Neme: Lendafs Address:
Signeture: Dete:
OWNER-BUILOER DECLARATIONS:
I hereby aHirtn Ihat under penalty of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or county which requires a pertnit to construct, elter, improve, demolish, or repair any sWcture, pnor to its luuance, also requires the applicant for such permit
to file a signetl siatement that he or she Is licensed pursuant to the provisions ot tha Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of t�e
Business antl Professions Cade) or thet ha or she is exempt therefrom antl ihe basls for the alleged exempiion. Any violation of Sectlon 7031.5 by any applicant for a permit
sub�ects the epplicant to a Civll Denalry ol no1 more than tive hundred dollars (5500).):
❑ I, as owner of the properry, or my employees with wages as their sola compensation, WILL DO THE WORK, and the structura Is not intended or otteretl tor sale (Sec.
7044, Business end Professions Cotle: The Contractors License Law does nat epply to en owner of properry who builds or improves thereon, antl who does such work
himsalf or hersetl or through �is or her own employees, provided Ihat such Improvemenls are not intended or oNered tor sale. II, �owever, Ihe building or improvemant is
soltl within one year of completion, the owner-huiltler will have the burden of proving thet he or she did not builtl or improve for purpose of sale.).
❑ I, as owner of t�e properry. am E%CLUSIVELY CONTRAC77NG WITM LICENSED CONTRACTORS to consiruct Ihe projact (Sec. 7044, Businass antl Prolessians
Cotle: 7�e contrectors License Lew does not apply to en owner of property who bulltls or impmves thereon, antl who coNrects tor such project with e contractor(s)
license pursuent to ihe Contractors License Lews.).
❑ I am e:empt untler sec. Business entl Professions Code br ihis reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivals License No. Expires:
Venfication of Ownership by (rype of document, i.e. - property tan bill or tleed):
DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: �
❑ I hereby cetlify �hat no eawvation five (5) or more feet in tlepth Into which a person Is required to descend, will be matle in cronnection with work authodzetl by this
pertnit, and that no building sirucNre, scafloltling, talsework, or tlemolition or dlsmantling thereof, will be more than t�irty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Calitornia Adminisiretive Code).
❑ As owner�builtler, I will not employ anyone to tlo work which would require e permit Irom the Division of Intlustnal Sefery, as notetl above, unless such person �as e
permit to do such work from ihe division.
Signeture: Date:
Division o� Industrial Sefery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUfHORIZA710N OF ENTAY: 1 cenify under penalty of perjury that I have reatl this appliwtion and state that Iha infortnation given is
correct. I agree to comply with all sWte laws antl ciry ordinances relating to building wnsiruction, and auihodze representatives ol the City of Costa Mesa to enter upon ihe
above-tlescribed properry for inspection purposes. I agree not to occupy or allow acupancy ot any bullding authorized by this pertnit until final inspection.
�ign tu f egal Owner(s)
And/Or Authorized ApplicaN
COOE 11, INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Root
201 Finel BIocWRetaining Wall
202 Finel Factory Fire Place
203 Finel Sign
204 FinalOemolitian
2a4&48
QAj� INTIfIRLS
COOEt INSPELTIONTYGE
206 Final MethBnical
20B Final Plumbing
210 final Electrical
212 Final Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Building/Occupanc
��TE AL
(714) 754-5273 • Fax (714) 75a-4856
v CITY OF COSTA MESA �' �
BUILD/NG DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 3180 PARK CENTER DR
Suite:
Vicinity: CENTRAL PLANT
Parcel Number: 41049101
npp�icant: GANAHL, PATRICK
Address:
BUILDING PERMIT
PERMIT NUMBER
�0-00954
77 FAIR DRIVE, COSTA MESA, CA 92626
Zoning: TC TC �
ISSUED BY:
�Phone: 562-903-2277
Zip:
Owner: FIFTH STREET PROPERTIES, LLC
Address JAMES ANDERSON - - . -�
� � LOS ANGELES, CA � � � - � Phone: �- � .
', 633 WEST FIFfH ST, # 7200 Zip: 90071 '
Contracmr: MAT7 CONSTRUCTION
Address: 9874 NORWALK BLVD., SUITE 100
Status: ISSUED
Applied: O6/27/2000
Issued: 08/09/2000
� . � . Phone: - (562) 903-2277
� SANTA FE SPRINGS, CA , �
� Zip:. 90670.2936 License. 631020 ; :
nrch : BILL CASKEY & ASSOCIATES �" Eng: JOHN A MARTIN & ASSOC INC
Address: 630 CAMEO HIGHLANDS DR ��. ." � �� -- Address:• 1212 SOUTH FLOWER ST
- � � � Phone: (714)624-7086 Phone: (213)483-6490
CORONA DEL MAR, CA
�� Zip: 92625 . ' License:
LOS ANGELES, CA "
90015 License:
, SCOPE OF PERMIT
ADD AN 8'-1" HIGH PARAPET TO THE EXISTING CENTRAL PLANT. ADD A LOUVERED ROOF TO THE EXISTING
CENTRAL PLAN. ADD FRESH AIR LOUVER TO ONE SIDE OF THE EXISTING CENTRAL PLANT. OVERALL HEIGHT NOT TO
EXCEED APPROX. 63 FEET. LOCATED NEXT TO THE PARKING STRUCTURE AND THE FREEWAY -- EXTENSION WILL BE
ARCHITECTURALLY COMPATIBLE. , .,,� _ _ _ , ,' � , .
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$1,191.94
$1,833.75
$0.00
$52.50
$0.00
$0.00
$3,078.19
SETBACKS
MAINSTRUCTURE Front- 0-0
ACCESSORY Front 0-0
PARKING
NOTES:
Existin : 0
- -- FEE SUMMARY /
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PLANNING & ZONING
Rear 0. 0 Left 0- 0
Rear 0- 0
Re uired: 0
Left �- �
��A
i
Pr000sed: � 0 �
Calc Valuation:
Claim Valuation:
Right 0- 0
Right- �- �
$250,000.00
5250,000.00
� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
�'' regulations. (Ord. No. 92-28, § 7, 12-21-92) .
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a pariod of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all
requlred Inapeetlona and finel approvel must be obtained. Failure to obtain inspections and final approval will �esult in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKEPS'COMPENSAnON DECLARATON:
I hereby aNirtn under penalry at perjury one of the tollowing dederations: •
❑ I have entl will maintein e cenilicete ot conseni to self-Insure tor workers' compensation, as provitletl for by section 3700 of �he Lehor Code, tor Ihe paAortnance of the
`` �nwork for which this permit is issued.
�I have entl will maintain workers' cwnpensaUon insurance, as requlreC by section 3700 ot the Labor Code, for tha peAortnance of the work for whiCh Ihis pertnii is iswetl.
My workare' compensation Insurenca carrier antl policy num6er ere:
Cerner. Policy NumEer.
(Thfs sectlon need not be completed!! fhe Oermi(!s valued et ane huntlretl dollers (5100) or less.)
❑ I cenity t�et In the peAarm af the work for which this permit is Issuetl, 1 shell not employ eny pereon in eny mannar so es to become subject to the workere'
compensation laws of Ce'1 ia, and agree that if I shoultl becrome subject to the workers' compensation provisions of Section 3700 of the LaDor Cotle, I shall lonhwith
com0ly with ihesa prov p ` O�
Applicen� Signeture: Date: � �
WARNINO: FAILURE TO S URE WORKE S' OM9 NSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGTlW EMPLOYER TO CRIMINAL PENALTIE$ ANO CIViI FlNE$ UP i00NE HUNDRED
TFIOUSAND DOLLARE ( OO,OOO�, IN ADDfTIIXJ TO THE C0.ST OF COMPENSATIIXJ, OMNGES A$ PFOVIDED fOR IN SECTIIXJ 310fi OF THE IABOR CODE, IMEFEST, ANO ATiORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I herehy efflrm that I em Ilcensetl u er provisions ol Chapter 9(commencing wlih Section 7000) ol Dlvlslon 3 of ihe Business entl Professlons CoOe, entl my Ilcense is In tull
force antl effect. Lic. a Class»
Conirectofs Signature: Date: "
CONSTRUCTION L DING AGENCY:
❑ I hereby atti that there is e wnstruction lending agenty br the peAortnance ot the work tor which I�is permlt is issuetl. (Sec. 3097, CIWI Code).
Lentler's Name: Lendefs Addres9:
Signature: _
OWNER-BUILDER DECLARA710N5:
Date:
I hereby atfirtn t�et unAer penalry of perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Pmfessions
Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires the applicant br such permit
to file a signetl stetement that ha or she is licensad pursuant to Ihe provisions ol the Contractore License Lew (Chapter 9(commencing wlih Section 7000) ot DiNsion 3 of the
Business and Professions Catle) or Ihat he or she is e:empt therelrom entl the basis far the ellegad ezemption. Any violation of Sectian 7031.5 by eny applicant for a pertnit
sub�ects ihe epplicant to e civil penalry ot not more than five hundred dollars ($500)J:
❑ I, es owner at t�e proparty, or my employees with weges as Iheir sole compensatlon, WILL DO THE WORK, antl the structure is not intended or oXered lor sale (Sec.
7044, Business antl Pwfessions Code: The Contracrors Licensa Law tloes not apply to an owner of property who builds or improves t�ereon, entl who tloes such work
himsetf or herself or through his or her own employees, provided Ihat such improvements ere not intendad or attered for sale. If, however, the building or improvement is
soltl within one year ot comple�ion, Ihe owneo-builder will have Ne Uurtlen ot proving that he or she ditl noi build or improve for puryase of sale.).
❑ I, as owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business antl Professions
Cotle: The contractors License Law does not apply to an owner ot property who builtls or improves thereon, and who contrects for such project with a coniractor(s)
license pursuant to the Contracmrs License taws.).
❑ I em ezempt under sec. Business entl Professians Cotle for this reeson:
Signature: Date:
Owner ID ventied by dnver's license. ❑ Ves ❑ No Drivefs License No. Eapires:
Venfication of Ownership by (type ot dacumen6 i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON:
❑ I hereby cenity that no eacavation live (5) ar more teet In depth Into whlch a peroon Is requlretl to descen4 will be mede in connectlan with work authorized by INs
permit, an0 that no huiltling structure, sceNoltling, falsework, or demolltlon or Cismantling lhereof, will be more than thirry-six (36) teet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title 8, Celilomia Administretive Code).
❑ As owner�builtler, I will not employ enyone to do work which woulC require e permii trom the Division of Indusirial Safery, as noted ebove, unless such person has e
permit to do such work Irom the division.
Signature: Date:
Division ol Intlustnal Salety Pertnit Numher:
ICER7IFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTHV: I certify under penalry of perjury that I have reed this appliwtion and state that the inlormetion given is I
correct. I agree to compy with ell state laws antl dry ordinances relating to building construction, and euthorize representatives ol Ihe City of Cos�a Mesa to emer upon the
ebove-tlescribed pmpeny for insDection purposes. I agree not to occupy or ellow occupancy ol any 6ullding authorized by this permit umil flnal Inspection.
`� I / � SjpRature eg�wner(s) � . � UU
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f�� INSPECTIONME
t618 Fixotl System Final Fire Prevention
7266 Pool Spe Final
200 Final Re-Root
201 Final BIxWRetaining Well
202 Finel Fectory Fire Plece
203 Flnal Sign
204 Final Demolition
2e4&de
e�ie
�$ �Qp$! INSPECTIONTYPE
206 Finel Mechanicel
208 Final Plumbing
210 Final Electrlwl
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/OccuOency
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