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Home My WebLink About594 VICTORIA ST - Building Permits��ia) �sa-sz�3 • Fax (774) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address CITY OF COSTA MESA BI/ILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 594 VICTORIA ST MEDIA ONE CABLE T.V. BOX TPN990158 THOMPSON,TOM 7835 WHITTIER COSTA MESA, CA SUITE A-12 CITY OF COSTA MESA ELECTRICAL PERMIT Phone: (949) 548-1735 Zip: 92627 .: . , PERMIT NUMBER E00-00171 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 03/02/2000 Issued: 03/02/2000 Phone: Zip: Contractor: THOMPSON AND THOMPSON �� Address: 1835 WHITTIER � .I a� COSTA MESA, CA � Phone: (949) 548-1735 DA� SUITE A-12 Zip: 92627 � License: 550936 SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEVJ CABLE T.V. POWER SUPPLV FOR -MEDIA ONE-. ISSUE fEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept OuUets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t 000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors io 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits $23.50 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $30.50 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 0 a 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee �uantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 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 suspendad or abandoned for a period ot 780 days. INSPECTIONS: In order for ihe work authonzed under �his permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepactlona and flnel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CAIL: (714) 7545626 WORKERS' COMPENSATIbN DECLARATON: I hereby eHirm untler penalry of perjury one ol lhe lollowing tletlaretions: ❑ I have and wlll maintain a cartiticate of rnnsent to selFlnsure tor workers' compensation, as provitletl for by sactlon 3700 of the Lebor Cada, lor Ihe Dertormance of lhe �^'�work lor whic� t�is permit is issued. �U }I have antl will maintein workers' compensalion insurence, as requlre0 by section 3700 of the Lebor Cpde, for tho pertortnance ot tha work for which Nis pertnit is issuetl. �-f My workers' compansetion Insur ce qrrier an� cy number re: / �) 'Ga�- � �ir^� ...Y-h�-S �cJ/lA Poll umber. ��(11��i7 � Q � �(hLcsection need not Ge wmp/etetl !! fhe per ir /s ve/ued et one hundred dollars (3100) or less.) ❑ I certity t�et In tho peAormance of the work for whlU this pertnit is iuued, I shell not emplay eny person in any menner so es to becoma subject to the workers' compensation laws ol Calitomia, and agree that it I should become subject to the workers' compensetion provisians of Section 3700 0l the Lebor Cotle, I shall torthvrith comply with these pr 5ion5. /'� n ��_ � A�pllcamSignaWre: ��t�_ _ '�\ Y Date� � FlNRi�G•'."PAtLtJRE TO SECUliE Wp{p(ERS' ENSATION WVERAGE IS UNLAWFUL AND SMALL SUBIECT AN EMPIOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED THOUSAND DOLUFE (5/00,000J, IN ADOfT1ON TO iHE COST OF CMMENSATION, �AMAGES AS PROVIDED FOR IN SECTION 3lOB OF THE II�BOR ODDE, INTEREST, AND ATTORNEI"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm th��em licensetl untler rovisions ol Chapter 9(commencinq with Section 7000) of Division 3 of Business entl Prolessions COde, end my Ilcense is in full IorteentleHect. c. SS� b ess`q'� �'� Corrtrectof.s Signamre: �e ,� G� � ato: �^ 7 r O(> �F CONSTRUCTION LEN�ING AGENCY: ❑ I hereby ellirm thet there is a construction Ientling agency for Ihe pertormence of ihe work lor which this permit Is Issued. (Sec. 3097, Civll CoOe). Lender's Neme: Lentlefs Atldress: Signeture: Date: OWNER-BUILDER UECLApq7�ONS: I hereDy aNirm thai under penalry of perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7037.5, Business end Profeuions Code: Any ciry or county which requires e permit ro construct, elter, improve, demolish, or repair any simcture, prior m its issuence, elso requires ihe applicant for such permil to tile e signetl statement thg� he or sha is licensed pursuant to the provisions of the Contractors License Law (Chepter 9(commencing with Section 7000) of DlNsion 3 of the Business end Protessions Code) or ihat he or sha is exempt therefmm end the basis for the allegetl exemption. Any violetion of Section 7031.5 by eny appllcant for a permit subfects lhe applicenl to a c�vil penalry of not mora than five huntlretl tlollars (5500).): ❑ I, es ownar of Ihe Oroperty, or my employees wiih wages as Iheir sole compensation, WILL DO THE WORK, antl Ihe structure is not intentled or oHeretl for sale (Sec. 7044, Business antl Professions Code: 7he Contractors License Law does not apply to an owner of propeey who 6uiltls or improves thereon, and who does such work himselfAr herselt or lhrough his or hei own empbyees, providetl that such improvemenis are not intended or oHerea �or sale. It, howeve�, !he building or impmvemeM is soldii i�Nn� e year ol completion, the owner-builder will have the burden of proving that he or she did not build or improve br puryose of salaJ. ❑ I, as�ownerof�ihe prOperty, am E%CLUSIVELV CONTRALTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Coda: Tfie�conlractorS�License�Law does noi apply to an owner of pmperry who builtls or impwves thereon, and who coNracts for such project with a contractor(s) license pursuant to ih4�Conlractors License Lews.). � I am exempt under seC. v�� Business antl Professions Code br this reason: Signature: Date: Owner ID verifietl 6y tlrivar's license. � ❑ Ves ❑ No Orivers License No. Expires: Ventication of Ownership by (type of daument, i.e. � property taz bill or deed): DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICA710N: ❑ I here6y certlly Ihat n0 excevation live (5) or more leet in depi� into which e person is required to tlescend, will ba mede in connection wit� work authorizeG by �his permit, antl that no builtling swcture, scafloltling, felsawork, or demWi�ion or tlismantling thereof, will be more than Ihirry-six (36) teet high. (Chap. 3.2, Grp 2, An 2, Sec. 347, Tltle B, Calilamia qdministrative Coda). ❑ As owner-builtler, I will not employ anyone to tla work which woulC require a pertnil from Ihe DiWsion of Industrial Satary, es notetl above, unless such person has e pertnit to do such work Irom the diNsion. SipnaWre: Date: DiWsion of Intlustrial Salety Permit Number: CER7IFICATE OF COMPLIqNCE AND AU7HORVA710N OF EMAV: I ceM1ify under penalty oi perjury that I have read this appliwtion end stete that tha information given is correct. I agree ro comply with all state laws and ciry ordinances relating to building construction, end authonze represematives ot Iha Ciry ol Costa Mese to enter upon tha abova-descnhetl propeny fqr inspectlon purpases. � egree not to ottupy or ellow occupancy of any building authonzetl Cy this pertnit until Ilnal inspection. COpE L INSPECTIONTYPE i616 Fixed System Fin81 Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roof 201 Final BIocWRaiaining Wall 202 Finel Fectory Fire place 203 Finel Sign 204 Finel Demotition 2646.48 1[y/jF AL �� COOE� INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 210 Final Electrital 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finaf Building/Occupancy OATE INitfIALS . . , r�AX COVER SHh�T �� SOUIHFRI Gtll(QR\b1 -��'= E D� SC� i� �., cnrsu � � � ?'r.'s... � rra i � .u. - c,,�,p.u, HUNTINGTON BEACH SERVICE CENTER T0: Burt Morgan City of Costa Mesa FAX IVUMBER: 7 i 4-754-4856 FROM: Edison Planning Department PHpNE NiTMBER: (714} 895-0363 Edison Site Releases For Media One Cable TV Spots P/S # 37 4 49 a Address a7o� C�� C.«.� ��. C;.i�t. �94 �/;clar��, `�• Cm Y' a NUIVIBER OF PAGES INCLUDING COVER SHEET I Please norify sender if any pages are missing (714) 895-0244 -.PAX 54244 SOUTHERN CALIFORNIA EDISON COMPANY 7333 BoLsa Avenue, Wesm�mster, CA 92683 - FAX: (714) 895-0188 - PAX FAX: 54188