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Home My WebLink About888 VICTORIA ST - Building Permitsr" t.F`SMMS,A o, � > _ : J .�� (714)754-5273 • Fax(714)754-4856 Job Address: Suite No Vicinity: Parcel Nunmber. CITY OF COSTA MESA B!/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 888 VICTORIA ST MEDIA ONE CABLE T.V. BOX TPN00015 Applicant: THOMPSON, TOM Address: 1635 WHITTIER COSTA MESA,CA SUITE A-12 Owner: CITY OF COSTA MESA Address ELECTRICAL PERMIT Phone: (949)548-7735 Zip: 92627 Phone: Zip: Contrador. THOMPSON AND THOMPSON Address: 1835 WHITTIER � � � COSTA MESA, CA ' �� Phone: (949) 548-1735 SUITE A-12 � , Zip: 92627 ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Lighl Pkg Sign Circuits License: 550936 \ PERMIT NUMBER E00-00232 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/17/2000 Issued: 03/17l2000 ISSUED BY: �/ �� SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEW CABLE T.V. POWER SUPPLY FOR -MEDIA ONE-. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY - - Temp Dist System / Lighting Busway/100ft Standing Section Misc Eleclrical Equipment - Transformers up to 1 kva/kw ................up to 70 kva/kw .................up l0 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wirin9 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 Quantity $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 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and final approval mus� be obtained. Failure lo obtain inspections and tinal approval will resuN in the expiration of this permit. fOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby affirm untler penalty of perlury one of the following declarations: ' ❑ I have and will meint0in a Certificate of congen� to selt-Insure for workers' compen5ation, a5 provided for by section 3700 of Ihe Labor Code, for Ihe peAormance of Ihe work for which Nis permit is Issued. ❑ I have end will maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for tho peAortnance of the work for which ihis De�it is issuetl. My workers' compensation In/%�rence cerner and policy numb e: �'�/� y � Cemer. �( h0�'�� Q:�C �d PolicyNum6er. /�/7lJ'�G (This section need naf be cromplet�i! the p rt is velued af one hundretl dol ers ($ f00) or /ess.) ❑ I certify thet in ihe pertortnance ot lhe work (or which this pertnit is issued, 1 shall noI employ any person in any manner so as to become subject to Ihe workers' compensation laws ol California, antl agree thet if I should become sublect �o ihe workers' compensation provisions of Section 3700 of the Wbor Code, I shall fonhwith comply with these prq�5�pp5 /y\ Applicant Signature: �v� �- `C) �� _ Date: � "2C� '� U O WaRNING FAILURE TO SECURE WORKEFiS' COMPEN$qTIIXJ COVERAGE IS UNIPWFUL AND SHALL SUBJEGf Ml EMPLOYER TO CRIMINAL PENPLilES AND CML FINES UP TOONE MUNDRED THOUSAND DOLLARE (5100.OD0). IN ADDITION TO THE �p$T OF WMPENSFTIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: � I hereby aHirtn Ihat I am Iicense0 untler provisionS of Chapter 9(commencing wi�h Seclion 7000) ot Divislon 3 of the eusiness antl Pmtessions Code, and my license is in tull torce and ercect. �ic. a .5.�� q� b Gass a C— 7 � ' Contractors Signature.�� yy,�_ � _ . Date: .i ' 2U' DU CONSTRUCTION LENDING AGENCV: ❑ I hereby eflirm ihet ihere is a constmction lending agency for the peAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Coda). Lentler's Name: Lendels Address: Signature: Date: OWNER-BUILDER OECLARATIONS: I hereby eHirm that under penalty of perjury thet I am EXEMPT FROM TME CON7RACTOFiS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repeir any structure, pnor to its issuance, also requires tha applicant tor such permit to tile a signatl statement ihat he or she is licensed pursuan[ to the provisions ot �he Con�rectors License Lew (C�apter 9(commencing with Saction 7000) of Divislon 3 of the Business antl Prolessions Code) or thet he or she is exempt Iherefrom and the besis for the allegetl ezemption. Any violetion of Section 7031.5 by any applicant for a permit subjects Ihe applicant to e civil penalry of not morg than five huntlred dollars ($500).): ❑ I, as owner of ihe property. or my employeas with wegas as their sole compensation, WILL DO TME WORK, and ihe strucWre is not intendad or oifered tor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law dces not apply to an owner of properry w�o builtls or improves thereon, antl who tloes such work himsetf or herself or ihrough his or her own employees, provided that such improvements ere not intendad or oXered lor sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builtler will have the 6urden of proving thet he or she tlitl not build or improve for purpose of sale.). ❑ I, as owner oi the property, em E%CLUSIVELV LONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Professions Cotle: T1�e conirector5 LicenSe Law tloes qoi apply Io an owner of property who builtls or improves thereon, end who contracis for such project with a coniractor(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt untler sec. Businau and Professions Cotle for this reason: Signa�ure: Date: Owner ID veniietl by driver's license. ❑ Ves ❑ No Driver's License No. Venfication of Ownership by (type of tlocumem, i.p, - property taz bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PEFiM1T CERTIFICATION: Ezpires: ❑ I hereby cenity that no axcevation five (5) or more feet in depth iNo which a person Is requlred to descend, will be made in connedion with work au�horized by Ihis permit, and that no builtling stmcWre, scaflqlding, falsework, or demolition or dismaniling theraof, will De more t�en thitly-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Californie Adminisirative Code), ❑ As owner-6ullde�. I will not employ anyone to do work which would require a permit from ihe Division of Induslrial Safety, as noted above, unless such person has a permit to do such work from the tlivision. Signawre: Date: Division of Indushial Safety Permit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIYA7ION OF EN7RY: I cenify under penalry of perjury ihat I have read this application and state that the intormation given is correci. I egrea to comply wlth all state laws and ciry ortlinances relafing to building consimction, end euthodze representatives of the City of Costa Mesa to enter upon ihe above-described property for inspection purposes, I agree not to occupy or allow occupancy oi any building authorizetl by this permit until final inspection. Signature Of Legal Owner(s) Date � ��., "i - 20 - F� a AnNOr Authonze� pp i Date CODEY. INSPECTIONTYPE QRTE �NTITIALS 1616 Fiaed System Final Fire Prevention 7266 200 Pool Spa Final Final (ie-Rool 201 Final Blak/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2aa&a6 COpE� INSPEMIONTYPE 206 Final Methanical 208 Final Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final BuiltlinyOccupancy on� .,.�./f'(�//T/� �� INTRIALS � Y .- �; AX COVER SH�,.�T �'� soui�,re� c�i�rarr.i.� �=��- E D� 5� N ,., i.�„u, n rr:x�,,. ure �..�r. - c�.,r,; .,�, HUNTINGTON $EACH SEKVICE CENTER TO: Durt Mnrgan City of Costa Mesa FAX NUMi3ER: 7 i 4-754-4856 FROM: Edison Planning Departinent PHONE NtJMBER: (714J &95-03b3 Edison Site Releases For Media One Cable TV Spots P/S # Address � L(�'� - 8gg U tt,ioe: a� .. ✓ I ts s ��s11 �.�.tMwcc` �/ 14t C 1 S�i � m,c 1�r�.r �� I 6 4 33�o A+c a� �4. �l.�S . �Y' NUMBER UP PAGES TNCLUDTNG COVER ST-IEET ( Ptease notify sender if any pages are missutg (714) 895-0244 -.PAX 54244 SOUIT�RN CALIFORNIA EDISON COMPANY 7333 $oLsa Avenue, Westminster, CA 92583 - FAX: (714) 895-0188 - PAX FFJC: 54188 , . ,, , , . .. . �,: ;: ... , . > . . _ : :