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Home My WebLink About3293 TURLOCK DR - Building Permits� . aG•��p M�s9 o. � > _ t J +�` `+`s `�OPAIW (714)754-5273 • Fex(�ia)�sa-aess Job Address: Suite No Vicinity: Parcel Nunmber: CITY OF COSTA MESA ' BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3293 TURLOCK DR MEDIA ONE CABLE T.V. BOX TPN990236 Applicant: THOMPSON, TOM Address: 1835 WHITTIER COSTA MESA, CA SUITE A-12 ' . Owner CITY OF COSTA MESA Address` ' � - ELECTRICAL PERMIT �Phone: (949)548-1735 Zip: 92627 Phone: Zip: _- . f PERMIT NUMBER E00-00186 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: �Contrectoc THOMPSON AND THOMPSON � Addresr. ,1835 WHITTIER � - � . �COSTA MESA,CA , '��Phone: (949)548-1735 , SUITE A-12 � � Zip: 92627 � � License: 550936 , , � ` SCOPE OF PERMIT , � INSTALL ELECTRICAL METER FOR NEW CABLE T.V. POWER SUPPLY 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 Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a � Service over t000a Motors to 1 hp Motors l0 10hp Motors to 50hp Motors to 100hp Morors over t00hp� Communica[ion drops Sub panel to 200a Pole Light Pkg Sign Circuits $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0,00 $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 , FEE SUMMARY . �Quantity '- _ " -� _ - - Temp Dist System / Lighting c Busway /100 ft StandingSection Misc Electrical Equipment Trensformers 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 VOIt W ring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electriwl Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 03/07/2000 Issued: 03/07/2000 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00. 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 so.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 e 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, § 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 of 180 days. INSPECTIONS: In order for the work authorized untler ihis permit to be consideretl legal, such work must comply with all applicable codes, and all requlrad inspactlona end final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: . I hereby attirm under penalry of perj�ry one of the following tleclarations: � � ❑ I have and will maintain e ceqifiwte oi consent to self-Insure tor workers' compensation, as provided for by sedion 3700 of the Labor Cotle, tor the pedormance of the � work for which this permit is issued. � . ❑ I hava antl will maintain worke� �mpensation insurance, as requiretl by section 3700 of tha Lebor Code, for ihe performance oi the work for which this permit is issued. My workers' compensat/iq�, Ingurance carrier and policy cnu'm'�ber areI: /� � Carner: ��1 n�^'� �— S 7> > �.�!/l Policy Numher. _ ��! �3 �� (This secboT'neetl nat be comp/efed il he pertnrt is velued et one hundred dollers ($700) or IessJ ❑ I cenity ihat in the pertormaqce of the work for which this Dermit is issued, I shall not amploy any person in eny manner so as to become su6ject to the workers' compensation laws of Califomia, and agrae that if I should 6ecome subject to ihe workers' compensation provisions ot Section 3700 of Ihe Labor Code, I shall forthwith camply with thes�q�y7p —v�ion Applicant Signature: 1 L�,� � Date: �– 7� O U WARNING: FAILURE TO SECURE WORKERS' COMPENSATIQY GOVEflAGE IS UNLAWFUL AND SHALL $UBIECT AN EMPLOVER TO CRIMINAL PENALTIE$ AN� GVIL FINES UP TOONE Hl1NDRED THOUSAND DOl1ARE (510D,000�. IN ADOf71ON TO THE COST OF COMPENSATIIXJ, DAMAGES PS PROVIOED FOR IN SECTION 3'1O60F THE L4BOR WDE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEC�ppATION: I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull torce and eNect Lic. u Class q e% Conirectors Signawre: — — Data: � _ � _ iv \ < CONSTRUCTION LENDING AGEryCY: ❑ I hereby attirm that there is a construction lending agency for the peAormance of ihe work lor which this permit is issued. (Sec. 3097, Civil Cotle). �. Lentler's Name: Lenders Address: Signawre: Date: OWNER-BUILUER DECLARATlOryS: I hereby aHirm ihat under penalty of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Busineu end Professions Cotle: Any ciry or county which reqaires a permit to consimct, alrer, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit b file a signed stetement that ha or she is licensed pursuant to ihe provisions of the Comracbrs License Ww (Chapter 9(commencing with Sedion 7000) ot Division 3 of the Business antl Protessions Code) or that he or she is exempt lherefrom antl the basis tor ihe alleged eaemption. Any violation of Section 7031.5 by any epplicant tor a permit subjects the applicant to a civil pen��ty of not more than five huntlretl tlollars ($500).): ❑ I, es owner of ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the siructura is not intended or ottered for sale (Sec. 7044, Busineu and Professions Code: The Contractors License Law tloes not apply to an owner of propeny who builds or improves thereon, and who does such work himself or hersetl or through his or her own employees, provitletl that such improvemenis are not intended or oHeretl for sale. If, however, the building or improvament is sold wit�in one year oi complption, Ihe owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of saleJ. ❑ 1, as owner ot the property, @m EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS �o constmcl �he pmjeCt (SeC. 7044, Business end Professions Code: The contractors LicenSe Law does not appty to an owner of property who 6uilds or improves thereon, antl who coniracts for such projact with a contracror(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Signawre: Owner ID venfied by tlnvers licens�. ❑ Yes ❑ No Business antl Professions Code for this reason: Verification of Ownership 6y (type of document, i.e. - property tan bill or deetl): Drivers License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETy pERM1T CERTIFICATION: � I hereby certify that no eacavetion five (5) or more feel in depth into which a person is required lo descend, will be matle in connection with work authorized by ihis permit, antl that no builtling structure, scaHoltling, falsework, or demolition or tlismamling thereof, will be more than ihirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7�tle e, Califomia Atlminisirative Code). ❑ As owner-builtler, I will not er�ploy anyone to tlo work which woultl require a permit from Ihe Division of Industrial Safery, as notetl above, unless such person has a permit ta do such work from the division. Signature: Date: Division of Industnal Safery Permit Number: CER7IFICA7E OF COMPLIANCE qND AU7HORIZATON OF ENTRV: I certify under penalty of perjury �hat I have reatl this application and state that the information given is wrrect. I agree to comply with all 5fate laws and city ordinances relating to building construction, and authorize represematives of the Ciry of Costa Mesa to enter upon ihe above-descriDetl property for inspection purposes. I aqree not to ocapy or allow xcupanry oi any building authonzetl by this pertnit until tinal inspection. COOE f. fN5PfL7lONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2446-a8 �A7E hYTRIALS Date 3-7-0� Date GOOEY INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy lZi1� ^-J/// �� T R � �� :• :ti � AX COVER SHEET ��,.:�� uwii�Ek. r.uuoa.i.� ��.� �D�S�N �.1 i'in$D� h')'R.�.t7!<l�.U." Co�:ipae. HUNTINGTON BEACH SERVICE CENTER TO: Burt Morgan City of Costa Mesa FAX NL3MI3ER: 714-754-4856 FROM: Edison Planning Deparhnent PfiONE NCTMBER: (714j 895-0363 Edison Site Releases For Media One Cable TV Spots P!S # n Address /�r�a�C .� 3-7-�ia �r.�C NUMHF.R OF PAGES INCLUDING COV�R SHEET _.__;� Please notify sender zf any pages aze missing (714) 895-0244 - PAX 54244 SOiTTF�RN CALIFORNIA EDISQN COMI'ANY 7333 Bolsa Avenue, Westminster, CA 92683 - FAX: (714) 895-0188 - PAX FAX: 54188