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Home My WebLink About840 TOWNE ST - Building Permits.� � (714) 754-5273 • Fex (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 840 TOWNEST Suite No Vicinily: AT REAR OF HOUSE Pa�cel Nunmber. Applicant: Address: 42418113 VICK, PAMELA 840 YOWNE ST COSTA MESA, CA Owner: VICK, DAVID M Address 840 TOWNE ST COSTA MESA, CA Contractor: OWN ER-B U I LDE R Address: 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 t000a Service over 1000a Motors to ihp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Si9n Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT ISSUED BY: Phone: (949)645-6849 Zip: 92627 Status: ISSUED Applied: 07I72/2000 Issued: 07/12/2000 Phone: � ZiP: 9262� �Q�� 5,�',}aq� �A� Phone: Zip: License: 0 SCOPE OF PERMIT INS7ALL NEW 100 AMP SUB-PANEL AT REAR OF EXISTING SFD. $23.50 $0.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 530.50 so.00 50.00 30.00 $0.00 �uantity FEE SUMMARY Temp Dist System / Lighting Busway /100 R Standing Section Misc Electrical Equipment Trensformers up to t kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Vol[age Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa 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 TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 D $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 $0.00 554.00 NOTICE: The work authoriYed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlona end final epprovel mus� be obtained. Failure to obtain inspections and final epproval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 4 �- WORKEHS'COMPENSATON DECLAFiATON: I hareby alfirm unCer penelry af per�ury one W I�e followirg Aedaretions: ❑� I have and will meintain a cehillcate oi consent lo seN-Insure lor workers' compensation, es provitletl for Dy section 3700 ot the La�or CoAe, for ihe pertortnance of Ihe wwk for which �his pefmit is Issued. � ❑ I have an0 w10 maintain wakers' oorrpensaGon inwre�e. as reqwretl by sectbn 3700 oi Ne Lebor Code. for Uie PeAormance ol tlie wak tor whki� Uris pertnil is issuetl. My workera' compensetlon Insurenca cartier and pdicy number are: Certier: Poli�y Number: (This sectton nestl not be mmpleted Il Ne pemtitls valuetl et one �undred ddfars (5700) or less.) ❑ I cerlily thet in Ne pBAormence o1 Ihe wOrk for which �his permit is issued, I shall not employ eny per9on in eny mennor so 89 to become wb�ecl lo the wwkars' compensation laws of Califomia, end agree Nat II I should becwne subject to Ihe workers' compensation provisions oi Sectlon 3700 ot t�e Labor CoCe, I shall lonhvrith compry with thesa provisions. Applicant Signature: Da�e: WARNING: FAILURE TO SEWFE WORKERS �MPENSPTION W VEiiAGE IS UMAW RIL AND SIWL SUBJEGT lW EMPLOVER TO CRIMINAL PENALTIES M1D CML FlNE$ UP TO ONE HUNORED Ti10USAND DOLL4RE (5100.000), IN ADDITION TO TME COST OF C�WAPENSATION.OMNGES 0.S PROVIDED iOR IN SECTIIXJ 3')080F THE UBOR COOE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTAACTORS DECLARA710N: I hereby aflirm ihel 1 am licensetl under provislons ol Chapter 9(commencing with Section 7000) ot Divislon 3 of the Business end Professions Code, and my Ilcense is in tull torce and ettBtt. Lic. N Cless a Comreciofs SigneWra: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby atlirtn thal there is a conswctlon lending egency br Ihe peAormance of lhe woAc for which �his perml� Is issuetl. (Sec. 3097, Cldl Code). Lenders Nema: Lentlels Address: Signature: Date: OWNER-BUILDER DECLAFiAT10NS: I hereby aHirtn ihal untle;penalry ol perjury Ihel I em E7(EMPT FROM THE CONTRACTOiiS LICENSE LAW for the following reeson (Sec. 7031.5, Busineu antl Professions Code: Any ciry or counry which requires a pertnit to consWCl, elter, improve, tlemdish, or repair any sWCNre, prior to its issuence, elso requires Ihe epplicant for such pertnit to flle a signeA stetamenCthet lie'orshe is licensed pursueN to Ihe provisions of ihe Contrectore Licanse Lew (C�apter 9(commencing wit� Sectlon 7000) of Division 3 of the Business antl Pmtessions Cotle) oi.�fiaf�e.ar she is exempt therefrom anO Ihe basis tor t�e allegetl exemptlon. Any Wolatlon of Section 7031.5 by any epplicant lor a pertnit sub�acts ihe applicant to e clvll penelty,ol nbt more than Me �untlretl tlWlers (5500).): ❑ I, as ov.•ner oi lha property, or my emD�oyaemwith weges es thelr wle oompensation, WILL DO TME WORK, end the strudure is not Intended or ottered br sale (Sec. 7044, Business and Prolessions Cotle:•The:Contrectors License Lew tloes not apply to an owner ot properly who builds or impmves thereon, anA w�o tloes such work himself or hersetl or thmugh his ar her own employees, providetl that such improvemems are not imended or oflered for sale. If, �owevar, the builtling or imprwement is �Id wi�hin one year o1 completlon, t�e owneo-builder will have iha burden ot proving �hat he or she ditl not build or improve for puryose of saleJ. as owner ot tha property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTHACTORS ro construd the pmject (Sec. 7040, Business and Professions Code: The contractors License Lew tloes not appty to an awner at properry who builds or improves thereon, and wha contracts for such pro�ect wit� a contractor(s) license pursuani Io Ihe Contrectors License Lews.). ❑ I em exemp� unr�ir sec. � ��,� Business entl Profeuions Cotle tor this reason: Signature: /—!�YlZL�CQ Owner ID venTied by drivers license. ❑ Y85 ❑ No Verification of Ownership by (rypa ot tlaument, i.e. - property lax DIII or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFlCATION: Date: %–�� OCJ orivers License No. � - Erzpires: ❑ I hereby cenity Ihet no excavetlon tive (5) or more feet In tlepth into which a person Is repuiretl to descen0, wlll be mede in conneclion wlih work authorizetl Gy this pefmlt, entl Ihat no building structure, scetldding, lalsework, or tlemdition or tlismantling thereol, will be more Ihan Ihirty-six (38) tee� high. (Chap. 32, Gry 2, Ari 2, Sec. 341, Title 8, Celitomia Administrelive Cotle). ❑ As owner-�uiltler, I will na1 employ anyone to tlo work which would repulre a permit irom the Division of Intlusirial Safery, es notetl eDove, unless such person has e pertnit lo do such work trwn the division. SlgnaWre: Date: Division of Industrial Satery Permit Numbor: CERTIFlCA7E OF COMPIJANCE AND AIlTHORIZATION OF ENfAY: I certity untler penalry ol perjury that I have rea0 this applicatian and slate that the information given is correc�. I agrea to compty with all state laws end ciry ordinances relating to �uiltling construclion, end euthonze representatives of ihe City of Costa Mesa to enter upon the ebove-describetl pmperty for inspectian purposes. I epr e not to acupy or ellow occupancy of eny bulltling euthorizetl by this permit until Ilnel inspectlon. ,� > � �• //' � � /a • c� Signature Of Legal Owner(s) Data AnNOr Authorized Applicant �ala COOE t INSPECTIONTYPE 1616 Fixotl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 FInaI BIacWReteining Wall 202 Final Fettory Fire Place 203 Final Sign 204 Final Demolilion 244Bd8 �g �� COOE 1 INSPELTION TYVE 206 Final Mechenical 208 Final Plumbing 210 Final Elecirical 212 Finel Flra Preven�ion 220 Finel Planning Approval 222 Final Site 250 Final BuiltlingiOceupanty QdjE INTRIALS