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Home My WebLink About537 WILSON ST - Building Permits1 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 ELECTRICAL PERMIT ,lob Address: 537 W WILSON ST Suite No Vicinity: MEDIA ONE CABLE N BOX Parcel Nunmber: TPN990157 npp�icant: MEDIA ONE Address: Phone: Zip: Owner. CITY OF COSTA MESA Address . Phone: Zip: Contractor: EVANSJE ENETERPRISES DBA: WEST COAST CABLE Address: 5425 BERRYHILL DR CA Phone: (714) 985-04N YORBA LINDA . � �Zip: 92886 � � � - License: 734530 . 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 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole PERMIT NUMBER E99-01145 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEW CABLE N 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 $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 $0.00 $0.00 quantity 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) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 12/1/1999 Issued: 12/1/7999 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 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 1 BO days. INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work m�st comply with all applicable codes, and all required inapectiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATIbN: . I hereby affirm under penalry of perlury one of the following declarations: ' ❑ I hava antl will maintain a cetlificate oi consent to self-Insure tor workere' compensation, as provided for by section 3700 of ihe Labor Code, for the pertormance of the work for which Ihis permit is issuetl. ❑ I have and will mainlain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for the pertormance of the work for which ihis pertnit is issued. My workers' compensation Insurance cerrier and policy number are: Carrier: Policy Number: (This secfion need nof be completed il fhe permit is valued af one huntlreU dollers ($100) or /ess.) ❑ I certity that in iha pertortnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and aQree that it I shoultl become subject b lhe workers' compensetion pmvisions of Seciion 3700 oi the Labor Cotle, I shall totlhwith comply wi�h ihese pravisions. Applicent SignaWre: �Y�.� J�..r.--._ Date: � Z- 2_ 9S WpRNING FAILURE TO SECURE WORKERS' COMpENSATION OJVERFGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HONDRED THOUSAND DOLLARE (5100,000�, IN ADDITION TO T}�E COST OF COMPENSATION, DAMAGES AS PROVIOED WR M SECTION 31060F THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed under provigions of Chapter 9(wmmencing with Section 7000) of Division 3 of ihe Business and Protessions Code, and my license is in full lorce antl ettect. Lic. a Class M C— J D Contrectorssignawre: %2..+J�� ...�� Date: (�2—�c CONS7RUCTION LENDING AGENCY: ❑ 1 hereby attirm ihat there is a constmctibn lending agency for the pedormance ot the work for which Ihis permit is issued. (Sec. 3097, Civii Code). Lentler s Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm ihat under penalty ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profassions Code: Any ciry or county which requires a permit to construct, alter, improve, tlemolish, or repair any simcNre, prior to its issuance, also requires the applicant for such permit to file a signetl statement Ihai he or she is licpnsad pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Protessions Code) or that he or she is e:empt therefrom and the basis tor the alleged exemption. Any violation oi Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, es owner ot ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcture is not intentletl or oReretl for sale (Sac. 7044, Business antl Professions Code: The Contrectors License Law does not apply to an owner of property who builds or improves ihereon, and who doas such work himself or herself or through his or her 4wn employees, provided that such improvemenis are not intended or offered tor sale. If, however, the builtling or improvement is sold within one yeer oi completion, the Owner-builder will have ihe burden of proving ihat he or she ditl not 6uild or improve tor purpose of sale.). ❑ I, as owner of the property, am EACLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business and Professions Cotle: The contractors License Law does not apply to an owner of property who huilds or improves thereon, and who contracis for such pmject with a contractor(s) license pursuant to the Coniractors License Laws.). ❑ I am ezempt untler sec. Business antl Professions Code tor ihis reason: SignaWre: Date: Owner ID veritietl by driver's license. ❑ Ves ❑ No Drivers License No. Verification ot Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby cetlity Ihat no excavation tive (5) or more faet in depih into which a person is required to descend, will be made In connection with work authorizetl by this permit, antl that no building stmcture, scattolding, falsework, or demolition or dismantling ihereot, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative COtle). ❑ As owner-builtler, I will not employ anyone to do work which woultl require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a permii to do such work from the division. Signature: Date: Division of Industrial Satety Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATON OF EN7RY: I certity under penalty of perjury that I have read ihis application and state that �he information given is correcl I a9ree to compty with all state laws and city ordinances relating to builtling wnstmction, and authorize represen[atives of ihe Ciry oi Costa Mesa to enter upon the a6ove-tlescribed propetly for inspection purpnses. I agree not to occupy or allow occupancy of any huilding amhorized by this permit until final inspection. Si nature Oi Legal Owner(s) Date -�...,,, _3,,,,,,,�` / z- z - Sg ' And/Or Authorized Applicani Oa(e COpE �, INSPECTIONTYPE Q.� INTRIpLS 1616 Fixed System Final Fire Prevention 1266 200 207 202 203 Pool Spa Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition 2446-66 COOEN INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy B� INT RL