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Home My WebLink About696 WILSON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: 696 W WILSON ST CORNER OF W WILSON AND PAMONA Parcel Nunmber: TPN006073 Applicant: DFAIFI, JAMAL Address: 2973 HARBOR BLVD UNTI 516 COSTA MESA, CA owner. CITY OF COSTA MESA Address Phone: (714) 240-9272 Zip 92626 Phone: , - � � ,_ Zip: . Contractor: INSPECTION ENGINEERING CONSTRUCTION INC Address: 2973 HARBOR BLVD UNTI 516 ' Phone: (714) 240-9272 COSTA MESA, CA Zip: �- 92626 License: 819133 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Oullets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Motors l0 10hp Motors to 50hp Motors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Lighl Pkg Sign Circuits Status: I SS U ED Applied: 07/07/2006 Issued: 07/07/2006 ISSUED BY: SCOPE OF PERMIT 1 SERVICE PANEL TO 200A FOR TRAFFIC SIGNAL CABINET AT W WILSON.AND PAMONA. $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 50.00 S0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0_ '. p _ .. � 0 0 1 0 0 0 0 - 0 _ - ' 0 . . 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting ,�-Busway/t00ff . . Standing Section � Misc Eleclrical Equipment � Transformers up to'�t kva/kw ................up to 10.kva/kw ., .__..:......,..up to 50 kva/kw ... ....:............up fo 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 � - . - e Quantity $0.00 0 50.00 0 50.00 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 50.00 InvestigationFee . $0.00 -� , Plan Check Fee - $0.00 � Reinspection Fee' . $0.00 � � � - ,� Temp Pwr Pole $0.00 - � 0, TOTAL CALCULATED FEES�. �§30.50� �- "� i Intermed Pole $0.00 0 � � - � - COMMENTS / SPECIAL CONDITIONS � � NOTICE: The work authorized by ihis permit shall compiy with all appiicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ' EXPIRATION: This pertnit shall automaticalty expire and become void if work Is not commenced within 780 days, or if work is suspended or abandoned tor a period ot 180 days. � INSPECTIONS: In order for the work aulhorized urMer this pertnit to be consiAered legal, such work must compty with all applicable codes, and all required Inapeetione and flnal epproval must be obtained. Failure to obtain inspections and Mal approval wili result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2446-68(8100) WORKERS' COMPENSA710N DECLARATION: � � .. . I hereby aNirm under penalty of perjury one of the following tleclarations: , ' , ❑ I have and will maintain a certificate of consent ro self-Insure Por workers' compensation, es provided for by section 3700 0l the Lehor Code, tor the pedormance ot the ; work for which this permit is issued. � � ,(�, ;-f have antl will maintain workers' compensalion insurance, as requiretl �y section 3700 oi the Labor Code, Por Ihe pedortnance of Ihe work tor which this parmit is issued. �My wo rs' compensation Insurance carrier antl policy number are: cama�� 1G. eou�y.r,��,:—' i✓� `I 9� 6� o �hissection need not 6e compleretl i/ the permit is valued et one huntlred tlallars ($f 00) or /essJ , ' ❑ I cenify that in the performance of ihe work for which ihis permit is issued, I shall not employ eny person In any manner so as to 6ecome sublect to tha workere' compensation laws of Calitornia, antl agree Ihat if I shoultl becoma subJect to the workers' compensetion provisions of Section 3700 of Ihe Labor Code, I shall forihwith comply with these provisi . -l� APPIiwnPSignature: rDete: �I��' WARNING(FAILURE TO SECURE WORKERS' COfdPENSATION COVERAGE IS UNLAW FUl PND SHALL SUBJEGT AN EA�LOVER TO CRIMINAL PENALTIES AND CIVIL FW ES UP TO dJE HUNDRED T}IOUSAN� DOLLARE (5700,000). IN ApDITION TO THE COST OF COMPENSATION, pAM4GES AS PfiOVIDED FOR IN SECTIIXJ 3)O60F THE LABOR COOE, IMEREST, ANO AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I here6y aNirtn that I am licensed und r ovisions af Chapter 9(commencing with Section 7000) ol Division 3 of.the Business anp Professions Code, and my licanse is in full torce and enectrtic. x. b'( 9 I�� LC�ass � �'� ' ConlractoYs�Signat�:i � Data: _ � �I'� e %. CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirm ihat Ihere is a construction lentling agency tor the peAormance ot the work tor w�ich Ihis Dermil is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lenders Address: Data: I hereby aflirm that under penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or counry whic� requires a permit to construct, elter, improve, demolish, or repair any slrucWre, prior to its issuance, elso requires Ihe applicant for such partnit to file a signetl statement that he or she is licensed pursuant to ihe provisions of tha Contrecrore License Lew (Chepter 9(wmmencing with Sectlon 7000) ot Division 3 of the Business and Professions Cotle) or ihat �e or she is exempt therafrom and the basis tor the alleged exemption. Any violation oi Section 7031.5 by any epP�icant for a permit subjects the applicant to a civil penalry of not more ihan five hundred dollers ($500).): ❑ I, as owner of the pmperry, or my employees with wages es their sole compensation, WILL DO THE WORK, and the siructure Is not intentletl or oflered for sele (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who tloes such work himself or herself or ihrough his or her own employees, providad ihat such improvemenis ere not intended or offered for sele. If, hawever, the buildinq or improvement is sold within one year of completion, ihe owner-builder will have ihe burden of proving thet he or she did not build or improve tor purpose oi sale.). ❑ I, as owner of ihe properry, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business and Professions Cotle: Tha contractors License Law tloes not apply to an owner ot property who builds or Improves Ihereon, end who comracts tor such project wit� a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID verifiatl by tlnvers license. ❑ Yes ❑ No Business antl Pmtessions Cotle for this reeson: Verification of Ownership by (h/pe ot document, i.e. - pmperty tax bill or daedj: DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify ihat no excavetion five (5) or more feet in tlepth imo which a person is required to descend, will ba mede in connection with work authorized by Ihis permit, and that no building structure, scalloltling, falsework, or demolition or dismentling ihereot, will be more than ihirty-six (36) feet high. (Chep. 32, Grp 2, A� 2, Sec. 341, Title B, California Atlminisirative Code). ❑ As owner-builder, I will not amploy anyone to do work which would require e permit from the Division of Industriel Safery, es noted above, unless such parson has e permit to do such work from ihe division. Signature: Date: Division of Indusirial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AlliHORVATION OF ENTRY: I certity under penalty of peryury t�at I have read this eppliwtion antl state that iha iMortnation given is correct. I agree to comply with all state laws and ciry ordinances relating to building consWction, and euthonze representatives of the City of Coste Mesa to enier upon ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until finel inspection. CODE �, INSPECPONTYPE 1616 1266 Fixed System Final Fire Prevention Pool Spa Final 200 Final Re-Roof 201 Final BIxWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DFT I RIR COOEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final EleCtriCal 212 Finel Fire Preventlon - 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency � !_ 1tIIIDBkS