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Home My WebLink About828 WILSON ST - Building PermitsCITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fau (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address 828 W WILSON ST CABLE N 80X TPN990122 MEDIA ONE CITY OF COSTA MESA ELECTRICAL PERMIT Phone: Zip: Phone: Zip: Contractor: EVANSJE ENETERPRISES DBA: WEST COAST CABLE Adtlress: 5425 BERRYHILL DR � ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Swilches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motars l0 1 hp Motors to 10hp MolOrs lo SOhp Molars to 100hp Motars over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole CA YORBA LINDA Phone: (714)985-0411 Zip: 92886 License: 734530 PERMIT NUMBER E99-00976 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT INSTALL NEW ELECTRICAL METER FOR CABLE T.V. POWER SUPPLY FOR "MEDIA ONE". 523.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.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 50.00 50.00 Quantity FEE SUMMARY Temp Dist System I Lighting Busway I100 ft Standing Section Misc Electriwl Equipment 7rensformers 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 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAI CONDITIONS SWtus: ISSUED Applied: 10/20/1999 Issued: 10/20/1999 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permi� to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 , � WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penalty of perlury one oi ihe following tleclarations: ❑ I heve and will maintain a certificate of consent to salf-Insure for workers' compensation, as providatl tor by section 3700 of the Labor Cotle, for Ihe pedormance of the work for which lhis permit is issued. ,0� I hava and will maintain workers' compensation insurance, as required by section 3700 ot the Labor Code, for the peAormance of ihe work for which ihis permit is issued. My workers' compens.atiron�t —In—surance carrier and policy number are: /� Certier: �i�'S1 V 1 �.($�(� ��jJ Z��p�� Policy Number: I/�I N(o �� — �/ (This section need nof be complefetl i! the permlt �s velued af on hun re7tlollars ($100J or less.) ❑ I certify that in the pertormance of ihe work tor which this permit is issued, I shall nol employ any person in any manner so es to become subject to ihe workers' compensetion lews of Calitornie, antl egree thet if I should become subject b ihe workers' compensation provisions of Section 3700 of Ihe Labor Coda, I shall fonhw"rth comply with these provisions. � ApplicantSignawre: �ZtY�+� � Date: ��' 2e�}�C WARNING FAILURE TO SECURE WORKERS' COMPENSATION CAVEfiAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FMES UP TOONE HUNDRED THOUSAND OOLL4RE (5100,000), IN AODITION TO THE COST OF COMPENSATIOtJ, DAMAGES AS PROVIDED FOF IN SECTIQV 3]O6 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm Iha! I am force and BifeCL LiC. # _ Coniractors Signature: of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code, antl my license is in full � Class a �i� n �..�.:..ti Date: /� ^ 20— __ CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm thet there is e conswction lentling agency tor ihe pertormance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lendefs Atldress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn that under penalry of perjury �hai I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires a permit to construct, alier, improve, demolish, or repair any structure, prior to its issuance, elso raquires the applicant for such permit m file a signetl statement that he or s�e is licensed pursuant to ihe provisions ot Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot [he Business antl Professions Code) or thet he or she is eaempt iherefrom and the basis for iha allegetl enemption. Any violation of Section 7031.5 by any epplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner oi ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, end the siructure is not intentletl or oifered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an owner ot property who builtls or improves ihereon, antl who does such work himself or herself or ihrough his or her own employees, provitletl ihat such improvements ara not intended or ottered for sele. If, however, ihe building or improvement is sold within one year of completion, ihe owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe property, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRAC70RS to constmct the project (Sec. 7044, Business antl Professions Code: The contradors License Lew does not apply to an owner of propetly who builds or improves thereon, and who contracts tor such prolect with a contracror(s) license pursuant to the Coniractors License Laws.). ❑ I am e:empt under sec. Business and Professions Cotle for this reason: SignaNre: Date: Owner ID verified by drivers licanse. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of tloament, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no ezcevation five (5) or more faet in depih into which a person is required to descend, will be made in conneciion with work authorized by ihis permit, and that no building sirucWre, scaHolding, falsework, or demolition or dismantling ihereot, will be more than t�irry�siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Califomia Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safety, as notetl ahove, unless such person has a permit to tlo such work irom Ihe tlivision. Signature: Data: Division ot Indusinel Satery Permil Number. CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I certify under penalty of perjury that I have read ihis application and state that ihe information given is correct. I agrea to comply with ell state laws and ciry ortlinances relating to building coretmction, and authorize representatives oi the City of Costa Mesa to enter upon ihe above-tlescnbed property tor inspaction purposes. I agree not to occupy or allow occupancy of any building amhorized by ihis permit until final inspection. Signature Of Legel Owner(s) Date �d�N� l�.,a..�u-1 1d.�2C—�iG Antl/Or Authonzed Applicant Da e GOPE �, INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIwWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2446-46 pRTE INTRIALS CO�E� INSPECTIONTYiE 206 Final Mechanical 208 Final Plumbinq 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning ApProval 222 Final Site 250 FinalBuiltling/Occupancy pqTE IMRIALS