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Home My WebLink About3335 FAIRVIEW RD - Building Permits(714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber. Applicant: Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets sw�«ne5 Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 70hp Motors to 50hp Motors l0 100hp Motors over 100hp COmmunication drops Sub panel to 200a Pole light Pkg Sign Circuits Temp Pwr Pole Intermed Pole CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT • PERMIT ELECTRICAL PERMIT 3335 FAIRVIEW RD BUS SHELTER TPN99020 JAN PARKER 497 ABBIE WY COSTA MESA, CA CITY OF COSTA MESA PARKER PACIFIC WEST INC 497 ABBIE WY COSTA MESA, CA Phone: (949)646-5359 Zip: 92627 Phone: Zip: � Phone: (949)646-5359 - 2ip: 92627 license: 609295 PERMIT NUMBER E00-00765 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: :7F7i1��6Y.`l�l��] Applied: OB/02/2000 Issued: OBI02/2000 SCOPE OF PERMIT INSTAIL ELECTRICAL SERVICE, 1 LIGHT AND 1 MISC CONDUIT FOR NEW 8US SHELTER. ZERO FEE CITY PROJECT PER DENNIS JOHNSON. $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $1.10 50.00 $�.0� $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 0 0 0 1 0 � 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY � Temp Dist System / Lighting J Busway /100 tl 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) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 51820 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0:00 $0.00 50.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap eccess 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 1 BO days. INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlone and final epproval must be obtained. Failure to obtain inspeclions end final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 1 WORKERS' COMPENSATION DECLARATION: I hereby aHirm untler penalty of perjury one of the following decleretions: ❑ I heve entl will meiNain a cehiticate of consent to selt-Insure for workers' compensation, es provitled tor by section 3700 ot the Labor Code, for the pertormance of the ork for which this permit is issueC. have and will maintain workers' compensaqon insurance, as requiretl by section 3700 ot Ihe Lebor Cotle, br ihe pedormance of the woB foi which Ihis partnii is issued. My workers' compenselion Insurence carner antl policy number ere: Carrier: policy Number: (This section neetl nof be camp/eretl il the permlfls veluetl ! one huntlred dollers ($100) or /ess.) ❑ I certiy that in the pert nce of iha work f whi thi permit is issued, I shell not employ eny person in any manner so as to become subject to [he workars' wmpensa�ion laws of al" o ia, an e t i ho 6ecome subject to the workers' compensation provisions of Se ion 700 of Ihe Lebor Code, I shall fohhwith comDly with ihese pr vis' �7 Applicent Signeture: / Data: �� !/� WARNING: FAILURE TO SEC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMAIL SU&IECT AN EMPLOVER TO CFIMINPL PENNLTIES AND CIVIL FlNES UP TOONE HUNORED i/iOUSAND OOLLARE ($1 ), IN ADDITION TO THE COST OF CAMPENSAiION, DAMAGES A$ PROVIDED fOR IN SEGTION 3IO60F THE LABOR CODE, IMEREST. AND ATTOPNE`f5 FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aNirm that I am licensed r p is' lorce and eflect. Lic. N Coniractofs Slgnature: CONSTRUCTIONLEND ❑ I hereby ettirm ihat Lentlefs Name: Signature: with Section 7000) of Division 3 of iha Busin antl Professions Code, antl my license is in full Class x � —/� , AGENCV: e is a construction lending egency for Ihe�pedortnance ot the work tor which this permit is issued. (Sec. 3097, Civil Cale). Lentler'S AtldreSs: Da�e: OWNER-BUILDER DECLARATIONS: I hereby affirtn Ihat urMer penalry of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to wnstmct, alter, improve, demolish, or repeir eny siructure, pnor to iis issuance, elso requires the applicant for such permit to file a signed statement that he or she Is Iicensed pursuant to Iha provisions of I�e CoNractors Licensa Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of Ihe Business end Protessions Cotle) or the� he or she Is exempl theretrom end tha hasis for ihe allaged ezemption. Any vlolatlon oi Sectlon 7031.5 by any epplicent tor a permit subjects Ihe applicant to e civil penalty ol not more then tive hundred dollers ($500).): ❑ I, es owner of the property, or my employees wilh wages as their sole compensetion, WILL DO THE WORK, entl lhe structure is not Intended or oHered lor sale (Sec. 7044, Business and Prafessions Catle: The Contrectors License Law does not apply to an owner oi property who builtls or improves theraon, end who does such work himself or hersetl or ihrough his or her own employees, provitletl Ihat such Improvements e�e not Intended or oflered for sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-bulltler will have ihe burden of proving �ha� he or she did not build or improve for purpose ot sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sac. 7044, Business antl Professions Cotle: The contractors License Lew does not epply to an owner ot properry who builds ar improves thereon, and who contracts for suc� prolect with a coniractor(s) license pursuant to the Contractors Ucense LewsJ. ❑ I em exempt under sec. Business and Prafessions Code lor this reason: SignaNre: Date: Owner ID verified by drivefs licensa. ❑ Yes ❑ No Driver's License No. Venfication of Ownership by (type ot document, i.e. - O�operry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: Expires: ❑ I hereby cehity �hat no ezcavation tive (5) or more feet in depth into which e person Is requlred to descend, will be matle In connectlon wlth work authorizetl hy �his permll, end thet no building siructure, sceHoltling, falsework, or tlemolition or dismentling Ihereot, will he more than ihirty-six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administretive Code). ❑ As owne�-huilder, I will not employ anyone to tlo wotk which would require a permit irom �he Division of Intlustriel Safety, es noted above, unless such person has a permit to do such work trom the division. Siqnature: Date: Division of Industnal Safery Pertnit Number: CERTIFlCATE OF COMVLIANCE AND AIJiHORIZATON OF ENfRY: I certify under penalry of parJury that I have read this application and state Ihat tha information given is I wrrecL I agree ro compty with all stet s and ciry ordinances relating to buildinq construction, and euthorize representatives oi the Ciry of Cwta Mesa to enier upon the ebove-described properry far inspec' n rposes. I egree r�W-[S�cupy or allow occupancy of any bulltling authorized by Ihis permll untll final InsDection. CODE N. INSPECTIONTYGE / 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Relaining Wall 202 Finel Fectory Fire Place 203 Finel Sign 204 Final Demolition 2446d6 {�¢, INTRIALS CODE 11 INSPECTIONTYYE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltlinyOccupancy �� INTR R