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Home My WebLink About53 FAIR DR - Building Permits�' (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 53 FAIR DR Suite No Vicinity: Parcel Nunmber: Applicanf: Address: Owner: LANDSCAPE EASEMENT TPN00130 CROTEAU,VAL CITY OF COSTA MESA Address 77 FAIR DRIVE COSTA MESA, CA Contractor. COURTNEY'S ELECTRIC Address: 27202 E. 3RD STREET HIGHLAND, CA ,� ISSUE FEE Temp service test Res. a/c package- New Res (7-2 units) New Res (3+units) . � Pool / Spa �. �ighting Fixts Recept Outlets Switches � ' ISSUED BY: Phone: 909-862•5335 � Z�P Phone: Zip: 92626 Phone: 909-862-5335 Zip: 92346 . License: 548745 Status: ISSUED Applied: OSl10/2007 Issued: OS/10/2001 � SCOPE OF PERMIT, � ' 100 AMP METER PEDESTAL fOR PACIFIC BELL. PEDESTAL IS IN THE�EASEMENT ADJACENT TO VANGUARDCOLLEGE.- �� 0'� �I ^d� ' -.,' � FEE SUMMARY Quantiry $23.50 $0.00 • $0.00 $0.00 0 � E0.00 0 --•� •� � �,S0.00 0 .-. . � �50.00 0 � � $0.00�, � -_-p: - . . $0.00 = �� 0 � NonResAppl�� /� $000'�� 0 -. , Res Appl � $0 00. 0. " Service to 200a � � � _ $30 50�� t� � �, � Service to 1000a $0.00 ;%� �� 0 - - � Service over 1000a Motors to 1hp Motors to tOhp MoforS to 50hp Motors to t00hp Motors over 100hp Communiwtion drops Sub panel to 200a Pole Light Pkq Sign Circuits Temp Pwr Pole Intertnetl Pole � -$0.00 � � 'i 0 . _ , $0.00�`:"/� .0 .�� . � $0.00' � � � 0 � $0.00 `� �� 0" ` ' $0.00�� - 0 �- .� so.00 � - o, ',._ . . $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Quantity � Temp Di3t System I Lighting . $0.00 0'-� Busway /100 ft : ,� $0.00 0 ' , � Standing Section � $0.00 - 0?; , Misc Electrical Equipment �$0.00 -% 0� �; - Transformers up to 1 kva/kw $0.00 '� 0 � . , ..........:..::�.up to 70 kva/kw $0.00 � .�0 .....�.....:......up to SO�kva/kw . _ $0.00`% 0 - �� , .................up to 100 kva/kw'-,-,.; ,' $0.00' 0 � ,� over 100 kva/kw $0�00 . 0 , � . Low Voltage Equipment /�$0 00-�% - 0. �� Low VOIPWqing System I Ckt� $0 00. ;�� 0 �� Misc: Conduit 3 -_,�' $0,00� 0� � , Misd Conductor " � `� �� !50.00 � , 0 j� Circus ( gen or ride)- � `� � ,%$Q00 = % 0 ! Circus (mech nde�orlights) `�" $0.00 - �- �- 0 � Christmas Tree Stand' � ,. $0.00, � 0 Fireworks Stand'; • "� - �j $0.00 0 �Other Eledrical Fee - "� %��i$0.00 .,,,� ,y" - �Investigation�Fee-� � $0.00 � Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspended or abandonetl for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons and finel appravel must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zseass �eioo� WORKERS'COMPENSAnON DECIARAnON: - / —�. I hereby aftirm untler penalry of peryury ona of the tollowing tledaretions: ❑ eve entl will maintain e cenificate oi consent ta selbinsure for workers' crompensation, as provideE tor by section 3700 of iha Lebor Code, lor Ne pertortnance of the wark for which Ihis pertnit is issued. I have and will maintain workere' compensatlon insurance, as required by section 3700 of ihe Labor Code, for the partortnance of �he work for which this pertnit is Issuetl. My workers' compensatlon Insurance cartier end policy number ere: Certier. POIiCy iJumber. (Ihls sectlon neeO nof De cnmplafed il the permit Is valuetl et one hundred dollers (5100) or less.) ❑ I cenity that in the petlortnence of the work for which Ihis pertnit Is issued, I shell not employ any person in any menner so as to bacome subjact to ihe workere' compensetion laws of Califomia, e d egree th II I shoultl Decome subject to the workers' compansation provisions oi Sectlon 3700 of the Labor Cotle, I shall larthwi[h comply with thes6T p�°vi ns. � J O/ 'AppllcenlSignelur"a: �1— 7'� —��M�. —�� Date: � � �� WARNING: FAILUFE TO 5 RE WECU ORKERS' COMPENSATION COVEMGE IS UNUWFUL AND SHALL SUfiIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE NUNDRED THOUSAN� DOLLARE (5100,000), IN ADDITION TO THE COST OF C1�MPENSATION, DAMNGES PS PROVIDED FOR M SECTION 3]OB OF THE LABOR CO�E, INrEREST, AND ATTORNEY'S PEES. LICENSED CONTRACTORS DECLARA710N: I hereby eMirm that I em licensed under provisions oi Chapter 9(commencing with Section 7000) of Dlvision 3 of t�e Business and Pmtessions Code, end my license Is in full force and eflect. Llm M Class A Comrectots Slanewre:� oate: __ . / 1 CONSTRUCTON LENDING AGENCY: ❑ I hereby eHirtn that Ihere is a wnstrudion lending agency tor the DeAormance of the work br w�ich this Oermit is issued. (Sec. 3097, Civil Code). Lentlefs Nema: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby atflrtn ihet under penelry oi perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness entl Professions Code: Any ciry or county w�ic� requires a pertnit to consWct, alter, Improve, demolish, or repair eny siructure, prior to its issuence, elso requires tha applicant tor such pertnll to file a signeC statement t�at he ar she is licensad pursuani to Ne provisions of the Contracrors License Law (Chepter 9(commencing with Sectlon 7000) of D'Msion 3 01 the Businass and Protessions Gode) or �hat �e or she is exempt therefrom and the basls for the alleged e:emption. Any violetion oi Section 7031.5 by any epplicent for e pertnit suhjacts the applicant to e civil penalty ot not more than five hundred dollaro ($500).): ❑ I, es owner ot the property or my employees with weges es iheir sole compensatlon, WILL DO THE WORK, and ihe structure Is not intended or ottered for sale (Sec. 7044, Business and Pmfessions Code: The Contradors License Lew does not apply to an owner of propetly who builds or improves Ihereon, and who tloes such work himself or herself or through his or her own emplqrees, provided that such improvements are not intendetl or oHered for sale. If, howevar, ihe 6uiltling or improvement is sold within one year of completion, ihe owner-builder will have the hurtlen of proving that he or she did not 6uiltl or improve for purpose ot sale.). ❑ I, es ownar of the properry, em EXCLUSIVELV CONTRAC7ING WI7H LICENSEO CONTRACTORS m consiruct the project (SecJ044, Business and Professions Code: The comractors License Law does not appry to an owner ot propeny who builds or improves thereon, and who contrects for such pmject wi[h a wntractoqs) license pursuant to the Contrectors License Lews.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID veritiatl by dnvers license. ❑ Ves ❑ No Dnvefs Licensa No. Vedficetion of Ownership by (rype at dacument, i.e. - property tax 6ill or tleetl): Eapires: DIVISION OF INDUSTRIAL SAPE7Y PERMI7 CERTIFICATON: ❑ I hereby certify thel no excavatlon five (5) or more leet in depth into which e person Is requiretl to descend, will be made in connection with work aut�orized by Ihis pertnit, entl Ihet no Duiltling siructure, scaHolding, falsework, or tlemoliiion or tlismantling theraof, will be more than t�irty-six (36) tee� high. (Chep. 32, Grp 2, Atl 2, Sec. 341, Tltle 8, Celitomia Adminisirative Gode). ❑ As ownerbuilder, I wlll not employ enyone to do work which would requlre e permit from Ihe Division of Indusirial Safery, es notetl ebove, unless such person hes e permit to do such work from ihe division. , , Signature: � � Date: Divlsion oi Indus�rial Safery Permit Number: CERTIFICATE OF COMPLIANCE ANO AIfiHORIZA710N OF ENfAY: I ceM1ify under penalty of perjury �ha� I have reatl this apD�ication and state thet iha infortnation given is correct. I egree to comply with ell state laws end ciry ordinances relating �o building consimction, antl aNhonze representatives of Ihe Ciry of Coste Mesa to enter upon the ebove-descn6eA pmperty lor inspection purposes. I aqree not to occupy or ellow occupency ol any builtling authonzed by this pertnit until finel insDection. COOE t. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Flnel BIacWRetaining Well 202 Final Factory Fire Place 203 204 Finel Sign Final Demolltion P�I€ 1NIII19ki S��o �°O i ate COUE� INSPECTIONTYPE 208 Finel Mechanical 20B Final Plum6ing 210 Finel ElBctricai 212 Finel Flra Preven�ion 220 Final Planning Appwval 222 Final Site 250 Finel euildinryOccupency P9IE i S-1�� 1t�45