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Home My WebLink About3285 HARBOR BLVD - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.cosla-mesa.ca.us 77 FAIFi DFiIVE, GOSTA MESA, GA 92626 ELECTRICAL PERMIT Job Address: Suite No Vitinity: Parcel Nunmber. Applicant: Address: 3285 HARBOR BL NORTHBOUND405FREEWAY CLOVERLEAF TPN00128 COOTER,LYLE 1111 N TUSTIN AVE ANAHEIM, CA � ��: Owner. ' CITY;OF COSTA MESA Address . Contracror. �.' TEMP POWER SYSTEMS �� AAdress: 1�111 N TUSTIN AVE ANAHEIM, CA Phone: (800) 748-6997 Zip: 92806 � Phone: Zip: �Phone: (800) 748�997 Zip: 92806 �- - . Status: ISSUED Applied: O4IO4I2001 Issued: 04/04I2001 ISSUED BY: License: 483433 . � '- � _-� , A'. i � � � SCOPE OF PERMIT � � �� ' " ELECTRICAL PERMIT FOR INSTALLATION OF�NEW�METER PEDESTAL FOR "CAL TRANS". INSTALL � , �' .. 200 AMP SERVICE, 25 KVA TRANSFORMER, 200 AMP SUBPOIE, 6 DISCONNECL , �. �,�� FEE SUMMARY ; - i� 1 i�, . .. �� uantity � . � � - - " puantity /�,i� � % �� ISSUE FEE � $23.50 Temp Dist System / Llghting $0.00 0 f/' �� i'� � Tempservicetesl� $0.00 � BuswayltOQft� . $0.00 0%�i� � �'� ��'/ Res: a/c package, 50.00 Standing�Section $0.00 0 � � " - ��--� � � / New Res�(1-2 units) � $0.00 0 . Misc Electrical Equlpment $1820 i ti! �� New Res (3+units) i ' 50.00 0 , � Trans(ormers up to 1 kva/kw $0.00 -,'-0� � `� /� Pool / Spa '�'. �' �� 50.00 0 . ............::..up. to 10 kva/kw $0.00..', � 0 �� Lighting FixtS - �, $0.00 0 . ... .......up l0 50 kvalkw $24.60, -/ 1 � .';"; /� Recept Outlets � � . �50.00 .0 . ......:.........:up)o 100 kvalkw �_ �• • §0.00/ 0 � � �� Switches \ `\\ . � $0.00 `, � 0 � ..................over 100 kvalkw"��E0�00 0 � �, � " Non Res Appl�A�: , � �, 50.00� � � 0 � _ � Low Voltage Equipment . _' � ;E0.00%� 0 '� � Res Appl V A� � ;/ 50:00 � �� D � - � " �Low VOIt Wiring Syetem / Ckti/ 50.00� f0- /r � Service to 200a �� `V � 530.50� � �7--; � � , Misc. Conduit ; ; --j� $0.00 Z �0 / � Service to 1000a � . �- $0.00 . ; � 0 �� Misc. Conduc[or = - � ' - $0.00� 0 �� Service over 1000a �` _ 50.00 ' � 0 - � Cirws (genbr ride) �� -50.00 , �0 j Motors to 1 hp , 50.00 _ 0- -- Circus (mech ride or_lights) \ �� 50.00� �� 0 Morors to 10hp _$0.00, ,, 0 �_ ' Christmas Tree Stand', � $0:00 j' 0 Motors to 50hp �$0.00 ,� �, 0 Fireworks Stand ". -� '$0.00� 0 Motors to 100hp 30.00� �� 0 _ _-�V�Other Electncal Fe"e �' ��$0.00 Motors over t00hp $0.00 0 - ' . Communication drops $0.00 0 „ InveSligation"Fee _ - " $0.00 Sub panel to 200a 50.00 0 `� - �PIan�Check�Fee $0.00 Pole Light Pkg $0.00 0 Reinspec[ion Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole 523.50 1 TOTAL CALCULATED FEES 5120.30 Intermed Pole $0.00 0 COMMENTS I SPECIAL CONDITIONS NO710E: The work authorized by this permit shall compty with all applicable handicap access requiremenis under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void II work is not commenced within 180 days, or if work Is suspen0etl or abandoned for a period of 1B0 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all eppliwble codes, and ell requlred inspeetlone and finel approval must be obtained. Failure to abtain inspections end final approval will result in the expirationot this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaaas �crm� .. _ , ,:�; . WORKERS' COMPENSATION DECLARATION: . � I hereby aflirtn under penalry ot per'ryry one oi the tWlrnMg tledarations: ❑ I fiave end will maintaln e ceNTicate ol cansent to self-Insure tor warkero' oompensetlon, es pmWded tor by section 3700 0l the Labor Cotla, lor the peAormance of the �'—wo�r c for which this permit is IssueC. i have arid wlll maintain workers' oompensatbn Inwrance. as tequired by SecUon 3700 ot Ne Labor Cotla. for Ihe peAortnance oi the work far which UJs pertnit is issuetl. �--My workers' compensation Insurance cartier end polry numher ere: �yq �/] Cartier.—�` �'i �i.ti r✓ (7 PoOcy Number. I�D /�!1 J— �� (Thls sectiai need nof be complefed I! fhe perrtti!!s valuetl ef one hundred dd/ers (5100) w Iess.J �-�---- � ❑ I certify Ihet in the pertormance ot the work lor whiU this pertnil is luueQ I shall not employ eny person in eny menner so as to become subject to the workers' compensation laws af Cailfamia, enC epree thet II I shouttl become sub�ect to the workere' compensation provisions of S tion 3700 of the Lebor Coae, I shail lorthwith comOb �'^tn tnese proNslons. ` Z—� a/ ApPliien(SipneNre: �� Dete: - / WARM~N(3�. FAILURE TO SEWRE WORICERS' COMPENSATqN COVERAGE IS UNUWFUL rWD SMALL SUBIECT AN EMPCOVER TO CRIMiNAL PEWILTIES nND CML FlNES UP TO ONE HUNDRED TIIOUSIND DOLURE (5100,000�, IN AWrt10N Rl THE COS70F COMPEN54TION, DAMAGES AS PROVIDED FOR IN SECiION 3]OB OF TNE LABOR LODE, IfJrEREST, AND NTTORfJEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I.am licansed brce ane enecL Lk..« . � _ CONSTRUCTION LENDING AGENCY: wisions ol Chepter 9(commenUnp wilh Section 7000) of DMsion 3 0l Ihe Business antl Prolessions Cotle, and my license Is In full "�; �% Cless p - � � /� ❑ I hereDy eNirtn thel Ihere is e consiruction Iendinp epenty lor the peAormance of t�e work lor which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lentlefs Atldress: SlgnaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn chet under penalty ol per�ury thet 1 em EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Prafessions Code: Any city ar counry which requires e pertnit to mnstrud, alter, imprwe, tlemdish, or repelr eny structure, Onor to its issuance, also requires the applicant for such pertnit to file e signed sletement that he or she is Ilcensed pursuant to tha proNsions ol the Contrectors License Lew (C�apter 9(commencing wlth Section 7000) of OMsion 3 at the Business enG Protessions Cotle) or t�at he or ahe L9 exempt Iherefrom end the besis for the elleped exemption. Any violatlon of Section 7031.5 by eny applicant for a pertnit suDjects the epplicant m a clvil penalry af not more ihan frve hundretl tlollars ($500).): ❑ I, as owner.oi the property, or my employees with weges es Iheir sole compensatian, WILL DO 7HE WORK, end the structure is not intended or oftereO for sale (Sec. 7044, Business�and Professions Code: The Gontradors License Lew does not appty to an owner oi properry who builds or improves therean, and who tloes such work himself oi,her'setf:or thmugh his or her own employees, provided Ihet such improvements ere nat imended or ofleretl (or sale. It, howaver, the building ar improvement is sold within one ye5r of completion, the ownerbuilder will heve Ihe burden of OroNnp Uat he or she did not build or improve for purpose of sale�. � �,�, I in,: . ❑ I, es ov+ner of the pmperty, a,m'EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (SecJ044, eusiness and Protessions Cotle: 7�e contrectors License Law does not epply to an owner ol pmperty who bulltls ar Impmves t�ereon, end who contracts lor such projea with e contractor(s) license pursuam to the Coritrectois _Gicense Lews.). ❑ I em exempt untler sec. ��" Business antl Professions Code for this reeson: SlgnaNre: Owner ID veAtied by driver5licen5e. Ves ❑ No Drivefs LJcense No. Venilcatlon of Ownership 6y (rype of documem, I.e. - property tax bill ar daetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Date: Expires: ❑ I hereby certity ihat no axcaveNon flve (5) or mora teet In tlept� into which e pereon Is required to descen4 wiil be mede In connectian wit� work euthorizatl by this permlt, entl Ihet no building structure, scattolding, talsework, or tlemolitlon or dlsmentling thereol, will be more ihan ihlrry-six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 345, Title B, Calllornla Adminlstreilve Cotle). ❑ As awner-bullder, I will not employ enyune to do work w�ich would require e pertnil Irom Ihe Division of Intlustnel Sefety, es notetl above, unless such parson �es e permit to tlo such work trom the division. Signeture: � Date: Division of Industnel Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJTHORVA710N.OF ENfRY: I certily under penelry of perjury Ihel I have reetl �his apDliwtion anC siate �hat the intormation given is wrrect. I egree ta compty wlth ell atece lews end dry ortllnences relating to bullding conslruc�lon, end eu�horize represeniatives of t�e Ciry af Costa Mesa to enter upon the above-descnbed property lor inspection purposes. I egree not to occupy or ellow occupancy of eny building euthonzed by Ihis pertnit until finel inspection. Legal COpE I, INSGECTIONME Q�jE' �Q�$ 1818 Fixed Sysiem Finel Fire Prevention 1268 200 201 202 203 204 Pool Spe Flnal Finel Re-Roof Finel BIocWRelalning Well Final Factory Fira Plece Final Sign Finel Demolition � COOE� INSPECTIONTYPE 208 Final Mec�anical 208 210 212 220 222 250 Finel Plumbinp Finel Electrical Finel Fire Prevention Final Planninp Approval Final Slte Finel Building/Occupency