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Home My WebLink About3305 HARBOR BLVD - Building Permits, M a�' e, � � - J, �� (714) 754-5273 • Fa�c(774) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: CITY OF COSTA MESA BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3305 HARBOR BL BUS SHELTER TPN99023 npp�icant: JAN PARKER Address: 497 ABBIE WY COSTA MESA, CA owner. CITY OF COSTA MESA Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1hp Motors to tOhp Motors l0 50hp Motors to 100hp Motors over 100hp Communitation drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT PARKER PACIFIC WEST INC 497 ABBIE WY COSTA MESA, CA Phone: (949)646-5359 Zip: 92627 Phone: Zip: Phone: (949)646-5359 Zip: 92627 License: 609295 PERMIT NUMBER E00-00763 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: status: ISSUED Applied: 08102I2000 Issued: 08/02I2000 SCOPE OF PERMIT INSTALL ELECTRICAL SERVICE, 1 LIGHT AND 1 MISC CONDUIT FOR NEW BUS SHELTER. ZERO FEE CITY PROJECT PER DENNIS JOHNSON. � $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $1.10 30.00 50.00 50.00 50.00 330.50 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 Quantity 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 k ' 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 wring System I Ckt Misa Conduit Misc. Conductor Cirws ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Invesligation Fee Plan Check Fee Reinspeclion Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS �uantity $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 578.20 7 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 50.00 50.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia stetutes 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 180 deys, or if work is suspended or ebandoned for a periad at 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ell applicable codas, and all requlred inspectlone end final approvel must be obtained. Failure to obtein inspections and final epproval will result in the expiretion of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSAnON DECLARAnON: I hereby eflirm untler penalry oi perjury one ef Ihe tollowing declarations: ❑ I have entl wlll melntain a caRlticate o� �sent b selt-Insure tor workers' compensation, es provitled tor by sectlon 3700 ot t�e Lebor Cotle, for Ihe paAormance oi tha work for which ihis permit Is issuetl. � I have antl wlll malnteln wwkers' canpensation insurance, as requiretl by secUon 3700 ot Ihe Lebor Code, for the perfortnance oi Ue work for whkh this parmit Is issuetl. My workers' wmpensatlon Insurance �erner and poliry number are: Carder. (Th/s se ar 1e55.) Policy Number: ❑ I certlty thet In Ihe peAo a Ee of tne work for whiEtrthis permit ig iSsueQ I shall not employ eny person in any manner so es to Eecome sub�eci to Ihe workers' compensetion lews oi lito ia, and e liat'Yfs fould become suDject to Iha workers' compensetion provisions o� ctiap 3700pf the Labor Code, I shall fonhwiih comply wit� these prov io .' —� ��'/!`O Applicam Sipneture: Data: �� WMNIN(3: FAILURE TO SECUR ORKERS' COMPENSqTION COVERACaE IS UNLAWFUL AND SIULL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CINL FlNES UP TO ONE HUNDRED TFKKISAND OOLLARE (S10D, , IN ADDITION TO THE COST OF GUMPENSATqN, DMNGES AS PROVIDED f-0R M SECr1IXJ 3/060F THE UBOR COUE, IMEREST, AND FTiOFNEYS FEES. LICENSED CONTRACTOHS DECLARATION: I hereDy aflirm that I am forca ana eHect. Lic. a_ Contrectofs Signature: Chapter wmmencing with Section 7000) of Division 3 of Ihe I Class a Da�e: _ CoCe, and my license is In tull CONSTRUCTION LE�NG AGENCY: ❑ I hereby eHirm t t there is a canswclion lending egency tor Ihe pedortnence ot the work br which ihis permlt is Issuetl. (Sec. 3097, Civll Cotle). Lenders Neme: Lendefs AOdreu: Signature: Date: OWNEF-BUILDER DECLARATONS: I here6y aHirtn thet untler penalry of per�ury that I em EXEMPT FROM THE COMRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness end Professions Cotle: Any ciry or counry which requires a pB�i� to construct, alter, improve, tlemolish, or repair any sin,cture, prior to Its luuence, also requires tha appliCent for such pertnit to file e slgned stetement that he or she is IiGensed pursuant to the provisions of the Conirectors License Law (Chapter 9(commenGng with Sectlon 7000) of D"Msion 3 of the Buslneu and Professions Cotle) or Nat ha w she is eaempt t�eretrom end the basis for the ellegetl exemption. Any viola0on of Section 7031.5 by eny epplicant for a pertnit sub�ects t�e epplicant to e civil penalry of no1 more than tive huntlretl Aollare (5500).): ❑ 1, as owner of the D�aPery, or my empbyaes vrith wages as iheir sole compensation, WILL DO THE WORK, entl Ihe siruciure is not intended ar aNerad tor sale (Sec. 7044, Busineu antl Prolessions Cotle: The Contractors License Lew tloes nol epply to an owner of property who builtls or improves thereon, entl who does such work himselt or herself or through his ar her own employees, provided ihat such improvemenis ere not imended or oNeretl for ule. If, however, ihe builtling or impmvement is soltl within one year ot completion, the �+'ner�builtler will have Ihe burden of proving thet he or she tlitl not builtl or improve for purpose ot sale.�. ❑ I, as owner ot the proDerty, flm EXC4USIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, BuSiness antl Professlons Code: The cromrectors License Law does not appty to en owner of properry who builtls or impmves ihereon, and who conirems lor such project with a contracmr(s) license pursuent to Ihe Contractors License Laws.). ❑ I am e:empt under sec. Businass antl Professions Code for this reason: SignaWra: Date: Owner ID veritied by drivefs license. ❑ Yes ❑ No Dnvers License No. Expires: Venfication of Ownership by (rype oi docum6nt, i.e. � property tax hill or deed): DIVISION OF INDUSTRIAL SAFETV PERM�7 CERTIFICATION: ❑ I hereby certify thet no excavetion five (5) ar more teei In tlepth Into which e person Is reQulred to descend, will be metle In connectlon wit� work euthorizad by this permit, and that no 6uiltling sWcture, 8�eflolding, lalsework, or demalitlan or tlismentling ihereoi, wlll Ge more than t�irry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomla Adminislraiive Code). ❑ As owner�builtler, I will not employ enyone to do work which woultl require a permit Irom the Divislon of Industriel Salery, es no�eA flbove, unless such person �es a permit to do such work trom the tlivision. Slpneture: Date: DiNsion of IntlusMal Sefery Permit NumDer. CERTIFlCATE OF COMPLIANCE AND AUTHORQA710N OF ENTRY: I certity under penelry oi perjury that I have read this appliw�ion and sta�e that the infortnation given is correct. I agree to comply wi�h all st te laws end ciry ordinances relating to bulltling construction, entl authorize representatives ol Ihe Ciry ot Caste Mesa lo enter upon the ebove�descdbe� proDerry lor Ins tl purposes. I agre o 0 occupy or ellow occupancy ot eny bullding authonzetl by this perml� unlll tinal Inspectlon. COOE 1. INSiECiIONTYPFI 1fi16 Flsed Sysiem FInalFlre Prevenuon 1266 Pool Spe Final 200 Finel Re-Root 201 FIneI B1ocWRBtelnin8 Well 202 Finel Feciory Fire Place 203 Finel Slgn 204 Flnel Demolition Ya4&48 Q�i ��Y` / ♦ � -t��' COOE I INSPECTION TYPE 206 Final Mathenical 20B Final PlumGing 210 Finel Electdcel 212 Finel Fire PrevenNon 220 Finel Plenning Approval 222 Final Site 250 Final Building/Occupancy �E .Iu1 > � 0 O � � a S� HA R��J(� N5 So co�sT Df� Gf TYoF GOSTA M�S� V LPcNbS G�4PE .., CONG SIDE�WAIK� : ...• � S' ISHELTER �-� �,I �� - octA 6usJ ' 30� 2Z� fo �f�IvE � a.�� 1 � � f ��f �o N� C� ?� 0� � � Y h�ja-i �✓�-- � �� 3�� - 5 I T� � L� 1`l - 3 3 D S i��,�a o�e ,a L v�. ., ��_ 4C�' SfIEF1�' / or= 2 .. .... .. . ., . �,,, w..:. �.,�.. . .. tl'. -��%'T�-Y. � f ' R � - IJ��r�. '�.'.y' -� 1�i i .e �.t; fc�v. _ '� ' ' - r:ra �l ti : �'i .. �•i7xt s �r..��e. ��'- - . t . . .. ,.x,,,... ..SP� ��`HA R�rJ:(� , .,:. L�T�( Pow� �L �rr'.,r�k �`4r jTr t�. r' Sy.Sson }G, -1- '�'t�fti, i� � . F�.=:A Sv, �`-ii, Fit�': t i��.'aet,i �. . , h C 1 �s� s-r' P��,.�G,Z ..r"iT 1 '1 NS 5o c��s7 s��z• 5 �� T.� � a.ii ` 2- � ` �� ►, fiY�,� ��,P� ��i�.�,��. ,,;_.t:,_� , _,:�_N��,_- � 0 /� I .. , , .�� , ,.. � � ,; , r�:FCTR�c�� .��T,�� s N ..�.�- . t.i ... ,.. .. YARKER PACIFiC WEST, 1NC. a�� :�nn�� vay c��.�c� ai�s�, c:� 9z5�� (71 t) 646-_359 LhNb� c.an� __�OVG SIDEIN.QLiC: :. : 417� _ _.. .. . _ . -------v-- ... GU5 � sri=! T� � � _ —_—�. �� . . . �. oc /.� 6U5 �j'�y `i)u;i 30� 2�.� )RIvE � LYt� : o� ��s ��RT�pr1 or� r �c ��Qp.✓A�— Ao f� ''�� - 3 3 05 �HAR130/� BLVD_� �� 9l'9 51T�. �L��l �:G''�;•"s��'v::- ,,::,s� . U n .-. 1 .. .`��7/ r �� 2 oF 2