HomeMy WebLinkAbout3401 SAKIOKA DR - Building Permits;
(714) 754-5273 • Fax (714) 754-4856
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
CITY OF COSTA MESA j
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
3401 SAKIOKA DR
TPN990254
ELECTRICAL PERMIT
App�icant: THOMPSON AND THOMPSON
Address: 1835 WHITTIER �
COSTA MESA, CA : � . � �Phone: (949) 548-1735 �
SUITE A-12 � �. - - �� Zip: 92627
Owner: CITY�OF COSTA�MESA�. "
Address��/,/ "
� �
Contractor�' THOMPSON AND THOMPSON
Address� 1835 WHITTIER -
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 t000a
Service over 1000a
Molors to 1hp
Motors to 10hp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Liqht Pkg
Sign CircuRs
Phone:
Zip:
' COSTA MESA, CA ` �-� Phone: (949) 548-7735 ,
,SUITE A-12 ,� � � -:* . Zip:� 92627 . �
, � ' License: 550936
�� _
SCOPE OF PERMIT
ELECTRICAL METER FOR MEDIA ONE CATV.
$23.50
$0.00
$0.00
$0.00 "
$0.00
$0.00
$0.00
50.00
$0.00
$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
�Quantity
, .� FEE SUMMARY. t j :
- - -i- Temp Dist System / Lighting
Busway /700 ft �
, Standing Section
Misc Electrical Equipment
-• Transformers up to 1 kva/kw
� ................up to 10 kva/kw
�- .................up to 50 kvalkw
. � .................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 Sland
� - Other Electrical Fee
�Investigation Fee
Plan Check Fee
Reinspedion Fee
PERMIT NUMBER
E00-00195
77 FAIR ORIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 03/09/2000
Issued: 03/09/2000
ISSUED BY: ���
Quantity
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 ihe work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeetlons and (inel approval must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
1'
WORKERS' COMPENSATION DECLARATION: . �
I her¢6y attirtn untler penelty of per�ury one ot the lollowing declarations: '
❑ I hava antl will mainrein a certifice�e of consent to setf-Insure tor workers' compensa�ion, as provitle0 for by section 3700 of ihe Labor Code, for �he peAormance ot the
work for which ihis permit is issued. .
❑ I have entl will maintain workers' compensation insurence, es requirad by sectlon 3700 ot lhe LeDor Cotle, lor Ihe peAortnance o� Ue work tor which t�is pertnit is issuetl.
My woAc ' wmpensation Insurence arrier entl policy nu r ere: ��� t�� `_ _� l
Carrigr. ���l� h:=� iw _S Policy NumOec � �J
(fhis sect/on neetl no( be cromp/ered i! fhe permif is v ed et one hundretl dW/ars (5/00) or less.)
❑ I cenity Ihat in �he peAartnanCe ot the work tor which this permit is issued, 1 s�ell not employ eny person in any manner so as to become subject to the workers'
compensetion laws ol Californie, and egree Ihet if I shoultl become subject to Ihe workers' compensetion provisions of Section 3700 of Ihe Labor Code, 1 shall torthwith
comply with these pEa�y n�s.
Applicsm Signatwe: , Date: ��� � � ��
WARNING FAILURE TO SECURE WORKERS' CAMPENSATION CAVEPAGE IS UNIAW FUL AND SHALL SUBIECT AN EMP�OVER TO CRIMINAL PENALTIES PND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE (5100,000),IN ADDITION TOTHE COST OF CAMPENSATIqJ, DAMAGES AS PROVIDED f-0R IN SEGTION 3]O60F THE IABOR CODE, IMEFEST, PND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECL4RATION:
I herBby attirm ihat I am
torce antl eflect. Lic. p_
Coniractofs Signature:
gt Chapter 9(commencing with Section 7000) of Oivision 3 of ihe Business and Protessions Code, and my license is in fuli
<<' Class # �-%
=2 ` oe�a: 3- in -oo
CONSTRUCTION LENOING AGENCY:
❑ I hereby aflirm that there Is a conswction lending egency for ihe performance of �he work for which �his permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lendefs Adtlress:
Signature: Date:
OWNER-BUILDER DECLARAT10N5:
I her9by affirtn lhat untler penalry of peryury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Cotle: pny ciry or counry which requires a permit �o Constmc4 alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires iha applicant tor such permit
to fila a signetl statemem the� he or she is licensed pursuant to iha provisions oi the Contractors Llcense Lew (Chapter 9(commencing wl�h Section 7000) of Division 3 ot ihe
Business antl Protessions Code) or Ihat he or she is exempt therefrom antl the basis br ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for e pertnii
subjecis the applicant to a civil penalry of not more t�a� five hundretl tlollars (5500).)_
❑ I, as owner oi the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law tloes not appty to an owner ot property who builds or improves thereon, and who does such work
himself or herself or through his or her own empioyees, providetl that such improvements are not intended or oHered for sale. If, however, ihe building or improvement is
sold wit�in one year of completion, the owner-builder wiil have the burden ot proving that he or she did noi builtl or improve for purpose of sale.).
❑ I, as owner ol the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions
CoOe: The contractors l.icerts9 Law does not appty 2o an owner o� properry who boiltls o�'rmproves �hereon. and who contracts for such p�oject with a contractor(s)
license pursuam to Ihe Con�recmrs License Laws.).
❑ I am exempt untler sec.
Signa�ure:
Ownpr ID venfiea by drivers license. � Ves
Venlication ot Ownership by (rype of document, i.e.
Business entl Pro/essions Code for Ihis reeson:
❑ No Dnver's License No.
pro0erty tax bill or deed):
Dare:
Expires:
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATION:
❑ I �ereby cetlify that no excavation tive (5) or more feet in tleD�h into which a person Is required to descend, will ba made in connection with work authorizetl by �his
permit, entl thet no builtling stmcNre, sceHolding, falsework, or demolition or dismantling Ihereof, wiil be more ihan thirry-six (36) feet high. (Chap. 3.2, Gry 2, Atl 2, Sec.
341, Ttle B, Califomia Administrative Code}.
❑ As owner-builder, I will not employ anyone lo do work which would require a permit Irom �he Division of Indusirial Safety, as noted abova, unless such person has a
permit to Do such work tmm the division.
Signature: Date:
Division of Industrial Safety Permit Number:
CER7IFICATE OF COMPLIANCE AND AUTTIORIZATON OF ENTAY: I certify under penalty of perjUry that I have read this application and sta�e that Ihe information given is
correct. I agree to comply with all state laws and city ortlinances relating to building consirucUon, and authorize representetives of ihe Ciiy ot Cos�a Mesa to emer upon Ihe
above-describetl pwpeny lor ins0ection puryoses. I egree not to occupY o� allow acupancy oi eny building au�honzed by this permli until tinal Inspaction.
� 'gnaWre Oi Legal Owner(s) � Date
� 3 ��Q � �
� AnNOr Authonzed Applicant Date
OC �E 1`. INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Rpaf
201 Final Blak/Reteining Wall
202 Final Factory Fire Place .
203 Final Sign
204 Finel Demolition
DATE INTRI�LS �� INSPECiIONTYPE
206 Final Mechanical
208 Final Piumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Pinal Site
250 Final Builtling/Occupency
DJ/jF NTTAL
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