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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 �