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Home My WebLink About566 18TH ST - Building PermitsCITY OF COSTA MESA ' BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: 566 W 18TH ST MEDIA ONE CABLE N BOX Parcel Nunmber: TPN990151 App�iwnt: MEDIA ONE Address: � Owner: . CITY.OF COS7A MESA Address �, , . - � . ELECTRICAL PERMIT Phone: Zip: Phone: Zip: Contrador: EVANSJE ENETERPRISES DBA: WEST COAST CABLE � Address: 5425 BERRYHILL DR CA � Phone: (714) 985-0411 ' YORBA LINDA ' -Zip: 92886 - . ' � � License: 734530 , ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fizts. Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors to 1hp Motors to tOhp MotOrs to SOhp Motors to t00hp Motors over 100hp Communiwtion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole PERMIT NUMBER E99-01149 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEW CABLE N POWER SUPPLY FOR =MEDIA ONE-. $23.50 $0.00 so.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $30.50 $0.00 80.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 50.00 Quantity FEE SUMMARY - - Temp Dist System / Lighting " ` Buswayh00ft- � � � � ' -Standing Section Misc Electrical Equipment Transformers up to 1 kvalkw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand F.ireworks Stand Other Eiectncal Fee Investigation Fee Plan Check Fee Reinspection Fee SWtus: ISSUED Applied: 1 2 /111 9 9 9 Issued: 17J1/1999 Quantity $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 so.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall compty 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 tor a penod of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legel, such work must comply wilh all epplicable codes, antl all requlred Inapectiona end (Inel approvel must be obtained. Failure to obtain inspectlons end final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnONDECLARArON: � I hereby ettirm under penalry of perjury one of Ihe tollowing tleUaretions: ❑ I heve end will maintein a certi(wte ot conseni to sett-Insure for workers' compensation, as provitled lor by section 3700 of the Lebor Code, for the performance ot the work lor which this partnit is issued. , ❑� I have antl wlll meintaln workers' compensation insurence, as reqWretl by sectim 3700 ot the Lebor Cotle, tor the peAormance oi ihe work for which ihis pertnit Is issuetl. My workers' compensatlon Insurance carrier end policy number are: � Cerrier: PoliCy Number. i (Thls sectlon need nol be comp/etetl i/ the permit is veluetl af one hundred dWlers (3100) or less.) � ❑ I cenify that in the DeAormance of the work far w�iU thls permlt is issued, I shell nm employ eny person In eny menner so es to become subjecf to the workers' campensetion laws ot Calitomia, an0 agree that it I shoulA Decome suDject to the workere' compensetion provislons of Section 3700 of the Labor Cotla, I shall IaMwith comply wlih these pr visions. ' � Applicant SlgnaNre: � � c.n.�+.�'�� Dete: � Z- Z" � 9) WARMNG: FAILURE TO SECURE WORKERS' COMPENSATIIXJ OOVEfiAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CqIMINAL PENALilES AND CM� FlNES UP TO ONE HUNDRED THOUSAND DOLLARE (5100.0OO�.IN ADdiION TO THE COS70F COMPENSATIIXJ, OAMAGES AS PHOVIOED FOR IN SECTION 3]OB OF THE UBOR CODE. IN7ERE5T, AND ATTORNEY'S FEES. I.ICENSED CONTRACTORS OECLAfiATON: I hereby eHirtn that I em licensed under provisions of Chapier 9(commencing with Seciion 7000) of Division 3 of tha Business enC Prolessbns Coda, and my Iicense is In full lorce entl eHect. Lic. a Clau a O ContrecbfsSignature: � ._i�.�....✓`_ Dele: 1 Z..�Z- $ - CONS7RUCTION LENDING AGENCV: ❑ I hereby aMirm ihat there is a canstruction lending egency tor 1he peAortnence ot the work lor which ihis parmit is issued. (Sec. 3097, Civil Code). Lentlels Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lendefs Address: Date: I �ereby attirtn that under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Busineu antl Professions Code: Any city or counry which requires a pertnit to construct, alter, improve, tlemWish, or repair any siructure, prior to its iuvance, also requires t�e appliwnt for such pertnit to tile e signed statement that he or s�e is licensed pureuant to the pmvisions of tha Contrectors License Lew (C�apter 9(commendng with Section 7000) ot DMsion 3 ot Ue Busineu entl Protessions Code) or Ihat he or she is exempt t�erefrom and Ihe basis for Ihe allegetl eaemptlon. Any Nolation of Section 7031.5 by eny applicant tor e permii sub�eas the apPlicant to e civil penalry oi not more than tive hundred ddlars (5500).): ; ❑ I, e9 owner of the D�aDerry. or my employaes wilh weges es Iheir sde compensation, WILL DO THE WORK, Bnd ihe Slruc�ure is no� in�ended or oflered lor sale (Sec. 7044, eusineu antl Professions Code: The Contractors License Law does not appry to an owner oi propeny who builtls or impmves thereon, and who does such work himself or herself ar through his or her own employeas, provided that such impmvemems are not intended or oflered tor sale. tl, however, ihe building or imprrnement is sola within one year of completion, the ownervbuilder will have the burden of proving that he or she ditl not builtl or Improve for purpose of sale.). � ❑ I, es owner of the property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct ihe prolect (Sec. 7044, Business and Protessions Code: The contractors Licanse Ww does noi apply to an owner of property who builtls or improves Nereon, antl who coNracts for such pmject with a coNractor(s) license pursuant to the Contractors License Laws.). � ❑ I em e:empt untler sec. Business end Professions Code for ihis reeson: Signatura: Dete: � Owner ID ventied by drivers license. ❑ Yes ❑ No Dnver's License No. Expires: Venfication of Ownership by (rype of document, i.e. - properry tarz bill or deetl): DIVISION OF INDUS7RIAL SAFETY PERMR CERTFICA710N: ❑ I hereby certly �hat no excavation five (5) or more teet in depth into which a person is requiretl to tlescentl, will 6e made im m�nection wit� work authorizetl by this pertnit, entl Ihat no building strudure, scettolding, lalsework, or demolition or dismantling thereof, wlll be more t�en ihirry-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Tltle 8, Gelifomia Administretive Cada). ❑ As ownar�builder, I wlll not employ anyone to Co work which would require a permit Irwn the Division of Intlustrial Sefety, es note0 ebove, unleu such person has e pertnit lo do suU work trom the division. Signe�ure: Date: , Division of Intlustnel Safety Permil Number: ICERTIFICATE OF COMPtJANCE AND AUTHORIZATION OF EMRV: I cenify under penalry of perjury that I have reetl this application and siate that the infortnetion given is I conect. I egree to compty with all state laws end dry ordinences relating to building consiruction, end authorize representatives ot t�e Ciry of Casta Mesa to enter upon Ihe ebove-tlescnbed properry tor inspection purpases. I agree noi to acupy or ellow occupancy ol eny bullding euthorized by this pertnit until final inspection. SignaWre OI Legel Owner(s) Date , �S."'� .�i_-� Iz. L-9� AnNOr Authonzed Applicant Date COOE 1. INSPEGTION7YPE 1618 Fizetl Systam Finel Fire Prevention 7286 200 201 202 203 Pool Spe Finel Finel Re-Roof Final BIocWReleining Wall Finel Fectory Fire Place Finel Sign 204 Finel Demolition 244&<8 Q0g INf111RL5 COOEY INSPECTIONTYPE 206 Finel MaChenlcel 208 Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Flnal Planning Approval 222 Finel Site 250 Final Builtling/Occupancy QeIE ItIIIDAki