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Home My WebLink About884 18TH ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa��TRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 884 W 18TH ST Suite No Viciniry: GOOD BED GUYS Parcel Nunmber: 42418238 Applican�: Address: Owner: Address HAMILTON, JOHN P.O. BOX 1761 LAGUNA BEACH, CA JAKOSKY, JOHN JR TR P O BOX 7836 � NEWPORT BEACH, CA Contredor. HAMILTON ELECTRIC Address: P.O. BOX 1761 ' LAGUNA BEACH, CA Phone: 949-097-0939 Zip 92651 Phone: Zip: 92658 Phone: 949-497-4939 Zip: 92651 License: 688368 ISSUED B . SCOPE OF PERMIT �� ELECTRICAL PERMIT TO ENERGIZE AN (E) ELECTRICAL BOX FOR "GOOD BEDS GUYS". WORK TO INCLUDE: 1-SERVICE TO 200A. ISSUE FEE Temp service test Res. alc 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 10hp � Motors to 50hp �, � Morors to t00hp Motors over 100hp Communication drops � Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole $23.50 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 50.00 $0.00 50.00 $30.50 50.00 $0.00; i �� $0.00-�.' 50.00 $0.00 $0.00 $0.00 $0.00 � , .��$0.00�. . � $0.00 $0.00 $0.00 50.00 �uantiry 0 0 0 0 0 0 0 0 1 0 - p ._ .. 0' 0 �0�< �_ ��.` 0 � - 0 , 0' 0, ' 0''� 0 0- FEE SUMMARX Temp Dist System / l:ighling Busway /100 ft Standing Section _ Misc Electriwl Equipment Transformers up to 1 kvalkw ................up to 10 kvalkw ............._`..up to 50 kva/kw ...............:.up to 100 kva/kw ...............'.over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt - ' Misc. Conduit � Misa Conductor . , Cirws ( gen or rida) , , ' , Cirws (mech ride or ligh�s) � ChristmasTreeStand � , Fireworks Stand , Other Electnwl Fee " � Status: ISSUED Applied: OSI102006 Issued: OSI102006 Quantity so.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 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 50.00 ' - Investi9ation Fee . � � $0.00 Plan Check Fee �� $0.00 " � � Reinspection Fee � $0.00 � ; � ' - TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requlrements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permlt shall automatically expire and become vold if worli�is not'commenced within 180 days, or II work is suspended or abarWoned for e period of 180 days. INSPECTIONS: In order for the vrork authorized under this permlt to be consitlered legal, such work must compty with all applicable eodes, end ell requlred Inapectlons and final epproval must be obtalned. Failure to obtaln Inspections end tinal epproval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545628 2a48ae (8M170) WORKERS' COMPENSA710N DECLARATION: _ • I nereGy ettirm untler penalry ot perjury one of Ihe lollowing declaretions: � • �, ❑ I have entl will maintain e cenilicate oi cansent to self-Insure for workers' compensetion, as provided tor by section 3700 ot Ihe �e6or Cotle, for the pertormance W Ne work for which t�is pertnit is issued. ❑ I have and will maintain workers' compensetlon insuranca, as raquired Dy section 3700 of the Lebor Coda, for Ihe pertortnance of Ihe work br which Nis permil is issuetl. My workers' mmpensatlan Insurence cerder antl polity number are: . Cerder: ' Policy Number. � (TMs sectlon need nof be complefed iJ the pemtil ls veluetl ef one �urrdred ddlers (3100) or less.) .0,.� I cenity t�at in Ihe pertortnance ol Ue work lor which this permit Is iswed, I shall not employ eny person in any menner so es to became sub�ect ro t�e workers' compensatlon law oi Califomla,ar�tl a� �gr� IhatJ� I should become sub�ect to Ihe workers' wmpen5ation provislons oi Sectlon 37/pp of Ue Lebor Cotle, I ahall forihwith —�comply with Ih ' ons. / / � //� �/ / / � Applirsm Signetura: ��yi�� Date:-- . � � l^l WARNING: FAILUREi CURE WORKERS' COMPENSATION WVEMGE IS UNLAW FUL AND $HALL SUBJECT Ml EMPCOVER TO CRI PE TIES MID CML FlNES UP TO ONE HUNDRED T✓pUSM'D OOl1AFE (5100,000), IN ADDRION TO THE COST OF COMPENSATON, DqAWGES 0.5 PPOVIOED FOR IN SECTIIXJ 31080F THE UBOR CODE, IMEREST. AND r1TTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eltirm Ihet I em Iicennsetl untl/er pr W/�glo s ol epter 9(commenGng wlih Sectlon 7000) of Oivision 3 oi �he Business andP rofessions Code, anO my Ilcense Is in full tnmw�wM-wHwtl-1-Nn.Y /I / fn�D�%i A. (9via"Y� C /.i� CONSTRUCTION LENDING AGENCY: � I hereby ettirtn that there is a constructbn lending agency lor Ue peAormance oi I�e work tor which Ihis permit is Issued. (Sec. 3097, Civil CoAe). Lentlels Name: Lentlefs Atltlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby etfirtn thet under penalry ot per�ury that I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Prafessions Code: Any cily or counry which reQuires e permit to conswct, alter, improve, demalish, or repair eny strucWre, prior to its Issuance, elso requires I�e ep0�icant lor such permit to file e signed stetemem that he or she is Iicensed pursuant to Ihe provlsions of the Comrectors License Lew (Chapter 9(commencing with Section 7000) af Dlvisian 3 of Ihe Business end Professions Code) or thet he or she is exempt therefrom and tha basis far the elleged exemptian. Any vlolation of SecUon 7031.5 by eny apDllcant for e pertnit sub�ects the epplicent to e civil penalry ot not more thfln iive hundretl Oollars ($500)J: ❑ I, es owner oi the property, ar my employees wlih wages es their sde compensation, WILL DO THE WORK, and the structure is not intentletl or oflered lor sale (Sec. 7044, Business and Protessions Cade: The Contractors License law does not apply ta an owner of properry who builds or improves thereon, antl w�o tloes such work himself or hersetl or through his or her own emplqrees, providetl that such improvements are rat intenAetl or oHereC lor sele. It, however, Ne builtling or improvemem is soltl within one year M completioq the awner-builder will have the burden of proving thai he or she diU not �uiltl or imprrne for Durywe of sale.). ❑ I, as owner of Ihe properry, am EXCLUSIVELY CONTRACTING WfTH LICENSED CONTRACTOHS ro construct t�e project (Sec. 7044, Business antl Professions Cade: The contractors License Lew tloes not appty to an axner of propeny who Duiltls or improves thereon, entl who wnirects tor such prqect with e wntractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Business entl Profossions Code lor this reason: SignaNre: Date: Ownar ID vertlied by drivefs Ilcensa. ❑ Yes ❑ No Drivefs license No. Verllicetion of Ownership by (type of dwument, i.e. - property tax bill or tleetl): DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATION: Expires: ❑ I hereby ceNfy that no excavatbn Me (5) or more teet in depth Into wMrh e person is required to descend, will ba mede In connectlon vrith work euthorize0 by Uis permil, and ihat no building structure, sceHdding, lalsework, or demditlon or dismantling thereof, will be more than thirty-six (36) leet high. (Chep. 32, Grp 2, M 2, Sec. 341, Title 8, Calitomia AtlminisiratNe Code). ❑ As ownervbuiltler, I will not empby enyone to do work which wwlG reduire e permii trom the Division of Industdel Selery, as noted ebove, unless such parson hes e pertnit co do such work from Ihe tlivision. Signature: Date: Division ol Industrial Salery Permll Number: CERTIFlCATE OF COMPLIANCE AND AUTHORQATON OF ENTRY: I certity under penelry of perjury that I have read this epplication and stete thet the Inlortnation given is correct. I egree to compty with ell state Wws end dry ordinances relaUng to bullding construction, and authorize representetives ol the Ciry ot Coste Mese to enter upon the ebove-0escnCed property iw inspectlon purposes. I egree not to occupy or ellow occupency of eny 6uilding euthonzod Dy this permil until tinel inspeclion. GOOE Y, INSPECTIONTYPE PAIE VI�IALS 1616 Fixed System Final Flre Prevention � � '� 1266 200 Pool Spa Final Finel Ra-Rool 201 Final BloCk/Retalning well 202 , Final Faaory Fire Placo . 203 Final Sign 204 . Final Domditlon CO�E� INSPECTIONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Final EleCtnCel 212 Final Fire Prevention 220 Final Planning Approval 222 FinelSile 250 Finel Builtling/Occupanty �ffi I�L� �