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Home My WebLink About657 ANTON BLVD - Building Permits��ia� �sa-s2�s • Fax (�ia> �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber. Applicant: Address: owner: Address � � CITY OF COSTA MESA + BUILDING p1VIS10N DEVELOPMENT SERVICES DEPARTMENT PERMIT 657 ANTON BL BUS SHELTER TPN99017 JAN PARKER 497 ABBIE WY COSTA MESA, CA CITY OF COSTA MESA ELECTRICAL PERMIT Contracror. PARKER PACIFIC WEST INC Address: 497 ABBIE WY ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool I Spa Lighting Fixts Recepi Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors to 1 hp MotorSlo 10hp Motois to 50hp Motors l0 100hp MOtors Over 100hp Communication drops Sub panel to 200a Pole light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: (949)646-5359 Zip: 92627 Phone: Zip: - Phone: (949)6465359 COSTA MESA, CA Zip: 92627 License: 609295 << PERMIT NUMBER � E00-00766 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: OB/02/2000 Issued: OB/02/2000 SCOPE OF PERMIT INSTALL ELECTRICAL SERVICE, 1 LIGHT AND 7 MISC CONDUIT FOR NEW BUS SHELTER. ZERO FEE CITY PROJECT PER DENNIS JOHNSON. 50.00 $0.00 50.00 so.00 50.00 50.00 5�.70 50.00 50.00 So.00 50.00 530.50 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 $0.00 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 I Lighting Busway /100 ft ' Standing Section Misc Electrical Equipment Transfortners up to 7 kva/kw ................up l0 70 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low VOIt Wiring System I Ckt Mist. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Stand Other EleMrical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 518.20 1 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 $0.00 50.00 $0.00 E0.00 NOTICE: The work authorized by ihis permit shall comply with all appliceble handicap access requirements under Califomia statutes and releted regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for tha work euthorized under this permit to be considered legal, such work must comply with ell applicable codes, and ell requlred Inspactlona and final approval must ba abtained. Failure to obtain inspections end final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: J I hereby eHirtn unAer penalry of pehury ono ol tho tollowing deUeretions: T ❑ I have end wlll maintain a certificate of consent ro selt•Insure tor workers' compensatlon, as prodded lor by section 3700 of the Lebor Cotle, tor I�e pertormance oi Ihe ork for whiCh this p8rtnii Is Issuetl. have end will maintain woAcers' compensailon insurence, es requlretl by section 3700 of Ne Labor Code, lor Ihe peAortnence oi Ne work for whlch this pertnit is iswetl. My workers' campensation Insurance cerriar en0 policy number ere: Carner. Policy Number. (Thls sectlm need nat be canpet � he pennit Is vamed me hunered doners (S100) o� �ess.) ❑ I certity that in the peAo an of the work f whi � s pertnit is issued, I shall not employ eny person In any manner so es lo become subject to Ihe workere' compensetlon laws ot C ifo , and 9gr� t t if � tl become 5ub�ecl lo Ihe workers' compensatlon proNsions af Section�7 00 af the Lebor Cotle, I ahall torthwlth wmply with these pr � io �i' �/_ /D �,1 Applicanl Signalure: � Date: �� v WARNING:FAI�URETOSEGU WORKERS'COMPENSATIONCOVEMGEISUNLAWFULANDSHALl.5U61EGTANEMPLOVERTOCRIMINAL EW1LilESANDGVILFlNESUPTOONEHUNDRED TilOUSANDDOLLARE(5100, .INADDITIONTOTME00STOF00lAPENSATION,DAMAGESASPRONDEDFIXiIN5ECf10N3'1O60FTHElABOROODE,IMEREST.MlDATTORNEV'SFEES. LICENSED CONTRACTORS DELLARA710N: I hereby attlrm that 1 am licensed force and eMect. Lic. x� Cantractofs Signe�ure: CONSTRUCTION LEND ❑ I hereby attirm Ihat Lendets Name: _ SignaWre: _ with Section 7000) of Division 3 of ihe E _ Class # Date: Cade, entl my Ilcense Is in full is a constructlon lending egenty for ihe pertormance ol ihe work lor which this partnit is issuad. (Sec. 3097, Civll Cotle). Lentler's Atltlress: Date: OWNER-BUILDER DECLARATONS: I hereby eHirtn that under penelry ot perjury tha� 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Profeuions Cale: Any ciry or counry which reqWres a pertnit to construct, alter, improve, tlemolish, or reDeir flny siructure, pnor to its Issuance, elso requires the epplicant for such permit to lile e signed atetement that he or she is licensed pursuent to tne pmvislons oi the Contrectors LJCense Lew (C�epter 9(CommenCing wlth Section 7000) ot DlWsion 3 of tne Buslness entl Professlons Cotle) or that �e or she is exempt Iherelrom antl the besis tor t�e allegeO exemption. My vblatlon ot Sectlan 7031.5 by any epplicant tor a permit subJects the applicant to e civil penalry of not more Ihan Iive huntlred tlWlars (5500).): ❑ I, es ownar ol the properry. or my employees with weges es t�elr sole compensatlon, WILL DO TTiE WORK, erM the structure is not intentled or oHereA lar sale (Sec. 7044, Business end Pmfessions Cotle: The Contrectors License Lew tloes nat eppty to an awner af properry who huiltls or impmves t�ereon. flnd who does such work himself or herself or ihrwgh his or her own employees, provitled ihet such imprwements are not intended or ofleretl br sele. It, howaver, the 6uiltling or improvement is soltl wit�in one year of completion, the owner-builtler will have the 6urden of proving t�at he or she tlid not 6uild or improve for purpose ot ule.). ❑ I, es avner of t�e property, em E%CLUSIVELV CON7RACTING WITM LICENSED CONTRACTORS ta wnswn the pmject (Sec. �044, Business and Professions Code: The coniractors License Law does not epPN �o fln owner ol property who builds or impmves thereon, and wha contracis lor such projed with a contrector(s) Iicense pursuent ro tha Contractors License Lews.). ❑ I em exempt untler sec. Signa[ura: Owner ID verilied by drivers license. ❑ Ves ❑ No Business antl Professions Cotle for this reason: Verificetion of Ownershlp by (rype of document, i.e. - property len Diil or tlaetl): Drivers License No. Date: Expires: DIVISION OF INDUSTRIAL SAFEfY PERMIT CERTIFICATION: ❑ I here6y certiry that no excavation tive (5) or more feei in depth into whic� a person Is reqNred to descend, will be made in connection with woAc aulhodzetl by this permi�, entl Ihel no builtling strucNre, scattolding, talsework, or tlemolitlon or tlismentling theraot, wlll be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Atl 2, Sec. 341, Tille 8, Celitomle Administrelive Code). ❑ As owner•builder, I wlll not employ anyone to do work which woultl requlre a Dermlt from Ihe Dlvlsion ot Intlustrial Safery, es notad ebove, unless suc� person has a permit to do such wark from the division. Signature: Date: DlWsion ol Industrial Safety Permit Number: CERTIFlCATE OF COMPLUWCE AND AUTHORIZATON OF EMAV: I certity under penalry of per�ury that I have read this application and state that t�e intormation given is conecL I agree to comply with all sta s end ciry ordina latlng to builUing cronstruction, and euthonze represenWWes of the Ciry ot Costa Mese to enter upon the abovadesaibed properry for insp on rposes. I agree t to upY or allow occupancy oi eny 6uiltling authonzed by this pertnit untll tinal InspecUon. LODE t. INSPECTIONTYVE / 1876 Fi:etl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rooi 201 Final BIwWRetaining Well 202 Finel Fectory Flre Place 203 Finel Sign 204 Flnel Demolitlon 2at&d8 Qdjg � COpE1 INSPECTIONTYYE 208 Finel Mechanical 208 Final Plumbing 210 Final ElecWcal 212 Finel Fire Prevention 220 Final Planning Appraval 222 Final Sita 250 Final Builtling/OauDency ,�n. '��` � - /� / �mi.