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Home My WebLink About684 ANTON BLVD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.Ca.u�TRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 tltl: Job Address: Suite No Vicinity: Parcel Nunmber: Appliwnt: Address: Owner: Address Contredor. Address: 684' ANTON BL , TPN006094 COX, JOHN 3360 E LA PALMA ANAHEIM, CA CITY OF COSTA MESA 77 FAIR DRIVE . .COSTA MESA, CA ECONOLITE TRAFFIC E 3360 E LA PALMA ANAHEIM, CA Phone: 714-666-2295 Zip 92816-0150 Phone: Zip: 92626 AND MAINTENANCE IN Phone: 714-666-2295 Zip: 9281E0150 License: 807718 ISSUED BY: Status: ��-bl�Q�i Applied: OS/07J2006 Issued: - " SCOPE OF PERMIT ' METER FOR TRAFFIC LIGHT AT ANTON AND PARK CENTER DRIVE. 1 SERVICE TO 200A � FEE SUMMARY ISSUE FEE Temp service lest Res. a/c package New Res (1-2 unils) New,Res (3+units) . Pool I Spa � � Lighting Fi�As Recept Outlets Switches Non Res Appl ' . Res Appl Service to 200a , Service to 1000a Service over t000a Motors to thp Motars to tOhp . Motore to SOhp . Motors to 100hp ' Motors over 100hp Communiwtion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole �uantiry 523.50 50.00 $0.00 ` $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 530.50 $0.00 � 50.00 $0.00 . + ' �. 50.00 ' $0.00. ..,��. $0.00 $0.00 50.00 � 50.00 � $0.00 �' �50.00 50.00 $0.00 0 � 0" 0 0 0 0 0 0 1 0 0 0. . . 0 �0 �_ �� _ 0 -_ p 0 , Q" 0 0'�' �0_ Temp Dist System / Lighting Busway/100k Standing Sedion Misc Eledriwl Equipment Transformers up to 1 kva/kw .:..............up to 10 kvalkw ................:up to 50 kvaAcw .................up to 100 kva/kw ..........:.......over 100 kva/kw Low Voltage Equipment Low Volt Wiring Syslem I Ckt MisG Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lighls) � Chrislmas Tree Stand Fireworks Stand ' �Other Eleclrical Fee - - � Investigation Fee Plan Check Fee Reinspection Fee �uantity $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 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 so:oo , - , $0.00 � , 50.00 $0.00 � TOTAL CALCULATED FEES 554.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permlt shall wmply with all applicable handicap access requlrements under Calilomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21•92) EXPIRATION: This permit shall automatically explre and become voltl if work Is not commenced within 180 days, or if work is suspendetl or abandoned for a perfod of 1 BO days. INSPECTIONS: In order for the work euthorized under thls permlt to be considered legal, euch work must comply wlth all epplicable codes, and all �equlred Inapecllona end flnal epproval must be obtalned. Failure to obtain Inspections end final approval will result In the explration ol this pertnit. FOR INSPECTIONS CALL: (714) 7545628 � 2HBi8 (flNO) WORKERS'COMPENSqnON OECLAFiAnON: I hereby eflirm untler penalry ot perjury one of Ne following Cedaretions: � � ' , . ❑ I heve end will meintein e cenifiwte of consent to setl•Insure lor workers' compensetion. es proNded tor by sectlon 3700 0l the Lebor Cada, lar the pertortnence ot Ne rk for which Ihis permit Is iuued. ,_I have antl will maintain workers' compensatlon inwrarxe, fls reduired by section 3700 ol the Lebor Coda, for Ne peAortnence oi the work tor which Nlv permit is issued. �Myworkars' wmpensatlon Insurence carrier anA pdiq numDer are: .Cerrier. � ��[Arr � �r/NO � Pol�l y,Number. Ilv O �q _� �(Thls secnwr need not be complef i! the permiNs velued ef one nuritlretl ddlars ($100) or less.) _` / I cenily thet in I�e peAormance at the work for whic� this permit is issued, I shell nol employ eny peraon In any manner so as Io become subject to Ihe workers' wmpansation lews ol Celifomia, arW agree tliat N I should becane sub�ect to Ne workers' compensatlon provisions ol Saction 3700 of Ne Lehor COEe, 1 shall toMwiN Comply �tlh Ihese provisions. Applicant neture: Date: S Z� WARNINO: FAILURE TO SEqJqE WpRKER$'C�y P�D1 TION COV GE IS UMAWFVL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALiIES AND CML FlNE$ UP TO ONE HUNDRED TYqU$PND OOLIARE (5100,ppp� IN �DDITIONliS'�F1E CQST OF 00 P[NS�TION, DMUOES AS PROVIOED FOR IN SECTION 31080F TNE IABOR �pOE.IMERESi, AND ATTORNEI"S FEES. LICENSED COHTRACTORS DECLAHATION: I hereby eHirtn Ihat I em licensed under pmvisions ot C�apter 8(commendrg wit� SecOon 7000) of Divislon 3 of the Buslness nnd Protessions Catle, entl my Iicense is in tu0 mrceanoeflect..uc.a i3��-(R �C�at+�a Cl/7 _ CONSTRUCTION LENDING AGENCY� � ❑ I hereby eNirtn that there is e constructlon lentling agenry tor the peAormance al Ihe work lor which I�Is Dermil is issued. (Sec. 3097, Clvil Cotle). Lentlefs Name: Lentlefs Atlaress: . _._ Signatura: OWNER-BUILDER DECLpqqTONS: Data: 1 hereby eMirtn thet under penalry of perjury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following raeson (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a permit to construct, elter, imprwe, demolis�, or repeir eny structure, prior to Its issuence, elso reqWres t�e epplicent tor such pertnil to tile e signeA ateteman� ��at he or sha is licensetl pursuant to Ihe provLsions ol Ne Cantrectors License Lew (Chapter 9(wmmencing wlth Seclion 7000) ot Division 3 of Ne Business and Professions Code) or that he or she is exempt the�etrom erM the basls �a t�e allegetl exemption. Any vidation o� Sectbn 7037.5 by any applicant lor e perml! suhjects the apD�� o e civil penalry of not more ihan frve hundred ddlars (5500).�: ❑ I, es owner af the propeM. or my employees with wages es iheir sde compensation, WILL DO THE WORK, entl the structure Is not InientleA or otteratl tor sale (Sec. 7044, Business antl Professions Code: The Coniractors License Law Oces not appty to an owner ot property who builds or improves thereon, erW who does such work himsell or harsetl or through his or her own employees, provitled t�at suU improvements are not Inientletl or ofleretl lor sale. II, however, the huiltling or improvement is sold within one year of completion, ihe owner-builtler will have the burtlen oi proving ihat he or she tlid not build or improva tOr purpose of sale.�. ❑ I, es owner W lhe pmperty, am EXCLUSIVELY CONTRAC7ING WITH LICENSED COMRACTORS to constmct t�e pro�ect (Sec. 7044. Business end PmfBssions Cale: The wmrectors Llcense Lew tloes not appty to an owner ol pwpeny who builds or Improves t�ereon, entl who contracts for such proJect with e contractor(s) license pursuant to the Contractors License Laws.). I am exempt under sec. V8rI11calion of Ownership by (rype ot document, i.e. - Business and Protessions Code tor Ihis reason: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby ceniry t�at no excavetion flve (5) or more feet in depih into which a person Is required lo tlescentl, will be made In cOnnection with work aut�orized by ihis permil, end Ihel no Duilding structure, scattolding, talsework, or tlemdi�ion or dismantling thereoi, will be more Ihen ihirtysix (38) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Celibrnla AAministretive Code). ❑ As owner-bullder, I will not em0�oy anyone to do work which would require a permit Irom 1he Division ol Industrial Selery, es noteA ebove, unless such peraon has a perml� to Co such Work irom �he division. Signalure: Dete: Oivision of Industnal SaIBry Permit NumDer: CERTIFICATE OF COMpLIqNCE AND AUTHOROATON OF ENTRV: I cenify under penely of parjury ihat I have read this epplicetion end state �het the informe�lon given Is wrrect I egree to compty wilh ell stete laws entl dry ordinances relating to bulltlinp canstruction, entl authodze representetives of Ihe Clry o� Costa Mese to enter upon itie ebove-descdbed propeny tor Inspection purposes. I agree na to occupy or allow occupancy ot any building eulhorizetl by t�ls pertnit umil Ilnel inspection. CppE �. INSPELTIONTYGE � 1616 FixeA System Final Fire Pr 1288 Pool Spe Final 200 Finel Re-Roof 201 Finel BIocWRetalning Well 202 . Final Factory Fire Place 203 Final Sign 204 Flnel Domolltion COOE 1 INSPECTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final ElecMcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Finel Bullding/Occupenq � , Date