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Home My WebLink About2204 ORANGE AVE - Building Permits! i . � CITY OF COSTA MESA � BUILDING D/VISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER. E07-00875 PERMIT TYPE ELEC STATUS: ISSUED DATE ISSUED: 1012512007 ISSUED BY: RMD JOB ADDRESS: 2204 ORANGE AV CM Suite/Unit: Vicinity: SIDEWALK . SCOPE OF WORK: INSTALIATION OF A NEW 100A PEDESTAL METER ON SIDEWALK: - - � ,. . OWNER: CITY OF COSTA MESA . Address: Unit: PHONE: _ City/Slate2ip: APPLICANT: WILLIS, JANAE M . Address: Unit: PHONE: 909-933-9345 - City/State/zZip: �� CONTRACTOR: VCI TELECOM License No. 765716 Address: 7921 W 11TH STUnit: PHONE: 909-946-0905 Ciry/State: UPLAND, CA � ZipCode: 97786 CELL: ELECTRICAL PERIVIIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requirements under California statules and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and flnal approval must be obtained. Failure lo obtain inspections and fnal approval will result in the expiration of this permit. COOE�. INSPELl10NTYPE OAiE INTI RL LODE� NSPECPONTYPE �ATE INTITIRlS 1816 Fixed System Final Fire Prevention 206 Final Mechanical 7286 Pool Spa Final 208 Final Plumbing I 200 Final Re-Roof 210 Final Electncal 7/—� � - �-rr._�� 201 Final Block/Retaining Wall 212 Final Fire Prevenlion 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Pinal Site 204 Final Demolition ' 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: � I hereby aNirm untler penalry of perjury one o( the (ollowing declarations: ❑ I have and will maintain a certifcale of consent to self-Insure tor vrorkers' compensation, as provided for by section 3700 ot the labor Code, for [he pertormance of the work tor which this permi[ is issued. � I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, fw the peAwmance ot lhe aork for which this permit is issued. My workers' compensation Insurance carzier and policy number ar^e: �p /�-, cy� Carrier: .U��!f ��i�.CJI/C., / .i�� ' (ihis secYion neetl no( be cu��ipqle(entl Alhe permcd �is valuetl a( ogne huntlred cbllars (Ef 00) orless ) Policy Number: � Q_�LJ l � I� 1 i�t °J �� ❑ I certify that in the performance of the work for wtiich this permit is issued, I shall nol employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, an0 agree that if I shoultl bec9� -s bject to the vrorkers' compensation provisions of Section 3700 of th6Labor ode, I shall forthvrith comply with these provisions � 7 Ap0liranCs Signamre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby affvm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0( Ihe Business antl Professions Code, and my lice�nse7 is in full force antl eflect. Lic. # l � Class # __�9�H� 7. � Conire[tor's SgnaWre e CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that ihere is a consWction lending agency for the peRortnance of the v.vrk far wtiich ihis pertnit is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: OWNER-BUILDER DECIARATIONS: I hereby a(firtn that under penalty of perjury Nat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the follovnng reason (Sec. 7031.5, Business and Pmfessions Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any structme, prior ro its issuance, also requires the applicant for such permit to f le a signed statement that he or she is licensed pursuant to the provisions of the Comrecrors LicenSe Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or thal he or she is exempt lherefrom and the basis for the alleqed exemption. Any violation of Section 7031.5 by any appliWnt for a permit subjec[s Ihe appliwnt to a civil penalty of nol more than five huntlred dollars ($500).): ❑ I. as ovmer o( Ihe property, or my employees wilh wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or of(ered (or sale (Sec. 7044, Business and Pro(essions Code: The Contracrors License Law does no[ apply lo an ovmer of propehy who builds or improves t�ereon, and who does such work himself or hersel( or through his or her ovm employees, provided that such improvements are nol intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did not build or improve for purpose ot sale.). . � I, as owner of ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the pmject (Sec. 7044, Business and Professbns Code: The cont2ctors License law dces not apply to an ovmer of property who builtls or improves thereon, and who conlracts for such project with a cont2cta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Cotle for tnis reason: Ovmer ID verifietl by tlriver�e. ❑ Yes ❑ No ' Dnver's License No. Expires: Verifcation of Ownership by (lype of document, i.e. - property tax bill or deed): DIVISION OF INDUS7RIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) a more feet in depth into which a pereon is required to descend, will be made in connectbn vrith work authorized by lhis permit, and that no building strucNre, scaffdding, falsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title B, Califomia Administ2tive Code). ❑ As owneo-builder, I will not employ anyone to do work which would require a permit trom the Division of Industrial Safey, as noted above, unless such person has a permit ro do such work from the division. Appliranfs SignaWre Division of Indus[rial Salety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future builtling occupant need to file and certify a Business Plan for emergency response [o release or Ihreatened release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of [he California Health and Safery Cotle requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business vfiich has at any one time dunng a reported year a quantity of hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas at stantlard temperature antl pressure). 2. Does or will the applicant or preseN or future building occupaM need to fle a registretion torm for acutely hazardous materials? ❑ Yes ❑ No �(Section 25533 of the Califomia Health antl Safery Code, with some exceptions, requires regisiration wi[h ihe Costa Mesa Fire Department by 7 each business which at any one time has on hand a quanti[y of acutely hazardous matenals equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressetl gas at stantlard temperaWre and pressure). 3. Does or will the appliwnt or present or fuWre building occupant need ro prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous materials)? ❑ Ves ❑ No (Section 25534 of the Calilornia Health and Satety Cotle provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire Department. 4. II an RMPP is presently requiretl, has Section 25534 of Ihe Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture builtling occupant require tor me work which is the subject of this application a pertnit for such wnsWction or modifcation from lhe South Coasl Air Quality Managemenl Dislric[ or trom any other air polWtion conlrol tlistrict or agency? ❑ Yes ❑ No (Secl'ron 658502 of the Califomia Govemment Cotle requires lhat t�e requestetl inlortnation be fumished on applications far nornresidential building permits). 6. Will any part o( the facility to be constructed under this permit be within 1000 leet fmm the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", Ihe facility musl meet the requirement of Sections 25534 an0 42303 o( Ihe Califomia Health and Safely Code�. 7. It a pertnit from the South Coast Air Ouality Management DisMct or other air pollution control district or agency is required for lhe work which is the subject of Ihis appliwtion, have all of Ihe disclosures prescribed by Califomia Health and Safery Code Section 42303 been made7 ❑ Yes ❑ No 8. Qf "yes", attach certifcate of compliance from ihe appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I ceni/y that under penalty of perjury the information given above is correcL I agree ro comply with all state laws and city ordinances regarding Hazardous Materials antl Emissions. SgnaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this applicalion and state that Ihe information given is correcl. I agree to comply with all slate laws and ciy ordinances relating ro building construction, and aulhonze representatives o( the City o/ Cwta Mesa to enter upon the above-tlescnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building aulhorized by this permit until (nal inspection. Signalureo(LegalOwner(s) p le Sienamre Date `� � D � �057d613�0]) , AnClorAull�onxMApplionl Dal!