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Home My WebLink About273 MESA DR - Building Permits (3)(714) 754-5273 • Fax (714) 754-4856 • www.Ci.COSta-m05a.Cd.Us 77 FAIR DRIVE, GOSTA MtSA, cA 9'L6Lti ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: Applicant Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (Y2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Oullets Switches Nan Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 273 MESA DR C ACROSS FROM 273 B MESA DR TPN00037 JOHN PATTERSON CLASSIC PACIFIC HOMES OWNER-BUILDER Phone: (714)2413434 Zip: Phone: Zip: Phone: Zip: License: 0 Status: ISSUED Applied: 08/03I2000 Issued: 08/03/2000 ISSUED BY: ig,�� `�'� ,�.�'4 � °a 9� SCOPE OF PERMIT INSTALL METER PEDASTAL FOR LANDSCAPE IRIGATION FOR CLASSIC PACIFIC HOMES. $23.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 S30.50 50.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low VOIt Wiring System I Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Chrislmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS / SPECIAL CONDITIONS Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46 (N00) � WORKERS' COMPENSATION DECLARA7�ON: I hereby aflirm untler penalty of perjury one o� ihe tollowing declaretions: ❑ I have and will maintain a cerlificete of consent to selhlnsure for workers' compensation, es provitletl tor by section 3700 of the La6or Code, tor the pertormance of [he work For which this permii is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the peAortnance of the work for which ihis permit is issued. My workere' compensation Insurance Carner antl policy number are: Carner. Policy Number: (This section need no! be completed il fhe pe�� is valued et one huntlretl dollers ($100) ar less.) ❑ I cenity that in Ihe performance of Ihe work for which this permit is issued, I shall not employ eny person in any manner so as to become subiect to ihe workers' compensation laws of Calitornia, and a9�ae that if I should become subject to ihe workers' wmpensation provisions of Section 3700 ot ihe Labor Cotle, I shall forthwith comply with ihese provisions. Applicam SignaWre: Date: WARNMG FAILURE TO SECURE WORKERS' COldPENSATIqJ CpVERAGE IS UNLAWFUL AND SHPLL SUBJECT AN EMttOYER TO CRIMINPL PENALTIES PND GVII FlNES UP TOOfJE HUNDRED THOUSAND DOLLAPE (5100,000�, IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PHOVIDED FOR IN SECTION 3I06 OF THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afiirm ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle, antl my licanse Is in full force and eHecL Lia p Class a Contrector's Siqnature: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirm ihat ihere is a consimction lending agency for the pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signature: OWNER-BUILDER DECLARATONS: Date: I hereby aHirm that under penalty of perlury Nat I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any city or county which requires e pe�mit to wnstmct, alter, improve, tlemolish, or repair eny stmdure, prior to its issuance, also requires the applicant tor such permit b file a signed statemant that he or she is licensed pursuant to the provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 oi the Business and Prolessions Code) or that he 0� she is exempt therefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any appiicant for a pertnit subjecis iha applicant to a civil penalty otnot more than five hundred dollars ($500).): I.." ❑ I, as owner of the properry, or my,empl0yees with weges as iheir sole compensation, WILL DO THE WORK, and ihe 5trucWre is not imentletl or oNered tor sale (Sec. 7044, Business and ProtessionsGode: The Contraclors License Law does not apply ro an owner of properry who Duilds or improves thereon, antl who does such work him elf or herself or through his or Fei.Pwn employees, provided that such improvements are not imended or oNered for sale. If, however, ihe building or improvement is d within one year of complotion, Ihe owner-builtler will have ihe burtlen of proving that he or she did not build or improve for purpose ot sale.). I, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sac. 7044, Business end Professions Code: The coniractors Licensa Law tloBs not apply to�an owner of property who builds or impmves thereon, and who coniracts lor such prolect with e contractor(s) license pursuant tdUSe Comractors Licens�'13M1vyq, `�� . ❑ I am e:empt und s ��'� �; Business and Professions Code tor Ihis reason: Signature: �� 1 � Date: Owner ID veritied river's licenso. es ❑ No DriveYs License No. % Verificetion of Ownership by (type of tlocument, i.e. - pmpeny taa bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY VERMIT CERTFICATION: ❑ I hereby certify ihat no exwvation five (5) or more feet in tlepth into which e person is requiretl to tlescend, wiil be made in connec�ion with work authorizetl by this petmit, antl Ihat no building sWCWre, scaHolding, felsework, or tlemolition or dismantiing thereof, will be more ihan ihirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Adminisiretive Code). ❑ As owner-builtler, I will not employ enyone to do work which woultl require a permit irom ihe Division of Intlustriel Sefety, as noted above, unless such person has a permit to do such work irom the division. . Signature: Date: Division of Industnal Safety Permit Number: CERTIFICATE OF COM9�IAy C�E AND AUh10RIZA71 9F IfiRY: I cenify under penalty of perjury that I have read ihis application and state that ihe in�ormation given is wrrect I agree Io cq �ly /�t II s�ate la �antl ci y��n ces reta�ing to Ouilding consiruction, entl authonze representatives ot ihe Ciry of Costa Mesa �o enter upon the above-descnbed p 6 n o spection qj oses. e ot to occupy or allow occupancy of any building authorized by this permit� fy(@I n$pectiOn. /�/(% � . ia atu e Of LeQal e Sl � DAt6 LOOE L INSPECTONTYiE 1616 Fi:ed System Final Fire Prevention 1266 Pool Spa Final 200 Final Pa�RoOf 201 Final8locWRe[aining Wall 202 203 Final Factory Fire Place Final Sign 204 Final Demoli�ion PAIE INTITIALS COOE� INSPECiIONTYPE 206 Final Mechanical 208 Final Plumbinq 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy P,IE IN(IMLS