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Home My WebLink About2436 NORSE AVE - Building PermitsCITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fa�c (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: 2436 NORSE AV MEDIA ONE CABLE T.V. BOX TPN00034 Applicant: MEADOWS, TIM Address: 1835 WHITTIER COSTA MESA, CA SUITE A-12 owner: CITY OF COSTA MESA Address ELECTRICAL PERMIT Phone: (949) 548-1735 Zip: 92627 Phone: Zip: Contracror. THOMPSON AND THOMPSON Address: 1835 WHITTIER COSTA MESA, CA Phone: (949) 548-1735 SUITE A-12 Zip: 92627 � License: 550936 ISSUE FEE ' Temp service test Res. a/c 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 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 700hp Communication drops Sub panel to 200a Pote Light Pkg Sign Circuits Temp Pwr Pole � Intermed Pole PERMIT NUMBER E00-00486 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEW CABLE T.V. POWER SUPPLY FOR "MEDIA ONE". $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $O.OU $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 D 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 k Standing Section Misc Electrical Equipment Trensformers 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 Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 05/37/2000 Issued: 05/31 /2000 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 $0.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS 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) EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned I for a period of 180 days. INSPECTIONS: In order for the work authorizad under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in lhe expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLAAAnON: . � I hereby attirm untler penalry oi per�ury P�e of the lollowing tleclarations: � I have antl will maintain a certifica�e of consent �o self-Insure for workers' compensation, es provitled for by section 3700 ot Ihe Labor Code, for the pertormance of Ihe work for which ihis permit is issued. rPl I have an� will mainiain workers' Wmpensation insurence, es repuiretl by section 3700 of Ne Labor Code, for the pertormance ot ihe work lor which this pertnit is issuetl. My workers' canpensetion Insuren�e cerrier and policy number ere: . Cflrtier STGT-H C�� (� T.✓S r✓,�C � Policy Number: I C� I3� i9 � a U (ihls section neetl not be camp/eted ll the permit is velued et one hundred dollers ($100) ar less.) ❑ I certity iha[ in the peAormance ol the work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatlon laws oi Califomia, a�d agrae that if I should become subject to the workars' compensation pmvisions of Section 3700 of the Lebor Code, I shell fonhwith comply with Ihese proasi�o�'\ �7 ApplicentSignaWre: "t"1 1,(l� 1 — Date: S—`\ ��%� WAHNING: FAILURE TO SECURE WO MPENSATIIXJ CAVERAGE IS UNIAWFUL ANO SHALL $UBIECT AN EMPLOVEfi TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE (StUO,UW), IN ADDRIO�'1 TOTHE fAST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOA IN SEC7ION 370fi OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed under p� visions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business anc torce ana eNect. Lic. # ' �6 Class q C� ConiracroYs Signature: � Data: � .�i — Professlons Code, antl my Ilcense is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby aKrm Ihat there is a consiruction lending agency for Ihe pertormance ot the work for which this permit is iuuetl. (Sec. 3097, Civil Code). Lenders Name: Lendefs Address: SignaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby aflirtn that untler penalry ot perjury �hat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowinq reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the epplicent tor such permit to tila e signed statament that he or she is licensed pursuant to ihe provisions oi the Contradors License Law (Chapter 9(commencing wilh Section 7000) ot Division 3 of the Business and Professions Cotle) or iha� �e or she Is ezempt lherefrom and the 6asis tor the alleged e:emption. Any violatlon of Section 7031.5 by any applicant lor e permit subJects the applicant to e civll penaly 01 not more Ihan five huntlretl dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO T}IE WORK, and the siruciure is not intentled or otteretl tor sale (Sec. 7044, Business antl Protessions Gode: The Contraclors License Law tloes not appy to an owner of propeRy who builtls or improves thereon, antl who tloes such work himseli or herself or through his o! her own employees, provided Ihet such improvements are not intendetl or oHeretl for sale. If, however, Ihe building or improvement is sold within one year ol completion. Iha owner-builder will have the burtlen of proving that he ar she ditl not build or Improve for purpase ot sale.). ❑ I, as owner oi Ihe property, am ExCLUSIVELY CONTRAC7ING WI7H LICENSEU CONTRACTORS to construct me projact (Sec. 7044, eusiness antl Pmtessions Cotle: The contracbrs License Law does not apply to en owner of property who builtls or improves thereon, and who contracis for such project wlth e contrecbr(s) license pursuant to Ihe Contractors �icense Lews.). ❑ I am exempt under sec. 8usiness and Professions Code for this reason: SignaWre: Date: Owner ID verifietl by tlrivefs licanse. ❑ �es ❑ No Driver's License No. Venfication of Ownership by (type ol do�umeni, i.e. - properly tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICATION: Eapires: ❑ I hereby certify thet no excavatio� ��e (5) o� more feet in tlepth Into which a person is requiretl to descend, will be made in connection with wo�k authonzetl 6y Ihis permit, and that no building slmcNre, scattolding, falsawork, or tlemolltion or dismantling t�ereot, will be more than ihirry-six (36) taet high. (Ghap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Cotle). ❑ As owner-builder, I will not amploy anyone to do work which woultl require a permit irom Ihe Division of Industrial Sefety, as notetl above, unless such person has a pertnit to tlo such work irom ihe tli�sion. Signature: Date: Division of Indu5lnal Safety Permit Number: CEHTIFlCATE OF COMPLIANCE AND A�MORVA710N OF ENTRV: I certiy under penalty of perjury Iha� I hava read this application end state that ihe information given is cortacL I agree to comply with all state �aws and city ortlinances relating ro building constructlon, and authonze represeniatives of ihe Ciry ot Coste Mesa to enter upon the above-describetl D�operty lor inspection Purposes. I egree not to occupy or ellow xcupancy oi any huildinq authonzed by this permit until final inspection. COpE �. INSPECTIONTYPE 1616 Fixed System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Re-Rooi 201 Final Block/Reteining Wall 202 Final Factory Fire Place 203 204 2d66d8 Final Sign Final Demalition P1�IE irmru�s COOEI LNSPECTIONTYPE 206 Final Mechanital 208 Final Plumbing 210 Final ElecMcal 212 Final Fira Prevention 220 FinalPlanning Appraval 222 Final Site 250 Final BuildincyOccupency Date S =3/-�U Date �rLYlq •� un _ OS/25/00 15:08 '$714 895 0188 ' _ORANGE COAST DIS (m 001 1 FAX COVER SHEET :-_�:�� ; ,�, w sourHte.r crurotwu a��-` Ed�so�v :1n F.'!)f.ti0.�' 7�\'7'F.�XS.{/A)��:N." L'.�mpam� HIJNTINGTON BEACH SERVICE CENTER T�: Burt Morgan City of Costa Mcsa FAX NUMBER: 7147544856 FROM: Edi�n Planning Deparhnent PHONE NtIMBEIt: (714) 895-0363 Edison Site Releases For MediA One Cable TV Spots P/S # Address 4� C 2 y3b �(/er SC - `636 Z'32 [ � � �c. �-�g 20o e�o�k �st�,.- NLIMBER OF PAGES INCLUDING �� Please notify sender if any pages are missing (714) 895-0244 - PAX 54244 SOUTHERN CALIFORNIA �DISON COMPANY 7333 Bolsa Avcauc, We�m'm.ster, CA 92bR3 - rA7C: (�14) 895-0188 - PAX PAX: 54] 88