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Home My WebLink About224 MONTE VISTA AVE - Building Permits� q��'. ; .::._.:� ; : �: (�ia) �sa-s2�a • Fe: (�ia� �sa-aass Job Address: Suite No Vicinity: Parcel Nunmber: CITY OF COSTA MESA , , BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT 224 MONTE VISTA AV MEDIA ONE CABLE T.V. BOX TPN990101 Applicant: THOMPSON, TOM Address: 1835 WHITTIER COSTA MESA, CA SUITE A-12 Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. alc 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 t000a Service over 1000a Motors to 1hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communicalion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole CITY OF COSTA MESA THOMPSON AND THOMPSON 1835 WHITTIER COSTA MESA, CA � SUITE A-12 . Phone: (949)548-1735 Zip: 92627 Phone: Zip: Phone: (949)548-1735 . Zip: 92627 License: 550936 PERMIT NUMBER E00-00317 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 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY _ Temp Dist System / Lighling Busway /100 ft Standing Section Misc Electncal Equipment Transformers up to 1 kva/kw ................up to 10 kvalkw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or nde) � Circus (mech ride or lights) Chrisimas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 04/05/2000 Issued: 04/OS/2000 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 0 50.00 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 $o.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all raquirad inapectlone and final approval must 6e obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � � WORKERS' COMPENSATION DECLARATION: � I hereby aRirtn un�er penalry of perjury one of the tollowing tleclarations: ❑ I have end will maintain a cartificate oi ConseN to setl-Insure for workers' compensation, as provided for by section 3700 of Ihe Labor Code, for the peAormance oi �he work far which this permit is issued. ❑ 1 hava antl will maimain workers compensation insurance, as required by section 3700 of ihe Labo� Code, for the pedortnance ot Ihe work tor which Ihis pertnit is issued. My work��rs' comp� lion �In5.Lurance carner and policy num6 r are: �� /�_ O� Carrier: wH^-P t �✓�� Policy Number: (This section need not 6e comp/eted il the ermit is� at one hundred dollars ($100) or less.) ❑ I certity that in Ihe performance of the �york for which this permit is issued, I shall not employ eny person in any manner so es to become subject ro the workers' compensation laws of California, antl egrae thet if I should become subject to ihe workers' compensation provisions ot Section 3700 of Ihe Labor Code, I shall forthwith comply wi�h ihese prov�T � �/ Applicant Signature: / `r�� Date: � _ / �� GU WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFl1L AND SHALL $U91ECT AN EMPLOVER TO CRIMINAL PENALTIES AN� CIVIL FINES UP TOONE HUNDRED THOUSANO DOLL4RE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]O60F THE LABOR CADE, IMEREST, AND ARORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am torca and etlect. Lic. # _ Conlrac�ofs Signature: of Chapter 9(commencing with Section 7000) of Division 3 of tha eusiness and Protessions Cotle, and my license is in full Class # C—� � f7 Dale: y- �� /7CJ CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm that there is a constructipn lending agency tor the peAormance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). Lender'sName: __. _- _ .__ LendersAddress: SignaWre: OWNER-BUILDER DECLARATIONS: Date: I hereby affirm tha� under panalty of perjury ingt I am EXEMPT FROM THE CONTRACTOfiS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any simcNre, prior to its issuanca, also requires the applicant tor such permit to file a signed sta�ement ihat he or she is licensed pursuant to ihe provisions of ihe Coniractors License Ww (Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code) or ihat he or yhe is exempl iherefrom and lhe basis for the elleged exemption. Any violation of Section 7031.5 by any epplicant for a permit subJecis the applicant to e civil penalry ot not more than five huntlred dollars ($500).): ❑ I, as owner of ihe property, or my empl0yees with wages as �heir sole compensa�ion, WILL DO THE WORK, and the 5imcture is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Lew does not apply to an owner of propeny who builds or improves ihereon, and who tloes such work himself or herself or through his or �er owfl employees, provided Ihat such improvemants are not intended or ottered for sale. If, however, the building or improvemen� is sold within ona year of completion, ihe awnervbuilder will have the burtlen of proving that he or she ditl not builtl or improve for purpose of sale.). ❑ I, as owner ot ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessions Code: The contrectors License Law does not apply to en owner ot propeny who builds or improves thereon, and who contracts for such prolect with a contractor(s) license pursuant to the Contractors License Lews.). ❑ I am e:empt untler sec. Business end Protessions Code tor this reason: Siqnature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Dnver's License No. Expires: Verification of Ownership by (type of document, i.e. � property faa bill or deed): DIVISION OF INDUS7RIAL SAFETY PEFiM17 CERTIFICATION: ❑ I hereby cetlify ihat no excavation tive (5) or more feet in depth into which a person is required to descentl, will 6e matle in connection with work authorized by this pertnit, and ihat no building stmcture, scaHolding, falsework, or damolition or disman�linq Ihereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Calitornie Adminisirative Catle). ❑ As owner-builder, 1 will not employ anyone to do work which would require a permit irom ihe Division oi Industnal Satety, as noted a6ove, unless such person has a permit to tlo such work irom ihe division. Signature: Dafe: Division of Industnal Safery Permit Numher: CERTIFICATE OF COMPLIANCE AND AllT}IbRIZATION OF ENTRY: I certify undar penalty ot perjury that I have read Ihis application and state that Ihe information given is cortect. I agree to comply with all state laws antl ciry ordinances relating to building constmction, and authonze representatives of the Ciry of Costa Mesa to enter upon the above-described propeny for inspection puryqses. I e9ree not to occupy or allow occupancy oi any building euthonzed by this pertnit until tinal inspection. ignature Ot Legal Owner(s) � Date i U--_ 1(- T- U And/OrAuthorized Applicant Date COpE l INSPECTION TYPE 1616 Fixetl System Finel Fire Prevention 1266 PoolSpa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Slgn 204 Final Demolition 246fi-48 D� � It�IDA4£ CppE l INSPECTION TVPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�rical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � = p) NTRIR Od!O��UO Ld:JD $713 A85 019A ORANGF CUAST UIS � 001 ` 1 . _ r"AX C�VER SH��,T °��a� souri�ra, c,i�iorr.�.� �` ED�SON �_ L: i i/l,\fll I\i7.K.\ ITJf)l.V." l:�fip�l;. HUNTINGTON BEACH SERVICE CENTER TO: 8urt Morga�i City of Cosia lY1esa FAX NUM]3ER: 714-754-4856 FROM: Edison Plann3ng Dep3rtment PHO�tE NUi't�IDER: . (7t4J 2f95-0363 Edison Site Releases For LVledia One Cable TV S�ots PIS � Sal a Address 2S3c7 C.,.re eyf c �SbA - --. Zo72 0......�c f9L g � 6 zzy w+onac t1: s� Y. y St4A �7� 22��1 , NUMBER OF PAGES INCL[JDING COVER SHEET �_ Please notify sender if any pages are missing (714) 895-0241 -,PAX 54244 SOUTi�RN CALIF012NLA EDISON COMPANY 7333 BoLsa Avtauq Westminscer, CA 92683 - FAX: (714) 895-0188 - PAX FAX: 54188