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Home My WebLink About3333 GREENBROOK DR - Building Permits� . 4`�5(niyFs4 o. � > _ � J '`�,md`' (714) 754-5273 • Fa�c (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner: Address CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SEFiVICES DEPARTMENT PERMIT 3333 GREENBROOK DR MEDIA ONE CABLE T.V. BOX TPN990238 THOMPSON,TOM 1835 WHITTIER COSTA MESA, CA SUITE A-12 CITY OF COSTA MESA ELECTRICAL PERMIT Phone: (949)548-1735 Zip: 92627 Phone: Zip: Contractor: THOMPSON AND THOMPSON Address: 1835 WHI7TIER � COSTA MESA, CA � Phone: (949) 548-1735 SUITE A-12 Zip: 92627 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting FiMs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Molors to 10hp Motors to 50hp Motors l0 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits License: 550936 PERMIT NUMBER E00-00238 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: ' SCOPE OF PERMIT INSTALI 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 fl Standing Section Misc ElecVical Equipment Trensformers up to i kva/kw ................up l0 10 kvalkw .................up to 50 kvalkw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Wring System I Ckt Misc. Conduit Misc. Condudor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 03/20/2000 Issued: 03/20/2000 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 80.00 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 $0.00 so.00 $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-20, § 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 for a period of 180 days. INSPECTIONS: In order for ihe work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetiona end finel approval must be obtained. Failure to obtain inspections and final epproval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 �,. WORKERS' COMPENSATION DECLARATION: I hereby ettirtn untler penalry ot perjury one ot Ne following declarations: � ❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, as provitled For 6y section 3700 ot the Labor Code, for the perlormance of Ihe work for whith Ihis permit is issued. - ❑ I have and will maintain workere' compensation insurance, es reQuired by section 3700 0l Ne Labor Code, for Ihe peAortnence of tha work for which this permit is issuetl. My workers' compensation�Iisurence cartier enC olicy num6�er aw: 'j � Carcier. �C�.�C� C L"� /f../i ��S !va'�� Policy Number: `� " zO � � (This secfion neetl nat be c�permit is velued et one huntlred tlollers ($100J or less.) ❑ I certiy that in ihe peAormance of the work for which Ihis pertnit is issueQ I shell not employ eny person in any menner so as to become subjed m the workers' compensetion laws of California, and agree ihat if I should become subject to Ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith com0ly wiih �he5eup� �vision ApplicenlSignature: . 1�� Date: �� Z� � UV WARNING: FAILURE TO SEWRE WORKERS' CAMPENSATION COVERAGE IS UNL4WFUL PND SHALL SUBIECT AN EMPLOYER TO CfiIMINAL PENALTIE$ AND CIVIL FINES UP TOONE HUN�RED THOUSAND OOLLARE (5100,000�, IN ADOITIQV TO THE WST OF COMPENSATION, OPh41GES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE, INiEPEST, ANO ATiORNEYS FEES. LICENSED CONTRALTORS DECLARATION: I hereby attirtn Ihat I am licensed under provisions ot C�apter 9(wmmencing with Section 7000) of Division 3 oi [he Business antl Professions Code, antl my license is in full torce antl eHect. Lic. s sS� Q.�� 6 Clau a C�� Conirectors Signature Data: 3- Z 00 G J CONSTRUCTION LENDING AGENCV: ❑ I horeby attirm that there is a constmction lentling eqency for ihe pedormanca of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet under penalry ot perjury that I am EXEMPT FROM THE CONTFACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a pertnit to conswct, alter, improve, tlemolish, or repair any sWcmre, pnor to its issuance, also requires [he applicant tor such permit to file e signed statement that he or she is licensetl pursuant to t�e pmvisions of ihe Conirectors License Law (Chapter 9(commencing with Section 7000) of Divlslon 3 of the Business end Protessions Code) or that he or she is exempt Iherefrom and the basis tor t�e allegetl ezemption. Any violalion ol Section 7031.5 by any epplicant for a permit sub�ects the applicant to a civil penalry oi not more than five hundred dollars ($500).): ❑ I, es owner of Ihe property, or my employees with wages es their sole compensation, WILL DO TME WORK, and the slructura is not intended or oHared tor sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builtls or improves thereon, antl who tloes such work himself or herself or through his or her own employees, provided ihat such improvements are not intentled or oftered for sale. II, however, the building or improvement is sold within one year of completioq the ownervbuilder will have the burtlen of provinq lhet he or she did not builtl or improve tor purpose of sala.). ❑ I, es owner ol the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruct ihe pmject (Sec. 7044, Business antl Professions Code: The contracrors License Law tloes not apply to an owner of property who builtls or improves ihereon, and who contracts for such project with e contrector(5) license pursuant to the Comractors License Lews.). ❑ I em ezempt under sec. Business and Professions Cotle for ihis raason: Signa�ure: Date: Owner ID veniied by dnvers license. ❑ Ves ❑ No Onver's Licen58 N0. Venfication of Ownership by (type of documenl, i.e. � property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: E:pires: ❑ I hareby canity ihat no ezcavation live (5) or more feet in tlepth into which a person is requlred b descend, will be made in connection with work authorizetl by this permit, antl Ihat no builtling sirudure, scaflolding, lalsewodc, or demoli0on or dismantling Ihereof, will be more than ihiny-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, TiUe 8, Califomia Administrative Code). ❑ As ownervbuilder, I will not employ anyone to do work which would require a Oermit from ihe Division of Indusinal Safety, as noted ebove, unless such person has a permit to do such work imm the tlivision. Signeture: Date: Division of Inausirial Safety Permit Num6er: CERIIFICATE OF COMPLIANCE AND AU7}IORIZA710N OF ENTAY: I cehify under penalry of perjury that I have read ihis application and state that the information qiven is correct. I agrea to comply with all state laws antl city ordinances relatinq to builtling conslruction, and authorize representatives of t�e City of Costa Mesa to enter upon ihe above-describad property for inspection purposes. I agrae not to occupy or allow occupancy of any building authorized by ihis pertnit uNil final insDec�ion. CODE Y. INSPECTIONTYPE � � INTI L 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 20a Final Demolition 24a8�4fi 3 'Z.�- O� COOEN INSPECTIONTVPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building�Occupanty DRTE m�� FAX COVER SH�ET �� SOUIIICR\ G�UfOR\I,\ �-� Ee��aN =�:r la I�1J1.�Ol 1\`"!'AA.{TJtI1.U." C.�tipst} HUN�'ING"I't7N BEACH SERVICE CENTER TO: Burt Morgan City of Costa Mesa FAX NUMBER: 714-754-4856 FROM: Edison Ylanning Depar[ment PHONE NUMBER: . (714) 895-0363 Edison Site ReIeases k'or Media One Cable TV Spots P/S # Address ✓ i�o +� 3370 �Ovc� o<� t� Qr-}5 -• .%y .4 1139 Dar;cll�, t1./. ✓ � � 3333 Cr+eu,broc� 0�. ✓ 33a 16SS Ga(� C'o�.�;5e D�- ,. ---- NUMBER UF PAGES TNCLUDING COVER SHEET _ Please notify sender iFany pages are missing (714} 895-0244 -,PAX 54244 SOUIT�ERN CALTFORNIA EDTSON COMPANY 7333 Bolsa Avenue, Wzstminster, CA 92683 - FAX: (714) 895-0188 - P,4X FA?C: 54188 „. _.: ,. ;. .. -........