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Home My WebLink About2702 GOLF COURSE DR - Building Permits-, t��p M� 9 o. ' � > _ � J „ �': �'tati,�,m� ��a� �sa-sz�3 • Fa�c (�ia� �sa-aess Job Address: Suite No Vicinity: Parcel Nunmber: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 2702 GOLF COURSE DR MEDIA ONE CABLE T.V. BOX TPN990248 Applicant: THOMPSON, TOM Address: 1835 WHITTIER COSTA MESA, CA SUITE A-12 Owner. CIIY OF COSTA MESA Address ELECTRICAL PERMIT Phone: (949) 548-1735 � Zip: 92627 Phone: Zip: Contractor: THOMPSON AND THOMPSON Address: 7635 WHITTIER � 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 / Spa Lighting Fixts Recept Outlels Switche5 Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to thp Motors to tOhp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits License: 550936 PERMIT NUMBER E00-00170 77 FAIq 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Eiedrical Equipment Transformers up to 1 kvalkw ................up to 10 kva/kw .................up l0 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Voll Wiring Syslem I Ckt Misa Conduit Misc. Conductor Ciras ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: I SSU ED Applied: 03/02/2000 Issued: 03IO2/2000 Duantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 $0.00 50.00 $0.00 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, 72-21-92) EXPIRATION: This permit shall automatically ezpire and become void it work is not commenced within 780 days, or if work is suspended or abandoned tor a penod of 180 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 requlred Inapectione 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 WORKERS'COMPENSAnONDECLARAnON: I �ereby eflirtn untler penalry ol perjury ona ol the following tleclarations: ❑ I have and will maintain e cenilicate of cronsent to sell�lnsure lor workers' compensetion, as provided for by secilon 3700 oi the LaDor Cotle, tor ihe peAortnance of the woric for whith Ihis perml� I5155uetl. �� I liava antl will maintain wwkers' compensation insurance, es reqWretl by sectlm 3700 ot the La6or Cotle, for Ne peAormance oi Ne work for which ihis partnil is issued. �woAcercs'cpm pensatio/nIn 5uranCe ca�Irder�end p`oliCy��y m�berere: / -7 /�,, �rner: _�'L��`".� �nMN� �-+4T J.1� P ityNum er= l��lJ �� ^ U� �need nof be completed l! e perml is valuetl el one huntlretl dollars (3100) or /ess.J n ❑ I certify lhai in t�e peAormence of ihe work lor w�ich this perml� i5 iuueQ I 5hell noi employ eny porson in eny manner w as to beComa subject �o Ihe workers' compensetion laws ol Califomia, end egree lhet it I shoulA bewme suD�ect to iha workers' compensation provisions oi Section 3700 ot the Lahor Code, I shall lonhwith comply with these p� si—ons. IAopT nl"Sgnemre: � 1 � �- Date:_l- � � 2 - �%U iMVRARNIN6rFAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNIAWFUL AND SHALL SUBIEGT AN EMPL O CRIhllNAL PENALTIES AND qVIL FlNES UP TO ONE HUNDRED THWSAND DOLLARE (5100.00OI.IN ADDfTION TO THE COST OF COMPENSATIIXJ, UMt4GE5 AS PROVIDE� FOR IN SECTION 3]O6 OF THE LABOR CODE, INTEREST, AN� AiiORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm art�.licensetl under rovisions of Chap�er 9(wmmancing with Section 7000) of Division ot ihe Business and Professions Code, and my license is in full torce and ettec Uc._a � 'S�C� C% 3"6 __ Glass`�A = � C-% CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm thet Ihere is a construction tantling egency br the pertormance of tha work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). � Lender'S Neme: Lentler's Atldreu: Signe�ure: OWNER•BUILDER DECLARA710N5: Date: I here�y eHirtn ihat under penalry ol per�ury �het I em EXEMPT FROM 7HE CONTRACTORS IICENSE LAW for Ihe following reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry w�ich requires e permit m conswct, alter, improve. demolish, or repair any strucwre, prior to its issuance, also requires tha epplicant for such permit to fila e signed statement l�ai �e or she is licensatl pursuent to the pmvisions of the Contrac�ors License Lew (Chapter 9(commencing with Saction 7000) of Division 3 ot ihe Business end Pmfouions Cotle) or that he or she Is eaempt Iherefrom enC t�e basis br ihe alleged ezemption. Any violatian at Section 7031.5 by any epplicant tor e perml� subjects the applicant to a civil penalty of noi mora than five hundratl Eollars (5500)J: ❑ I, as owner of the pmperry, or my employees with weges as Iheir sola compensation, WILL DO T11E WORK, end the siruciure is noi intentletl or aHerea br sale (Sec. 7044, Business end Pwlessions Cotle: The Contractors License Law aoes not apply to an owner of property who builtls or impmves thereon, and who tloes such work himsell or herself or through his or �er own employees, provitled that such improvements are not intendetl or ottered for sale. If, however, the building or improvement is soltl within one year of wmpletion, Ihe ownerbuilder will have the burtlen of Orovin9lhat he or she did not build or impwve for purpose of saleJ. ❑ I, as owner o( t�e property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consimct Ihe project (Sec. 70d4, Business antl Professions Coda: The cnmrectors License Law does not epply to an owner of property who builtls or imprwes thereon, and who contracts for such project wlth a comractoqs) license pursuant to the Contractors License Lews.). ❑ I em ezempt untler sec. Signature: Owner ID verifietl by dnvor5liten59. ❑ V85 ❑ No Business end Protessians Cotle lor this reason: Venfication of Owners�ip by (type of tlwument, i.e. - pm0etly tae bill or Oeetl�: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: DriverS LitonSe No. Date: Expires: ❑ I hereby cenity that no eacavation Ilve (5) or more feet In tlept� Into which e person is required to descend, will be made in conneccion with work euthorized by this pertnit, antl Ihat no huiltling structure, scafloltling, talsework, or Aemolition or dismanlling Ihereol, will be more than ihirry-six (36) leet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Calilomla AtlminisireUve Code). ❑ As ownerbuiltler, I will not employ anyone to do work w�ich woultl require a permit from ihe Division of Indusirial Safery, as nated abova, unless such pereon has e permit ta do such work from the tlivision. Signatura: Data: Division ot Industrial Sefety Pertnit Number: CERTIflCATE OF COMPLIANCE AND AUTHORIIATION OF ENTRY: I cenity under penalry ol Derjury that I have read this epplication and state that ihe informetlon given is mrrecL I agree to comply with ell stete laws and ciry ordinances relating to building construction, antl authorize representatives of the Ciry ol Cosla Mesa to emer upon Ihe above-tlescnbed properiy tor inspection purposes. I egree not to acupy or ellow accupenry ol eny Duliding authorizetl by this permit until Ilnel Inspectlan. ure Of Legel Owner(s) � (}�^.^ � ��C �rwQrR odzetl Apphcant CODE L INSPECTIONTYPE QdIE URQ,3 1616 Fizetl System Final Fire Prevention 1266 ' Pool Spa Final 200 Finel Re-Root 207 Final BIocWReteining Wall 202 203 204 2an&<8 Final Factory Fire Placa Finel Sign Final Demolition �_� _ b�Data COOEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Praventlon 220 Final Planning Approval 222 Final Site 250 Final BuildingiOccupancy I'L11a INTRIRLS . ' - • 03/02/00 13:17 '�'714 895 0188 ORANGE COAST DIS � .FAX COVER SH�r,T �Q�� wun+re� c.�uroe�i.� ��- �D�SON „cru�u� nn:�a.�rk��.u.� i•.,��u, HUNTiNGTON BEACH SERVICE GENTER TO: B�t Morgan City of Costa Mesa FAX NIIMBER: 714-754-4856 FROM: Edison Pianning Department PHONE NITMBER: (714} 895-0363 Edison Site ReIeases For Media One Cable TV Sn�ts P/S # i u9 a � Address �ooi : • .- . o�%OeZ (�� .asc5e Qr. �.�i. 594 NUMBER OF PAGES INCLUDING COVER SHEET I SE• C� Please notify sender if any pages are missing (714) 895-0244 - PAX 54244 SOUTHERN CALIFORNIA EDTSON COMPANY 7333 BoLsa Avenue, Westrnmster, CA 92683 - FAX: (714) 895-0188 - PAX FAX: 54188 . . - _ r �;i�. y '.:a - . . ., .