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Home My WebLink About2899 PINECREEK DR - Building Permits� (��a)�sa-sz�s • Fa:(�ia��sa-aese CITY OF COSTA MESA ; BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2899 PINECREEK DR MEqIA ONE CABLE T.V. BOX TPN99065 Applicant: THOMPSON, TOM Address: 1835 WHITTIER COSTA MESA, CA SUI7E A-12 Owner: CITY OF COSTA MESA Address Contractor: THOMPSON AND THOMPSON Address: 1835 WHITTIER COSTA MESA, CA � SUI7E A-12 . � 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 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole � Intermed Pole Phone: (949)548-1735 Zip: 92627 Phone: 2ip: Phone: (949)548-1735 Zip: 92627 License: 550936 PERMIT NUMBER E00-00313 T7 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT INS7ALL ELECTRICAL METER FOR NEW CABLE T.V. POWER SUPPLY FOR "MEDIA ONE'. $23.50 $0.00 $0.00 50.00 $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 50.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist Sysiem / Lighting Busway /100 k Standing Section Misc Eleclncal Equipment Transformers up to 1 kva/kw ................up l0 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. Canduit Misa Conduclor Circus ( gen or ride) Cirws (mech ride or lighls) Christmas Tree Stand Fireworks Stand Other ElecMcal Fee Invesligation Fee Plan Check Fee Reinspection Fee TOTALCALCULATED FEES Status: ISSUED Applied: 04/OSI2000 Issued: 04I05/2000 Quantity 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 ^�0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 30.00 50.00 50.00 $0.00 E54.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-g2) EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned for a pariod of 180 days. INSPEC710NS: In order tor the work authorized under this permit to be considered legal, such work mus� comply with all applicable codes, and all requlred Inapectlone and flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of �his permit. FOR INSPECTIONS CALL: (714) 754�5626 WORKERS'COMPENSAPON DECLARAnON: � I hereby ettirm untler penelty of perjury one of the following tleclaralions: ❑ I have entl will meintain a certiticate of consent to salf-Insure for workers' compensation, es providetl for by section 3700 of the Labor Cotle, for ihe perlormance of the work for which ihis permit is issuetl. ❑ I have an0 will meintain workers' compensation insurance, as requiretl by section 3700 oi the Labor Code, for Ihe perfortnance of the work tor which this permit is issueU. My warkers' compensation Insurence carrier and policy number are: �� /�� y, Carrier: '�"�l{—�y�� CDVw� �w5 �J ��Oi , Poiicy Number: N (This sectlon need nat be complefed U fhe p mlt Is velued et one hundretl tlollers ($f 00) or /ess.) ❑ I certtly Ihat In ihe peAormance of the work for which this permit is issuetl, I shall not employ eny person in any manner so as to become subject to the workers' compensation laws of Calibmie, end agree that if I should become subject to the workers' compensetion provisions of Section 3700 of Ihe Labor Code, I shall fonhwith comply with these p,pui�jpns. ApplicaniSignature: _ r�� " Date: � 7— U� WARNING FAILURE TO SECUPE WORKERS' COMPENSATION COVERNGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDREO THOUSAND DOLLARE (5100,000), IN ADDIiION TO iHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECfIIXJ 31080F THE LABOR CODE, IMEREST, AND AiTORNEV'S FEES. LICENSED CONTRACTORS DECLMATION: I here6y ailirm ihat I am force antl eHecL Lic. x Comrectofs Signature: of Chapter 9(commencing wi�h Sectlon 7000) ol Division 3 of the BusineJs�i and rotessions Cotle, and my license is in tull ' class a C ,' � Date: �L�Z�� CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihet ihere is a cansiruction lentlinq agency br ihe peAormance oi t�e work for which t�is permit Is iuued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lendefs Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby affirm ihat under penalry of perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or coumy which requires e permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the epplicant for such permit to fiie a signed stetement ihat he or she is iicensed pursuant to ihe pravisions ot ihe Coniracto�s License Lew (Chepter 9(commencing with Sectian 7000) of Division 3 ot t�e eusiness end Professlons Code) or that he or she Is exempt iherefrom entl the basis tor Ihe ellegetl ezemptlon. Any violation of Section 7037.5 by eny epplicent br e permit subjects Iha epplicant to e civll penalty of no! more than five huntlred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sola compensation, WILL DO TME WORK, antl the structure is not intentletl or oRered lor sale (Sec. 7044, Business entl Professions Code: The Contractors License Lew does not epply to an owner of property w�o builds or improves ihereon, antl who doas such work himself or herself ar through his or her own employees, provided ihat such improvements ere nol intentled or oMered tor sale. If, however, the building or improvement is soltl wiNin one year of completion, the owner-builtler will have the burden of proving that he or she did not builtl or improve for purpose of sele.). ❑ I, as owner of the pmpetly, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the pmjed (Sec. 7044, Business entl Pwtessions Code: The contrecmrs License Law tloes not apply to an owner ol property who builds or improves thereon, end who comracts For such prolect with e contracror(s) license pursuaN to the Contractors License Laws.). ❑ I am exemp� untler sec. Business and Professions Code for this reason: Signature: Date: Owner ID ventietl by tlrivefs license. ❑ Ves ❑ No Dnver's LitenSe No. Venfication ot Ownership by (type of document, i.e. - property tar bill or tleed): DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: Expires: ❑ I hereby certlty thet no excavation live (5) or more teet in tlepih Into which a person is requlretl to tlescend, will be matle in connection with work euthonzetl by this pertnit, and that no huilding structure, scattolding, talsework, or tlemolition or dismentling thereoi, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, ArI 2, Sec. 341, Tlile B, Celifomia Atlminisiretive Code). ❑ As owner-builder, 1 will not employ enyone to ao work which would require a permit from ihe Division of Indusirial Safery, es notetl above, unless such person has a permit to do such work irom Ihe diWsion. Signawre: Date: Division of Intlustnal Safery Permit Numher: CERTFICATE OF COMPLIANCE AND AUiHORIZA710N OF ENTAY: I cetlity under penelty of perjury thet I heve reed ihis application and state Ihel the information given is correct. I agree to comply with ell siate laws and ciry ordinances releting to building consiruction, antl authorize representatives oi the Ciry of Cosla Mesa to enter upon the above-tlescnbetl property lor inspeciion purposes. I agree not to occupy or ellow occupency af any bullding autharized by this pertnit until final inspection. Signature Of Legal Owneqs) Date . �--� _ �- 7 - OU d/OrAuthonze nt Date CODE t, INSGELTIONTYVE 1616 1266 Fixed System Final Fire Prevention Paol Spa Final 200 Flnal Re-Roof 201 Final Block/Retaining Wall 202 Finel Fectory Fire Place 203 Finel Sign 204 Final Demolition 2baBd6 PAg UI�Li cooe� ixsrecnoNTrve 208 Final Mechaniwl 208 Final Plumbing 270 Finel Electrical 212 Finel Fire Prevention 220 Finel Planning Approval 222 FinalSite 250 Finel Building/Occupancy DpTE �//•�/ / / INTIfIpLS 04/OS/00 07:21 '$714 895 0188 ORANGE COAST DIS � . FAX COVER SHE�T ` SAUiHfRN G�UfORYI.t -4� ED�50N ,,,;��.:�>,,,:,�,,r,«.,�:. ��.,r,�u. HUNTINGTON BEACH SERVICE CENTER TO: Burt Morgan Ciry of Costa Mesa FAX NUMBER: 714-754-4856. FROM: Edison Platuung Department PHONL NiTMBE12: (714} 895-0363 Edison Site Releases For Media 4ne Cable TV Snots P/S # Address q'�} 1K99 P:�.ecr�c�L Or. NIIMBER OF PAGES INCLUDING COVER SHEET Please notify sender if any pages aze missing (714) 895-0244 -.PAX 54244 SOUTHE1tN CAI,TFORNTA EDISON COMl'ANY 7333 Bolsa Avenue, Westminster, CA 92683 - FAX: (714) 895-0188 - PAX FAX: 54188 �ooi _ , . a� .,,. �; ,.. .,:. , ..,-;, , _. .' . . •:.v�:':i.��...-'...__.�....�.•..-�.-'..._��:.': ..: :