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Home My WebLink About800 PRESIDIO DR - Building Permits` yta MF a � o. > r J�Y�,� � '+M�� (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BI/ILDING D/VISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 800 PRESIDIODR Suite No Vicinity: MEDIA ONE CABLE N BOX Parcel Nunm6er: TPN990171 Applicant: MEDIA ONE Address: Ownec CITY OF COSTA MESA Address ' � .- � ELECTRICAL PERMIT Phone: Zip: Phone: Zip: Contractor: EVANSJE ENETERPRISES DBA: WEST COAST CABLE � Address: 5425 BERRYHILL DR CA ' ; Phone: (714) 985-0411 . YORBA�LINDA , � Zip: 92886 � ' � , � . - License: 734530 � h \ °RMIT NUMBER E99-01162 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/3/1999 Issued: 12/3/1999 ISSUED BY: `�� r ' � . - SCOPE OF PERMIT ' INSTALL ELECTRICAL' METER FOR NEW CABLE T.V. POWER SUPPLY FOR -MEDIA ONE-. ISSUE FEE ��Temp service test � �Res. a/c package $ New Res (1-2 units) New Res (3+units) Pool /,Spa � Lighting Fixts Recept Oullets � Switches Nan Res Appl � Res Appl Service to 200a Service to 1000a - Service over 1000a Motorstolhp _ Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole $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 $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 / Lighting , - - ' Busway /100 H �� . , � ", -Standing Section . Misc Electrical Equipment Transformers 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 Electrical Fee Investigalion Fee Plan Check Fee Reinspection Fee 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 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $54.00 COMMENTS / SPECIAL CONDITIONS INOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related . regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned (or a period o( 780 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inepectiona entl flnal approvel must be obtained. Failure to obtain inspections and final approval will result in lhe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: , I hereby attirm untler penalry ot perjury one of the following declarations: . ' ❑ I have antl will malntain e certificate oi consent to self-Insure for workers' compensation, as providetl lor by section 3700 of ihe Lebor Cotle, tor t�e pertormance ot the work tor which this permit is issued. � ❑ I have end will maintain workers' compensation insurance, as required by section 3700 of ihe Labor Code, for the pertortnance of Na work for which �his permit is issuatl. My workers' compensation Insurence carrier antl policy number are: Cartier: Policy Number: (This section need nof be complefed i/ the pertni( is velued af one huntlretl dollars (3100) or less.) ❑ I certify that in Ihe pedormance of Ihe work for which Ihis permit is issued, I s�all not employ any person in any manner so as ro become subject to the workers' compensation laws of California, and agree that if I should become suhject to the workars' compensation pwvisions of Section 3700 of Ihe Labor Code, I shall fotlhwith comply with these visions. ,.t � Applicant Signature: �� ✓ �u--.�--� Date: � Z �S �7 � WAPNING: FAILURE TO SEWRE WORKERS' fAMPENSATION COVEFAGE I$ UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE$ AND CIVIL FWES UP TO ONE HUNDRED THOUSPND DOLL4RE (5100.000). IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SEGTIQV 3JO60F TME LABOR CODE, INiEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed untler provisions ot Chapter 9(wmmencing with Section 7000) oi Division 3 of Ihe Business antl Professions Cotle. and my license is in full �. force and eflecL Lic. a Class M C` �� I ContracrorsSignawre: ��-� .9�.�'� Date: �'Z S`jQ CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is a construction lending agency for ihe pertortnance ot [he work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penalty of perjury ihat I am EXEMPT PROM THE CONTRACTORS LICENSE LAW for iha tollowing reeson (Sec. 7031.5, Business antl Professions Code: Any ciry or wunty which requires a pertnit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit Io file a signetl statement �hat he or she is licensed pursuant to Ihe provisions of the Comractors License Law (Chapter 9(commencing with Section 7000) of DiNsion 3 of Ihe Business antl Professions Code) or that he or she is exemp� therefrom and the basis for Ihe allegetl ezemption. Any violation of Section 7031.5 by any aOP�icent for e permit subfecis Ihe applicant to a civil penalry ot not more than five huntlred dollars (ff500).): ❑ I, as owner of the property. or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure i5 not intended or oHered tor sale (Sec. 7044, Business antl Protessions Cotle: The Conlractors License law does not apply to an owner of property who builds or improves thereon, end who does suc� work himself or herself or through his or har own employees, provided that such improvements are not intended or oRered for sale. If, however, ihe builtling or impmvement is sold within one year of completion, the ownerbuilder will have the burtlen of proving that he or s�e tlitl not build or impmve for puryose of saleJ. ❑ I, as owner of the property, am EXCWSIVELV CONTRALTING WfTH LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not appry to an owner of property who builds or improves ihareon, and who contracts tor such project with a contractor(s) license pursuant to Ihe Contractors License Laws.). ❑ I am ezempt untler sec. Signature: Owner ID venfied by tlnver's license. ❑ Ves ❑ No Business antl Professions Coda for this reason: Verification of Ownership by (type of ticeument, i.a. - propeny tax bill or tleetl): Drivers LicenSe No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I here6y certity Ihat no excavation tive (5) or more teet in depih in�o which a person is requiretl to tlescentl, will he matle in connection with work authorized by �his permi�, and that no building stmcture, scaffolding, falsework, or demoiition or dismantling Ihereof, will be more ihen ihirty-six (36) feet high. (C�ap. 32, Gry 2, An 2, Sec. 341, Ttle 8, California Atlministrative Code). ❑ As ownar-builtler, I will not employ anyone to tlo work which woultl require a permit from ihe Division of Indusirial Safery, as noted above, unless such person has a permit to tlo such work from the tlivision. Signature: Date: Division of Industrial Safety Permit Number: CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I cartify under penalty of perjury Ihat I have read this epplication antl state ihat Ihe information given is correcL I agree to comply with all stata laws antl ciry ordinances relating to building conswction, antl auihonze representatives of Ihe City of Costa Mesa ro enter upon ihe above-describetl property for inspection purposes. I agree not ro acupy or allow occupancy of any building authonzetl by this permit until final inspeciion. �Signature Of Legal Owner(s) / Q S Date g,.. �r� � �,.�.'..� L�S- � -�- Antl/Qr Authorized Applicant Date 40DE �. INSGELTIONTYPE A�IE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 2aa8-46 INTITIALS � COUEt INSPECTIONTYPE 206 Final Mechanical 20B Final Plum6ing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy D�T INTITIALS � � �