The URL can be used to link to this page

Home My WebLink About331 PRINCETON DR - Building Permitst�� M�S9 o, ' � > _ F J H`: .�� (714) 754-5273 • Fax (714) 754-4&56 Job Address: Suite No Vicinity: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 331 PRINCETON DR MEDIA ONE CABLE N BOX Parcel Nunmber: TPN990160 ApplicanC MEDIA ONE Address: Owner CIIY OF COSTA MESA Address ELECTRICAL PERMIT Phone: Zip: Phone: Zip: Contractor: EVANSJE ENETERPRISES DBA: WEST COAST CABLE Address: 5425 BERRYHILL DR CA Phone: (774) 985-0411 YORBA LINDA . Zip: 92886 � License: 734530 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 7 hp Motors to 10hp Molors lo SOhp Molors to 100hp Motors over 100hp Communiwtion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole NUMBER 11191 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12I1511999 Issued: 12/1511999 ISSUED BY: �� SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEW CABLE N POWER SUPPLY FOR -MEDIA ONE-. $23.50 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 530.50 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 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 Buswaylt00R 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) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 30.00 0 50.00 0 $0.00 0 so.00 0 so.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS I SPECIAL CONDITIONS NOTICE: The work euthonzed by this permit shall comply with all applicable handicap eccess requiremenis under California statutes end 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 for a ponod 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 inepectlona end final approvel must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I herehy aNirtn untler penalry of per�ury one oi Ne tollowing declarations: ❑ I have and will meintain e ceRificate of conseni to salt-Insure for workers' compensetlon, as providetl for by sectlon 3700 of the Lebor Cotle, for the pertormance ot the � /°�'ork �or which this pertni� is issued. � I have and will maintein workers' canpensation insurence, as required by seccion 3700 ot the Lebor Code, br the peAortnance ot the work for whic� this permit Is issued. My workers' compensetlan Insurence carrier entl policy number ere: � Cerrier: Pollcy Number. (TNs sec(ion need not be completed l! fhe pertnif !s velued et one hundred dW/ers (5700) oi less.) ❑ I certih/ that in the pertortnence of Ihe work for which Ihis pertnit is iuued, I shall not employ any person in eny manner so as to become subject to Ihe workers' compensation laws ot Celifomia, and agree that il I shoultl 6ecome su�jeci to the workers' compensation pmvisions of Section 3700 W the Labor Code, I shall forthwith comply with these pro_' 'ons. ApplicantSignawre: �� i7�jk��1 oe�a: /1/.�n/99 � WARNING FAILURE TO SECURE WORNERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SU&IEGT AN EMPLOVER TO CRIMINAL PENALT S AND CIVI� FINES UP TOONE HUNDRED THOUSAND DOLL4RE (5/00,000), IN AODITION TO THE �5T Of dJMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'106 OF THE UBOR CODE, IMEFEST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn that I am Ilcensed under pro�nsi� mrce und onect. uc. a �7 3�/5 � G Contrnctors Signawre: + �,f � //J'L of Chapter 9(commendng wit� Sectlon 7000) of Divislon 3 ot the 8usiness antl P ofessions Cotle, end my license is In tull Cless a � �/ � cG„ oaia: /2/ 2a/S4 CONSTRUCTION LENDING AGENCV: � I hareby aHirm Ihet Ihere Is e consiruction lentling agency br Ihe peAormance ol �he work for which this permit Is Issued. (Sec. 3097, Civll Code). Lentler's Neme: Lendefs Address: SignaWra: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirm that under penalty oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicant tor such permit to file e signed statemem thet �e or she is licensed pursuant to Ihe provisions ot the Contrectors Licensa Lew (C�epter 9(commencing wlih Sectlon 7000) of Division 3 of the Business entl Professions Code) or Ihet he or she is exempt therefrom and ihe Desis for Ihe allegetl exemptlon. Any vloletion of Sectlon 7031.5 by eny epplicant for e permit sub�ects t�e a00�icent to a civil penelry of no[ more then five hundred dollars ($500).): ❑ I, es owner of Ihe O�aPerty, or my employees with wages as their sWe compensetion, WILL DO THE WORK, and the structure is not intentletl or atteretl br sala (Sec. 704n, eusiness and Professions Cotle: Tha Contractors License Law dces not epply m an owner of pmpeny w�o huilds or Improves thereon, and who tloes such work himself or herself or through his or her own employees, pmvided that such improvements are not imentlad or ofleretl for sale. If, however, ihe building or improvement is soltl wiihin one year of completion, t�e owneabuiltler will have the burden of proving Ihat he or she did not builtl or improve for purpose of sele.). ❑ I, as owner of the properry, am EXCWSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business and Pw(essions Code: The conirectors license Law does not apply to en owner of property who builtls or impmves theraon, and who comracis tor such project with a contrectoqs) license pursuani to i�e Comrectors License Wws.). ❑ I am exempt untlar sec. Business and Professions Cotle for ihis reeson: Signature: Date: Owner ID venfied Dy dnver's Ilcense. ❑ Yes ❑ No Onvers License No. Veritication of Ownership by (type of daument, i.e. - pmperty tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby cenify ihat no e:cavation five (5) or more teet in tlepih into which a pereon is requiretl to tlescen4 will be made in connection with work aut�onzetl Dy Ihls pertnit, and that no building strucNre, scattolding, lelsework, or tlemolitlon or tlismantling thereol, wlll De more then ihlrry-sia (36) laet high, (C�ap. 32, Gry 2, An 2, Sec. 341, Title 8, Calitomia Atlministrative Code). ❑ As owner-builder, I wlll not employ enyone to do wark which would require e permit from the Division of Intlustrial Safety, as notetl above, unless such person �es a permit �o do such work Iram the division. Signawre: Date: Dlvision ol Indusirial Safery Permit Num�er: CERTIPICATE OF COMPLIANCE AND AUTHORVATON OF EMAY: I certify untler penelty of perjury ihat I heve read this epplication end stata that the information given is correct. I agree to comply with all state laws end ciry ortlinances relating to building consiruction, and authonze representatives of Ihe Ciry of Casta Mesa to enter upon the a6ove�descnbed propehy for inspection puryoses. I agrea not to acupy or allow wcupancy ot any building authodzed by this permit untll final Inspection. �Signature Legal Owner(s) /�� 2 v/ 9 y ate -rr�..� ,� AnNOr Au rizetl Applicant Date COpE �. INSPECTIONTYPE p� 1816 Flxetl System Final Fire Preveniion 1266 200 201 202 203 Pool Spa Final Final Re-Root Final BIocWRBteining Well Final Fe[tory Fira Place Final Sign 204 Final Demolilion 2446d6 INTffIAlS CO�E� INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing _ 210 Final Elecltical 212 220 222 250 Final Fire Preventlon Final Plenning Approval Final Slte Final Building/Oaupancy �iE IYTIJ� INi1TIALS