HomeMy WebLinkAbout731 FARAD ST - Building Permits.
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT.
PERMIT
(714) 754-5273 • Fa�c (714) 754-4856
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
731 FARAD ST
MEDIA ONE CABLE T.V. BOX
TPN00029
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 WHITTIER
COSTA MESA,CA � Phone:
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
Seroice to 200a
Service to 1000a
Service over 1000a
Mators to ihp
Motors to 10hp
Mators to 50hp
Motors to 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole -
Intermed Pole
SUITE A-12
Zip:
License:
(949) 548-1735
92627
550936
, r�.
PERMIT NUMBER
E00-00407
77 FAIR ORIVE, COSTA MESA, CA 92626
ISSUED BY:
SCOPE OF PERMIT
INSTALL NEW ELECTRICAL METER FOR 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
50.00
$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
FEESUMMARY
Temp Dist System / Lighting
-Busway/100ft
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 70 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
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 05/03/2000
Issued: OS/03/2000
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
$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
$0.00
$0.00
TOTAL CALCULATED FEES 554.00
COMMENTS./ SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants under California statutes and related
regula�ions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is nofcommenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work mus� comply with all applicable codes, and all
required inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirm under penelry ai perjury one ol Ihe tollowing tlecleretions:
❑ I have and will maintaln a certiilpte ot consent to self-Insure tor warkers' compensetion, as provided for by sectlon 3700 of the Labor Cotle, for the pertormence ol Ihe
work for which this permit is issued.
❑ I have and will mainfein workars' wmpensatlon Insurance, as required by section 3700 of the Labor Code, tor ihe performance oi Ue work for which thls permii is iuued.
My w�orkers' compensetian I/ns�urance carner a�Qolicy number are: /
Carrier. �1 (A �p 1 IWc�D � C���� PolicyNumber: !U� I3 ��c - QU
(This secfion need not be complet�! Ihe pe It is velueU el one huntlred dollars ($100) or /essJ
❑ I certify Ihat in the pertormance of the work for which Ihis permit is issued, I shall not employ any person in eny manner so as to become subject b the workers'
campensation laws of Celifornla, and egree that ii l should becama subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall torthwith
comply wi�h ihes�pr�vis.ions. /�
Applicant SignaNre: �� C�"�.- �X = Dete: .�` 3-CX�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVER4GE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES lIP TOONE HUNOFED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]O60F THE LABOR CO�E, IMEREST, AND ATfORNEY'S FEES.
LICENSED CONTRACTORS OECLARATON:
I hereby aflirm ihat I am licens� d nder provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business end Professions Code, and my license is in full
lorce end ettecL Lic. M "'S�� �%.3 6 Class # C- �%
Contractofs Signature:—Z1 C71—�...-�. Date: S' 3-CX�
CONS7RUC710N LENDING AGENCY:
❑ I hereby aHirm thei there is a construction lenaing agency tor Ihe peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Atltlress:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby effirm that untler penelty of perjury Ihet I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or wunry which requires e permit to conslrucL elter, improve, demolish, or repair eny s�rucWre, prior to its issuanca, also requires Ihe flpplicant tor such permil
to file a siqned stetement ihat he or sha is licensed pursuent to Ihe provislons ot ihe Comrectors License Lew (Chapter 9(commencing with Seqion 7000) of Divlsion 3 of Ihe
Business and Professions Code) or Ihet he or she Is exempt therelrom end ihe Desis for iha allaged esemption. Any violation ot Section 7037.5 by eny applicant for e permit
subjects tha appliwnt to e civil penalry of nat mare than tive hundred dollers (5500).):
❑ I, as ownar of the propehy, or my emO�oYaes wlth wegas as their sole compensation, WILL DO THE WORK, and the structure Is not intended or oXered for sale (Sec.
7044, Business and Professions Cotle: TTe Contractors License lew tloes not apply to en owner of property who builtls or improves Ihereon, and who tloes such work
himself or herself or Ihrough his or her owA employees, proviOed Ihat such improvements are not intended or oHered for sale. It, howaver, the building or improvement is
sold within one yaer oi completion, Ihe owner-builder will have t�e burtlen of proving ihat he or she did not builtl or improve For purposa of sale.).
❑ I, as owner of the properry, am E%CLUSIVELV CONTAACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business antl Professlons
Cotle: 7Te coNrectors License Lew tloes not apply to an owner of property who builds or improves Ihereon, and who contracts for such project with a comractoQs)
license pursuant to the Contrectors license Lews.).
❑ I am exempt untler sac. Business antl Professions Gode tor this reason:
Signature: Date:
Owner ID venfied by drivels license. ❑ Ves ❑ No Driver's License No.
Venfication of Ownership by (rypa of documenL i.e. � pmperty taa bill or deed):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATION:
Expires:
❑ I hereby certity thet no excaveNon tive (5) or more teei In depth Into which a person is requiretl to descen4 will be made in connecUon with work authonzed by this
permit, end that no building swcWre, scallolding, talsework, or demolition or dismantling thereot, will be more Ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title B, Calilornia Adminisiretive Code).
❑ As owner-builtler, I will not employ anyone to do work which would require e pertnit irom iha Division of Industrial Safery, as noted above, unless such person hes a
permit to tlo such work irom the division.
Siqnature: Date:
Division of Industrial Sefety Permit Number.
CERTIFlCATE OF COMPLJANCE AND AI7THORIZA710N OF ENfTiV: I cenily under penalry of perjury that I have read this application and state that Ihe information given is
correct I egree to compty with ell state laws end city ortlinances relating to building construction, and authonze representatives ot Ihe Ciry of Coste Mesa to enter uDon Ihe
ebove-descnbed p�roPerty for Inspection purposes. I egree not to occupy or ellow occupancy o( any buildinq authonzed by this permit until final inspection.
LT� _ �!1 -�__ _ _ S-3-oo
And/OrAuthonzed Applicent
SOOE t. INSPECTONTYPE
1616 Fixetl System Finel Fire Preveniion
1266 Pool SDe Final
200 Final Re-Roof
207 Final Block/Retaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
2416-46
Bdg 1�ID�L5
COUE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Finel Building/Occupancy
�g
INTRIpL3
_�
` � ?AX COVER SHF �'T - ` �
�
�i��� SUUINfR\ C.UI(OH\I,�
=`� ED� 50N
\.i (Ill�O� l�:1�K�.171U1 �l:' C:�n� �n
HUNTINGTON BEACH SERVICE CENTER
TO: Burt Morgwn City of Costa Mesa
�AX i�ttIMBER� 714-�54-4856
FROM: Edison Planni,ig Departtnent
PHONE NllMBER: (714} $95-0363
Edison Site Releases For Mediu Oue Cable TV Spots
�+ � �
AC�dTP.SS
��� � �SIGr
I�bI► �Sb9 S�fkwu-
�S� �3 i ��. d
qb P Ib1 San-�+� �+'►w
�_
N[JMBER OF PAGFS INCLUDING COVER SHE�T
Please notify sender if any pages are missing (714) 895-0244 -. YAX 54244
SOUT!-iERN CALffORNIA EDISON COMPANY
'I333 BoLsa Avenue, VJestminster, CA 92683 - FAX: (714) 895-0185 - PAX FAX: 54188