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Home My WebLink About3302 CALIFORNIA ST - Building Permits(714)754-5273 • Fax(714)754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner. Address CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 3302 CALIFORNIA ST MEDIA ONE CABLE N BOX TPN990197 MEDIA ONE CITY OF COSTA MESA ELECTRICAL PERMIT Phone: Zip: Phone: Zip: Contractor: EVANSJE ENETERPRISES DBA: WEST COAST CABLE Address: 5425 BERRYHILL DR CA � Phone: p14) 985-0411 YORBA LINDA Zip: 92886 License: 734530 PERMIT NUMBER E99-01031 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BV: SCOPE OF PERMIT ELECTRICAL METER FOR NEW CABLE T.V. POWER SUPPLY FOR "MEDIA ONE". Status: ISSUED Applied: 11/2/1999 Issued: 11/2/1999 :� 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 Mators to SOhp Motors to 100hp Motors over 100hp 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 50.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to i 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 Misa 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 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 �54.00 COMMENTS I SPECIAL CONDITIONS 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for the work authorizad under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (774) 7545626 WORKERS'COMPENSAnON DECLAAATION: , - I hereby aflirm under penalry of perjury one ot tPe following tleclarations: ❑ I heve and will maintain a certificate of consent to seN-Insure for workers' compensation, as provided tor by section 3700 of ihe Labor Cotla, for ihe pertormance of Ihe work for which ihis permit is issued. � �ave and will maintain workers' compensation insurance, es requiretl by section 3700 ot ihe Labor Code, for the pertormance of ihe work for which ihis permit is issuetl. My workers' compensation Insur nce carn and pol�cy- ynu�mb�er �are:� � � �� '-�y— Carrier. � t51.� � ��/ �� i w Y�/ Policy Number. � �� 3 "[/ I (This secfion neetl not be completed i/ the permi� is valued at one hundred dollars ($100) or less.) ❑ I certiy that in the performance of iha work tor which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws of Califomia, and agree thet if I should 6ecome subject to ihe workers' compensation provisions ot Section 3700 of Ihe Labor Code, I shall fotlhwith comply with those provisions. ApplicantSignature: �'"`� -��"'�� oate: U'3•S� WARNING FAIIURE TO SECURE WORKERS' CAMPENSATION COVEfiAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND QVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000�, IN ADDITION TO THE �T OF fAMPEN$ATION, DAMAGES AS PROVIDEO FOR IN SEGTIIXJ 3]O60F THE LABOR fADE, IMEREST, AND ATTORNEV'S FEES. LICENSEO CONTRAC70RS DECLARATION: I hereby aflirm �hat I am license dejyPyr vi io of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full forca and eRea. Lic. a ��1'7�� Class # Comractors5ignature: �""'� �"'""� Date: i��3"'iy CONSTRUCTION LENDING AGENCY: ' ❑ I hereby aHirtn that thera is a construction lending agency for Ihe performance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Atldress: Signature: OWNER-BUILDER DECLARATIONS: Da�e: I hereby ettirm that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to consiruct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also raquires ihe applicant for such permit lo file a signetl statemeN Ihat ha or sha Is licansed pursuant to the provisions ot ihe Coniractors License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 of the Business antl Protessions Code) or Ihat he or sha is exempt iheretmm end Ihe basis for the alleqed eaemption. Any violation oF Section 7031.5 by any applicant for a permit subjects the applicant to a civii penalry of not more than five huntlretl dollars ($500).): ❑ I, as owner of the pmperty, or my employaes with wages as their sole compensation, WILL DO THE WORK, end ihe stmcture Is not intended or ottered for sale (Sec. 704a, Business antl Professions Code: TM1e Conirectors License Law tloes not apply to an owner of property who builds or improves ihereon, antl who does such work himselt or herself or throug� his or her own employees, provided that such improvements are not imendetl or oHeretl for sale. If, however, tha 6uilding or Improvement is sold within one year of completion, the owneo-builtler will have the burden of proving that he or she did not builtl or improve for puryose of sale.�. ❑ I, as owner of ihe propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business and Professions Coda: The coniractors License Law does not appry to an owner ot propeny who Duiltls or improves thereon, end who comracis for such project with a contractor(s) license pursuant b the CoNrectors Licensa LawsJ. ❑ I am exempt under sec. eusiness and Professions Code for this reason: SiqnaNre: Date: Owner ID veritied by drivefs license. ❑ Ves ❑ No Drivefs License No. Expires: Verifica�ion ot Ownership by (type of document, �.e. - pmperty tan bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby ceRity ihat no excavation five (5) or more taet in tlepth into which a person is requiretl to tlescend, will be made in connection with work authonzetl by ihis permit, and that no builtling structure, scaRolding, falsework, or demoli�ion or dismantling ihereoi, will be more Ihan ihirty-siz (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Galifornia Adminisirative Code)� ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnii irom Ihe Division of Indusirial Safaty, as notetl above, uniess such person has a permit to da such work from the tlivision. SignaWre: Date: Division of Industrial Safery Pertnit Num6er: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury ihat I have read this application and s�ate Ihat Ihe information given is correct. I agree to comply with all state laws and ciry ortlinances relating to building constructioq and authorize representatives of ihe City ot Costa Mesa to en�er upOn ihe above-tlescribed property lor inspection puryoses. I agree not to occupy or allow xcupancy of any building authonzed by this permit until Nnal inspection. Signature Of Legal Owner(s) Date � �,,,....— i�-3�9� AnNOr Authorized Applicant Date CODE �. INSPECTIONTYGE 1616 Fi:etl System Final Fire Prevention 1266 Pool Spa Final 200_ Final Re-Roof 201 Final BIocWRetainin9 Wall 202 Finel Factory Fire Place 203 Finel Sign 204 Finel �emolition 296E46 P9� i TN ITIALS CODE 11 INSPECTION TYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupancy PAIE �NTIfIALS t �t/a� 'Z�