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Home My WebLink About3326 CALIFORNIA ST - Building PermitsPERMIT TYPE � � CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 ELEC JOB ADDRESS: 3326 Vicinity: 100A SERVICE I SCOPE OF WORK: NEw �OOn REF: PS07-00320 � ON/NER: PHONE: APPLICANT: PHONE: i�,s;� F � AT AND T METER � �� ; JANAE WILLIS " 909-946-0905 .r ,;�`''i CONTRACTOR: VCI TELECOM ``•'�� Address: 1921 Wr11THSTUnit City/State: UPLAND CA `�; 1.t i; `. . s FOR INSPECTIONS CALL: (714) 754-5626 PERMIT STATUS: DATE ISSUED: _ . -.. _ ,. .,.. �� -<rr;: ti;_;,ISSUED BY: - r: , - - Su'ite%Umt ,;;� JDT-." � `'. — � ' �•� ' � TAL FOR AT&T �i^�„ , � � + ?., ��., ��i,-, • www.ci.cosW-mesa.ca.us NUMBE . E07-00825 •t' {': y 7p' Address: Unit '-: �E '� --�* -� `:[;Ciry/State/Zip: i, � . . ; � �, ':� -. . , ; . 1 i�: i..1 �.��-- 4' k � ,_: �` ndare55 Y`iszi w.u`TH s City/State/zZip: UP,LAND, CA ISSUED 09/2512007 BJK Umt ; `i aE{: r ..� , ;: `4J'i .License No. -760716 !- .PHON,E -9,09-9460905 -" : . 7 Y �'�- : ZipCode 91786 .: CELL . ; � � ,��j� �� J � ' ��,5 $ _ �.. f .._ ' yf .,t i s�� 1 t �t '�1 ..}� 5 : ;t Electrical Plan Check Fee r, � ��$0.00 ;� Electrical Permit Fee: � : $54 00 Reinspection Fee }: � ` $0 00 TOTAL FEES .�r- , $54.00�_� ` �'��; � r �' � _ 5 � ,- , , � - .� � ,,, � � � s ,, s,�=�. t , :' , �. . - . .��.. �4a w.,, NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) � EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in tlie expiralion of this pertnit. CO�E 0 INSPEC710N TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 FinalRe-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion onTe ixnnni LO�EN INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 2W Final Electncal 212 Finai Fire Prevention 220 Final Planning AOProval 222 Final Site 250 FinalBuildinryOccupancy ORiE IN7ITIALS � �i (,��I � . , WORKERS' COMPENSATION DECLARATION:� I hereDy a�rm under penalty of peryury one of ihe following declarations: -� ❑ I have antl will maintain a certificate of consent to sel/-Insure for woikers' � compensation, as proviaetl for by section 3700 ot the Labor Code, for the peAormance of Ihe work for vfiich this permit is issued. . � I have and will maintain v.orkers' compensation insu2nce, as required by �3ec[bn 3700 of the Labor Code, for the pertormance of the work for which [his permit is issued. My workers' compensation Insurance carner and policy number are,P:� �/ �—,/^ c /� Camer: ( J�U ��✓�U�� WV/ J. I ii� (IDissectvnneediw'tbpem� ple�nv^he1pe�mrtuva�lue0af!onehundredtbllars(Ef00)orless) Policy Number: /�.t.J�� ! � S �( �i� �-Q ❑ I certify that in the peRormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lavrs of Califomia, and agree that if I should become subject to the vrorkers' compensation provisions of Section 3700 of the or Code, I shall forthwith comply with these provisions. 2 Ap0liwnfs Signalure Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /� Lic. # cY Class # ` � � �Q Contracmr's SignaNre D NSTRUCTION IENDING AGENCY: ❑ I hereby affrm [hat there is a constructbn lending agency for the peAOrtnance ot the work for which this permit is issued. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: SignaWre OWNER-BUILDER DECLARATIONS: I hereby aKrtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS IICENSE LAW for [he (ollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolis�, or repair any strucWre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chap[er 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Code) or lhat he or she is exempt therefrom antl the basis for lhe allegetl exemption. Any violation of Seclion 7031.5 by any applicant for a permit subjects lhe applicant lo a civil penalry of not more than fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees wi[h wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offereC for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properly who builds or improves thereon, and who does such vrork himsel( or herself or through his or her own employees, provided that such improvements are not intended or offeretl for sale. If, however, the builtlin9 or improvement is sold within one year o( completion, the ownervbuilder will have the burden of proving thal he or she did not build or improve for purpose of sale.�. � '�� '� � ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044,-Business and Pmfessbns Code: The contractas License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a cont2cta(s) license pursuant to the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: 305]-06 (l/0]) f � Ovmer ID venfied by dnv e. ❑ Yes ❑ No Driver's License No. Expires: �' �Venfication o! Ownership by (type of document, i.e. - property tax bill or deed): ��OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � � ❑ I hereby certAy [hat no excavation (rve (5) or more (eet in depth into which a person is required ro descend, will 6e made in connectbn with work zuthonzed by this permit, and that no building structure, scaffdding, falsewvrk, v demolition or dismantling thereof, will be more than thirty-s�c (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 311, Title 8, Califomia Atlminist2tive Code). ❑ As owner-builder, I will not employ anyone to tlo vrork which would require a permit from the Division of Industrial Safety, as notetl above, unless such person has a permi[ to tlo such work from the division. Applvanfs Signature Division of Industrial Satety Permil Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will ihe applicant or present or future building occupant need to !la and certi(y a Business Plan for emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of ihe California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with [he Costa Mesa Fire Departmenl hy every business which has at any one time during a reported year a quantity of hazardous materials equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). 2. Does or will ihe applicant or present or fulure building occupant need to fle a regishalion form for acutety hazardous materials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire �epartment by each business which at any one time has on hand a quantity ot acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas at stantlard temperature and pressure). 3. Does oi will ihe applicant or present or future building occupan[ need b prepare an RMPP (Risk Management and Prevention Program (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 0( the Califomia Health and Sa(ery Code provides that the Costa Mesa Fire Departmen[ may require the prepara[ion, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutey hazardous matenals with the Fire DepartmenL 4. I/ an RMPP is presently required, has Sec[ion 25534 of the Cali(omia Heal[h and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applican[ or present or fu[ure building occupant require for the work which is Ihe subject of �his applicalion a permit for suc� conslruc�ion or modification from the South Coast Air Quality Management District or from any other air polWtion control district or agency? ❑ Yes ❑ No (Sec[ion 658502 of the Califomia Govemment Code requires that the requested infortnation be fumishetl on applications (a non-residential building pertnits). 6. Will any part of the facilily to be constmcted under this permit be wilhin 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If'yes", the faciliry must meet the requirement of Seclions 25534 and 42303 of the Cali(omia Health and Safety Code). 7. I( a permi[ from ihe South Coast Air Quality Management Distric[ or olher air polWtion control disMct or agency is required for the vrork which is the subject ot this application, have all of the disclosures prescribetl by California Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. pf 'yes", attach certifcate of compliance.from the appmpriate air pollution control oKcer). , CERTIFICATE OF COMPLIANCE: I certity.,thaLunder penalty.of perjury the information-given above is correct I agreeto comply with all sWte�laws and city ordinances regarding Hazartlous Materials and Emissions.' . � � SgnaWre CERTIFICATE OF COMPLIANCE,AND;AUTHORIZATION OF ENTRV: I certify under penalty of perjury that I have read this application and state that the infortnalion given is correcl I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the Ciry of Costa Mesa to enter upon Ihe above-described pmperty for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit until final inspection. ' SignaWre of Legal Ormeqs) e�e � AnCbr Aul�orizetl Ap0licanl Date