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Home My WebLink About2703 FAIRVIEW RD - Building PermitsC�TY OF COSTA MESA BDILDIN6 DIV�SION DEVELOPMENT SPERMIT S DEPARTMENT �7�4� 75� 52�3 , Fax �7�q� �y}-4856 • w�'�+'��costa•mesa.ca.us ELECTRICAL PERMIT Job Address: Suite No Vicinity: 2703 FAIRVIEW RD FAIRVIEW RD AND MONITOR NN parcelNunmber: tpn00583 ppplicant: Address: Owner Address D�r ' +�: �13 NUMBER ..., �. �o naNE. COSTA MESA, CA 92626 . ISSUED BY: ,�. .. ,,,�T.. P O BOX 6150 phone: 714-666-2295 . „ Zip `.. 92816-0150 ''. ANAHEIM CA � r�;��• ; d ` � 9. '� �"� .� J � � <a CITY 0F COSTA MESA -, � � ` � , � .� `t : - ,�,�` � P-fione. ._ . �`�, - . "� Ztp _�,, /, � -� r; f,,= � � ' . e.. / . � �� .. co trector ECONOLITE TRAFFIC ENGWEERING AND MAWTENANCE IN '«� 2,� , _ E ,.n+ �� Address �; P � @�X�6,950 phone 714-G86-2296 � � ° _ ��'�.- Zip; 928t6-0150 . �."� � , , ANAHEIM, CA - ; License`807718' :�: -' ` . , - ta �. - ` � -� . . t' . ' . ' �� r � � F : f � _ F. � �, �. , - _ , , . . ernvF��F PERMfT " ..� _ _ status_ ISSUED ppplied: 10/1212005 Issued: t0I12i2005 �� METER FOR TRAFFIC LfGHT AT � ' r7:SERVICET020�A� Vv`!. ��t� ��,= ux m.�� FEESIY ..�-.; �i� : • ��.< qr � � � � QuenidY X° `- .. � .. . , .,, . ,, • • �' ;, �.. �; ,� , , � , , 3� �, puantiry; �� Temp,Dist System I Lighhng,_- $0.00 „r, fl _ . . . _ $0.00 �� Q � �, �� ISSUE FEE -: $0 0�,'` . - � Busway /1o0 ft - � .�0.00 0 r . : ':� Semp service test� '6 SO 00'" Standing SecLon : Q Q� p '$OAU o >--MiscElectriralEquipment . $ � �,��-�Res.'a16 Rackage' � - _ - _-$0.00_ . - Trans(ormeis up to 1 kva/kw-,,. __ SD.00 o 1 ) -' $0 0� 0 . � -- New Res (1-2 uni s � � �: -, 50.00 � �,- =-; '` .:.up;Jo 10 kvalkw. .: x,,. . . New Res (3+unds) ._ � „ _ $0.00 . ; . �-0._" ' `- . . "...uP to.50 kva/kw SO.OQ-. 0 ,` :�,: _- , Pobl"I SPa -° ,� `.;� $0.00�' ' �. � ; �.uP to 100 kvaikw .�. $�.00' � ° LightingFixts :.. :-.$0�.00 �'� � .... �.over.160kva/kw '�SD00 0: RecePl OuUets .�� , g0.00 •;;. 0 ..... $0 00'-7. 0 '�a«, Swilches � � Low Voltage`Equipment ,.Low Volt W�ring System ( Ckt f$0.00: C � $0.00'� p . $O.OQ = -0 Res Aep APPI ,ili. - �"` `$�.�0 �. � � Misa Conduil �- . P I., �.,$30:50�� $OtlO��''� 0 Serviceto�200a '� p " Misc'Conductor $0.00; � 0 - . $0.00 � � � _, , � - Circus ( 9en oi�,ridej � DO Q' • - Service tor10D0a �;.$0.00 Service over,1000a --" Ci�eus (meefi ride or l�ghts) -�,<- :.$O OQ �. , - � $OAO ��-? '�" � Christmas Tree Stand , � - MotowtolhP � $0.00 0�. _<.. 5000 � _ Motors to 10hp Fireworks Stand_ f g0 00 , '� SQ00 �. ��0�, � = Motors to 50hp £`� �Other Electr�caYFee � �.. , p Motars to 100hp ° � $0.00 ,�� .: �, p, �E �"' - •:$p 00° ' 3090 -� �, "' sfiivestigadon Fee �f ` - Motors over 100hp w. ,,. $p.� `�� '.plan Cheek Fee" �;50.00' Communicat�ondroPs° .:`.: -$0.00 � .0 �... . ., $OAO Sub panel to 200a -,=Q. '`� Remspecbon Fee ; ` :. $0.00 -.�0 Pole Light Pkg e$0.00 Sign Circuits iF� �,� u 70TAlCALCULA'fED.FEES E0.00;; • ",�$0:00- . �� ' Temp Pwr Pole $Q.�Q ` `...., 0 . . , , , ` - Intermed Pole . ... ____..�.. � �noriei =:CnNDISIONS t ; N0T10E: The work authorized by ihis permfl shall comP�Y �"'�th a�� aPplicab�e handicap access req�irements under California statutes arxl celaled regulations. (Otd. No. 92-28, g 1� �2'2�'92) �p�RATION: This permit shall awrometically explre and become void ii work is not comme�ced within 180 days, or tf work is suspended or abandone for a periotl of 180 tlays. such work must comply with all apP��cable codes, and all INSPECT�ONS: In order for the work authorYzad under this permit to ba considered ie9a�� iration ot this permlt. raQufred Inspectlona and flnal approval must be obtained. FaiVure to obtain inspections and flnal approval will result in t�e exp' � FOR INSPECTIONS CALL: (714) TS4'��6 2aaa-0e le'aol WORKERS' COMPENSA710N DECLARATION: � . , . �. , ,. � � ' , I hereby eHirm under penalty of perjury one of the following declaratlons: , ' �� ❑ I hzve antl will malntein e certificate of consent to self-Insu�e for workers' compensetion, as provitled for by section 3700 of the Le6or Code, tor Ilie peAormence of the rk for which this pertnit is issued. � 1 have antl will malntain workers' compensation insurence, es reQuiretl by section 3700 of Ihe Labor Cotle, tor ihe peAortnance ot the work for which this pertnit is issue0. My workers' compens(a�tio�n� I�nJ�urance carrler antl policy number ere: �� O� �Carri� ��f� i'�7W./ ?o cy N,- �._.,mber � 3%�"� `(ihis section neetl not be completed i/ the perml( is valuetl et one hundred dollers ($100) ar less.) � . . . . , ❑ I certify ihat in the petlortnance oi the work for which Ihis permit Is Issued, I shall not employ any person In eny manner so as to become sublect to iha workers' compens�atio�lews of C'fornie, an gree t�at it I s�oultl become subject to the workere' compensetion provislons of Sectlon 3700 oi the Labor Code, I shall fonhwith Comply wi�h �hese pra i ApPlicent SignaNre: .LDete7 {�' � �%i� WARNINO: FAILURE TO SECURE WORKEPS' COMPENSATION COVERAGE IS UNLAWFUL AN� SW1LL SUBJECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED TFIOUSAND DqlARE (5100,000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION �OB OF THE LPBOq CADE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirm ihat I em licensed updar pr�� i�s ot Chapter 9(commencing with Section 7000) of Division 3 of Iha Business and Professions Cotla, end my licensa is in full force and effect. Llc"A7 ��% aess.x �r/D CONSTRUC710N LENDING AGENCY: ❑ I here6y aHirtn that there is a consiruction lending agency tor the pedormance ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: SignaNre: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirm thet under penalry of per�ury thet I am EXEMPT FHOM THE CONTRACTORS LICENSE LAW for the follawing reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e permit to construct, atter, improve, tlemolish, or repair any siructure, prior to its issuance, elso requires ihe applicent for such permit to flle a signed statement that he or she Is Ilcensetl pureuant to Ihe provisions ot ihe Comrectors License Lew (Chapter 9(commendng wlth Section 7000) of Divlslon 3 of the Business and Professlons Code) or thet he or she is exempt theretrom and the basis tor the alleged ezemption. Any violetion ot Section 7031.5 6y any epplicent for a permit sublects Ihe applicant to e civil penalry of not more then five hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with weges es Iheir sole compensatlon, WILL DO THE WORK, ana Ihe structure Is not intended or ofleretl for sale (Sec. 7044, eusiness end Professions Code: The Contractors License Law does not apply to en owner of pwperry who huilds or impmves ihereon, and who tloes such work himself or hereelf or ihrouqh his or her own employees, provided that such improvemenis are not Intended or offered tor sale. N, however, ihe building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving Ihat he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CON7RAC70RS to consiruct the projact (Sec. 7044, Business and Professions Code: The contrectors License Law does not appy to en owner ot properry who 6ullds or Improves thereon, end who contrects for such project with a contrectoqs) license pursuant to ihe Contractors license Laws.). � I am exempt un0er sec. Business and Protessions Code for Ihis reason: SiqnaWre: Date: Owner ID verified by dnver5liCense. ❑ Ves ❑ No DnveYs LitenSB No. Expires: Veniication of Owners�ip by (rype of daumenL i.e. - property tex blll or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no e�ccevetion flve (5) or more feet in depih into which a person Is required to descend, will be made in connectlon with work euthorized by this permi�, and �hat no building structure, scattolding, talsework, or demolition or dismantling thereot, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Atlministrelive Cotle). ❑ As owner-builder, I will not employ anyone to do work w�ich would require e pertnit from ihe Division of Intlustrial Safery, es noted above, unless such person has e pertnit to do such wark trom ihe division. SigneWre: Date: Division of Indus�rial Setety Pertnit Number: CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTAV: I certify untler penalty oi perjury thal I have read this epplicetion end state that Ihe Intormetion given is correct. I agree �o comply wiI all state laws entl city ortlinances relating to building consiruction, antl euthodze representatives of �he Ciry oi Costa Mesa to en[er upon Ihe above-tlescnhed,8/op�y forj�i spection purposes. I agree not to occupY or allow occupency of any builtling euthorized by this pertnit until tinal inspection. CODE 6 INSPECTONTYPE , , . 1616 Fizetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rooi 201 , . Final BIocWRetaining Wall � . 202 � Final Factory Fire Place -- 203 Final5lgn 204 � Final Demolition � COUE�, INSPECTIONTYVE 206 Final Mechanical , � 20B Final Plumbing , 210 Final ElecMcal 212 Flnel Flre Prevention � � 220 ' FinabPlenning ApproJal '� ' 222 Final Site , 250 ' Final Building/Occupancy "�' Date /O�2--fi�J iDe1e�°� PA7E 1t�Lfl �