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Home My WebLink About2204 CANYON DR - Building Permits(714) 754-5273 • Fex (714) 754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMiT Pi'I�L ��7t\ � 1 N] � l �] :� CABLE T.V. BOX TPN990111 npp�icant: MEDIA ONE Address: 200 E. PAULARINO AVE. CA COSTA MESA Owner: CITY OF COSTA MESA Address ELECTRICAL PERMIT Phone: (714) 549-7590 Zip: 92626 Phone: Zip: Contractor: EVANSJE ENETERPRISES DBA: WEST COAST CABLE Address: 5425 BERRYHILL DR CA Phone: (714) 985-0471 YORBA LINDA . , � Zip: 92886 License: 734530 ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool / Spa Lighting Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t 000a Service over 1000a Motors to 1 hp Motors to t Ohp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole PERMIT NUMBER E99-00978 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEVJ CABLE T.V. POWER SUPPLY FOR "MEDIA ONE". 523.50 $0.00 50.00 $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 $0.00 $0.00 Quantity FEE SUMMARY Temp Disl Syslem / Lighling Busway /100 ft Standing Sec[ion Misc Electrical Equipment Trenstortners up to 1 kvalkw ................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 Cirws ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee SWtus: ISSUED Applied: 10/20/1999 Issued: 10/20/7999 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 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS J� NOTICE: Tha work authorized by this permit shall comply with all applicable handicap accass requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �equired inepectlona end tlnal approval must be obtained. Feilure to obtain inspections and final approval will result in the axpiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSAnON DECLARATON: I hereby aHirm under penalry oi perjury one ot the following tleclaratlons: ' ❑ I have entl will meintain a cenificate of consent to sell-Insure for workers' compensation, as provided for by section 3700 of the Labor Cotle, lor Ihe pertormance of ihe work tor which ihis permit is Issuetl. �I have entl wlll maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for �he peAo�mance of ihe work for which Ihis pertnit Is iuued. My warkars' ompansatian Insurence carner nd policy number are: Carner: ��"�or�' �'oM�QNSi4TfDa.i PolicyNumber: w N(a S� Y3°�-oI (This section neetl no( be comp/etetl i! the permif is va/ueC at ane hundred dol/ars ($f00) or less.) ❑ I certity that In the peAormence ot Iha work for which Ihis pertnit is issued, I shall not employ eny person in any manner so es to become subject to fhe workers' compensation laws oi California, and agree that il I should bacome subject to the workers' crompensation provisions of Section 3700 of ihe Lebor Coda, I shall forthwith comply with the e provisions. Applicam Signawre: � �+..�✓� Date: t� - 2�.g Q WAPNING:FAILURETOSECUREWOW( RS'COMPENSATIONCOVERAGEISUMAWFULANDSHALLSU&IECTANEMPLOYERTOCRIAUNALPENALiIESANDCNILFlNESUPTOIXJEMUN�RED TMOUSAND DqlARE (5100,000). IN AODRION TO TME COST OF COMFENSAiION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 310fi OF THE LABOR COOE. INTEREST, AND ATTOPNEV'S FEES. LICENSED CON7RACTORS DECLAHATION: I hereby alfirm Ihat I am licensed under provislons of Chepter 9(commencing with Section 7000) of Division 3 ot the Busin�s �nud Protessions CoCe, antl my license is in full force antl aHect. Lic. a 7 3 �l S 3 o C�u p ContrectoYsSigneWre: �i.w J�w..✓`--�, Date: /D-`ZC^ �' CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm thet there is e construction lending egency for the pertormance of iha work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: , I herehy attirm that under penalty of per�ury thet I em EXEMPT FFiOM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Cotle: Any city or counry which requires e permit to construct, elter, improve, demolish, or repeir any simcture, prior to its issuence, also requires Ihe epplicant for such permit m file a signetl s�atemem thel he or s�e is licensetl pursuent to t�e provisions of �he Conirectors License Lew (Chapter 9(cammencing wlih Saction 7000) of Division 3 0l the Business antl Professions Code) or thet he or she Is eaempt ihereirom entl the basis for the alleged e:emption. Any violation of Section 7031.5 by any epplicam for e permit sub�acts the epplicant to e Civll penelty of not more than flve hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages es their sole compensetion, WILL DO THE WORK, end Ihe siructure is not intended or oHered for sale (Sec. 7044, Business antl Protessions Cotle: The Contrectors License Law tloes not apply to an owner of property who builds or improves thereon, entl who does such work himself or herself or through his or her own amployees, pravided Ihal such improvements are not inrentletl or oNeretl for sele. If, however, ihe building ar improvement is sold within one year ot completion, Ihe ownar-builder will hava the burden of proving that he or she did noi build or improve for purpose of sale.). ❑ I, es owner ot ihe property, em EXCLUSIVEIV CONTRACTING WITH LICENSED CONTRACTORS to construa the pro�ect (Sec. 7044, Business entl Professions Code: The contractors Llcense Law does not apply to en owner oi property who builtls or improves thareon, antl who contrects for such pmject with a contrectoqs) license pursuani Io tha Contrectors License Lews.). ❑ I am exempt untler sec. Signature: Owner ID verified by drivers license. ❑ Ves ❑ No Business and Protessions Code for this reason: Verification ol Ownership by (type of Oocument, i.e. - property tav bill or deetl): UIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby cenity Ihat no azcavation live (5) or more feel in depth inio which a person is requlred to descend, will be mede in cronnectlon with work authonzetl by this � permi�, enG Ihat no Duiltling siructure, scaHolding, telsework, or demolition or dismantling iheraof, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title e, Calitomia Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a pertnit from Ihe Division of Intlustnal Sa(ety, as noted flbove, unless such person has a permit to do such work iram the division. Signature: Date: Division of Industrial Salery Pertnit Number. CERTiFlCA7E OF COMPLIANCE AND AIJTHORIZATION OF ENTAY: I certify untler penalry of perjury thai I heve read this application and state that the information given is correct I agrae to compty with all state laws and ciry ortlinances relating to building consiruction, antl aui�orize representatives ol Ihe City of Costa Mesa to enter upon Ihe above-tlescnDed properry for inspection purposes. I egree not to oaupy or allow occupanry ol any building aut�orizetl by this pertnit uNil linal Inspection. Si naWr�OlLegalOwner(s) Date �✓.�.-� � .._-_ /O- 20_ Sg And/Or Authonzed Applicant �- Date COpE �. INSPECTIONTVPE 1616 Fized System Final Fire Prevention 1266 , Pool Spa Final 200 Finel Re-Rool 201 Final BIocWReteining Wall 202 Final Factary Fire Place 203 Finel Sign 204 Final Demoli�ion 2646-48 QAjE IMRIALS y�� INSPECTIONTYFE 206 Final Mechanical 20B Final Plumbing 210 Final Electricel 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ➢9iE INTRIPLS