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Home My WebLink About660 PARK CENTER DR - Building Permits(714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.��.sCTRICAL PERMIT n FAIR DRIVE, GOS7A MESA, GA 92626 Jobnddress: 660 PARK CENTER DR Suite No ELEC Vicinity: SBC ELEC METER IN PUBLIC RIGHT OF WAY Parcel Nunmber: TPN30027 npplicanr. LOZA, JESSE Address: ISSUED BY: . Phone: �714797-5817 CELL Zipa .. . ., , ... . Ownec CITY OF COSTA MESA Address Contractor. H C I INC Address: 3166 HORSELESS CARRIAGE DR NORCO,CA ISSUE FEE Temp service test Res. alc package - New Res (1-2 units) ' New Res (3+units) Pool / Spa Lighting Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1hp Motors to 10hp � Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel l0 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: Zip: Phone: 909-520-4200 Zip: 92860 License:378587 Status: ISSUED Applied: 09/212005 Issued: 09212005 SCOPE OF PERMIT INSTALIATION OF AN ELECTRIC METER IN CONJUNCTION WITH THE INSTALLATION OF AN SBC TELEPHONE BOX IN THE PUBLIC RIGHT-OF-WAY. ' � 7 SERVICE TO 200A, 1 MISC CONDUIT NO OTHER WORK AUTHORIZED WITH THIS PERMIT. 50.00 $0.00 $0.00 $0.00 50.00 $0.00 ' $0.00 $0.00 $0.00 50.00 50.00 $30.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 � $0.00 50.00 $0.00 $0.00 50.00 $0.00 Quantiry 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0" 0 0 0 0 0 0 FEESUMMARY Temp Dist Syslem ! Lighting Busway/100R Standing Sedion Misc Electrical Equipment Transformers up to 1 kva/kw ................up l0 10 kva/kw .................up to 50 kvalkw ..:..............up l0 100 kva/kw ..:...............over 100 kva/kw Low Voltage Equipment Low Volt Wiring System I Ckt .Misa Conduit � - Misc. Conduclor Circus ( gen or ride) Cirws (mech ride or lighis) Christmas Tree Stand Fireworks Stand Other Eleclrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity 50.00 D $0.00 0 50.00 0 50.00 0 so.00 0 $0.00 D so.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $18.20 1 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 50.00 $0.00 TOTAL CA�CULATED FEES E0.00 4 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 deys. . INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectlone and finel approval must be obtained. Feilure to obtain inspections and final approvel will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaase le�oo� i WORKERS' COMPENSATION DECLARATION: � I �ereby amrm untler penalry oi parjury one of ihe tollowing dedarations: ❑ I have end will maintain a cenificate of conseM to self-Insure for workers' compensatlon, es provlded for by section 3700 at the Le6or Code, far the pertorrtience of the work for which t�ls pertnit Is Issuetl. 1l� I have and will maintain workers' compensation Insurance, a5 required by sectlon 3700 ot the Labor Code, tor Ihe peAortnance of the work for which Ihis pertnit is Issuetl. �rMy warkers' compensation Insurance carnar end poli number ere: ca�� .�.�f-t�cL�—'Z� S 7?1T� a�.rw,�,��: � a%� /�/ _� i '/7�lsaecbon nesd no16e comp/etetl �/ Ne pemut 75 velued af one hundred dWlars ($100) or less.) �. i , ❑� I certily that in the perf ance of tha work for which this permit Is luued, I shall not employ eny pereon In eny manner sa es to becoma subject to Ihe workers' compensetion laws altlomia, and egree that II I shoultl become s �ect to the workerg' compensetion provislons of Saction 3700 0l lhe Labor Cotle, I shell farthwlth compy with thesa r �isions. �j �l AP6n� 9�0: 'De� % � �S �- � i ��' WARNING: FAILURE TO CURE WORKERS' COMPENSATION COVEMGE WFUL AND SHALL SUflIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE NUNORED THbUSAND00LLARE OO,OW),INADDITIIXJTOTHECOSTOFf.OMPENSA ,OAMAGESASPROVIDEDf-0RINSECilON3lO60FTHELABORCOOE,IMEREST,MlOATTORNEI^SFEES. LICENSED CON7RACTORS DECIARATION: � I I hereby aifirm Ihat I am licensetl under proNsions of Chapter 9(commencing with Section 7000) oi DlNsion 3 of Ihe Business and Prot ssions Code, and my Ilcense is in full torce end ettect. c. ! � Cless�q ('� %�% i Cont`�ract_ors Signa�:� — ..o.dt12 � _ Da ��Gl _ � � _ �j <� _ CONSTRUCTION LENDING AGENCV: i ❑ I hereby eHirtn thet there is e consirudion lentling egency lor the peAarmance ot the work tor which ihis pertnil is issuetl. (Sec. 3097, CiWI Code). • Lentlers Name: Lentlers Address: � Si9neNre: � Date: i OWNEFi-BUILDER DECLARATONS: I hereby ettirtn Ihet under penelry of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business and Professlons Code: Any ciry or counry which requires e pertnit lo consiruct, alter, improve, demolish, or repair any struIXure, prior to its issuance, elso requires the epplicant lor such pertnit ro file a signetl stetement t�at he ar she is Iicensetl pursuant to t�e provlslons ot the Contrectors License Lew (Chepter 8(cammenUng with Section 7000) ot Division 3 of the Business end Professlons Code) or Ihat he or she is axempt therefrom and Ihe besis for t�e ellegeA eaemption. Any Wolation of Section 7031.5 by eny epPlicent for e pertnil subjects ihe eDPliwnt to a civil penalty oi not more ihen five huntlretl tlollers ($500).): �, ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, end Ihe structure Is not intended or oHered for sale (Sec. 7044, Business and Professions CoOe: The Contracbrs License Law tices not apply to en owner ot properry who builds or improves thereon, and who tloes such work himseN or herself or ihrough his or her own employaes, provided that such Improvements are not Intended or oXered for sala. If, however, the builtling or irtmprovement Is sold within ana year ot completion, ihe owner-builder will have tha burden ol proving that he or she did not build ar improve for Durpase ol sale.). � i ❑ I, as owner of lhe pmperty, em E%CLUSIVELY CONTAACTNG WRH LICENSED CONTRACTORS to consiruct the project (Sec. 704d, Business end Professlons Cotla: TTe contrectors License Law does not eppty to en awner at pmperry w�o builAs or imprwes thereon, entl w�o contracts tor such proJect with e conirector(s) license pursuant to the Contradors License Lews.). I ❑ I am exempt under sec. Business end Pralessions Catle tor t�is reazon: Signature: Date: Owner ID verifietl by tlnver'S license. � Ves ❑ No Dnver'S Litensa No. Expires: � VeAfication ot Ownership 6y (rype of document, i.e. - property tex blll or deed): � DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: I ❑ I hereby certily thet no excavatlon five (5) or more feat in depth into which e person Is required to descenq wlll be mfltle in connection wiN work euthodzed by Ihis permit, end tha� no building siruc1ure, scaftolding, talsework, or demoli�ion or tlismantling thereot, will be more �han ihifty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, Title 8, Calitomia Administrative Code). I ❑ 0.s owner-builder, I will not empby enyone to da wark which waultl require e permit trom ihe Division ol Industnel Sefery, es nated ebove, unless such person has e pertnit to do such work tmm the division. SignaNre: Date: I Division of Industrial Safety Pertnit Number: 1 Will the epplicant or present or fuWre building occupant neeG to file entl certify e Business Plan lor emergency respanse to release or threatenetl release of a hazartlaus meterlel7 ❑ Yes ❑ No I (Seclion 25505 ot lhe Califomla Health antl Sefety Code requires, with some exceptions, Ihat e Business Plen be tiled with Ihe Coste Meu Fire Department by every business which has at any one time during a reported yeer a quantiry of hazerdous meterials equel to or greater then a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas et sian0artl temperature antl pressure). ....._ ......................................................................................................._................................_.......................__........................._........................._.............................................................................._................................'.................._............. 2 Does or wlll tha applicant or present ar future building occupenl need to lile e registretion fortn for ecutely hazartlous matenals7 ❑ Ves ❑ No I (Section 25533 of the Califomle Health enA Safery Cotle, wlth some exceptlans, requires registretion with ihe Coste Mesa Fire Department by each business w�lch et eny one time has an hand e quaniiry o1 ewtely hazardous metenals equel to or greater than e welght of 500 pountls, or e vWume of 55 gellons, or 200 cublc feet ot compressed gas et stantlartl tempereNre entl pressure). .......................................................................................................................................................................................................................................................................................................................................................:................................. 3 Does or will the applicant or present or luture building occupant need to prepare an RMPP (Risk Managemenl antl Prevention Progrem tor acutely hazertlous metenels)7 an 25534 of tha Calitomia Health ent oi en RMPP by businesses has Section 2553d of t�e at tha Casta Mesa Fire Depatlment may require t�e preparetion, certiticetion end tiling wlth the Fire awtety hazardous matedels with Ihe Fire Department. � .......................................................................................................................................................................:..........._......................__..... Heellh entl SafeN Code been fullv comolied with7 ❑ Yes ❑ No � uaes or wln me eppucant or present or mwra omiamg oxupam require ror me wonc wmcn �s Ine suol�� ot tms a puceaOn e pertnit tor Sucb irom the South Coest Air �ualiry Menagement Dlsidct or tmm eny ot�er eir pollutlon control tlistdct or egenc/t � Yes u No (Section 658502 of the Calitomia Govemment Code requlres ihat Ihe requested informatlon be IurNshed on applicetions lar non-resitlential bi _._ ....................._.........................__....._....._......................................................_......................_..........................__..................__._.........................."'_"'._._._ ......................_ ..... Will any pert ot Ihe feciliry lo be mnstructed under this permit be within 10001eet irom the outer Eoundaries of e school7 ❑ Yes ❑ No (II yes', the laciliry must meet ihe requlremenl af Sections 25534 and 42303 0l the Califomia Healih and Safery Code). a have ell of the egency is reqmrea ror me � medel ❑ Ves ❑ No or Qf yes', atlach certiticate ol crompliance from the eppropdete air pollution control oKcer). � CERTIFICATE OF COMPLIANCE: I cenity that under penelry of perjury ihe informetion given above is correct. I agree to comply with all stete laws end ciry ortlinances regartling Hazartlous Matarials and Emissions. , Signature: Dete: � CER7IFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfAY: I certity unGer penelry oi perjury that I heve read this epplication and state that the Infwmallon given Is correct. I egree to comply with ell stete laws enA clry ortlinances relating lo building conslructlon, end euthodze re0�esentailves ol t�e Ciry ot Costa Mesa to enter upon t�e ebove-described property for inspection purposas. I egrea not to occupy or allow acupancy of any building euthorized by this permil until final inspection. I COOE �. IHSYECTONTYPE 1616 Fixed System Final Fire Preventlon 1266 Pool Spa Final 200 Finel Re-Roof 201 Finel BIocWRe�aining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolitlon Pdg I[4QIALS GOOE 1 INSPECTION TYFE 206 Finel Mechenlcel 208 Final Plumbing 210 Finel Electricel 212 Finel Fire Prevention 220 Final Planning Approval 222 Flnal Site 250 Final Building/Occupency �'L. 2-4" DU. NI �� n� � � O� �� 1.27' 5.43' .44' � 5. 7 4' � � -CF Z-4" CPC �p �"S '�' N 30 � � � � � 'I I ,2� i I I I I I ! I � '-'1 I I � I � -: I 1 ' i 11 I I I I 79' \ I 55' I � 68, ` _CV 1 I 73' � 61.5' � , l , I � p � I_ � � � � ' I � 67' � I I I � I I a::{ I �� o I`�-' � � W ..:°I I �I� � U ( � auc "':. 64.5' Y I L. 64 II Q o AIR VENT �, ; ,1. ,�G, / � � 67 � WM � •T�C:,' � � / \ 0. /�. • �y+ \ � / I • , 60.5' " � � � E o � 70WN CENT! S 4-3%z" CCEM � --67A 6+09.15 PARK CE� � + ` C/L 1NT. TOWN CEP -CF `-- -- — -------� ---- � — -R/W — — -- — — �a� f O �� .. � � ' �.� CaI1fDr11►a � 6D � � �'e��e� ;�