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Home My WebLink About2710 PETERSON PL - Building Permits(774)754-5273 • Fax(714)754-4856 Job Address: Suite No Vicinity: Parcel Nunmber: Appliwnk Address: CITY OF COSTA MESA ( BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT 2710 PETERSON PL MEDIA ONE CABLE T.V. BOX TPN990253 THOMPSON,TOM 7835 WHITTIER COSTA MESA, CA � SUITE A-12 � . . Owner. � CITY OF COSTA MESA Address ' - - . - . . ELECTRICAL PERMIT Phone: (949) 548-1735 Zip: 92627 { Phone: Zip: Contractor: THOMPSON AND THOMPSON Address: 1835 WHITTIER - � � - � COSTAMESA,CA � ' /Phone: (949)548-1735 � SUITE A-12 � � , Zip: 92627 ' � ' - License: 550936 ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over t000a Motors l0 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg � Sign Circuits � PERMIT NUMBER E00-00264 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03I28I2000 Issued: 03/28I2000 ISSUED BY: SCOPE OF PERMIT INSTALL ELECTRICAL METER FOR NEW CABLE T.V. FOWER SUPPLY FOR "MEDIA ONE". 523.50 50.00 50.00 50.00 50.00 80.00 $0.00 $0.00 $0.00 $0.00 $0.00 530.50 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System I Lighting Busway /100 ft Standing Sedion Misc Eledrical Equipment Transformers up to 1 kvalkw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Voll Wiring System / Ckt Misc. Conduit - Misc. Conductor Circus ( gen or ride) Cirws (mech nde or lights) Christmas Tree Stand Fireworks Stand Other Eleclrical Fee Investigation Fee Plan Check Fee Reinspeclion Fee �uantiry $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 $0.00 $0.00 so.00 NOTICE: The work authorized by this permit shall comply with all epplicable handicap access requirements under Celifornia stetutes and related reguletions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire end become void if work is noFcommenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order tor the work authorized under this pertnit to be considered legal, such work must comply with all epplicable codes, and all requlred inepectlona and tinal approvel must be obtained. Failure to abtain inspections and final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSATON DECLARAnON: � I here6y eflirtn unAar penaly ot pe�ury one oi Ne tdlowirg tledaretlon5: ❑ I have end wlll mainlaln a certilicate of consent to self-Insure tor workers' compensation, as pmNtletl far by sectlon 3700 oi Ihe Labor Cotle, br Ihe pertormance of Ihe work for which Ihis pertnit is issued. ❑ I have anC will maintain workers' compensatlon insuranca, az requiretl by section 3700 of the Lebor Cotle, iw ihe peRormance ol Ihe work tor whiM ihis pertnit is iswetl. My worke compensation Ins%�renca wrtier arM icy number ar � /J�/� Cerrier. �� `6 �"'� s �'�� Policy Number: <C/Z I� 76 ' � J (This sectiar need not be completed il the pe 't is veluetl at one hundred dollers (5100) or less.) ❑ I Certiy thet In Ihe peAormence ot Ure work far which Nls partnil is issued, I shell noI employ eny person in eny menner 90 as Io become subject to the workers' compenselion laws ot Celitomia, end agree Ihet it I should become subject to Ihe workers' compensation provislons ol Section 3700 oi the Lebor Goae, I shell lonhwith comply with thesa pr�°�' � Applicant SigneWre: V Dete: 3� zQ' 0 WARNING: FAILURE TO SECURE WOfiKERS' COMPENSATIIXJ OOVERAGE IS UNLAWFUL AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND qVl� FlNES UP TOONE HUNDRED THOUSAND DOLURE (5100,000). IN ADDRION TO THE COST OF COMPENSATIIXJ, �AMAGES AS PROVI�E� FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, rW D FTTORNEY'S FEES. LICENSED CONTRACTORS DEClARA710N: I here6y aHlrm thel l em force entl eMecl. Lic.»� Contrectors SipneWre ot Chapter 9(commencing wlih Section 7000) of Dlvislon 3 of ihe Buslness end Prolessions Catle, entl my license Is In full Class a G' � p _ oe�a: 3_ zR _ �� CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm thet there is a consWctlon lending epenty br the Dertormence ol the work for which this pormlt Is Issued. (Sec. 3097, Civil Code). Lendefs Name: Signature: _ Lenders Atlaress: Date: OWNER-BUILDER DECLARATONS: I �ereby eMirm Ihat under penalry oi perjury that I flm E%EMPT FROM TME CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business flntl Profeuions Cotle: Any ciry or wunry which requires e pertnit to construct, alter, improva, tlemolish, or repalr eny sirucNre, pdor to Its Issuence, elso raquires the applicant for such permit lo fila a signetl statement Ihat �e or she is licensed pursuam to the pmvisions of the Cantrectors IJcense Law (Chapter 9(cwnmendng vrith SecUon 7000) oi Division 3 of t�e Business antl Protesslons CaOe) or thet he or she is exempt theretrwn and the bas'�s for the elleged exemptlon. Any Wolatlon ot Sectbn 7037.5 by any applicant tor e permit sub�ects the epplicant ro e dNl,penelry di nat more Nan frve huntlretl tlWlars (5500)J: -.�, i, i u.- � ❑ I, as owner of the property, w.my employees with wages es their sole compensation, WILL DO 7ME WORK, end Iha swcture is not imended or ottered br sale (Sec. 7044, euslneu anOProlessiore Cotle: The Comractors License Lew tloes nat apply to en owner at pmpeny who builtls or imprwes thereon, antl w�o tices such work himsell or herselt oi thmugh his ar her own empbyees, provided Nat such improvemenis are not intended or ofterad for sele. It, howevar, ihe building or improvement is soltl within one yaer of completion, Ihe owne�-bulMer will have the burtlen of proving Ihet ha or she Aia not 6uiltl or impmve tor purpose oi sale.). ❑ 1, es owner of the property, am E%CWSIVELY CONTRACTING WITF1 LICENSED CONTRACTORS to wnstruct ihe prqect (Sec. 7044, Business antl Pmfessions Gode: The conirectors Ucense Law tloes riot eppy to an ov.ner ot properry who builds or improves Ihereon, and who contrecls for such pmject wiih a contractor(s) license pursuant to the Contractars License LswsJ. ❑ I em exempt untler sec. Business and Protessions Code for this reason: Signeture: Date: Owner ID vertlietl by drivefs license. ❑ Ves ❑ No Drivefs License No. Venfication oi Ownershlp by (rype of daument, i.e. - pmperry tarz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY VERMI7 CERTIFICA710N: Fxpires: ❑ I hereby ceNty that no eacevetion live (5) or more teet in depth Into which e person Is required to descentl, wlll be mede in connection with work aut�onzetl by this permlt, entl that no Dulltling siruIXure, scalloltling, lalsework, or demolition or dismantling (hereof, will be more than Ihirry•six (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Calllamle Adminlsirellve Code). ❑ As owner-bullder, I wlll not employ anyone to tlo work whic� woultl require e permit from ihe Divlslon of Indusiriel Sefety, as noted ebove, unless such person has a permit to Co such work Irom Ihe tlivisian. Slgneture: Data: DlNsion oi Intlustrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AllTMORQAi10N OF EMRY: I certity under penalry of perjury Ihat I hava reed this application and state that tha information given is conecL I egrae lo comply with all state laws entl ciry ardinances relating m building consWctlon, end authodze representatives ol tha Ciry of CosW Mesa to enier upon the ebove-tlescn�etl properry tor Inspectlon purposes. I agree not ta accupy or allow occupancy of eny bullCing euthorizetl �y this pertnit until tinal inspection. SigneWre Of Legel Owner(s) Date Md/Or Autlwrizetl Applicam Date COOE �, INSiECTONME 1818 Fixed System Flnal Flre Prevention 1266 Pool Spa Finel 200 Finel Re-Roof 201 Finel BIaWRetalning Well 202 Final Fectory Fire Place 203 Flnal Sign 204 Finel Demolition 244&68 P6g 1ti�lS 40DEt INSiECTIONTYPE 208 Finel Mec�anical 20B Finel Plumbing 210 Finel Electricel 212 Finel Fire Preven�lon 220 Flnal Planning Approval 222 Flnal Slte 250 Finel Bullaing/Occupenry P� 4IDIl�1,4