The URL can be used to link to this page

Home My WebLink About3145 BRISTOL ST - Building PermitsCITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT , �, PERMIT (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us ELECTRICAL PERMIT JobAddress: 3145 BRISTOLST Suite No Viciniry: W SIDE OF BRISTOL IN FRONT HOLIDAY INN Parcel Nunmber: Appliwnt: Address: Owner: TPN00117 PULL, ROBERT A 8822 THORPE AV WESTMINSTER, CA PACIFIC BELL Adtlress EASEMENT Contrector: ROBERT A PULL Address: 8822 THORPE AV ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Poie Intertned Pole WESTMINSTER,CA Phone: 714-894-9640 Zip: 92683 Phone: Zip: Phone: 714-894-9640 Zip: 92683 License: 388721 NUMBER � E01-00022 �., � 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 01I09I2001 Issued: O1/i612001 SCOPE OF PERMIT METER PEDESTAL FOR PAC BELL EQUIPMENT TO HOOK-UP TO SOUTHERN CALIF EDISON SERVICE. 1 SERVICE TO 200A. � SPECIAL INSPECTION RE�UIRED BY PLANNING PRIOR TO FINAL TO VERIFY SCREENING OF EQUIPMENT. � �,. D . D \ �_ u,c.rcl�o� J $23.50 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 30.00 $0.00 So.ao $0.00 sa.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Trensformers up to 7 kva/kw ................up to 10 kva/kw .................uP l0 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low VOIt Wiring System I Ckt Misc. Conduit Misa Conductor Cirws ( gen or ride) Circus (mech ride or lights) Chris[mas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 So.00 50.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire antl become void if work is not commenced withln 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this pertnN to be considered legal, such work must comply with all applicable codes, and all requlred inepeetiona end final approval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (7/4) 754-5626 zatata(a�oo) WORKERS' COMPENSqTON DECLARATION: � I hareby alfirm untler penelry of perjury one ol tha tollowing tleclaretlons: ' ❑ I �ave entl wlll malmein e ceNticate ol consent to sell-Insure br workers' compensallon, es O�ovitled for by saction 3700 ot the Lebor Code, for the peAortnence o1 the work tor w�lch this permit is Issuetl. ❑ I heva entl wlll main��n workers' compensatlon insu , gs repWreE by secllon 3700 oi Ne LeDor Cotll, Iqr the pertarmance af Ilre vrork iw whkh Nis pertnit 15158ued. My workere' compensqtiqfy�surpny¢ carrler ancyqo�p(mEer are: Certier: no� (S I00) or less.) Poliry Number. � I cenity Ihat in Ihe pedortnen ol t1� work for w�ich this pormit b issued, I shall not employ eny person in any manner so es to become sub�ect to the workere' compensatlon lawa f Celll � S egree thet il I should become sub�en to t�e workers' compensatlon provlslons of S M 3700 01 Ihe lebor Cotle, I ahell fatl�with crompty wlth lhesea� sb I�% �en,� :��T u �G^ oe�a: / I�D I O1` WMNINO: FAILURE TO SE qEG�J Wpq1(ER$' CpMPEN$ATION COVEMGE IS UNLAW R1L Ml� SW�LL SUBIECT AN EMPLOVER TO CRIMINAL PENALT M1D CML FlNE$ UP TO ONE HUNDRED TViOUSAND DOLL�RE (5100.ppp�, IN AD�ITION TO THE CQST OF COMPENSATION, OPMAOES AS PROVIDED fOR IN SECTIqJ 3�OB OF THE LABOR OpOE, WTEAEST, M!D ATTORNEI^S FEES. LICENSED CONTRACT4RS DECLARATION: I hereby eHirm that I am forca end eHect. Uc. M_ �e�slgnetare: of ChapiBr 9(commencing with Section 7000) of DlNsion 3 oi the Business antl Profe�Sions CoAe, entl my license is in full Class a � Date: O f� CONSTRUC710N LENDING AGENCY: ❑ I hereby eHlrtn Ihet there is e construction lentling agency for the peAormence oi Ihe work for which this permlt Is iuuetl. (Sec. 3097, Clvil Cotle). LontleYs Neme: Lendefs Adtlross: SlgneWre: Date: , OWNER-BUILDER DECLApAT10N5: I hereby efllrtn thet under penalry ot perjury t�et I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business entl Professlons Cade: My dry or wunry whicli reduires e permit to conslrucl, elter, improve, demolish, or repeir eny aWcture, prior to its issuance, elso requires the applicant for such pertnit lo flle e signed stetement Ihet he or she is Ilcensed pursuaM to t�e pmvisbns of the Contrectora Licerue Lew (C�apter 9(commendrq wlih SecUon 7000) ot Dlvlslon 3 of the Business entl Professions Code) or t�at he or she is exempt therefrom end the Desis ta the elleged e:em0�lon. Any Wdation af Sectlon 7031.5 by any epplicent lor a pertnit subJecta t�e epplicant to e dvil penalry oi nat mare than fve hundred dallars (5500).): ❑ I, es owner oi Iha property or my employees with wages as t�elr sWe compensatlon, W ILL DO 7HE W ORK, end Ihe siructure Is not InientleA or ottereC far sele (Sec. 7044, Business antl Professlons Catle: The Cantractors License Lew does not eppty to an owner of property who builds or improves thereon, and who Coes such work himsetl or hersell or ihrough his or her own employees, provi0ed lhat such improvements flre not Intended or oXered tor sale, II, however, t�e Duiltling or improvement Ls soltl vrit�in one year of comDletion, t�e owner-builder will have the burden ot proving thal he or she Aitl not build or improve for purpose ot sale.). ❑ I, as owner of the properry, em EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the projecl (Sec. 7044, Business and Protesslons Cade: The contrectore Llcense Ww tloes not eppy ro an owner ol propeM who builtls or Impmves Iherean, antl w�o contracts tor such project wlih e coniractor(s) license Dursuant ta the Conirectors Licensa Lews.�. ❑ 1 em exempt under sec. eusiness entl Prolessions Cotle for this reeson: Signature: Date: Owner ID veAiletl 6y tlrivets Iicense. ❑ Yes ❑ No Dnvers Llcense No. Expires: Vedlicetlan of Ownership by (rype ot document, i.e. - pmperry tex blll or tleetl): DIVISION OF INDUSTRIq� SAFETV PERMIT CERTIFICATION: ❑ I �ereDy cenly thet no excevatlon flve (5) or mora teet in tlepth into which e pereon is reqWretl to descend, wlll be mede In connectlon with work euthodzeA by I�is pertni6 end thet no bulltlinp structure, scaHolding, talsework, or demolilion or tllsmentlinp Ihereof, wlll be more Ihen t�irty-slz (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Tllle B, Calllomie Atlminisiretive Cotle). ❑ As owner-bulltler, I wi11 not emplay enyone to do work whlch would requlre e pertnit from Ihe Olvislon of Industrial Satery, as notetl ebove, unless such perean hes e permit lo do such work irom the division. Signature: Date: Division at Industrial Sat�y pertnit Number: ICERTIFlCATE OF COMPLIpNCE AND AllT}IORIZA710N OF ENTTiV: 1 cenlly under penalty of perjury that I heve roatl I�is applicetion end sWte Uet the Inlormation gNen Is I correct I egree to compy wlt� ell stete lews end ciry ortlinances relatlng to bullding constructlon, and euthodze representaWes of the Clry of Costa Mese lo enter upon the above-dexdbeC property for Inspectlon purpases. I egree not lo occupy or ellow oaupenty ol flny building euthonzed by this permit unfil linel inspection. COpE �. INSPECTIONTYPE QZj� 1676 Fixed System Final Fire Preventlon 1266 200 201 202 203 Pool Spa Final Finel Re-Roof Finel BIocWRetelning Well Final Fectory Fire Plece Final Slgn 204 FlnelOemdltlory I / (� / �1e1 —� TDae � COpE� INSFECTIONiYPE 208 Finel Mechanicel 208 Flnal Plumbing 210 Final Elec�nCal 212 220 222 250 Finel Fire Prevention Final Planning ApO�a�al Flnal Site Final Bullding/OaupanCy � �, It�