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Home My WebLink About2780 BRISTOL ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa��CTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: 2780 BRISTOL ST 41818201 Applicant: HARDY, DANIEL Address: 3701 S FAIRVIEW - ��,.. � `_ SUITE 62 � " ��."'."-� - . - SANTA ANA, CA _ � � � - � Owner.! HEUNG IL` INC � � Address �.'2750 BRISTOL ST � \ �,i , . �, �-'� . '� ,% � , � �COSTA MESA� CA � � ConVactor. Address: Phone: 714-549-7351 . Zip: 92704 Phone: Zip: 92626-5910 � . _ . �.Phonei . . . , � � � Zip: ...: - ` License: Status: ISSUED Applied: 10/30/2003 Issued: 10/30/2003 ISSUED BY: ., - � � �, r , ��., . �A . ,. - - � \�� .. '�`� , i�� ;. \,\ \, . � ,��. _,�`. � �., � ' t , �� . SCOPEOF�PERMIT� , _. , , ELECTRICALFORCHRISTMAS.TREESTAND: -'�- - � , ' , _. _ . .....> ... _. _. . _' ��,.. ... _. .,.. • � � , .. ., ' �� FEE SUMMARY. � , ; . Quantity . ,-_ ' � . �_ ., . Quantity , . �ISSUE FEE � $23.50 . . . . _ ' Temp Dist System / Lighting - $0.00 0 . Temp•service test � . $0.00 Busway /100 ft ! $0.00 0 � � � Res. a/c package . - $0.00 Standing�Section �.., $0.00 0 � � New Res (1-2 unitsp ' $0.00 � 0 Misc Electrical'Equipment $0.00 0'�"� � New Res (3+units)`, `. �� ' $0.00 0 Transformers up to 1 kva/kw $0.00 A' -� ,. Pool / Spa' ' ' ` � ��,�2. �, $0.00 0 �' � .....up to 10 kva/kw $0.00 ..»v:.a:r;.:.. , 0,' . Lighting Fixts � � , .$0.00 0 yf � ' �r��.` � ..:.........:....up to 50 kva/kw $0.00 �, . ;0 .x �°. Recept Outlets � � �,� $0.00 ' 0 . �,.: - �" ..............r.:up to;�100 kva/kw $0.00� ;;-� "0 Switches � � ; '-$0.00 0 . �s � � - ...:...�..... `over 100 kva/kw �-�, $0.00"/ 0 ��" Non Res Appl ; �� ' $0.00 - 4 '� = 0, � �. . � Low,Voltage Equipment ' -� �� $0.00 0 � _ Res Appl � $0.00' � ` 0 � - � � Low Volt Wiring System % Ckt , -$0.00 � � 0 . Service to 200a ` - � $0.00 � - � ' : 0 � Misa Conduit ' "� $0.00.� � � 0' � Service to 1000a � � $0.00 � � 0` � � . Misa Conductor `� - � $0.00 � 0' - Service over 1000a --_ _ $0.00 �, 0 � - - - � Circus ( gen or nde) �� $0:00�,' 0 � � Motors to 1hp ��' , $0.00 . - 0 � � � � � � Cirws (mech rid"e�or Ilghts) � � _ ��$0.00% ,-0' � "� Motors to 10hp --$0.00 , - , ; , ,"0- . . . CFinstmas Tree Stand $11:D0" -' ,1. Motors to SOhp � :$0.00 � ' 0 � '' ,' _ _ Fireworks Sfand ' $0.00 ' " : 0 Motors to 100hp �-$0.00 � - '- 0. - - - � Other Electrical Fee � $0.00 � Motors over �OOhp $0.00 0 . " Communication drops $0.00 � - 0,' - � �'- Investigation Fee � $0.00 Sub panel to 200a $0.00 � -4 � . Plan Check Fee . � " - � $0.00 Pole Light Pkg $0.00 0 ' � ; ' �ReinspectionFee- $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapaetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-08(&00) WORKERS'COMPENSAnON DECLARATION: I hereby afrirm untler penalty of perjury one ot ihe following tleclarations: � r ❑ I have and will maintein a certificate ot consent to self-Insure tor workers' compensation, es provided for by section 3700 0l tha Lebar Code, iar the performence of the work tor which ihis permit is i$sued. ' ❑ I have antl will maintain workers' compen�ation insuranca, as required by section 3700 of the Labor Code, Por the pedormance ot the work for which this permit is issued. My workars' compensation Insurenca carrler antl policy n Fber are: Carrier: Policy Number: (This section need not be comp ed il he permit Is velue et one huntlretl tlollars ($100) or less.) ❑ 1 Certify ihat in the per rmen of Ihe wotk tor w) ich ihi5 permit is i�sued, I 5hall not employ eny person in eny manner so as to become subject lo Ihe workers' compensetion lews Celify nie, and egr e th fif I should � i 4subject to the workers' compensation provisions ot Sectlon 3700 of ihe Labor Code, I shall torthwith comply with these a is'¢fis. AppliwntSignaWre: / , Date: WARNING FAILURE TO S C K RS' P SATION CO GE IS UNLAWFUL AND SHFLL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND WLLARE (510p,000), IN ADDITION TO THE COST OF MPENSATIIXJ, DAMAGES AS PROVIOEO FOR IN SECTIIXJ 3]OB OF THE LABOR CODE, INiEREST, AND ATTORNEI^S FEES. LICENSEDCONTPACTORS DECLARATION: I hereby aHirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business end Protessions Cotle, and my license is in full force antl ettect Lic. N Class N Contractors SiqnaNre: Date: CONSTRUCTION LENDING AGENCY: . ❑ I hereby aHirm ihat there is e consiruction lending agency for the pertormance of the work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lentlels Name: Lenders Address: i Siqnature: Date: OWNER-BUILDER DECLARATIONS: I hareby efllrm that under penelry of per�ury Ihet I em EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for Ihe following reason (Sec. 7031.5, Busineu end Professions Code: Any ciry or counry which requires a Dermit to construci, alter, improve, tlemolish, or repair any strucWre, pnor to its issuance, elso requires ihe epplicant for such permit to file a si9netl stetement thet he or she is Ilcensetl pursuant to tha provisions of tha Cantrectars License Lew (Chapter 9(commencing with Sectlan 7000) of Divislon 3 of ihe Business end Professians Cade) or that he or she is exempt therefrom and the basis for the allaged examption. Any violation of Section 7031.5 by any applicant for e pertnit subjecis ihe epplicant to a civil penalry of not more ihen five hundred dollars ($500).): ❑ I, es owner of ihe property, or my employees with weges as their sole compensation, WILL DO 7HE WORK, antl Ihe swcture is not Intentletl ar oHeretl tor sale (Sec. 7044, Business and Protessions Cotle: The Contrac�ors License Law does not apply to an owner of property who 6uilds or improves Ihereon, end who tloes such work himseN or hersetl or ihrough hls or her own employees, provitled that such improvemenis are not intentletl or oHared tor sale. If, however, Ihe builtling or improvement is sold within one year of completion, ihe owner-builder will have ihe burtlen of proving that he or she did not builtl or improve for purpose oi sale.). ' ❑ I, es owner ol ihe propetly, em E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projett (SeC. 7044, Busin855 end Profe55ions Code: The contractors License Lew tloes not apply to an owner of propeny who builds or improves thereon, and who contrects for such pm�ect with e contrector(s) license pursuent to the Coniractors License Lews.). ❑ I em exempt under sec. Business and Professions Code tor this reason: Signe�ure: Date: Owner ID verifiad by drivefs license. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (type of document, i.e. - property taz bill or dead): Eapires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihet no excavation fiva (5) or more feet in depth into which a person is requireA to descend, will be made in connection wit� work euthonzetl by t�is permit, antl that no builtling strudure, scalloltling, talsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Ttle B, Californla AtlmInlSlreilve Cotle). ❑ As owner-builder, 1 will not employ anyone to do work which would require a permit from Ihe Division of Industrial Sefery, es noted above, unless such pereon has a pertnit to tlo suc� work irom Ihe tlivision. Signature: Date: Division of Industnal Satety Pertnii Number: ��f,,,f, INSGECTONTYPE " Qdg INT S.Q.QES INSPEC710NTYPE Qd¢ f(� I 1616 Fixetl System Finel Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Rooi 201 Finel BIaWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Damolition 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency' NL'1 �