HomeMy WebLinkAbout20169389 - Permitcity nf Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2
Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Section. (714) 647-5853
Electrical Permit #:2O169383 -
Pin #: 812:n7
Proiect Address: 2301 N Tustin Ave
Assessor'sParcel: 396-141-01 Lot: NA
Unit A
Block. NA
Bldg: Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
Owner:
Address:
Phone:
Tenant Name: Starbucks
The Liese L Rago Family Trust
P O Box 1493
Santa Ana, CA 92701
l7o2l217-7900
Fee Type
011'16002 51603 Signs & Neon
01116002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
78.08
22.95
57.20
Qty
3.00
1.00
1.00
Fee
$234 24
$22 95
$57.20
t22.?1
t29L . +4
tl,t:ilJ4 .14
Contractor:
Address:
Phone:
Superior Electrical Advertisi
1700 W Anaheim St
Long Beach, CA 90813
(800) 9s5-90s9
Botch*:52[3r] - 9/16/21'-tl? ID: I.R0SALES0flice: CTYH 1ponsi: 34 2 of 3Accti: Ref *: ?r.1169399
Rcr,t*:027{9817 - 9/t6/2tt19 3:02 Pn
Trsnsoct ion Totol tlrtltt4,54
Surer ior Electricol AdvertiEin
State Lic #: 271598
Lic Type: C-45
Bus. Lic #: 117521
Workers' Conrpensation I nsurance:Carrier: Travelers Property Casualty Co of America
Policy #: U85K094655
Expires. O4lO1l2O2O
Generol PIon Update Fee
0t 1 1600?- 516t:r(rtrtr0-
Electr i cnl
t-tl I 15tt0?- 51603r.rirlr-
ICL Checl: L1117244
Building Use:
Job Type:
Nature of Work:
Commercial
Signs
Signs-illuminated
Occupancy:
Constr Type:
Code:
B
VB
cEc 2016
09/1 6/201 9
Account#
Misc. Receipt:
Misc. Receipt:
Misc Receipt:
Total
Notes.
Fee Total
Paid to Date.
Balance Due:
Install (3) led wall mount logo signs, (3) led directional
signs, (1) 5'5" menu board w/(3 panels), (1) 9'10" order
screen & (1) non-illuminated 10'3"clearance bar/bond
posted on M-73474Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field
Buildins Permit #: 101 101029
Date:
Date:
Date:
01 1 16002 51600
01'116002 51603
$22 95
$291.44
$314.39
$0.00
$314.39
Every permit issued shall become invalid urtless the work on the site
authortzed by such permit is commenced wtthin 360 days after tts
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a pertod of 360 days after the tirrte the work is
commenced.
lnspector MID#: 2019-152669
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS 0WNI:R BUILDER I)EI,CARATI()N
I hcrchy aflirnr undcr penolty of pcriury that I &r cxcmpt fiom thc Conlruct)rs' l,iceDse Law for thc li)llowing rcas8i] (Scc.70ll.5
Bxsinccs aftl Prolcssirn Co<lc): Any Ciry or Counly which rcquires a lrcrnlit lo conslrucl. altcr. imptove. dcnx)lish or reI,air n!'
stntcturc.priorloils issuancc.alsorcquircslhcRpplicanttir.suchFrnritkrfilcasigncdslatctrEnl lhathcorshcisliccnscd pursuanl
k) lhe provisions of thc Contrack)r's l-iccnscd l;rw (Chaplcr 9. Comrncncing with Scclion 7U)0 of Division 3 of lhe Busincss and
ProlcssionsCodc)or(halhcorsheiscxemptthcrcfronarrdlhcbasisl(irlhcallcgcdctcnrplion. AnyviolalionofSeclionT0Sl.5byuny
applicrnlfornpcrtrrilsubjcclslhc applicantk)ilcivilpenallyofnotnmrelhanlivehundrcddollnrs($5(X)).
_1, t\ owncr ol thc profrcrty. or nly cnrpk)yccs wilh waScs rs lhcil sole coil]pclsalir)n. willdo lhc work aril thc stnrlurc i1 nol
intcildc(l orollercdfor{alc(Scc.7(N,l.BusincssandProfcsst)nsC()dc:'IhcClonlrtrckris[-iccnscLawdocsnoltpplytoanowncrof
thcprrfEdy whohuildsorinprovesthcrfrnr.ilxlwho(,()cssuchworkhintscll'orhcrscllorlhroughhisorhcrowncmployccs.
pr(rvidc(l lhat such inrprovenEnls arc nol iilcndcd orollcrcd lbr srlc. li howcltr. lhc huilding or inprovcrnl is sold within ('n(' ycir
ol conlpbti(nr. thc Owncr Builder will hxvc lhc burdcn of provilg thnt hL or shc did nol huild or inprolc lhc pmlrf,y for lhc purpsc of
snlcl.
_1. rs owDcr ol thc l)rolrc(y. rtrt cxchr\ivcly conlracli[g wilh liccnsc(l conltilclots k) c()nslrucl lhe pr()jccl (Scc. ?044. Busirrcss
and l,trrltssinCrxlc:lhcContrxctor'sLicclscl,awdocsnotrpplyloanouncrofprrpcrtyshobuildsorillprovcslhcrcon.
and sho conlrnctsli)r\uch[()jcclswilhu('(nilrxcl(,r(s)liccnscdpursunilllolhcConlr^c(or'sLiccnsclnw).
I amercmnt undcr Section . B. & P.C. forthis rcason.
Dsle:-- owner:-
UOEtrEIXiSA&IEENTAIIAN
DECI.AEAIIQN
I hcreby affirm under pcnally of perjury one ofthe tblhwing declaratiotls:
_l have aml will tuintaiil a Ccrtificutc of ('orlscnl b Sclilnsurc fbr rvorkcrs' corqrnsulion. as pmvided for by Scction .17ff) of thc
Lnbor Codc. for thc pcrformancc ofthc work for which lhc pcrrrtil is issucd.
_l htvc and will lnainttin workcrs' c(rmpcnsation insurancc. as rcquircd hy Scclion 3700 ofthc Labor Codc. li)r lhc pcrfornmnce of
thc work for which this permil is issucd. My workcrs' cotrrpcnsalion insurtnce canier and ;xrlicy nunrbcr uc:
Policy Nunthcr: Expircs:
_l ccrtify thfll iil thc pcrti)rmilncc ol thc work litr which lhis pcrmit is issucd. I shrll nol cnrpk)y rny pcrson iil atry rnanncr
so xs kr hcconr \uhjccl to thc \rrrkcr\' coilrpcnsrtaon h*'s (,l Crlilornix. rnd agrc'c thrl if l should hccorrc subjccl lo lhc
workcr\' collpcnsrli()n provision( ()f Scclion J7{X)ol lhc [-ilk)r forlhwith comply !vith thosc provisions.
WARNING: Failurc k) ecurc uorkcrs' conrpcnsdli()n covcragc
civil llncs up b onc hundrcd thousnnd dolllrs ($l()().UX)). in
ic l. and shull subjcrt an cmployer to oininal lrcmllics and
cosl ()l'conrpcrsali{nl. dantlgcs as providctl li)r lhc
Sccli(nl
Dale:
]076ol rhc L:rtnr Corlc. intcrcst and alttrrcy s fcc(.
9'6.!t- nppri""",,{ -
I hcrchy aflirnt untlcr pcnalty of pcrjury lhal I anr liccntd undcr 9 (comnrcncin8 rvilh Scction ?(XX)) of Division ]
ol lhc Busincss und Pnrfcssions Codc. anrl nrv liccnsc is irr Iull lorcc an<l
I -iccr\c
I)hle:
Nu
1 Conlra(tor:(
I hcrchy utfirm undcr lEn0lly of fcrjury that thcrc is fl consruclion lcndinS ngcncy for thc pcrfortrEncc of lhc work for which this petnlit is
issucd (Scc. .1097. Civ. C.).
[*nrlcr's Nunrc:
-
lf,nder's Addrcs$:
APPLICANT DECLARATION
I lrcrcby allinrr untlcr pcnally of pcrjury onc of thc folblvin8 dcclaralions:
DctrrclilioD Permits-Ashcstos Nolificnlbn ltdcral RcSulations ( Iillc 40. PArt6)
-Rcquilcd
hltcr of Notilicalk)n
-l
ccrtify thul lhc lcdcrill rcgulalioils rcgtrdin8 nol rpnlicablc lo lhis pr)jccl.
-l
ccnify that I havc rcfld lhis upplicalion a,ld slalc wirh all City and County
ond County to cnlcr upon lhc
?' r(-r 1
or(linrnccs flnd Stnlc Lilw\ rclitilg lo huildinB
0bovc rrctrtioncd p(rpcny for in(pcclion purFx,.es.A
Applicont or Agenl Signature: '
Penlilec name (print):J.v,u
lhc
DRte:
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
Meter Release
Rough
Service [r/eter
FINAL lo -2/- t?D,Sth Ao
Notes, Remarks, Etc.