HomeMy WebLinkAbout20171015 - Permit (4)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical Permit #:2O171015
Pin #: 1O7O4PermrtCounter: (714)647-5800 Inspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address:Unit:
Block: A
Bldg:
Tract: 245
Address Range: 'lO7-111 112 . Suite Range:
Historic: No Zoning: ClAssessor's Parcel: 0'14-011-32 Lot: 23
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Primary Resource Network lnc
4019 W Rosecrans Ave
Hawthorne, CA 90250
(s4s) 612-5596
OGO Electrical
1864 Enterprise Avenue #B
Riverside, CA 92507
(909) 816-3611
01116002 51603
01116002 51603
01 1 1 6002 51 60C
01 1 16002 5't603
o1116002 5777C
Fee Type
Serv Meter
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
55.37
16.98
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$55.37
$16.98
$22.95
$57.20
$3.91
State Lic #: 1020400
Lic Type: C-10
Bus. Lic #: 374942
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Building Use: Commercial
Job Type: Alteration
Nature of Work: Service Meter
Planning Conditions: Reference UUW-2020-1-UUW
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Verduzco, viorett]
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: service meter upgrade
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
UnKnown
UnKnown
cEc 2019
Orozco, lvan 03111t2020
03t1312020
Account#
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01'116002 51600
01't16002 5'1603
01116002 57770
$22.9s
$129.55
$3.91
$156.41
$0.00
$156.41
11
lnspector MID#: 2020-15754O
APPROVALS DATE ID/SIG.COMMENTS OWNE,R BI.JIT,DER DEI,CARATION
I hcrcby affrm undcr penalty of pciury that I mr cxcmpl frcm lhc Contractos' Licens hw for thc following rca$n (Sd.7031.5
Business atd Profcssion Codc): Any City or County which rcquires a pcrmit to construct, alts. improve. dcmlish or rcpair dy
structurc, Jrior h irs Lssuance. also rcquires the applicmt for such p€mtt to fih a sigred slatcmnt lhat lE or stE ii lic.Nd pu$ml
to the pmvisions of thc Contractor's l,iccnsed [2w (Chaptcr 9, Commcncing wilh Scction 7fiD of Division 3 of thc Busincss md
ProfessiotrsCode)orthathcorsheiscxenrpttherefiomandtlEbasisfortlEallesedexenrption. A[yviolationofsectionT03l.5byany
applicant for o pcnnit subjects thc .pplicnnt to a civil pcnalty oI not mre than fivc hundrcd dollars ($500).
_1. s owner ol thc profEny. or my (anphyccs wilh wagcs as thcir Flc @mpcnsation. will do 0r wtrk ard thc tum is mt
intcnhl o. ofTcrcd for slc (Se.7014. Busincss md Profcssions Codc: Thc Coiltaclor's Liccn* law rlrcs not apply to m owrcr of
thcprofEny wlrcbuildsorinprovestheN)[iudwlDd6srchworkhimelforlrrselforthrcughhisoaherownenploy*3,
providcd rhat such imprcvcmnts dc rel inlerded or ollcrcd for sk. Il, howcver, Or building or in{'rorcmil is eld within onc )ed
ofcotrpletion, thc Owrcr Buillcr will havc thc burdcn ofprcving tht he or shc did not boild or impmvc thc prcpay for thc purgrse of
sak).
_1, s own r of (hc propeny, am cxclusively conuacting with lic.Md contr.ctoB to conshct th. prcjcct (Scc. 7044. Busincs
and ProfesinCodc: TheContractor'sLicetrseLawdesnotapplyto4owrerofprolEdywhobuildsorimprovesth.r@n.
and who contracrs for such proFcts with a Coiltuto(s) liccred pus@( to thc Cotuador's Liccnsc llw).
-I
amexenril uildcr Section-, B. & P.C. tbr this reason.
EABtrEESTAMPJNSAIII}N
DECLARATION
I hcreby ailirm under pcnaltyofperjury ore ofthe foUowitrg dcclea(ioN:
_lhaveatdwillnEinlainaCenificateofConscnttoS.lf-lmurcforvorkds'conrpcNation,as providedforbyScction3?00ofthe
tabor Code, for thc pcrforlMce of lhc work lbr which (he J,ermit i! issued.
_l havc and will mintain workcs' con{rcEalion insurarrcc, as Gquircd by Stclion 3700 of lhc bbor Codc, for lhc pafomlmc of
thc work for wlich this pcrmit is issuc{- My workss' @r{ENdion itrumc wicr aod policy oumber uc:
f ^*r-.
Policy Numbc.: l;xpires:
.a
1-] ccnify that rn tlrc [rrfornunc('r,f rhc work for whrch this fcrmit is issucd. I shall not cmploy my fErson in my milncr
s 6 to becorE subject to lhc workcrs' compcnsation laws of Califomia. aM agrcc thrt if I slnuld becorE subjecl to thc
workers'comlrnsationprcvisioroofSctrionlT00ofthckborCod.,lslull,fonhwithcomplywiththosprcvisbns.,
WARNING: Failurc lo securc wo'kers'conpensation coveftlge is unlawful, xDd shall $ubjcct nn employer to girninal pcnalti€s flnd
civil firresupk)onelruildredth(Nsanddollnrs($100.UJ0).iDadditiorbllEcostofcompensaliur,danugesasprovidedfbrtlre
Scction 3076 oflhc hhor Codc, iolcrcsl and atlorrcy's ltcs.
-\9-/oac
DI]CI,ARATION
I hereby affirDr undcr lrenaltyofperjury thal I am licensed undcr pruvision ofChaplcr 9 (coomEncins with Secrion 7000) ofDivision 3
of the Busincss and l'rofessions Codc. and rny license is in full force md cffect.
Li""*" ct"*,fuLiccmc Numbcr:I D-ZO r+oo
-l 'L0 (l
CONSTRUCTION LENDING AGENCY
I hcreby allirm undcr pcnally ofpcrjury thar thcrc is a construction bnding agcrcy for the pqlormarcc of thc work lbr which this pefrit is
issued (Sec. 3097. civ. C.).
Lenilcr's Nanrc:
-
lrnder's Ad,.lres\:
APPI,ICANT DECI,ARATION
I hurby afiimrundcr Jxnalty ofpcrjury orc of thc folbwiog d(ldations:
Dcnnlition Pernits-Asbcslos Notification Fcderal Rcgulatt)ns (Title ,+0, Pfi6)
_Rcquircd l*tlcr ()f Notilicati()n
I cdily that rhc fcdcral rcgulalioos .cgdding asbcstos rclreval {c no( applicablc to (his prcj@t.
| )ll mrfy rlur I luvc rcad tlus application dxl stalc llBl thc atDvc infornBlion is colm. I agre to conlply with all Cily and County
ordinmccs ud Starc [jw$ rclating to building consmction, arxl hcrcby autlprizc rcprc*Mtives of lhis City and Couoty (o cnlq upon thc
abovc rrcntioncd prupcny for inspection
Applicant or Agent
I'cmlilec tranra {r^ crJ
1",Lo
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Gommunications Cable
Buildinq
Under Slab / Floor /n\
Bondinq / Grounding / UFER 3*t (-fu x.vlll{"n
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh -A
Ceilinqs (T-Bar Rouqh)1/\
ltleter Release 3"l-Zl k"u-)il
Rouqh ,1\
Service lVleter ?24
FINAL E-G20 '4"16
Notes, Remarks, Etc.
ELECTRICAL.INSPECTOR RECORD
Bev.08-07-2015
Dr.lrjMll