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Home My WebLink About20170759 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:2O17tJ759 Pin #: 234ET Proiect Addressi 1302 E Seventeenth St Assessor'sParcel: 400-231-01 Lot: NA Unit:A Block: NA Bldg: Tract: NA Address Range: Historic: No Suite Range: Zoning: C4 Owner: Address: Phone: Tenant Name: Dunkin RGA Group, LLC 4685 MacArthur #375 Newport Beach, CA 92660 (949) 675-s206 01 1 16002 51603 01 I 16002 51600 01 1 16002 51603 01116002 57770 Fee Type Amount Qty Fee Signs & Neon 78.08 1.00 $78.08 General Plan Update 22.95 1.00 $22.95 lssuance 57.20 1.00 $57.20 Microfilm mP{f,* : r4Jrr:r - 191r.vlf.,zL"r 1'P8: onror..$Pr9l1::; Off i, e: (:TYH 1p61x5i: 73 .i (it' ii A,:i:t.,i: Fiet'+: ?uI 7tl L";t Frcpti: tr?g9Ll??g * 'l/|it/:!tt?tr lLr:4'l rili Tronsc,-t,ion loLcrl $l,l]3?.if? Contractor Address: Phone PS Services 1320 N. Red Gum Street Anaheim, CA 92806 (714) 683-1120 FS Servi,:eE State Lic #: 1039455 Lic Type: C.45, C-10 Bus. Lic #: 163033 Workers' Compensation lnsurance:Carrier: lnsurance Company of the West Policy #: WSA50474S000 Expires: 04lO1l2O2O Generql Flnn Updflte Fee t:rl I 161102- 516001100- EIectr i cnl (rl I l6L1rl2* 516113110CI-Ilicrofiln & Docu$ents 01 I 1611112- 57771101il:r- I(:L Checlr t:r01665 iii $1rt|39.99 '. Building Use: Job Type: Nature of Work Commercial Signs Sign-illuminated Occupancy: Constr Type: Code: Date: Date: Date: N/A N/A cEc 2019 Notes: lnstall (1) led-illuminated channel letter wall sign for "Dunkin", bond paid on M-74116 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Chavez, Dave Subject to Field: Buirdins Permit #: 101103076 \7c o2t1012020 Account# Misc. Receipt: Misc. Receipt: Misc Receipt: Total Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced wtthin 360 days after its lssuance, 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 I 16002 51600 01 1 16002 51603 01116002 57770 $22.95 $135.28 $3.91 Fee Total: Paid to Date: Balance Due: $1 62.1 4 $0.00 $162.14 t- lnspector MID#: 2020-157575 ELECTRICAL.I NSPECTOR RECORD Rev.08-07-2015 APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hoeby affmn undo poralty of perjury that I an exempt from the Contraclo$' Licffi taw for the following rcef, (Se.7031.5 Businss md Profsion Codc): Any City or Couoty which requirG a [srnit to coNtrucl. alt6, improve. donolish or rcpat my structure, pnor lo its i$uecc. also requirB thc applicmt for such pâ‚¬mit to file a signed statmmt thal he or she is licscd plNmt to the provisions of the Contractor's Licensed Law (Chapl6 9. Comrnencing wilh Setion 7000 of Division 3 of the Busines md ProfessiotrsCodc)orthatheorsheisexcmptthqefiomedthebasisfortheallcgedexmption. AnyviolationofScctionT03l.5byany. applicant for a p@nil subjets the applicant to a civil penally of not more thd five hundrcd dollas ($500). I. o ome of the propeny, or my employ$ with wag6 6 thct sole compemation, willdo the work ild the stmcluc is not intoded or offcred for ele (Ss.7044. Businss md Professions Code: The Contractor's Licme Law dos not apply to il ownff of theprcpqty whobuildsorinproveth@n.odwhodo6suchwotkhimsclforhmelforthroughhisorhroweinployec, provided that such imFmvmols ile not intmdcd or offqâ‚¬d for slc. If, howwq. the building or improvmmt is mld within one ya ofcomplaion. the Oms Buildq will have the hrdan ofpoving that he or she did not build or improvc the prcps(y for the purpoe ol sle). - _1. 6 owner of thc propsly. m exclsively contracting with liccreed contractoB to coNlruct lhe prcjrct (Se. 7044. Bsins ild Praf6sionCodc:TheConlractor'sLicenseLawdo6nolapplyloilownsofpropertywhobuildsorirnproveslh6@n. and who contmcts for such prcjets with a Conlmcto(s) licsed pureuilt to lhe Coilraclor's Licmse taw). -ImexemptundrS*tion-,B.&P'c.forthisIe6on. Owner: WORKENS'COMPENSATION DECL/IRATION I hoeby affinn undcr pmalty ofpejury onc ofthc following delrations: _l have ud will maintah a Ccnificate of Commt to Self-l6ure for workm' compeEation. o providcd for by S$tion -1700 of the tnbor 9ode, for the rEfommcc of lhe work for which the pqrnit is issued. Vhave md will maintain workm' compemation iGurancc, 6 rcquired by Sction 3700 otthc Labor Codc, for the pafomuce of G work for which this pmit is issued" My workds' compsation imurmie cmio md policy numba ue:rafQM poti"yN"^*,, Ws ft 5o'17tr {d a o E*ptn a _l certiry thal in the psfonnance of the work for rvhich this pomit is issued, I shall nol onploy any pmon in any mano s d to become subjct to the workffi'compsrstion larvs of Califomia. rod agre that if I should become subjEt to the workm' compmstion provisions of Salion 3700 of the Labor Code, I shall, forthwith comply with thos provisio$.. WARNTNC: F'ailure to wuc works'compcnsation coverage is unlawful. md shall subject m mploye to oiminal pqBlti6 ed civil fines up to one hundred thousmd dollm ($l in additioo to thc cost of compâ‚¬Ntion. damaga a provide{ for the Sslion 3076 of the tibor Code, intqel ed dlomey's D^1", . o "/,/A//a-) t)t,r( r. \R.\'l IoN I hoeby aflim undcr penatly of pqjury that I an licosod undo provision of Chapto 9 (comocing with S*tion 7000) of Division 3 of the Busins md Prcfsiom Code, od rny licme is in full force md effet.4*?{.C-tOl-iccnsc Numbcr: ('onlractor: I hreby affm undo pcnalty of perjury thar th6c is a coNtruction loding agmcy for the pofommce of thc work for which this p6mil b issued (Se. 3097, Civ. C.). Lende s Namc: Lendn s Addes: APPLICAN'I' I)ECI,ARA'IION I hqtty affim undo psralty of perjury one of (he following dsldations: Dcrnolition Pcflnits-Asbstos Notification Federal Regulations (Title 40, Part6) _Required Latq of Notifi cation I difu that the Z*r*rn^rr*'" federalregulatiom rcgading cbctos rmovaloe not applicable to this proj(t. read this application od statc that the above infomation is corect. I agrâ‚¬to comply fthis Cily with all City and County 0d County to mt6 upootheordinancG md Slatc lnws relaling to above mmtioned propcrty for pur[Ds6. Applicant or Ageil( Pcrmite namc M6-5' authorize reprMtativ6 o o*", ) o///ct/b Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bondins / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinqs (Hard & Soffit Rough Ceilinss (T-Bar Rough) Meter Release Rough Service Meter a I I FINAL )lpl?-o { Notes, Remarks, Etc.L) 1r, :_> o,*, - d?y'or/u