HomeMy WebLinkAbout20170835 - 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 #:2O17OE35
Pin #: 995O\J
Proiect Address: 1539 S Standard Ave
Assessor's Parcel: 014-321-14 Lot:16
Unit:
Block: NA
Bldg:
Tract: 5085
Address Range:
Historic: No
Suite Range:
Zoning: M1
Owner:
Address
Phone
Tenant Name:
Contractor:
Address:
Tesoro Refining and Marketing Compar
539 S Main St
FINDLAY, OH 45840
(210) 626-6000
Allen lndustries
11351 49th St
Clearwater, FL 33762
(7271329-3406
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Records
Amount
78.08
22.95
57.20
3.91
Qty
2.OO
1.00
1.00
1.00
Fee
$1 56.1 6
$22.95
$57.20
$3.91
Botch+:54{62 _ 2/19/2O2n ID: snor(tte0ffice: CTYH Trnns*: Sl 4 ol 4Acct*: Refi: 2017r13;i
Rcpti:02897773 - 2/19/212CI 1l:56 Al1
Tronsact ion TotsI $l rLlS?.iI?
Al Ien Industr i es
;1lj
Phone
State Lic #: 1009452
Lic Type: C-45
Bus. Lic #: 375157
Workers' Compensation lnsurance:Carrier: American Zurich
Policy #: WC343290
Expires: 1OlO1l2O2O
Generol Plan Update Fee
01116002- 516110000-
Electr i col
01r160CI2- 51683000-llicrofilr & Oocunents
0t I l6l1tl2- 577700110-
ICL (:heck (r11986Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Signs
Signs
en, Julie
1 1103179
Occupancy:
Constr Type:
Code:
Date:
Date
Date:
N/A
N/A
cEc 2019
91r
Notes: Replace faces on existing pole sign; change display to
digital; badge sign "S Express". Bond paid on
M-74155.
02t1912020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authoized 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 1 'l 6002 51 600
01 1 16002 51603
01116002 57770
$22.95
$213.36
$3.91
Fee Total:
Paid to Date:
Balance Due:
$240.22
$0.00
$240.22
lnspector MID#: 2020-157154
ELECTRICAL.INSPECTOR RECORD
Rev.0B-07-2015
APPROVALS DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby a[hrm undcr poalty of ptrjury that I an exempt from thc Contracto6' Licflse law for the following rwn (Se.7031.5
Businos and Profssion Codc): Any City or County which rcquire a pomit to construct, alta, improvq donolish or repair ay
structue. prior to its issuilcc, also requirG lhe applicilt for such p€mit lo file a signed statmmt that he or she is licemed pmumt
to lhe provisions of lhc Contractor's Licensed Law (Chaptry 9, Commencing with Setion 7000 of Division 3 of the Business md
PrcfcsionsCode)orthatheorsheisexemptthdefiomedlhebasisfortheallegedcxemption. AnyviolationofSdionT0Sl.5byanj
applicant for a pmnit subj(ls lhe applicut to a civil penalty ofnot morc the hve hundred dollus ($500).
I, m omo of thc propeay, or rny employe with rvaga a their ole comp€nstion, will do the wort ed the structw is not
intoded or olfsed for ele (56.7044, Busin6s ild Prof6sioN Code: The Contraclor's Licme Law do6 not apply to m om6 of
the prcpqly who builds or improve th6@n, od who do6 such work htnself or hersclf or through his or ho own employee,
providedthatsuch improvmots@rctintodedoroffqcdforgle. lf.howos.thebuildingorimprcvffitisrcldwithinoneyw
ofcomplaion. the Orvnq Buildq will havc the hrdm ofproving thd he or she did not build or improve the prcpaty for the purpor of
slc).
_1. a omq of the propqty, m exclusivcly conracting with lic$ed contractoG to constncl the projct (Se. 7044. Buine
ud ProfsionCode:TheContractor'sLice$e[,awdo6notapplytoeownerofpropstywhobuildsorimprovcsthereon,
ad who contrads for such projets with a ContEcto(s) Iicmcd puN@l to the Contrador's Licmc law).
-l
m excmpl undtr Sectioo-, B. & P.C. for this tson.
Ihlr
WORI(ERS' COMPENSATION
DECLAAATION
I hereby affim undo penalty ofperjury one ofthe following d4luatioN:
_l have ud will maintain a Cstificatc of Co66t to Self-lNure for workm' compsmtion, u prcvidcd for by Sfftion 3700 of thc
labor Code. for the pofomilce of the wort for which thc pqrnit b isued.
fl hare and *ilt mainlain workm' compeGation imurance, 6 rcquired by Sction 3700 of thc Labor Code. for the pqfomace of
Ihe work for which this permil is iscd My work6' compqEation iNuecc @is ad policy numba ac:
A
2qoPolicy /e'q- 2ozo
_l ccdiry that in the pqformance of the work for which this psrnit is issucd, I shall not mploy any peson in any mmno
rc a to become subjccl (o the work6' compemation laws of Califomia, ad agre that if I should becomc subjat to the
workm' cornpmation provisiom of Srtion 3700 of the Labor Codc. I shall. fonhwith cornply with tho* provisions..
WARNINC: F-ailurc to sue workos'compmsation covtrage is unlawful. md shall subjat m mployq to qirninal pemhie md
civil fines up to one hundred thousmd dollds ($100.000). in addition ,thc cost of compcNation. dmagcs o provided for thc
Ssriotr 3076 of the trbor Code. intgcs md attomcy's f6.
DNle:l-l?-tozo
I hcrcby affirur undcr pcnally of pc{ury thal I am liccnsed under provision I (connncncing with Seclion 7000) ol'l)ivisior.l
of thc Businw md Profsioro Code. md my licoe is in full force ed cff6t.
Liccnse ctass: A-(f,[-icense Numbcr:/ oo q,/ €L
- ?o?r).)s
CONSTRUCTION LENDING ACENCY
I hseby affnn undcr Fmalty of ptrjury lhat th6e is a construction loding agocy for lhc psfomuce of the work for which this psmit is
issucd (56. 3097, Cliv. C.).
lrndq's Nurc:
Lcndq s Addre:
APPLICANT DECLARATION
I hdtby affm unds pcnalty ofpajury one ofthe following dcluations:
Dcmolition P6mits-AsbGtos Notification Fedsal Regulations (Title 40, Pan6)
Required ldts of Notificalion
_l cfiiry thd lhe fedaal rcgulaliom rcguding cbctos rmoval ac not applicable to this prcjtrl.
state that thc above infomalion is corecl. I agre to comply with all City and County
authorizc reprGcntativG oflhis City md County to otq upon the
above mmtioned prcperty for iropection purpose.
Applicatrt or Agcnt
Permite name (print): _
urd
o1e2-
0? -tQ'2020
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service lvleter ?I
FINAL '1//t,/?f) A kqi )
Rema Etc.
()rinerl