HomeMy WebLinkAbout20170518 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O17O5{ I
Pin #: 22oV(
Proiect Address: 200 N Main St
Assessor'sParcel 398-601-03 Lot: 1, POR 4
Unit:
Block: 6
Bldg. Address Range:
Tract: TOWN OF SANTA Allistoric: Yes
Suite Range:
Zoning: SD84
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Phone
Swinerton
'17731 Mitchell
lrvine, CA 92614
(949) 363-3887
Swinerton
Swinerton Builders
865 S Figueroa St.
Los Angeles, CA 90017
(213) 896-3429
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01116002 5777C
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Records
Amount
78.08
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$78.08
$22.9s
$57.20
$3.91
State Lic #: 92
Lic Type: B, A, C-10, C-9, C-8, C-39
Bus. Lic #: 167862
Workers' Compensation lnsurance:Carrier: Liberty Mutual Fire lns Co
Policy #: WA266D066493018
Expires: 08lO1l2O2O
6errernl F lcrn Updctt t
irl 1 16r-trr2- 516lr:rlrt(r-
i l6t:r:-ilil:ltt
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Hernandez, Kathy 01/09/2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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
"Swinerton", bond paid on M-73998
\$
Buirding Permit #: 101102733
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.
0'l 116002 5'1600
01 1 16002 51603
01116002 57770
$22.95
$135.28
$3 91
Fee Totat
Paid to Date:
Balance Due:
$162.'14
$0 00
$'162.14
lnspector MID#: 2018-145526
234tio
Frtst r r
ttq /2.lt2l
DATE !D/SIG COMMENTSAPPROVALS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter
FINAL Z/zd/'tn .M
Notes, Remarks, Etc.
OWNER RUILDER DEL(]ARATION
I hereby aflinn under penalty of perjury that I an exempl fiom lhe Contraclon' Licose Larv for the following reurn (Sa.70-3 1.5
Businss ad Profesion Code): Any Cily or County vhich requira a Jmmit to coNtruct. altc. improve. donolish or repair any
struclure. prior lo its issuilcc. slso re{uir6 lhe applicant for such fEnnit lo file a signcd slatm@t that he or she is licmsed pursuml
lo the provisions of lhe Conlractor's Liccnsed Law (Chaptq 9. Cormrencing rvith Selion 7000 of Division 3 of the Business md
ProfessionsCode)orthatheorsheisexemptthocfrommdtheb6isfortheallegedcrmption. AnyviolalionofSeclionT03l.5byany
applicantforapennitsubj(tsthe applicanttoacivilpenaltyofnotmorethanfivehundeddollars($500).
__ I, ro orvns of the prcp€ny. or my employs with wa86 6 their sole compenstion. will do the u'ort md the structue is not
intmdcd or oflered for ule (Sa.7044, Businss and Profesions Codei l hc Contractor's Licmse Law does not apply to an ownfl of
lhe property who builds or improve thson. md rvho dos such uort himsclf or hmelf or through his or ha om employs.
provided that such imJnovonols re nol intode<l or offoed for sle. If, hoN's6. the t{rilding or improvcmmt is rld rvithin one }q
ofcompletion. thc Owner Builds will have the burdo ofproving that hc or she did not build or irnprorr the prcpoly for thc purpose of
sle).
l. 6 owns oflhe propmy. an exchrsivcly conlracting with licensed contractom lo construcl the project (Sec. 7044, Busins
and ProfessionCode:lheContraclor'sl,icense[,awdo6notapplyloilownsofpropenywhobuildsorinlproveslhseon,
and rvho contmcls for such proj6ts \\'ith a Conlracto(s) licmed puBuant to the Conlraclor's Licmse [arv).
--l
m exempl unds Srtion
Dete:
B. & P.C. lbr this re6on.
_ Owner:
6(! have and will rnainrain rvorkm compensation imurance. 6 reauired by Sation 3700 of the Labor Codc. for the pe fommcc of'lhe\vork for *hich lhis pmit is issued. My workos' cgmpensalion insuruce cmio md policy numbo ue:
cmi(: Lt"qr\ tlt tua\
Policy Numba: Expires,
-.
DECLARATION
I hercby aflirm under penalty of poiury one ofthe following declaralions:
I have md rvill maintain a Cenificate of Consent to Self-lmure for $orks'compffilion. ro previdcd for by Setion 3700 of lhe
Labor Code. for the pqfomancc ofthe work for rvhich the pennit is issued.
I cenify that in the perfonnance ofthe work for which this permil is issued. I shall nol onploy any pason in any rnanne
so as lo become subjst to the workqs' cornpensation larvs of Cali fomia. and agree that if I should become subjsl to the
work6'cotnp€nsationprovisionsofSetionlT00ofthellborCode,lshall.fonhrvilhcomplys'iththorprovisiore..
WARNINC: Failure h Hure $orkers' composolion co!'erage is unlas ful. and shall subjmt an anployo nr oiminal poallis ud
ciril fines up to one hundrcd thouund dollars ($100.000), in addition k) the cost ofcompcnsation. dmages o provided for the
Section 3076 Code. intqel and altomey's fees.
lh(cr ZO
DECLARATTON
I haeby affirm unda penalty of psjury that I an licosed undo provision ofchaplq 9 (commocing Nith Sstion 7000) of Division -l
of the Businss and Profesiom Code. md my licme is in full force md effect.
q,Z
l.iceilsc
_ Conarrc(or:
CONSTRUC'[ION LENDIN(; ACENCY
I hereby affrrrn undr poally of pqjury lhat thtre is a conslnrction lmding agency for thc pofonnance ofthe rvork for which this pqmit is
Licensc
Date:
issucd (Se. -1097. Civ. C.).
Lendq's Namcr
--
Lender's Addrss: _
APPLICANT DECLARATION
I hectry alfim undo poalty ofpsjury one ofthc following daluations:
Demolition Pmits-Asbetos Norificalion Fedqal Regulations (Tille 40. Pan6)
Required Ldt6 of Notifi calion
_ _l colify lhat thc lderal regulations regading dbestos rmoval are nol applicable to this prcjecl.
6+"miry rnnt I have read this application md state lhat the above infomatioil is corrst. I agre l ith nll City and Cour'to comply
f this Cilyard hereby authorize reprBotalives o and County lo ente
n"t", I all
Pernritce ilxilrc (prinl):
r,
ELECTRICAL.INSPECTOR RECORD
rll
Applicnil( or Agcnt Sigilnltrrrl