HomeMy WebLinkAbout20170925 - Permit (2)City <lf 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 #:2lJ17lJ925
Pin #: 70.281
Project Address: 640 E Dyer Rd Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 640-690 E
Dyer
Historic: No
Suite Range:
Zoning:Assessor's Parcel: 411-141-12 Lot:
Owner:
Address:
Shea Properties
130 Vantis Dr. #200
Aliso Viejo, CA 92656
(949) 389-7295
Fee Type
01 116002 51603 Temporary Electric
01 116002 51600 General Plan Update
01116002 57770 Microfilm Records
Amount
253 66
22.95
3.91
Qty
1.00
000
000
Fee
$253.66
$0.00
$0.00Phone:
Tenant Name:
Contractor
Address:
Pacific Construction Group
17895 Skypark Circle #K
lrvine, CA 92614
(949) 748-1s00Phone:
State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 760001460219'l
o3t01t2020
lndustrial
Miscellaneous
30-day temp Elec. Bldg. #1
Occupancy:
Constr Type
Code:
B, S.2
IIIB, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235. Bldg
#'l
Planning Conditions:
Da
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
\2 c-
Dale:
Date:
Date:03t03t2020
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 within 360 days after its
rssuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
$253.66
$0.00
$253.66
lnspector MID#: 2020-158178
01 1 16002 51603 $253 66
I
{uilding Use:
Job Type:
Nature of Work:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS oWNER BI.JII,DI.:R 1)I.),CARATION
I hcrcby affrnr undcr pemlty of pcrjury rhat I dI exenrpl frcnr thc ContractoE' Licen* [:w for thc following Easo (5(.7031.5
lrusincss and Proltssion Codc): Any City or Counly which rcquircs a pcrmi( k] construct, altcr, irnprovc, dermlish or rcpair my
structurc,priork)its issuance.alsorequir.stheapplicanforsuchpcrntttofilcasiBncdstatenEnl thatlEorshcislicc[Ed pursuant
ro rhc previsions of thc Contractor's l,icenscd liw (Chapte. 9, Commencing wilh Scction TUXJ ol Division 3 of thc Busincss and
Prolessions Code, or that lE or she is erenlrt therefronr and tlE basis for t|r alleged eiemptior. Any violatiotr ofsection 7031.5 by any
.pplicantforopcrmitsubjcctsthe ilpplicanttoncivilpennltyofnolmore(hanfivchundreddollars($500).
_1. as owncr ol'lhc proFny, or rny ernplorcs with waScs as thcir srlc compcnsation, will do thc work aid thc sfuw is mt
intdr.lal or offcrcd for sle (Se.7()44. BusiDess and Prcfcssions Codc: Thc Conlraclor's LiccN [jw d@s not apply lo m owner of
the prcperly wlru huilds or imgrows tlEru$n, and who dcs such work himself or lrcrself or thrcugh his or her own enrployees,
providcd that such improvcrmnts @ mt intcrdcd or offce\d for salc. If, howcw. 0E huiHing or itrprorcmil is sld within ore )ra
ofcomplctiorl thc Owrrcr Buiklcr will have the burden otpnrving lhat hc or shc did rct buill or imptuve thc pNpqty for lh. purposc o[
sh).
_1, as owncr ofthe propefly, am cxclusivcly conractinS with licen*d conlractors to construcl th. prcject (Sec. 7044, Busincss
and Prultssiil Code: The Contrack)r's Liceilse Law does not apply to an owner of prolrdy who builds or improvcs thereon.
and who contEcls for such proiccts with a Contmclo(s) liccnsd pu,suut to the Conu&tor's Lice[se Lrw).
_l anr exen4n under Sectitrr-, B. & P.C. lir this reason.
Dale:-
WORKEKS'COMPENSATION
DECLARATION
I hcrcby affiim under pcnaltyofperjuryonc ofthc following dccldations:
_lhaveuxlwill nuinlaiDaCenilicalcofCofl*ntloSelFlNurcforworkqs'comlrcnsatiotr,6 prcvidcdforbySetion3T00ofth€
libor Code, for lhc pcrlornucc ofthc work tbr which thc permit is issued.
_l have and will trHi!ilain workers co[rpensati{)n insurance, as requted by Seclion 3700 ofihc titx)r Codc, for lhc [rcrfof,rEEe of
thc work for wlich this lrrmit ir issucd. My workcrs' coD{Ensation insurmcc cmier axl lrclicy nunrbcr uc:
a V N3 uil-4n6 co
I_tripircs:-
_l ccnify lhat io thc FrfornHncc of lhc work for which this pcrmit is issucd. I shall not cmploy any pcrson in any manner
s as to bccom subjccl lo thc workcrs' compcnsation laws of Calilbmie. aM a8rce that if I stmuld becorre subject to thc
workds' con{*nsatioD provisions of Section 3?00 of the tnbor Code, I slull, fonhpith conrply with lho* prcvisions..
WARNING: Failure lo rccurc workers'compensation coverage is unlawlul, and shall subjcct an employcr to oi,ninal pcnahts and
;r'-l':;Ef6yi1"'T'::it dollas ($100,000).
dd dlorrcy's lccs.
in additi([ lo of comltrelion, duugcs as rovidcfbr thc
I hcEby affrm under Fnalty of pcrjury (hat I am lic.nsl undcr poviiion of Chaptcr 9 (comEncing with Setbn 7000) of Division 3
of thc Busincss and Prcfcssions Code. ard my liccnE is in full fore ard cffcct.
Licens.a b Number:
Ll -/7
CONSTRUCTION LENDING AGENCY
I hcrcby af,irm undcr Fnalty o[pcrju]y that thcre is a consrruction lcnding agcncy for thc perlormarcc ofthc work lor which this pcrmit is
issucd (Scc. 1097, Civ. C.).
kndcr's Nanrc'-
kndcr's Address:
APPLICANT DECI,ARATION
I hocby armundcr ptmlty of perjury one of thc following d4l[alions:
DenDlition Pcrnlils-Ashcslos Notificati()n Fcderal ReSulations (Title 40, Pd6)
_Rcquircd t ttcr0f Notifietion
_l ccdily thal thc fcdcral rcgula(ions regtrding sbeslos rcrreval uc mt applicablc to this pmj€t.
Sl ."nlfy rtrur I luvc rcad this applicatio[ inil statc thal lhe ahovc informlion is corer. I agre to conply with all City and County
ordinanccs ild Stalc hws rclatiog to boilding conshction. ard autk)rize rcprcscnlativcs oflhis City and
6bovc trEntioncd propcny f<rr inspection purpors.
Applicatrt or Agml
I'cmrilcc nanrc
1..J
upon tlrc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lrleter Release
Rouqh
Service fr/eter A.
FINAL 6-E n H{t+\il\
Notes, Remarks, Etc.
-+
,^,r*,^*,,' 1 bO o o t ! b OQ. )Ql