HomeMy WebLinkAbout20169821 - Permit (5)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #:20169821
Pin #: 30365Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 $
ProiectAddress: 1951 E Dver Rd Unit:
Block
Bldg
Tract:
Address Range: 1951-2OOl 5 Suite Range:
Dyer Rd
Historic: No Zoning:Assessor's Parcel: 430-221-28 Lot:
Owner:
Address:
PR/Broadstone Heritage l, LLC
450 Newport Center Drive
Newport Beach, CA 92660
(949) 357-3685
Fee Type
01 1 16002 51603 Signs & Neon
01116002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
78.08
22.95
57.20
Qty
7.00
1.00
'1.00
Fee
$s46.s6
$22.95
$s7.20Phone
Tenant Name:
Contractor:
Address:
Outdoor Dimensions
5325 E Hunter Ave
Anaheim, CA 92807
(714) 578-95ssPhone
State Lic #: 1042246
Lic Type: C-61, C-45
Bus. Lic #: 556
Workers' Compensation I nsurance:Carrier: Falls Lake Fire and Casualty
Policy #: FLA00779200
Expires: O1l01l2O'19
I
Building Use:
Job Type:
Nature of Work:
Multi-Family (5 or more uni Occupancy:
Signs Constr Type:
Signage-illuminated Code:
N/A
N/A
cEc 2016 Notes: lnstall (3) monument signs, (1)blade sign, (1)wall sign
& (2) parking signs for The Heritage, bond posted on
M-73630
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buirding Permit #: 101101620
Date:
Date:
Date:10t1512019
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 within360 days after its
lssuance, or if the work authorized on the site by such permit rs suspended
or abandoned for a period of360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
$22.95
$603.76
Fee Total
Paid to Date:
Balance Due:
$626.71
$0.00
$626.71
lnspector MID#: 2O19-154530
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DEl,CARATION
I hcrcby allirm undcr pcnalty of pcrjury thal I &r crcnrpl liom thc Conlrack)6' Liccnsc lrw litr lhc following rcasn (Scc.70Jl.5
Rusincss afil Protisst)n Cfilc): Any City or C()unty which rcqufcs a lErnrit to conslruct. altcr. improvc. dcmolish or rcpat any
structurc. prt)r lo its issuancc, also rcquircs thc applicant lir such Frcrnlit l, lilc a signcd slatenlcnl lhal he or shc is licenscd pursuant
lo thc provisions of thc Coiltractlr's Liccnscd l-aw (Chd[rlcr 9. Comnrcncing wilh Scction 70(X) of Division J of lhc Busincss and
ProltssionsCodc)ortllath('orshciscrcmptthcrcliomandthchasisti)rthcallcgedcxcmplion. AnyviolalionofScctionT0.ll.5byany
applicanl fi)r a frcmil suhjccls lhc applicaf,l to a civil penalty ol not nx)rc than fivc hundrcd dollars ($500).
_1. as owncr of thc profrcdy. or my cmployccs wilh wagcs as I hcir xolc cotrlpcnsation. will do lhc work and tlE slructw is not
0ncnlcd oroftcrcdforsdlc(Se.7(144,BusincssandProfcssi(rrsC(xle:ThcContracklr'sl-iccnscLawdocsnolapplyloanowncrof
thc pRlFrcny wlxr huilds ()r inrprovcs tlrG)n. and who d(rcs such work himscll or hcrscll or tltough his or hcr own cmployccs.
providcd thdt such iNprovcmnls irc nol intcftlcd or oficre{ tirr salc. If, howcvcr, thc huildmg or improvcnrcnt is sokl within onc ycu
ofcomplction. the Owncr Buildcr will havc lhc hurdcn of p()ving lhat hc or shc did not hilild or improvc thc prclE(y li)r thc puqx)* of
salc).
_[, rs owncr of thc lm)Ndy. anl crclusivcly eontrrctilg wilh li(cnscd conlrdck)B t) constnre t lhc pn)icct (Scc. ?044, Busircss
nnd Pr)lbssinCodc:'lhcCotrtrack)r'sl-icenscl-awdoesnolapplyk)anownctofpr()pcrlywhohuillsorimprovcslhercon,
and who conlracls Ii)r such projcels with a Ci)nlmctor(s) Iicchscd pursudnt k) Ihe Conlrac()r's [.iccn{c Law).
-l
am crcmpl undcr Sccli()n-, B. & P.C. tbr this rcason.
ll-,-._ n*-o..
lvo8tsE8S3:qUTENS TAN
uEeuEaLlgN
I hcrcby rlllrm under pcnalty of pcrjury onc o[ lhc Ii)llowin8 dcclarations:
_l havc urd will rnaiilain a Ccrlilicalc of Conscnt k) Sclf:lnsurc fi)r workcrs' compcnsalion. as providcd lbr by Scclion -l7U) ol the
tihor C(xlc, lbr lhc pcrli)nnancc ol'lhc work li)r which lhc pcrmil is issucd.
_l havc and willnaintain Sccl(m J700 ol lhc I-!b{)r Ci)dc, lirr thc pcrltrrnrancc of
thc work li)r which caricr ail Jr)licy numhcr trc:
Policy tl/ c ) ///a a
_l ccdity lhat il thc 1-_rlbrmancc of lhc w()rk li)r which this pcrmit is issucJ. I shall nol cmploy any pcrson in any mmncr
\o as k) hcconrc suhjcct l(, lhc workcrs'compcn\ali()n laws olCalili)rnia, rnd xgrce thrt il I sh()uld becorc suhjcct k) lhc
workcrs'compcnsationprovisionso[Scction.lT(X)olthe[,alx)rG)dc.lshrll.lbfthwithconrplywiththoscprovisi(ms..
IVARNING: Failurc kr rccurc workcrs'compcnsali()n covcragc ir shall [Errltics and
civil incs up b onc hutulrcd thousand doll$s ($l tn cosl r)l rs Prov;dcd lor thc
IScctirm .107(r ol inlcrcsl and alk)rncy s
I herchy allirm undcr p(nalty ofpcrjury that I am liccnscd undcr provision ol Chaptcr I (commcncing with Scction 7000) of Divisir)n 3
of thc Busincss anil Prolissions Codc, anl my liccnse is in lull lbrc and cilcct.
/ /'r-//a 22 cl-icensc
l)ate ( r)il1
W
I hcrcby alllm undcr Fnahy of perjury thal lhcrc is a conslructi()n bnding allcncy lbr thc lErfi)mucc of the work for which this lrcmit ir
rssued (Scc. ,1097, Civ. C.).
[*nrlcr's Namc:
knder's Address:
^CtUS.ANLUECIABAUqI hcreby allim undcr pcnalty of frcrjury onc of thc li)lbwinS dcclarations:
Dcfr)lition Pcrmits-Ashcskrs Nolillcation Fedcral RcBulati{)ns (-I illc 40. Pan6)
-Rcquircd
kttcr of Notitication
_l ccrlily lhat thc lcdcralrcgulali{)ns rcgddinl ashcsn)s rcrnovalde mil applicablc k) this pruFcl
_l ccnili thal I havc rcatl this I alre k) comnly witlr nll City and (irunly
ordinanccs rn(l Slatc Laws rclatirS k)oI this ('ity rnd County k) enlcr ulro0 thc
nlx)vc mnlioncd propcrty lbr
Applic{nt or Agent
I'rnnilc( tranrc
and slrlc lhxl thc rlx)vc intirrnrrtrm is
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
ltleter Release
Rouqh
Service Meter
FINAL
"h,Bl%
fh.-L{*qv)
Notes, Remarks, Etc.tl