HomeMy WebLinkAbout20160958 - Permit (2)cify of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #:20160958
Pin #: 8,9o.24
Project Address: 1951 E Dver Rd
Assessor'sParcel: 430-221-13 Lot:
Unit:
Block:
Bldg:
Tract:
Address Range: 1951-2OOl 6 Suite Range:
Dyer Rd
Historic: No Zoning:
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 't6002 5't603
01 I 16002 51600
01 1 16002 51603
Qty
't0.00
2,662.00
334.00
1.00
20.00
313.00
1.00
1.00
Fee
$326.1 0
$8,198.96
810,891 .74
$35.35
$622.00
$5,940.74
$21.25
$52.98
Heritage Village OC LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Alliance Residential Builden
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8460
Fee Type Amount
Low Voltage/Comm 32.61
Add'l Devices/Low Volt 3.08
Control Panel 32.61
Low Voltage/Res 35.35
Low Voltage/Res 31.10
Low Voltage/Res 18.98
General Plan Update 21 .25
lssuance 52.98
State Lic #: 897318
Lic Type: B
Bus. Lic #: 362720
Workers' Compensation lnsurance:Carrier: Travelers Property Casualty Company of America
Policy #: TRJUB4245B187
Expires: 09l'1512017
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Mixed-Use Occupancy:
New Constr TYPe
Apartments-Building A Part Code:
R-2
!I!A, SPK
cEc 2013 Notes: Low voltage electrical permit only/fees pd on M-70524
Link, Patricia
Date:
Date:
Date:0112512018
Account#
Misc. Receipt: 70524
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
$26,089.12
$26,089.12
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 1 80 days after its
lssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2016-129880
N/A - No Balance
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/S!G COMMENTS
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
ltleter Release
Rouqh
Service [\/eter
FINAL ,.-2C -702 / JLG dtv
Notes, Remarks, Etc.
OWNI]R BUII-DER DELCARATION
I hcrcby allirrl undcr pcnalty of pcrjury that I am cxcnlpl tioilr lhc Conlnckrrs' Liccnsc Law tor thc tbllowing rcuson (Scc.7031.5
Business and Prolcssion Codc): Any City or County which rcquircs n rurillil lo conslrucl. allcr. improve. dcrnolish or rcpair uny
structurc. prior to its issuancc. also rcquircs lhc lpplicut for such Jrcrmit k) lilc n signcd slatctrEnt that hc or shc is liccnsed pursuanl
to thc provisiors of thc Conlracbr's Liccnscd Law (Chaplcr 9. Commcncirrg wilh ScclkD TUyJ of Division -3 of thc Busincss and
Prot-cssio[sCodclorth{lheorshciscxcmpllhcrcftomandthcbasislbrthcallcgcdcxempliotr. AnyviolationofScctionT0-ll.5byany
dpplicant[orapcfinilsubjcctslhc xppliclnlloacivilpcnahyofnotmorcthrnfivchundrcddollars($5(D).
_1. as owncr of thc profrcrty. or my cmployccs with wagcs as their solc coDrpcnsalion. will do thc work md lhc stmturc is not
intendcd oroflcrcdforsle(Sc.?(X4.BusincssandProlessionsCode:ThcConlractor'sLiccnsclawdoesnolapplyloanowncrof
thcpmtEf,y whobuildsorimprovcsthcmn.andwhod@ssuchworkhimsclforhcrsclforlhroughhisorhcrowncnrployccs.
providcd lhat such improvemnts N fiil intenfu or oflcrcd for sk. lf. howcvcr. tlE buiHing or irprovcmnl is sld wilhin onc led
ofcomplction. thc Owncr BuiHcr will havc lhc burden of proving that hc or shc did not buiH or improvc thc pmfLrty for llrc purfns of
salc).
_1. fls owncr ol'lhc propcny. am cxclu\ivcly conlracling with licensed conlractors h conslrucl lhc projccl (Scc. 7(M4. Busirc\\
and PmfcssionCodc:'fheConlractor'sLiccnscLawdocsnolapplyloanowncrofprolxrlywhobuildsorimprovcslhcrcoD.
and who conlracls for such projccts with a Conlraclor(s) liccnscd pursuatrl lo lhc Conlr{chr's Liccorc Law).
-lrtncxcnrplurrdcrScctirrn-.l}.&P,C'follhisrcason'
Dnte:()wner:
W(IRKFRS' COMPENSATION
DECLARA'IIoN
I hcrcby allirm untlcr pcnalty of F-r.jury onc of thc folk)win8 dcclilationsl
_lhavcilndwill maintainaCcnific{tcofConscnttoScll:lnsureforlvorkcrr'conrpcnsation.as providcdlorhyScctt)n37(X)ofthc
Labor Codc. for lhc pcrformancc oflhc work lbr which thc pcrnrit is issucd.
_l havc and will maintain workers' conlpcnsation insurancc. ils rcquircd by Scclion 37(x) oflhc l-ahor Codc. for thc pcrlbrmncc of
lhc work for which this permit is issucd. My workcrs' conlpcnsation insurancc caricr and [x)licy nunrhcr trc:
Policy Nunlber: Expires:
_l ccnify that in thc pcrtbrmancc of thc work lbr which lhis pcrmit is issucd. I shall not cnrpk)y any pcrson in aly manncr
so as lo bccorrc subjcct lo thc workcrs' cornpcnsat ion laws of Californis. nnd xgrcc I hal if I shuld hccom subFct to th.
workcrs'compcnsationprcvisionsofScction3T0OofthclatnrCode.lshall.forthwithcomplywilhthosprovisions..
WARNING: failurc to sccurc w(,rkcrs'compcnsxli()n c()vcrngc is unlawlul. rn(l shull snhjcct rn enlploycr kr crirnirral 1^-naltics antl
civil fincs up kr hundrcd lhousanrl &)llafs (Sl(X).(XX)). in cosl of conlpctrsiltion.li)r lhc
Scction .1076 of iillcrcsl nnd altorncy's li'cs.
I hcrcby illtlrill pcnalty oi pcr iury lhal I fltrr provision ofChrplcr 9 (conlnlcncing wilh Section ?(XD) of Divisiotr l
of lhc Bu\incs\ dnd Profcssions Codc. ond my lill li)rcc u(l cllcct
[-iccnsc Classl
I hercby affirm undcr frcnalty of pcrjlry lhat
issucd (Scc. -1097. (:iv. C.).
[rndcr's Nanrc:
ion lcnding ngcncy for the pcrlbrnuncc ofthc work lbr which lhis Frnril is
Lcndcr's Addrcss:
APPLIU^A NT NEC LA RATION
I hoeby affm undcr lEnalty of FErjury orc of lhe following delarations:
Dcmlition Pcrmits-Asbcstos Nolillcalion Fcderal Rcgulutions (Tillc 40. Pun6)
_Rcquircd htlcr of Notification
_l ccf,ily lhxt lhc lcdcralrcgulrlius rcgarding asaLslos rcrnovalarc n(il apl)licahlc lo lhis frojcct.
_l certify lhat I havc rcad lhis application ard slatc lhat the atx)ve infornution is agrm to conrply
ivcs ol rhis City
with rll Cily ilild Counly
ordinanccs lnd Slltc Llws rchting lhc
abovc rrcntioncd prcpcrty for
Applicant or Agenl
Ircnnile n{nr(
conslrucli(,n. arrd hcrcby
I
aDd
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