HomeMy WebLinkAbout20169277 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 Electrical Permit #:2O169277
Pin #: 75890Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address: 1 E MacArthur PI
Assessor's Parcel: 4'11-071-05 Lot: 5
Unit:
Block: NA
Bldg: Address Range:
Tract: 13802 Historic: No
Suite Range:
Zoning: SD43
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Ocean West Capital Partners
2101 Rosecrans Ave, Suite 3270
El Segundo, CA 90245
(2131261-9422
Coastline Development
'1391 1 Enterprise Dr
Garden Grove, CA 92843
(714) 265-02s0
Fee Type Amount
01116002 51603 Light Switches, Occ. Se 1.64
01 1 16002 51603 Light Fixtures 1 .09
01116002 51600 GeneralPlan Update 22.95
01116002 5'1603 lssuance 57.20
Qty
2.O0
69.00
1.00
1.00
Fee
$3.28
$75.21
$22.95
$57.20
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Trgnsoction Totol $lru.:ll ,
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State Lic #: 485187
Lic Type: B
Bus. Lic #: 161044
Workers' Compensation lnsurance:
Carrier: Benchmark
Policy #: CSTS014784
Expires: O1lO1l2O2O
Generfl1 Plon Updgte Fee
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E lectr i col
Ltl I 16002- Il6irlr:ririr*
lloster Cnrd
CC+ : ***r*r*r xx r*l:r7? 7 AuLh
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Commercial
Tenant lmprovement
Lobby remodel
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B
I A, SPK
cEc 2015
t0/30/20't9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical for lobby remodel
Fee Total:
Paid to Date:
Balance Due:
Amsden, Julie
Subject to Field:
Building Permit #:101',100903
Every permit issued shall become invalid unless fhe 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.
01 1 16002 51600
01116002 51603
$22.95
$135.69
$158.64
$0.00
$158.64
lnspector MID#: 2019-153222
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNERAUILDERDELCARATION B
I haeby affinn unrlo pmalty of perjury that I m ercmpt from thc Contraclos Licmsc Larv for the following ,"a}t Gql,Of '.tBusinss and Profession Code): Any City or County which rcquirs a pmit to construcl. altc. improvq dmolish or np"* my
struclue. prior to ils i$uilce. also requirG (he applicanl for such p€mit to file a signcd stalonot that h€ or she is licmed pmuilt
lo the provisions of the Contractor's Licensed Law (Chapto 9. Commencing $'ilh Sation 7000 of Division 3 of thc Businc$ md
ProfesionsCodelorthatheorsheisexemptthqefrQmandthcbruisfortheallegedcxmption. AnyviolationofsetionT03l.5byany
applicantforapcnnitsubjectsthe applicanttoacivilpenaltyofnotmorethmfivehundreddollils($500).
-1.
m orvner of the property, or my employees wilh wags as thcir sole cornpensalion. will do the wo* md lhe structue is not
intodql or offered for $le (Ss.7044. Businss md Prcfessions Code: The Conlractor's l,icmse Law do6 not apply to an ownq of
theproFErty rvhobuildsorimprovethssn,mdwhodo6such*nrkhimselforhqselforthreughhisorhaorvnemployec.
provided tlut such improvmmts ae not intaded oroffsed for sle. If. ho*'evq. the huilding or improvmot is mld within one yar
ofcompldion. the Ourer Buihc will hale the hurdo ofproving thal he or she did not tuild or imfrove the prcpqty for the purposof
sle).
-1.
c orwa of the propfiy. m erclusively conlracting with liccnsed contractoE to coNlrucl the projed (Se. 7M4, Buin&s
md ProfesionCodc:ThcContftctor'sLicenscLawdo6notapplytoeownsofpropcrtywhobuildsorimprovslhson.
md who contmcts for such prcjGts with a Contmcto(s) licsed pu6@t to the Contraclor's Licmse Law).
I an excmpt under Sslion . B. & P.C. for this reason.
Date:_Orvner:
WORKERS' COMPENSATION
I'ECLARATION
I hoeby allrm unda penally ofpgjury one oflhe following d{luatiom:
_l havc md will maintain a Cmificate of Co6ot to Sclflmure for workm' composalion. c providcd for by SEtion 1700 of thc
Lsbor Codc for lhe psfomece of the work for which thc pmil b isued.
-l
have and will maintain work6' compesation insurancc. 6 required by Setion -1700 of thc Labor Code, for the psfommcc of
the work for which this permit is ised. My workc compctetion itrurilce cmier ud policy numbo ae:
Ic
Policl /42 -/- 2az o
-l
certify thal in thc pofomance of the work for which this prinit is issued. I shall not mploy any petrcn in any mon. Js 6 to becomc subjct to thc works' comperstion laws of Califomia. md agre tha if I should bccome subjat to the
wort6' compeasation prcvisioro of Section 3700 of the tabor Code. I shall. fonhwith comply wirh rhos prcvisiom.. \
J
WARNING: Failurc to wure workss'compssation covgage is unlawful. and shall subjel il qnployq to siminal poahics md
civil fines up to one hundred thomd dollm ($100,000). in addition to the cost of comperoation, damage o providcd for the
Setion 1076 of thc Labor Code. inttrBt md attomw's fe6.
l)ate:
LICENSED CONTRACTOR
DECI,ARATTON
I heeby aflirm undr penahy of psjury that I an licm$d under provision of Chapttr 9 (commmcing with SdioD 7000) of Division l
of the Busins md l'rofasiom Code. md my lictrse is in full force od efTet.
Li"r*"Cluu, B Nurnber:
g?7
o*e, /o -32 -/?LD.C( onlractorl
CONSTRUCTION LENDTNC AGENCY
I hqeby aflirm unds penahy ofpqjury that thqc is a construction lflding agency for the pafonnmce ofthe work for which this permil is
issued (Se. -1097. Civ. C.).
kndtr's Narnc:
l-mde s Adtlrss'
APPLTCANT DECLARATION
I hotby alfinn undq penalty ofpajury one ofthc follorving dsluations:
Demolition Ptrmils-Asbeslos Nolification Fedsal ReSulations (Title 40, Pan6)
Rqluired Letlcr of Notifi cation
I certify thal lhe lederal regulations rcgilding mbestos rcmoval are not applicahlc to lhis project
-l
cerlify thal I hare read this application md slate that the atnve infonnation is corect. I alirre lo comply with all Cily and County
orditancB ild Stale l,arvs relating to building construction. od hereby authorize repreentati\'6 ofthis City md County lo oltr upon lhe
above motioned propefly for iropetion purpose.
Applicant or Agent
Pemi(ensme(prinrt, ,// 4/f G€-4 -f
/o -/?
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinss (Hard & Soffit Rouqh l-6- ze Y6
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service Meter -t V --/t
FINAL 1 b u \XAAb1-w-l
Notes, Remarks, Etc.I \T
D^, , no {\"7 nin I