HomeMy WebLinkAbout20162280 - Permit (2)Proiect Address: 1666 N Main St
Assessor'sParcel: 005-153-19 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SP3
Permit #:2lJ16228,lJ
Pin #: 3118,4
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
En Ostendo Holding Corop
3 Park Plz 9th
lrvine, CA 926148505
Westport Construction lnc.
125 W.Maple Avenue
Monrovia, CA 91016
(6261 447-2448
01't16002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
ro1116002
?01116002
,,01116002
01 1 16002
01 1 16002
01 1 16002
51603
51603
51 603
51603
51 603
51 603
51 603
51 603
51 603
51 603
51 603
51 603
51 603
51 603
51 603
s1603
Fee Type Amount Qty
125 Volt Receptacle 1 .40 1 ,201 .00
Light Switches, Occ. Se 1.52 701.00
Light Fixtures 1.0't 1,097.00
Air Conditioner 93.28 59.00
Track Light Per 100' 23.87 5.00
Low Voltage/Comm 32.61 10.00
Add'l Devices/Low Volt 3.08 'l 54.00
Control Panel 32.61 5.00
Low Voltage/Res 31 .10 10.00
Low Voltage/Res 18.98 190.00
Serv Meter 51 .29 56.00
Serv MetelI 39.86 4.00
Serv Meter 233.03 2.0O
Subpanel 233.03 1.00
Time Clock 11.65 3.00
0-1 HP, KW,or l(\*A :'l'!ll:,,:: 3-f,-'..' ,l ,r i . 3.00:
Fee
$1,681.40
$1,065.52
$1,107.97
$5,503.52
$1 19.35
$326.1 0
$474.32
$163.05
$311.00
$3,606.20
$2,872.24
$s59.44
$466.06
$233.03
$34.95
i, $10.2s
1 21 .00
133.44
State Lic #: 712732
Lic Type: B
Bus. Lic #: '12345
Workers' Compensation I nsurance:Carrier: Everest National lnsurance Co.
Policy #: 7600015708
Expires: 1'll01l2017
51603 Over 1-10 HP, 61py e1 6\ ' 22.42i' ,:
;5"0 o0 , $1,
51603 Over 10-50 HP, K.!Vor t,, 44.48.,,. "' ,:,30P ' $Multi-Family (5 or more una Occupancy:
*[etation CoNYq{'lEbl Constr TYPe:
Adaptive Reuse-Main gu;16;sCode:
n4 1 1 6002
Building Use:
Job Type:
Nature of Work:
A-3, B, R-2, S-2
IA,VB,SPK
cEc 2013
01 1 't6002
0'l11600253601 P/C-65%, r1i:.(i,.ii1ri: i,r(}.65 19,060*llii,i,il2,389.14
0 1 1 1 6002 5 I SOGsGemtaWAB M*e[e na n ge tt. 05e f rom corftO0rcial offi26. 25
oi1 16002 51603 tssrErreupan#'td Recl#dii'}.{6'i'r I ri'r'1.gg $52.98
, ::f.tr r l:'lr.t t_il,l,tt,, l-,:,, ,'ilj
. . i;r;l'l .; . ' i,r lllr rl_ll l-
'lr l'-;l : ::'''
69004 ,r,i,}i.lir .: -,ir't1.,;,i't,,,-
., 1 i-.iir;':I.; l:l{,li:lt]l-lll,:i,.4 ti-!.' ::. ..j:i
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
rssuance, or if the work authorized on the site by such permit rs suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2016-127286
Davis, Scott
Link, Patricia
Date:
Date:
Date:
07t19t2017
07t26t20'17
Account#
Mlsc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 't6002 5't603
$21.25
$19,841 .86
Fee Total:
Paid to Date:
Balance Due:
$32,252.25
$12,389.14
$19,863.11
.f6q Cig of Santa Ana 20 civic center Plaza (M-1e), Santa Ana, cA s2702 etectl:7t
@ Permitcounter: (114)ou!-sIoo tnspection Requests: (714)oG7-2738 lnspectorSection: (714)647-5853 ,.[
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUII,DER DELCARATION
I heeby aflirm undo pmalty of perjury that I m ercmpt from the Contracton' Licme Law for thc following re6on (Ss.7031.5
Businas md Profesion Code): Any Cily or County which require a pomit to coNtruct. alt6. improve, dmolis! or repair ay
slrucluc. prior to ils issumce. also rcquirs thc applicmt for such p€nnit to ,ile a signed statmot thd he0r she is licmcd pumuat
to the provisioB of the Cootractor's Liccnscd law (Chapt6 9, Comencing with Seclion 7000 of Division 3 of thc Bwins and
ProfmionsCode)orthathe orsheiscxmptthtrefromadlhcbasisfortheallcgcdcxmptioo. AnyviolationofS6lionT0Sl.5byany
applicant for a pmit subjcts thc applicant to a civilpenalty of not more the ftvc hun&ed dolles ($500).
-1.
o omq of the propeny. or my cmploye with wage m thcir ple composalion. will do the work ed the struclue is not
intadcd or offqed for sle (56.7044. B6ine md hofsiom Code: The Contrador's Licse law do6 not apply to il o\\rq of
lhc prcpeny who tuilds or improvs ths@q od who do6 such work himelf or h6slf or thrcugh his or ha om mployc.
providcd that such improvmots @ not intqdcd or offsed for gle. If, howd6. lhc building or impovmmt is mld within one )sr
ofcomplaion. the Owmo Buildq will havc lhc hrd@ ofprcving thrd hc or she did no( build or improvc thc plopsty for thc purpos of
sle).
-1.
6 ownq ofthc prop6ty. m exclusively contrading with lic$ed contractoE lo coNrud lhc projcct (S(. 7044, Bsins
and ProfasionCode:ThcContractor'sLicetrseLawdo6notapplytomownaofpropertyrvhobuildsorimprovGthd6n.
md who contmcts for such prcjms with a Contmdo(s) licsscd puBumt lo thc Contractor's Licmc Law).
-l
m exempt und6 S(tion-, B. & P.C. for this
I heeby affim undo p€nalty of pqjury onc of thc following dalaatiom:
lhaveodwillmaintainaCertificateofCons$ttoSelf-lnsurcforworkm'compmsalion,o providcdforbySection-3700ofthe
Iabor Code, for the pqfomsce of the wort for which thc pmit is issued.
-l
have and will maintain workm' compeNalion isurancc. 6 required by Sstion 3700 of the trbor Code, for the pofomece of
thc work for which this psmit is issucd. My rvork6' comp@sation ireurdce cffii6 ad policy nurnbe re:
c-*,, 2tares| A-bliorv\ T-*.o r** C-o .
e.ri"rN".r.. ?bOoolS-lO3l6l Eei*, \lt(11
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cfiity that in the pqformance of thc work for which this pemit is issucd. I shall not mploy any person in my mmno
e 6tob€comesubjettothework6s'compffationlawsofCalifomia,udagrcthatiflshouldbecome subjettothc
workss' composation provisiom ofSection 3700 ofthe Labor Code, I shall. fonhwith comply with thow prcvisiom..
WARNING: Failure to wue wortqs' compcnsslion coveagc is unlawful. md shall subjct I mploys to sininal pqahies od
civil fina up to orc hundrcd thosnd dollm ($100.000), in additiotr to thc cost of compcmtion, damag* r providcd for thc
Sction .1076 of the Labor Code intqcsi md altonEy's f6.
o,tu, jll2Jol 11'a T'
I hwby afl'im undo penahyof perjury that I m licosed unda provision of Chapts 9 (commmcing with Sation 7000) of Division l
of thc Busins ed Profsiorc Code, ed my licme is in full force md cffet.
Licef,se [,icense Number:
I hmby affim mda pcnahy of pojury that lhrc is I corutruction loding agocy for thc pqforrrucc of the work for which this pnnit is
issucd (Se. 3097. Civ. C.).
Lmdq's Nme:
Lendq's Addrs:
APPLICANT DECLARATION
I bar$affrm undo pcnalty of pcjury onc of thc following dckatiom:
Dmolitioo Pmit*Asbetos Notification Fcdaal Regulatio6 (Tillc 40, Pan6)
-Rcquircd
Lctt6 of Notificarion
-l
ccniry that thc fcdoal rcgulatioro rcgrding cbctos moval oe not applicablc to this prcjer.
-l
cdiry that I have rad thb appli€tion and statc thd thc abovc infomalion is corEl. I aglc to comply with all City ud County
ordimcB ed Statc tis Ehtitrg lo building con$ucrion, and h6cby authorizc rcp.Batativ6 of this Chy md Coutrty to mtG upon thc
above mmtioncd propcrty for itrpccrion pupoc.
Applicsnt or Agent
PermilN name T>4!H+
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / F_loor
Bonding / Flroundilfs / UFER lr -r719 [Lcz)7
Transformhrc-/
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release
Rough
Service Meter tktv4t ft-La o
FINAL 6-at-n (LQ9 t't e no> 4Lr7
Notes, Remarks, Etc.
n9 n7 an, a
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