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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 -l 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 """,1lzvl 11 - o,,",'ltlal!-7 o"",1fzt ,lFl