HomeMy WebLinkAbout20166928 - Permit (3)D
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2O16692E
Pin #: 5{5{QJ.J
Project Address: 3256 S Main St
Assessor's Parcel: 410-231-02 Lot: 83
Unit:
Block: NA
Btdg:
Tract: 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning: CR
Owner:
Address:
Phone:
Tenant Name:
Decron Properties Corporation
622 Wilshire Blvd. #400
Los Angeles, CA 90048
(323) 556-6600
J - Squared General Contrar
'1780 E McFadden, #112
Santa Ana, CA 92705
(714) 8844590
Fee Type
01 'l 1 6002 51603 Serv Meter
01 116002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
53.28
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$53.28
$22.08
$s5.04
Contractor:
Address:
Phone:
State Lic #: 918485
Lic Type: B
Bus. Lic #: 344727
Workers' Compensation I nsurance:Carrier: Everest
Policy #: 2600015995
Expires: 0210112019
Botch+r4596A - 9/17/2$lg I0: CCUELI.AROffice: CTYH Tronsi: lll I of 1?Accti: Ref*: 2016692S
Rcpti:02386112 - 9/17/zOtB 3:21 pt1
Tronsoct ion Totul t7r526.58
J - Souored Generol Contrnctor
Generol Plon Updote Fee
01116002- 51600000-
Electr i col
01116002- s1603000-
V isa
CC+: rrrrr*rI*rrrS5S4
V iso
Ctf ! rrrrf,r**rrrr555{
Notes: Service meter upgrade. Handout given
r22.08
rr08.32
tSr000.tt0
Auth+:081 76G
t2 r 526.58
Auth*:082196
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Service Meter upgrads Code:
Arabe, Jill Date:
Date:
Chavez, oruQ?- Date:
B, R-1
VB
cEc 2016
ERTTD
D4TF.
;).-
09t17t20't8
09t17t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total W,w
01116002 51600
011'16002 51603
$22.08
$108.32
Fee Total:
Paid to Date:
Balance Due:-- .rr*t
$130.40
$0.00
$130.40
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized 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#: 2018-146163
a'
ELECTRICAL.INSPECTOR RECORD 1
APPROVALS DATE ID/SIG.COMMENTS owNER BUII.DER DELCARATTON ..
I hcrcby rfllrnr undcr pcnrlty of perjury thtrl I ilr cxcnrpl froN thc Conlrnctn's Liccnsc [-aw for thc l'olk)wing rcdson (Scc.7o]l.5
Busincss and Prolcssion Codc): Any City or Coully which rcquircs a Jrrmit to construct. altcr. improvc. dcfr)lish (* rcpnir a[y
stnrclurc. pri()r lo its issunncc. also rcquircs thc applicont lbr such Frnlil lo lilc a signcd stiltcnrcnl lhill hc or shc is licenscd pursuanl -
to thc f,rovisbns of thc Contractor's l-iccnscrl bw (Clapler 9. Conrncncing wilh Scclion 7fiI) of Division J ol thc Busincss ar:J
PrJissiois Codc) or lhat hc or shc is excnrpl lhcrcliom an(l lhc husis lbr thc utlcScd cxctrptt)n. Any vi()lation ol scctkrn 70.i1.5 hy any '
npplicantforapcrnlilsubjcctsthc applicanlhacivilpcnallyo,trotmorclhnnllvchundrcddollars(S5(X)).
_1. as owncr of lhc prolLny. or nly employccs wilh wngcs as lhcir colc conlncnsalidl. will<ftr thc work and thc slmtrrrc is fr)t
intcndcd orollilcdlorsdlc(Scc.7(M.1.[]usincssandProtcssionsCodc:'fhcConlractor'sLiccnschwdocsnolapplyloanownerol
thcpnrl--ny whobuildsorirnprovcslhcrff,n.nftlwhod(res{chwo*hirnsclforhcrscllorthroughhisorhcrowncntpk)yccs.
frovidcdthalsuch inlprovcrrcnls{rcnotirilendcdoroffcrcdtbrsnlc.lt.howcvcr.tlrcbuildingorimprolerrcntissoldwilhinrrrcvcur
ofcoinplcti{nl. thc Ou'ncr Buildcr will halc lhc hurdcn of proving thal lrc or shc did tril huild or impmvc lhe pmfEny for llrc purlms of
salc).
_1. a\ owncr of lhc l)ropcily. anl crclusivcly conlrilclinS wilh liccnsc(l conlftrckn s lo constnrcl lhc l)r()jccl (Sec. 7(144. Ilusircss
arrd Pnrfcssirn Codc: l hc Contraclor's Liccnsc Law (locs nol al)ply to an ou'ncr ofpropcrly who builds or imprcr'cs lhercon.
and who conlracls ti)r such pro.jccts with a Cornraclols) liccnscd pursunnl to lhe Conlractor's l-iccnsc Lilw).
-l
am cxcmpl undcr Seclion-. Il. & P.C. for this rcason.
Daler- owtrer:---
-WORKERS' COIlIPENSATI(IN
DECLARATION
I hcrchy affirm under frcnalty of Frcrjury one of the [ollowing declarations:
_lharcandwillnuintainaCcnificatco[Conscntk)Scll:lnsurcforsorkcrs'coilrpensiltion.as providcdforbyScclion]7(X)ofthc
Labor Codc. for thc pcrfornunce of thc work lirr which lhc pcrrril is issued.
thc urrrk lirr which this pcrrrrit is i\sucd. M), workcrs' coilrlrcnsathn insurancc caricr .rxl policy numtrcr arc:L VIA C
Policy Nunrbcr z1-tq
_l ccnili lhrl in lhc lrcrlornuncc ol lhc Nork lin shich lhis Frmit is issucd. I shall not cnulov any pcrson in rDy nrlnrcr
so ilsl()hcoDlcsrhjcclblhcworkcrs'corrpcnsalionlawsofCnlilbrnir.an(lngrcclhalillshouldbcconrsubiccllolhc
workcrs' comlED\ation prolisions oIScctir)n .]7U) ol thc [ntx[ (ixlc. I shrll. li)rthsith coilrply u'itl] tho\c prorisi(ilrs.
\YARNING: Frilurc k) scurc trorkcrs'conrpcnsali()n colcrigc is lrnluu'lul. and ihall \rbjccl an cnrpkrltr tr crirninrl lrnahicr and
civil flncs ip to onc hundrcd lhou\and dollrrs (Sl(X).(Xx)). in iddili{)0 to lhc cost (,1-conlpcisnlion. danragcs as providcd li)r the
Section 1076 of thc lilnr Code. iilcrcst rnd axorrcv's fccs.
o",", r !'l-P ,tpplicrrrt: f
DECI ARATION
I hcrcby allirnr undcr pcnalty of pcrjury lhal I rnr licen*d undcr provision ol Chnpler 9 (cornmcnciIg wilh Seclion 7UX)) of Divisiotr 3
of lhc Busincss and Profcssions Codc. and nry liicnsc is h full li)rcc and elTccl.
I-iccn\c Nttrnher'
qrBqBr
Dnrr. )jlt-Lo conrrec(ori 11 Gtot."^lgl 11fa<1:1l
CONS'TRUCTI(IN LENDIN(; A(;ENCY
I hcrchy alfirm undcr Frcnally of pcrjury lhat thcrc is ! con{mclion lcnrling agcncy firr lhc performancc of thc w(rk for which this ptrrnit is
issued (Scc. 3097. Civ. C.).
l.cn(lcr'\ Nrnrc:
I-crxlcr's A(kkcss:
APPLICANT DECLARATION
I hocby aliinn undcr penalty of perjury onc of the following dechrations:
Demolilion Pcrmits-Ashcstos Notificatk)n Fedcral Rcgulations (Title 4(). Pnn6)
-Rcquircd
[-cller of Notilicalion
_l ccrtify that thc lcdcral rcgulations rcgtrding asbcstos removal ilrc nol npplicahlc ft) lhis proFct.
($l ccnify rhar I havc rcad this application dd st&te lhat thc atnvc inforrnation is corccl. I agre lo comply wilh ull City and Counly
-ordinailces ilnd Slitc hws rcloting to building construction. ud hcrehy aulhorizc rcprcscnlalivcs oI this City and County to entcr upon thc
rhovc trrcntiotrcd propcfly fbr inspcclion
Appli(iltr| or Agctrl Siguntu." I
I'cmiree nunrerprin,,, ( (11'f ^J lia
r)r,e 5 +l118
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundino / 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)
lMeter Release
Rough
Service Meter
F!NAL
Notes, Remarks, Etc.
Carricr