HomeMy WebLinkAbout20170427 - Permitr(
a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (7'14)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:20170427
Pin #: 27596
Proiect Address: 1551 N Tustin Avea
Assessor's Parcel: 400-211-11 Lot: POR 5
Unit 700
Block: NA
Bldg: Address Range: lsgr -15s1
Tract. FELIPE YORBA Historic: No
Suite Range:
Zoning: P
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Greenlaw Partners
1551 N Tustin Ave Ste #150
Santa Ana, CA 92705
(e4s) 331-1 313
Fidelity Bancorp Funding lnc
Smith and Severson Builder
21072 Bake Parkway #106
Lake Forest, CA 92630
(s4s) 232-1222
01 1 16002 51603
01 1 16002 5160:
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5360'
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount Qty Fee
125 Volt Receptacle 1 .51 33.00 $49.93
Light Fixtures 1 .09 92.00 $100.28
Air Conditioner 100.70 1 .00 $100.70
FWU 25.76 9 00 $231 .84
Dedicated Circuit 25.76 17.00 $437 .92
Low Voltage/Comm 35.21 1.00 $35.21
Add'l Devices/Low Volt 3.33 67.00 $223.1'
Subpanel 55.37 3.00 $166.1 '
PIC - 650/o 0.65 1,591 .55 91,034.51
General Plan Update Z2.gS 1 .00 $22.9s
!ssuance i:lrri r-1i,1 : llii l..i.i',; 5nzg,',,1t-t.Jt-t 1.00, i'ii:,;';,:$57.20
MicrofilmRudordsi, i;'ili 3.9{ir,,,;:,: ,1,t.o0 : . $3.g1
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Erectri|'iffit$ffii8[#Si'ilLn & new partition :i;:-i ,: ;.1:.,,
wa I I s/$ilingfir fig c rgffietjtqes, c opy room, &- b rea k
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State Lic #: 989943
Lic Type: B
Bus. Lic #. 351717
Workers' Compensation lnsurance:Carrier: ZURICH AMERICAN INSURANCE COMPANY
Policy #: WC45G733000
Expires: 09/01 12020
Planning Conditions: lnterior work only. No exterior alterations or modifications.
Building Use: Commercial
Job Type: Tenant lmprovement
Nature of Work: Tl
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Smith, Mark
Zuniga,Allissa
Occupancy:
Constr Type:
Code:
Date:
Date.
B
II A, SPK
cEc 2016
01102t2020
02t03t2020
Account#
Misc. Receipt: 73919
Misc. Receipt:
Misc. Receipt:
Total
Notes.
Fee Total
Paid to Date.
Balance Due:
Buirdins Permit #: 1 01102599
Every permitissued shall become invalid unless the 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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156342
01 1 16002 51600
01 1 16002 51603
01 1 16002 53601
01 1 16002 57770
$22.95
$1 ,402.20
$529 64
$3.e1
$2,463.57
$s04.87
$1 ,958 .70
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit L
Walls (Conduit))Jtz/za --7&?-/)
AWalls (Rough)I I \{
\t f t
bill/ilACeilinqs (Hard & Soffit Rouqh t
Fthbl,){fx)ru
Ceilings (T-Bar Roush)
Meter Release lt
Rough
Service Meter i ,u
FINAL 7'lo'?ot)l)Attwr',',)
Notes, Remarks, Etc.
OWNER BUTLDER DET,CARATION
I hocby affm undr pcrulty of pcrjury that I m excmpt from the Contractos' Licoc law for thc folldrring rasr (56.7031.5
Busincs md Profsion Codc): Any City or County which rcquiE I pqmit to conslruct. ahc. improvc, doolish or rcpair uy
structuq prior to its isumcc, also rcquiG the applicilt for such pcmit to file a signad statmmt tha hc or she b licenrd pwut
to thc provisioru of the Contractor's Liccnscd taw (Chapto 9, Commencing with Setion 7000 of Division 3 of thc Busins mC
ProfsionsCodc)orthatheorshciscrcmptthqcfromedthcbosisforthcallcgcdcroFion. AtryviolationofSctionT03l.5byuy
applicmtforapcmitsubjatsthc applicanttoacivilpcmltyofnotmorcthillivehun&eddollus($500).
_1, dS owner of the properly. or my employees with wages as their sole compensation, will do the work and the structure is not
intcnded or offered for sale (Sec.7044, Business and hofessions Code: The Contraclor's License law does not apply to an owner of
the property who builds or improves theron. and who does such work himself or herself or through his or hcr own employces.
provided that such improvanents are not intendod or oflered for sale. l[, howwer, the building or improvement is sold within one year
of complaion" the Orvner Buildcr will have the hrden of proving dra he or she did not build or improve the propoty for the purpose of
sale).
_1, os owner of the propoty. am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Business
and Pnoftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licenscd pursuant to the Contraclor's License l-aw).
-IarnexemptunderSection-,B.&P.C.forthisreason.
Date:
YA8tsEES.COMPINSAIION
DECT.ABAIIAN
I hecby alfm undo panalty ofpo'jury onc ofthc following dcluatiom:
-l
havc and will mintain a Catifrcatc of CoMt to SclflBure for workc' ompensation, u providcd for by SEtion 3700 of tha
labor Codc, for thc pGfomce of thc wort for which thc p6nit is isued.
Ml111c ma witt maintain workm' compcmation iruurmcc, a rcquircd by S*rion 37OO of thc libor Codc, for thc poforec of
the work for which this pennit is issuocl.My workers' comp€nsation insurance carrier and polby number are:
,ACJ\ZuY, .L A /11 ?- {\( fA tnq,)ha
Policy ?/t / a.o
_l certi& that in the performance of the work for rvhich this permit is issued. I shall not onploy any person in any manner
so as to become subject to the work6s'compensation larvs of California, and agree that if I should become subject to the
workers' compcnsation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with those provisions..t
WARNTNG: Failure to secure rvorkers' compensation is unlawful. and shall and
civil fines up to one hundred thousand dollars addition to the the
Section 3076 Code, interest and a
I hereby affrm under penalty of perjury that I arn under provision of Chapter 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code. and my
t q
License
I hereby affrm under penalty of perjury that there is
issued (Sec. 3097. Civ. C.).
lending agency performance of the work for which this pennit is
Lender's Narnc:
Lender's Address:
APPLICANT DECLARATION
I herdry affirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Par16)
-Required
l-rtter of Notification
all City and County
above rnentioned property for
Applicant or Agent
Pernrilce nnme (print):
\upon the
Rev. 08-07 -201 5
i6B
to