HomeMy WebLinkAbout20171703 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2o^1717o,3-
Pin #: 79252PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 20 Civic Center Plza
Unit:
Block: A, B
Bldg:
Tract: ROSS ADD
Address Range:
Historic: No
Suite Range:
Zoning: GCAssessor's Parcel: 008-036-35 Lot: 1-10, POR 3
Owner:
Address:
CITY OF SANTA ANA
PO BOX 1988
Santa Ana, CA 927021988
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 s1603
01 1 16002 57770
Fee Type
FWU
Fee Exempt
General Plan Update
!ssuance
Microfilm Records
Amount
26.71
-1 13.85
23.79
59.30
4.05
Qty
1.00
100
1.00
1.00
1 .00
Fee
$26.71
$-1 13.85
$23.79
$5e.30
$4.05
Phone
Tenant Name:
Contractor:
Address:
Trane US, lnc.
3253 E lmperial Highway
Brea, CA 92821
(888) s73-e00sPhone
State Lic #: 1066318
Lic Type: C-36, B, C4, A, C-10, C-20, C-38, C46
Bus. Lic #: 31 1 415
Workers' Compensation lnsurance:
Carrier: Traveler's Property Casualty Company of America
Policy #: UBBM3 5413A2051K
Expires: 0 411712021
Building Use:
Job Type:
Nature of Work:
City
Miscellaneous
Roof Mtd Equipment
Occupancy:
Constr Type:
Code.
N/A
N/A
cEc 2019 Notes: Replace (1) roof mounted AC unit. FEE EXEMPT - CITY
JOB
Planning Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie 08/1 912020
Account#
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
lnspector MID#: 2020-1 60904
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
N/eter Release
Rouoh
Service JVleter
FINAL //,Za ,Zo P-, A /St lf'tzrrS * krl
Notes, Remarks, Etc.
OWNE,R BUILDER DIiI,CA RATION
I hereby affrnr under penalty of prjury that I arn exenrpt from the Contractors' License law for the f<rllowing reason (Sec.7031.5
Business and Prolbssion Codc): Any City or County which rcquircs a pcrmit to construct, altcr. i:nprove. dcmolish or repair any
strucrure, prior to its issuance. also requires the applicant for such grernrit to file a signed statenEnt that lr or she ls licensed pursuanl
to the pmvisions of thc Contraclor's l,icenscd l.aw (Chaptcr 9. Commcncing with Section 7000 of Division 3 of thc Busincss and
Professions Code) or that lre or she is exempt tlrerefronr arxl tlre basis for the alleged exenption. Any violation of Seclion 7031.5 by any
applicant for u perrnit subjects the applicant lo a civil pcnalty of not more than five hundrcd dollars ($stltt).
_1. as owner ol'thc propcrty. or my cmployccs with wagcs as thcir snle compcnsalion, willdo the wcnk and thc stnrcturc is not
interxled or offeretl ftrr sale (Sec'.78+. Business and Professions Ctxle: Thc Contraclor's Licensc Law docs not apply to an owner of
the property wlxr builds or inrproves thereou, and wln does such work himself or lrerself or through his or her own entployees,
providcd that such irnprovcrrcnts are not intcndcd or olhred for sale. Il, howevcr, thc building or irrprovcrrcnt is sold within onc ycar
of completkrn, thc Owner Builder will havc thc burden of pmving ttrat he or she did not buikl or impnove tlrc propcrty for thc purposc of
sah).
_1. as owner of the property, am exclusively contracting with liccnsed contraclors to construct the project (Sec. 7(X4, Business
arxl hrolbssiorr Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracls for such projccts with a Contractor(s) liccnsed pursuanl to the Contraclor's Liccnsc Law).
-l
am exempt under Section-, B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I lrt'rcby atlirnr undcr pcnalty of pcrjury one of tlte t'ollowing dcclarations:
_l have and will nuintah a Certilicate of Consent to Self-lnsure for w<lrkers' cortqEnsation, as provided f<lr by Section 3700 of the
Labor Codc, for the Jrcrfornurrcc of thc work for which thc Jrcrmit is issued.
_l have and will nuintain workers' conqrcnsation insurance, as required by Saction 3700 of thc l-abor Code, for tlrc perfornrarce of
thc this 1rcrrrilt is issucd. My workcrs' con4rcrxation insuramcc can'icr and plicy numbcr iue:
Policy -{0rz/tr
_l ccrrify that in tlrc pcrfornuncc of thc work for which tlris pcrmit is issucd, I shall not cmploy any lrcrson in any manncr
so as to bcconrc subjcct to the workcrs' comgrcnsation laws of Califomia. and agree that if I should beconre subject to the
workers' conrlrcnsation provisions of Section 3700 of the Labor Code, I shall, forthwith comply wilh those provisions..
WARNTNG: Failure to secure workers' comlrcnsation coverage is unlawful, and shall subject an employer to criminal penalties and
civil fines up to one lrundred thousand <lollars ($100.000). in addition to lhe c<lst of competrsation, danrages as provided for the
I hcreby affirrn under ;rcnalty of perjury that I anr licensetl untler pruvision of Chapter 9 (contnrencing with Section 7000) of Division 3
and effect.
o*", l'l?')o:b
coNS'l'RU("ilON LENpIN(; AGFrNCY
I hcrcby allrrm undcr p^-nalty of pcrjury that thcrc is a construction hnding agcrrcy for the pcrlbrrnarrcc of the work lbr which this pcrmit is
issued (Sec. 3097, Civ. C.).
Lcnder's Name:
A PPLICANT DECI,ARATION
I hxcby aflirnr under pcnalty of pcrjury one of thc following declarations:
Dcnnlition Pcrnrits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6)
-Rcquired
[rttcr of Notification
_l ccrtily that thc fcdcralregulations asbcstos rcmoval iuc not applicable to this proi'ct.
-l
ccrtily tlut I havc rcad this with all City and County
County to entcr upon thc
above rnentioned property for
Applicant or Agent
Pcrmitcc namc
that thc
rcprcscntativcs
ev. 08-0 -201 5
of the Business and Professions Code.and rny
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