HomeMy WebLinkAbout20171184 - PermitProject Address: 2729 S Grand Ave
Assessor's Parcel: 411-132-02 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 2721-ZTZ$
Historic: No
Suite Range:
Zoning: Ml
CiB of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA927O2 Electrical
PermitCounter: (7141647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:20171184
Pin #: 81 491
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address:
Phone:
Bharat Lodhia
PO BOX 5557
Midway City, CA 92655
Cornerstone Company
7164 Samta Lucia
Buena Park, CA 90620
(7141 624-7416
01 1 1 6002 51 603
01 1 16002 5360'
01 1 1 6002 51 60C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Dedicated Circuit
PIC - 650/o
General Plan Update
I ssuance
Microfilm Records
Amount
26.71
0.65
23.79
59.30
4.05
Qty
8.00
213 68
100
100
1 .00
Fee
$21 3 68
$1 38 89
$23 79
$5e 30
$4 05
1
State Lic #: 825467
Lic Type: B
Bus. Lic #: 376715
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permrt lssued By:
Subject to Field:
Commercial Occupancy:
Tenant tmprovement Constr TYPe:
TI***COM M ERC IAL CANNASCOdE :
B, F-1 , M
VB
cEc 2019 Notes: Electrical for tenant improvements to add 8 dedicated
equipment circuits. No other work being done with this
permit.
Smith, Mark
Hernan dez, Kathy
07 t06t2020
11105t2020
Account#
Misc. Receipt
Misc. Receipt
Misc.
Date.
Date:
Date:
74402
'(}
Buildins Permit # 101 103700
Every permit issued 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 MrD#' 2020-1 58608
01 1 16002 51600
01 1 1 6002 51 603
01116002 s3601
01 1 16002 57770
$272 98
$48 74
$4 05
Total
Paid to Date:
Balance Due:
$439 71
$90 15
$349.56
r'0
.5t:l
a
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNE,R BUILDER DIiLCARATION
I hereby affrnr urxler penalty of perjury that I arn exempt from the Cbntracton' License Law for the following reason (Scc.7031.5
Business and Profession Codc): Any City or County which requircs a pc.rmil to construct, altcr, itnprove. dcmolish or rcpair any
strucrure, prior to its issuance. also requires the applicant for such Srernrit to file a signed staterEnt that hc or strc ls licenscd pursuant
to thc provisions of thc Contractor's l,icenscd Law (Chapter 9. Commencing with Section 7fiX) of Division 3 of thc Busincss and
Professions Code) or tlrat lr or she is exempt therefronr and tlre basis for tlre alleged exenption. Any violation of Section 7031.5 by any
applicant for a perrnit subjects the applicant to a civil penalty of not rrore than five hundred dollars ($500t.
_1. as owncr ol'thc propcrty. or my crnployccs with wagcs as their sole compcnsation, will do the work and the stnrcture is not
interxletl or offered for sule (Sec.7U4. Business anrJ Profcssions Corlc: The Contractor's Liccnsc Law does nol apply to an owner of
the ptoperty wlxr builds or improves thereon, and wlto rkns such work himself or Irerself or through his or hcr own entployees,
provided that such imprrrvements are not intendcd orollcrcd for sah. Il, howevcr, thc building or inproverrcnt is sold within onc )aar
of conrplctiorr, tlrc Owrcr Buikler will havc the burdcn of proving thal he or she dirJ not build or imprcve tlre propaty for the purpose of
sale).
_1. as owner of the property, am exclusively contracting with liccnscd contraclors to construct thc project (Sec. 7044. Business
arxl krolisskm 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 Contractor(s) licenscd pursuant to thc Contractor's Liccnsc l-aw).
-l
anr exempt under Section-, B. & P.C. fbr tlils reasott.
11,. . ^.
WORKERS' COMPENSATION
DECLARATION
I hercby affirm undcr pcnalty of Jrerjury onc of the tbllowing dcclarations:
_l have and will nninlain a Certifrcate of Consent to Self-lnsure for workers' conrpensation, as provided for by Section 3700 of the
[:bor Codc, for thc Jrcrfonnancc of thc work for which the permit is issued.
_l have and will nuintain workers' conrpensalion insurance, as required by Section 3700 of the labor Code, for thc perfornrance of
thc work for which this pcrmit is issued. My workers' compensation insurance carricr ard pnlicy number are:
Policy Numtrer: Expires:
_l ccrrify that in tlrc prftrrnuncc of tlrc work f<rr which this pcrmit is issued, I shall not employ any lrcrson in any manncr
so as to become subjcct to thc workcrs' conrpensation laws of California. and agree that if I stnuld becornc subject to the
workers' conrpensatir.ln pruvisions of Section 3700 of the Labor Code, I shall, forthwith comply wilh thosc provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penahics and
civil fines up lo one lrurrdred tlxrusand dollars ($100.000). in addition to tlrc cost comSrcnsation, danuges as provided for lhe
attorrrcy's l'ees.
I hereby afl-rnr under penalty of pcrjury that I anr licensed 9 (conrnrcncing with Se,ction 7000) of Division 3
of the Business and Professions Code. arxl rny license is in full forcc arxl effect.
License I 8z f-l,)
It ?ts 1s1
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undc.r pcnalty of perjury that thcre is a construction lcnding agcncy for thc pcrlbrrnarrcc o[ thc work lbr which this pcrrnit is
issued (Sec. 3097. Civ. C.).
[-ender's Narrre:
I-cnder's Addrcss:
APPLICANT DECI,ARATION
I ffiy aflirnr untlcr penalty of pcrjury one of the following dcclarations:
Dcnrolition Pcrnrits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Pan6)
-Rcquired
lrttcr of Ntxification
_l ccrtily that thc l'cdcral rcgulations rcgarding asbcstos rcrmrval arc not applicablc to this projcct.
stalc tlut lhc ahrvc information with all City antl County
and County to entcr upon thc
above rrrntioned pmpeny for
Applicant or Agent
Pcrnritcc C.-
and
nere: t/r/zc zo
Site-Work
Underoround
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildins
Under SIab / Floor
Bondinq / Groundinq I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
lVleter Release
Rough 1l Plaw
Service Meter V\
A
FINAL l'? 170 Dkv{5 7
Notes, Remarks, Etc.I
Rev. 08-07-201 5