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Home My WebLink About20172079 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:20172079 Pin #: 33727 Proiect Address: 1055 N Main St-a- - Assessor's Parcel. 398-023-01 Lot: Unit: 600 Block: NA Bldg: Address Range: Tract: WITMER/SMITH Historic: No Suite Range: Zoning: SP3 SIC 1015 Santa Ana LLC PO BOX 17777 Beverly Halls, CA 902093777 Phone. Tenant Name: County of Orange lT Department Owner: Address: Contractor: Address. Phone: 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 1 6002 51 60C 01 1 16002 51603 01116002 5777C Fee Type Amount 125 Volt Receptacle 1 .SZ Light Switches, Occ. Se 1 .70 Dedicated Circuit 26.71 General Plan Update 23.T9 lssuance 59.30 Microfilm Records 4.05 Qty 900 100 500 1 .00 100 1 .00 Fee $14 13 $1 70 $1 33 s5 $23 79 $59 30 $4 05Savant Construction 13830 Mountain Ave Chino, CA 91710 (eoe) 6144300 State Lic #. 596646 Lic Type: B, C-6 Bus. Lic #: 0196439 Workers' Compensation I nsurance:Carrier: lnsurance Company of the West Policy #: WSDS052G9100 Expires: 0110112021 Building Use: Job Type: Nature of Work. Commercial Tenant lmprovement T.I. Occupancy: Constr Type: Code: Date: Date: Date: B I A, SPK cEc 2019 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Hernandez, Kathy Subject to Field. Buildins Permit #: 1 011047 52 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. '10t15t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes:T.l. to remodel breakroom. Fee Total Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51603 01116002 57770 $23 79 $208.68 $4 0s $236 s2 $0 00 $236.52 lnspector MID#: 2020-1 61442 .) ELECTRICAL.I NSPECTOR R ECOR D APPROVALS DATE ID/SIG.COMMENTS ,,n", ro*i?ffi1'l3l',L'.1*lH'f}* law ror the rorrowins reason (sec.703r.5 Business and Profession Code): Any City or County which requircs a pcrmit to construct, altcr, improve, demolish or repair any structure, prior to its issuance. also requires the applicant for such pcnrrit to file a signed statemenl that lre or she is licenscd pursuant to the provisions of thc Contractor's l-iccnsed l-aw (Chaptcr 9. Commencing with Section 7UX) of Division 3 of the Business and Professions Code) or that lrc or she is exenrpl therefrom and tlrc basis for the alleged exenption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($stttt). _I. as owncr ol'the propcrty. or my crnployccs with wages as their sole comgrcnsation, will do the wrnk and thc struclure is not interxled or offered for sale (Sec.7U4. Business and Professions Code: The Contractor's Liccnsc l-aw does not apply to an owner of the pro5rerty wlxr builds or in{rrorr.s thereon, and wlxr does such work himself or lrerself or through his or her own entployees, providcd that such improvcments arc not intended or ollcred for sah. Il, howcvcr, tlre building or funprovennnt is sold within one year of complctioru thc Owner Buildcr witl havc thc burden of proving that he or she did not buikl or inrprove the propaty for thc purpose of sale). _1, as owner of the propeny, am exclusively contracting with licen.scd contractors to conslruct thc project (Sec. 7044, Business arxt Pnolbssion Code: The Contractor's License Law dtrcs not apply to an owner of proJrerty wtto builds or improves thereon. and who contracts for such projccts wilh a Contracto(s) liccnscd pursuant to the Contractor's Licensc Law). -IantexemptunderSectiort-,B.&P.C.fortlrisreas<ln. WORKERS' COM PE.IISATTON DECLARATION I hereby aftirmundcr penaltyof pcrjuryonc of the fbllowing dcclarations: _l have and will nuinlain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work lbr which the permit is issued. _l have and will nraintain workers'compensalion insurance, as required by Section 3700 of the l-abor Code, for the performance of thc work for which this prnrit is issucd. My workcrs'insurancc carrier arxl gxllicy number arc: q Policy s t1 r llos\ _l ccrrify that in thc lrcrfornrancc of thc work for which this pcrmil is issucd, I shall not cmploy any pcrson in any manncr so as to bccorr subjcct to thc workers'compcnsation laws ofCalifornia. and agree that if I should becorp subject to the workers' conrpensation pnrvisions of Section 3700 of the Labor Code, I shall, forthwith conply with thosc provisions.. WARNING: Failure to secure workers' compensation coverdge is unlawful, and shall civil fines up to orre hundred tlrousand dollars ($100.000). in addition to the cost of subject an employer to criminal penalties and danuges as provided for lhe attorncy's fccs. I hereby affirnr under penalty of perjury tlrat I anr licerr.rcd under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Busincss and Professions Codc. ard my license is in full force und effect. License \D Number: CONSTRUCTION LENDING AGENCY I hcrcby al'lirm undcr penalty of pcrjury that thcre is a construction lending agcncy for thc pcrlbrrnancc of the work ltrr which this permit b issued (Sec. 3097. Civ. C.). lrnder's Name: lrnder's Addrcss: A PPI,ICA NT DECI,ARATION I Mry allirm undcr penalty of pcrjury onc of the following dcclarations: Dcmolitkrn Pernrits-Asbcstos Notificati<rn Fcdcral Rcgulations (Titlc 40, Part6) _Rcquircd l-cttcr of Notification _l ccrtify that thc fcdcral rcgulations rcgarding asbcstos rcmoval iuc not applicable to this projcct. _l ccrtily that I luvc rcad this application ard statc tlrat lhe atxrve informalion I agrcr to conply with all City and County ordinanccs and Statc laws rclating to building construction, and hcreby of this City and County to entcr upon thc above rnentioned pn)perty for Applicant or Pcrnritcc nanlc ** uofts/aD Site-Work Underground Pole Bases Lisht Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under SIab / Floor Bonding lGrounding I UFER Transformers Torqueincr Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouoh)lo LX '7//D4W Ceilings (Hard & Soffit Roush Ceilings (T-Bar Roush) N/eter Release Rouqh Service l\Ieter I ,, FINAL lr aYitrrgt Notes, Remarks, Etc.I Rev. 08-07-201 5 Yl1t)