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HomeMy WebLinkAbout20157958 - PermitCity 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 #: 20{57958 Pin #: 41576 Proiect Address: 3500 W MacArthur BIvda Unit: Block: NA Bldg: Tract: WILLIAMS Address Range: Historic: No Suite Range: Zoning: M1Assessor's Parcel: 414-262-09 Lot: NA Owner: Address: The Home Depot 3500 W MacArthur Blvd Santa Ana, CA 927046808 (7701 433-8211 The Home Depot 01 1 16002 51603 01 1 16002 53601 01 1 16002 51600 01 1 16002 51603 Fee Type Signs & Neon PIC - 650/o General Plan Update lssuance Amount 67.81 0.65 19.93 49.68 Qty 1.00 67.81 1.00 1.00 Fee $67.81 $44.08 $1e.e3 $4e.68 Phone: Tenant Name: Contractor: Address. Mega HZ Electric lnc 112 W Elm Court Burbank, CA 91502 (818) 566-1850Phone: t State Lic #: 898078 r, Lic Type: C45, C-10Y Bus. Lic #: 344041 Workers' Compensation I nsurance:Carrier: Pacific Comp Policy #: WA0001 1500 Expires: 0210312016 Building Use: Job Type: Nature of Work: Commercial Signs Sign-illuminated Occupancy: Constr Type: Code: N/A N/A cEc 2013 Notes: Retrofit existing monument cabinet from fluorescent to LED illumination. Planning Conditions: Planning Approval By:Soto, Ricardo Amsden, Julie Date: Date: Date: 09t22t2015 10t14t2015 10t15/2015 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Julie Every permit rssued 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 permitis suspended or abandoned for a period of 180 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51603 01 1 16002 53601 $1e.e3 $1 17 .49 $44.08 Fee Total: Paid to Date: Balance Due: $181 .50 $0.00 $181 .50 lnspector MID#: 201 5-123873 E LEC"i'RiCA[..! N SPECTOR RECORD \ APPROVALS DATE ID/SIG.COMMENTS Owncr- Builder Dccllretion I lrcreby affirm undo penalty of perjury that I 6m exempt form the Conlrsctors' Liccnse Law for thc following reson (se.703 1.5 Businss and Prcf6sion Codc): Any City or County which rcquira a pcrmit to coNtruct. allcr. imprevc. dcmolish or rcpair any structu.. prior to its issuancc,alsorcquircthcrpplicantforsuchpcmitto,ilcssigncdstatcmcnt thathcorshcisliccn*d puBuanttothcppvisioreofthc Contmclor's Licensed Law (Ch.ptd 9, Commcncing with Scction 7000 ofDivision 3 ofthe Busines and Profasions Codc) o, thrt hc or shc is cxcmpt thcrcfrom and thc b6is for thc allcgcd cxcmption .Any violation ofsetion 703 1.5 by any applicsnt for r pcnnit subjccts thc spplicsnt lo a civil pcnolty ofnot morc thatr livc hundrcd dollas ($500). _1. as owncr of thc prepcny. or my cmployccs with wag6 f,s thcir solc compcnstion. will do thc work and thc structuc is not intcndcd or ofT..cd for slc ( Se 7044. Busin6s and Profcssions Codc Thc Contraclo.'s Licensc Law doe not apply to .n owner of thc p.opsly who builds or improvG thscon. and who do6 such sork hirelf or hmclf or through his or hcr own cmployG. providcd that such improvemcnts irc not intcndcd or offcrcd for salc. If. howcvcr. thc building or imprcvcmcnt is sold within onc ycar ofcomplaion. thc Owncr-Buildff will havc thc burdcn ofproving that hc or shc not build or improvc for the purposc ofsslc). _1. as owner of the propefiy. am exclusively contracting with licensed contractors to construct the project ( Sec. 7044, Business and Profession Code: The Contractor's License [.aw does not apply lo 8n owner of property who builds or improves thereon . and who contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's License lxw ) I nrn exernpt under Section __.8. & P.C. for this rcason. Date:Owner: WORKERS COMPENSATION DECLARATION I herehy affirnr under pcnalty of perjury ()ne of the following declarations: _l havc and will rnaintrin a Ccnificrtc of Conscnt to Sclf.lGure for workerr' compcnsation. as provided for by S@tion 3700 of thc lrbor Codc. for thc pcrfomancc of thc wort for which thc p€rmit is issucd. thauc and *ill maint.in workers' compcn$lion insurrncc, rs rcquircd by Sccton 37OO of lhc tihor Codq for th. pcrfo.Jc of thc work for which this pl1mit is issucd My workffi' compcnstion insu.ane carrio and policy numbcr arc: .""n.6c.,{.t Ca,.rrF hl50 -,.r*, (This scction nccd not bc complctcd ifthc psmit is for (hc hundrcd dollaB l$100) or lc$) _l ccrtify that in thc pcrfomancc of thc work for which this pmit is issucd. I shall oot mploy any pcmn in any manncr so s to becanre suhject to the workers' compensation laws of California, and agree that if I beconre subject to the workers' those provisions..compensation provisions of Section 1700 of the Iabor Code. I Dale:lD'16 't5 Applicant WARNING: F.ilure to s6ure workerc'conrpensation coveragc is unlawful, and shall subjst sn cnrploycr to aiminal pcnaltics and civil fin6 up lo onc hundrcd lhousand dollars ($l 00.000).io addition to thc cost ofcompcnsalion. drnugcs r providcd for thc Scction 3076 of thc t-bor Codc. intcrcst and .ttorney's f.cs. LICENSED CONTRACTORS DECLARATION I hcrcby affinn undcr pcnally ofperjury thal I am liccnscd und6 prcvision ofchaplcr 9 (commcncing with Scction ?000) ofDivision I of thc Busincss and Profcssions Codc. and my liccnrc is in full forcc and effccl. r.iccrrsc crn.., -clo + C;Ll5 r)arc: )0.\6. \S frwe[.icense CONS'I'RII("I]ON LENDINC ACENCY I hcrcby aflirrn under pcnalty ofperjuty lhal therc is a constNclion lendirg agcncy for the pqfonnancc oflhc sork for which this pcrnrit is issucd (Sec. 1097. ('iv. C.). l.endcr's Nanre' [.ender's Address API!!(JNB'IECIIAEAIIAN Dcmolition Pmis-A3bcatos Notification Fcdssl Rcguhtion! (Titlc 40. Pln 6) __ Rcquircd lrrtr of Notificdiotr _l ccnify that thc fcdorl rcgulrtions rcgarding Gb6tos moval rrc not lppliclblc to lhfu prejct, l==t!rti& thar I havc rcrd this applicstion 8nd stEtc that thc rbovc infomrtion i! coct. I Egrc to comply uith all City and County 'ordinlncB rnd Strtc Lrvt rclrting to building comtruction, and hcrcby authorirc rcprBcotstivG ofthis City snd County to qtcr upon thc above nrentioned property for Applicant or agent sig.: Perrnittee narne (print):f= . OL-AF.IL ,, - I)ate: -? .-lO,l!'\ Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm I Dampers Communications Cable Building Under Slab / Floor Bonding I Grounding / UFER Transformers Torquing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release EvEITf lEh hrtt I I \L-g Rough ntrn tn ,nn Service lVleter t)n FINAL jAMU U-43, 2S 0, 556, 667 ')MIM) Notes, Remarks, Etc.vu \l-/