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-/