HomeMy WebLinkAbout20168335 - PermitProject Address: 1851 E First St
Assessor's Parcel: 400-071-02 Lot: POR 16
Unit:
Block: NA
Bldg:
Tract: MAYBURY
Address Range:
Historic: No
Suite Range:
Zoning: SD54
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20{68335
Pin #: 99507
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
UBS/Xerox
1851 E First St
Santa Ana, CA 92705
(e49) 3e0-ss31
Xerox Center
Zee Sign Systems, lnc
8 Choate
lrvine, CA 92620
(s4e) 5524060
Fee Type
01116002 51603 Signs & Neon
01 1 16002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
75.13
22.08
55 04
Qty
2.00
1 .00
1 .00
Fee
$150.26
$22.08
$5s 04
State Lic #: 450600
Lic Type: C45
Bus. Lic #: 346154
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 0794117
Expires: 01l,01/,2020
Building Use:
Job Type:
Nature of Work:
High-Rise Commercial
Signs
Monument sign
Occupancy:
Constr Type:
Code:
N/A
N/A
cEc 2016
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Hernan dez, Kathy Date: 0412412019
Subject to Field: Account#
Buildins Permit #: 1 01 996 20
Every permit rssued 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 permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01116002 51603
Temporary MID#: 2019-150391
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
$22.08
$205.30
New 4'2" x 10' monument sign for "Tower1851 East
First Street", led-illuminated & new led-illuminated
channel letters on existing freeway sign; bond posted
on M-72503
$227 38
$0 00
$227.38
ELECTRICAL.I NSPECTOR RECORD
)nJri
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DETTARATION
I hscby affm und6 poalty of pqjury thd I m qcmpt ftom thc ContrrctoB' Liccnse llw for thc following wn (Se.7031.5
Busine md Profeion Codc): Any City or County which requiE a psmit to @Gtruct, 8ltq, imprcvg donolish or rcpair ay
structuc. prior to its isumcc. also rcquire thc applicut for such pcrmit to 6lc a signcd statmt thal hc or $c b licqBcd pswt
to thc provisioG of thc Contractq'! Liccnscd llw (Chaptq 9, Comcncing with Setion 7000 of Division 3 of thc Bwin6 ud
PrcfcssionsCodc)orthathcorsheisqcmptthcfromudthcbosisforthcallcBcdcxmptio[ AnyviolationofSdiotrT03l.5bymy
applicut for 8 pcnrit subjets thc applicant to a civil pcmlty ofoot morc ths fivc hundrcd dollm ($500).
_1, s om6 of thc Fopcrty. or my mployc with wag6 6 thch $lc @mposalion, will do thc woil ad dE srndre G not
intodod or offqcd for slc (Se.7044, BEirs md Prcf6sioro Codc: ThG Contrsctor's Licffic kw do6 not rpply to e omq of
thc propqly who builds or imptos thmn, ed who dc reh wrt himclf or hwlf or thrcugh his or ho om cmploye,
provided that such impovsrcots rc rct intadrd or olfacd for slc. lf, howffi, thc hilding or impovamt is rcld within on. )ar
ofcomplaion, thc Own6 Buikb will havc tlrc hrdar ofproving thd hc or shc di, mt hrild or irprow the propqty for thc purposof
slc).
-1,
I oM6 of thc Fopqly, m cxclNivcly contracling with licscd contractoE to construd thc Fojet (Sc. 7044. Buins
ud Proftsslm Codc: The Contructor's Licffic Law doB not spply to m ownq of propdly who builds or improv6 th6@n,
md who contnctg for such prcjets with 8 Cotrtmao(s) licascd pm@t to thc Contrsc.tor's LiccN Law).
I m cx@Dt udq Setion-, B. & P.C. for this rcen.
l)nte:Owner,_
WORKERS' COI}IPEN
DECLARATION
one of the following declarations:I hereby affrrm under penalty of perjury
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' conrpensalion, as provided for by Section 3700 of the
Labor Code, for the p€rformance of the work for which the perrnit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the labor Code. for the performance of
the work for which this pennit is issuod. My workers' compexsation insurance carier and policy numkr are:
Policy Number: Expires:
_l cerrify that in the performance of the work for rvhich this permit is issued. I shall not employ any person in any manner
so as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the
work6s' compensation provisions of Section 3700 of the tabor Clode. I shall. forthwith comply rvith those provisions..
WARNING: Failure to secure workers' compensation coverage is unlarvful. and shall subject an onployer to oiminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
Section 3076 of the l-abor Code. interest and attorney's fees.
Drte: Applicent:
LICENSED CONT]IACTOR
DF'CI AR"ATION
I hereby affrrm under penalty of perjury that I anr licensed under provision of Chapto 9 (cornmencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effcct.
Class: License Number:License
Date:Contractor:__
W
I hrcby affm undr penalty of pcrjury that thqc is a construction lmding agocy for thc pcfomcc of the rcrk for which this Ipmil b
issucd (Se. 3097, Civ. C.).
Lender's Narne
Lender's Address:
APPLICANT DECLARATION
I hereby affurn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Letter of Notification
-l
cdiry thal the fcd68l rclulatioB rcgading Bb6tos rmoval uc not applicable to this prcid.
-l
cdiry thd t havc r€d this application Erd statc thd thc abovc infomlion is corcl. I agre to comply with alt City md County
ordinancG ed Statc kws rching to builditrg constructio[ md hscby authoriz rcprffitdivc of this City md Couty to atq upoo thc
sbovc m@tioned prcpcrty for impoction purpos.
Applicant or Agent
Perrnitec nanre (prinl ):
Dnte:_
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Building
Under SIab / Floor
Bonding I Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release
Rough
Service Meter IFINAL tZ /tl-/"r^2?O ,4 '{MtYl/
Notes, Remarks,'Etc ,l
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