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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 rlc