HomeMy WebLinkAbout20172171 - PermitProiect Address: 251 0 S Bristol Sta
Assessor's Parce!: 412-191-05 Lot: NA
Unit:
Block: NA
Bldg
Tract. NA
Address Range: 2430-2530
Historic: No
Suite Range.
Zoning: C4
City 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 #:20172171
Pin #: 68708
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Andrew Chu
9944 Garden Grove Blvd
Garden Grove, CA 92844
(7141 636-20e0
Lucky Massage
Cinda Construction lnc
14514 Fairgrove Avenue
La Puente, CA 91746
(626) 848-2736
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
General Plan Update 23.T9
lssuance 59.30
Microfilm Records 4.05
Qty
30 00
13 00
15.00
1 .00
100
1 .00
Fee
$47 10
$22 10
$16 95
$23 79
$5e 30
$4 05
Bntch * :,7_,6? 77 l tU?
nlf ice: (:TYl{ I'r'nrr
A--tlrl'lLl- L ? .
RrtPti:tls1tt119? 1
Irnnsoct i on Total
State Lic #: 890143
Lic Type: B, A, C-20
Bus. Lic #: 376624
Workers' Compensation lnsurance:Carrier: State Fund
Policy #. 1919554
Expires: 05/01 12021
indn (:onEtructisn I
Notes:Electrical for Tl
Planning Conditions: lnterior Tl only.
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type:
Code:
Date:
Date.
Date:
B
VB
cEc 2019
Verduzco Vi"IN
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Total
10t26t2020
Account#
Buirdins Permit #: 1 01103877
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.
Inspector MtD#' 2020-159047
01 1 16002 51600
01 1 16002 s1603
01 1 16002 57770
$23.79
$145 45
$4 0s
Fee Total
Paid to Date:
Balance Due:
$1 73 29
$0 00
$173 .29
ELECTRICAL-I NSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm lDampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundins / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rough
Ceilinqs [-Bar Rouqh)
Meter Release
I ^I
Rouqh /l /n ltlM?O ,/"Y*,a;/-tlService Meter t
V
FINAL Z 7l-h)Wftg
Notes, Remarks, Etc I
I hseby alfm undc pcnalty of pcrjury th8t I m qempt ftom the ContmcloB' Licme Law for thc followirg r.en (Sc.7031.5
Buinos md Profeion Codc): Any City or County which rcquiB I pqmit lo coNtrucl. alta, improvq &rnolish or rtpair oy
struc1uc. prior to its issumcc, also rcquire thc applicut for such pcrmit to lile a signsd statmot that hc or shc Ls licmcd pwuot
to thc provisiom of the Contractor's Liccnscd Law (Chapt6 9, Commcing with Sction 7000 of Divisiou 3 of the BwinN ild
ProfsioN Codc) or that hc or sh€ is qcmpr thGcfrom ed the basis for thc allegcd cxoFion. Any violatiotr of Setion 703 I .5 by ey
applicantforapetmitsubjetsthc applicanttoacivilpcnaltyofnotmorcthmfivchun&cddollus($500).
-1.
as owner of the property. or my employees with wages as their sole compensalion, will do the work and the struclure is not L
intended or offered for sale (Sec.7044, Business and hofessions Code: The Contraclor's License l-aw does not apply to an owner of
the property who builds or improves theron. and who does such work himself or hersclf or through his or her own employees.
provided that such improvanents are not intended or offered for sale. If, howwer. the building or improvanent is sold within one )aar
of complaioru the Orvner Builder rvill have the hrden of proving that he or she did not build or irnprove the propcrty for the purposcof
sale).
_1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7A4, Business
and hofession Code: The Contractor's Licensc Law does nol apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contracto(s) licersed pursuant to the Contractor's Licensc law).
-I
B. & P.C. for this reason.
I hereby affrrm under penalty of pojury one of the
WORKERS' COMPENSATION
DECLARA'TION
following declaralions:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers'compensationt as provided for by Section 3700 of the
Labor Code. for the pcrformance of the work for which the permit is issued.
-l
have
thc work
and rvill maintain workers'as rcquire<l by Sc<tion 3700 of the Labor Codc, for the performance of
issued.insurance carrier and policy number are:
Policy 0
-l
certify that in work for which this permit is issued, I shall not employ pcrson in any manner
so as to bccome subject to the workers'compensation laws of California and agree that if I should become subject to thc
workers' compensation provisions of Section 3700 of thc Labor Code, I shall, forrhwilh comply with thosc provisions..
WARNING: Failure to secure workers' compensalion coverage is unlawful. and shall subject an onployer to criminal penalties and
thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for thecivil fines onc
Section and attorncy's fccs.
0
I,ICENS[D (:ONTRACTOR
DECLARATION
I hereby affrrm under penalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Scction 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License Number:
0
W
I hmby aflirm unda pcnalty of pfijury thst thqa is a @nstruc{ion krding sgqcy for thc pqfomuce of thc work for which this p6mit is
issued (Se. 3097, Civ. C.).
Lender's Narne:
Lcnder's Address:
APPLICANT DECLARATION
I hereby alfinn under pcnalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
_Required Letter of Notification
_l certify that the federal regulations rcgarding asbestos removal are not applicable to this project.
_l certiff that I have read this application and state that the information is correct. I agree to comply with all City and County
ordinances and State Laws relating to building construction,representatives of this City and County to upon the
above mentioned property for 201Applicant or Agent
Pcrmitee nnme (print):o
o
Rev. 08-07-2015
Date:
)