HomeMy WebLinkAbout20171943 - PermitProiect Address: 801 W Civic Center Dr-a-
Assessor's Parcel: 005-1 4240 Lot: 1-8,14-30110-16
Unit: 300
Block: NA
Bldg:
Tract:
Address Range.
Historic: No
Suite Range:
Zoning: P
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2o^171943
Pin #: 557OT
Owner.
Address.
Phone:
Tenant Name:
Contractor.
Address:
Phone:
Cushman & Wakefield
2020 Main St #360
lrvine, CA 92614
(7141 834-5843
Coastline Development
13911 Enterprise Dr
Garden Grove, CA 92843
(7141 265-02s0
01 1 16002
01 1 1 6002
01 1 1 6002
01 1 16002
01 1 16002
01 1 1 6002
01116002
01 1 16002
51603
s1 603
51603
51 603
51 603
51 60C
51603
5777C
Qty
14.00
700
7.00
100
4.00
1.00
1.00
100
Fee
$21 e8
$11 eC
$7 e1
$36 50
$13 80
$23 79
$5e 30
$4 05
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .lO
Light Fixtures 1 .1 3
Low Voltage/Comm 36.50
Add'l Devices/Low Volt 3.45
General Plan Update 23.19
lssuance 59.30
Microfilm Records 4.05
State Lic #. 485187
Lic Type: B
Bus. Lic #: 161 044
Workers' Compensation I nsurance:Carrier: Benchmark lns Co
Policy #: CST5018184
Expires: 0110112021
Building Use: Commercial
Job Type: Tenant lmprovement
Nature of Work: Tl
Planning Conditions: lnterior Tl only.
Planning Approval By:
Plan Checked By.
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buirdins Permit #: 1 01104351
Occupancy:
Constr Type.
Code:
Date:
Date:
Date.
B
VB
cEc 2019 Notes: New interior non-structural wall to create offices
withing existing including new doors.
09t24t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Every permitissued 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.
lnspector MID#:2020-1 61394
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$1 51 39
$4.0s
Fee Total
Paid to Date:
Balance Due:
$1 79 23
$0 00
$179.23
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNIiR B I'II,DER DI'I,CA RATION
I hereby aflirnr under penalty of prjury that I anr exenrpt from the Contracton' Licensc [-aw for the following reason (Sec.7031.5
Busincss and Prol'ession Codc): Any City or Countv which rcquircs a pcrrnit to construct, altcr. itnprove. demolish or repair any
structure, prior to its issuance. also requires the applicant for such Jrcmft to lih a signed statenrcnl that lr or she is licelrscrJ pursuanl
to thc provisions of thc Conlractor's l,iccnscd l^aw (Chaptcr 9. Comrncncing with Scction 7000 o[ Division 3 of the Busincss and
Professions Code) or that he or she is exen4rt therefronr and tlrc basis for tlre alleged exenrption. Any violation of Section 7031.5 by any
applicant for uperrnit subjectsthc applicant to acivilpenaltyoInot morethan five huntlred dollars ($5Ull.
_1. as owncr ol'the proFrrty. or my etnpkryces with wagcs as thcir solc compcnsation, will do the work and thc structurc is nol
intended or offered for sale (Sec'.7H4, Business anrl Prolessiorrs Code: The Corrtractor's License Law does nol aPPly to an owncr of
the proprty wlm htrilds or inrproves thereon, and wlp does such work himself or lrerself or through his <lr her own entployees,
provided that such improvc'rncnts arc not intcndcd or ollcrcd for salc. Il. howcvcr, tltc buildhg or inprovetrcnt is sold within one )aar
of conplctkln, the Owner Buikhr will havc the bunlen of proving that he or she did not buikl or improve 0rc propaty for thc purgrsc of
sah).
_I. as owner of the property, am exclusively contracting with licensed conlraclors to construct thc project (Sec. 7044, Business
and Prrofcxsion Code: The Contractor's License Law does not apply to an owner of property who builds or intproves thereon.
and who con[acts for such projects with a Contractor(s) liccnsd pursuant to the Contractor's Liccnsc kw).
_l anr exenlpt under B. & P.C. lbr this reason.
f 1... ^.
WORKIiR,S' COM PEIISATION
DECLARATION
I hcrcby alTirm under pcnalty of perjury one of thc following declarations:
_l have and will nmintain a Certiticatc of Consent to Self-lnsure for workers'compensation, as provided for by Section 3700 of the
L:bor Codc, for the Srerlornmncc of thc work lbr which thc pcrrnit is issucd.
_l have and will maintain workers' con{rensalion insurance, as required by Section 3700 <lf the l-abor Code, for the perfornrance of
the work for which this prmit is issucd. My workers' crrmpcnsation insurance carrier ud policy numbcr are:
Policy Number: Expires:
_l ccrtify lhat in thc lxrtirrnunce of thc work f<rr which this pcrmit is is.sucd, I shall not cnploy any [rcrson in any mannct
so as to bccollrc subjcct to thc workers' conrpcrrsation laws of California. and agree that if I should becomc subjcct to thc
workers' conUrnsation provisions <lf Section 3700 of the Labor C'ode, I shall, forthwith cornply with those provisions..
WARNING: Failure to secure workers'compensation coverage is unlawful, and shall subject an employcr to criminal pcnaltics and
civil fines up lo one lrurrdred thousand dollars ($100.UX)1.
.Section 3076 of the Labor Codc, intcrcst and attorncy's lbcs.
lll Io the danuges as provided for lhe
D^,", ?n z{ ?zd
I hereby affirnr under penalty of perjury that I anr licensetl under pnrvision of Chapter 9 (contmencing with Section 7000) of Division 3
of the Business and I'rol'essiorrs Code. and rny license is in full force und elTect.
Licensc
,,,-, 74/ -JA
CONSTRU(]TION LENI)ING AGENCI'
I hercby al'linn under pcnalty of pcrjury that thcre is a construction hnding agency for thc Jrcrlbrrnancc of the work for which this pcrmit is
issuerl (Sec. 3097, Civ. C.).
Lender's Nanre:
lrnder's Address:
A PPI,ICA NT DECI,ARATION
I hcrcby allirnr under pcnalty of pcrjury onc o[ thc fbllowing dcclarations:
Dcnxrlit ion Pcrnrits-AsbL'st()s Notification Fcdcral Rcgu lat ions (Titlc 40, Part6)
-Rcquircd
lrttcr of Notilication
_l ccrtily that thc l'cdcral rcgulations rcgarding esbcstos rcrnovat arc nol applicablc to this project.
-l
certily that I luvc rcarl this application arxl atxlvc informaliort is correct. I agrcc to conrply witlr all City antl County
ordinances and Statc Laws rclating to building rcprcscntatives of this City and County to cnter upon thc
ubove nrcntioned properly for inspection
Applicant or Agent
Pcrnritec nomc lnrinl l.
and
*r",72/-Z?
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)A
Walls (Roush)T -Ti'-z XrdAt
Ceilinqs (Hard & Soffit Rouoh (
Ceilinqs [-Bar Rouoh)(t -%,-7rrl vJL'\rt
N/eter Release I
\
Rough
Service [/eter
FINAL yJ,u 1L
Notes, Remarks, Etc.
t
Rev. 08-07-201 5
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