HomeMy WebLinkAbout20167626 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #:20167626
Pin #: 99283#{
Project Address: 2301 N Tustin Ave
Assessor'sParcel: 396-141-01 Lot: NA
Unit:
Block: NA
Bldg: Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
The Rego Group C/O Cliffhaven Compa
4340 Vo Karmen Ave #110
Newport Beach, CA 92660
(949) 705-0426
P R Construction lnc
1995 Batavia St
Santa Ana, CA 92865
(714) 637-7848
Fee Type
01116002 5'1603 Light Std w/ 1 fixture
01 1 16002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
24.80
22.08
55.04
Qty
6.00
1.00
1.00
Fee
$148.80
$22.08
$55.04
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State Lic #: 673267
Lic Type: B, C-33
Bus. Lic #: 313645
Workers' Compensation I nsurance:Carrier: Everest National lnsurance Company
Policy #: CA10002583191
Expires: O1lO1l2O2O
R (.onstruct ion
Gerrerol Flon UPdnbe
CIl 1 1611112- 5l6li[[]1il1 -
Electr i cql
11 1 I f,l'lt'l2- 5 1,5[r:ir.rrlrl'
ICL Checl: il67344
Building Use:
Job Type:
Nature of Work:
Commercial
Miscellaneous
Light Standards
Zuniga, Allissa
1 01 98640
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
U
VB
cEc 2016
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless lhe work on the site
authoized by such permit is commenced within 360 days after its
issuance, or if the work authoized on the site by such permit is suspended
or abandoned for a peiod of360 days after the time the work is
commenced.
04t24t20't9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
$22.08
$203.84
$225.92
$0.00
$225.92
lnspector MtD#. 2017-139816
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUILDER DELCARATION
I hseby affm undq penalty of psrjury that I m exempt from the Contractors' Licensc larv for thc following rwn 1Se.7031.5
Busincs md Prof*ion Code): Atry City or County rvhich requirs a pomit lo construc(. alte. improve. doolish or repair my
structue. pdor lo its issuace. also rcquire the applicmt for such permit to file a signed stdmot that he or shc is licoscd pmuat
to the provisioN of the Contractor's Licensed law (Chapter 9. Commencing with S(tion 7000 of Division J of thc Busins and
PrcGsions Codc) or that he or shc is eicmpt thscfrom md thc b6is for the alleged exmptio0. Any violation of Setion 703 1.5 by any
applicant for a pmit subjels the applicant to a civil penalty of not more thm five hundred dolles ($500).
-1.
o ownq of the prolE ty. or my ernployG wilh wag6 6 thcir sle compffalion, $ill do the woIt ad the struclue is not
intaded oroffaed for sale (5@.7044, Busines md Profsions Code: The Contraclor's Licmse Law do6 not apply to an ownq o[
the Ploperty who builds or improve th6@n. Md who do6 such work himelf or hoself or through his or hd own employeG.
provided that such tnprovmfits de not intodql oroffoed for sale. ll hou'qtr the building or improvcrncnt is sold within onc )w
ofcompletion, the Owns Buildq will have the burdm ofproving thd he or she did not build or improve the pmJury for thc purpos of
sle).
_1. m owno of the propay, an exclusively contracting rvith licmsed contractoB to construct lhc preicct (Ss. 7044. B6ins
ad ProfsionCode:TheConlractor'sLicenseLawdoenotapplyloilowf,erofpropertywhobuildsorimprovcsths@n,
and who contmds for such prcjsts with a Contracto(s) licmed pursuant to the Conlraclor's Licfise Las,).
-l
m exempt wds Srction-. B. & P.C. for this reoon.
Ds(er_ Owoer:
WORKERS' COIITPENSATION
PECI,AEAIION
I hoeby aflim under pemlty of pojury onc of the following d*lratiom:
_l have od will maintain a Cdificale of CoMt to Sclf-lruure for workers conlpensation. o provided for by Sation 3700 of the
Labor Code for the psfommcc of thc rvorlc for which the psmit is isucd.
_l havc and rvill maintain workers' compercalion imurancc. o required by Srtion 3700 of lhe t{hor Code. for lhe pqfomdcc of
the rvork for rvhich this pmit is issuql. My workers' compensation insurmce cmio md policy numbo uc:
PolicyNumbs: Expires:
_l coliry that in the perforrnancc of lhe work for which this permit is issued. I shall not ernploy any peBon in any maDner
s 6tobecornesubjectlotheworkqs'cornpfisationlawsofcalifomia,andagrethaliilshouldbecomesubislk)the
workfls' compensation previsions ofSection 3700 ofthe Labor Code. I shall. fonhrvith cornply rvith those prcvisions..
WARNING: Failure lo ssue s'ork6s'compemation covqagc is unlawful. md shall subj<t an flployer lo oiminal tmaltiG md
civil fines up to one hundred thousmd dollm ($100.000). in addition lo the cost of dmaga r provided for thc
Sstion 3076 of the tibor Codc, intqBl md anorney's f6.
I-ICT]NSED CONTRAC'I'OR
D!]Ct, RAI]ON
I haeby aflim undo penalty of psjury lhal I m licmsed uodo provision ofChaptr 9 (commmcing with S(tion 7000) ofDivision 3
of the Busins md Profsioro Code. and my licme is in full force dd cff(t.
License
Date:(-onlrrclor:
CONSTRUCTION LENDING AGENCY
I hereby affrm unde penahy of psjury thal thqc is a construdion loding agocy for the pofonnmcc of the work for which this pnnit is
issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Addrss:
APPI,ICANT DT'.CI.ARATION
I hothy affm unde poalt y o f pcrjury onc o f thc fo llow ing d( ltrat ions:
Dmolitiotr P6rnits-Asbetos Notilication Fcdsal RegulalioN (Tille 40. Pm6)
-Rcquired
tf,ttg of Nolification
-l
cdiry thd the fedqal regulatioN rrgeding sbstos rmoval ae not applicable to this prcjccl.
_l cdiry thd I have r@d this application ed slatc thar thc abovc infomatioo is corel. I agrcto comply with all City aod County
PerDilee ratrre (prin():
Site-Work
Underqround 9t I '-16,t
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
I I --\Rouqh (/,t\U /( /U/q '//q/
Service ltleter I
FINAL / zt-Zozc ,J)e t>,'rfr)
Notes, Remarks, Etc
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