HomeMy WebLinkAbout20372451 - PermitProiect Address: 2500 S Fairview Sta
Assessor's Parcel: 414-101-05 Lot: POR 3
Unit: N
Block: NA
Bldg:
Tract: 101 3
Address Range: 2500-2520
Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 2o372451
Pin #: 90238
Owner: Anza Management
Address: 2280 University Dr
Newport Beach, CA 92660
Phone:
Tenant Name: L C Cabinet Service
Contractor: RJ Services lnc Dba RJ Elec
Address: 1216 W Barkley Ave
Orange, CA 92868Phone: (7141 944-,0339
State Lic #: 744117
Lic Type: C-10
Bus. Lic #: 145827
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WSDS043290
Expires: 10/01 12021
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
Over 1-10 HP, KW or Kt 25.09
Min Fee Adj 24.83
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
2.00
1 .00
1.00
1 .00
1.00
Fee
$50.1 I
$24.83
$23.79
$5e.30
$4.05
Per occupancy correction
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Alteration
Alter
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
V B, SPK
cEc 2019
12t15t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Amsden, Julie
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MID#: 2020-1 60529
01 1 1 6002 51 600
01 1 16002 51603
01 1 16002 57770
$23.7e
$134.31
$4.0s
$1 62.1 5
$0.00
$162.15
ArICt i ;
Rcpti:
Tn on sa
L:
ELECTRICAL.INSPECTO R R ECOR D
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers (
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)I
lt-l TL|U >rrff6 7Walls (Roush)
Ceilings (Hard & Soffit Rouqh I
Ceilings (T-Bar Rouqh)
N/eter Release
Rouqh
Service [/eter I I
JZI l,ilA I7FINAL
Notes, Remarks, Etc./t
\
/
I hereby affirnr under penalty of perjury that I am exenrpt frorn the Contractos' License [-aw for the following, reason (Sec.7031.5
Business and Prolbssion Codc): Any City or County which requircs a permit to construct, alter, irnprove, dcmolish or repair any
structure, prior to its issuance. also requires tlre applicant for such pernrit to file a signed staternent that lre or slte is licerrscd pursuant
to thc provisions of thc Contractor's Licenscd l-aw (Chapter 9, Commcncing with Section 7fi)0 of Division 3 of the Business and
Professions Code) or that he or slre is exempt therefronr and tlre basis for the alleged exenption. Any violation of Section 703 t.5 by any
applicant for u pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($stttl).
_1. as owncr ol'thc propcrty. or my crnployces with wages as thcir sole compensation, will do thc work and the structure is not
interxlctl or offered for sale (Sec.7@4. Business and hofcssions Code: The Contractor's Liccnsc Law does not apply to an owncr of
the property wlro builds or impnrves thereon, and who does such work himself or lrcrself or through his or lrer own employees,
providcd that such improvcrncnts arc not intcndcd or olTcrcd for sah. Il. howevct the building or improvenrcnt is sold within onc year
of comphtior\ the OwrEr Buikler will have the burden of proving tlru he or she tlid not buikl or inrpmve thc property ftrr thc purposc of
sale).
_1. as owner of the propeny, am exclusively contracting with licensed contractoni to construct thc project (Sec. 7044, Business
and Pmtbssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contract.s for such projccts with a Contractor(s) licensed pursuant to the Contractor's Licensc kw).
_l anr exempt under B. & P.C. ltrr this reasorl.
Date:
WORKERS' COM PI..N SATTON
DECLARATION
I hereby aftirm under penalty of perjury one of thc following declarations:
' I have and will nrainlain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Scction 3700 of the
Codc, for the Srcrforrnancc of thc work lirr which tlrc pcnnit is issucd.
thc
have and will nraintain workers' conrpensation insurarrce, as required by Seclion 3700 of thc [:bor Code, for the perfornnnce of
work for which this prmit is issucd. My workcrs' compensation insurancc carrier and grulicy nurnber are:
v-)
/"o- t{o zl to/t
_l ccrlify lhat in thc lrcrfornuncc o[thc work for which this pcrmit is issucd, I shall not cnlploy any t)crson in any mannct
so as to bccornc subjcct to thc workcrs' conrpcrrsation laws of California. and agrcc that if I should bccolnc subject to the
worliers' conrlrcnsation provisions of Section 3700 of the Labor Cotle, I slull, forrhwith conply with those provisiolts..
WARNTNG: Failure to secure workers' compcnsation coverage is unlawful, and shall subjcct an employer to crirninal pcnaltias and
civil fines up to one hundred thousarrd dollars ($100.000). in addition to tlte cost of compensation, danuges as provided for lhe
Scction 3076 of thc Codc, intcrcst and attorney's [ecs.
nrr.rtr.rrrrft
I hercby affrrn under penalty of perjury that
of the Business and Professions Code. arvj
LICENSED CONTRACTOR
DECLAITATION
I anr licensed under provision of Chupter 9 (conrmencing with Secti<rn 7000) of Division 3
my license is in full force arxJ effect.
Number:7Ll{ tt 7
v
CONSTRUCTION LENDING AGENCY
I hcrcby affirrn undcr pcnalty of perjury that thcrc is a construction lending agency for thc pcrformancc of thc work for which this pcrmit is
issuetl (Sec. 3097, Civ. C.).
lcnder's Name:
APPI,ICANT DECI,ARATION
I hcreby affirnr under pcnalty of pcrjury onc of thc following declarations:
Demolition Pcrnrits-Astrcstos Notification Fcdcral Regulations (Title 40, Part6)
_Rcquircd lrttcr of Notification
_l certily that thc I'cdcral rcgulations rcgarding esbcstos rcrnoval are not applicablc to this projcct.
with all City antl County
and County to c:nlcr uF)n thc
above rncntioned propcrty
or Agent
I'crnritec namc
o*",F t;4o
08-07-2015
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