HomeMy WebLinkAbout20168818 - PermitProiect Address: 2611 S Harbor BIvda
Assessor's Parcel: 414-231-10 Lot. POR 1/POR 1
Unit:
Block: N
Bldg:
Tract: 509/1013
Address Range:
Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 2o^{688{8
Pin #: 89{ {5
Owner:
Address:
Phone.
Tenant Name: Krayden, lnc.
LGHAlliance, lnc
3755 Avocado Blvd, Suite 443
La Mesa, CA 91941
Foxx Building Services
P O Box 5747
Fullerton, CA 92838
(7141 630-ss5s
01 1 16002 s1603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type Amount Qty
Light Switches, Occ. Se l.O4 2.00
Light Fixtures 1 .09 4.00
FWU 2s.76 2 00
Min Fee Adj 17 .10 1 .00
General Plan Update 22.90 1.00
i'.:::-.ii"r'r...r'...',. '1:
Fee
$3 28
$4.36
$51.s2
$1 7.1 0
$22.e5
$s7.20Contractor
Address:
Phone:
Arlrl I i :
Rcpt*: tt?782343
Tronsoct i on Totn
[: r'xx P,u i ld ins Serv ires
Generql Plon tjpdote Fee
LIl I 16tltr2- f'1 6t-tt-t0[t[t-
Elerbr i coI
Lr1 I l60r?- 516CI3rrlr0*
Uiso
(:(:i: **trr*rr**** I 933
Notes: Legalize Walk-ln Cooler & Freezer
Fee Total.
Paid to Date:
Balance Due:
2tJ16
?: -{
State Lic #: 701251
Lic Type: B
Bus. Lic #: 374149
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 9079433
Expires . 1111612019
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
Walk-ln Cooler & Freezer
, Julie
01 1 00309
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B
V B, SPK
cEc 2016
10t21t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01116002 51603
$22.e5
$133.46
$1s6.41
$0.00
$156.41
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 201 9-149765
vsden
ELECTRICAL.INSPECTOR RECORD
f,J,r'nCI n7 ?A{ E
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATTON
I hcrcby alfrm undcr Jrnalty of prjury that I m cxcmpt hlm thc Contrack s' Licenr law for thc following rcasn (54.70.11.5
Business anl Prolcssion Codc): Any City or Counly which rcquires a ;rcmdt kr conslruct. alter, improvc. dcmlish or rcpair any
structurc. prior to its issutncc. also rcquirs the applicanl for such lEmil to frlc a sigrcd statcmnl lhal hc or CE is liccnsd pursuanl
to (hc lnrvisi(]ns of thc C(rntractor's t-icenrcd law (Chaptcr 9. Commcncing with Scction 7OU) of Division -l of lhc Business and
P(rfcsskrns C(xle) or that hc or shE is cxcmpl thqclrcm and thc basls tbr thc alh8ed cxcmflion. Any violalion of Sslion 70.'J .5 by any
applicant lirr a Frmit subjels thc applicant to a civil pcnalty of nol morc lhan fivc hundrcd dotlds ($500).
_1. as owncr of thc proFlcrty. or my cmpkryees with wages as thcir solc comlrcnsation. will do thc work and thc structure ls not
intcnded or oll'ercd lilr satc (Ssc.7(X4, Busincss and Professions Ctxle: 'l'hc Contraclor's Licensc Law drrcs not apply to an owncr of
thc pn)pcrty who buikls or impr)vcs thcreon. arxl who drrcs such work himsclf or hersclf or lhrough his or hcr own cmployecs,
provided that such inrprovcrnents arc not intcndcd oroll'cred tilr salc. It, howcvcr. thc huikling or improvcrncnt is sokl wilhin onc year
of complction. thc Owner Buiklcr will havc thc burdcn <lf proving thal lre or shc rlid nol buikl or intprtlvc the pnrJrcrty tbr thc purJxrscof
salc).
_1, as owncr of thc propcrty, am cxclusivcly conlracting with liccnsed conlraclors lo consltuct the pnrjcct (Scc. 7(W, Busincss
and Pnrlbsskm Codc: Thc Contractor's Liccnsc l-aw does not apply to an owncr o[ proJrcrty who buikls or improvcs thcrcon.
and who contracts lirr such projccls with a Contractor(s) liccnscd pursurnt to thc Conlraclor's Liccnsc l-aw).
_l am cxcmpt unrJcr B. & P.C. tirr this rcason.
WORKERS' CONTPENSATION
DECLARATION
I hcreby atTirm under penalty of perjury onc of thc following dcclarations:
_l havc anl will maintain a Certificate of Consent to Selt'-lnsurc tirr workers' compcnsation, as pnrvidcrl for by Sectkrn 1700 of thc
Latxrr Code, for the lrcrformancc of the work for which the pcrmit is issucd.
_l havc and will nraintain workcrs'insurancc. as rcquircd by Scction 17fi) of the Labor Codc, tirr thc lrcrfirrmancc of
thc work lirr which this Jrcrmit is issucd.workcrs' crlmpelrsation insurancc carricr arxl Jxrlicy numbcr are:
lL, lqPolicy
_t cerlily that in thc Jrcrtormance of thc work lirr which this Jrcrrnit is issucd, I shall nol cmpkly any lrcrson in any manner
so ils to lrccomc suhjcct to thc workcrs'compcnsation laws of Calilirrnia. and agrcc that if I should bcctlmc subjcct to thc
workc'rs' conrJrcnsation pnlvisions of Scction J7ffi of thc Latxrr Ctxlc, I shall. titrthwith comply with tlxrsc prtrvisirlns..
WARNING: Failurc lo sccurc workcrs'conrlrcnsation covcr:rgc is unlawful, and slrall subjcct an cmploycr to criminal Jrcnaltics and
civil lincs up lo onc hurrdred thousattd dollars in
e
lhc of comJrcnsation. damagcs as providcd litr thc
Scction .1076 of'thc Lahrr Codc, intcrest and
!
I)ECI,ARA'I'I0N
I hcreby allrnr undcr pcnalty ol perjury that I am licenscd undcr pnrvision of Chapler 9 (conrmcncing with Sectitrn 70m) of Division 3
ol' thc Busincss anrl Pnllcssions Codc, arxl my liccnsc is fur l'ull lirrce and cllcct.
Licc-nsc 8 Z
0-t-
W
I hcrcby affrm unrlcr lEulty of frrjury that tJHc Ls a @[stoctkrn lendinS agcncy for the lErfol1rlmc of the work for which lhis Frcmit ls
issucd (Se. 3097, Civ. C.).
APPLICANT DECLARATION
I trcrcby afilrm undcr pcnalty ol'pcrjury one tlf thc tbllowing dcclaratitlns:
Dcmolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (f itlc 40. Parl6)
-Rcquired
l.ettcr of Notihcation
-l
ccrtily thut thc lbdcral rcgulations rcgarding ashcsk s rcmov{l e not applicahlc k this PmFcl.
_l @aily that I havc read this application dxl state that thc atnve inlbrmrtion is c()ret. I agrc lo comply with all City and Counly
ordinanccs and Statc liws rclating to building conslructiur, ard hcrchy aulhoriz4 rcprcscntalivcs ofthis City and Counly h cnts uFrn thc
abovc mcntionctl propcrty lrtr
Applicanl or Agent
Pernrilee nnnle
Dare: luU:n
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltase
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bondins I Groundins I UFER
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Roush
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter _t
FINAL / z'/4. ea K/ 4,TruE/@S %i,
Notes, Remarks, Etc.
a