HomeMy WebLinkAbout20372351 - PermitProiect Address: 2001 E First St- -a- -
Assessor's Parcel: 400-081-06 Lot: POR 15
Unit 209
Block: NA
Bldg:
Tract: MAYBURY
Address Range: 2001-2011*
Historic: No
Suite Range.
Zoning: C5
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #= 20372351
Pin #: 85006
Owner:
Address:
Phone
Tenant Name:
Contractor.
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Fainbarg & Chase Family Trust
125 W Wilson, #100
Costa Mesa, CA 92627
(94e) 722-7400
Obria
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount Qty Fee
125 Volt Receptacle 1 .57 1 1 .00 $17 .27
Light Switches, Occ. Se 1.70 1 .00 $1 .70
Light Fixtures 1 .1 3 33.00 $37.29
FWU 26.71 1.00 $26.71
General Plan Update 23.79 1.00 $23.79
lssuance 59.30 1.00 $59.30
Microfilm Records 4.0S 1.00 $4.0S
Botch*:57317 ll/24/zlJ2Ll ID: onor'.o1e:; lli
0f'f ice: (:TYH Trnns*: 2 ? tii' rAcct*: Ref *: 2tr37:?:i5i
Rcpt*:trs116336 lL/?4/2lt?ir ?:Ll6,il'l
Transoction Totctl $lr5tjt-t.'/'i.
Fo i nbnrg & Chnse Fqn i Is Trust
6ener0l Plsn Updgte Fee t:]i .'i'i
Lll 1 1 6tltt2- 51 6t-tttttt-t[t-
Electr icol $ l4'i ...i.',j
rrl I 16trLr2- 51 6lt3[t[t0 -
11 icrof iIu & Do,:urents 't+,t-tlj
01 I l6lrtl2- 5777Lru[lr:r-
V isn .l I r !:ir-ri-, . i,ji
(:(:i i r***rrir***r*934S Aut,h*: Ll5 j. i t:ifi
Legalize unit 209 - offices, patient rooms, Adding a
storage room/auth on file
NO OCCUPANCY APPROVAL PRIOR TO FINAL ON
ALL PERMITS
1
Building Use:
Job Type.
Nature of Work:
Planning Conditions:
Plannrng Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI
tt$ Hernan dez,Kathy
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cEc 2019
11t24t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Buildins Permit #: 1 031 0 5232
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.
lnspector MtD# 2020-162799
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.79
$142.27
$4.0s
$1 70.1 1
$0 00
$170.1 1
ELECTRICAL-INSPECTOR RECORD
Rev. 08-07-2015
APPROVALS DATE ID/SIG.COMMENTS OWNI'R B I.'II,DER DI'I,CA RATION
I hereby affirnt unrler penalty of prjury that I arn exenrpt fronr the Contractors' License Law for the following reason (Sec.7031.5
llusincss and Prol'ession Cocle): Any City or County which rcquircs a Jrcrrnit to construct, altcr. itnprovc. dernolish or rcpair any
structure. prior to its issuance. :r[so requires tlrc applicant lbr such penuit to fih a signed slatement that lr or she is liceuscd pursuanl
to thc provisions of thc Contractor's l,icenscd law (Chaptcr 9. Comrncncing with Scction 7000 of Division 3 oI the Busincss and
Prcfessions Crxle) or that he or slre is exen4rt tlrerefronr and tlrc basis for tlrc alleged exenption. Any violation of Section 7031 .5 by any
npplicunt for a pcnnit subjects the applicunt to t civil penalty of not rnore than five hundred dollars ($5m).
_1. as owncr ol'thc propcrty. or tny crnployccs with wagcs as thcir solc compcnsation, willd<l thc work ard thc structure is not
irrtcriled or offered frrr sale (Sec.7(X4. Business antl Professiorrs Code: Thc Clontractor's Licensc Law does nol apply lo att ownet oI
the pruperty wlxr builds or improve.s tlureon, arrd wlxr does such work himself or lrerself or through his or her own entployees,
prol'idcd that such irnprovcrrrcnts arc fi)t intcndcd or ollercd for sah. Il. hou'cver. thc building or furprovcnrnt is sold wilhin one fl-ar
of comphtkrn, tlre Owrcr Buikler will have the burtlen of pruving thu he or slrc did mt build or improvc the pnrpcny for thc puryose of
safc').
fr. .:; owner of the proprty, am exctusivety contracting with licensed contraclors to construct thc project (Sec. 7(X4. Business
aIr,J Pnrtessiorr Ctxte: The Contractor's License l-aw does not apply to an owner of proyrcrty wlxr builds or intproves lhereon.
and who contracts fcrr such pr<{ccts with a G)ntractor(s) liccnscd pursuant to thc Glntractor's License Law).
_l anr uuder 'P*"
(L x
woHk ilhs'tr ln r pr:xsnlrorr
I hcrcby affirnr under pcnalty of pcrjury onc of thc following declarations:
_l have arxl will nuintain a Certilicate of Consent to Self-lnsure for workers' con4rcrsation. as provided for by Scction 3700 of the
l-ahor Code. for thc pcrformancc of thc work for which the permit is issued.
_l havearrd will nrainlain workers'conrpermalion insurarrce. as required bySectiorr3T00of llte LaborCode, ftrrthe lrcrfornntrceof
tlrc work krr wlrich this lrcrruit is issuctl. My workcrs' con4)cnsation insurancc can'icr arxl gtlicy ttunrbcr arc:
Policy Numbcr: lixpires:
pt ,"nifyttrat in thc 1a-rtirrnrancc ol'thc work firr which ttris pcrmit is issuctl, I slmll not cnrploy any lrcrson in any matlncr
{fo astobccolrrc.subjccttothcworkcrs'cornpcnsatiorrlawsofCalifiornia.attdagrecthatiflshouldhccomcsubjccttothc
workers' colulrnsation provisions of Section 3700 of the Labor C'ode, I slrall, f<rrthwith conrply with those provisions..
WARNING: Failure lo secure workers'
civil tirres up t(, oue hurrJred lhousand
compensation coveraSe
dollars (.$100.fi)01. irt
unlaw[ul, and shall subject itn employer to critninal pnalties tnd
t<l the cust of compersation, dattuges as provided for tlte
.Scction thc Codc, intcrcst and atl()rncy's
I 2 D
I hcrcby affirnr under ;xnalty of perjury that I anr licensed untler provisiott of Chapter 9 (cotturcncing with Section 7000) of Division 3
of the Business arrd Professiorrs Code. and rnv license is in ful! force and effect.
License Class: License Number:
Dete:
CONSTRUCTION LENDING AGENCY
I hcrcby al'lirrn undcr pcnaltyol'pcrjury that thcrc is a construction lcnding agcncy fior thc perl'orrnancc of thc work ltrr which this pcrmit is
issuetl (Sec. 3097. Civ. C.).
[,cnder's Narrrc:
APPI,ICANT DECI,ARATION
I lucby affirru untlcr pcnalty of pcrjury onc of thc lirllowing dcclarations:
Dcnxrlit ion Pcrnrits-Asbt'slos Notificat ion Fcdcral Rcgulat ions (Titlc 40, Parl6)
-Rcquircd
.*r ^ttcr of Notilrcation
witlr all City arxl County
and u;xrn thc
All;llicant or Agent
l'crnritec nanlc
(
to
I
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueinct
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rough
Service N/eter //\\
FINAL l2-[(t'vrt\\rtrl.j,t
N Etc.