HomeMy WebLinkAbout20169821 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #:20169821
Pin #: 30365
Project Address: 1951 E Dyer Rd Unit:
Block:
Bldg:
Tract:
Address Range: 1951-2001 E
Dyer Rd
Historic: No
Suite Range:
Zoning:Assessor's Parcel. 430-221-28 Lot:
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
PR/Broadstone Heritage l, LLC
450 Newport Center Drive
Newport Beach, CA 92560
(s4e) 357-368s
Outdoor Dimensions
5325 E Hunter Ave
Anaheim, CA 92807
(714) 578-9555
Fee Type
01'116002 51603 Signs & Neon
01116002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
78.08
22.95
57.20
Qty
7.00
1.00
't.00
Fee
$546.56
$22.95
$57.20
Phone
State Lic #: 1042246
Lic Type: C-61, C.45
Bus. Lic #: 556
Workers' Compensation lnsurance:Carrier: Falls Lake Fire and Casualty
Policy #: FLA00779200
Expires: 0110'112019
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Signs Constr TYPe:
Signage-illuminated Code:
Zuniga, Allissa
101101 620
Date:
Date:
Date:
N/A
N/A
cEc 2016 Notes: lnstall (3) monument signs, (1) blade sign, (1)wall sign
& (2) parking signs for The Heritage, bond posted on
M-73630
10115t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.95
$603.76
Fee Total
Paid to Date:
Balance Due:
$626.71
$0.00
$626.71
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-154530
,/
01 1 16002 51600
0't116002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNIIR BUILDI.IR I)l'ILCARATION
I hercby affrnr untler penalty ofperjury (lrnt I anr exenrpt fron lhc Contractos Licensc Law for thc followillg reasorr (Sec.7031.5
llusincss and Proltssion Codc): Any City or County which rcquircs a pcrtnit kt conslrucl. altcr. improvc. dcmlish or ri'pair any
struclurc, prior k) ils issuaDcc. aLso Equire\ tlE applicatrt lbr such Fnlul to file a sitiled slalcnEilt that lE or she ir licctlEd pusuanl
to thc previsionr ol'tlE Conlrac()r's l-iccnscd l;w (Chaptcr 9. Cotnrncncing wilh Section 7000 ol Division J ol thc Busincss and
PlofcssionsCodc)orthrtheordlcisexcn)l)(llrrefiomaDdtlEbasistbrllEalleSedexenlptiur. AnyviolatiulofSectiuT0Sl.5hyaty
applicantlbruJrnnirsubjecrstlE applicanttoacivilpennllyofnotrmrethanfivchundreddollars($500).
_1. as owner ol'th(' prolt(y. or my ernployccs with wagcs as thcir $lc comlEnsalion, will do rhe work ad thc stmue is mt
intcndcd or offcrerl f<rr salc (Scc.7044, Busincss atrd Prufcssions Codc: Thc Conlraclor's Liccnsc Law docs not apply lo e ownd of
the pn)trr1y wlp huilds or imp(rves the!&q ud who dcs such wo* himself or lErself or lkouSh his or lEr own enrploycest
providcd that such improvcrEnts dc mt intcrdcd or ollc(a, for sh. ll. howcvcr, 0r toildinS or ifiprovemnt is $ld within ore )€il
ofconsbtio[ thc OwrEr Buikkr will hav. thc borden of psving that h. or ihe did rct b{ild or irprcvc 0E prepqly fo. th. purpo* of
sale ).
-1.
as owncr of thc propeiy, sm exclusitcly contracting with liccMd contracloB lo construcl lhc prcject (Sac. 7014. Busincss
arxl h$lision Code: The Grnlracbr's Liceose Law d(Es not apply to an owrer of proFrc(y *ho builds or ioprovcs lhercon.
and who contmcls for such proiccts with a Con(rack)(s) liccn*d pursumt to tlrc Conuactor's Licensc kw).
-Ian)excmptundersecli(nt-,B,&P,C,l([tllisreason,
woRKti,Rs' coMPuNsA't I0N
DECLARATION
I hcrchy allirnr utr(lcr pcnally r)f pcrjury onc 0l thc li)lk'wing dcclMati(xrs:
_l haveMdwill truinlainaCenil'icaleofConsentoSclFlnsurcf(,rworkers'conrpeNation,as prcvidcdforhyScctionST00ofthe
htpr Codc, Ior thc pcrfornmcc of lhc work lor which lhc pcfldt i\ irsucd.
_lhavcardwill nhintainworkers'conrpcnsalioninsurance.as rcquiEdbySection3T0OofthchborCodc,fortlEfrrfomwe()f
the work lbr which this pernrit is issued. My workcrs' conpensatien ifusurilce cffiicr iud frclicy numbca oe:
Policy
_l ccnify that in llrc lrrfinrnanc!'of thc work for whiclr this pcrnlit is issued, I shall not cnrploy ury pcrson i[ my manncr
m as to bccorrc subjcct to thc workt'rs' conpcnsation laws of Califomia. and ag@ thal if I stnuld becom subjccl to thc
uorkcrs' conpen\ation provisioN of Section 3700 of the Labor Codc, I sltsll, fonhwith conply with tho$ provisions..
WARNING: Failurc to rccurc worlers'co,npcnsltion covcrage is unlawful, and shall subj.ct an cmploycr to Fimindl pcmlti* and
civil lirEs up to onc hurdrcd thousand dollars ($I0O,UJ0). in additioD to the cosl of co[rJE[etion, dmugcs s provided for thr
Sectior J076 ofthc tltnr Codc, intcres( md altorNy's [es.
LICENSED CONTRACTOR
I)I]CLARA'I]ON
I hcrcby afftrnr undcr lrcnalty of perjury that I anr licurd under pruvision of Chaptcr 9 (corlnrncing wilh Section 7000) of Division 3
of lhc tiusiness ald l,rcfcssions Code. and trrv license is in full lbrcc und elfect.
Liccnsc Class:-Licensc Numbar:
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undcr Fnally ofpcrjury that thcrc is a construction lcnding agcrcy tor thc pcrformance ofthc work ttlr which this pcrrnit is
issucd (Scc. 3097. Civ. C.).
lf,nder's Nanrc.
kndcr's Address:
APPI,ICANT DECI,ARATION
I hrchy dIl'ilmundcr |tnalty of pcrjury onc oflhc following decl{ati{)ns:
Dcnx)lilion Pcrnrils-Asbcskrs Notification Fcdcral Rc8uluions (Tillc 40. Pd6)
_Rcquircd trtrcr of Notification
_l ccrliiy thal lhc l'cdcralrcgulntions rcge(ling asbcst)s rcrnovaldc nol applicablc to this projcct.
_l cc(ify tlHt I luvc rcad ttus application url state llut lhc above inlbrnution i5 corcct. I agre to conrply wilh all Cily and County
ordinanccs and Statc hws rclding b boildinB constructiotr ard hercby authorizc rcprcsotativcs ofthis City ild County to emo upon rhc
abovc Ncntioned pft)peny lor inspcction purF)ses,
AppliceDt or Agot SiSElur: Date:_
Pcmiae namc (pnnl,:
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Ftough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lvleter Release
Rouqh
Service l\tleter
FINAL /!-Zs-72 ?-/detz 49
Notes, Remarks, Etc
Fle
Canrer: