HomeMy WebLinkAbout20169090 - PermitCity ()f Santa Ana 20civic center Plaza (Ml '19), Santa Ar'a, cA J2702
PermitCounter: (714)647-5800 lnspection Requests (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #:2lJ169090
Pin #: 947976./
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-221-28
Unit
Block:
Address Range:
Historic: l
1951-2001 E
Dyer Rd
No
Suite Range:
Zoning
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Heritage Village OC LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Alliance Residential Builder:
450 Newport Center Dr #550
Newport Beach, CA 92660
(s4s) 706-8460
Fee Type
01116002 51603 Serv Meter
01 116002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
53.28
22 08
55 04
Qty
335.00
1.00
1.00
Fee
817,848.80
$22.08
$55 04
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State Lic #: 897318
Lic Type: B
Bus. Lic #: 362720
Workers' Compensation I nsurance:Carrier: Travelers Property Casualty Company of America
Policy #: TRJUB4245B18Z
Expires: 09/1 5/2019
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Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Multi-Family (5 or more uni Occupancy
Supplemental Constr TYPe:
Serv Meters Code:
Date:
Date:
Date:
R-2
lIIA, SPK
cEc 2016 Notes: Ok to issue (l) permit per Sr. lnspector Jose De Soto.
Supplemental to #20160957 tor flc.
B 06t27t20't9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced withtn 360 days after tts
lssuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the ttme the work is
commenced.
01 1 16002 51600
01 1 16002 s1603
$22.08
$17,903.84
Fee Total:
Paid to Date:
Balance Due:
$17,925.92
$0.00
$17,925.92
lnspector MtD#. 2018-140705
Lot:
Bldg:
Tract:
A+ L.lta l-1 1 1 1
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG COMMENTSAPPROVALS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
)-2q-2oU J r'cSot z, CvlFINAL
Notes, Remarks, Etc.
OWN l'R BUII,I)ER DEt,('ARA'I'IoN
I hreby aflinn undqrbJly c+ryury thal I dn e\empt fron the Conlraclom' l-icose I-aN for the follou'ing rea{n (Se'.70]l.j
lJusin6s af,d Profssion Code): Any City or Counly $'hich requirc a pmnit lo constnrcl, allo, improve. dmolish or repair any
structure. prior to its issuance. also requirG the applicant for such pennil to file a signed staleillcnt thal he or she is licensed pursuant
lo the flr)\isions ofthe Conlractor's l,icensed taN (Chapler 9. Conrmcncing $ilh Section 7000 ofDilision 3 ofthe Busines and
Professions Code) or lhat he or she is exempt lhqefrom and the basis for lhe alleged crcrnplion. Any \ iolation ofS(lhn 7031.5 by any
applicantforapennitsubjrctsthe applicanttoacivilpenahyofnotrnorethanfivehundreddolltrs($500).
l. as orwer of the properl,v. or my enrployes rvilh sage c their sle cotnpqsalt)n. $illdo the rvork md the stnrclue is not
intodcrl oroflqedforsle(SE.T044.LlusinsandProfasionsCode:'lhcContractor'sLicose[,arvdoenolapplyloanoN'neof
theprcpqty rvhobuildsorimprovethoon.andrvhodoqsuchrvo&hinrselforherselforthroughhisorhoownemployees,
providelthatsuch improvmroilsilenolintmdedoroffsedformle. lf.how6q.thetmildingorimprcvenenliszuldtithinone)ryu
ofcompldion. rhe o$nq Buildo *'ill have the burdo ofJnoving tha he or she did not build or improve the prefEty for the purpo* of
sale).
I. as oNner oflhe profffiy. an exclusivel;_ contracting r ith Iicensed conlr actors 1o constnrct thc project (Scc. 7[H4. l]usin6s
and l1ofi-sionCode:l-he(onlractor'sl.icensel-as'docnolag)plvloailoN'nerofpropenyrrhobuildsorirnpro(esthereon.
and Nho contrscts for such projects with a Contracto4s) license<l pulsuanl to thc (i)ntractor's l-icmse Larv).
I an cxempt undq S(tion -. B. & P.C. for this rcason-
Date: Owner:
WORKERS' CO]\IPENSATION
DECLARATION
I h6eby amrm under pmally of Jujury one of the follorving dalarations:
_l have od rvill maintain a Ce(ificalc of Consent to Self-lnsure for workqs conlposation. as provided for by Section 3700 of the
Labor Code. for the psfonrancc ofthe rvork for $hich lhe pmnit is issued.
I harc and rvill maintain *nrkers' corrpensalion insuance. as rerpirecl by Seclion .'lT00 oflhc l,abor Code. for the pq'fonnancc of
lhe rtork for shich lhis pennit is issued- My rvotkos' contpensalion insurance canier and Jrclicy nurnbe aer
CarTier:
['olicy- Nurnber:Irpir6:
I cedify thal in the pa'l'ormance ofthc *ork for rvhich this pcrnril is issucrl. I shall nol enploy any peson in any manner
so aslohecornesubjectlolhe$ork6s'contpensationlarvsof('alifomia.an(lagreelh.liflshouldbecontesubirctlothe
sork6s'coilrpens.tionprovisionsofS<tion-l700oflhet,ahn(ode.lshall.fonh\\ilhcornpl)'\!'ithlhosprovisions..
civil fines up lo one hundred thousand dollars 00.000). in addilion lo lhe cosl of compemation. dmages s provided for the
strlion 1076 oflhe l-abor (bde. intsd fce.
l)elo:
I herehy amrnl undcr penalty of prjury that
Profqsions Code. md
I anl of('hapts 9 (cornrnencing with Scction 7000) ofDivision -1
cff<t.of lhc l]usincss and my license is in full force and
LicenseClass: 4
o,," [, Ei l \(,
l-icense Nunll)cr:
q13t7
$WLY'AEJzEs
I hmby affirm undr poalty of perjury
issucd (Sa. 3097. Civ. C.).
l"ender's Narne:
construction lmding agency for the pefonnmce oflhe rvork for Nhich this IEfinh is
Lender's Addrss:
APPLICANT DECLARATION
I ruuy* affm under penalty of perjury onc of the follorving delarations:
Demolition Ptrmils-Asb6los Notificalion Federal Regtrlalions ('tille 40. Part6)
Required Lelt6 of Notifi cation
I colify that lhe federal rcgulations regoding asbeslos rcn()lal arc ilol applicable to lhis proiecl.
md stale lhal the atnvc infonnation is corel. I agre to comply wilh all City and Counly
oflhis City and Counly to eots rlnn the
c/27
constnrction. and hereby aulhorize
ln
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