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HomeMy WebLinkAbout20169461 - Permitcity of Santa Ana 20 civtc center Plaza (M-19), santa Ana, cA 92702 PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 lnspector Section: (714)647-5853 Electrical Permit #:2016946{ Pin #: 793251{ Project Address: 3124 S Main St Assessor's Parcel: 410-231-02 Lot: 83 Unit: Block: NA Bldg: Tract: 7408 Address Range: 3100-3260 Historic: No Suite Range: Zoning: CR Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Decron Properties Corp 6222 Wilshire Blvd #400 Los Angeles, CA 90048 (323) 5s6-6600 J - Squared General Contra( 1780 E McFadden, #112 Santa Ana, CA 92705 (714) 8844590 01 1 16002 51603 01 1 16002 5'1603 01 1 16002 53601 01 1 16002 53601 01116002 51600 0't116002 51603 Fee Type Amount Qty Fee serv Meter 55.37 1.00 $55.37 Subpanel 55.37 2.O0 $110.74 Plc - 650/o 0.65 166.11 $107.97 Revision 230.87 2.00 $461.74 GeneralPlan Update 22.95 1.00 $22.95 lssuance Eiflt(h+:ll.5rlr-l 57lBQ1,i2l:rl? 1 00: PilUn$57r20 tlli ice: CTYH Trctnsi: 12 1 o{' 1 A,:cti: F:el*: "ll:l td7';61 Ftcet*:r-r?723i43 - 8/?l/?iti? l?:14 [:'.|"i Trunso,:L ion TotoI t4,-{l.1ll-l State Lic #: 918485 Lic Type: B Bus. Lic #: 344727 Workers' Compensation lnsurance:Carrier: Everest Premier lns Co Policy #: 7600015996191 Expires: 02lO1l2O2O .l - Scuored Genernl (:ontrnctor General Plon Updote Fee rtl I 160r.r2- 516(il-ltllrlt- Electr i cal Ltl I 16002- 5l6r:rStrtrtr- P/C Electr ic rrl I 160tr2- 536[rtLlLrLl- Visn C(:+ : r*r****r**x*5547 t2?. ?5 tILlLr.4l t338.84 i462.211 Auth+: t:t233tt6 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By Plan Checked By Permit lssued By Subject to Field: Building Permit #: Commercial Occupancy. Tenant lmprovement Constr TYPe Revision/Fitness/Clubhou5sCode: B, R.1 VB cEc 2016 Notes: Revision to 20166812 - (1)service meter, (2) subpanels Smith, Mark Amsden, Julie 0197 557 08t20t2019 08t21t2019 Account# Misc. Receipt 73344 Misc. Receipt: Misc. Receipt: Total Date: Date: Date: 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 permit ls suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 't6002 51600 01 1 16002 5'1603 01 1 16002 53601 $22 95 $100.41 $338 84 Fee Total: Paid to Date: Balance Due: $815.97 $230.87 $58s.10 lnspector MID#: 2017-135549 q ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safetv /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bondinq / Grounding / UFER /*7o-17 B*/oS Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) Meter Release /?-/?-/9 b'd /o, Rouqh /o-lo-tq AUcrro> Service N/eter /o-/tt'/,fr\d/A FINAL (tZo -?-o e*t:p lo?m ffi Notes, Remarks, Etc. I hcrcby allirur under pcilahy of pcrjury lhrl I ant cxcrtpl ftom lhc Contrrclors' I-iccnsc Law li)r lhc l'olhwing.rcason (Scc.7o.ll.I Busincss and Prolcssion (-(xlc): Any City or County uhich rcquircs a ltrrnil lo conslruct. altcr. improvc. dcrrrlish or rcprir uny slnrcture. pri()r k) its issuancc. also rcquircs thc applicaDt lt)r silch l*rtrril lo lile il signcd slalcnlcnt lhat hc or shc is liccnscd pursuatrl k) thc prolisiurs o[ ttrc Contrrck)r's Lictrrscd [-arv (Chaplcr 9. Conrncncing wilh Scctiotr 7(n) of Division .l ol thc Busincss flnd ProfcssioDsCodc)orthnthcorshciscxctrrptlhcrcfromanrlthchasislbrlhcsllcgcdcxcmplhn. Anyviohlio[ofScclhnT(Xl.5byar.y appliciltrl lbr n pcrnril subjccls lhc applicrnt h a civil pcilrlly of 0ol ilx)rc lhnn tlvc hundrc(l dollnrs (S5(X)). _1. as owncr of lhc propcny. or nly cmployccs with wrgcs as thcir s()lc conlpcnsilli()n. willdo lhc work rnd lhc slftluc is nol intcndcd oroilcrcdforsalc(S$.7{NJ.BusincssandhofcsrionsCodc:ThcG)nlraclor'sLiccnscLxwdocsnolapplytoanowncrof thc prrpeny who builds or iqrrorcs tlrcrd)n. and who docs \uch work hiilr\clflor hcrscll (rr lhrough his or hcr own employecs. provi(lcd that such improvctrcnls irc nol iilcrrlcd or otltrc(l for salc. Il. howcvcr. lhc huilding or improvcrcnt is sold within (nrc ,ril ol coilrphtion. lhc Osncr Buildcr will hilve lhc burdcn of prorirrg that hc or shc did nol build or irnpro\r thc proFdy for thc Jruryns of sslc). _1. ts owncr ol lhc propcny. am cxclusively conlmcliDg u ith liccnsc(l conlract)rs k) conslruct thc projccl (Scc. 7044. Busirrcss and ['nrL\sin]Codc:ThcConlraclor'sLiccnseLawdoesnolapplytoanowncrofl)r)fcrtywhohuildsoriilrprcvcsthcrcon. and $'ho cotrtrrcls lbr such projccts with a Corilrxclor(s) liccn\cd puNuant lo thc Contruck)is Liccnsc l-aiv). _l rnl cxcDrpt undcr Sccl U. & P.('. li)r this rca\on. ()$ner WORXERS' COIlIPENSA'TION DECLARATION I hcrcby uffirmundcr pcnallyof pcrjury onc of lhe followiilg dcclarations: 44havcanclwill mai[lainaCerlificalcofConsenttoself-lnsurclorworkcrs'compensalion.as providcdti)rbyScclion3Tfi)ofthc tntx)r C(xrc. for thc pcrfonnancc oflhc work for which lhc pcrnrit is i\sucd- fit ^r" ru.ls ill rrrrirtrin workrrs' (otrlpctrsnli(rn insurrncc. ls rcquircd hy I thc!v0rklrtrqhichthrrpenrritirirsuctl.Mywrrkers (rrilrncrr\nlionin\lrrrrxt Scctioil -17(X) ol thc Lrhor Grdc. for thc perli)rnrancc of carricr md Jmlicy nunrher arcr )gur@,lN$\i*)rco ttrlicy N zy'/zoo Poue_l ccrtify lhill in thc pcrfornu which this pcrmit shall nol ernploy any pcrson in any manner so ns lo bccoilrc suhjcct to thc w()rkcrs'conrpcnsation laws ol'Californiu. ilild dgrcc thal il I shoukl becomc suhjccl k) thc workcrs conrJrcn\ation prrristrns ofScctir)n 370{) ol lhc l-ahor ('il|c. I \hnll. li)flhwilh c(nnfly with lhos provisk)ns.. WARNIN(;: Fililurc to *cnrc s,orkcrs'conlpc[\rli(,n coicrarc i\ unlilq'lul. an(l shall (uhiccl an cnrpkrycr lo ohninal pcDahics rnd civil fines up lo onc hundrcd thousdnd dollars (Sl(X).(x)o). in addilion k) thc cost ofconrpcnsation.as providcd for lhc Scctiotr 3076 ofthc Lahor C'ode. intcrcst trnd illlonEy's fccs. I)ille:Applionl: l)t,.( t-,\ti,\'l l()N I hcrchy alllrilr undcr pcnalty of pcrjury that I uil liccn*d under p()vision of Chapter 9 (connncncirg with Scction 7Un) of I)ivision 3 of lhc Busincss and Prcfcssions Codc. and my liccnsc is in full force ud erfccl. Nrrrrrhcr a lgL.t?rf 3/zr conrracror: -$- S (LVf$&0 CONSTRUCTION LENDING AGENCY I hcrchy uffirm under Fnalty of pcrjury thut lhcrc is a conslruclion lcnding rgcDcy for lhc pcrfoflnancc of thc work for which lhis pcrmil is issucd (Scc.1097. Civ. C.). Lcndcr's Addrcssi APPLICANT DECLARATION I hcrchy aflinn undcr pcnally of pcrjury onc of the following dcclaralirrns: Dcmolilion ['crnlils-Ashestos Nolificalion Fcderal Rcgulations (l itlc 40. Pan6) _Requircd l.llcr of Nolificati(nr I ccrlil,y thrl thc Ldcral rcgulilli{)trs rcgxrding ashcshs rcriloval nrc nol ilpplicahlc lo lhis projccl. -I ccil ily that hrvc rcatl lhis npplicdtior and lhr(thc alxrvc itrfornnti(rl t\c()rccl.rgrcc lo cotrtply ivc( ofthis City q,ilh rll ('ily anrl Count orrlinartccs rnrl Slatc [nws rclaling altl reprcscnlal arxl (bunty nrcnti(xrcd propeny ,^gsrl Q.n, atrrve nxnrt pri ill ): for bu ikl ir8 \lxlc Wtt+S sfL- l)rilc:a/rt urilcr upon thc D6te:-- 9/,t lrndcr's Numc: