HomeMy WebLinkAbout20170878 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2O170878'
Pin #: 7544fl
Proiect Addressi 2114 N Tustin Avea
-
Assessor'sParcel: 396-341-07 Lot: POR 9
Unit:
Block: A
Bldg: Address Range: ZtlO-2190
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
Tenant Name: 30 Minute Hit
PCB Tustin LLC
5 Park, Suite 1700
lrvine, CA 92614
(949) ss7-5000
Absolute Sign lnc
10655 Humbolt Street
Los Alamitos, CA 90720
(562) 592-5838
Owner:
Address
Phone
Contractor:
Address:
Phone:
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Recerds
Amount
78.08
22.95
57.20
3.91
Qty
1.00
1.00
1.00
't.00
Fee
$78.08
$22.95
$57.20
$3.91
State Lic #: 782551
Lic Type: C-45
Bus. Lic #: 323197
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 9049610
Expires: O4l0'll2O2O
lnstall (1) led-illuminated channel letter wall sign for
"30 Minute Hit", bond paid on M-74205.
$1 62.1 4
$0.00
$162.14
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Signs
Sign-illuminated
Julie
0110327 5
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2019
o2t27t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22.9s
$135.28
$3.91
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, 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#: 2020-157954
ELECTRIGAL.INSPECTOR RECORD
Bev.08-07-2015
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
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 Rouqh
Ceilinqs (T-Bar Rouqh)
l\Ieter Release
Rough
Service [\4eter It I
FINAL 1/'Lp'W
Notes, Remarks, Etc.
owNlrR BUIt,l)l,iR 'l I()N
Ilrcrebyaffrrlunrlerp€naltyofperjurythalIiuDcxemplfronrthcContractos Licensel-awforth.followinBreaen(Scc.7031.5
Business and Prolession Codc): Any City or Coun(y which rcquircs a lErmit to construcl, altcr. irnprove. dcmolish or rcpair any
structure, prior to its issuancc. also rcquires thc applicilil lbr such Frcmil to fih a sitsued slatcnEnl lhat lE or shc is liccrl€d pursant
lo thc provisions of thc Conlraclor's l-iccnscd llw (Chaptcr 9. Cohmcncing with Scction 7U)0 ol Divisioh 3 ol thc Busincss md
Professions Code) or that he or she is exemlt thercfrom and tlE basis for tlt alleSed er.n)plion. Any violllion of Section 703 1.5 by any
tpplicintforcpennitsubjectsthe applicanttorcivilp€naltyofnotnDrethanfivchundreddolhrs($5fi)).
_1. &s owncr of lhc propcf,y, or my cmphyces with wagcs as thcir slc compcnsation, will do thc wtrk and thc sMft is mt
intcnlal or offercd for slc (Se.7(X4. BusiDess and Profcssions Codc: Thc Conractor's Licc[E lrw d@s nol apply lo o owncr of
theprc[Efly wlFbuildsorim{nowsllHqnlardwlEdBsuchwo.khimselforhersclforthrcuthhisorherownenrployes,
prolidcd fiat such imprevorcnts re mt intcndcd or otfcrcd tor saL. Il, lnwevs. orc boilding or irrprovcm0t is $ld within orc )€il
ofcotrpletion, the Owrer Buikler will havc thc bordcn ofpmving thd hc or shc did mt build or impovc 0E pmpdy tor thc plrpos of
as owrcr of the prcpmy, am cxclusivcly contracting with liccnrd contretoa to conslrucl ltE prcjcct (Scc. 7Ot4, Busirc$
Code: The Conkactq'3 License Law des not apply to o owrcr of propeny who builds or improves thd@n.
and s'ho conms for such proj(6 with a Codmto(s) lteNcd pursud to tlE Contrador's LiceN L.w).
-l
illexempt undff S*tion-, B. & P.C. for thi! Ea$n.
WORKI.'RS' COMPf,,NSA'rlON
DECLARATION
I hcreby atlirm under penahy of perjury onc of thc tbllowin8 decldatioN:
_lhaveandwill nEintainaCeniticatcofConsenttoSel[lNureforworkrs'conrFnsation,as prcvidcdforbySection3T00ofthe
tibor Code, for the frcrfornt4e of thc work lbr which lhc pcrnit is issucd.
and will nEirilaiD workers'insurancc. as by Scclion 3?00 oflhc lakrr Codc, for thc FErfomBrree of
nunrht'r a'c:
Policy /r)
_l ccnily that in lhc lErfornrancc of tlrc work for which this pcrnril is issucd, I shilll not cn[k)y any lEr$on in any milnncr
so aslobccorrcsuhjcctlolhcworkcrN'compcnsnlionlawsofCalilorDia.andagrccthatiflshouldhccotrrsuhjccttothc
workers'conrlxnsationprovisiorsofSectionlT00oftheLahrrCode,lshall,fonhwithcorDplywithtlosprovisions..
WARNNG: Failure Io secure workers'compensalion covcragc is unlawful, tnd shall subjccl nn empbycr lo cyiminal pcnahies and
conrpetrsali{ill, danugcs as provided for thecivil fiDes up to oDe hundred thousatrd dollars ($l in ilddili)[ ti) llr cost 0f
atbrncy's
l-tCENSEt)CON]R ("IOR
I hercby affrnrunder penalty ofpcrjury that I anr liceu*d
t)t:(:l.ARA1l()N
umirr prov,sii)[ 0l rChapter 9 (cotrurrncinS with Scction ?000) ofDivision 3
of the Business and Codc. ard my lic.ns. is in full fore snd cf[.ct.
LiccDse Nunrber:
CONSTRUCTION LENDING AGENCY
I hercby afiirm undcr pcnalty of perjury thd thcrc is a construclion bMing agcrcy tor thc pcrlorMrcc of thc work lbr which this psmit is
issucd (Scc. 3097. Civ, C.).
knder's Nanrc:
[.nder's Addrcss:
AlttlsNl.pgc!&M
I hachyaffmundcr pnalty of pcrjury ore of thc folbwing deldalions:
DcnFlition Pcrmits-Asbcsbs Notification Fcdcral RcSulations (Tillc 40, Pd6)
_Requirei btter of Ndificatbn
ccrtily thd thc fcderal rcgulations rcgtding asbcstos remval uc not applicablc to this pmj(1.
ccnify that I lEvc rcad this application axl statc thal lhc ak)vc inforrilation is corccl. I agre to with all City and Coun(y
and State liws rclating to County to cnter ufbn
abovc rrcn(ioncd propcny for inspcction
ADplicant 0r Agrnl
It'rnrilcc nanrc
ard hcrcby auttnria rcprc$ntativcs ofthis