HomeMy WebLinkAbout20170683 - PermitCity of Santa Ana 20 Civic Clrter P)aza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:20170683
Pin #: 7521li
Proiect Address: 3630 Westminster Ave
Assessor'sParcel: 198-081-28 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 3628-3636
Historic: No
Suite Range:
Zoning: SP2
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
LaTerra Development, LLC
1880 Century Park E, Suite 10'17
Los Angeles, CA 90067
(310) 552-006s
The Charlie
01116002 51603
01116002 51600
01116002 51603
01116002 57770
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Records
Amount
78.08
22.95
57.20
3.91
Fee
$78.08
$22.95
$57.20
$3.91
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N/A
N/A
cEc 2019
lrener0l l10n Updot.(
r-rl I I6trtt2- 5l6LlLltlU0-
Electr i cnI
Ltl 1 150U?- 5l6t-ti0t-ttt-
llicrof iln & Docuret
Lll I 160U2- i777r-rrrtr0-
V iso
(:(.i: *rrrrrx*rx**37
Notes: lnstall (1) illuminated blade sign for "The Charlie",
bond paid on M-74293.
Building Use:
Job Type:
Nature of Work:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Planning Conditions:
Planning Approval By:Date:
Date:
Date:'eri
Every permit issued shall become invalid unless lhe work on the slte
authorized by such permit is commenced within360 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.
Multi-Family (5 or more uni Occupancy:
Signs Constr TyPe:
Blade sign Code:
1 1 02966
03t16t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
011't6002 51600
01 1 16002 51603
01116002 57770
$22.95
$13s.28
$3.91
Fee Total:
Paid to Date:
Balance Due:
$162.14
$0.00
$162.14
lnspector MID#: 2019-152238
Qty
1.00
1.00
1.00
1.00
1(
ELECTRICAL.INSPECTOR
Rev.08-07-2015
APPROVALS DATE !D/S!G.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Flre Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
l\Ieter Release
Rouqh
,Z-\Service lVeter (-?o-2e /?zrt / €,at L rlFINAL
Notes, Remarks, Etc.
OWNDR BUILDI:R DI.]I,CARATION
I hcreby aflrnr uDder pcnalty of pcrjury that I dn excmpt frum thc ContracloB Licensc law for the followhg rcaen (Scc.703 1.5
Busincss and Prolcssion Codc): Any City or County which rcquircs a pcrmit to conslruct, alter. improve, dcmlish or rcpair eny
structure. prior to ils issuance. also rc<pires thc applicot for such lEmil to fih a si8ncd statcmnl lhat tE or shc is liccred pusant
lo the pmvisions of thc Contractor's Liccnscd law (Chaptcr 9, Comtncncing with Scction 7000 of Division 3 o[ thc Busiress and
Profes3ionsCode)orthatlrcorslxisexenrptlherefiomiudllEbdisfortlEallegedexcnplion. AnyviolatiooofsectionT03l.5byany
applicdnt for r pernit subjects the ro a civil pcnalty of not mrc than fivc hundrcd dolhrs ($500).
_1, as owncr ollhc with wagcs as thcir solc compcnsation, will do thc work and the strcturc is fr)t
irlcrxlcd oroflcred for Busincss and Pmfcsiom Codc: Thc Contractor's Liccn* l:w des not apply to m omd of
the prcpeny who thcrdnr, md wlD does such work himself or lErselfor tkough his or her own enpkryees,
providcd tha(dc ml iflcndcd or olfcrcd for sb. ll, hoscvcr, tlE huiHins or itrprovemDt is $ld withio om )rcd
ot Builder will lurve thc burden ofprcvinS lhat he or she did not build or imprcve thc prcpefly for thc purpos of
silc).
ofthc propcny, am exclusivcly contracling with liccnsrl conuacloB to construd th. pmjet (Scc. 7O14, Busircs
and holbsiDCodc:TheContrack)r'sLicenseLawdoesnotapplytoanowoerofptopenywhobuildsoriDprovesthereon.
and who conuacls for such projccls with a Cr)ntEchr(s) liccnsd pursumt b thc Conraclor's Liccnsc [jw).
-I
B .C. lbr this reason.
L I)}:CI-ARATIoN
I hcreby affirm undcr penahyofpajury one ofth. following decltratiom:
_l havc and will nuintain a Ccnificatc of Conscnt to Sclf-lnsc for porkds' @mpcnsatioq u trcvidcd for by Scction 3700 of thc
t bor Codq for thc Jrcrfonlrme of the work for which the psmit ii issued.
_l havc and will nuintain workc6' conrpcNation isursrec, as rcquiEd by Sstion 3700 of lhE Libor Codc, for thc pcrfomc of
thc work for which rhis Frmit is issucd. My workds' compeNdion iNuilce cmicr ald [Elicy numbcr @:
r-;-.
Policy
_l ccnify that in thc lNilbrnunce of thc w(,rk for which this pcrnlit is issucd, I shall not cnrploy my pcrxrn in aoy muncr
$ astobccorrcsubjcc(tothcworkcrs'coilrpcnsationlawsofcaliforilia.andasrccthatiflshouldbccorresubjccttolhe
workcrs conrpensationprovi\ionrofSection3?00ofthcLaborCorlc,lslull,fonhwithconplywilhlho*prcvisios..
WARNTNG: Failure to secure workcrs'conrpensation coveroge is unlawful, rnd shall subjact qn employcr to criminal pcnalties {nd
civil t-lnes to orrc lrurrdrcd (housand dollars 100.000). in addition to tlE cosl of corpc[etion, dmEgcs 6 prcvidcd for thc
Sccli(ilr C<xlc,
I hcrcby afltrm under penahy of pcrjury that I anl liccnsd 9 (corlmncing with Setbn 7000) of Divisbn l
of the Busincss and PrcfcNsiors Codc. and my license is in lull force md elllct.
Licanse
I hcrcby allirm undcr frnalry ofpcr.iury thal thcrc
issued (Scc. 1097, Civ. C.).
kndcr's Nantc:
agcncy for pcrl-oflnarcc ofthc *ork ldr which this pcrmit i\
kMrr's AilJres\:
I lrrchy allirilrundcr 1x[rlly of
E@NLPE&^RA'I!AN
of thc folkrwing dccluations:
l:cdcral Rcgulati(,ns (Tnlc 40, Pm6)Dcnbliti()n
_Rcquicd
_t thc rc84din8 strcstos rcrmval dc nol applicablc to fiis projet.
thill I with all City and County
and stale and to cnte( uFrn thc
ub()\'e trEntioncd
rbApplicant or Agmt
P.'milec nemc
afpllciltioD ilxl strtc that
)
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