HomeMy WebLinkAbout20168640 - Permit,City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714)647-5800 lnspection Requests (714)667-2738 lnspector Section (714)647-5853
Permit #:20168640
Pin #: 35597
Project Address: 3300 S Bristol St
Assessor's Parcel: 412-141-22 Lot: NA
Unit:
Block: NA
Btdg:
Tract: NA
Address Range: 3300-3398
Historic: No
Suite Range:
Zoning: C4
Owner.
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone
Bristol Place SP LLC
6400 Fiddlers Green Circle, Suite
E$$ewood, CO E0111
(94e) 312-7031
Target
Absolute Sign lnc
10555 Humbolt Street
Los Alamitos, CA 90720
(562) 592-5838
Amount
78.08
22.95
57 20
Qty
4.00
1.00
100
Fee
$312.32
$22.95
$57.20
State Lic #: 782551
Lic Type: C45
Bus Lic # 323197
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9049610
Expires. O4lO'll2O2O
Building Use: Commercial Occupancy:
Job Type Signs Constr TYPe:
Nature of Work: Monument signs & wall signCode:
Planning Conditions: (15'foot monument sign per Variance 2018-9)
N/A
N/A
cEc 2016 Notes: lnstall (1) 15' & (1) 7' illuminated monument signs & (2)
led-illuminated channel letter wall signs for"Target",
bond posted on M-73338.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:01 1 00057
eri
Date.
Date.
Date 08/1 9/201 9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
$22 95
$369.52
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due:
$392.47
$0.00
$392.47
Every permit issued shall become invalid unless the work on the site
authortzed by such permit is commenced within 360 days after its
,ssuance, or if the work authorized on the site by such permtt is suspended
or abandoned for a period of 360 days after the time the work is
commenced
lnspector MtD#. 2019-151220
Fee Type
01 1 16002 51603 Signs & Neon
01116002 5'1600 General Plan Update
011'16002 51603 lssuance
UEIIEI'L( I T' !LTI
Lr1116rJLr2-- 5l
Electr i c01
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas. Pool. Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service ]t/leter I 1
,.t /tO a )4--u )FINAL z/t.
Notes, Remarks, Etc. 4 -tl
OWNER BUII,I)ER I)I]I-CARA'TI0N
Busiilcr\ and Profcsst)l Co(lc): Any City or C(rDly which rcquircs a prnril lo consltucl. allcr. rnrprovc. dcnmlish or rcpriillnl
structurc. prhr k) il\ issustrcc. rlso rcquircs lhc applicant lbr \!ch Frrnlil kr filc r signcd stalctrrtrl lhxl hc or shc is licctrscd fursuant
lo thc provisionN ol lhc Conlrilcbr's Liccnscd Lnw lChaptcr 9. Conrntcncing wilh Scction 7(Xil of Division 3 of lhc Busincss and
I)rofcs\iotr\Codc)orthathcorshciscxcnrilhcrcfromnndlhchisisforlhc{llcScdcxctrption. AnyviolilionofScctionT0-ll.5hyany
xpplicxiltlbrapcrnrit\ubjcdsrhc applicanlloilcivilpcnallyof0olnx)rclhanflvchundrcddollrrs(S5(X)).
_l.as owncrollhcpropcrty.ortrlycnrployccswilhwngesil\lhc'irsolcconrpcnsalioD.willdothcwolkrnrllheslruclureisnol
intcnddl or offcrcd li)r $lc (SN.7(}1.1. Ilu\incss aDd l'r)lcssi(ns Codc: l hc Conlraclor's Licen\c [-irw docs not apply k) nn owncr ol'
thc lrmtxry who huikls or irnprr*cs thcR\nt. and who d(ts such w()* hitrlsclfor hcrsclfor thnrugh his or hcr own cmpk)yccs.
provklcdlhatsuch inlprovctrEnlsarcnotintcndedorolLrcdt()rsalc ll.howcvcr.thchuil(lirrgorimfrovcrrtrlissoldwilhin(nrc)tilr
ofcornplclioD. thc Owncr Buiklcr will hrvc lhc hurdcn ol proving thrt hc or shc (lid not huild or itrrprovc thc pnrJuly for lhc IUfF)$ of
srlc).
_1. as owncr of thc p()perty. rnl cxclusivcly co0lrilcling wilh liccnsc(l c()nlractors lo conslruct lhc l)rojccl (Scc. 7044. llusincss
ilnd lh)lLassinCo(lc:'lhcConlrilctor'sLiccnscLrwdocslolrpllyk)nil()wncrolprol)erlyNh()huildsorintprovcslhcrcon.
ard cho contractsfirrsuchprojcclswilhflCorilrach(s)liccn\cdpursurnllothcCollraclor's[,iccn\cl;tw).
I ilol cxunrt)l urtrlcr Scclior B. & l'.('. Ior lhis lcason.
l)hle:()wner:_
}\.OIIKI.:RS' CONIPUNSA'II0N
t)lt( l,ARA'l l()N
I hcrcby all irm undcr Fnally of pcrjury onc ol thc li)lk)winE dcclarali(nts:
_l have and will nuintair n Ccniflcnlc of Conscnl k) Sclilnsurc lirr rvorkcrs'corr1)cnsilk)n. rs frovidcd for hy Sccli(rn 37(X) of lhc
I-rhor (iilc. torthc pcrlbrnranct'oflhc work l'or whicl lhc pcrillil is issucd.
lhc w(nk lin which lhis permil is issucd. My workcrs' c()trlpctrsilli()D insurance crrricr and Policy nunrhcr rrcr
Policy Nunrber: Expires:
_l ccnily that irr lhc pcrlirrnrancc of lhc work li)r uhich thi\ pcrnlil is icsuc(I. I shrll not cnrpk)y any pcrson in nny manncr
so as k) hccotrrc suhicct to thc workers'c(,nrpcnsation laws of('rliforilin. iln(l rgrec lhill il l shoulcl hccortc subi:ct to thc
workcrs'compcnsrlionprovisirnsofScclirm.lTU)olthcLahrrCodc.lshrll.lonhwithcornplyrvithlho*pi)visio0s..
\VARNIN(i: Frrlurc lo \(\'ure \\r'rlcr\'covcrrgc i\ unlawlirl. rnd shxll subjcct an cmpkrycr to criminill pcnrltic( and
civil lincs up t) onc hundrcd lhoustril(l (lolldrs in lo lhc c()sl ol conrpcnsnlion. drnHgcs n\ provklcd lbr lhc
Sccti()n
I)ole:
"b/?zY:fce\.
l)1..( t_.\lt,\ I l()\
I hcreby illllrm undcr pcnalry ol pcrjury lhal I am liccn*d undcr provisioI of Chaptcr I (contrrencing wilh Scction 70(X)) of Division ]
of thc [rusircss rld Profcssirrns Cotlc, urd nry liccnsc is irt full lbrcc .utd clli]ct.
l-iccnsc
lhte:7
I hcrchy sllirnr undcr frcnnlly ol pcrjury thll
issucd (Scc. .1097. Civ. C. ).
isa ion hndiilg agcncy lirr thc pcrlirrnrarrc ol'lhc work lbr which this lErnlil is
l.cn(lcr'\ Nrnrc:
Lcnder'\ A(ldrc\s:
-
APPLICAN DECLARATION
I tEL.hynlllnnundur pcnally ol fcrjury onc ol lhc lollowing dcclarnlionsi
l)cnmliti(,n Pcnnils-Asbcslo\ Nolificrtt,n Fcdcral Rcgulations (-l itlc.l0. l'iln6)
-Rcquircd
ktlcr of Nolilication
tlrc
I atne lo corlply with all City and Counly
I