HomeMy WebLinkAbout20157961 - 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 #:2015796{
Pin #: 68563
Proiect Addressi 2270 E Seventeenth St
Assessor'sParcel: 400-121-01 Lot: 1
Unit:
Block: NA
Bldg:
Tract:MAYBURY
AddressRange: 2000-2278
Historic: No
Suite Range:
Zoning: Cl
AE
Owner: SDL Management Company
Address: 2222East 17th Street
Santa Ana, CA 92705
Phone:
Tenant Name: Panda Express
Contractor: Jones Sign Co., lnc.
Address: 1711 Scheuring Rd.
DE PERE, WI 54115
Phone: (858) 569-1400
State Lic #: 959771
Lic Type: C45
Bus. Lic #: 351566
Workers' Compensation lnsurance:Carrier: American Guarantee & Liability
Policy #: WC0176378-01
Expires: 08/01/2016
Fee Type
01 1 16002 51603 Signs & Neon
0111600253601 P/C-65%
01 1 1 6002 51600 General Plan Update
01 116002 51603 lssuance
Amount
67.81
0.65
19.93
49.68
Qty
2.00
135.62
1.00
1.00
Fee
$135.62
$88.1 5
$1e.93
$49.68
Building Use:
Job Type:
Nature of Work:
Commercial
Signs
Signs-illuminated
{ 01 8663s
Occupancy:
Constr Type
Code:
M
V B, SPK
cEc 2013 Notes: Install (2) led-illuminated channel letter wal! signs for
"Panda Express", bond posted on M-66859.66859.
Planning Conditions:
Planning Approval By:
Plan Checked By: Amsden, Julie
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie
Date:
Date: 0912412015
Date: 1012112015
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
autho?ized by such permit is commenced within 180 days after its
issuarice, or if the work authorized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
comm|nced.
01 1 I 6002 51 600
01116002 51603
01116002 53601
$19.93
$185.30
$88.1 5
Fee Total:
Paid to Date:
Balance Due:
$293.38
$0.00
$293.38
lnspector MID#: 2015-124075
ELECTRICAL.INSPECTOR RECORD
hlspealir )n
APPROVALS DATE ID/SIG.COMMENTS ( h{ncr-Builder Dcclaration
IherebyaffrrnrunderpenaltyofperlurythatIafiexenrplformlhe('ontraclors l,icenseLawforthefollowingreason(sec.701L5Busind,s
and Profession Code): Any Cily or County which requircs a pcrmit to construct. alter. irnprolc. dcmolish or rcpair any slructurc, prior to its
issuance.alsorequircslheapplicantforsuchpcrmittofilcasigncdst6lemcnt thath.orsheislicensed plrsuanltolhcprol,isionsofthe
Conlraclor's Licensed l-sw (Chapter g, Conrmencing with S6tion 700O ofDivisron J ofthe Businss and Professions Code) or lhat hc ot
she is exernpt lhercllom and thc basis for lhe allcged excmption .Any viol0lion of Section 703 I .5 by any applicant for a pennit subjccts lhe
applicanl to s civil pcnally of not more than fivc hundred dolhN ($500).
l. as owner oflhe pmpeny. or my employecs wilh wages as thcir solc compensalion. will do thc lvork and lhe struclurc is not inlendcd
orofTeredforsale(SecT044,BusinessandProfcssionsCode The('ontractor'sl,icenseLawdoesnotapplytoanownerofthepropeny
who builds or irnproves lhcreon. and who does such work himselfor herselfor lhrough his or her orvn c,nployccs. provided lhat such
irnprovemenls are not intended oroffared for salc. lf. howevcr. thc building or irnproternent is sold wilhin one ycar ofcomplarion. lhe
Owner-Bililder will have thc hilrden of provinE lhat he or shc not build or improvc for lhe purpose ofsalc).
_ l. as owner oflhe propedy. am e\clusively contracling wilh liccnsed contmctors lo construct thc fojecl ( Scc. 7044. Busiress aild
Profession ('ode: I he (-<)ntraclor's l-rcense kw does not apply lo an owner of propedy who huilds or inproves thereon , and who
conlracls for such proiects wilh a ('ontraclor(s) lrcensed pursuant lo lhe Conlrackrr's l,icense l-aw )
I arn e\crnpl undcr Scction B. & l).C. for this rcason
l)alc:()s,ner:
WORKERS COMPENSATIoN DECLARATION
I herchl- alTirrn under penalty ofperjury onc ofthe folhrving dcclarations:
_l have and will maintain a Cenilicatc of Conscnl to Self-lnsure for workers compenmlion. as provided for by Section tl?oo of tlrc
Irbor Code. for lhe pcrfonnance ofthe work for rvhich the pcrmit is issucd.
5(har" und will nnrnlarn workers conlpensatrcn insurance. as required hy Section l?00 o
&orkfor*hichthispermitisissued lvtyworkers comp€nsationinsoranceceTier.ndF,olicy
c",i.., 7{ fvt1Q, r L<O 4 Ar.,, q.,rle.2'\feo
eoti.yH,,nt.,, OI-1[r' 3f,* 9L- Erpircs:
('l his seclion need not bc complcted ifthe permit is for (he hundred dollars {$l 001 or lcss)
fthe Lahor ('ode. l'or the perfornrance oflhc
numher are
t[[ru
I cenify thal in the pcrformance oflhe work for which this perrnit is issued. I shall not employ any person in any manner so as lo
hecame suhiect lo the workers conrpensalion laws ofCalifornia. and aSree lhal ifl should lrcconre subject to the workers'
compcnsation prorisions ofSecti<rn.1700 ofthe Labor (bde. I shall,fonh* ith cornolv rvith lhose Drorisionstll.-tJI).te:trlutn (
llARNlN(; Failure to secure worlers rs unla*ful. and shall subjccl an employcr to crirninal penalties and ci!il
fines up to one hundred lhoussnd dollars ($100.000).
the lrhor ( ode. intercst and attornev s feet
the cost ofconrpensation. danrages as providcd for lhe Section :1076 of
LICENSED CON'TRA('TORS DECLARATION
I hercby amrm under penahy ofperiury lhal I am licenscd under provision ofChapler I (commcncirll with Section 7000) ofDivision.l of
the Business and Professions ('ode. and mv licensc is in full force and effect
I.i".n..ct"r.,Q / -15,* alztltF
951_-t ?r
(i)nlractor:
I herchy amrm unds fEnahy ofperiury lhat thcrc is a
issilcd (Scc. 3097. Civ. C.).
l,ender's Nanre
lcnding aSency for the perfonnance oIthe work fur which this permit is
l-ender's Address
APPLICANT'S DECLARA'I'ION
[)enx)lilioa Pcrilrils-Asbcstos Nolification Fedcral R.Bulntions (Title 40. P.n 6)
Rcquired Lelter of Notifi cation
I ceflify lhal lhe fedcral regulations r.Ssrdinll asb6tos rcmoval arc nol lpplic&hle h this projccl
)lcenitv
ordinances r
that I have rcad lhis application and slate that the above information is conect. I agree lo comply Nilh all fity and Counly
and State Lalvs rclaling lo buikling construction. and hcrcby author izc rcprcsentaliles ofthis Cily aod Counly lo cnter ulon lhc
sbovc menlioned inspection purposcs.
Applicant or agent sig.
Permiltee nanre (priilt):Jffr o
,*",J4zLLh
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL u/n//6 =Hg etrnla I t
Notes, Remarks, Etc.t vv \UI