HomeMy WebLinkAbout20170727 - PermitCify 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 #:2fl17lJ727
Pin #: 68{
t4l
Project Address: 208 N Harbor Blvd
Assessor'sParcel: 198-061-17 Lot: NA
Unit:
Block: NA
Btdg:
Tract: NA
Address Range: 100-230 *
Historic: No
Suite Range:
Zoning: SP2
Owner:
Address:
Phone
Tenant Name: WSS Shoes
Merlone Greir Management
21791 Lake Forest Dr, Suite 203
Lake Forest, CA 92630
(949) 305-4199
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Signs & Neon
General Plan Update
lssuance
lvlicrofilm Records
Amount
78 08
22.95
57.20
3.91
Qty
3.00
1.00
1.00
1.00
Fee
$234.24
$22.95
$57.20
$3.91
Conlractor:
Address:
Phone:
San Pedro Sign Co
701 Lakme Av
Wilmington, CA 90744
(310) 549-4661 ext. 105
Botchi:54267 - 2/6/2i2il I0: HF,INEDA
0f f ice: (:TYH Trnns*: 64 3 cil 3Acct*: Ref *: 2ttllt-|/Zl
Rcpt*:02888911 - 2/6/2tt?tr 1:tr3 pN
Tronsact i on Totsl S9lZ.7LiPHB Contrnctor
Son Pedro Sign CoState Lic #: 351019
Lic Type: B, C45, C-10
Bus. Lic #: 6704
Workers' Compensation lnsurance:Carrier: STATE COMPENSATION INSURANCE FUND
Policy #: 9051294
Expires: O4l0'll2020
Genernl Plnn Update Fee
Lll I I60112- 516r1u0tfti-
EIectr i cnl
ul I l6L1U2- 5t6r:r3lt0[-
ll icrof i lm & Oocuoents
0l I l6Lr02- 5777lr0r1rJ-
I(:L (:heck lt+946
s22
$291
TJ
$912
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sublect to Field:
Building Permit #:1 1 03028 01 1 16002 51600
01 1 16002 51603
01116002 57770
Commercial
Signs
Signs
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2019
02t06t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
lnstall (3) led-illuminated channel letter wall signs & (5)
non-illuminated channel letter shoe brand signs for
"WSS, Shoes. Style. Selection.", bond paid on
M-74108.
$318.30
$0 00
$318.30
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, 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.
$22.95
$291.44
$3.91
lnspector MID#: 2020-157322
Rev.08-07-2015
DATE ID/SIG COMMENTSAPPROVALS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter /a\
,-2A,2a 9.ulr[J\FINAL
Notes Remarks Etc
I hqeby amnn unda poalty of psjury lhat I an exempt from the ContractoE' Licmse Law for the following r6on (56.7031.5
Busincss md Profasion Code): Any City or County which rcquires a permit to coNtruct. alta, improve, dm6lish or rcpair my
structue, prior to its issuancc, also requirB the applicmt for such pemit to filc a signed statmmt that he or she is licosed puiumt
ro thc provisions of the Conlractor's Licensed Law (Chapts 9. Commencing with S*tion 7000 of Division 3 of the Bushs md
Profesions Code) or that he or she is excmpt thqefrom ud lhc b6is for the allcgcd cxmpion. Any violation of Section 7Ol1.5 by any
applicantforapamitsubjststhe applicanttoacivilpenallyofnotmorethafivchundreddollas($500).
l. s owner of the propqly, or my employe with wag6 I their sle comperoation, will do the work dd the structue is not
intmdcd or offqed lbr sale (Se.7044. Busins ild ProfessioN Codc: The Conlractor's Licme Lsw do6 nol apply lo m oMq of
thc prcpeny who builds or imprcva th6o[ ild who do6 sch wort himsclf or herclf or thrcugh his or her om cmploycs,
providcd that such imFovmts de rct intodcd or oflqed for slc. If. howd6. thc buiHing or improvmot is sld within onc )@
ofcomplaion. the Orms BuikJs will have thc bud6 ofprcving thd he or she did not build or improvc the prcpaty for thc purpos of
sale).
I. m omo of lhc propqty. an €xclusively contracting with licc$cd contlacloG to coNtrucl the prcject (Se. 7044, Buins
od Profosion Code: The Conlraclor's Licensc Law do6 not apply to il owns ofpropeaty u,ho builds or improvd ths@n.
and who conlmcts for such projets rvith a Conlmcto(s) licemed pursuel to the Contraclor's Licmc Law).
I m cxcmDt unds S6tion-, B. & P.C. for this reson.
l)rtc:
WORI(ERS'COMPENSATION
I hscby affim under penalty of psjury one or,n" a,,o*,n*ffiU
_l have md will maintain a Certificatc of Coroot to SelfJnsure for work6' compffition, a provided for by Sction 3700 of the
Labor Codr. forlhe Efommce of the work for *hich the pemit is isued.,
ltfavc and will maintain workm' comperoalion imuace, u required by Sction 3700 of the t bor Code, for thc pofomece of
ihc work for which this pmit is isued My workc' compouation imurucc cmio ad policy numbo uc:
Policy 4-l-DZa
_l cenify that in the psfonnance of the work for which this pmit is issued, I shall not mploy any permn in any mmno
s s to bccomc subjet lo thc workm' compcNation laws of Califomia. ild agE lhat if I should becornc subjrt to thc
worktrs'compmsalionprovisionsofSectionST00ofthetaborCode,lshall,fonhwithcomplywiththowprovisions..
WARNINC: Failure to *cure workes'cornpeNalion covfra8e is unlawful. and shall subject d qnployq to oiminal pmaltia md
civil fines up to one hun&cd thoMd dollm ($100,000), in addition to cos of compemtion. dmags 6 provided for thc
Strtion 1076 of the tibor Code. inttret md f6.
Dta( 1,,\R,l'iloN
alIirrn undr ofperjury that I an licosed undr provision ofChapto 9 wilh Sdion 7000) of Division 3
Code. ud my license is in full ol
CONSTRUCTION LENDINC AGENCY
I hereby allirm undo penalty of perjury lhat lh6c is a construction lmding agmcy for the pafommce of lhe work for which this pof,it is
issued (Sec. 3097. Civ. C.).
knder's Nanre:
lad6's Addrs:
APPLICANT DECLARAI]ON
I hqeby aflimr undq pqralty ofprjury one ofthe following delualions:
D€molition P@nits-Asb6los Nolification Fedqal Regulalions ( l itle 40. Pm6)
_Required
the fcdeal rcgulatiom regdding dbstos rernoval ile not applicable lo this prcjccl.
to comply with all City and County
of this City ad Countyto 616 upon the
Permi(e nsme
conrcl- I
znob
ELECTRICAL.INSPECTOR RECORD
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