HomeMy WebLinkAbout20170941 - PermitCity 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 #:2lJ17fJ941
Pin #: 17172
Proiect Address: 709 E AIton Avea
-
Unit:
Block: NA
Bldg
Tract:
Address Range: 705-709
Historic: No
Suite Range:
Zoning: M2Assessor's Parcel: 41'l-'14'l-12
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Shea Properties
130 Vantis Dr. #200
Aliso Viejo, CA 92656
(949) 389-7295
Pacific Construction Group
17895 Skypark Circle #K
lrvine, CA 92614
(949) 748-1500
Fee Type
01 116002 51603 Temporary Electric
01 116002 51600 General Plan Update
0'l 1'16002 57770 Microfilm Records
Amount
253.66
22.95
3.91
Qty
1.00
000
0.00
Fee
$2s3.66
$0.00
$0.00
H.ot.
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State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 2600014602191
Expires: O3lO1l2O2O
L
Building Use:
Job Type:
Nature of Work
Planning Conditions:
lndustrial OccuPancY:
Miscellaneous Constr Type
30-day temp Elec. Bldg. #9 Code:
B, S-2
III B, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235
Bldg. #9
Chavez, Dave
Date:
Date:
Date:03t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total*70
Fee Total:
Paid to Date:
Balance Due:
$253.66
$0.00
$253.66
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance. 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#: 2020-158199
01116002 5't603 $253 66
Lot:
lUi
at
t.L L.l, tsL'Lr!r.j_&tL!t?;
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
ELECTRICAL.INSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS 0WNI'R BUII,DER I)I.]I,CARATTON
I hcrcby aflrm under penalty of perjury thal I anr cxenpt froD thc CbntractoN' Lic.nrc Law for thc followinB rcaetr (Sec.7031.5
Busincss and Prolbssion Code): Any City or Counly which rcquircs a permit lo cons(ruct. altcr, irnprovc. dcmolish or rcpair my
struclurc, pri()r lo ils issuance. also rcquires thc applicatr for such lEnlil lo file a sigilcd slalclEnt that lE or shc is liccn*d pusuant
to lhc pmvisiom of thc Conlractor's Liccnscd Irw (Chaptcr 9. Commcncing with Scction 7000 of Division J of thc Business dd
Professions Code) or thal lE or slE is erempt therefrom and tlE b&sis tbr dE alleBed exenqairn. Any violation ofSrcrion 7031.5 by any
applicantforapcril[subjetsthe npplicrnlloncivilpennltvofrctrmrcthantivchundrcddollars($500).
_1. as owncr ol'th(' propny. or nry c rnphyces wilh wagcs as thcir solc cornfrcnsation, will do thc work ard thc stMtwc is not
irilended or offered for salc (Se,7044. Busincss and Prcfcssious Codc: The Contmctor's Liccnsc Law dres nol apply to ao owner of
thepropeny whohuildsorinDrovesllErqntuldwl$doessuchwo*.hirnselforlErselfortluoughhisorherownenDhy@s,
providcd that such improvsmnts dc iln inlcndcd or olTcred fo, salc. Il, howcvq. trc huildin8 or irprovcmnt is eld within onc ycd
of completio[ tlE Owmr Buikler will havc thc burrlen of pmving tlut lr or shc rlid rct buil] or impmve 0E pmpdty for th. puqrcs of
s1e).
_1. as owner o[the prol*fly, am exclusit'€ly contrarting with liccnsd contraclos to conslruct th€ pmjact (Scc. ?(X4. Busincss
aril ProfksionCode:TheContractor'sLicenseLawdoesnotapplyk)anownerofpropenywhobuildsorinrprovesthereon.
and who contracls for such pro.iccts wilh a Contracto(s) liccnscd pursuet !o lhc Contraclor's Liccnsc [aw).
_l anr excnlft under Scctiotr-, B. & P.C. tor tllis reason.
WORKI'RS' COMPENSATION
DECLARATION
I hcreby afllrm undcr pcnaltyofpcrjuryonc ofthc lbllowinS decl{ations:
_lhavemdwill nrutiluiDaCeflilicateofC(nNcntk)Selll[suref(rr*orkers'conrpensation,as providedforbyScction3?00ofthe
lrhor Codc. tor thc pcrfornrancc ofthc work lbr which thc pernit is issucd.
_l have and will rMinlain workeB cotrfcnsalion insura!rec. as requircd by Scclion 3700 of thc lrbor Codc, for thc Frfoffie of
thc work lbr which this is My inrurmce cmier :url grlicy numbcr de:y\(e ?oI
l'olicy L(
_l ccnify lhal in lhc l{rlornuncc ot tlr work for which tlris pcrmil is issucd, I shall nd cnrploy my Frson in aoy manncr
e astotrccom$ubjccltothcworkers'compcnsationlawsofcalifomia,andagrcethatiflslDuldbecorcsubjectlothc
workers' conrlEnrlioo provisions of Section 3700 of the bbor Codc, I shall. fonhwith comply wilh lho* prcvisioN..
WARNING: Failure lo secure workers'comFnsation coveruge is unlnwful, and shall subjcct An employer to friminrl p€nalties and
civil lines up rr one lunrlrerl thousand dollnrs (S100.0$0). iIl of compensaliur, danuges as provided for the
Scclion intcrcsl and rlk,rncv s ltcs.
LICENSED CONTRACTOR
t)ECl,ARAl tON
I hcrcby affirnr undcr Fnalty of pcrjury thlt I 8nr liccnsd undcr povision ofchapter 9 (cotnnEncing with Srction 70m) of Division 3
o[ the Busincss and l'refersions Codc, rrrd rny liccnse is in full force and cffcct.
qL6-7 6
CONSTRUCTTON LENDING AGENCY
I hcrcby allirm undcr rtnalty of pcrjury that thcrc is a construction lcnding agcrcy for thc perlbflnarce ofthe work lt r which this pcrmit is
issucd (Sec. 309?. Civ. C.).
Lender's Nanlc:
knder's Addrcss:
APPI,ICANT DECI,ARATION
I h*cby ttftimrundcr p.nalty ofperjury onc of thc following decl4f,ti()ns:
Demolition Pcrnits-Ashcsk)s Notification Fcdcral Rcgulations (Titlc 40, Pm6)
_Rcquired Lrttcr oI Norifi olion
_l cffify thal lhc fcdcral rcgulalioN rcgudinS asbcstos rcrreval {c not applicablc to this pmiEt.rT
lll ccnity tlut I luvc rcad this application axl statc tlHt thc abovc informaliotr is corcct. I sgre b conply wilh all City and County
ordinanccs md Statc lnws rclaling to buildinB construction, and hcrcby authorizc rcprcscntativcs ofthis
ab()ve nentioned propeny ft)r iDspection
Applicsilt or Agmt
<bl
l'cmrilcc nanr(t\cL
tlrc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
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 (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Roush)
I/eter Release
Rouoh
Service lrleter
FINAL {^-lo -ad \Y-r
"\JLtNotes, Remarks, Etc.
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