HomeMy WebLinkAbout20170939 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermrtCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:20170939
Pin #: 95258
Project Address: 705 E Alton Ave Unit:
Block: NA
Bldg:
Tract:
Address Range: 705-709
Historic: No
Suite Range:
Zoning: M2Assessor's Parcel: 411-141-'12 Lot:
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 92514
(949) 748-1500
Fee Type
01116002 51603 Temporary Electric
0'l '1 16002 51600 General Plan Update
01116002 57770 Microfilm Records
Amount
253.66
22.95
391
Qty
1.00
0.00
0.00
Fee
$253.66
$0.00
$0.00
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State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #. 76000'14602191
Elrpires: 0310112020
IFB{lding Use:
Job Type:
Nature of Work
lndustrial occupancy:
Miscellaneous Constr Type
30-day temp Elec. Bldg. #8 Code:
Chavez, Dave
ar-'
Date:
Date:
Date:
B, S-2
IIIB, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235
Bldg. #8
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
03/03/2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due
$253 66
$0.00
$253.66
Every permit issued shall become invalid unless fhe 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#: 2020-158196
01 1 16002 51603 $253 66
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUII,DER DI]I,CARATION
I hercby aflrnr unrler pcnalty of pcrjury that I an cxenrpt fronl lhc Con(ractoN' Liccnsc l:w for the following rcasn (Scc.7031.5
Busincss arxl Profcssion Codc): Any City or Couily which rcquircs a lEmil to construct, altcr, irnprovc, dcmlish or rcfat sny
structurc, prior to ils issuance. aLso rcquires lhc applicilil tbr such pcmit to filc a si8ncd slalercnl lhat lE or shc is licatrsd pursuant
to thc prcvisions oftht'Contrelor's l-iccnscd lrw (Chaptcr 9. Commencing wilh Scction 7fi)0 ofDivision 3 o[thc Busincss md
ProfessionsCode)orthatheorsheisexen4rttherefromandtlEbosislbrtheallegedercnrptiol. AryviolationofsectionT03l.5byaDy
applicantforup.nnitsubjctsth€ applicnntloacivilpenaltyofnolrmrcthanllvchundr.ddolla,s($5m).
_1. a\ owncr of lhc foFrcny. or my crnployccs with waScs as their slc compcnsdion, will do thc work aid thc stMm is ml
iucrxlcd or offercd for Mlc (Se.7(X4. Busincss and Prcfassions Codc: Thc Contraclot's Liccns Law docs not apply to an owncr of
the pmFEdy wlrc hoilds or irproves ther6)E aryl wln d@s such wo* himself or ltr*lf or through his or her own cn{rloyecs,
providcd that such impr)vcrrnts {c m! iilcndcd or olfercd lbr Mh. Il. howcvq, 0E building or irnpmvcmnt is $ld within one ]rd
ofconplclion, thc Owrer Buildcr will have th€ bordcn ofpmvin8 thd h. or shc did rct buill or irpDvc thc pmpa'ty for thc purporc of
sle).
_I. ns owncr of the prcpeny, am cxclusi\ely contracling wilh liceMd contraclors to conslrud lhe prcjcct (Scc. 70,14, Busines{
and Prclbssifl Code: The Contracbr's License Law des not apply b an owner of prope(y who huilds or improvcs thcreon.
and who contEcts for such p(E'cls with a Conlracbr(s) liccnscd pursu&l to tlrc Conuacto!'s Liccosc hw).
-Ianlexen]ptutrdersccti()[-.B.&P.C.lilrtlrisreason.l)rte:_
WORKERS'COMPENSATTON
DECLARATION
I hercby aflirm undcr pcnally ofpcrjury onc oflhc tbllowing dccl4dions:
_l have imd will nrairilah a Ceniticate of Consent k) Self lnsure fot workcrs' compcnsation, as prcvirlcd for by Section 3T00 of thc
hbor Codc, for thc Jtcrfoflumc oI lhe work lor which lhc pcrmil is issucd.
_l havc arrd will nuintnin w()rkers'conlpensaliur insurarce. as rcquired by Seclion 3?00 oflhe bbor Codc, for the po{omErEe of
thc work rhis is issucd. Mv wurlrcrs' comrcosstion iEurucc cmicr arxl mlicv numhcr ue:A/ofrn,o( InfttQtr\ce- Ca
I'olicy
_l cc(ify that in thc lL.ilununcc of lhc work for whiclr this pcrmil is issucd, I shall not cnrploy aily lrcrson in any manncr
s as to bccor* subjcct to thc workcrs'conpcnsation laws ofcalifomia. and agrcc that ifl slFuld bccorN subjcct to thc
workers' cotrlpen\alion l)rcvisions of SectioD .1700 of the Lat{r Code, I $ball, fo(hwilh conlply whh lhos provisions..
WARNING: Failure lo scure workers'
civil tines up to ()nc hundred thousand
cornpensulion coverage
dollnrs (Sl00,U)0). trr
and dk{tuy's lccs
is unlawful. and shall subjcct m cmployer to oiminal pcn1ltics
ion, dmugcs c nrovitf: for
rnd
llEiddilinr !)cost of compcrtsal
Scction 3076 Codc. intcrcst
(
DDCI,ARATION
I hcrcby affrrn undcr pnalty of pcrjury thal I anr liccn*d untlcr prcvision ofchsptcr 9 (conmEncing with Srction 7000) of Division 3
of thc Bosincsr and Pmfessions Codc. srd mv liccn* is in full for€ uxl cffccl.
LiceDsc 1 a6
Do
W
I hcrcby allirm undcr pt'nalty ol pcr_iury lhfft thcrc is a construction lcnding agcncy for thc pcrl'ormancc ofthc work lbr which this pcrmit is
issued (Sec. 1097. Civ. C.).
l.en,Jer's Narne. _
lrnder's Address:
APPI,ICANT DECI,ARATION
I hrcby irflirnr undcr prnalty of pcr.iury onc of thc following drcluations:
DcnFlilion Pcrnits-Asltsk)s Notification Fcdcral RcEulations (Tillc 40, Pm6)
_Rcquircd l.llcr of Notilication
_l cdily th{ lhc fcdcral rcgulalions rcBtrdin8 ertrcsl)s rcmlal trc ret applicablc to this prejel.
($ ."nify rt,ur I luvc rcad this application and stale lhal lhc ah)vc informlrcn i
ordinanccs and Statc Laws rclaling to building construction, and hcrcby authorize
is corcct. I agre to @nrply qith all City ald County
reprercntativcs ofthis Cily md County to enter upon thc
*.,,3/7/*tabovc rrcntioned prcpeny fot in$pcc(ion
Appli(ant or Agmt
Pcmrilcc nanrc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lt/eter Release
Rouqh
Service lMeter /n I
F!NAL ln-lo.7a b,tLlr.)
Notes Remarks Etc.
Rev.08-07-2015
(