HomeMy WebLinkAbout20170937 - 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 #:2O170937
Pin #: 57921
Proiect Address: 2906 S Tech Center Dr
Assessor's Parcel: 4'11-141-12 Lot
Unit:
Block: NA
Bldg
Tract:
Address Range:
Historic: No
Suite Range:
Zoning: M2
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Shea Properties
130 Vantis Dr. #200
Aliso Viejo, CA 92656
(949) 389-729s
Pacific Construction Group
17895 Skypark Circle #K
lrvine, CA 92614
(949) 748-1s00
Fee Type
01'116002 51603 Temporary Electric
01116002 51600 GeneralPlan Update
01'l 16002 57770 Microfilm Records
Amount
253.66
22.95
3.91
Qty
1.00
000
0.00
Fee
$253.66
$0.00
$0.00
State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 7600014602191
Expires: 0310112020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Miscellaneous
30-day temp Elec. Bldg. #7
Occupancy:
Constr Type:
Code:
B, S.2
III B, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235.
Bldg. #7
Chavez, Dave
Date:
Date:
Date:03t0312020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total<?,
Fee Total:
Paid to Date:
Balance Due:
$253.66
$0.00
$2s3.66
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced wtthin 360 days after its
lssuance, 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.
.IIOLIJ
lnspector MID#: 2020-158193
01 1 16002 51603 $253.66
-tcr_L
ELECTRICAL.!NSPECTOR RECORD
Bev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinos (T-Bar Rouqh)
It/eter Release
Rouqh A IService Meter vwvFINAL6-10-%
Notes, Remarks, Etc.
BI III,I}I:R I)EI,(--ARA'I'I()N
IhercbyaflirnruDderpennllyofFrjurythalIaDexcnrptfroDrlheContractoN Liccnselawforthcfollowingr.ason(Sec.7031.5
Business an Prolcssion Codc): Any Ci(y or County which rcquircs a ;rcrrnit to construct, altcr, improvc, derrclish or rcpair ily
structurc, prior k, its issuailce. xlso requircs lhe afplicul for such penril to file a signed slalemnl lhat lE or shc is licced pursuanl
to the provisions of th.' Contrackr's l-iccnscd hw (Chaptcr 9, Cornhcncing with Scction 7000 ol Division 3 of thc Busincss and
ProfessiolsCode)orlhatleorsht'iscrenuttherefronlandtlEbasisfortlEalle8edexenlplion. AnyviolationofSectionT0Sl.5byany
npplicnntfor0prnnilsubjeclslhe npplicanlloacivilpenaltyofnotmorethrnfivehundreddollars($50$).
_1. &\ owncr ol'thc proJrnv. or rny crnployccs with wages as thcir $lc comfEnsdion. will do thc work ard lhc stMue i\ mt
iilcrxlcd or offcrcd for slc (Sa.7U!1, Busincss and Prcfcssions Cqle: The Conlractor's Liccn* Law d@s nol apply lo an owncr of
thc pmFdy wln toilds or inrprows thdrsnl uxl wlb dH such work himself or lxrslf or tkouSlr his or her own enlployes,
providcd that such improverrcnts dc not irtc.dcd or ollcrcd for salc. lll howcvci tlrc building or h{rrowrrcnt is $H within onc ycu
ofcompleliou the Owrcr Buildcr will havc th. burdcn ofpmvin8 lhd he or shc did rut buill or inrprcvc tlE pmpsly for th. purpos of
Mh).
_1. as owncr of the prcpcrly, um cxclusirely contracting with licenrd contrscloa to conslrucl tha prcjcct (Se. 7Og. Business
afil ftutessblCoderTheContraclor'sLicenseLawdoesno(applykranownerofpropenywhobuildsoriorprovesthereon.
and who contracls for such projccts wilh a Cof,(mchr(s) licen$d purslml lo thc Contrador's Lhcnsc llw).
-Imrcxert1rtuudersrcti()tr-'B'&P.c'1brtIisrcasn'Dele:-
WORKI;RS' COM PI'NSATION
pECIA8AIION
I hcrcby alfirm undcr pcnalty ofpcrjury onc oIIbc lollowing dccleations:
_l have arr-J will nrainlair a Cenil'icatc of Consent b Self-lnsurc for workcrs' cuuFnsalion, as prcvidcd for by Sotion 3700 of the
Labor Codc, for thc pcrforrmncc ofthe work lor which thc lcrtlit L\ issucd.
_lhaveaudwillnrain(ainworkers'cotr[ensationinsurance,as requiredbyScctrrn3T00oflhetabK)aCodc,fortheperfornEh-eof
thc work for wlich this lrcrnrit is i$sucd. My vorkcrs' con4rcnsation imurdcc cuicr dxl Jnlicy oumbcr ue:€v€CC)N ts,4 c-O
Policy o 2
_l cenify tlut in thc l)crfornHncc o[thc work firr which thig pcrnrit is issucd, I shall not cmploy any pcrson in any muncr
I a to trccom subjecl to thc workcrs' compcnsation laqs of Califomia. and agrcc that if I slnuld bccom subject to thc
workers' conrpensation provisions of Section l7U) of the Labor Code, I shall, fonhwith ronDly wilh thos prcvisioos..
WARNING: Failure lo scura workcrs'mmpensalion coverage is unlawful. dd shall subjcct m and
civil lines ul) to otr€ hutrdrcd thrusand dollars ($100.UU0). iI additi(trI rhe
Scction 3076 intcresl aod dtorrcy's l'es.e
Ir,r't.,\t{}\'il( )N
I hcrcby affirnr under lEilalty of pcrjury that I rnr licerurl under pruvision ofChaptcr I (cotrurrncing with Scction 7000) ofDivision 3
of thc liusincss aild Profcssions Code. and my license is in lull force and cltcct.
Liccnsc Nunlber:L7b
CONSTRUCTION LENDING AGENCY
I hcrcby alnrm undcr pcnalty of pcrjury lhat thsc is a construction lcnding agcrcy for thc pcrlormarce of thc work lor which this pcrmit is
issucd (Sec. 3097. Civ. C.).
Irnder's Addrcssr
APPI,ICANT DECI,ARATION
I lxrchy iillirnl undrr INnalty of pcljury onc of lhe Ii)llowing dccldalions:
Dcnrlitkrn Pcrnrits-r\slrstos Ndrfica(()n Fedcral Rcgulati(,ns (Tilc 40. Pu6)
_Rcquircd [xllcr of Nolilicati(,n
_l ccrtili that lhc lcderal rcgulilions regddinS asbcshs rcmoval{c not applicable to this pmjcct.
6t ccnity ttror I havc rcad tlils application url statc tlul lhc uh)ve infornulion is corecl. I agree to cotuply willr all Ciry and County
ordinanccs and Sta(c lrws rchtiog to buildinS
ak)rc rncntioned property for inspection
Appli(sDt or Agenl
I'crnrilcc nanlc
hcrcby authorizc reFe*ntativcs ofthis Cily md County to entq upon Or
\
l:ndcr's Nare: