HomeMy WebLinkAbout20170935 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20170935
Pin #: 24572
Project Address: 662 E Dyer Rd
Assessor's Parcel: 411-141-12 Lot:
. Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 640-690 E
Dyer
Historic: No
Suite Range:
Zoning:
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
01116002 51603 Temporary Electric
01 'l 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
Bstch*:540:? - 3/3l2Lr2u I0r (:(:UELLAF,
Oli r cer CI'YH Trqrrsi: 11 ll or i7Accti: Rel*: 2Lll i l-tr3i
Rcpti:tt29t-t76ii - 3r'32'20ttr 10:75 Ali
Irqnsoction Tc'tui 613ri05"lilJL
State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation I nsurance:Carrier: Everest National lnsurance Company
Policy #: 7600014602191
Expires: O3l01l2O2O
Fsc i f ic (.orrstruct isrr ,irc,up
Electr' i col
01 1 160U2- 51ot-r.it"rutr-
ICL (:hecir uLt:4-1tll1i
$253 " 6s
$iJr56ii"ii8
l3uilding Use:
.lob Type:
i',lature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial Occupancy:
Miscellaneous Constr Type
30-day temp Elec. Bldg. #5 Code:
B, S-2
III B, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235
Bldg. #6
Chavez, Dave
Date:
Date:
Date:03103t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
q?
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 within 360 days after its
issuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2O2O-158190
0.t116002 51603 $253.66
ELECTRICAL-INSPECTOR BECORD
Bev. 08-07-201 5
APPROVALS DATE ID/SIG.COMMENTS OWNTiR BI.JILI)ER I)I.),CARATIoN
I hercby affrnl undcr pcnrhy of pcrjury that I am excnrpt frcnr the Conlraclos Liccnsc law for thc following cdgn (5(.703 1.5
llusincss and Prolcssion Codc): Any City or Counly which rcquircs a pcrrnil to construct. altcr, irnprovc. demlish or rcpair eny
structurc, pri()r to ils issuance. ulso requires thc applicail lbr such penrit to file a si8ned slaterrnt lhat lE or shc h licc[Ed pursdl
to (hc previsions of ttr Contracbr's l,iccnscd liw (Chaptcr 9, Commcncing with Scction 7uru ol Division 3 ol'thc Business and
Proles$ionsC(xle,orlhatltorsheiseremplthereftunraDdthebasisfottlEallegedexetuption. AnyviolationofseclionT0ll.5byany
npplicxnt for a pernril subjects the applicanl to a civil pennhy of nol norc thun Ilve hundted dollurs ($500).
_1. a\ owncr ol-tlt profEnv. or my crnplovccs wilh wa8cs as thcir solc compnsation, will d() thc work and thc strctue is not
irilcrrlcd o, oflered for Mlc (Sec.7tE4. Business anrl Prcfcssions Cqlei Tbc Conlraclor's Liccns law des not apply lo fln ownct of
the prcFny who builds or inproves therqnl urd who does such trt)rk hinself or lErself or lhrough his or her own enlployees,
pro\ idcd rhat such irnprovr'mnts uc mt inrcndcd or olfcrcd Ior sL'. Il. howcvcr. 0rc tiliHing or improvcmnt is sld within onc yta
ofconrplelior, tlt Owner Builder will havc the burd.n ofpmvin8 that he or she did not buikl or iffpNvc thc pmpsty for the purF)s of
sb).
_1. rs owncr of the prolEfly, an exclusi\ely contracting with liccn*d contracbrs to conslrucl thc prcjcct (Se. 7Og. Busincss
au-l Pnrlisiil Codc: The Contrack)r's LiceDse Law d(Es not apply to an ownet of profB(y wk) builds or improves lhercon.
and who cont'acls for such prt,iccts with a Conlractor(s) liccn*d pursuMl b thc Conkaclor's Liccnsc Larv).
-l
anleremlx under Section-, B. & P.C. tbr t[is reasoo.
]YIT86EB5J;9I4T[NSAJJ9N
DECLARATION
I lrcreby afllrnr undcr pcnalty ofpcrjury one ofthc l'ollowing decldations:
_IhavcandwillnrainlahaCeflificatcofcoDsenttoSelf-lnsurcforworkqs'compcnsation,as povidcdforhyScctionJT00ofthc
libor Codc, to, thc pqfoilmftc ofthc work for which lhc pcrnil is issued.
_l havc aud will nruintain workeB'insurance. as by Scclion 37m ofthc kbor Code, for thc prfornurre of
:cmier axl lblicy nun$cr de:tlrc work for which rhis pcrrit ls
(a o
Policy
_l ccf ify rhal in thc lrrforn)ucc o[thc work for which this pcrnil is issucd, I shall not cnrploy any lErson in my milncr
so as to bcconrc subjcct to thc workers'conrpcnsation laws ofCalifornia, and agrcc thal ifl should bccorrc subjccl to thc
uori<crs' corrrlrnsation prcvisions ofSection 370O ofthe tabor Code, I shall, fonhwith corrply with tho* prcvisions..
WARNING: Failurc lo sccure workers'coDrpensation covcrag. is unlawful, and shall subject an cmploycr to dminal pcnnltis rnd
itr the cosl of eompetrsrlion. danuges as providcd for lhe
I hereby affirtrr undc'r lEnrlty of pcrjury that I anr licened 9 (coniln ocilg with Secrion 7000) of Divi,tiotr 3
of thc Business and Codc. arx, my liccns is in full fore 0rxl cffccl.
€-7€
)q
CONSTRUCTION LENDING AGENCY
I hcrcby alllrm undcr pcnalty ot pcrjury rhd lherc is a construction lcndinS agcrcy for the Islbrmmc of thc work lor which lhis pcrmit is
issued (Scc. 3097. Civ. C.).
Lender's NanE:
@EEE!&I!gN
I hrcby ilI'irmundcr pcnalty of pcrjury onc ofthc following dccluations:
Dcnxrlirion Pcrnits-Astf,.slos N()tificati()n Fcticral RcSulations (Title 40, Pd6)
_Rcquircd lrttcr of Notification
_t ccnily that thc I'cdcral rc8ulalions rcgtrding asbcslos rcmovrl ilc not applicablc to lhis plotct.
6l ccniti rtrur I luvc rcad this application i{xl statc thal lhc abovc infbrnhlion is corect. I sgre to conDly with all Cily add CouDty
,rcpre$nklivcs ofthis City ild County to cntq uFrn UEordinmccs and Statc bws rclating to building
above nlentioned pmperly for inspcction
Al)l)li(atrt or Agrtrt
l'cmrilcc namc t>
hcrcby au(lnrizc
^,",V/7f ;n
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
ltleter Release
Rouqh
Service [Vleter /^\
FINAL L-lo-zt v.rL)6.1
Notes, Remarks, Etc.
civil fincs up to otrc
[rnd.r'* A,ldrcss: