HomeMy WebLinkAbout20170938 - 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 #:20170938
Pin #: 1o312
Project Address: 2906 S Tech Center Dr unit: MTRO1
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: M2
Bldg
Tract:Assessor's Parcel: 411-141-12
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
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Fee Type
01 116002 51603 Temporary Electric
01 1 16002 51600 General Plan Update
01 116002 57770 Microfilm Records
Amount
253.66
22.95
3.91
Qty
1.00
0.00
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: O3l0'll2020
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Building Use:
r Job Type:
Nature of Work:
lndustrial
Miscellaneous
30-day temp Elec. Bldg. #7
Occupancy:
Constr Type:
Code:
B, S-2
III B, SPK
cEc 2019 30 day temp electrical. Bond posted on M-74235.
Bldg. #7
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Davev(.03t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes
Fee Total:
Paid to Date:
Balance Due:
Date:
Date:
Date:
$253.66
$0.00
$253.66
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within 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.
lnspector MID#: 2020-158195
0'1116002 51603 $253 66
Lot:
ELECTRICAL.INSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE !D/SIG COMMENTS OWNI',R BUILDI'R DEI,CARATION
I hcrcby affrnl u!iler pcnalty of lErjury thal I mr excnpl frum thc Contractos Licensc lrw for the followif,t ftaen (5(.70]1.5
lJusincss and Profc$sbn Codc): Any City or Couily which rcqutes a pcrmit lo construct, altcr. irnprovc. dcmlish or rcpair my
structure. prior b its issuaNe. al\o requircs thc allplicail for such Fmril k) filc a sitrEd slatcmnl lhd lE or shc is liccrrrr.l puoant
lo rhc pmvisions of the Contractor's Liccnscd Ilw (Chaptc. 9. Commcncing with Section 7Ul0 of Division J of thc Busincss and
ProfessionsCode)ortlutltorsheisexerlpttherefromandtlrcbarisfortheallegedexeftptio[. AnyviolatioDofseclionT03l.5byany
applicantforafrnnitsubjcctsthc npplicrnttoacivilpcmltyo[nolmrcthanfivchundrcddollars($5U)).
_1. as owncr ol thc prol4-ny. or my crnployces with wagcs as lhcir $lc compensation, will do thc wo* ard thc strelwc is mt
iuoJed or offercd for tulc (Se.7l}l4. Busincss anr.l Pmfcssions Codci Thc Conlraclor's Liccnsc kw d@s not apply Io m owncr of
the pr4Eny who huilds or inrproves therdxl, urd who d(Es such work himself or l*rself or tlrough his or her own enployees,
providcd lhat such improvcrrcnts trc ml intcndcd or ollercd for sa.lc. Il howcvra OE buikling or improvcmnt is mld within onc yca
of conlpbtim, tlE Owrcr Buil-ler will have the burden of prcving thd h€ or shc rlid mt buill or inpmve th€ pNpqty for the purF)* of
s:rle).
_1, as owner ofthe prolEny, anr exclusivcly contracting with liccn*d contractoB to construct lhc pNject (Scc. 7(N4. Busincss
arrd PnrlissionCode:TheContracbr'sLicetrseLawdocsnotapplytoanownerofptopenywhobuildsorirDprovesthereotr.
and who contncts for \uch prolccls with a Contmct)(s) liceNd pursumt lo the Conuactor's Liccnsc kw).
_l antexempt utrder B &P(: l'orthis'?a\(nl.
WORKI'RS' COMPI]NSATION
DECLARATION
I hcreby allirm undcr pcnally of pcrjury onc ofthc li)llowing d@ldatiotrs:
_l have and will trEiilah a Ccditicale of Conscnl lo Self-lnsurc for workas' com;rcnsation, as prcvided for by S.clion 3700 of thc
lrbor Codc, tor thc pcrlornrmce ofthe work for which lhc pernit is issucd.
_l havc and will nraintrin w()rkcrs'by Salion 3700 oflhc l:bor Codc, for thc ;rrfomurec of
thc work which lhis rs irsucd.cmicr {d F)licy nunrbcr dc:
bnCe Ce
C /t/LrPolicy
_I cciiti that in thc Nrfornuncc of thc xrrk for which tlis pcrillil is issucd, I shall not cnrploy any lrcrsur in any ormncr
so as lo bcconr suhj.ct to lhc workc^' cotrlpcnsation laws of Califomia, and agrcc thal if I slnuld bccorrc $uhjcct to the
workers' coillpcDsation prcvisions of Sectiotr 3700 of rhe Labor Code, I slrall, fonhwith cplrply with thor provisioos..
WARNING: Failure to secure workers'compensrlion covaragc is unlawful, and Nhall subjcct an crnployrr to fiminal pcnalties aild
eivil fines ul lo orc lNndred tlx)usand dollars ($100.0ur). in addition to llE lr*lAcompcNalion,
.*
dmugcs o plovided for thc
Iiltom'y's fccs.
LICENSED CONTRACTOR
I)ECI,ARATION
I hercby affrnr under pnalty of pcrjury lhnt I an) liccrltd under prcvision ofChaptcr
o[ lhc Busincss and Prefcssions Code. arxl my licensc is in full fore and cffccl.
9 (cotrmEncin8 with Scctbn 70U)) ofDivisiol 3
License
re6
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undcr pcnalry of pcrjury lhat thcrc is a conslruction lcnding agcncy for the pcrformancc ofthc work lbr which this pcrmit is
issued (Scc. 3097. Civ. C.).
[.nder's NanE:
lrnrler's Address:
APPI,ICANT DECI,ARATION
I hrcby aflmr undcr FnaIy ofpcrjury onc ofthe followiog dcclaratioos:
DcnDlition Pcrnrils-Astusk)s Nolificati()n Fcderal Reguhtbns (l itlc 40, Pd6)
_Rcquircd btlcr of Notificat(rn
_l ccrlily that lhc fcdcralrcgulati()ns rcgddinB astrcstos rcrmlal{c not applicablc to this projcct.
(f,I ccnili tlar I luvc rcad this applicatiqr dxl stalc that irlilunill ion
ordimccs and Slalc kws rclating b buiHing
ah)ve menti()ned f()peny frrr inspcction
Applicant or Agot
I'cmrilcc nunrc
hcrcby authorize
Site-Work
Underqround
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
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
lMeter Release
Rough
Service lVleter /\\
FINAL o-("7n \rullt \6)
Notes Remarks Etc.
Date:-
I