HomeMy WebLinkAbout20170933 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:20170933
Pin #: 58{29
Project Address: 652 E Dyer Rd Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 640-690 E
DYer
Historic: No
Suite Range:
Zoning:Assessor'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 92614
(949) 748-1500
Fee Type
011't6002 51603 Temporary Electric
01 1 16002 51600 General Plan Update
01116002 57770 Microfilm Records
Amount
253.66
22.95
3.91
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 #: 7600014602191
Expires: O3lO1l2O2O
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Miscellaneous
30-day temp Elec. Bldg #5
Occupancy:
Constr Type
Code:
B, S-2
IIIB, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235.
Bldg. #5
Chavez, Davevrr/0310312020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date.
Date
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
rssuance, 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#: 2020-158188
01'116002 51603 $253.66
Planning Conditions:
ELECTRICAL-!NSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE !D/S!G.COMMENTS OWNIiR BUIT,DER DEI,CARATION
I hercby affrur uilcr pcDalty of FrJury llral I arl exenlpt frcD thc ContretoB' Liccnse l:w for thc followinS rcasn (Sir.7031.5
Busincss and Profcssion Codc): Any City or County which tcquircs a lumil to construcl, alts, improve, dcmlish or rcpair my
slructure, prior b ils issuancc. also rcquires the applicail for such pcmrit lo fila s sigDed statcmnl that lE or shc is licensd pursanl
to lhc pmvisions of thc Contractor's l,icen*d liw (Chaptcr 9, Commencing with Section 7000 of Division 3 of thc Blsircss and
ProfessionsCode)orthatheorsheiscxemfttherefromaodtlEbasistbrtlEallesedexenlption. AnyviolalionofSectionT03l.5byany
applicrnt for a pcnnit subjects the .pplicunt lo r civil pcnalty of not mrc than fivc hundrcd dollars ($500).
_1. a\ owner ol th( prolEiy. or my cmployccs wilh wages as thcir mlc compensation, willdo thc wo* ard the stmuc i\ mt
imcnlerl or offcred for sle (Sa.70.!{. Busincss and Prcfcssions Codc: Thc Contraclor's Licens law d@s not apply to sn owncr of
thepoltrly whobuild$orinDrovesllEre[ddwlDdoessuchworkhimselforlErselforthroughhisorherownemployecs,
providcd that such irnpmvcmnls dc ret inlcdcd or ollc&rd for slc. l[ hoscwi tlrc building or ifipmrcmil is $H wilhin orc yed
ofconpl.lio[ thc OwrEr Buildcr will have the burdef, ofpNving that lE or shc did nd build or iftprcvc t]rc prcpcny lor lhc purF)* of
Mle).
_1. as owner oflhe propefly, am cxclusively contraclinS with licensd conlractors to constuct lhc prcject (Scc. 7l}14, Busincss
axl PrrltsionCode:TheContracbr'sLiccDseLawd(tsnotapplytooownerofpropedywhobuildsoriDprovesthereol
and who conlracts for such proiccts with a Contractor(s) liccnsd pursumt to thc Coilrador's Liccnsc kw).
-lanrexemptundqsecti0[-,B,&P,c.tb.tIrisreason,
WORKI'RS' COMPE,NSATION
DECLARATION
I hcrcby affirm undcr pcnalt), ofperjury one ofthe li,llowing dcclilaliotr:
_lhavcardwillltsintainaCenil'icatcofconsentloSclf-l[surcforworkcrs'conrperoalion,as prcvidedfo,byScction3T00oftlE
tnhor Code, for the pcrfofl)lee of thc work for which thc pcrmit is issued.
_l have ard will nlairilain workers'S(l(n 3700 of thc kbor Codc, for thc Jrcdomume of
I cffiicr iuxl plicy nunficr uc:thc work rhix ltrnit is
)t'olicy
_l ccnity lhat ill thc ltrfornuncc of the work for which this pcrnril is issucd, I slull not cnlploy my lErson in uy manncr
so as to hccorrc subjccl to thc workcrs' con)pcNalion laws ofcalifonlia. and agrcc lhrt if I slnuld hccorrc subjec( to thc
workers'conrlED\atioDprovisionsofSectioD3T00oftheLaborCoJe,tslull,fonhwithcorDplywiththosprcvisions..
WARNTNG: Irailxre k) securc worker\'compcnsalioh covcmSc is unlawful, and shall
dollars ($100.000). in additio[ to tlt cost of
subjcct an cmployer to qimindl pemhiqs and
comp€[salion, dmugcs as providcd for lhccivil fincs up lo onc llundr.d thousand
atlorncy's lecs.
l
)
I)I]CLARATION
I hcrcby affrnr under lEnxhy of perjury that I anr liccrrsed under pruvision ofChapter 9 (corntrEncinB with Section 7000) of Division 3
of thc Busincs\ and
ff*'*
Codc. afii my liccns is in full fore drxl cffcct.
Licansc 1,1 A (
CONSTRUCTION LENDING AGENCY
I hcreby allirm undcr Frnalty of pcrjury (hd thcre is a coostruction bnding sgercy for the pcrfonnarce of thc work lor which this pcrmir is
issued (S.c. 3097. Civ. C.).
[Jndd s NanE.
[.nder'" Addrcss:
APPI,ICANT DECI,ARATION
I lmby allirm umlcr 1--nalty of pcrjury one of the folkrwing decldatbns:
Dcmlition Pcrnits-Asttstos Notificati()n Fcdcral Rcgulations (Tillc 40. Pd6)
_Rcquired httcr of Notification
_l ccrtity that lhc lcdcral rcSulations rcSilding asbcstos rcrmval dc not applicablc to this pmjcct.
abovc rrcnlfuncd pmpcny for inspcction
Applicant or A[enl
Pcrnrilc( trrnrc I
stalc lhal the
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Itrleter Release
Rouqh
Service lrleter /a\
FINAL )0-7A }}.lL\t)
Remarks Etc.