HomeMy WebLinkAbout20170934 - PermitCity 9f Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2017o934
Pin #: 25o34
Project Address: 652 E Dver Rd
Assessor's Parcel: 4'l'l-141-12 Lot:
unit: MTR01
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning:
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Shea Properties
130 Vantis Dr. #200
Aliso Viejo, CA 92656
(s4s) 389-729s
Pacific Construction Group
17895 Skypark Circle #K
lrvine, CA 92614
(949) 748-1500
Fee Type
0'1 'l 16002 5'1603 Temporary Electric
01'116002 51600 General Plan Update
01116002 57770 Microfilm Records
Amount
253.66
22.95
3.91
Qty
1.00
0.00
000
Fee
$253.66
$0.00
$0.00
Batch*: i14o0fl rcer i.i
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Rcp ti: ttl?t-t
Tr0nsnct i o
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State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 26000i4602191
Expires: O3lOll2O2O
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Fuilding Use:
Job Type:
Nature 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:
Chavez, Dave
Date:
Date:
Dale:
B, S-2
IIIB, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235
Bldg. #5
<99,
03t03t2020
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 the 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#: 2020-158189
01 1 16002 51603 $253.66
u
ELECTRICAL.INSPECTOH RECORD
Hev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS OWNITR BUII,DIiR I)t:l-CARATION
I hcrcby affrnr undcr penaky of perjury that I atrl exctrrpl fronr thc Contraclos' License law for the followilg rcason (Se.7031.5
Businc$s arxl Prolcssion Codc): Any Cily or Counly which rcquircs a prmit to construct, allq. improlc, dcrmlish or rcparr my
struclure, Irior to its issuance. aLso requircs lh. applicaot for such p€mrit k) Iile a signcd statcmnl that lE or shc is liccNed pursant
lo the pmvisions of llE Contractor's l-iccnscd lrw (Chapter 9. Commcncing wilh Scclion 7000 of Division 3 of thc Busincss and
PrcfessioDsCode)orthatheorsheiscxernpl(herefronlandllPbasisfortlEallegedexenlpltm. AnyviolaliurofsecrionT03l.5byilry
ilpplicxntfornpenniltubjeclslhe applicant(oilcivilpcmltyoInolmorethrnfivehundreddollars($5m).
_1. ar owncr ol thc prolErly, or my cmployecs with wa8es as their Mlc co,npcnsation, will do thc work and Lhc stmtue is mt
ine[led or offcred for Mlc (Se.70.1.1. Busincss and Prcfcssions Code: Thc CoDlractor's Liccn* kw d@s not apply to u owncr of
thc propcny who builds or in{roves lhsdnr ild who does such work hinrself or lrrscl f or tlmruglr his or hcr own enlployees,
providcd that such irnprovtrrcnts rc mt intcnded or olfcrcd for salc. ll, howevci OE boMing or irprovcmnt is $ld within one yco
ofcompletio[ the OwEr BuiLler will have thc burdcn ofpnrving tlu hc or she did rct boikl or inrprcvc thc pmpqty for (h. purpo* of
*rlc).
_1. ns ()wner ofthe prrrperty, am cxclusivcly contracting with liccnsed contraclors to construcl thc prcject (Sec. 7044. Business
aryl PnrlissirCode;TheContraclor'sLicenseLawd(xsnotapplytoanownerofproFnywhobuildsorinprovesthercon.
and who contracls for such p(lt'cts with a Conlracktr(s) liccNd pursuml to thc Contracbr's Liccn$c Law).
-l
ereiempt uoder Sectiur , B. & P.C. lbrthis Eason.
E9E[EB!!;QMT-!]N!AII9N
DECLARATION
I hercby aflirnr undcr pcnalty ofpcrjury onc ofthc lollowing dcclua(ions:
_IhavcardwillnuintainaCenificateofC'onsnttoSclHnsucforworkers'comlrrsation,s prcvidcdforbySetion3T00oftlE
lahor Codc, for (hc pcrfonmrce ofrhc *ork for which lhc permit is irsucd-
_lhaverndwillnHirillinworkers conrpensali(nriilsurrtrce,as requiredbyScclion3T0OofthebhorCodc,forthcpcrfomumeof
(hc work for which this rroit is issucd. My workcrs' con4rcnsatio[ insurmcc cuicr ilxl lDlicy Dun$er uel
n Cer .
Policy
_l cc(ify that ir lhc lErfornuncc o[llrc work for which this Frmit is issucd, I shall mt cnrploy any in dy manncr
so as lo becorrc subjcct to thc workcrs' coillpcnsation laws of Crlilomia, and agrce that if I should bccorrc subject to the
worters' conrlrnsationprorisioNof Sec(ion1700of thc LaborCode, I shall, fonhwith@mplywilhlho*prcvisioru..
WARNING: Failure lo *cura worlers'compcnsstion covcragc is unlawful. trd shall subjcct d cmploycr to oiminal pcmhLs and
civil I'lres up lo onc lrundred tlDusand dollars ($ I 00,000). in additiur to thc danuges as provided for the
dbrN)"s lccs.K
I lfrcby affirnr under lxnaltyofperjury that I anr licen*d '("')?2ry5Y""'o[ thc Busincss and Professions Codc. and my license is in full fore rnd effect.
LieeDsc Nutrrber:
CONSTRUCTION LENDING AGENCY
I hercby al-llrm undcr Fnahy of pcrjury that thcrc is a conslruction bnding a8crcy for thc pcrl'ormrcc of thc sork lor which this fErmit i\
issuerl lScc. 1097, Civ. C.).
Iruler's Nanrc:
tJndcy's Addrcss:
APPI,ICANT DECI,ARATION
I hrcby irffrmundcr 1^-nalty of pcrjury onc of thc following dEluations:
Dcmolilion Pcrnits-Asbcslos Notification ltderal Rcgulalions (Titlc 40, Part6)
_Rcquilcd Lcttcr of N(nificrtion
_[ ccrtily that lhc Itdcral rcgulations rcguding asbcsk)s rcrfr)valdc nol applicablc to this projcct.
fil ""nity rtrrr I luvc rcad this application uxi statc thal lhc ahovc infortrHliotr
ordinanccs and Statc Laws relnting to building
above mntioncd prcpcny for inspcction
ApplimDl or Agent
I'cmlil(c nanrc
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
ltleter Release
Rough
Service lVleter
F!NAL h-$-a U 1I \[,
Notes, Remarks, Etc.U