HomeMy WebLinkAbout20170929 - PermitCity of 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 #:2O17fJ929
Pin #: 58{90
Project Address: 660 E Dyer Rd Unit:
Block: NA
Bldg:
Tract: NA
Suite Range:
ZoningAssessor's Parcel: 411-141-12 Lot:
Owner:
Address:
Shea Properties
130 Vantis Dr. #200
Aliso Viejo, CA 92656
(949) 389-7295
Fee Type
01116002 51603 Temporary Electric
01116002 5'1600 General Plan Update
011 16002 57770 Microfilm Records
Amount
253.66
22.95
3.91
Qty
1.00
0.00
000
Fee
$253.66
$0.00
$0.00Phone:
Tenant Name:
Contractor
Address:
Phone:
Pacific Construction Group
17895 Skypark Circle #K
lrvine, CA 92514
(949) 748-1500
JII
'LtJHLLLr r
State Lic #: 742676
Lic Type: B
Bus. Lic #: 347876
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 7600014602191
Expires: 0310112020
1L
1/, i
lndustrial
Miscellaneous
30-day temp Elec. Bldg. #3
Occupancy:
Constr Type:
Code:
B, S-2
III B, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235.
Bldg. #3
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
flc'
Date
Date
Date 03103t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Fee Total:
Paid to Date:
Balance Due:
$253.66
$0.00
$2s3.66
lnspector MID#: 2020-158184
01 1 16002 51603 $253 66
Address Range: 640-690 E
Dyer
Historic: No
'Building Use:
Job Type:
Nature of Work:
ELECTRICAL.INSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE ID/SIG COMMENTS OWNI'R BI.'TI,DIiR DEI,CARATI0N
IhercbyaffirnrunrlerpenallyofFrjurythatIumexemplfromtheContractoN LicenscLawforthefollowilgrcasn(Scc.70]l.5
Busincss nnd Proltssion C()dc): Any City or County which rcqutcs a lErrnit lo construct. altcr, improvc. dcrmlish or rcpair my
structurc, prior to its issuance. also rcquires the applicdrl for such lEnuil to fil€ a si8rcd slatcnEnl lhat lE or she is liccnEd pusumt
lo thc povisions of 0r Contractor's l,iccnscd Ilw (Chapter 9, Commcncing with Scction 7UD ol Division 3 of thc Busincss and
ProfessionsCode)orthalltorslEisexenlpttherefromandtlEbasisfb(tlEallegedexemptiotr. Anyviolationofseclion?03l.5byarry
rpplicrntforapernritsubjectsthe dpplicrntlo!civilpenaltyofnotnlorethanfivehundrcddollars($5m).
_1, a\ owncr ol-thc prolrny. or my cmPloyccs with wagcs as thcir $lc comfEngion, will do the work ard thc stmtw is mt
irlerxlcd or ollcrcrl ftrr salc (Se.7(X,{. Busincss anrl PrcfcrsioDs Codc: Thc Contrnclor's Liccnsc Liw dcs not apply to an owncr of
the pfi)p€ny wlrc huilds or inlnoves lheren, and wlD d(Es such work himself or lEr*lf or tluough his or her own enrpkryees,
provided thar such irnprovcrrcnts dc not intcndcd or ollcrcd for sle. ll, howcvcf, 0E building or irprovcrent is mld withh one ,r4
of conplclio[ thc OwrEr Builtr will luve the burdcn of proving lhd hc or she did mt build or inprcvc rhe pml$y for lh. purlD$ of
sle).
_1, as owncr ofthe propc(y, rm cxclusi\cly contructing with lican*d con(ractos (o conslruct thc pmjcct (Scc. 7Ot4, Businc$
arrl ProlbssionCode:TheContractor'sLiccDseLawd(Esnotapplytoilownerofptopenywhobuildsorimproveslhereon.
and who contracts for such projccts with a Contrachr(s) liccNd pursumt to thc Conuactor's Licensc lrw).
-I
anrerempt undcr Secliol-, B. & P.C. lbr (his rcatoil.
]y!^lBrg&:l;QllrENsArI9N
DECLARATION
I lrcrchy afllrm undcr penalty of pciurv onc ol thc l'()ll()wing dcclralions:
_l have and will nuinlail a Ccnilicate of Consctrl k) Sclf-lflruc for *ork6s' cotrpeNation, as frovided for by Scclion J700 of th€
tabor Code, for thc pcrfoflllme o[lhc work for which lhc pcrmit is isslcd.
_l have afil will nrairnain workers'insuft[ce, as hy Section 3700 oflhe t bor C'ode, for lhe Frcrfornurrce of
cuicr anl grlicy nunrbcr ucrthc work lbr wlich lhis is i\rucd.
I
Policy
_l ccnify Ihat in thc lrcrfornrancc of thc work for which this pcrmit is issuL'd. I shall not cmploy uny pcrson in any nunnc'r
s as to bccorrc subjcct to lhc workcrs' cotrrpcnsation laws of Calilbmia, and agree lhat if I srould becorre subjcct lo thc
worlers' comlEnstrion pruvisions of Scction 3700 of the tabor Code, I slull, fonhwith corr)ply with tho* prcvisiors..
WARNING: Failure to rccurc workcrs'compensaliorr coveruSc is unlawful, and shall subject an amploycr to simindl pcnalias snd
crvil llncs up k) one hundred thousrnd dollars ($100.U)0). iil additiul danuges as providcd for lhc
Sccli(,n :1076 Cfilc, intcrcst and altorrcy s ltcs.
DECI,ARATION
I hercby nffirnr u[der ltnnlty of pcrjury that I anr liceosd under pruvision ofChaptcr 9 (conlnEDcinS wilh Scclion 7000) of Division 3
ol the tsusiness and Codc. nnd nly license is in llll for€ and eflect.
License Number:
W
I hercby alllrm undcr Fnally ofpcrjury lhd thcrc is a conslruction lending agcrcy for thc pcrlonnarce ofthc work lbr which this psrnil i\
issucd (Scc. 3097. Civ. C.).
[-eNler's Nanre:
landcr's Addrcsr:
APPI,ICANT DECT,ARA'I'ION
I Imhy afiirnr undcr Nnalty of pcljury onc of the ti)llowing dccluations:
Dcnx)lition Pcrnrits-Astx'stos Notification Fedcral Rcguldtions (Tillc 40, Ptn(,
-Rcquired
trllcr (,f Notificaliur
-l
cc(ili thar thc IcdcralrcSulations rcgildinS asbcstos rcmvaldc not applicablc to lhis pn)jctt.
Itcmils nonrc
Site-Work
Underground
Pole Bases
Liqht 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 Roush
Ceilinqs (T-Bar Rouqh)
ltleter Release
Rough
Service l\Ieter n\
FINAL 6-10.A
Notes Remarks Etc
abovc rEntioncd popany for inspcclion purpo*s.