HomeMy WebLinkAbout20170927 - PermitProject Address: 650 E Dyer Rd
Assessor's Parcel: 411-141-12 Lot:
Unit:
Block: NA
Btdg:
Tract: NA
Address Range: 640-690 E
Dyer
Historic: No
Suite Range:
Zoning:
City 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 #:2ll17lJ927
Pin #: 9{346
Owner.
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Shea Properties
't30 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
01 '1 16002 51603 Temporary Electric
01 1 16002 51600 General Plan Update
01 1 16002 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: O3lO1l2O2O
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Miscellaneous
30-day temp Elec. Bldg. #2
Occupancy:
Constr Type:
Code:
B, S-2
IIIB, SPK
cEc 2019 Notes: 30 day temp electrical. Bond posted on M-74235.
Bldg. # 2
Chavez, Dave
Date
Date
Date 03t03t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total2L.
0't116002 51603 $253.66 Fee Total:
Paid to Date:
Balance Due:
$2s3 66
$0.00
$253.66
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-158182
ons
la
rtlL,t tl
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rouqh
Service Jvleter r\
F!NAL G-10-).0 )Y-Uplt)
Notes, Remarks, Etc.
I)I],I,CARA'I'I()N
I hcrcby a{ftrm undcr penalty of pcrjury thal I m) .xcmpt ftom thc Conmctos' LhcNc llw for rhc following ca$n (Ss.703t.5
Busincss and Prolcssion Codc): Any City or Couily which rcqutcs a pcnnit to construct, altcr, improve, demlish or rcpair dy
structurc, prior to its issuance. also rcquircs tha applicel for such pcmit to fih a siBncd stalcrcnl lhat [E or shc is liccnsd pur$ant
lo tlE pmvisions of thc Contretor's l,iccnsed law (Chaprct 9. Commrcing with Section ?fiD of Division 3 of lhc Business ild
Professions Code) or that hc or she is exemft therefrom ed tlE b6is for tlE alleged exemptior. Any violation of Section 703 I .5 by any
applicantforap.nnitsubj.ctsthc rpplicanttoacivilpcnflltyofmttrcrcthanfivchundrcddollars($500).
_1. as owncr ol thc propcny. or my cmployccs with wages as thcir solc compcnsation, willdo the work and thc stMuc is not
inlcilal or ollercd for sle (Sd.7041. Business and Prcfcssions Cqlc: Thc Conlractot's Lic€n* kw d@s nol apply lo an owncr o[
lhcpropcny wlmhuildsorirnprovr'stherer!odwlx)d@ssuchworkhimselforherselforlhrou8hhisorlErownenrployees,
providcd that such improv.lrcnts tre il)t inlcndcd or o,Icnd for &Lh. Il. howcver 0E boihing o, irrprovcrrcnl is $ld within onc yca
ofconplctiur the OwrEr Buil-ler will have the buden ofprovir{r thd hc or she did mt buikl or inrprcvc thc prcp.iy for thc purlo* of
$ilc).
_1, as owncr ofthe p,opcfly, am cxclusiv.ly coilracting with liccn*d conlraclors to coo$trucl lhc pojd (S.c. 7044, Businc$
anl Profusirr Code: The Contractor'i Liccnse Law dcs rct apply to d owrct of ptopcny who builds or improvcs Iher@[
and who conuacls for such projects with a Contractor(s) Iiccnsd pursumt to the Conuac(or's Liccmc Law).
-l
Mrexempt undcr Sectiur-, B. & P.C. lbr lhis reason.
EQBSIESSA!4IENSAIIQN
DECLARATION
I hcrcby affirnr under pcnaltyofperjury onc ofthc tbllowin8 dcclffatioN:
_lhaveadwillnuintairaCef,ificatcofCoosctrtbSelf:lnsuEforworkers'con{Ero&tion,as pmvidcdforbyScction3T00ofth.
kbor Code, for thc lrcrfofllffic of lhc work for which lhc pcrmit is issucd.
_l havc and will nraintain workers' conlpcusation insurancc, as requiftd by Scction 3700 of thc ljbor Codc, for lhe perfonrmc of
thc work for which lhis Frcrnit ii issuct. My workffs' cotr{ENtion isuruce cuier {d plicy numher de:
D.l.r-
Scction
,r
Policy o o
civil llDcs ul k) onc lrundred thousand dollars ($100.000). in
rntctcst
_l ccrily tlut iI thc lrrli,rnutrcc o[thc work for which this pcrmil is issucd, I shall not cnrploy any lrcrson rn ary
$ as to bccorrc subjcct lo thc workers' compensrlion laws of Califof,lia. and agrec that if I shuld bccorrc subjcct to the
workers' conrpensation proviriors of Sectiotr 3700 of the Labor Code, I slull, fonhwith comply wilh tho* pruvisions..
WARNING: Failure to *cure *orkcrs' ompcnution covcmgc ;;x,:::':1h*&wfii:;*1H1fi :lr:
co
z / r /Z(t
and
lhe
K
and dtormy's ttcs.(.
I hcrcby affrnr under trnalty ofFrjury that
o[ th. Business and Professions Codc. afil
LICENSED CONTRACTOR
I)ECI,ARATTON
I anr liceilsd undcr prcvision ofChaptcr 9 (conilrEncing wi(h Secton ?000) of
rny license is in lull fore rRl cffcct.7 z o7aLiceilse
W
I hcreby aflirm undcr lEnalty of pcrjury that thcrc is a construction lcndin8 agcrcy for the pqlbrrec of the work lbr whkh lhis pcrmit is
issucd (Scc. 3097, Civ. C.).
Lndcr's Nanr:
Irndcr's Address:
ASPIISNDE9!A8AI!9N
I hcEby affmlundcr lEnalty oIpcrjury onc of thc folk)ping decldations:
Dcnblilion Pcrmits-Asbcstos Notification Fedcral RcSulati(,ns (Titlc 40, Pd6)
_Requircd Lcttcr of Ndificalion
cdili that thc l'cdcralrc8ulations rcgddinS asbcstos rcmval sc nol applicablc to this pmlrt.
ccnili that I lhvc rcrd this applicalion ud stalc tl[l lltc atx)vc inlirrmali(ilr is corcct. I agre to conuly
I rcprc*nutives ofthis City
with all Chy and County
ordinmccs and Statc kws rclaling lo building conshctioe ard hcrcbyauthoria
abovc Ncntioncd propefly for inspcction purynscs.
and to cntcr upon tlE
Applicant or Agot
l'cmritcc nanrc
>o
Rev. 08-07-201