HomeMy WebLinkAbout20162296 - PermitProject Address: 2603 S Main St Unit:
Assessor's Parcel: 016-052-08 Lot 5-12, PORS 4 & 1 Block: NA
Bldg:
Tract: 159
Address Range:
Historic: I
2601-2607
No
Suite Range:
Zoning'. C2
City 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 #:20162296
Pin #: 2543ll
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Gardena Group Holdings LLC
10240 Geary Ave
Santa Fe Springs, CA 90670
(562) 699-861 1
T L M Petro Labor Force lnc
909 N Alameda St
Compton, CA 90220
(3101639-2227
01 1 16002 51603
0't116002 51603
011't6002 51603
0't116002 51603
011't6002 51603
01 I 16002 51603
01 't 1 6002 51 603
01116002 51603
01 1 16002 53601
01 1 16002 51600
01 1 1 6002 5'l 603
Fee Type Amount
125 Volt Receptacle 1 .4O
Light Switches, Occ. Se 1.52
Light Fixtures 1.0'l
Air Conditioner 93.28
FWU 23.87
Low Voltage/Comm 32.61
Subpanel 51 .29
Photo Cell 11.65
PIC - 650/0 0.65
General Plan Update 2l .25
lssuance 52.98
Qty
31.00
7.00
44.00
4.00
3.00
1.00
3.00
1.00
686.34
1.00
1.00
Fee
$43.40
$10.64
$44.44
$373.1 2
$71.61
$32.61
$153.87
$11.65
$446.12
$21.25
$52.98State Lic #: 761755
Lic Type: B, A, HAZ, C-10
Bus. Lic #: 364698
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1 541 150
Expires: O1lO1l2O18
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
New
New Commercial
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
A-2, M
VB
cEc 2013 PAID
NO\/ 0 1 z01l
Davis, Scott
Hernandez, Kathy
05t14t2017
11t01t2017
Account#
Misc. Receipt: 69014
Misc. Receipt:
Misc. Receipt:
Total
$
\$
Buirdins Permit #: 10191770
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
lnspector MtD#. 2015-119845
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
$1,261.69
$1,261.69
$0.00
Notes: fee pd on M-70226
ELECTRICAL.INSPECTOR RECORD
[-
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI-CARA'TION
I hoeby aflirrn lndq pshhy of pnjury that I or cxempl from lhc Conlraclo6 Licc$e Law for thc follorving reaFn (5(.70-11.5
Business and Prof6sion Code): Any City or County rvhich require a pmnit to construct. alta. improvp. dcmolish or rqkir Uy
strlcl$e. prior lo ils isuance. also requirB lhe applicilt for such pmil to file a signed statmol that he or she is licosed pursuanl
to thc provisions ofthe Contmclor's Liccnsed Law (Chapter 9. Cornmencing with Section 7000 of Division 3 ofthe Business and
ProfesionsCode)orthatheorsheisexernplthsefromddlhebasisforlheallegcdexqnplion. AnyviolationofsstionT0-1l.5byan!
applicsntforapmnitsubjcctsthe applicantloacivilp€naltyofnottnorethanfivehundreddollils($500).
I. m os ner of the profsly, or my employeG with rvage m their wle compensation. rvill do the work md the struclue is not
inlodcd oroftsedforslc(Se.TO44.BusioesandhofesioNCode:TheConlraclor'sLiceNelrwdo6nolapplylomo\rnerof
thepmFny rvhobuildsorimprovsthq@n.ild$hodo6such*orkhimselforhereelforthreughhisorhoowncrnploycs.
providcd that such improvments de not intoded or offqed for sle. If. howw6. the building or improvemenl is sold rvithin one reu
ofcomplaion, the Owner Buildo s'ill have the burda ofproving thd he or she did not build or irnpove the prepoty for the pur1nsof
sle).
l. as orvner ofthe propcrty, an exclusively contracting wilh licosed contractors to construct (he project (Sec. 7044. Busine$
and Profsion Code: The Conlraclor's l,icense Larv doe not apply to an orvno ofproperty ivho builds or improves lho@n.
and who contrads for such prejsts with a Conlmcto(s) liceNed pursuant to lhe Conlraclor's Licose l-aw).
I m exemDt undcr Setion . B. & P.C. for this reaon.
l)ate:Onncl
-rYaB[!;sSrQUeNSArrON
DECLARATION
of lhe folkrrving dclarations:I hdeby amrm und6 pmalty ofpojury one
_l have md rvill rnaintain a Certilicate of Consml lo SelHnsure for sork6' composation, c provided for by Setion 3 700 o f the
Labor Code. for the pqfonnmc€ ofthe work for which the porit is issucd.
_lhaveandrvillnrainlainworkers cornpensationinsurance.6 rcquiredbySection-1700ofthet,aborCode.forthepqfonranceof
lhe \rork for which this ponil is issual. My works' compenslion insurance caria md policy number aer
Cmio:-
Policy Number:-Expires:
I ccnify that in the performance ofthe rvork ior which this permit is issued. I shall nol ernploy any person in any man0er
m c rr become subjel to lhe \r'ork6' compcnsation laws of Califomia. and agre that if I should become subjel lo lhe
workss' cornposalion provisions ofSection 3700 oflhe t,abor Code. I shall. forthwith comply with lhos provisions..
WARNIN(;: I,-ailurc to sccurc workeN' coilrpcnsalion covcrage is unlarvful, and shall subiecl an cnrploycr to crin]inal peilaltis and
civil fins up to one hundred thouend dollds ($100.000). in addilion to cosl of coillpcnsation. danrages as proYidecl for thc
atomey s fe.
DECI.ARATTON
I heirby affirrn unde penrlly of perjury that I an licmsed under provision ofChaptd 9 (comnrmcing with Section 7000) of Division 3
of the Busins and Profasions Code. md my licase is in full force ad effat.
Liccnse Class:_Nuntrr:
,",", f\l? I \?
CONSTRUC'IION LENDING ACENCY
I hocby affirm undr poally of pcrjury that th6e is a conslruction lcndirg agmcy for the pofomrmce of the u'ork for which this prnit is
issued (Se. 3097. Civ. C.).
L€nd6 s Narnc:
l-endcr's Acldrss:
APPLICANT DECLARATION
I hetby affmn unde penahy ofpnjury one of the follorving d(ltrations:
Demolition Pqmits-Asbstos Notification Fedtral Regulations (Tille 40. Pan6)
Rcquired Letter of Notificalion
-l
cstify that the federal regulations regilding abestos removal are not applicablc to lhis prcjtrt.
,l cfiiry thal I have read this application dd state lhat the atnve infonnation is cof,st. I agre to comply lvith all Cily and Coutrly
ordinanccs and Slatc [-!\\'s rclating lo conslnrclioff. md h6eby aulhorize rcprscntaliYcs ofthis Cily and County lo enlo' ugrn lhe
above molioned prop€Tty for
Applicnnl or Agent Signature:
Pemile nemc (print)l
,",",[ Uz/11
Site-Work
Underqround It-l;'t1 JJ a!1,r.Y U /,,L,ut-
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildins
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Cellings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
lt4eter Release
Rouqh
Service Meter
FINAL l.-77-u \\)llr.)(
Notes, Remarks, Etc.'J
GI
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