HomeMy WebLinkAbout20162297 - PermitProject Address: 2603 S Main St
Assessor'sParcel: 016-052-08 Lot: 5-12, PORS 4 & 1
Unit:
Block: NA
Bldg:
Tract: 159
Address Range: 2601-2607
Historic: No
Suite Range:
Zoning. C2
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit#:2fJ16.2297
Pin #: 7E351\
Owner:
Address:
Phone:
Tenant Name
Contractor:
Address:
Phone:
Gardena Group Holdings LLC
10240 Geary Ave
Santa Fe Springs, CA 90670
(562) 6s9-861 1
T L M Petro Labor Force lnc
909 N Alameda St
Compton, CA 90220
(3101 639-2227
01 1 16002 51603
01 1 1 6002 51 603
01 I 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5't603
01 1 16002 53601
01 1 1 6002 51 600
01 1 1 6002 51 603
Fee Type Amount
125 Volt Receptacle 1 .40
Light Switches, Occ. Se 1.52
Light Fixtures 'l .0'l
Low Voltage/Comm 32.61
Serv Meter 139.86
Subpanel 51 .29
Subpanel 139.86
PIC - 650/o 0.65
General Plan Update 21 .25
lssuance 52.98
Qty
2.00
2.00
26.00
1.00
1.00
4.00
1.00
532.46
1.00
1.00
Fee
$2.80
$3.04
$26.26
$32.61
$139.86
$205.1 6
$139.86
$346.1 0
$21.2s
$52.98
State Lic #: 76'1755
Lic Type: B, A, HAZ, C-10
Bus. Lic #: 364698
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1 541 150
Expires: OllO1l2O18
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
New
Carwash
Davis, Scott
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B
VB
cEc 2013 Notes: fee pd on M-70226
Fee Total:
Paid to Date:
Balance Due:
NO\/ 0 1'101t
PAID
$[H",n"n0".,Kathy
0511412017
11101t2017
Account#
Misc. Receipt: 69014
Misc. Receipt:
Misc. Receipt:
Total
Cityr of Santa Ana
Buirding Permit#: 10191771
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 period of 180 days after the time the work is
commenced.
lnspector MID#: 2015-119845
N/A - No Balance $969.92
$969.92
$o.oo
Planning Conditions:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARATION
I h6eby amrm und6 pmahy of perjury lhat I an cxempl fiorn the Conlracto6 LiceN taw for the follorving ree)n (5(.7011.5
Businss and Profession Codc): Any City or County which requir* a permit to conslrud. alto. irnprove, dmolish or rq*ir illy
structue. prior to its issuance. also require the applicmt for such pmnit to file a signed slatement lhal he or shc is licensed pursumt
lo the provisions of the Contractor's Licensed taw (Chaptq 9. Commencing wilh Section 7000 of Division 3 of thc Business and
ProfessionsCode)orthatheorsheisexernptthsefromandtheb6isforlheallctedcxmption. AnyviolationofSctionT03l.5byany
applicantforapmnitsubjststhe applicanttoacivilpenaltyofnotmorethufivehundrcddollars($500).
l. as owner ofthe pro;rny. or my employe rvilh rvags as their mle compmsation, will do the work Md lhe structue is not
inlmded orofleredforsle(56.T044.BusinmandhofesionsCode: TheContraclor'sl.icmselrwdoesnolapplytoanownerof
thcpmperty whobuildsorimlrovoth6on.mdwhodo6suchrvorkhimselforhoselforthroughhisorhsoNnemployeB.
provided that such impro\'ffits rc nol intaded or ofiqed for ele. If. howwq. the building or improvonmt is wld rvithin one ;eo
ofcunplaion. thc Orvne Buildo will have the hrrdo ofproving that hc or shc did not build or improve the prepdy for the puryrse of
ele).
_1, m orvner ofthe proptrly. iln exclusively contracting wilh licensed contracloB lo construct the proj*t (Sec. 7044. Busines
and Profcssin Code: 'fhe Contractor's l-icense l-arv doe not apply to il ownq ofpropcrly rvho builds or irnproves lhersn.
and rvho conlracls for such projffts vilh a Conlraclo(s) licmsed puBuant lo lhe Contr.ctor's LicoE LaN).
-l
m excmpt und6 Sstion-, Il. & P.C. for this re6on.
Dite:_ Owner:____
WORKERS'COMPENSATTON
DEC[-ARA'ITON
I hoeby affrm undo pmalty ofpojury one ofthe follos ing dclaations:
I have ad will maintain a Ccnificatc of Consenl to Selflnsure for work6s' compmation. c provided for by Sfftiof, 1700 of the
labor Code. for the pofomilce of (he uo.t lor u,hich the pemit is isucd.
_-lhaveandwillmaintainworkqs'compensationinsurance.ro requiredbySeclionlT00oftheLaborCode.fortheptrfonnanceof
thc work for which this pemit is isued. My workos' compemlion imur@ce cuic md policy numbo re:
Can icr:
Policy Number:-Expir6r _
I cffify thal in lhe pqfoflnance of the work for which this prmit is issued. I shall not onploy any person in any nrMns
s as to become subjal to lhe work6'compqMtion lass of Califomia. ild agre that if I should become subjsl lo lhe
work6' compmsation provisiom of Selion -1700 of the Labr Code. I shall. f<rrthrvith comply wilh thor provisions..
IVARNING: Failure to sue worken conrpssalion cov@gc is unlawful. and shall subjffl an onployo to oiminal poaltis and
civil finesuptoonehundredthousanddollss($100.000),inadditiontothecostofcom[Ensation.damagesasprovided[orlhe
Smlion 1076 of Code, intsst and attomey's
Applicanl:
DEC'T.ARATION
I hmby affirm undo penahy of perjury that I m licmsed undo provision of Chapto 9 (comrnacing with Section 7000) of Divisfun .l
of the Business md Prof6sions Code. md rny licosc is in full iorce ed cffect.
License Class: -
Ds'e: t I-[Z
Nunrltr:
CONSTRUCTION LENDINC AGENCY
I hmby aflim unde pmalty of pedury lhal lh6c is a construclion loding agmcy for the pofommce of the rvork for rvhich this fmnit is
issued (Str. -1097. Civ. C.).
Lends s Name:
APPLICANT DECLARATION
I ho'ebyaffm undr penalty ofpsjury onc ofthe following deloations:
Denrolilion Pqmits-Asbestos Notification Fedoal Regulalions (Title 40. Part6)
-
Required Lelte of Notificalion
I cffify lhat the feddal regulations rcgoding Gbeslos rmoval de nol ryplicable to this prejst.
_ lcertifythallhavercadthisapplicationedstalelhattheatnveinfonuationiscorecl.lasrEtoconrplywilhallCilyaildCounty
ordinancs and State laws rclaling to building md hoeby authorize reprGfllaliv6 of this City and County lo mlfr ufnn lhe
aboYc mtrtioned propeny for
Applicnnt or Agen( Signrlure:
Pcrnril$ ilanlr (prinl):
,rrr\Jl4n
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
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)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
[r/eter Release
Rouqh
Service Meter
FINAL -74*74 VJI
Notes, Remarks, Etc.U
lb tucr b€ ',Vt
('onlrnctor:
Lcnrlcr's Atldrcss:
3-22-ty Y"\LI.1L
tQ-.{- 11 Pytt { a$trbt"rrv( t}f D*dtf4