HomeMy WebLinkAbout20166929 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrica! Permit#:20166929
Pin #: 8874Gi{'
Proiect Address i 3152 S Main St
Assessor'sParcel: 410-23'l-02 Lot: 83
Unit:
Block: NA
Btdg:
Tract: 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning: CR
Owner:
Address:
Phone:
Tenant Name:
Decron Properties Corporation
622 Wilshire Blvd. #400
Los Angeles, CA 90048
(323) 556-6600
J - Squared General Contra(
1780 E McFadden, #112
Santa Ana, CA 92705
(714) 8844590
Fee Type
011'16002 51603 Serv Meter
01116002 51600 GeneralPlan Update
011'16002 51603 lssuance
Amount
53.28
22.08
55.04
Qty
1.00
1.00
1.00
Fee
$s3.28
$22.08
$55.04
Contractor
Address:
Phone:
State Lic #: 918485
Lic Type: B
Bus. Lic #: 344727
Workers' Compensation I nsurance:Carrier: Everest
Policy #: 7600015996
Expires: 0210112019
Botch;:45960 - 9/17/2t)LB t0: CCUELLAROffice: CTYH Trons*: tll 2 of t2Accti: Refi: 2n166929
Rcpti:02385113 - 9/17/2OtB 3:21 Pil
Trqnsoct ion Totol 371526.58
.l - Scuared Genernl Controctor
Genersl Plon Updote Fee
01u6002- 51600000-
Electr i caI
0t r16002- 51603[,00-
U iso
CC+ ! rrflrr*r***15554
Viss
CCi: *rr****rrrrr5554
Notes: Service meter upgrade. Handout given
$22 . rl8
$ 10s.32
t5 r tl0lt. D0
Aut,hi:081766
12 r 526.58
Authi:082196
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Service Meter Upgrade Code:
Chavez. Dave' a0'
Date:
Date:
Date:
B, R-1
VB
cEc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Arabe, Jill
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
lssuance, or if the work authorized on the site by such permit rs suspended
or abandoned for a period of 180 days after the time the work is
commenced.
09117t2018
09t1712018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01116002 51603
J$flIltu
Paid to Date:
Balance Due:
$130.40
$0.00
$130.40
$22.08
$108.32
lnspector MID#: 2018-146165
PENilIrCANCELICD
DATE! a-uyrt>o
t''
:,,'.*&.
ELECTRICAL-INSPECTOR RECOHD
APPROVALS DATE !D/SIG.COMMENTS OWNER BUIT-DER DELCARATION
I hercby alfiror undcr pcnalty ol pcrjury lhfll I trn cxeillpt liofi thc Contrilck)rs' Liccnsc [,aw lor lhc lbllowirrg rcason (Scc.7031.5
lrusincs\ and l'rofcssion Codc): Any City or Counry which requircs a FErtrril to conslrucl. altcr. inrprovc. tlcrrtrlisl or repair any
sttuclurc.pri()rloils issurnce.alsorequircslheapplicaniforsuchFrnlillolilcasigocdslalcnEilt lhathcorshcisliccilscd pursu{nl
lo lhe prcvisk)trs of thc Conlrachr's Liccnscd l-aw (Chtrplcr 9. Conrnrcncing with Scclion 7(X[ of Division 3 of the l]usincss:rnd
ProltssionsCodc)orthatlrcorshciscxcnrpllhcrcliomandthcbarisl'()rthcallcgcdcxcmplion. AnyviolntionofScctionT{).ll.5hyany'
applic{ntforapcrmitsuhjcclsthc applicanltoacivilpenaltyofnoltrhrcthilnllvchutrdreddollilrs($5(x)).
_1. as owncr of I hc pro|[ny. or my enrployccs wil h wagcs as lhcir solc conrpcnsal ion. will do lhc work ffil tlE slmture is nol
intcndcd orollcrcdforsalc(S8.7(I44.BusincssandProfcssi<rnsCodc:ThcConlmctor'sl,iccnsclawdocsnotapplytoanowncrof
thc pmpcfly who builds or improvcs lhcrsnr. ud who d@s such work hiNsel, or hcrscll or through his or hcr own cmployecs.
providcd that such impmvcmnls arc ret inlcftle{ or offcrcd lirr qh. ll. howcl'cr. thc huilding or irprovcnrcnl is $kl within onc }qr
ofconrplction. thc Owncr Buildcr will havc thc hurdcn of proving lhat hc or shc did not huild or improlc lhe pm[Eily for thc purJhs of
sah).
_1. rs owncr of lhc propcrty. ah cxclusivcly contraclin8 wilh liccnscd conlrncbrc k) conshrcl thc prliccl (Scc. 7044. Busincss
and Pnrli:sshnCodc:'l'hcC-onlraclor'sLiccnscLawdoesnolapplyloilnowncrofpropcrtywhobuildsorimprovcsthcrcotr.
and who conlracts li)r such projcrts with a Corilractor(sl liccnscd lursuaDl h lhc Conlraclor's Liccn* hw).
I iltrr cxcnrnt undcr Scrli()n . B. & P.C. li)r lhis rcrson.
I )illr Owner:
WORKERS' COT\IPENSAl'ION
lll.:CLARATION
I herchy alllrm undcr pcnaltyof pcrjury onc of the lirllowirtg dcclarations:
_l havc and will mainlain a Ccnilicate of Consnl kr SelLltrsurc for uorkers ()mpcnsxlion. as proridcd lbr hy Section .17(X) ol thc
latxrr Codc. lirr thc pcdorilrncc ofthc work for which thc Jrcrrnit is issucd.
_l havc and will rnainlain workcrs' conlpcn\ation insurdDce, as requircd by Scclion -17(D oflhc tnbor Code. for thc pcrformancc of
thc work lor which this pcrmit is issucd. My workcrs' conrpcnsntion insurancc cdricr rnd policy numbcr uc:
.^.,",, ' Fr.t.err no\.rrr ar I T.r\ , rna^.€
0.,,.r*,,,,,n", I ?6090 [1t16[Bi - F.*ti,",,' z-L-lol
_l ccnili thnt in thc lcrli)rmancc of lhc work li)r which lhis pcrntit is issuc<|. I shall not cnrploy aly pcr\on in any nranncr
s()[slohcconrsubjccllolhcworkcrs'cotrrpcnsrlionlilwsofCalilornir.rndrgrcelhrtiflshouklbecoillcsuhjcclkrlhe
s'orkcr\'coDrpcnsalionprovision\ol-Scction-17(X)ollhcl.ah)rCo(lc.l\hall.lirlhsithcomply$'iththo$pro!isions..
WARNING: [aihrc to st'curc s()rkcrs'conpcilsnlion covcrxgc i\ unlawftl. and shall subjcct xD cnrpl()vcr lo oiminal ptnrltics and
civil fiDcs up to onc hutrdrcd thorsand rlollars (Sl(X).(XX)). in ad(lilion k) lhc cosl ol'compcn\alioD. dlmagcs as proli(lcd f'or lhc
Scciion .1{)76 oI lhc l-alx)r Codc. inlcrcsl iil(l ntkillcy s fccs.
o",", rQfl1.,L Applicont: 4
DECLAR,{TION
I hcrcby alllrnr undcr pcnally of pcrjury that I [m liccnstl u[dcr p()vi\ion of Chaptcr 9 (cornnrcncing uith Seclion 70(x)) of Divisk)n 3
of thc Busincss and Proltsshns (irde. and tny liccnsc is in llll forcc ilrd cllact.
I -iccttsc
l)ate:
,,a"rr"^r,,r,n",, t Ql3 Q ) f
a4L7o cont.o"t,,.,;( d-5-aaq{ 3.o.r.l
W
I hcrchy affirm under Jrcnillty ol pcrjury thal lhcre is I construction lcnding ugcncy for lhc Frerforn[ncc oflhe work for which lhis frcnnil is
issucd (Scc. 3097. Civ. C.).
APPLICANT DECLARATION
I hcrcby allrm undcr penally of pcrjury one of thc following dcclarut irrts:
Demolilion Permits-Ashcslos Nolification l:cdcral Rcgultrtions (Tillc 40. Pan6)
_Requircd kller of Nolification
_l ccrlify thal lhc fbdcralrcgulelions rcgrrding ashcstos rcrnovalarc not ilnplicrblc k) this pr(&ct.
Sl ."nify rlur I havc rcad this application {nd slalc lhal lhc atnvc inlbrmdion is corcct. I agre lo comply with trll City and County
ortfinanccs and Slatc [aws rcluting to building conslruclion. and hcrcby authorizc rcprcscnlatives of lhis City and County to cntcr ulx)n lhe
iltx)\'e trrcntioncd pft)pcfly ti)r inspcction purf)scs.
Al)plicnill or A,:rnl
l'errrrileenrnrelprintl: ( B fi.n^
^
lin
l)il1(:'31'?.!s
Site-Work
Underqround
Pole Bases
Liqht 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 (Rouoh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
N/leter Release
Rouqh
Service Meter
F!NAL
Notes, Remarks, Etc
-t
hndcr's Narm:
-
kndcr's Addrcr.: