HomeMy WebLinkAbout20370977 - Permitff Electrica!Permit #: 20370977
Pin #: 73049
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 1963 E Blair Avea
Assessor's Parcel: 430-1 81-24 Lot: 108
Unit:
Block: 9
Bldg. Address Range: 1937-196s.
Tract: IRVINE SUB Historic: No
Suite Range:
Zoning: Ml
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
William Willis Boyd
1946 E Edinger
Santa Ana, CA 92705
(951 ) 315-3608
Siege Manufacturing
P M Electric lnc
4775 Lanier Rd
Chino, CA 91710
(909) 5s0-7026
01 1 16002 51603
01 1 16002 5160C
01 1 1 6002 51 60.2
01 1 16002 5777C
Fee Type Amount
Over 10-50 HP, KW or F 48.02
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
2.OO
1.00
1.00
1.00
Fee
$96.04
$22.e5
$57.20
$3.e1
Bntchi:54753 3r ? iZttlit0lrice: (:TrH Trgns*: 66Accu*: Fiet-*lRcpt#:0?ti!tt3l. 3tii,, i[tit
lr'nnso,-L ion lcr[cr1Phone:
State Lic #: 800198
Lic Type: C-10
Bus. Lic #: 145022
Workers' Compensation lnsurance:Carrier: CYPRESS INSURANCE COMPANY
Folicy #: PMWC 124840
Expires: 0110112021
l-'m LlecLr'ic ltic
6errer'nl F'lcrn UpdctIe Fee
Ltl I 1,rt-tt-r2- 5 1 o[t[t[t[uJ--
ElecLr i cnl
Lrl 1 isurt2- 51oir3[rir[r-
ll r croi i 1m & Dc,currt€t'rt S
ul116tt0?- 177 7t-t0t ttt-
Uistr
(:(:* i *r**r*r****x 1, ?+o fiuIfi; : Ll.5'i UU,
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
Receptacles
Zuniga, Allissa
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
III B, SPK
cEc 2019
03t09t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: (2) receptacles.
Fee Total
Paid to Date:
Balance Due:
Every permit rssued 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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$22.9s
$1 s3 24
$3.e1
$180 10
$0.00
$180.10
lnspector MID#: 2020-1 58330
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
Meter Release
Rough
Service N/eter I ,l t^-o
FINAL a tl / fi'{Y auro /
urNotes, Remarks, Etc.I
OWNIiR B UILDI'R DI'LCARATION
I hereby affrnr under penalty of prjury that I anr exenrpt fronr the Cbntractors' License [.aw for the following reason (Sec.7031.5
Busincss and Profession Codc): Any City or County which requires a pcrmit to construct, altcr. irnprove. dcmolish or rcpair any
structure, prior to its issuance. also requires the applicant for such Srernrit to file a sigrrcd statenEnl that lr or she is liccnscd pursuant
to the provisions of thc Contractor's Licensed l.aw (Chaptcr 9, Commencing with Section 7fi)0 of Division 3 of thc Busincss and
Professions Code) or tlrat lrc or slrc is exenpl therefrom and tlrc basis for tlre alleged exenrption. Any violation of Section 7031.5 by any
applicant for a pnnit subjects the applicant to a civil penalty of not more than five hundred dollars ($5Otl1.
_1. as owncr ol'the propcrty, or tny ctnployccs with wagcs as thcir solc compcnsation, will do the work and the stnrcture is not
interxlcd or offered for salc (Scc.7(Xa. Busincss antl Profcssions Ctxlc: The Contractor's Licensc [-aw docs not apply to an owncr of
the prugrcrty wlxr builds or inrproves tlxreoq arxl wlxr does such *ork himself or lrerself or through his or her own enrployees,
provided that such improvcrrrcnts arc not intcndcd or ollcrcd for sale. Il. however, thc building or improvcnrcnt is sold within onc )€ar
of completioru thc Owrrcr Buikler will have the burden of proving that lrc or she did not buikl or improve tlre propcrry for the purpose of
sale).
_1, as owner of the propefly, am exclusively contracting with licensctl conlractors to conslruct the project (Sec. 7(X4. Business
arxl Protessi<rn Code: The Contractor's License Law does not apply to an owner of proJrerty who buikJs or improves thereon.
and who contracts for such pr<rjccts with a Contractor(s) licensr:d pursuant to thc Conuaclor's Licen.sc taw).
-l
anr exempt under B. & P.C. lbr this reason.
WORKT' RS' COMPI1NSATTON
DECLARATION
I hcrcby affirm undcr grcnalty of perjury one of thc tbllowing declarations:
_l have and will nnintain a Certit'icate of Consent to Selt'-lnsure for workers' conrpensation, as provided for by Section 3700 of the
[-atnr Jrerformancc of thc work lbr which thc perrnit is issued.
and will nraintaitr workers'insurauce, as rcquired by Section 3700 of the Labor Code, for lhe;rcrfornunce of
r carricr aml plicy numbcr are:work frlr this lrcrrnit is issucd.conrJrcrrsation insurance
Policy / /zt
_l ccrtify that in the ;xrfornuncc of llrc work frrr which this prnrit is issucd, I .shall not
so as lo becomc subjcct to the workcrs'cornpcnsation laws of Califomia. and agrcc that if I "r*6 *{r^any manner
should become subject to the
worliers' conrpensation pnn,isions of Section 3700 of the l-abor Code, I slull, forrhwith conply with thosc provisions..l
WARNING: Failure lo secure workers' compensation coverage is unlawful, and shall and
civil fines up to one tlxrusand dollars (S addition cost of the
Scction thc intcrcst and
>D
I hereby affrnr under pnalty of perjury that I anr licensed 9 (cornnrcncing with Section 7000) of Division 3
of the Business and Professions Code. and rny licensc is in full forcc and effect.
License S=tis
I hcrcby affirm undcr pcnalty of pcrjury that thcrc
issued (Sec. 3097. Civ. C.).
[rnder's Nanre:
agcncy thc pcrmit is
[-enrler's Address:
APPI,ICANT DECI,ARATION
I hcrcby affrnr undcr pcnalty of pcrjury onc of thc following dcclarations:
Denxllition Pcrnrits-Asbcstos Notification Fedcral Rcgulations (Titlc 40, Part6)
-Rcquired
l.cttcr of Notilication
with all City antl County
above rrrcntioned property for
Applicant or Agent
Pcrmilcc nanre
to this prolxt.
and thc
08-07-2015