HomeMy WebLinkAbout20168444 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 2001 S Main St
Assessor's Parcel: 403-164-01 Lot: 1, 17, POR 2
lnspection Requests (714) 667-2738 lnspector Section (714) 647-5853
Permit #:20{68444
Pin #: 86202
Unit:
Block: B
Bldg:
Tract 284
Address Range: 2001
Historic: No
Suite Range:
Zoning: C1
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Phone:
Tenant Name: Bank of America
Owner:
Address:
Contractor:
Address:
Phone
Bank of America
NC1-001-03-81
Charlotte, NC 282550000
Deb Construction
2230 E Winston
Anaheim, CA 92806
(714l- 632-6680
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
Fee Type Amount Qfy Fee
125 Volt Receptacle 1 .45 30.00 $43.50
Light Switches, Occ. Se 1.SB 1.00 $1.S8
Light Fixtures 1.05 5.00 $5.25
Min Fee Adj 23.05 1.00 $23.05
General Plan Update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
Batchf 14?348 +/ lti/:1i11t7 IL); L_Firt:lA!-t:inl f i ,rr i i' IYH lr sn :r* : 1r-r1 2 (.:f. .iAc':t+: Flelf: ?r-tl,rlJ+4ri
R'- Pt'*;[!:):;??;i13 4/Ii/?.1-tIq, !,.r$ t'|1frnnEorttic,n Totnl $;r4'/1.&i;State Lic #: 372419
Lic Type: B
Bus. Lic #: 159001
Workers' Compensation lnsurance:
Carrier: Liberty Mutual Fire lns Co
Policy #: WC2291463516019
Expires: 0110112020
)eb Construct ion
Genernl F'Lnn Updnte Fee
tl1 1 160tr?- 516r-il-rr:rrln-
EIectr i':nI
rll 1 16110?- 5!,6[r3r-rr-rr-r-
I(:L iheclr rJg7rJ53
S2?. [tg
1?9.42
$?t471.(ttt
Building Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
T.I
Occupancy:
Constr Type:
Code:
Date:
B
VB
cEc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 1 01971 98
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 permitis suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2019-14927 1
w'r:"04t15t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
$22.08
$128.42
$1 50 50
$0.00
$150.50
ELECTRICAL.I NSPECTOR RECORD
[."] ,.r r
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltase
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
Meter Release
tl ,l,l-w>aRough?t1 'lo
Service Meter Ir
FINAL )Dft rf lt.l *tr/
Notes, Remarks, Etc.\I
OWN I.]R BU I l,DER DI]LCA RAI'ION
thC l(rIlr'\\'lllt tCil.St\tl ^il'itttpltrrc. tlclttt,lislt ()t' rcpiir' ,uE
that lrc t,r shc is liccnsetl p'rrsrrartl
I hereby affrrm under penalty of pcrjury that I arn exempt from the Contractors' License Law for
Business and Profession Code): Any City or County rvhich requires a permit to construct. alter,
structure. prior to its issuance. also requires the applicant for such pcrmit to file a signed statement
to thc p@visioN of thc Conuetor's Licnscd Lrw (Chapt6 9, Com@cing with Sction 7000 of Division 3 of thc Busir* ud
pmfBions Codc) or th8t hc or shc is exmpt th@from ed thc basis for thc allegcd exmption. Any violation of Setion 7031.5 by any
applicet for a pcrmit subjets the applicet to I civil pcmlty of not morc the fivc hundrcd dollm ($500).
_1. c oma of thc p.opcrty, or my cmplo)6 with wag6 s thcir slc compcnsation, will do the wt dd thc stnEtw is not
intqrded or offscd foi slc (Sc.?044. B6itre md Prcfeiom C.ode Thc Contrrctor's Licre Law doc not 4Ply to e oMs of
thc propsty who builds or improrc thsoil @d who dG such wrk hirelf or hmclf or thrcugh his or ha om oployc.
proridcd that such impro@ts rc rct intqrdcd or offscd for slc. l[ howq, thc building or impovmt is mH within one ]qr
of onplaion thc olurc Buildq wi[ harc thc tuda of poving tha hc or shc did rct build or itrprorc thc propqry for the txrpos of
slc).
_1. s owns of thc propqty. m qcluively contracting with licqEcd contractoB to coNlruct thc projal (Se. 7044, BGinN
ard profssbnCodc:ThcContractor'sLicoscLawdoenotapplyioeownoofprcpcnywhobuildsorimprov6th6@n.
md who contracts for such prcjets with I Crntncto(s) licoscd purmt lo thc Contraclor's LicN taw).
-l
m cxmpt unda Sction-, B. & P.C. for this roon.
( )u rter'
WORKER.S' COM PENSA'IION
DECLAITATION
I hereby afftrm under penalty of perjury onc of the following declarations:
_t have and will maintain a Certificate of Consent to Self-lnsure for workers' contpensation, as provided for by Soction 3700 of the
labor Code, for the pcrformance of the work for which the pcrmit is issued.
_l have and will maintain workers' compensation insurance. as required by Section 3700 of the l-abor Code. for the performance of
the work for which this permit is issuod. My workers' compensation insurance carrier and policy number are:
L \i369,-\\ lrr uf,)r)L F\gE il.tS. (Js
Policy I G3S\bol ol /or (
"4,2--e
_l certi$l that in the perfonnance of the work for which this perrnit is issued, I shall not ernploy any person in any manner
so its to become subject to the workers' cornpensation larvs of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith comply with those provisions..
WARNING: Failure lo secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal panalties and
civil fines up to one hundred thousand dollars ($l in addition to the cost of compensation. damages as provided for the
Section 3076 of the tabor Code. interest and fees.
\./'--q 5 r1
I hereby aflirm under penalty of perjury that I arn licensed under 9 (cornmencing with Section 7000) of Division 3
of the Busincss and Professions Code. and rny liccnse is in full force and effcct.
\312--t\q,License .-\>Nurnbcr:
CONSTRUCTION LENDING AGI]NCY
I hwby affirm unds penalty of pcrjury that th6e is a constBction lmding agency for thc pafomuce of the work for which this permit is
Civ. C.).
Lender's Address:
APPI ICANT DF'CI ^RATION
I herdry affrm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. PaI16)
-Required
Letter of Notilication
-l
ceni$ that the fueral regulations regarding asbestos removalare not applicable to this project.
_l cerrify that I have read this application and state that the above infonnation is corect. I agrce to cornply with all City and County
representatives of this City and County to enter upon theordinances and State Laws relating to construclion. and hereby authorize
above nrentioned property for
Applicnnt or Agent
I'erlrrilce nanrc Pe J
.9 tq,
Dft (V)
I)ate:_
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