HomeMy WebLinkAbout20169929 - PermitPin #: 471 .t
Project Address: 3400 W Warner Avea
Assessor's Parcel: 414-131-59 Lot POR 1/POR TlPO
Unit F 1
Block: NA
Bldg: Address Range: 331g-3500
Tract: 101 311024/RS 3- Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #i zOi69929
Owner:
Address.
Phone.
Tenant Name:
Contractor:
Address:
Phone.
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsu
Carrier:
Policy #:
Expires:
Grove lnvestment Co
P.O. Box 1960
Newport Beach, CA 92658
(7141 545-2776
Newtonian Principles Inc
Owner-Builder
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51603
01 1 16002 5360'
01 1 16002 5160C
01 1 16002 51603
Fee Type Amount
125 Volt Receptacle 1 .51
Air Conditioner 100.70
Dedicated Circuit 25.76
0-1 HP, KW or KVA 3.70
Over 1-10 HP, KW or K\ 24.20
Ptc-65% 065
General Plan Update 22.95
lssuance 57 .20
Bobch*:531?
nf f ir. p: (:TY
Arlr:t, * :
Ftcpt+:(t?,9I4
Tronsorrb ion
Qty
16.00
1 .00
700
200
1.00
337.43
0.00
000
Fee
$24.1 6
$100.70
$180.32
$7.40
$24.20
$2r 9 33
$0 00
$0 00
T
I
Commercial Cannabis E t n ve5t, men t,
t'leftr. Ic
r-r1116rJtJ2
Uisn
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approva! By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
Tl/Roof Mtd Equip
Occupancy:
Constr Type:
Code:
Date.
Date:
Date:
M
VB
cEc 2016 Notes: Electrical for Commercial Cannabis - Adult Use Retail
rk 10t21t2019
11t27 t2019
Account#
Misc. Receipt: 73639
Misc. Receipt:
Misc. Receipt:
Total
Teri
01101865 01 1 16002 51603 $336 78 Fee Total
Paid to Date:
Balance Due:
$556.1 1
$21 9 33
$336.78
Every permit issued 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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2018-141746
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/S!G GOMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm lDampers
Communications Cable
Building
Under SIab / Floor
Bonding I Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
IlwzzOnr**FINAL t1,l tt q -^/gO I
Notes, Remarks, Etc.U \ /// \-'
OWNER BUILDER DELCARATION
I hcreby allirm unds penally of perjury that I an excmpl from the Contrscto6' Licw hw for thc following rcen (Str.7031.5
Busincs md Profeion Code): Any City or Couniy which requirc a pmnit to costruct, alta. improva dcmolish or rcpair my
structuc. prior to its issuancc. also rcquirc the applicill for such pcnnit to filc a signcd statmot that hc or she is lictrcd pmudt
to thc provisions of thc Contractor's Liccnscd law (Chaptq 9. Commocing vilh S(tion 7000 of Division 3 of the Buins md
ProfcsionsCodc)orthathcorshciscxcmptthqefromadthebasisfortheallcgcdcrmption, AnyviolationofSe{ion703l.5byany
applicantforapmitsubjelsthe applicanlloacivilpenaltyofnotmorcthillivehundrcddollils($500).
-1.
as owner of the property. or my employees with wages as their sole cornpensation. will0o the tt'.rrk and the structure is not
intended or offered for sale (Soc.7044. Business and hofessions Code: 'Ihe Contractor's License Law does not apply to an orvner of
the property rvho builds or improves theron. and rvho does such rvork himself or herself or through his or her orvn employees.
provided that such irnprovernents are not intended or offered for sale. If. ho*'ev'er. the building or improvemenl is sold rvithin one )€ar
of conrplaion. the Ov..ner Builder will have the burden of gnoving that he or she did not build or irnprove the propoty for the purpose of
sale).
_1. as owner of the property. am exclusively contracting rvith licensed contractors to construct the project (Sec. 7M4. Business
and Proftssion Code : The Contractor's License Law does not apply lo an orvner of propeity rvho builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
_l am under for this reason.
l)alc:
I hcreby affrrrn under penalty of pei'jury one of the
_ I have and rvill maintain a (lertificate of Consent lo Self-lnsure for rvorkers' cornpensation. .rs provided for by Section 3700 of thc
Labor Code. for the performance of the work for which the pennit is issued.
_ -l have and will rnaintain workers' cornpensation insurance. as required by Seclion 3700 of the Labor Code. for the performance of
the rvork for rvhich this permit is issued. My rvorkers' compensation insurance carrier and policy number are:
('lrr r icr .
Policv Number:Expires:
_-l ceflifu that in the performance of the u'ork for rvhich this perrnit is issued. I shall not ernploy any person in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to thc
wcrrkcrs' compensation provisions of Section 3700 of the kbor Code. I shall. fonhwith comply u'ith those provisions..
WARNTNG: Failure to secure s'orkers' conrpensation coverage is unlarvful. and shall subject an anployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000).to the cost of comlrcnsation. damages as provided for the
Section 3076 thc Code. interest and fees.tl
I hereby afllnn under penalty of perjury that I liccrrscd provision of Chapler 9 (cornrncncing rvith Section 7000) of Division -3
of the Business and Profle.ssions Code, and my license is in full force and effect.
I-icense Class:_
Date:--
License Nurnber:
Contmctor:--
W
I hwby aflim unda pcnalty of pqjury thst thq€ is a @nstruclion loding agocy for the pafomcc of thc rcrk for which thk pqmit is
isucd (Se. 3097. Civ. C.).
Lqrda's Nmc:
Lender's Address:
APPLICANT DECLARAI'ION
I hereb}, affinn under penalty of perjury one of the follorving declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Par16)
__Required Letter of Notification
---l cqtifythat the fcdoalregulatioro rcgarding sbGlos rmovalarc not applicable to this prcjet.
- I crtif*that t hry/raa rtis appticarion atd statc thar rhc above infomation is cortrt. I agr6 to omply $'ith all City and County
ordinancG a\{Star/Laws relating to buildins(ons:truction. dd hseby authorize rcprGotalivs of this City md County to mlF upon lhc
above rnention$fopeny for inspetion pu1reDr I I
nrr,,""n,,./J*\*,**' h *r", lt 111 l11,*n**,i**Z ZWDz,il"*F---- _--Il
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