HomeMy WebLinkAbout20168751 - Permitcity of santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Electrical Permit #: 2o.{6875{
Pin #:rzs\.J
Proiect Address: 2132 N Tustin Avea
Assessor's Parcel: 396-341-Ol Lot: POR 9
Unit:
Block: A
Bldg: Address Range: 2110-2190
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone
Angela Jones
5 Park Plaza
lrvine, CA 92614
(7141 306-1 2ee
No 1 Nails
Ultimate Acrylics
3746 W Warner Avenue
Santa Ana, CA 92704
(714I- 4684664
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Records
Amount
78.08
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$78 08
$22.e5
$57 20
$3.91
Bstch*:53123 Ll/21/2u19 ID: HGAR(:IAOflice:(:TYH Trnnsi:+? ? of'3Acct*: Ref *: 211169751Rcpt*:02glll96 lI/21/2ltl9 11:5? An
Tn on socb i on Tot n I i7 4[t . ?t-l
Der i ck Cno
Ult irnate Acryl icE
State Lic #: 1036840
Lic Type: C45
Bus. Lic #: 368388
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
General F'lnn Updote Fee
Lrl 1 16rJ02- 5160r_rr_r0rJ-
[:lectr icql
Lrl I 161102- 516031196-
11 i cr of i 1m & Docurirefi t S
u t 1 16r-u-r2- 177 7rJ000-
Viss
C(:* : *r*r********5536
i2?.?t)
_ $135.?s
$.i , ? 1
i7 4[t , ?[t
Auth*: ir64rJ 1gBuilding Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By
Permit lssued By:
Subject to Field:
Commercial
Signs
Sign-illuminated
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B
VB
cEc 2016 Notes: Install (1) led-illuminated channel letter wall sign for
"No. 1 Nails", bond on M-73783.
q 11t21t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Buildins Permit #: 101 100209
Every permitissued 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.
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
$22.9s
$135.28
$3.91
Fee Total.
Paid to Date:
Balance Due:
$162 14
$0.00
$162 .14
lnspector MID#:201 9-151683
a
ELECTRICAL,INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS OWNER BUILDER DELCARATION
I hseby affrm undo pmalty of pcrjury that I m cxcmpt film thc Contractos' Licosc tiw for the follorving rcen (Se.70-1 1.,
Buinos od Profcssion Codc): Any City or Coutrty which requirs a pmnit to coNtruct, altc. improvc, dmolish or r.pair uy
structue. prior to its issumcc, also require thc applicilt for such pennit to 6lc a signcd statmmt thal hc or sht{icosed puruut
to thc t ovisioc of thc Contractor's Licensed law (Chaptq 9. Commacing with Sction 7000 of Division 3 of thc Busins ud
Prcfsions Codc) or that he or she is crcmpt thqefrom ed thc basis for the alleged ermpbn. Any violation of Sction 7031.5 by any
applicant for a pemit subjets lhe applicant lo a civil penahy of not more thu lirc hun&cd dollds ($500).
_1. as owner of the property. or my employees with wages as their sole compensation. lvilldo the rvork and the structure is not
intended clr offered for sale (Sec.7M4. Business and hofessions Code: I'he Contractor's License Law does not eply to an owner of
the properry who builds or ilnproves thereon. and who does such work hirnself or herself or through his or her ou.n employees.
provided that such irnp,rovanents are not intended or offered for sale. lf. horvwer. the building or improvement is sold within one year
of complaion. the Or,rrner Builder will have the burden of proving thd he or she did not build or improve the propoty for the purpose of
sale).
__1. asorvneroflheproperly. amexclusivelycontracting rvith licensed contraclorslo construct theproject (Sec.7044. Business
and hofession Code: 'l'he Contractor's License Law does not apply to an orvner of property rvho builds or improves thereon.
and rvho contracls flor such projects rvith a Contractor(s) licensed pursuant to the Contractor's License Law).
-IamexemptunderSection-.B.&P.C.forthisreason.l)alc
}VORKERS' COI}TPENSATION
DECLARATION
I hereby alTirm under penalty otperjury one of the follorving declarations:
-l
have and will maintain a Certificate of Consent to Self-lnsure for rvorkers' compersation. as providcd for by Section -1700 of the
Labor Code. for the performance of the rvork for which the permit is issued.
_l have and rvill mainlain rvorkers' compensation insurance. as required by Sec'tion 1700 of the Labor Code. for the perfonnance of
the rvork for rvhich this pennit is issued. My rvorkers' compensation insurance carrier and policy number are:
Carrier:-
I'ttlic) Ntunlrcl:lixpires:
DQcefiify that irr the perforrnance of the rvork for rvhich this permit is issuecl. t shall not ernploy any person in any manner
so :ls to become subject to the workers' compensation laws of California. and agrc'e that if I should becotne subject to the
workers' compensation provisions of Section -j700 of the Labor Code. I shall. fcrrthrvith cornply with those provisions..
I
WARNING: Failure to secure workers' compensation coverage is unlaw'ful. and shall subject an anployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compcnsation. damages as provided for the
Section -3076 l.atxrr and attorney's fees.
,(
Lt('ENSLI) ('ON t'R,t("1 OR
DE('LAII,\'I'ION
I hereby affrnn under pcnalty of perjury that I am licensed under provision of Chaptcr 9 (comrnencing u'ith Section 7000) of Division .1
of the Business and Professions Code. and my license is in full force and effect.
License Class: ^
Dere: I / f
c?{I i^o-"-Nurnber:/oi6g+ o4contrector, h- L 7 /r?.n 7,f .+/feqt rct
W
I hreby allirm undo pcnalty of pcrjury that th6e is a construction lending agmcy for thc po'fomucc of thc work for which this pqtnil b
issued (Se. -!097, Civ. C.).
Lender's Narne:
Lender's Address: _
APPLICANT DECLARATION
I hereb), aflirm under penalty of pcrjury one of the following declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notilication
-l
cqtiry that the ,idqal regulalions rclading rebetos rmoval ae not applicable to lhis prcj€1.
0! "^irv rna,tl havc rad this application dd state th8t the abovc infomation is coret. I agrc to comply wirh all city and County
ordinancB trd Statc lrws rclaing to building comtruc{ion, and hmby authorirc rcprMtaliv6 of this City od County to ot6 upon thc
abovc mentioned properly for inspection purposes.
Applicant rlr Agcnl Signnlrrre:
I'cnnilec trame (prirrl ):2f/€ /C( C./X)
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm lDampers
Communications Cable
Buildins
Under SIab / Floor
Bonding / Groundang / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilinss (T-Bar Rouqh)
Meter Release
Rough
Service Meter I t\n r\ fi-t
FINAL il ?b ul INIW v(ry
Notes, Remarks, Etc.I
na n'7 1^4 ,ll)^