HomeMy WebLinkAbout20145228 - PermitProject Address: 3700 S Raitt St
Assessor'sParcel: 41247'l-07 Lot: A
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning:SD44
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738
Electrical permit #:279145228
lnspector's Section: (7 1 4) 647 -5853 n
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Sunflower Associates
3700 S. Raitt
Santa Ana, CA 92704
Palos Verdes Security Syste
1931 N. Gaffey St., #A
San Pedro, CA 90731
(310) s21-8537
01 1 'l 6002 51603
01 1 16002 51603
01 1 16002 51603
01116002 5360'l
01 1 16002 51600
01 1 16002 51603
Fee Type
Fire Monitoring
Add'l Devices
Control Panel
PIC - 650/o
General Plan Update
lssuance
Amount
27.72
2.64
13.20
0.65
18.00
45.00
Qty
1.00
28.00
1.00
114.84
1.00
1.00
Fee
s27.72
$73.92
$13.20
$74.65
$18.00
$45.00
State Lic #: 452658
Lic Type: C-7, C-10
Bus. Lic #: 337180
Workers' Compensation lnsurance:Carrier: Travelers Casualty & Surety Co.
Policy #: KJU82138T636.t1
Expires: 0110112012
Botch*:11t05 - 03/31/11 ID: EDGAR
oi'f ice: (:TYH TranE*: 160 1 of 2Acct*: Flef*: 2Lr11t22S
Rcpt+:[11635312 - 3/31i ?1r11 3:18 F't1
Tronsoct i on Totol i442.49
Fcrlos Verdes Securitc Systeme
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Fire Monitoring
Fire Monitoring
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-1
VB
cEc 2010 Fire Monitoring
$ 1g . LlrJ
$159.S4
$71.65
t4+2. +9
Evans, Eric
Negrete, Barbara
03t31t2011
o3t31t2011
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Every permitissued 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 is suspended or abandoned for a period
d 180 days after the time the wotu is commenced.
lnspector MID#: 20f i-95980
01 1 16002 51600
01 1 1 6002 51 603
01 1 16002 53601
$18.00
$159.84
$74.65
$252.49
$0.00
$2s2.49
Bldg:
Tract:13655
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountalns
Signs (monument)
Life S&ty /Low Voltage t-Fte Ffaryd+lampers il tqlrl
G-nrmunications Cable tt lu LY
I
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit x
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release .,,\
Rough
Service Meter
FINAL
Notes, Remarks, Etc.
--7
Omer-Builder D*luation
I heeby a.ftim undo p.rElty of pcrjury th8t I m acmpt fom the CootndoE'Liens Law forrhc following rcen (s.7031.5 Business
ud Profcsion Codc): Any City or Couty whicb requir* a pemit to @Nmq alter, improve, demolish or repai, oy shdue, prior to ils
isoane, alrc requtes the appliut for such pemit to file a signcd satement that hc or she is licered pursmt to the provisiom of thc
Contrador's Li@Md Law (Chapter 9, Comencing with Soion 7000 of Division 3 of thc Busincss ed Profssions Code) or rhat hc or
she is ucmpt lhere&om md the buis for the allegcd acmption .Aay viol*ion of Saion 7o3l 5 by ey applimr for s pcmit $bjccb the
applimt to a civil penalty of oot more thu 6vc hudred dollrs ($500).
-I,
s omcr of the prcp€ny, or my employo with wrgo as tlrcir rcle @mp€nslior\ will do the work rad the structue is nor itrteodcd
or ofered for sale ( S@.7o44, Business ed Professious Codc: The Conractor's Liccm Law docs oot apply to m ow ofthc property
who builds or improvs rhoeq md *ho dG sch work himslf or horlf or tlrough his or her om employc, providcd rh8t sucb
improvemcntr ue not intendcd or offcrcd for sale. If, bowever, the building or improvement is rcld within ooc yu ofomplctioo, the
Omer-Builder will havc the buden ofproving *Br he or shc not build or improve for thc purposc ofsalc).
_1, 6 owr of the property, m *clusively ontraaiog with liccnscd @nmdors to @nstrud the projd ( Se. 7044, Busitrgs ad
Profesioo Codc: The Conlrdor's Liccns Ilw do6 not spply to m omcr of pro;vqr who builds or improvo thq@n , ud who
@trtrm for $ch prcj*G with s Contmctor(s) limscd pusumt to thc Conmaor's Lien* t:w ).
I u €xempt undq Sdion
Dale:
& P.C. for this rwn.
WORKERS COMPENSATION DECI-ARATION
I hereiy alfm undo penalty ofpojury onc ofthe following dxlraiom:
_l havc utd will mintain a Ccnifiate of Coreot to Selflmc for workm' ompemtioq u provided for by S@tioo 3700 of drc
kbor Codc, for thc pcrfomae of tlrc work for which the psmh is ised.
_l have ud will maintaio workm' ompcnslion inrurue, u rcquired by Scction l70O of thc kbor Codq for thc prfol]Me of the
work for which this pcmit is i$ued. My work6' ompcn*ion inuue wiu ud policy numba ue:
1)
Grt ((, lt >-
ection not b€if the permit One hundred dollas {SI00) or lcss)
_l catify in the perfome of the work for which this pcmh is iscd, I slull m mploy uy in uy mmnq s s to
bame subjea to the workcrs ' ompen*tion laws of Califomia, ed age lhrt should baome to thc workqs'
ompenution provisions ofSwtion 3700 ofthe Iabor Code, I with those
\frurC F&ilure to we workes' ompemdon rcvuage is uolawful, od shall $bj€t m employq to qiminsl pcoaltiB ud civil
fins DPto one hudred thouwd dollm ($100,000),itr addition to thr o$ of compenstio4 damges u providcd for the Ssrion 3076 of
the hbor Code, intqst ud fiomey's fes.
LICENSED CONTRACTORS DECLARATION
I hereby a-ffm under penalty of perjury tha I M li@nscd mder provision of Chaptcr 9 (@mencin8 wilh Sdioo 7000) of Division 3 of
,*Busines and Profcsiom Codc, ud my licens is in full fore md effat.
LiceN Class ,*,*n*0. 4l\65 (
PMIJ@Contrador:
CONSTRTICTION LENDTNG AGENCY
I hereby a.flim uoder penalty of p€rjury tist there is s @Nlruction lending agency for thc pcrfomue of the work for which this pemit is
isred (Se. 3097, Civ. C.)
Lendcr's NMe:
Lender's Addre$:
APPLICANTS DECLARATION
Demolition PermirAsbestos Notification Federal Rcgulations (title 40, Pm 6)
_ Rcquired Later ofNotili6lion
_l certify thd thc fidoal rcgulations rcgarding asbertos rmoval ec mr lppliablc b this projer.
-
I miS tha I havc rad this application dd smr that thc above infomdion is @rd. I sgre b @mply with all Ciry md County
ordinance md Sme Laws rdating to building oromcioq od uthorize rcprenadvcs of this City md CNty to qter upon the
above mentioned propeny for
/sppri*rt,e nMc (print)l I L:T> Sf L\t r,1{ lt/
ELECTRICAL-!NSPECTOR RECORD
Rffid.dm 03.31.06