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Home My WebLink About20173745 - PermitProject Address: 1570 E Seventeenth St Assessor's Parcel: 400-251-07 Lot: NA Unit: Block: NA Bldg: Tract. NA Address Range: Historic: No Suite Range: Zoning: C5 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section. (714)647-5853 Permit #:20173745 Pin #: 1O4OT Owner: Address: Phone: Tenant Name: Easterseals Easterseals Southern California 1063 McGaw Avenue, Suite 100 lrvine, CA 92614 01 1 16002 51603 01 1 16002 5160C 01 1 16002 51603 01 1 16002 s777C Fee Type Signs & Neon General Plan Update lssuance Microfilm Records Amount 80.95 23.79 s9.30 4.05 Qty 1 .00 1 .00 1 .00 1 .00 Fee $80 95 $23.79 $se 30 $4 05 Contractor: Address: Phone: PVLSigns&Graphics 1342 Bell Avenue, Suite 3N Tustin, CA 92780 17141 ss7-3s00 Hstchi:6LlLl6 It f i ce: i:T Yl A - -L -B rHl-t- L z . rcpt+: rJ335 7; I rnnscct I sn IU; or,toPoleSI;3oi3 201 7 3 745 i i++ AHtlrtr4tt,?i. State Lic #: 907484 Lic Type: C-,05 Bus. Lic #: 332351 Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund Policy #: 901 9249 Expires: 1012012021 .lâ‚¬fl Pl'fl I rt 1 I olttlilicnoii It 116tit"rI ilertr i, r gris H $ .1 r t:l+[t tt_t26366 Building Use: Job Type: Nature of Work: Commercial Signs Monument Sign Occupancy: Constr Type: Code: Date: Date: Date: N/A N/A cEc 2019 Notes: lnstall a 5'8" double-faced, illuminated monument sign for Easterseals, bond included. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Zuniga, Allissa Subject to Field: Buildins Permit #: 1 011071 80 07 t26t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 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 fhe site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. ' Inspector MID#: 2021-167327 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $23.79 $140 25 $4 0s Fee Total Paid to Date: Balance Due: $168 09 $0 00 $168.09 14. ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDER DELCARATION I hcrcby alfrm undcr Fnslty of pcrjury that I m excmpt from thc Crntmdo6' Liccn$ law for thc following rcNn (5(.7031.5 Busincss ard Profcssion Codc): Any City or County which requircs a pcrmit lo construct, alts, imprcvc, dcmlish or rc;uir ony structurc. Itrior to its issuarce. also rcquires thc applicot for such |Emit to file a sigrcd stalenrcnt lhlt hc or drc is liccnsd puNsnt to Ihc pmvisions of thc Contrrctor's Lbcnsd Lrw (Chapts 9, Comrcing with Sstion 7000 of Division 3 of thc Busircss rnd PrcfcssionsCodc)orlhathcorsheiscxcmptthcrcfromandthcbasisforthcollcgedcxcmption. AnyviolationofSsthnT03l.5hyany applicanl for 8 trrmit subjcls $c rpplic.nt to a civil pcnahy of not mre than fivc hundrcd dollds (S50O). _1. as owncr of thc profrcrty, or my employecs with wagcs as thcir sole compensation. will do the work and thc structurc is not intcnded or offered for sale (Soc.70l4. Busincss and hofessions Code: The Conlractor's License law docs not apply to an owncr of thc propcrty wtrl builds or in{rroves thcrcon, and who docs such work himself or hersclf or through his or her own cmployecs, provided that such improvcnrcnts arc not intcnded oroffered for sale. If, howcvcr, thc building or improvcnrcnt is sold within onc )aar of completion. the Owner BuiHer will have thc burden of proving that hc or shc did not build or improve the propoty for the purFnsc of salc). -1, as owncr of thc property, &m exclusively contracting wilh licenscd contraclors lo construct thc projcct (Scc. 7W, Busincss and Profcssion Codc: The Contractor's Licensc Law docs not apply to an owner of propcrty who builds or improves thercon, and who contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's Licensc kw). -Iamcxcmr}tundcrSection-.B'&P.C.forthisrcason.ll..r^. WORKE' RS' COMPENSA TION DECLAITATION I hcreby affirm undcr penalty of perjury one of the following declarations: -l havc and will maintain a Certificate of Conscnt to Self-lnsure for workcrs' compcnsation, as providcd for by Section 37fi) of the Labor Code, for the performancc of thc work for which the permit Ls issued. -l have and will maintain workers' compensation insurancc, as required by Section 3700 of the L:bor Codc, for the perforrnance of the work for which this permit is iszucd. My workers' compensation insurance carrier and policy number are: .*.,, - 2'Li1 r9-- rL(^JA a 1 t poricy*"^o",, q0lqLEq r*p'i,"r, /6*/o* L'{ _l certify that in thc performancc of thc work for which this permit is issucd, I shall not employ any pcrson in any manner so as to bccome subjcct to the workers'compcnsation laws of California, and agree that if I should bccome subject to the workers' compensation provisions of Section 37fi) of the l-abor Codc. I shall. forthwith comply with those provisions.. WARNING: Failurc to sccurc workcrs'compcnsation covcragc is unlawlul. and shall subjcct an cmploycr to crirninal Jrcnaltics and civil fines up to onc hundrcd thousand dollars ($100.0m), in addition to the cosl of compcnsation. damages as Itrr lhc and attorncy's ?-1n NECLARATION t hcrcby affrm under penalty of pcrjury that I am liccnsed under provision of Chaptcr 9 (commcncing with Section 7m0) of Division 3 of the Business and Professions Code, ard my liccnse is in full forcc and cffcct. Liccnsc . L49 Nunrbcr:4 D+ ci o**ffi-)e, - Ll 4 tV,t-L/h/ W I hercby affirm undcr pemlty of perjury that tlrcre is a construction lcnding agcrcy for lhe psfomrce of lhc work for which this permit is issued (Sa. 3097, Civ. C.). knder's Namc: [.cnder's Addrcss: APPLICANT DFCLARATION I ffiy aflirm undcr pcnalty of prjury onc of thc following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Titlc 40, Part6) _Rcquircd lrttcr of Notification -l certily that thc fcdcral rcgulations regarding asbcstos rcmoval arc not applicablc lo this projcct. _l certify that I havc read this application and statc that thc above informatiort is correct. I agrec lo with all City and County and County to cnlcr upon thcordinances and Statc Laws rclating construction. and hcreby authorizc atxrvc mcntioncd propcrty for Aglplicant or Agent I'ermitee n$me ). k< > -Ze-a Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Sions (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bondinq I Groundinq / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) N/eter Release Rouqh Service Nleter t FINAL B v I '1r(fufffit / Notes, Remarks, Etc.I [Jn., nO n7 On{ tr ( )u,rtt'r': Scction 3076-of thc l-abor Code, intercst o,r".,.lt-/6 -)f U4-C t Ap \^f