HomeMy WebLinkAbout20171643 - PermitProject Address: 1231 E Dyer Rd
Assessor's Parcel: 411-1 31 -36 Lot: NA
Unit 200 Bldg:
Block: NA Tract: NA
Address Range: 1231-1241
Historic: No
Suite Range:
Zoning: SD63
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Perrnit #:20{71643
Pin #: 91659
Phone:
Tenant Name: Quest Diagnostics
2720 Partners LLC
129 Cabrillo St, #202
Costa Mesa, CA 92627
Stellar lnstallations lnc
400 Commercial Way
La Habra, CA 90631
(951) 310-2896
Owner:
Address:
Contractor
Ad d ress:
P hone:
01 1 1 6002 51 603
01 1 1 6002 51 600
01 1 1 6002 51 603
01 1 16002 57770
Fee Type
Signs & Neon
General Plan Update
I ssuance
Microfilm Records
Amount
80.95
23.79
59 30
4.05
Qtr"
1.00
1 .00
100
1 .00
Fee
$80. e5
$23 79
$59 30
$4 05
$ 1+t"r " :,15
i4 . r-rI
State Lic #: 810013
Lic Type: C-45
Bus. Lic #: 4389
Workers' Compensation I nsurance:Carrier. State Fund
Policy #: 9281298
Expires: 08/01 12021
H,ntcht !ii6lg? S/1 j,!:iL-r]r-r ID: (.i:UILl-r1F
[lt'f i ,:E i {:l'YH l'r.nn s.* r :; 1 rr t. :i.Arlrlt*: Flei''l: lili,?lri4.iF:,;pti:r-r3r-l!g/?l g,/ II/itr2r-r,itr_rli At1'Ir'ansfl,:tiorr lotcrl il)sr:r ,,ii
$?3.
Building Use:
Job Type:
Nature of Wo Sign-illuminated
Planning
Planning Approval By:
Plan Checked By:
Permit lssued By. Amsden, Julie
Subject to Field:
Buirding Permit #: 1 01104299
Commercial Occupancy:
Constr Type:
Code:
N/A
N/A
cEc 2019
S t"t
Date:
Date.
Date: 0B/1 312020
Account#
ttlisc. Receipt:
Misc. Receipt:
It/isc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
sign for
{ 042ss:
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
/ssuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the v,rork is
commenced.
lnspector tvtD# 2020-1 60716
01 1 1 6002 51 600
01 1 1 6002 51 603
01116002 5777A
$23.79
$1 40 25
$4.05
$168.0e
$0 00
$168.09
ELECTRICAL.I NSPECTOR RECOR D
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundins I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Nleter t-,l/t
FINAL s "t I ,\r}ffi7 v/
Notes, Remarks, Etc.
OWNIi,R BUIT,DI'R DI'I,CARATION
I hcrcby affirm under penalty of perjury that I am exempt from the Contractors' License l-aw for thc following reason (Sec.7031.5
Business and Prolbssion Codc): Any City or County which requires a permit to construct, alter, irnprove, dcmolish or rcpair any
structure. prior to its issuance. also requires the applicant for such pernrit to file a signed slaterEnt that hc or she is licensed pursuant
to the prnvisions ol'thc Contractor's Liccnscd l^aw (Chaptcr 9. Commcncing with Section 7fiX) ol'Division 3 ol'the Busincss and
Professions Code) or that lrc or she i.s exempl therefronr and tlre basis for tlrc alleged exenrption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($5tttt1.
_1. as owner ol'thc propcrty. or my employccs with wages as their solc compcnsation, will do the work and thc strwture is not
inten&d or oflerctl for salc (Sec.7M4. Business and Prolessions Code: Thc Contractor's Licensc l-aw rlocs not apply to an owrrcr o[
tlre pnrprty wlro builds or inproves thereon, ud wlro does such work himself or lrerself or through his or her own employees,
providcd that such improvcnrcnts arc not intendcd orollered for salc. [l. hcrwever, thc building or inprovenrcnt is sold within orc ]tar
of completioq thc Owrrcr Builder will have the burtlen of proving that lrc or she did not buikl or improve 0rc propaty for thc purposc of
sah).
_1. as owner of the pnrpcrty, am exclusively contracting with licenscd contractors to construct tlr project (Sec. 7Og. Busirrcss
urd Profession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projccts with a Contractor(s) licenscd pursuant to thc Conuaclor's Licensc l-aw).
-IantexenptunderSectiott-,B'&P.C.forthisreason.
WO RK F]R^S' COM PT]IISATION
DECLARATION
I hercby affirm undcr Jrcnalty of perjury onc of thc tbllowing declarations:
_l have and will nuintain a Certilicate of Consent to Self-Insure for workers' con4rcnsation, as provided for by Section 3700 of the
[:bor Code, for thc perfornuncc of thc work for which the pcrmit is issucd.
_l have and will nraintain workers' comJrcnsation insurance, as required by Section 3700 of thc l-abor Code, for llrc performance of
the work for which this Jrcrmit is issucd. My workcrs' compensation insurance carrier and policy number are:
carrier: 1Ufi f
Policy 9 'l - Ll
_l ccrtify lhat in the ;rrfornuncc of thc work f<rr which this grcrmit is issucd, I shall not cmploy any pcrson in any Inanncr
so as to becorrc subject to the workcrs' corrrpensation laws of California. and agrce that if I should becotnc subjcct to the
workers' conrpcnsation provisions of Section 3700 of the Labor Ctxle, I shall, forthwilh conrply with thosc provisions..
WARNING: Failure to secure workers'
civil fines up t() one hundred thousand
Scction 3076 of thc Lakrr Codc, intcrcst
compensution coverage is unlaw[ul, and shall ernploycr to criminul penahics and
dollars ($100.000). in addition to lhe cost danuges as provided for lhc
and attorrrcy's l'ecs.
9 - lz,D
I hereby affirnr under ;rcnalty of perjury tlut I anr licensed under provision 9 (conrnrcncing with Sectbn 7firu) of Division 3
of the Bu.siness and Professions Code. arxl my license is in full force and effect.
License
c-xt a o ot3
Dare: g' lL- aO
I hereby al'lirm under pcnalty of perjury that therc
issued (Sec. 3097. Civ. C.).
Lender's Nanre:
a Jrcrlbrmance of the work lirr which this pcrrnit is
[rnder's Address:
A PPI,ICA NT DECI,ARATION
I tucby affimr undcr Jrcnalty of pcrjury onc o[ thc following dcclarations:
Dcnxrlition Pernrits-Asbcstos Notification Fedcral Rcgulations (Tillc 40, Part6)
-Rcquircd
[.cttcr of Ntxification
_l ccrtily that thc fcdcral rcgulations rcgarding asbcstos rcmoval iue not applicablc to this projcct.
_l ccrtify that I luvc rcad this application aud statc tlrat lhe above information is corrcct. I agrec to conrply with all City and County
ordinanccs and Statc Laws rclating to building construction, and hereby authorize reprcscntatives of this Cily and County to enter upon thc
above rnentioned property for inspection purposcs.
*r",9-lL-4Applicant or Agent
l'crnritec nanlc
Bev. 08-07-2015