HomeMy WebLinkAbout20173395 - PermitProject Address: 3770 W McFadden Ave Unit: E
Assessor's Parcel: 1,14-561-09 Lot: NA Block: NA
Bldg:
Tract: NA
Address Range: 3600-3790
Historic: No
Suite Range:
Zoning: SP2
. City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (7'141647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2o^173395
Pin #: 30589
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address:
Phone:
Rio Vista West LLC
2443 E Coast Hwy
Corona Del Mar, CA 92625
(e4e) 667-7888
Royalty Massage
New Bear Wind lnc
13304 Netzley Place
San Gabriel, CA 91776
(626) 383-2020
State Lic #: 1059216
Lic Type: B
Bus. Lic #: 378070
Workers' Compensation I nsurance:Carrier: Exempt
Policy #:
Expires.
Botch*:593r_rrr i/26/21r21 ID: ELIZABETH
Off ice: (:TYH Trnnsi:2/ 2 of'6Accti: Rel*: ?Ul7.jJ?I
Rcpt#:032959(14 3/26/ 2rr21 lLr: i6 AH
Trqnso':tion Totcrl $1r3S?.64
Heu Begr [dirrd IncBuilding Use: Commercial
Job Type: Tenant lmprovement
Nature of Work: Tl
Planning Conditions: lnterior Tl only
Planning Approval By:
Plan Checked
Permrt lssued
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B
VB
cEc 2019 Notes:
Fee Total:
Paid to Date.
Balance Due:
- .',:r,L,Er'nI F'lttrt Upd{tt.E: F.i-'ir.
E rectnfi ? [ IBt_r{Hw T ?sfi agfi ,.Fr-us I ness $23.7?
$4. [ti
S114,31
$1 r3?t-t .[ttJ(ttl,36)
11 icrof ilrn & Documents
Lrl 1 16LlLl2- 177 7t t[tt-tt t-
Electr i cnl
111 I 16t_rlt2- 5l603lr[[r-
C:nsh
Chqnse
05t26t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden. Julie
Subject to Field.
Building Permit #:1 01 1 06078
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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID# 2021 -164765
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
$23 79
$134 31
$4 0s
$162.15
$0 00
$162.15
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51603
01116002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
Min Fee Adj 41 .44
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
3.00
9.00
12.00
1 .00
100
1.00
100
Fee
$4 71
$15 30
$13 56
$41 .44
$23 79
$5e 30
$4 05
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltase
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundins / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)Q1oat r{Lc Z )
Meter Release
Rouoh
Service Meter
FINAL 128 z\ZOI:>Jeian-'Zl'|
Notes, Remarks, Etc.
I hereby affirm under penalty of perjury that I arn exempt from the Contractors' License Law frlr the following reason (Sec.7031.5
Business arxl Profession Ccxle): Any City or County which requires a permit to construct, alter. improve. dennlish or repair any
structure. prior to its issuance. also requires the applicant ftrr such grrmit to file a signed statement that he or she is licenscd pursuant
to the pnrvisions of the Contractor's Licensed Law (Chapter 9, Commencing with .Section 7fiX) of Division 3 of the Business and
Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section T03l .5 by any
applicant for a grcrmit subjects the applicant to a civil penalty of not nxrre than five huntlred dollars ($5m).
_[, as owner of the prcperty, or my employees with wages as their soh comlrcnsation, will do the work and thc structure is rnt
intended or offered for sale (Sec.70l4. Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of
the property who builds or improves thercon" and whcr does such work himself or herself or through his or her own empkryees,
provided that such improvernents are not intended rlr offercd filr sah. I[ lxrwever, the building or inqtrovenrcnt is sold wilhin one year
of completion, the Owner Buikler will have the burden of pnlving tturt he or she dil not build or improve the pruperty for thc purynse of
sah).
_1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Sec. 7(X4. Business
arxl Prufesskrn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thcreon,
and who contracts for such projects with a Contracto(s) licensetl pursuant to the Contractor's License Law).
-l
am exempt under B. & P.C. for this reason.
WORK ERS' COM I'ENSA'I'ION
DECLARATION
I hereby affirm under penalty of perjury one of the following tleclarations:
_l have and will maintain a Certifrcate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of thc
Labor Code, frrr thc performance of the work for which the permil is issued.
_l have and will maintain workers'compensation insurance, as required bySection3T(Dof the laborCode, forthe perfirrmanceof
the work ftrr which this permit is issued. My workers' compensation insurance carrier arxl grlicy number are:
Canier:
Policy Numtrcr: Expires:
that in the perfrrrmance of the work for which this permit is issued, I shall not empk)y any person in any manner
so as to becorne subject to the workers'compensation laws of California. and agrce that if I slxluld become suhict to the
workers' compensation provisions of ,Section 3700 of the Lahrr Code, I shall, firrthwith comply with those pnrvisions..
WARNTNG: Failure to secure workers'compensation coverage is unlawful. and shall subject an employer to criminal Jrenaltics and
civil fines up to one hundred thousand dollars ($100,fiD), in atldition to the cost of compensation, damages as provide<l for the
Section 3076 of the Lahrr Code, interest and attorney's fees.
",",5 / 26 /teu(
I hercby affirm under penalty of prjury that I am licensed under provision of Chapter 9 (comrnencing with Section 70m) of Division 3
of the Business and hofesskrns Code, and my license is in full frrrce and effect.
License Number:
CONSTRUC'I'ION LTNDING AGENCY
I hercby affirm under penalty of pe rjury that thcrc is a construction hnding agency for the performance of the work for which this permit is
issuetl (Sec. 3097, Civ. C.).
Lender's Name:
Lentler's Address:
APPLICANT DECLARATION
I hereby affrm under penalty of perjury one of thc following declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Requ
ired lrtter of Notifrcation
furnify thu the federalregutations regarding asbestos rernvalare not applicabte to this project.
-l
certify that I have read this application arxl state that the above informathn is corrcct. I agree to comply with all City and County
ordinances and State Laws relating to building construction. and hereby authorizr representatives of this City and County to enter upon the
*-,3 /26 lzot
1
l'ermitt'e name
0B-07-2015
Conlractor:.,
above nrcntioned property for inspectro| puryoses. r
AppricanrorAgent ,ru rrr"", ) | TeA Ttlg,all