HomeMy WebLinkAbout20171338 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Permit #:2O171338
Pin #: 758{O
Proiect Address: 2200 E McFadden Avea
Assessor's Parcel: 402-111-32 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: M1
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone
Public Storage
71 Western Ave
Glendale, CA 91201
(818) 234-8080
Public Storage
lcon ldentity Solutions
1701 Gold Road 1-900
ROLLING MEADOWS, IL 60I
(8471 631 -3207
01 1 1 6002 51 603
01 1 1 6002 51 600
01 1 16002 51603
01 1 16002 57770
Fee Type
Signs & Neon
General Plan Update
I ssuance
Microfilm Records
Amount
78.08
22.95
57.20
3.91
Qty
2.00
1.00
1 .00
1 .00
Fee
$1 56.16
$22 e5
$s7.20
$3.e1
I
a
State Lic #: 796721
Lic Type: C-45
Bus. Lic #: 365906
Workers' Compensation lnsurance:Carrier: Traveler's Casualty and Surety Company
Policy #: UB9H903869ACR
Expires: 0110112021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Signs
Signs
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2019 Notes: lnstall (2) led-illuminated channel letter wall signs for
"Public Storage", bond paid on M-74509.
Julie 06t25t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
1103901
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 51600
01 1 16002 51603
01 1 16002 57770
$22.95
$21 3 36
$3.91
Fee Total:
Paid to Date:
Balance Due:
$240.22
$0.00
$240.22
lnspector MID#: 2020-1 58693
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Roush
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh /o'?zt .>st*
Service N/eter a,
FINAL /O-4-?l e*I fu
Notes, Remarks, Etc.
I hereby affrnr under penalty of prjury that I anr exenrpt from the Contraclors'License [:w for the following red\on (Sec.7031.5
Business and Prolbssion Codc): Any City or County which rcquircs a pcrmit to construct, alter. improve. dermlish or rcpair any
structure, prior to its issuance. also requires the applicant for such Srernrit to file a signed slaternent that he or she b liccnscd pur$tdnt
to the provisions ol'thc Contractor's l,iccnsed L-aw (Chapter 9, Commencing with Section 7000 of Division 3 of thc Busincss and
hofessiorrs Code) or that he or she is exempt therefronr and the basis for the alhged exenrption. Any violation of Section 7031.5 by any
applicant lor a perrnit subjects thc applicant to a civil penalty of not morc than llvc hundred dollars ($500).
_1. as owner ol'thc propcrty. or my crnployees with wages as their sole compcnsation. will do the wcnk and the structure is not
interxhl or oflered for sale (Scc'.7tX+, Business and Profcssions Code: Thc Contractor's Liccnsc l-aw docs not apPly to an owner of
the property who builds or improves thereon, and wlto does such work himself or lrerself or througlt his or her own enrployees,
provided that such improvcnrcnts are not intendcd or ollercd for sale. Il, howevcr, thc building or inprovenrcnt is sold within onc )car
of completiorl thc Owncr Buik-ler will havc the burdcn of proving *ra hc or she dirJ not buikl or inprove thc propaty for thc purpose of
sah).
_1, as owner of the propcrty, um exclusively contracting with licenscd contractoni to construct thc project (Scc. 7044, Busirrcss
arx! hohsskm Code: The Contractor's License Law does not apply to an owner of property who builds or intproves tltereon.
and who contracts for such pnrjects with a Contractor(s) licensed pursuant to the Contraclor's Liccnse Law).
-l
:rnrexenlpt uuder Sectiott-, B. & P.C. for this reas<ltt.
l)ate:
TVORK I.:RS' CONT P},NSA'TION
I)ECLARATION
I hcrcby affirm undcr pcnalty of pcrjury onc of tltc ttrllowing dcclarations:
_l have alxt will nnintafur a Certificate of Consent to Self-lnsure for workers' cnnrytensation, as provided for by Sectircn 3700 of the
Labor Codc, for thc Jrcrforrnancc of the work lor which thc pcrmit is issued.
arrd will nraintain workers'insurance, as by Saction 3700 of the labor Code, for thc perfornunce of
lirr whiclr this is issucd.workcrs'can'ier arxl pllicy numbcr are:
Policy zg-7
_l ccrtify that in tlrc 1.--rfornuncc of tlrc work f<rr which this Jrcrmit is issucd, I shall not cmploy any person in any manncr
so as to bccome sutrject to thc workers' cornpensation laws of California. and agrcc that if I should become subject to the
workers' conr;rcnsation provisions of Section 3700 of the Labor Code, I shall, forthwith conrply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employcr to criminal pcnalties and
civil lines up to otrc lrundred thousand dollars ($100,0001. in addition to tlrc cost of compensation, danuges as provided for the
Section 3076 of thc [:bor Cule. intercst and attorney's [ees.
LICEI{SED CONTRACTOR
DI}CLARATION
I hcreby affrrrr under penalty of perjury that I anr licenscd under provision of Chapter 9 (conurrncing with Scction 7000) of Division 3
of the Business and Professions Code. and my license is in full force and cffect.
License {Nunrber:
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undc.r pcnalty of pcrjury that thcrc is a construction lcnding agency for the performancc of the work lbr which this pcrrnit is
issued (Sec. 3097. Cir'. C.).
[-cnder's Nanrc:
A PPI,ICANT DECI,ARAI'ION
I txrctry affrnt undcr pnalty of pcrjury onc of thc firllowing dc'clarations:
OcnxrlitionJsql\Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6)
-Rcquircd
thc I'cdcral rcgulations rcgarding asbcstos rcmoval are not applicable to this projc'ct.
_l ccrtity tlrat I havc rcad this application axl stalc tlrat the ahrvc intbrnution is correct. I agrce to conrply with all City and Couttty
ordinanccs and Statc Laws relating to building construction, and hcrcby authcrrizc rcprescntatives of this City and County to entcr
above rnentionc<I property for
Applicant
lfcrnritcc
Rev. 08-07-201 5