HomeMy WebLinkAbout20129255 - PermitCity Of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738
Electrical Permit #: 20129255,
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lnspector's Section: (7 14) 647-5853
Project Address: 2520 S Birch St Suite:
Block: NA
Bldg:
Tract: NA
Address Range: 2320-2530
Historic: No
Suite Range:
Zoning: MlAssessor's Parcel: 410-022-01 Lot: NA
Owner:
Address
George Gemayel
2530 S Birch
Santa Ana, CA 92707
(7141 545-7777
Abel Food Service
Fee Type
Receptacle
Switch
Light Fixture
Fwu
!ssuance
Amount
0.80
0.80
0.80
8.50
31.00
Qty
8.00
4.00
6.00
2.00
1.00
Fee
$6.40
$3.20
$4.80
$17.00
$31 .00
Phone:
Tenant Name:
Contractor:
Address:
DRGGonstruction&Deve
2811 San Juan lane
Costa Mesa, CA 92626
(7141 966-1860Phone:
State Lic #: 695510
Lic Type: B, A
Bus. Lic #: 310613
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Building Use:
Type of Work:
Nature of Work:
lndustrial
Tenant lmprovement
TI
Constr Type
Occupancy:
Code:
ll-N,sPK
s-1
cEc 2001 Notes:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy
Date:
Date:
Date:01110/200s
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #o Fee Total:
Paid to Date:
Balance Due:
$62.40
$0.00
$62.40
This permit shall expire by limitation and become null and void if the work authorized by this permit
is not commenced within 180 days from the date of this permit, or if the wo* authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained lo do so.
Account #: 01 1-01-5913 lnspector
ELECTRIGAL.I NSPECTOR REGORD
APPROVALS DATE ID/SIG.GOMMENTS Omc-Buildo Dcclmtim
I hmby affim undcr pcnalty of pcrjury that I m cxmpt fom thc Conrrctos' Liccnse Law for thc following rcuon (scc.7031.5 Buinos
ed Prcfsion Codc): Any City tr Couty which Equim a pmit to @iltruct, altcr, imprcyc, &molish or rcpair uy structu., prior to its
issuscc, slso rcquird thc appliut fc such pcmit to filc 8 signcd $atcmot thst hc tr shc is licmscd pmumr to thc prcvisions of thc
Corets't Liccrucd kw (Chspt6 9, Comacing with Setion 7000 of Division 3 of thc Dsincs ed Profcssions Codc) or that hc fi
shc is cxcfipt thdcfrom md thc basig for thc alleged exmption ,Any violation of Scction 7031.5 by try applicur for a pcmit subjccs thc
applicmt to a civil pcnalty ofnot m@ the fivc hudrcd dolls ($500).
-1,
6 ownq of thc Frcpcfty, or my cmployccs *ith wagc r thcir iolc compmsatioo, will do lhc work ud thc srudw it not intodcdq olTqcd fa 38le ( Scc.7044, Buitrs ed Prcfcsims Codc: Thc Cotrrctq's Limsc Law dcs trot apply to I omcr of thc prcpcny
who builds or improve thmo, ud who des suclt work hiruclf u h6clf s thrcugh hir o ha own cmploye, providcd that such
improvcmats uc not intsndcd o off@d fd salc, I( howcva, thc building or imprcvmar is sold within onc ycr of complction, thc
Oma-Builda will havc thc burdm ofproving that hc o shc not build or improvc for thc purpmc of salc).
-1,
o owncr of thc prcpcrty, m cxcluivcly mtrcting with licmscd contrrctm to construct thc projcct ( Scc. ?044, Buinqs md
Prof6sion Codc: Thc Confrrctor's Licasc Llw dm nor apply to u owncr of propcrty who builds c improv* thaon , md who
contrrcts for such prcjccts with a Contracto(s) limscd pursumt to thc CoEactor's Liccnsc Law.).
_l arn exempt under Section ,B. & P.C. for this reason.
WORKERS COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_thrvcmdwillmaintainaCcatificatcofConsfittoSclf-lnsucforworkm'compasation,r prcvidcdforbyScction3To0ofthr
Labor Codc, for thc pcrfmmcc of thc wok for which thc pcmir is isrucd.
_l have and will maintain workers'requircd by Section 3700 of the Labor Code, for the perfornance of the
insurance carier and policy numhr are:work for which this permit is
Policy
(This section need not completed pamit is for One hundred dollars {$100} or less)
this is issued, I shall not employ any person in any manner so as to
agrce that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I with those,s
(
Failure to secure workers' compensation
fines up to one hundrcd thousand dollars ($100,000),in addition
the Labor Code, interest and attorney's fees.
I hereby allrm under penalty of pcrjury
the Business and Professions Code, and
LICENSED CONTRACTORS DEC LARATION
that I am licensed undcr provision of Chapter 9 (commencing with Section 7000) of Division 3 of
my license is in full force and effect.rLicense
(D
CONSTRUCTION LENDING AGENCY
I hrcby allim undcr pmalty of pcrjury that thm is a comtructim lcnding agency fs Oic pcrfmmcc of rhc wsk ftr which this pcmit is
issucd (Scc. 3097, Civ. C.).
Lcrds's Nmc:
Lender's Address:
APPLICANT'S DECLARATION
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part 6)
_ Required Letter of Notification
_l certify that the federal regarding asbestos not applicable to this project.
lfniry that I have read this information is correct. I agree to comply with all Ciry and County
ordinances and State Laws relating
above mentioned property for
Applicant or agcart
Permittee name
and
hercby authorize rcpresentatives of this City and County ro enter upon the
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)7p7/a-;VJ
Ceilings (Hard & Soffit Rough ?bz/L{.t(tL
Ceilings (T-Bar Rough)I /
Meter Release \D *Y
AP'I tl
Rough ryz,Og,^l! [ l'
Service Meter
-A fl)Lf ,/ r\v
FINAL q-A'{ / A\nPthn yL \ tl sr
Notes, Remarks, Etc.
oL
a44<2
d(
U
e
Date: Owner:
ts and shall