HomeMy WebLinkAbout20129921 - PermitCity Of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (7'14') 647-5800 lnspection Requests: (714) 667-2738
Electrical Permit #: 20129921
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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: 2520-2530
Historic: No
Suite Range:
Zoning: Ml)Assessor's Parce!: 410-022-01 Lot: NA
Owner:
Address:
George Gemayel
2530 S Birch
Santa Ana, CA 92707
(7141 545-9503
Fee Type
Switch
Lite Stds
Add'! Fixt Same Fixt
Time Clock
Ptc 65%
lssuance
Amount
0.80
8.50
2.55
6.70
0.65
31 .00
Qty
7.00
9.00
6.00
3.00
117 .50
1.00
Fee
$5.60
$76.s0
$15.30
$20.1 0
$76.37
$31.00
Phone
Tenant Name:
Contractor:
Address:
Jonathan H Noble
8239 Timbeland Avenue
Orange, CA 92669
(7141448-8654Phone
State Lic #: 445987
Lic Type: C-10
Bus. Lic #: 310626
Workers' Compensation I nsurance:Carrier: Exempt
Policy #:
Expires:
Building Use:
Type of Work:
Nature of Work:
Gommercial
Miscellaneous
Light Standards
Occupancy:
Constr Type:
Code:
U2
VN
cEc 2001
Notes: (9) parking lot light standards w/ aboveground risers.
Planning Gonditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Apple, Bil!
Fuentes, Fred
Serna, Janet
Date
Date
Date
0510912005
0s1091200s
05/13/2005
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
45932
Building Permit Fee Tota!:
Paid to Date:
Balance Due:
$224.87
$63.31
$161 .56
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 work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a period of 1 80 days.
Before such work can be recommenced, a new permit shall be first obtained fo do so.
Account #: 01 1-01-5913 !nspector
ELEGTRI CAL.I NSPEGTOR RECORD
APPROVALS DATE ID/SIG COMMENTS Owna-Builda Dcclmtion
I hcby rfilrm mdcr paalty of pcrjury thrt I mcxmpt fm thc CmtrctoB' Liccolc Lrw for thc following rcaon (16.7031.5 BuinBr
ud hofaim Codc): Any City 6 County which rtquirtr r pcnnit to cffitnrcq dtd, improvc, dmolish u rcpair uy rtrucrurc, lris to itt
imarcc, rbo rcquim dE eplic]lt for tuch pcrmit ro filc a rfncd nrt66t thrt hc or rhc is licmcd punuut to Oc prcvirimr of thc '
Cqrmctq'r Licarcd bw (Chryta 9, Comr€nciry wlth Sccdon ?oo0 of Dvi:im 3 of thc Burincas md Profasim Co&) tr thst hc tr
shc i! qallPt thcrcfrom uld thc blrir fa thc .[c8cd flcmptim .Any violetion of Scctim 7031.5 by my applicsnt for r permir rubjeB thc !lpplicrtlt to r civil paalty of ool mG thm livc hmdrcd dolls (S500).
_1, a MGr of thc prcpcrty, d my mployd with wr86 I thcir rolc cmpmation, witl do th€ sork md thc ttrucluc ir not intmdcd
or ofrfrd fa ldc ( Se.7044, Euins md Prcfsiw Codc: Thc Conindtr'r Limc Lsw dc nor apply to m owna of thc propcny
who buil& or imFovct thcr6o, md who dH ruch work himclf or hcllclf a throu8h hi! c ha own cmploye, providcd thar ruch
imprcvmmt! e nd intmded d ofr@d fot mlc. If, howaa, thc building or imprcvmcnt i: rold within onc ycu of complction, thc
Oma-Buildd will havc thc burdcn of prwiag that hc u rhc not build tr imprcve for thc purposc of salc).
-I,
a owncr of thc propcrty, m cxcluivcly cmEetitrg with liccrocd cmlt&toE to construd thc projccr ( Scc. ?044, Bsinst sd
Prcfaim Codc Thc Cfitrrcltr'! Licdc Lrw dm not ipply to m ownc of prcpcrty who buildr q improvd rhficon , ed who
cmtrrcB fd ruch projccts with r Cmrrto(r) Iicmscd pmmt to rhc Contractu'r Licensc Law.).
_I un cxempt under Section & P.C. for this rcason.
Date: Owner:
WORKERS COMPENSATION NECLARATION
I hereby affirm und6 penalty of pajury onc of the following dcclaruions:
_IhrvcudwillmalntrinrCatificucofCoamttoSGlf-InsEfdworkm'cmpcolrtion,u povi&dfcbySerioi3Tooofrhc
Irbor Codc, fc thc pcrfrme of thc wqt fm which thc pqmit lr isucd.
-lhrvcmdwillminuinwctm'mpanrdionin$rrncc,u
rcquircdbySetio3T00ofthcLaborCodr,fortheperfommccJfrhc
wck for which thir psrnit ir isucd. My wchen' cmpca$tion iromcr crnia ud policy numbcr rc:
Policy
(This scction need not bc completcd the pctmit is for One hundred dollars ($tOO; or lcss)
6rthatinthcpcrformanccoftheworkforwhichthispcrmitisirsuc4tshallnotemployanypersoninanymannersoasto
becamc tubjcct to the workcrs 'compensation l&ws of Californig and agrec that if I should bccome subject to the workers'
3700 of thc Labor Code, I fonhwith with
WARNING: Failure to secure workers' compcnsation
fines up to onc hun&ed thourand dollars ($100,000),in addition to
Oc kbor Codc, intcrat md rnomcy'r fa.
LICENSED CONTRACTORS DECLANATION
I hacby efiirm udr pcndty of pajury thu I m licarcd mda prcvitim of Chspts 9 (commcing wirh sccrion ?000) of Division 3 of
drc Buina md Prcfetion! Codc, sd my lic6c ir in full fmc od cffcr.
License
Date:
I hereby aftirm under pcnalty of perjury that there
issued (Sec. 3097, Civ. C.).
Lender's Name:
a agency the performancc of the work for which this permit is
Lendcr's Address:
APPLICAI{T'S DECLARATION
Dcrnolition Permie-Asbestos Notification Federal Regulations (Title 40, Pan 6)
_ Required Lener of Notificstion
-I
certify that the fedcral reSulations regarding asbestos removal are not applicable to this project,-s" €
:{"^frthat I have rcad this applicetion and state that the abovc information is correct. I agree to comply
ordinances and State Laws to building construction, and hereby authorize rcpr$entativcs of this City
with all City and Counry
and county to enter upon the
above mentioned propcrty
or
(print):J.*, A&..a,,^ ,+. Nol4 a
b\b
Site-Work
Underground /^
Pole Bases 7b?,b5 \A-43a )
Light Standards MsA-r +$,n ,eo)
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Darnpers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL 1q)4(0,. (t,,c-ilild,
Notes, Remarks, Etc.
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