HomeMy WebLinkAbout20173158 - Permitcify of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927O2
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #:201731 58
Pin #: 71W
Proiect Address: 1911 E Carneqie Avea
Assessor's Parcel: 430-222-12 Lot: NA
Unit B
Block: NA
Bldg:
Tract: NA
Address Range: 1901 -1921*
Historic: No
Suite Range:
Zoning: M1
Owner:
Address.
Phone:
Tenant Name:
Olivos lntegrity, LLC
P O Box 27964
Santa Ana, CA 92799
(s4s) e3e-1 733
Tarantino Landscape, lnc
Owner-Builder
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01116002
01 1 16002
01 1 1 6002
01 1 1 6002
51603
51603
51603
51 603
51 603
5160C
51 603
5777C
Qty
10 00
300
10.00
4.00
1 .00
1 .00
1 .00
100
Fee
$15.70
$5 10
$11 3C
$1 06 84
$36 50
$23 79
$5e 30
$4 05
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
Track Light Per 100' 26.71
Low Voltage/Comm 36.50
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Contractor:
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
B0bclrt
0f f ir B
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Rcpt,+ I'[r an sa
+ /?L /217?L
Trnns*: ?2
Rel'i:
4 / 21/ 2tt2l?iorr '[ot,nl
0I iv
Building Use:
Job Type.
Nature of Work:
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
!nd ustria I
Tenant !mprovement
TI
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B, S-2
VB
cEc 2019
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,:
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Demising wall to create units A & B on 101105573.
Unit B' tenant improvement includes adding new
interior stairway to mezzanine levet, modify
breakroom.
\N Hernan dez,KathY 04t2112021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Buirdins Permit #: 1 01 1 0 557 4
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 s1600
01116002 51603
01 1 16002 57770
$23.79
$234 74
$4 05
$262 s8
$0 00
$262.s8
lnspector MrD#' 2021-163s45
I
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hercby uffirm undcr pcn{lry of Jrcrjury that I m cxctrlpl frcm thc ContEctor' Urcns Law for thc following rcamn (Sa.7031.5
Busincss ard Profcssion Codc): Any City or County which rcquircs a tsmit lo @nstrucl. ahs, improvc. dcmlish or rcpL my
shcturc. prk r to its issuarcc, also rcquircs thc applhant for such Frmit to fih a sigred statcrcnt that hc or slrc is liccnsd pmwt
to ihc prcvisions of rhc Confactor's Licensd law (Chaptcr 9, Comrercing wilh Selion 700O of Division 3 of thc Busiress ad
Prcfcssions Codc) or thdt hc or shc is cxcmpl thcrcfrcm and thc basis for thc allcgcd cxemplion. Any violation of Sstion 703 1.5 by any
applicant for a lrcmit subjcts lhc applicant to a civil pcnalty of not mrc lhln five hun&cd dollas ($500).
-1.
as owner of thc propcrty. or my cmployccs wilh wagcs as thcir solc compcnsation, will do thc work alrd thc stnrctuc is not
intendcd or offcrcd for salc (Scc.7044. Business and hofessions Code: Thc Contractor's License [,aw does not apply to an owncr of
the propcrty who builds or improves thercon, and who docs such work hirnsclf or hcrself or through his or hcr own cmployces.
providcd that such improvcnrcnts arc not intendcd oroffcrcd for salc. lf. howclcr. thc building or improvctncnt is sold within one ycar
of complction, thc Owncr Builder will have the burden of proving that hc or shc did not build or improve thc propcrty for thc purposc of
sale).
-1.
as owncr of thc proprty, am cxclusivcly contracting with liccnsed contractors to construct thc project (Sec. 7W, Busincss
and Professbn Codc: Thc Contractor's License Law does not spply to an owner of property who builds or improvcs thcrcon,
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnsc taw).
_l am undcr B.&for this rcason.
o
DECLARATION
I hcreby affirrn undcr pcnalty of prjury onc of the following dcclarations:
-l
havc and will maintain a Certificate of Consent to Sclf-lnsurc frlr workcrs' compcnsation, as providcd for by Scction 3700 of the
Labor Codc. for thc pcrfornuncc of thc work for which thc pcrmit is issucd.
-l
havc and will maintain workcrs' cornpensation insurancc, as rcquircd by Scction 3700 of the Labor Codc, for thc pcrlbrmance of
the work for which this pcrnrit is issucd. My workcrs' compcnsation insurance carricr and policy number arc:
I
Policv Numbcr: Exoires:
?_l ccrtify that in thc prlbrmance of thc work for which this prnrit is issucd. I shall not cmploy any lrcrson in any manncr
so as to bcconre subjcct to thc workers'conrpcnsation laws of California. and agree that if I should bccoutc subjcct lo thc
workcrs' comJrcnsation provisions of Scction 3700 of thc L-abor Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccurc workers' compcnsation coveragc is unlawf'ul. and shall subjcct an cmploycr to criminal Jrcnaltics and
civil fines up to onc hundrcd thousand dollars ($100.0U11. in addition to thc cost of comlrcnsation. darnagcs as providcd for the
Scction 3076 of thc l;rtnr Codc, intercst and attorncy's fccs.
I hcreby affirrn undcr pcnalty of pcrjury that I am liccnscd undcr provision 9 (commencing with Scction 7000) of Division 3
of thc Busincss and Professions Code. and my license is in full lbrce and cffect.
License Class: License Number:
Date:
W
I hercby afftrm under ,rcmlty of perjury rhat thcrc is a construction hnding agency for the perfol:lrlmc of the work for which this Jrcmit is
issucd (Se. 309?, Civ. C.).
knder's Nam:
[.cndcr's Addrcss:
APPLICANT DECLARATION
I trrcby affrrm undcr pcnalty of prjury one of the following dcclarations:
Dcmolition Permits-Asbcstos Notilication Fcdcral Rcgulations (Titlc 40. Part6)
_Requircd l,cttcr of Notification
_l ccrtify that thc fcdcral rcgulations regarding asbcstos removalarc not applicable to this projcct.
_l certify thot I havc rcad this applicatiotr aod statc that thc atnvc inforrotion is corcct. I agrc to comply with all Cityand County
ordimnccs and Slatc Laws rclating to building construction, afld hcrcby uulhorirc rcprc*nhtivcs ofthis Cily tr[d Counly lo cnlcr uFrn tlrc
abovc mcntioncd propcrty filr inspcction
Applicant or Agenl
Pernritee name
a
Dale:Ltlot lzr
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Damoers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Wails (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
[/eter Release
Rouqh
Service Meter \
FINAL q-7* -2t U D)bt,
Notes Remarks Etc.I
C),-.r no n7 .)n{ tr
Carrier:
Datc:vt l2-\ )zt'l
a
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