HomeMy WebLinkAbout20173775 - PermittProiect Address: 301 E Stevens Ave-a- -
Assessor's Parcel: 411-121-04 Lot: NA
Unit:
Block: NA
Bldg
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Ml
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 20173775
Pin #: 84854nrl
Phone:
Tenant Name: The Grow Generation
Owner:
Address:
Contractor:
Address:
Phone:
The Realty Assoc. Fund Xll Portfolio c/r
625 The City Drive South
Orange, CA 92868
Environmental Contracting t
880 East 1st Street
Los Angeles, CA 90012
(213) 620-8008
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5360'
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Dedicated Circuit
Busways
Low Voltage/Comm
Time Clock
Over 1-10 HP, KW or K\
Ptc - 65%
General Plan Update
lssuance
Microfilm Records
Amount
1.57
1.70
1 .13
26.71
26.71
36 s0
13.03
25.09
065
23.79
59.30
Qty
17 00
14.00
40 00
4.00
1.00
100
1100
2.OO
422.75
100
1 .00
1.00'
Fee
$26.69
$23 80
$45.20
$106.84
$26 71
$36.50
$143.33
$50.1 I
$274.79
$23 7e
State Lic #: 491028
Lic Type: B
Bus. Lic #: 371131
Workers' Compensation !nsurance:
Carrier: Everest Premier lns Co
Policy #: 760002061 6211
Expires: 0710112022
r OLt.lOI: (:T YH
A - -& .lHLLLz
I r'0n 50cI I on
Env irorrfientnr
4.05 l, LII nrilor
30
05
lzs. I
sSlg , ::;
t4-ti
I 11114 AH
13 r 564 .7?I Ut,ttl
(:orr
Building Use:
Job Type:
Nature of Work:
lndustrial
Tenant lmprovement
T.l./Storage Racks
Smith, Mark
Amsden, Julie
Occupancy:
Constr Type:
Code.
Date:
Date:
Date:
B, S.1
ilt B
cEc 2019
benerol l-lsn upooce
r-rl I 16uu2- 51,5u01'0Lt-
Electr r coi
Misc. Receipt. 75730
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical for T.l.Ilcrot rlJr
ll I i 6t-tt-t2-
I (:L (.h ecl:
Fee Total
Paid to Date:
Balance Due:
I I 6Ll SLtLlLl-
& DocufiEn
177 7[t[t[tti-
tt62i,a $.5r564,'77Planning Conditions:
Planning Approval By:
Plan Checked By
Permit lssued By:
Subject to Field:
Buirdins Permit #: 1 01107218
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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-167026
08/10t2021
08/1 8t2021
Account#
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$518.5s
$4 0s
$821 1 8
$274.79
$546.39
d
ELECTRICAL.I NSPECTOR RECOR D
D,-.., nA n7 On1tr
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby slfirm undcr lrcmlty of pcrjury that I en cxempt frcm thc Contructo6' Licens law for the following rcarcn (SN.7031.5
Busincss and Profcssion Code): Any City or Counly which rcquircs a lEmit lo construcl. altcr, improvc. dcmlish or rcpair any
structurc, prior to its issumc, alm rcquircs thc applicanl for such lEmit to filc a sigred statcrent lhat hc or slrc is liccnsd pu$ant
to lhc pmvisions of lhc Contractor's Liccnsd kw (Chaptcr 9. Commercing with Setion 7(X[ of Division 3 of lh€ Busiress rnd
PrclbssionsCode)orthathcorsheiscxcmptthcrctiomandthcbasisforthcallcgcdcxcmption. AnyviolalionofsrctionTO3l.5byany
spplicotrt for a pcrmit subjccts thc applicant to a civil penalty of not more than fivc hundrcd dollus ($500).
_1. as owner of thc property, or my cmployccs with wages as thcir sole comlrcnsalion. willdo thc work and thc structurc is nol
intcndccl or offcrcd for sale (Scc.70{4, Busincss and hofessions Code: The Contraclor's Licensc Law does nol apply to an owncr of
thc proprty who builds or improvcs tlrcrcon, and wh<l does such work hirnsclf or hcrsclf or through his or hcr own entployees.
providcd that such improverncnts arc not furtendcd oroflbred for sah. lf, howcvcr. lhc building or irnprovcrncnt is sold within onc ycar
of conrphtion. thc Owncr Buildcr will havc ttrc burden of proving that hc or shc did not build or irnprovc thc propcrty for the purynsc of
sh).
_1. as owner of thc propcrty, am cxclusivcly contracting with liccnscd contractors to construct thc project (Scc. 7U4. Busittcss
and Protbssion Codc: The Contractor's Licensc Law docs not apply to an owncr of propcrty who builds or improves thercon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to lhc Contractor's Liccnsc Law).
-IamcxemptundcrScction-,B.&P,C.forthisrcason.
J}r'la.l lrunor
W()RKERS' COM PENSATION
DECI ARATION
I hcreby alfirnr undcr pcnalty of Jrcrjury onc of thc following dcclarations:
havc and will nraintain a Ccrt iljcatc of Conscnt to Sclf'-lnsurc for workcrs' conrpcnsation. as providcd for by Section 3700 of thc
I-:bor Crile. for the Jrerformance of thc work flor which thc lrcrmit Ls issucd.
havc and will nraintain workcrs'compensation insurancc. as rcquircd by Scction 3700 of thc [-abor Codc. for thc perfonnancc of
which this pcrmit is issucd. My workcrs' compensation insurance carricr and plicy numbcr arc:thc work Ibr fu*
Policy Nurrrbcr: %ooo n6/3 2//Expires:
_l ccrtify that in thc pcrforrnancc of thc work flor which this pcrnrit is issucd. I shall not cnrploy anyperson in any manner
so as to bccomc subjcct to thc workcrs'conrpensation laws of Califbrnia. and agrec that if I should bccome subjcct to the
workcrs' compcnsation provisions of Scction 3700 of the L:tnr Codc, I shall. forthwith cornply with those provisions..
WARNING: Failurc to sccure workcrs' compcnsation coveragc is unlawful. and shall subjcct an cmploycr lo criminal pcnalties and
civil fincs up to onc hundred lhousand dollars ($100,0001, in addition to thc cost of comfrcnsation, damagcs as providcd for the
Scclion 3076 of thc Latnr Code, intcrest and attonrcy's fces.
o*", C/r(/zt Appricanr: gArco k )A"-
, TCENS
NECI ARATION
I hcreby atfirm undcr pcnalty of pcrjury that I am liccnsed undcr provision of Chaptcr 9 (commcncing with Scction 7000) of Division 3
of thc Business and Professions Codc. and my liccnsc is in full forcc and cffcct.
[-iccrtsc al 1,, ...
g
I t,-^.,..n Numbcr:
(tro z4
o*", {/il/tt t
W
I hcrcby alfirm undcr pnalty of pcrjury that thcrc is a construction lcnding agency for the pcrformncc of thc work for whhh this Jrcmil is
issucd (Se. 3097. Civ. C.).
kndcr's Narc:
[.cnder's Address:
APPLICANT DECLARATION
I trcrcby aflinn undcr pnalty of perjury onc of thc following declarations:
Dcmolition Permits-Asbcstos Notiflcation Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd l,cttcr of Notification
_l certify that the fedcral rcgulations rcgarding asbcstos removal &re not applicable to this projcct.
with all City and County
and County to cntcr upon thc
abovc nrcntioncd proprty for inspcction
Applicant or Agent Signature:_
Pernrilce n$nre
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildins
Under SIab / Floor q a7t Dbhr"'(ffibvcf
Bondins lGroundinq I UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
[Vleter Release
Rough
Service JMeter rl .. ^ t
FINAL a0 7t Dfttr67
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