HomeMy WebLinkAbout20173850 - PermitAddress Range: 706-810 .
Historic: No
Pin #:
Suite Range:
Zoning: SP2
4
Proiect Address: 720 S Harbor Blvda
Assessor's Parcel: 108-25342 Lot: NA
Unit.
Block: NA
Bldg:
Tract NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #:2O173850
Owner:
Address.
Phone:
Tenant Name:
Santa Ana Plaza B & D Partners
888 S Disneyland Dr, Suite 101
Anaheim, CA 92802
(7141 687-0000
T-Mobile
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Records
Amount
80 95
23.79
59 30
405
Qty
1.00
3.00
100
1 .00
Fee
$80.e5
$71.37
$se.30
$4.05
Contractor: Coast Sign lncorporated
Address: 1500 W Embassy St
Anaheim, CA 92805Phone: (7141 520-9144
State Lic #: 654238
Lic Type: C45
Bus. Lic #: 165863
Workers' Compensation I nsurance:Carrier: Republic lndemmity Co
Policy #: 25440901
Expires: 10/01 12021 l6tt
Do
Building Use:
Job Type:
Nature of Work:
Commercial
Signs
Signs-illuminated
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2019
l, '.: '
' ".
'
Notes: lnstall (3) illurnlnated charlnel letter wall signs for
"T-Mobile", bond included on 101 107341.
(
Planning Conditions:
Planning Approval By.
Plan Checked By.
Permit lssued Amsden, Julie
Subject to Field:
BuildinsPermit# 101107341
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-167609
0713012021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
01 1 16002 s1600
01 1 16002 s1603
01 1 16002 57770
$71.37
$140.25
$4.05
Fee Total
Paid to Date:
Balance Due:
$2t 5 67
$0 00
$zt 5.67
st:t/ 2rJ21
nnEi= 4
Refi:
7 lslt/2tr2l
I.IGAfi(
2ol
7385t
ELECTRICAL.INSPECTOR RECORD
O,-,.t nO n7 On1tr
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcreby affirm undcr penalty of pcrjury thal I u crcmpt frcm thc Contracto6' Liense hw for the folloving rcasn (Scc.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a [rcrmit to @nstrucl. .llci imprcw, dcmlish or rcpair any
structurc, prior to its issumce, dso rcquircs the applicant for such lErmit to filc . signed slslcrcnl that hc or shc is liccnsd pursanl
ro thc prcvisions of the Contractor's Licensd llw (Chrptcr 9, Comrcnci[g with S$tion 7000 of Division 3 of the Busincss md
ProfcssionsCodc)ortharlEorshciscxcmptthmfromandthcbssisforthcallcscdcxcmptio[ AryviolationofsslhnT03l.5byany
applicanl for a pcrmit subjcTts thc applicant lo . civil pcnahy of not mrc lhan fivc hundrcd dollus ($500).
_1. a.s owncr of thc propcrty. or my cmployees with wagcs as thcir solc comlrcnsalion, will do the work md the structurc is not
intended or offcrcd for salc (Scc.?M4. Business and Profcssions Code: Thc Contractor's License [:w does not apply to an owncr of
thc propcrty who builds or improvcs thcrcon, and who docs such work hinrsclf or hcrsclf or through his or hcr own cmployccs,
providcd that such improvcnrcnts arc not intcndcd or oft'crcd for salc. If, howcvcr. thc building or improvcrcnt is sold within one ycar
of comphtion. thc Owner Buildcr will have thc burden of proving that he or shc dkl not btrild or improvc thc proprty for thc purpsc of
sah).
_1. asowncrof thc propcrty. amcxclusivclycontracting with liccnscd conlractorsto construct thc projcct (Scc. 7U4, Business
and Rotbssion Code: The Contractor's Licensc Law does not apply to an owncr of propcrty who builds or improvcs thcrcon,
and who conlracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnsc taw).
_l am cxcnlpt undcr B. & P.C. for this rcason.
Owner:_
WORKF'RS' COM PENSATION
DF'CLARATION
I hereby affirrn undcr pcnalty of pcrjury onc of the following dcclarations:
_l have and will maintain a Ccrtificate of Consent to Sclf-lnsure for workcrs' compensation, as providcd for by Section 3700 of thc
[:bor Codc, for thc pcrformancc of thc work for which the pcrmit ls issucd.
_l have and will maintain workcrs' compcnsation insurancc. as required by Scction 3700 of the labor Code, for thc pcrformance of
the work for which this pcrrnit is issucd. My workcrs'insurancc carricr and policy numbcr arc:
Policy ,t0 I 7l
_l ccrtity that in thc lrcrformancc of thc work for which this pcrmit is issucd. I shall not cmploy any frcrson in any manncr
so as to bccome subjcct to thc workers' compensation laws of California. and agrec that if I should bccome subject to the
workers' compcnsation provisions of Section 3700 of thc Labor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failurc lo securc workcrs' comgrcnsation covcragc is unlawful. and shall subjcct an cmploycr to criminal pcnaltics and
civil fines lo onc thousand dollars ($100.000). in addition to thc cost of compcnsation. damagcs as providcd for thc
Scction of thc Code, interest and attorney's
0 ly
I hcreby afhrm undcr pnalty of prjury that I am liccnscd undcr provision of Chaptcr 9 (commencing with Section 7000) of Division 3
of thc Busincss and Profcssions Code. and my license is in full forcc and cffcct.
Liccnse Numbcr:bSL|LVg
W
I hcrcby affrm under lEmlty of pcrjury that thcrc is a @nstruction bnding agcncy for Ihc performrcc of the work for which this tmil i!
issucd (Scc. 3097, Civ. C.).
[-cnder's Namc:
lrnder's Addrcss:
APPI ICANT DT'CLAITT{TION
I hcrcty aflirm under penalty of pcrjury one of thc following dcclarations:
Dcmolition Permits-Asbestos Notification Fcderal Rcgulations (Title 40, Part6)
-Requ
ircd L,ct tcr of Notificalion
_l certify that thc federal regulations regarding asbcstos rcnrcval arc not applicablc to this proict.
_l ccrtify that I havc read this application and statc thal the abovc information is correct. I agrce to conrply
ordinances and Statc Laws rclating to building construction. und hercby authorizc representatives of this City
with all City and County
cnlcr
above mcntioncd property for
Applicant or Agenl
Pernritee nilnrt
I
purposes.Z'(lt;n,L
and
7
upon thc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
lVleter Release
Rough
Service N/eter
FINAL lzoQpLt {L& .h 4,c#AfT
Notes, Remarks, Etc
conrracro,, COAgf Stri,L *4n c