HomeMy WebLinkAbout20173113 - PermitProiect Address: 2800 N Main Sta
Assessor's Parcel: 111-111-11 Lot: 1
Unit: 247
Block: NA
Bldg. Address Range: 2goo-2ggo
Tract: RESUB OF SHAFEftlistoric: No
Suite Range:
Zoning'. C2
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714).647-5853
Permit #:2o^173{{3
Pin #: ,r72t
Phone:
Tenant Name: Bath and Body Works
Owner:
Address:
Contractor
Address:
Phone:
Centennial Real Estate
2800 N. Main Street
Santa Ana, GA 92705
RNF Signs, lnc.
309 S. lrwindale Ave.
Azusa, CA 91702
(626) es1-e04e
01116002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Signs & Neon
General Plan Update
I ssuance
Microfilm Records
Amount
80 9s
23.79
59 30
405
Qty
2.00
1 .00
100
100
Fee
$1 61 90
$23 7e
$5e 30
$4 05
State Lic #: 1004002
Lic Type: C45
Bus. Lic #: 377905
Workers' Compensation I nsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9138410
Expires: 0712412021
bgner0l Flnn Updnte Fl- 5l6LuJLt[tJ*
rit & Dc,cumentE!- :-i77 7[r[r[r[r-
Building Use:
I .rOD lype:
* Nature of Work:
I
Planning Conditions:
Commercial
Signs
llluminated Sign
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
M
II B, SPK
cEC 2019
05t04t2021
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt.
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Electrical for installation of (1) llluminated Wall Sign
and (1) projecting sign for "Eliath & Body Works". Bond
paid with Building permit.
$249 04
$0 00
$249.04
Planning Approva! By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buirdins Permit #: 1 01106398
\2?
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-165450
01116002 51600
01116002 51603
01 1 16002 57770
$23 7e
$221 20
$4 0s
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APPROVALS DATE ID/SIG-COMMENTS
Site-Work aa
Underqround '/zd 4 0^o*L I
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab I Floor
Bonding I Grounding I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Roush)
l\Ieter Release
Rouqh
Service Meter
FINAL vcr'zl l? i- tS JelastYl
Notes, Remarks, Etc.
1
OW N ER B UI LDER DEI,L-A RA'I'ION
I hereby affirm under penalty of Jrcrjury that I am exempt from the Contractors' License Law for the frrllowing reason (Sec.7031..5
Business and Profession Code): Any City or County which requires a permit to construct, alter, improve, demolish or repair any
structure, prior to its issuance, also requires the applicant for such permit to file a signed staterEnt that he or she is licensed pursuant
to the provisions of the Contractor's Licensed Law (Chapter 9. Commencing with Section 7fiX) of Division 3 of the Business and
Pmfessions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by any
applicant for a permit subjects the applicant to a civil penalty of not nnre than five hundretl dollars ($500).
_1. as owner of the property. or my employees with wages as their sole compensation. will do the work and the structure is mlt
intentled or offered firr sale (Sec.7014. Business and hofessions Code: The Contractor's License Law does not apply to an owner of
thc property whr builtls or improves thercon. antl wh does such work himself or herself or through his or her own employees,
provided that such improvenrents afe not intenrletl or offered for sale. If, hlwever, ttrc building or inTrrovenrnt is rckl whhin one )€ar
of completion, the Owner Buikler will have the burden of proving *ut he or she did not buikl or impnrve the pnrperty for the purprse of
sale).
_1, as owner of the property, am exclusively contracting with licensed contractors to construct the pnrject (Sec. 7044. Business
and Pnrfession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts frlr such pnljects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-IamexemptunderSection-,B.&P.C.forthisreason.Date: Owner:
}VORK ERS' C( INI I'ENSA'I'ION
D} CLARA'I'ION
I hereby affirrn under penalty of perjury one of the following declarations:
-l
have and will rnaintain a Certitjcate of Consent to Self-lnsure for workers' compensation, as pnrvided for by .Section 37fi) of thc
Labor Code, ftrr the perfirrmance of the work for which the permit is issuerl.
_l have and as by Section 37U) of the Labor Code, for the lrcrformance of
the work frlr carrier and plicy number are:
-
Policy
_l certifythat in the performance of the work fur which this permit is issuetl, I shall not empkry any person in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I shoukl become subject to thc
workers' compensation provisions of Section 37fi) of the l-ahlr Cule, I shall. forthwith comply with thore pnlvisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and
civil fines up to one hun<Ired thousand dollars ($100,m0), in addition to tlre cost of comJrcnsation, damages as provided firr the
Section 3076 of the Lahrr Code, interest and attorney's fees.
a
ur,", - Scf-22(
I hereby afhrm under Jrcnalty of perjury that I am licensed untler provision of Chapter
of the Business and Professions Code, and my license is in full force and effect.
I
with Section 7fi)0) of Division 3
l
License o Number:-
u*", ? S. 1- .Z)ZI >(
I hercby affirm under pnalty of perjury that thcre is a construction lending agency for the perftrrmance of the work for which this permit ls
issued (Sec. 3097, Civ. C.).
Lender's Name:
[.ender's Address:
APPLICANT DECLARATION
I ffiy affnnr under penalty of perjury one of the following declarations:
Denmlition Permits-Asbestos Notification Federal Regulations (Title 40, Pan6)
-Required
[-etter of Notification
-l
certify that tlre federalregulations rcganling asbestos rernlval are nol applicable to this project.
G"rnify that I have read this application and state that the above inforrnation is correct. I agree to conqrly with atl city anrl county
ordinances and State [:ws rclating to building construction, ancl hereby authrrize reprcsentatives of this City and County to enter upon the
above mentioned property for inspection
/@?oo?
><o^r",-l'('2021--------v-Applicant or Agent
l'ernritet nanle
ELECTRICAL-INSPECTOR RECORD
(
ev.08-07-2015
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