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Home My WebLink About20173044 - PermitCity 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 #:2(J1730,44 Pin #: 97492 Proiect Address: 2800 N Main St-a- - Assessor's Parcel: 111-111-11 Lot: 1 Unit 2495 Bldg: Address Range Block: NA Tract: RESUB OF SHAFEftlistoric: No Suite Range: Zoning. C2 Owner: Address. Phone: Tenant Name: Contractor: Address: Phone. Centennial Real Estate Company 8750 N Central Expressway #1740 Dallas, TX 75231 (s721 888-8044 Spike Construction lnc 7915 Harper Ave Downey, CA 90241 (562) 454-7673 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 51 603 51 603 51 603 51 603 51 603 5160C s1 603 5777C Qty 2.00 1 .00 200 1.00 1.00 100 100 100 Fee $3 14 $1.70 $2.26 $52 21 $1s.70 $23 7e $5e.30 $4 05 Fee Type Amount 125 Volt Receptacle 1 .57 Light Switches, Occ. Se 1.7O Light Fixtures 1 .1 3 Demolition (includes ren 52.21 Min Fee Adj 15.70 Genera! Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 State Lic #: 435582 Lic Type: B Bus. Lic #: 378785 Workers' Compensation I nsurance:Carrier: Berkley Nat'l lns Policy #: BNUWCOl54643 Expires: 0711312022 PERttllT CAI,ICELLED\6:1 ( o".irrCrcto r DATE:Cl)_\\\_>\ lNlTlAL: ,?p7 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Commercial Tenant lmprovement TI Occupancy: Constr Type. Code: Date: Date: Date: M, S-1 II A, SPK cEc 2019 : Notes: Remove all partition walls, t-bar ceiling, finishes on wall and floor and pre-fab walk-in cooler 09/01 t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Amsden, Julie Buirdins Permit #: 1 01 1 06 289 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 01 1 16002 51603 01 1 16002 57770 $23.79 $134 31 $4.05 Fee Total Paid to Date: Balance Due: $162 1 5 $0 00 $162.15 f -31-l++ lnspector MID#: 2021-165206 a' ELECTRICAL-INSPECTOR R ECOR D APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby affrm under lEn.lty of pcrjury that I M cxcmpt frcm lhc ContracloN' Liccns ljw for lhc follouing rcasn (5â‚¬.7031.5 Busincss atd hofcssion Codc): Any City or County which rcquircs s lrcmit to construct, altn, improvc, dcmlish or rcpailay structurc. prior to its issumc, als rcquircs thc applicant for such permit to fih r signcd stdcmnt that hc or shc is liccnsd puzumt to lhe pDvisions of thc Contractor's Liccnsd ljw (Chsptcr 9. Comming with Setion 7fi)0 of Division 3 of thc Busircss ild ProfcssionsCodc)orthathcorshciscrcmptthcrcfrcmandthcbasisforthcallcgcdcrcmption. AnyviohtionofsectionT0Sl.5byany applicant for a pcmit subjects lhc applicant Io n civil lEnalty of not mrc than fivc hundred dollus ($500). _1, as owner of the property, or my cmployces with wagcs as thcir sole compcnsation. willdo thc work ard thc structurc is not intcndcd or offcred for sale (Sec.700a. Busincss and Profcssions Code: Thc Contractor's License l-aw docs not apply to an owncr of thc propcrty who build.s or improves llrcrcc,n. and who dcrcs such work himself or hcrsclf or through his or hcr own cmployccs. provided that such improvcnrents arc not inlcndcd or offcrcd for salc. If. howcver, thc building or improvenEnt is sold within onc )rcar of complction, the Owner Builder will have the burden of proving that hc or shc did not build or inprove thc proSrcrty for thc pur;nsc of sah). _1. as owncr of thc propcrty. am cxclusivcly contracting with licenscd contractors to construct thc projcct (.Scc. 7M4, Busincss and Profession Codc: Thc Contractor's Liccnse Law does not apply lo an owner of propcrty who builds or improves lhercon, and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's License [aw). -IamexemptundcrScction-.B.&P'C.forthisreason.Il.,r^.( l.-nn-. WORKER.S' COMPENSATION DECI ARATION I hcrcby affirm undcr pcnalty of pcrjury onc of thc following dcclarations: -l have and will maintain a Certificate of Consent to Self-lnsure for workcrs' compensation. as providcd for by Scction 3700 of the [:bor Code. for the pcrformancc of thc work for which thc pcrmit is issucd. I !L t hur" and will mainrain workcrs' compensation insurancc. as rcquircd by Section 3700 of the labor Codc, for thc pcrformance of thc work for which this pcrmit is issued. My workers' compcnsation insurance carrier and plicy numbcr are: Oo-I Policy -l certify that in thc pcrformancc of thc work for which this pcrmit is issued, I shall not cmploy any pcrson in any manncr so as to bccome subjcct to the workcrs' conqrcnsation laws of California, and agree that if I should bccomc subjcct to thc workcrs' compensation provisions of Scction 3700 of thc l-atnr Codc, I shall, forthwith comply with thosc provisions.. I{ARNING: Failurc to wurc workcrs'compcnsution covcrdgc is unlawful. and shall subjcct an cmplo5rcr to ainrinal pnnltbs and civil fincs up to onc hundrcd thousand dollus ($l0o,m0). in addition to thc cost ofcomlrcnsstion. darogcs as providcd for thc Scction 3076 of thc lahrr Codc, interest and attorrcy's I hereby affirm undcr pcnalty of pcrjury that I am licenscd undcr provision of Chaptcr 9 (commcncing with Scc'lion 70m) of Division 3 of thc Business and Profcssions Codc, and my liccnsc is in full force and effcct. License Number: a W I hcrcby afftrm undcr lEnalty of pcrjury that thm is I @nstructbn lending agercy for thc prfor@ce of lhc work for which this permit is issucd (Sec. 3097, Civ. C.). [-cnder's Name: Lrndcr's Addrcss: APILICANI.DECI.ABAUON I Myaffmunds penalty of perjury orc of thc following dslamtions: Demlition Permits-Asbestos Notification Fcdcrsl Rcgulstions (Title 40. Pan6) -Rcquircd trlttr of Norifiqtbn -l certify that thc fcdenl rcgul8liom rcgarding sbcstos remval re rcl applkabh lo this pDlxt. &t ccnify mr I Uw rcad rhis applksrioo ard statc thar dE abovc infomtbn is comt. I rgrc to omply vith all Cily and County ordimres md Slltc bws rclating to huiHing construction, ard hcrcby authori4 rcpEsr[8liB of this City aDd County to cnts upon tlE above mentioncd propcrty for Applicant or Agent I'ernrilee name purF)scs. *r,, cc< l?l I z( Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bondinq I Groundinq I UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rouqh) N/eter Release Rouqh Service N/eter FINAL Notes, Remarks, Etc. Cln.r nA n7 Onl tr ""r", O\[ C\ lt-l L \Y^(.