HomeMy WebLinkAbout20173040 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #:2O173O4O
Pin #:
Suite Range:
Zoning. C2
1
Project Address: 2800 N Main St
Assessor's Parcel. 111-1 1 1-1 1 Lot: 1
Unit 2365 Bldg: Address Range:
BIocK: NA Tract: RESUB OF SHAFEftIistoric. No
Owner:
Address:
Phone
Tenant Name:
Contractor
Address:
Phone:
Centennia! Real Estate Company
E750 N Central Expressway #1740
Dallas, TX 75231
(e721 888-8044
Spike Construction lnc
7915 Harper Ave
Downey, CA 90241
(s62) 454-7673
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
125 Volt Receptacle I 57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
Min Fee Adj 67 91
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
(Jt.v
200
1.00
200
1 .00
1.00
100
100
Fee
$3 14
$1 70
$2 26
$67 91
$23 79
$s9 30
$4 05
PEfr&IIT CANC]>* c$u-\ -
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_i\. \\' 1\.,t-..-State Lic #: 435582
Lic Type: B
Bus Lic #: 378785
Workers' Compensatton lnsurance:Carrier: Berkley Nat'l lns
Policy #: BNUWCO154643
Exptres: 0711312022
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Building Use
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
TI
Julie
Occupancy.
Constr Type:
Code:
Date.
Date:
Date:
M, S-1
II A, SPK
cEc 2019 Notes: Tl--Remoue and install partition walls, t-bar ceiling and
interior door
Planning Conditions:
Planning Approval By:
Plan Checked By
Permtt lssued By:
Subject to Field
Buirdins Permit #: 1 01 1 06 287
Every permit rssued shall become tnvalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on the srfe by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
09/01 t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$ 1 34.31
$4 0s
Fee Total
Paid to Date:
Balance Due:
$162 15
$0 00
$162.15
lnspector MID#: 2021-165213
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Buildinq
Under Slab I Floor
Bonding I Groundins I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lVeter Release
Rouqh
Service N/eter
FINAL
Notes, Remark s, Etc
I hcrchy nlfirm ilndcr fcnalty of pcrinry that I !m cxcmpl from lhc Contrxctos' Liccns I-{w frrr thc folkrwing rclson (Scc 7(1.11.5
Busincss nnd Profcssion Culc): Any C'ity or Counly qhich rcquircs a Jumil lo conslnrcl. allo. imFrcvc. dcrmlirh or rcprir nnv
slruclurc. prior kr its issuuncc. nls rcquircs lhc alplicnnt for such lErmit lo filc a sigrcd stalcrrcnl thil hc or shc is liccnsd pursurnl
lo lhc n.ovisions of thc Collrackr,'s l,iccnsd ljw (Chaptcr 9. Comrrcncing with Section 7ffn of Division 3 of thc Burincrs and
Pmfcsri(rnrCrxlclorthothcorrhciscrcfiptthccfromilndthchf,sisforthcnllcgcdcrcnrption. AnyviolnlionofSclhnTo.ll.Shyeily
alplicanl liir tr pcnnit suhjccts thc lppliclnl lo tr civil pcmltyof mt mE lhrn fivc hndrcd dollars ($5(n).
-l.
ls ownerol'thcpropcrty.orlnycnrployccsrvithrvlgcs:rslheirsoleconrpensalion.s'illdolheq'orkanrl thcstnrlurcisnol
irtlclrlerl orofl'ert'rl lirr s:rle (Scc.7(I44. Busincss and ftofessiorrs Codc: Thc Corrlractor's l,icense I,trw does not npply lo an ou'tter o[
the pnrperty who hrrikls or inrproves lhercon. llxl who drrcs srrch u,ork himsclf or herscll'or throtrgh his or hcr own entployccs.
provirlerl that such irrrprovenrnts nrc not intcrxled or offcrcrl firr s:rh. If. hou,ever. thc huikling or inrprovcnrcnl is sold s,ilhirr one )rflr
o[corn;rhlion. llrc Owner Buiklcr will havc thc hurrlen of proving that hc or shc dkl rxrt huikl or inprove the pnrpcrty for lhc purynsc ol'
s:r lc l.
-_=1. :tso\\'ncrol'lhc pro;"rcrly. :rrnexclusivclvconlrircting u'ith liccnscrl conlr:rclors lo conslnrct ttr: projcct (Scc. 70-14. Rttsilx:ss
:rrrl PrnlbssionCorlt': 'l'hc (bntr:rclor's l.iccnsc l-aw tlocs nol applvlo anowncr o[proJrcrtvu,ho huikls or inrproves lhcreorr.
itntl s'ho ('onlrircls lor such projccls rvith a Conlrnclo(s) liccnscd prrrsuanl to lhc C'onlraclor's l-icensc l;rrvl.
I lrtt crcrnpl ttrrrlc'r Sccliorr . l]. & P.C. firr this rcason.
l)nte: - - ownet' -w,Rxurct carntpunsau,n
DECLARATION
I hcrehy nlfirnr rrnrler pcrralty of pcrjury onc ol'thc following declarations:
-l
hnvcandu'ill nminlninnCcrtificateol'Consentto.Self-lnsurcforu'orkers'comlrcnsation.ns provirledforhy.Scclion.lTff)ol'thc
,ry" Crxlc. l'or thc perlirrmancc of thc work frrr which lhc Jrcrmit is issucd.
y'l h,,*'"nncl rvill rnaintninworkcrs'cornpensntioninsurance.as requiredhvSection.lTff)oflhcl.ahorCotlc.forlhc'lrcrfrrnnnnceol'
G work ltrr which this pcrmit is issucrl. IVty u'orkcrs' conlpensalion insurance carrier unrt Jxrticy nunrhcr nre:
cn.,i",,--S {bk* --,A/-al,;ryt mpa n.;
p,ricyNrr,*er:_BAUw C/0\SAb q \ _--_--F.xpircs: .t)-lL5-tU L
__l ccrlil'V that in thc pcrl'orrnancc o[lhe rvork ftrr which this permit is issued. I shall nol enrploy {lny pcrson in any nlanner
stt its lo heconrc suhjecl lo lhc workers'cornpens:rlion lnws of Californin. and agrcc thnt if I should hecome suh.iect lo the
workers' coltt;rcnsrlion provisions of .Scction 37ff) of thc l,atrrr Codc. I shnll. fonhrvith cornply with thosc provisions..
WARNIN(i: lhihrrc k) rccurc wrkcrs'conrpcnsntion covcmgc is unlou'lill. anrl shall suhict an cmploycr ro aimintl Irn.ltics rtr(l
civil litrcsuphonchtrn(lrcdlhoustrn(ldollnrr($lfi).fiX)t.inarltlitiontothccostofcompcnsatior.(larruFcsssprovidc(ltbrthc
Scction .1076 oflhc Illxf C(xlc. iilcrcst trnd atkrnrcy's fes.
,",", cli/,J[ Lal- , Apprienr: X,ru i ,' -ll^n ,t] ls L --I,ICENSI'D CONTRACTOR
I hcrehy nllirm un(lcr pcnnltyof Friury rhnr t nnr,,."n** ffiChrpts 9 (()mrrcncing with setbn ?0(x)t of l)ivisi.n l
of lhc Busirlcss xnd Profcssions Codc. aill ily liccnsc is in frrll forcc xrd effcct.
l.iccrrsc ('l'ss: (\
r)nre: 0'\lCilt\
Applicnrrl or Agenl Signnlure:
Pernrilee nnnre (prinl ):v\L Hct
r.icenscNrrmhcr: 43-59 ) L
('onrrncro ,, -g-p r V=/-- Lgfis f'r "Ch t,\Inz-
n",u,-oQ fitlft
,^) l.L
C(INSTN,UCTION LENDIN(: AGENCY
I hcrchy offirm undcr Fnrhy oflErjtrry thtrt lhcrc is s conslnrclion lcntling agercy for thc Jxrfonnnncc oflhc wrk for which this prnrit is
issu(l (Scc. .1(Ir7. Civ. (:.).
lrndcr's Nanrc:
l.cntk'r's Arklrcss:
APPLI CA N'T DECLARA'IION
I r*un:hy allirrn unrlcr pcnnlty of Jrcrjury onc ol'thc folkrwing dcclarations:
Dcnrolitiorr Pcrnrits- Ashcstos Notillcat ion l;cdcral Rcgulations (Titlc 40. Pail6 )
__Rcqu ircrl lrllcr of Notil rcat ion
_l ccnify thrl lhc fc(lcrnlrcg[ltrlions rcgaftling rshcsros rcmval flrc not Oplicahh ro this pmjccr-
ILll ccnily thit I hnvc rcil(l this xppliciltion aftt srnrc lh{t rhc nhrvc informnlion is corcd. | ilgrc ro (rnrJrly wirh trll Cily and Counry
ordin0Ncs ilild Slnlc laws rc[ling to huikling construclion. ad hcrchy nillhrizc rcprc$nltlircs ol this City nnd (:ounly lo cnls rtFn lhc
alxrvc rrrcnlionctl propcrlV for purJmscs.
ELECTRICAL-INSPECTOR R ECORD