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Home My WebLink About20173038 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927Q2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #:2O1730,38 Pin #: 48750 Project Address: 2800 N Main St Assessor's Parcel: 111-111-11 Lot: 1 Unit: 2325 BIdg: 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 (s62) 454-7673 01 1 1 6002 51 603 01 1 16002 s1603 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 1 .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 Qty 200 1.00 2.00 100 1.00 1 .00 1 .00 Fee $3 14 $1 70 $2 26 $67 91 $23 7e $5e.30 $4 05 State Lic #: 435582 Lic Type: B Bus. Lic #: 378785 Workers' Compensation lnsurance: Carrier: Berkley Nat'l lns Policy #: BNUWCOl54643 Expires: 0711312022 PERilTT CA}.ICELLED \ <-o*lrrcrci{,- DATE:c1-\.-^_2_\ rNrflAu h 4i Building Use: Job Type: Nature of Work Commercial Tenant lmprovement TI Occupancy: Constr Type: Code: Date: Date: Date: M, S-1 II A, SPK cEc 2019 Notes: Tl-Remove and install partition walls, t-bar ceiling and interior door Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By. Subject to Field: Building Permit #: 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. Umsden, Julie 101 106285 09/01 t2021 Account# Misc. Receipt: Misc. Receipt. Misc. Receipt: Total 01 1 16002 s1600 01 1 16002 51603 01 1 16002 57770 $23.79 $1 34 31 $4.0s Fee Totat Paid to Date: Balance Due: $1 62.1 s $0.00 $162.15 lnspector MID#: 2021-165211 ELECTRICAL-INSPECTOR R ECORD Dr.,, nC) n7 Onl tr APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION I hcrcby affirm undcr Fmlty of pcrjury that I an cxcmpt from thc Contracto6' Liccn$ ljw for the following rca$on (Ss.7031.5 Busincss ard Profcssion Codc): Any City or County which rcquircs a lmmit to construct, altq, imprcvc, dcmlish or rcpair mf struclurc, prior to its issuarcc, nlm rcquircs thc applicanl for such Jrrmit to filc o signcd statcrcnt thst hc or shc is liccnsd pursulnt to thc previsions of thc Contraclor's Liccnrcd tiw (Chaptcr 9. Commncing wilh Setiotr 7000 of Division 3 of thc Busincss ed PmlbssionsCodc)orlhathcorshciscxcmplthrcfromondthcbasisforthcallcgcdcxcmption, Anyviolntionofs$tknT03l.5byany applicont for s pcrmit subjccts lhc applicant lo a civil pcnalty of not mrc than fivc hundrcd dollus ($500). -1, as owncr of thc propcrty, or lny cmployccs with wagcs as thcir solc cotnlrcnsation, willdo lhc work and thc stnrture is not intcndcd or ofl'crcd for salc (Sc.c.7O14. Busincss and hofessions Codc: The Contractor's Liccnsc [:w docs not apply to an owncr of thc propcrty who builds or improvcs thcroon. and who docs such work himsclf or hcrsclf or through his or hcr own cmployccs. providcd that such improvcnrents are not intcnded or offcrcd for sah. lf. howcvcr. thc building or irnpmvcnrcnt is sold within onc )rcar of comphtion. thc Owncr Builder will havc thc burdcn of proving that hc or shc did not build or improve the propcrty for thc purposc of sah). -1. as owncr of thc pro;rcfly. am exclusivcly contracting with liccnsed conlractors lo construct thc proict (Sec. 7W. Busincss and Bofessbn Code: The Contraclor's Liccnsc Law does not apply to an owncr of propcrty who builds or improvcs thereon, and who contracts for such projccts with a Contractor(s) licenscd pursuanl to thc Contractor's Liccnsc [,aw). -lamcxcmptundcrScction-,B.&P'C'lbrthisrcason.n^.^. WORI(F'RS' COMPENSATION DECLARATION I hcrcby aflirm undcr pnalty of pcrjury one of the following dcclarations: -l have and will maintain a Certihcatc of Consent to Self-lnsurc for workers' compcnsation. as provided for by Section 3700 of thc L:bor Codc. for the lrcrformancc of thc work for which the pcrmit ls issucd.I lLI havc and will maintain workers' compcnsation insurancc. as rcquircd by Section 3700 of the l-abor Code. for thc performance of thc work which this pcrmit is issued. My workers' compcnsation insurance carrier and policy numbcr are: r b Policy P'-At uvl C 0 l(Utq:.E--:-^-.0) lt}ln- -l certify that in the pcrformance of thc work for which this pcrmit is i.ssued. I shall not employ any person in any manncr so as lo bccome subjcct to thc workcrs'compcnsation laws of California. and agrcc that if I should bccomc subject to the workcrs' compcnsation provisions of Section 3700 of thc [:bor Codc. I shall, forthwith comply with thosc provisions.. I,VARNING: Failurc to scre workers'amlEnsalion covcmSe is unlswful. rnd sh{ll subjst an cmplo)rcr to qiminal lrmltbs and civil fincs up lo onc hundrcd thouwd dolles ($100,000), in addition to thc cost of compcnsation, damges as prcvilcd for thc S6tion 3076 of fic Libor Codc, inlcrcst and rtlorrcy's fes. o,*, oQ/oi / zl n ou*,, Xaviu V anqnlrL IJCENS@-CQNIEAqE)B I hcrcby sllirn undcr pcnalty of tErjury tha, f ", ti*n*a , Chaprs 9 (olrmrcing with sfftion 7u)o) of Divisiotr 3 of thc Busincss and Prcfcsions Codc, ud my liccnsc is in full forc and cff6l Liccnse c,u*.r L Liccnsc Number:t{ rr<*L conrracro.' <0; ILL klnsnuLhen t-rre,-I CONSTRUCTION LFNDING AGENCY I hcrcby affrm undcr ]Emlly of lErjury that thcrc is a constructhn bnding agcncy for thc lrcrforlrrec of tlE work for which this pcrmit is issued (Ss. 3097, Civ. C.). hndcr's Name: lrndcr's Addrcss: APPLICANT DF'CI ARATION I trrcby affrm undcr pcnalty of perjury one of the following dcclarations: Dcmolition Pcrrnits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6) _Requircd [.cttcr of Notification -l ccrtify that thc federal rcgulatio$ rcgarding asbcstos rcmvrl uc not applicabb to this prcj$t. Xt[l ccnify that I have rcad this application ad shrc thst thc abovc informtion is comt. I agrc to @mply with all Cityand County odimmcs md Statc hws rchting to building snstructio[ ard hcreby8uthoria rcprcsntstivcs of this City ud County to entq upon thc above mentioned propcrty for puryx)ses. Applicant or Agent i,o, )L-.tlr 4-{V<l n6{ nL t.-l *,", o\lcl (tl Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under SIab / Floor Bondinq I Groundina 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 Rough) [\Ieter Release Rough Service lVleter FINAL Notes, Remarks, Etc. Owner:_ o",. oq/9t/zt