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Home My WebLink About20171053 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Electrical Permit #: 2017{O53 Pin #: 35669 lnr T' Proiect Address: 3260 S Susan Sta Assessor's Parcel: 414-241-08 Lot: 5 Unit: Block: NA Bldg: Tract: 10908 Address Range: Historic: No Suite Range: Zoning: Ml , State Lic #: 962294 Lic Type: B, C-61 , C-z'l Bus. Lic #: 376552 Workers' Compensation I nsurance:Carrier: Compwest lns Co Policy #: WCFSS03SGO Expires: 0712712021 1116002 57770 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Building Use: Job Type: Nature of Work: Tom Broderick 3260 S Susan St Santa Ana, CA 92704 (7141 797-23e6 Cannavision IMC Professional Building C 12155 Magnolia Ave, Unit 10 Riverside, CA 92503 (ss1l 27s-7705 lndustrial Tenant lmprovement Tl/Roof Mounted Equipt 01 1 16002 51603 01 1 16002 s1603 01 1 1 6002 51 603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 53601 01 1 16002 51600 01 1 1 6002 51 603 Notes: Fee Type Amount 125 Volt Receptacle 1 .57 Light Switches, Occ. Se 1.7O Light Fixtures 1 .1 3 Air Conditioner 1O4.4O Dedicated Circuit 26.71 Control Panel 17.39 Serv Meter 156.51 Subpanel 57.40 Subpanel 156.51 0-1 HP, KW or KVA 3.84 Over 1-10 HP, KW or Kt 25.09 Over 10-50 HP, KW or l 49.78 Over 50-100 HP, KW or 1 13.06 Ptc - 65% 0.65 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 2.00 20.00 40.00 1.00 3.00 4.00 1.00 1.00 1.00 4.00 16.00 2.00 2.OO 1,449.33 1.00 1.00 1.00 Fee $3.1 4 $34 00 $4s 20 $1 04 40 $80.1 3 $69.56 $156.s1 $57.40 $156.51 $15.36 $401 .44 $99.56 $226.12 $942..06 $2:t.79 $59.30 $4..05 I Occupancy: Constr Type Code: Date: Date: Date: F-1 VB cEc 2019 Tl-Remove and install partition walls and t-bar ceiling, install a pre-fab freezer, a pre-fab C1}2lab, a pre-fab post process lab roof mounted equipt Planning Conditions: Planning Approval By: Plan Checked By: Smith, Mark Permit lssued By: f ! Amsden, Julie Subject to Field: ( Buitdins Permit #: '- 1 01 1 03498 09t02t2020 03t1612021 Account# Misc. Receipt: 74338 Misc. Receipt: Misc. Receipt: Total Every permit issued shall become invalid 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 site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01116002 51600 01 1 16002 51603 01116002 53601 01116002 57770 $23.79 $1 ,509.63 $187.48 $4.05 Fee Total: Paid to Date: Balance Due: $2,478.53 $7s4 58 $1 ,723.95 Inspector MID#: 2019-155300 ELECTRICAL.I NSPECTOR R ECOR D APPROVALS DATE ID/SIG.COMMENTS Site-Work Underqround Pole Bases Lioht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under SIab / Floor Bondinq I Groundinq I UFER Transformers \ Torqueinq Sub-Panels \ Air Conditioners F Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rouqh) N/eter Release Rough Service N/eter s ?rh )./ lJ)n^ rcl rF!NAL lplt?lil f Notes, Remarks, Etc.,Utrt I hcrcby ollirm undcr pcnalty of pcrjury Ih{t I m cxcnrpl fom lhc Contracrom' Liccn* t w for thc folldwing rcasn (5â‚¬.'/031.5 Busincss and Profcssion Codc): Any City or County which rcquircs a lEnnit to onstruct. altcr. imprcvc, dcrclish pr rcpair any structurc, prior to its issuarcc, also rcquircs thc applicsnt lbr such lrcrmit to filc I signcd shlcrcnt that he or she is licensd pusuani lo lhc pmvisiorrs of thc Contructor's Liccnscd Law (Chrpter 9. Commcncing with Setion 7000 of Division 3 of the Busircss and . PrcfcssionsCodc)orthalhcorshciscxcmptthcrcfrcmandthcbasisforthcallcgcdcxcmption. AnyviolationofscctionTO3l.5byany epplicant for a Frmit subjccts thc applicant to a civil pcnalty of not mrc than five hundrcd dollus ($500), -1. as owncr of thc propcrty. or my employces with wagcs as thcir solc compcnsalion. willdo thc work and thc structure is not interrdcd or offcrcd for sale (Sc'c.7044. Busincss and hofcssions Codc: Thc Contraclor's License [:w docs not apply lo an owner of thc profrcrty who builds or inrproves thcrcrrn. and who drrcs such work himsclf or hcrsclf or through his or her own cmployecs, providcd that such improvcnrnls arc not intcndcd orollcrcd for salc. lf. howcvcr. thc building or improvcmcnt is sold within onc ycar of complction. thc Owncr Buildcr will havc thc burden of proving that hc or shc did not build or improvc thc proprty for the purynsc of sale). _1, as owncr of thc propcrty. arn cxclusivcly contracting with liccnscd controclors to construct thc projcct (Scc. 7U4, Busittcss arrd Pnlfesskrn Codc: The Contractor's Liccnsc Law docs not apply to an owncr of propcrty who builds or improves thcrcon. and who contracts for such projccts with a Contructor(s) liccnscd pursuant to the Contractor's Liccnsc l-aw). _l anr cxcmpt undcr Scction_. B. & P.C. lbr this rcason. Owner: }VORK IiRS' CONIPI'NSA TION DECI,AIIATION I hcrcby atljrm undcr pcnalty of pcrjury onc of thc following dcclaratkrns: and will maintain a Ccrtificate of Consent to Sclf-lnsurc for workcrs' compcnsation, as provided for by Scction 3700 of the Labor Cotlc. for thc pcrformancc of the work frrr which thc perrnit is issucd. work and will maintain workcrs'comlrcnsation insurancc. as rcquircd byScction 37fi)of the LaborCode, forlhc perfornurnceof for which this perrnit is issued. My workcrs' compensation insurancc carricr and plicy numbcr arc: o 2o7 I ccflify that in thc perfornrancc of thc work for which this pcrnrit is issucd. I shall not crnploy any pcrson in any manncr so as to bccome subjcct to thc workcrs' comgrcnsation laws of California. and agree that if I should bccomc subject lo thc workcrs' comJrcnsation provisions of Scction 3700 of thc Labor Codc. I shall. forthwith comply with thosc provisions.. , WARNING: Failurc to scurc workers'compcnsalion r'ovcEgc is unlawful. and shall subjcct an cmploycr to oiminal pmltics and civil fincs up to onc hundrcd lhousand dolles ($100,000), in addilion lo thc cost of comlEnsation, damgcs &s providcd for llE SNIion 3076 of thc tibor Codc, intcrcst and iltorrcy's fccs. hercby allirnt urrdcr pcnalty of perjury of thc Busincss and Profcssions Codc, and my liccnsc is in full force and effcct. cu.r' 3 License Number:Attzzqq v-I, W I hcrcby aflirm undcr frcnalty of pcrjury lhat therc is a construction lcnding agcncy for the JrcrfoMc of thc work for which this Frmit is issucd (SN. 3097, Civ. C.). [.cnder's Address: APPLICANT DF'CLARATION I hcrcby alfirmundcr pcnalty of pcrjury onc of the following dcclarations: Dcrnolition Pcrmits-Asbestos Notification Federal Regulations (Titlc 40, Part6) -Rcquircd l-ctter of Notificalion -l ccrtiti that thc t'cdcral regulations rcgarding asbcstos rcnrcvalarc not applicablc to this projcct. with all City and County and County to cnlcr uF)n thc abovc mcnlioncd propcrty lbr purposcs. or Agent Pcrnritee nnnle ( rlrint ):Erna Mcdrna L ,,,", ahbl 2,t2( fJnt no n7 onr tr ) Date:_ ,+ alt LL( [.ender's Namc: