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Home My WebLink About20172815 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica! PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:2o^17281 5 Pin #: 7379 Proiect Address: 2511 S Daimler Sta Assessor's Parcel: 430-032-25 Lot: POR 14 Unit: Block: NA Bldg: Tract: 5771 Address Range: Historic: No Suite Range: Zoning: Ml Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Fuji Film 2511 S Daimler St Santa Ana, CA 92705 (e4e) 261-7800 CRB Builders, LLC 701 Emerson Rd. Ste 500 Saint Louis, MO 63141 17141 833-20s0 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 51603 01 1 16002 53601 01 1 16002 s1603 01116002 s1600 01 1 16002 51603 01 1 16002 57770 Fee Type Amount Qty Fee Light Switches, Occ. Se 1.70 2.00 $3.40 Light Fixtures 1 .1 3 2.00 $2.26 FWU 26.71 1.00 $26.71 Over 10-50 HP, KW or I 49.78 1.00 $49.78 PIC - 650/o 0.65 82.15 $53.40 Min Fee Adj 80.00 1.00 $80.00 General Plan Update 23.79 0.00 $0.00 lssuance 59.30 0.00 $0.00 Microfilm Rnmtdl :59r-rr-rr-r - {1689 t -l:i-r: I O.UU t:';i$nBA iifiii*: (:TYH Tr'onsi" i1 Arrrrt*:Ref'l:?l-lti:?Sl:'R;;i+:Lr327q4;? 4i;ii1tili ?;1s An 'lrnnso,.tion TotctI 'tlrStl{r'5/: C:RB Builder'sr LL(: Electr i col Lt1 1 t60Lt2- 5l6Lt3LlLlLr- Ilnst er (:or.d CC+ : ************ 151t7 t152.15 State Lic #: 994508 Lic Type: C-36, B, A, C-10, C-20 Bus. Lic #: 370808 Workers' Compensation I nsurance:Carrier: The lns Co of State of PA Policy #: WSI 108656 Expires: 0410112022 \ $1 r Stlg, :-i6 Authi:1r947?P $21 5 s5 $53 40 $162.15 Building Use. Industria! Job Type: Tenant lmprovement Nature of Work: Column Blender Planning Conditions: lnterior only Planning Approval By. Plan Checked By: 1 01 1 05920 Occupancy: Constr Type: Code: Date: Date: Date: B, F-l, S-1 !ilB cEc 2019 Notes. Electrical for- Replacement and relocation of new column blender and new partial ceiling with extending soffit above blender. mith, Mark Permit lssued Amsden, Julie Subject to Field: Building Permit #: 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. 02t26t2021 04t29t2021 Account# Misc. Receipt: 75246 Misc. Receipt: Misc. Receipt: Total Fee Total: Paid to Date. Balance Due: lnspector MID#: 2021-164364 01 1 16002 51603 $162 15 APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hereby affirrn under penalty of perjury that I am exempt from the Contractors' License Law for the following reason (Sec.7031.5 Business and Profession Ctxle): Any City or County which requires a grrmit to construct, alter, improve. tlermlish or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statenEnt that hc or she is licensed pursuant to the provisions of the Contractor's Licensed Law (Chapter 9. Commencing with Section 7000 of Division 3 of thc Business antl Professions Code) or that hc 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 more than five hundred dollars ($500). _1. as owner of the property. or my employees with wages as their vlh compensation, willdo the work and the stnrture is not intended or offered for sah (.Sec.7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of the property wlxl builtls or impnrves thercoru arxl whr does zuch wrrrk himself or herself or through his or hcr own employees. provided that such improvernents are not intended rlr offerctl for sale. I[ hrwever, the buikling or inprovenrnt is sokl within one ]â‚¬ar of complerion, the Owner Buikler will have the burden of proving tlut he or she did not buiH or impruve the property for the purpose of sale). -1, asownerof theproperty. amexclusivelycontracting with licensetl contractorstoconstruct the project (Sec.7044, Business arxl hoftssirn Code: The Contractor's License Law does not apply to an owner of proSrerty who builds or improves thereon. and who contracts for such pnrjects with a Contracto(s) licenserl pursuant to the Contraclor's License Law). -l am exempt under Section-, B. & P.C. for this reason. WORKERS' COMTDENSATION Dl.'CLARA'flON I hereby affirm under penalty of prjury one of the folklwing declarations: _l have and will maintain a Certificate of Consent to Self-lnsure frrr workers' compensation, as provided for by Section 3Tfi) of the LaborCode. for the performance of the work for which the permit is issued. LPk antt witt maintain workers'compensation insurance, as required by the work for which this permit is issued. My wurkers' compensation insurance Section 3700 of the [:bor Code, for ttre perftrrmance rrf CAand prlry number are: T PIF,.Qo.oF Policy > _l certify that in thc performance of the work for which this permit is issued, I shall not empkry any person in any manner so as to beconr subject to thâ‚¬ workers' compensation laws of California, and agree that if I should becorne suhict to the workers' compensation provisions of Section 3700 of the Labor Ccxle, I shall, forthwith comply with thosc provisions.. WARNING: Failure to secure workers' crrmpensation coverage is unlawful. and shall subject an employer to critninal penalties antl of compensation, damages as provided for the 4/Zlc2Sa 9 (commencing with Section 7m0) of Division 3 of the Business and hofessions Code, and my license is in full force iuxl effect. License c q foe ?-c u s CONSTRUCTION LI.'NDING AGENCY I hereby affirm under pnalty of prjury that there is a construction lending ageocy for the lrcrformance of the work for whkh this grermit is issued (Sec. 3097, Civ. C.). Lender's Name: lrnder's Address: APPLICANT DECLARATTON I hereby affirm under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6) -Required Letter of Notifrcation I certifv that the &"n,ty,r*, t trru" federalregulations rcgarding asbestos renxrvalare not applicable to thls projecr. I agree to conrply with all City and Countyread this application antl the ahlve inflrlrnration ordinances and .State Laws rclating to ahrve rnentioned property for inspection Applicant or Agent l'ermitee name > of this City and enter Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm I Dampers Communications Cable Buildinq Under SIab I Floor Bonding I Grounding I UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinos (Hard & Soffit Rouoh I I lt t Ceilings (T-Bar Roush)7lu/?/K Meter Release / Rouqh Service N/eter t/,i / FINAL lq2n/d-1 w614.{4,V6 Notes, Remarks, Etc.J I ELECTRICAL.I NSPECTO R RECO RD t Rev. 08-07-2015