HomeMy WebLinkAbout20172445 - 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 #= 20172445
Pin #: 73418
Project Address: 1241 E Dyer Rd
Assessor's Parcel: 411-131-36 Lot: NA
Unit: 200 Blds:
Block: NA Tract: NA
Address Range: 1231-1241
Historic: No
Suite Range.
Zoning: SD53
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Greenlaw Partners
1231 E Dyer Rd #240
Santa Ana, CA 9270s
(e4e) 331-1 316
KPRS Construction Seruice:
2850 Saturn St
Brea, CA 92821
(7141 672-0800
01 1 16002 51603
01 1 16002 5160:
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 1 6002 51 60.1
01116002 5160..
01116002 5360'
01 1 16002 5160C
01 1 16002 51603
01116002 5777C
Qty
498.00
266.00
620.00
17.00
17.00
46 00
29.00
1.00
517.00
10.00
300
7.00
7,835.34
100
1.00
1.OO
Fee
$781.86
$452 20
$700.60
$1,774.80
$1,774.90
$1 ,228.66
$774.59
$36.50
$1,793.65
$1 73 90
$172.20
$17s.63
$5,092.97
$23 79
$5e.30
$4.05
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
Air Conditioner 104.40
Heat Pumps 104.40
FWU 26.71
Dedicated Circuit 26.71
Low Voltage/Comm 36.50
Add'l Devices/Low Volt 3.45
Control Panel 1T .39
Subpanel 57 .40
Over 1-10 HP, KW or K\ 25.09
Ptc - 6s% 0.6s
General Plan Update 23.79
lssuance 59.30
Microfilm Records I +,OS
t
State Lic #: 751130
Lic Type: B, A
Bus. Lic #. 188704
Workers' Compensation I nsurance.Carrier: Everest Premier lnsurance
Policy #: CA10004028201
Expires: 10/01 12021
Building Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
TI/Rf Mtd Equip
Smith, Mark
Amsden, Julie
101 105453
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
V B, SPK
cEc 2019 Notes: Electrical for Tl
,---Lt!fl f.- (- b't .
Rcpt+:
Tinnsa
r EFI EP
111 16
I i cr'o
T r.l
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.
01104t2021
06t24t2021
Account#
Misc. Receipt: 75047
Misc. Receipt:
Misc. Receipt:
Tota!
\..L
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.79
$9,1 32.85
$4 05
Fee Total
Paid to Date:
Balance Due:
$15,009.50
$5,848.81
$9,160.69
lnspector MtD#'. 2020-163257
ELECTR ICAL-I NSPECTOR R ECOR D
El ,^,r, nO n7 On{ q
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor tt ,l
Bondino I Groundino I UFER Y 4 '7/\T),fi*>*I ,/
Transformers A
Torqueinq ll I
W/kt/lSub-Panels 7//
I 2t
Air Conditioners I
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh rl ,\.t l)
Ceilinss (T-Bar Roush)U ..-N,{)/
N/eter Release \\l V
Rough
Service Meter l-l ^ [tr 1 Z ,/
FINAL 0 7 'Ll Dt{\ o I
NoFs, Bemarks, Etc.il ,l ^/tl a I
I +filwl --D D --z C -aL+ .- ) f+w8of
v
\-a
I hercby aItrrm undcr pcnalty of pcrjury thal I m cxcmpt from thc Contreto6' Licens kw for thc followng rc&$n (Ss.7031.5
Busincss and Profcssion Codc): Any City or County shich rcquircs a Jmir to construct, alt6, imprcrc. dcmlish or repir aqy
srucrw, Jrbr to its issuancc, slso rcquircs thc applicut for srch pcmit to filc ! signed stalemnt that hc or dE is licensd plNut
to rhe prcvisions of thc Contnctor's Licensd kw (ChrpIcr 9. Comrcrcing with S6tion 700O of Division 3 of thc Busircss md
Prcfc$sions Codc) or that hc or shc is cxcmpt thsefrom ard thc boris for the alhgcd cxcmption. Any violation of Scction 703 I .5 by aoy
applicant for a Frmit subj$ts the applicant to a civil pemhy of not mrc than fivc hundred dolles ($500).
_1. as owncr of thc propcrty, or my employccs with wagcs as thcir srlc conrpcnsalion. will do thc work and thc struclurc is not
intcndcd or offcrcd for salc (Sec.7044, Business and Profcssions Codc: Thc Contractor's Liccnse law does not apply to an owncr of
thc propcrty who builds or inrpnrvcs thcrcrn. and who docs such work himsclf or hcrsclf or through his or her own cmployccs.
providcd that such improvcrncnts arc not intended or offercd fbr salc. l[ howcver. thc building or irnprovemcnt is sold within onc ycar
of complctiorr. thc Owncr Buildcr will havc thc burden of proving that hc or she did not build or improve thc propcrty for thc pur;nse of
salc).
_1. as owncr of thc propcrty, am cxclusivcly contracting with liccnscd conlraclors to construct thc projcct (Sec. 7(W. Busincss
arrd Profession Codc: Thc Contractor's License Law docs not apply to an owncr of propcrty who builds or improves lhcrcon.
and who contracts for such projccts with a Contracto(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
-IamexemptundcrScction-.B.&P.C'forthisreason.
WORKERS' COMPENSATION
DECLARATION
I hcrcby affirm undcr pcnalty of perjury one of the following declarations:
haveandwill rnaintainaCcrtificatcofConsenttoSclf-lnsurelbrworkcrs'conlpcnsation.as providedforbyScction3Tfi)ofthc
l.atxrr Codc,tbr thc pcrtirrnurncc of thc work fbr which thc pcrnrit is issucd.
7D nou"and will rnaintain workcrs' compcnsation insurance, as rcquircd by Scction 37fi) of the L:bor Codc, for thc ;rcrformancc of
for which this pcrrnit is issued. My workcrs' compensation insurancc carricr and plicy number are:
Alller,t lurrrerc 5u-}r., f .,
thc work
Numbcr. CA laoo IO at to t Expires: to lot lzo c t
_l certify that in thc pcrfornrancc of thc work for which this 5rcrmit is issucd. I shall not cmploy any pcrson in any mantrcr
so as to becornc subjcct to thc workcrs'compensation laws of California. and agrcc that if I should become subp.ct to thc
workers' compcnsation provisions of Section 3700 of the L:bor Codc. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccurc workcrs'comJrcnsation coveragc is unlawful. and shall subject an cmploycr to crirninal pcnaltics and
civil fines up to onc hundrcd thousand dollars ($100.0001, in addition to thc cost of compcnsation. damagcs as providcd for thc
3076 of thc l,rrtnr Codc, intcrcst and attorney's fccs.--lamct -D.{. lq^,e '5.2.1 - ZOZ t
LICENSED CONTRACTOR
DECL{RATION
I hereby affirrn undcr pcnalty of perjury that I am licenscd under pmvision of Chaptcr 9 (commencing with Section 70m) of Division 3
of thc Business and Prrrfessions Codc, and my license is in full forcc and effect.
curs Dfr Licensc Numbcr:75 u 30Licensc
-2O21 R?ftj D f-.,r.c - D11.|..love J
W
I hercby aflirm undcr lEnalty of Frjury that thcrc is a onstruction lending sgcncy for Ihe pcrforffie of thc work for which this IErmil is
issued (Scc. 3097, Civ. C.).
Namc:
Address:
APPLICANT DECLAITATION
I hcreby affirm undcr pnalty of perjury onc of thc following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Titlc 40. Part6)
_Rcquircd lrttcr of Notification
_l certify that the federal regulations rcgarding asbstos removal arc not applicable to this project.
that I have rcad this application and state that the atnvc information is correct. I agrcc to comply with all City and County
ordinanccs atrd Statc Laws rclaring to building constructio[ and hercby authorirc rcprcsntativcs ofthis City and Counly to cntcr ulnn thc
abovc DA o*". b'Z4-?oz l
nanre (orinr): 7t *.+toz Dr,&n"-
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