HomeMy WebLinkAbout20173217 - PermitProject Address: 3901 S Main St
Assessor's Parcel: 411-121-08 Lot: NA
Unit:
Block: NA
Bldg.
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: M1
city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927O2 Electrical
PermitCounter: (714]-647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #i 2o^173217
Pin #: 17357
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Sacher Main ans Stevens LLC
301 Forest Avenue
Laguna Beach, CA 92651
(s4s) 497-3371
D L Hann Painting, lnc.
8625 Central Ave. #D
Stanton, CA 90680
(7141 724-23s0
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 5160:^
01 1 16002 s1603
01 1 16002 51603
01 1 16002 5360'
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1.7O
Light Fixtures 1 .1 3
Heat Pumps 104.40
FWU 26.71
Dedicated Circuit 26.71
Low Voltage/Comm 36.50
Time Clock 13.03
0-1 HR KW or KVA 3.84
Over 1-10 HP, KW or K\ 25.09
Ptc - 6s% 0.6s
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
27.00
25.00
71 00
2.00
200
10.00
100
1 .00
2.OO
200
765.33
100
1 .00
100
Fee
$42 39
$42 s0
$80.23
$208 80
$53 42
$267 1 0
$36 50
$13 03
$7 68
$s0 1I
$497 46
$23 79
$s9.30
$4 05
State Lic #: 600226
Lic Type: B
Bus. Lic #: 189'144
Workers' Compensation lnsurance:Carrier: California lnsurance Company
Policy #: 4600790101
Expires: 06/01 12022
Building Use:
Job Type:
Nature of Work.
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type.
Code:
Date:
Date:
Date.
B, S.1
ilt B
cEc 2019 Notes: Electrical for tenant improvernent
,u: flrilorote5
2 rif 4
2rr 1 '7 3217g:36 AH
;5rt-l12,?t-t
Planning Conditions:
Planning Approval By:
Plan Checked By: Smith, Mark
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 1 01 1 06 147
05to712021
06/30/2021
Account#
Misc. Receipt: 75472
Misc. Receipt:
Misc. Receipt:
Total
.t L n{.uilt rtrt
Genernl F'lnr
.i1 1.1 601': - 3 i
Electr i cnljl I 160rr?- I,I
li icroi i im &
J1116lrtr?- 5;r
ICL (:hecir
sLILi
S Ir r Lll2 * ''il.
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 afterthe time the work is
commenced.
lnspector MID#' 2021-164912
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$861 .1 3
$4 0s
Fee Total
Paid to Date:
Balance Due:
$1,386.43
$497 46
$888.97
ELECTRICAL-I NSPECTO R RECORD
no n7 ont tr
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEL(LIRATION
I hcrcby affum undcr pcnalty of pcrjury Ihal I an cxcmpt ftom thc ContractoE' Liccns Law for thc following res$n (5&.7031.5
Busincss ard Profcssion Code): Any City or County which rcquircs a lf,rmil to @nstruct. allq, improvc, dcmlish or rcltsir any
slrucluc. prk r lo its issuecc. also rcquircs thc applicant for such Frmit lo filc s signcd statcmnt lhal hc or slE is liccnsd prjuant
lo lhc prcvisions of thc Contractor's Liccnsd ljw (Chaplcr 9, Commcncing with Sction 7000 of Division 3 of lhc Busircss and
PrcfcssbDsCodc)orlhathcorshciscxcmptthncfrcmildthcbrsisforthcallcgedcxcmption. AnyviolationofSccliotrT03l.5byany
applicant for a JErmil subjcts lhc applicant lo a civil pcnalty of not mrc than fivc hundrcd dollus ($500).
-1.
as owncr of thc property, or my cmployccs with wagcs as thcir solc compensation. willdo the work &nd thc structurc is not
intendcd or offercd for sale (Scc.704+. Busincss and hofcssions Code: The Conlractor's Liccnsc [-aw does not apply to an owner of
the propcrty who builds or improves thcrcon, and who docs such work himsclf or hcrsclf or through his or hcr own cmployccs.
providcd that such improvernenls arc rrtt intcndcd or offcrcd for salc. If, howcvcr. the building or improvcnrnt is sold within one yc:u
of cornphtion. thc Owncr Buildcr will have the burdcn of proving that he or shc did not build or inprore thc propcrty for thc purpose of
salc).
_1. as owncr of thc property, am cxclusively contracting with liccnscd contractors to construct the projcct (Scc. 7W, Busincss
and Profcssbn Codc: The Contraclor's Licensc Law does not apply to an owncr of proSrcrty who builds or improvcs thcreon.
and who conlracts for such projccts with a Contracto(s) Iiccnscd pursuant to the Contraclor's Liccnsc hw).
_l amcxcnrpt undcr Scction_, B. & P.C. for this rcason.
Il..r^.
}VORK E ILS' COI\T PENSA'tION
DI'CLARA'I'ION
I hcreby alllrm undcr pcnalty of pcrjury onc of thc tbllowing declarations:
-l
havc and will maintain a Ccrtificatc of Conscnt to Self-lnsurc for workcrs' compcnsation. as providcd for by Scction 3700 of thc
Lahor Codc. for thc ;rcrformancc of thc work for which thc pcrmit is issued.
-l
havc and will rnaintain workcrs' cornpensation insurance, as rcquircd by Scction 3700 of thc Labor Code, for thc pcrformance of
thc work tbr which this pcrmit is issucd. My conrgrcnsation insurancc carricr rmd prlicy nunrbcr arc:
Policy Numbcr:4L - c)o*/ ?a i ' O I ' l8 Expircs:L/, / eoar,,--(
-l
ccrtify that in thc lrcrformancc of thc work for which this permit is issucd. I shall not cmploy any lrcrson in any manncr
so as lo bcconrc subjcct to the workcrs' compcnsation laws of California, and agrcc that if I should bcconrc subject to the
workcrs' compcnsation provisions of Section 3700 of the l^atnr Code, I shall. forthwith conrply with thosc provisions..
WARNING: Failurc to sccure workers'comJrcnsation covcrage is unlawful. and shall an cnrploycr lo criminal pcnaltics and
civil fincs up to onc hundred lhousand dollars ($100,0001. in addition to thc of damages as providcd for thc
Scction 3076 of thc Labor Codc. intcrcst and attorncy's fccs.
o*u, L' 00' ea L?
I hcrcby atlinn undcr pcnalty of pcrjury that I am liccnsed undcr of Chaptcr 9 (conrmcncing with Scction 70m) of Division 3
of thc Busincss and Professions Codc. and rny liccnse is in full force and cllcct.
Liccnsc
Da,": h' %. eo z.)
I hcrcby atfirm undcr pcnalty of pcrjury that thcrc is a construction
issucd (Sec. 3097, Civ. C.).
lrndcr's Namc:
agcncy fbr thc pcrlbnnancc of thc work for which this prnrit is
hndcr's Addrcss:
APPLICANT DECL.TIIA TION
I trcrcby afl'irm undcr penalty of prjury onc o[ thc following declarations:
Dcrnolition Permits-Asbcstos Notification Fcdcral Regulations (Titlc 40, Part6)
_Recluired lrttcr of Notification
_l ccrtify that thc t'cdcral rcgulations rcgarding asbestos rcmovalare nol applicable to this projcct.
_l certity that I havc read this application and statc that thc utrrve with all City and County
and County lo entcr u6rn theordinanccs and Statc Laws rclating to building
abovc nrcntioncd proprty for
Applicant or Agent
Pernrilee nanle D ,,ru. L.lo . eoz)
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundi ns I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)tl It ,
Walls (Rouqh)ft?3t2r Wkh,tbt rffi
Ceilinqs (Hard & Soffit Rouqh t
twbl UUU(%YK A?/
Ceilings (T-Bar Rough)I 'trufta/CUgrlca/d )
N/eter Release
Rough
Service N/eter t//h ,a
FINAL /a/1//22 AArZU Tfr(X/
Notes, Remarks, Etc.
'l
Owner:_
and
is corrcct. I