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Home My WebLink About20173225 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrica! Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:20173225 Pin #: 199OOtu Proiect Address: 3301 S Harbor Blvda Assessor's Parcel: 414-221-23 Lot: POR 1 Unit: 113 Block: NA Bldg: Tract: 1013 Address Range: Historic: No Suite Range: Zoning: Ml Owner: Address: Phone: Tenant Name: Contractor: Address: The Rittermal Family PO Box 22621 Carmel, CA 939220621 (310) 3844040 The Goodfellas Group LLC 5 Star GC lnc 19881 Brookhurst St #C 120 Huntington Beach, CA 9264 (310) 500-0316 01 1 16002 51603 01 1 16002 51603 01 1 16002 5360' 01 1 16002 51603 01 1 16002 s160C 01 1 16002 51603 01 1 16002 5777C Fee Type 125 Volt Receptacle FWU PIC - 650/o Min Fee Adj Genera! Plan Update I ssuance Microfilm Records Amount 1.57 26.71 065 105.59 23.79 s9.30 4.05 Fee $3 14 $53.42 $36 76 $1 05 59 $23 79 $59 30 $4 05 Qty 200 200 56 56 1 .00 1 .00 1 .00 1 .00 Phone: State Lic #: 1042892 Lic Type. B Bus. Lic #: 377752 Workers' Compensation I nsurance:Carrier: Exempt Policy #: Expires. Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval By: Plan Checked By. Permit lssued By: Subject to Field. Commercial Tenant lmprovement Tl/Change of Use Smith, Mark Zuniga, O,,,rr\/ Occupancy: Constr Type: Code: Date: Date: Date: B, S.1 VB cEc 2019 05/06/2021 06/1 0t2021 Account# Misc. Receipt: 75478 Misc. Receipt: Misc. Receipt: Total Notes: Electrical for cannabis distribution Fee Total Paid to Date: Balance Due: Buildins Permit # 101 10581 9 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. 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 $23 79 $221 45 $4 05 $286 0s $36 76 $249.29 Inspector MID#'. 2021-163685 ELECTRICAL.INSPECTOR RECORD 5 APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas. Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Darnpers Communications Cable Buildinq Under Slab / Floor Bondinq / Groundinq I UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinos [-Bar Rouoh) Meter Release Rouqh Service [Meter t//ra\ FINAL 'll (lzr TG(13 Notes, Remarks, Etc.\---/ OWNER BUILDER DELCARATTON I hereby affrrm under pnalty of perjury that I am exempt from the Contractors' License Law for the following re&son (Sec.7031.5 Business aml Profession Code): Any City or County which requires a permit to construct, alter, improve, denmlish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed staternent that he or she is licensed pursuant to the provisions of the Contractor's Licensed Law (Chapter 9, Commencing with Section 7fiX) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant frrr a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50tt1. _1, as owner of the profrerty. or my employees with wages as their xrh comlrcnsation, will do the work and the struclure is not intended or offered ftrr sale (Sec.7044. Business anrl Professions Code: The Contractor's License [-aw does not apply lo an owner of the progrerty wtn builds or impmves thercon, and whr docs such u,ork himself or herself or through his or her own employees. provided that such improvenrcnts are not interxled or offererl for sale. I[, however. the buikling or inprovenrcnt is sokl wilhin one ]t;r of comphtion. the Owner Buikler will have the burden of proving that tre or she dil not buill or improve the pruperty for the purp.rse of sale). -1, as owner of the property, am exclusively contracting with licensed contractors t() construct the project (Sec. 7044, Business and Profession Corle: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a Contractor(s) licensecl pursuant to the Contractor's License Law). -lamexemptunderSectit.ln-.B.&P'C.forthisreason. WORKI.'Rs' COMPENSATION Dfr'Cr ^lLdTIOr\I hereby affirm under pnalty of perjury one of the following declarations: -l have antl will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the Labor Code, for the performance of the work for which the permit is issued. _l have and will maintain workers' compensation insurance. as required by Section 37fi) of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and plicy number are: -â‚¬kâ‚¬Trzp.- Policy Number: ,EYnimc. {t r.rtitythat in the performance of the work for which this permit is issuetl, I shall nor employ any person in any mannertro ut; to becorne subject to the workers'compensation laws of Catifurnia, and agree that if I should become subject to the workers' "n*p.n*uiion provisions of Section 3700 of the Lahrr Code, I shall, firrthwith comply wirh those provisions.. WARNTNG: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crirninal penalties and civil fines up to one hundred thousand dollars ($l(n.fin),addition to the cost of compensation. damages as providetl for the Section 3076 of Lahrr interest and attorney's I I hereby aft-rrm untler penalty of perjury that I am licensetl Chapter 9 (cornrnencing with Section ?UX)) of Division 3 of the Business and Professions Code, and my license is in full ftrrce ard effect. / u ?"fr:License Number: /rz I hereby affirm under Srenalty of prjury that there is a construction lending agency issued (Sec. 3097, Civ. C.). perftrrmance of the work for which this permit is Lender's Nalne: Lrnder's Address: AI?LICANT DECLARATION I hereby affirm under pnalty of perjury one of the following declarations: Denrolition Permits-Asbestos Notification Federal Regulations (Title 40, Pan6) -Required Lrtter of Notification _l certify that the federalregulations regarding asbestos renxlvalare not applicable to this project. -l certify that I have r"oh*rplication and state that the atnve information is correct. I agree ro comply with alt City and County onlinances and State Laws rclating to building construction, and hereby authorize representatives of this City and County to enter uJnn the a On'ner: Applicant or Agent ,*,, q//?,U lDermitee nanle ( print):