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HomeMy WebLinkAbout20170960 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical PermitCounter: (714)647-5800 lnspection Requests. (714)667-2738 InspectorSection: (714\6a7-5853 Permit #:20{70960 Pin #: 1 74 Proiect Address: 3900 S Bristol St Assessor's Parcel: 412-131-22 Lot: NA Unit B Block: NA Bldg: Tract: NA Address Range: 3800-3950 Historic: No Suite Range: Zoning: CR State Lic #: 948265 Lic Type: B Bus. Lic #: 371314 Workers' Compensation lnsurance:Carrier. Ace American lns Co Policy #: WLRCGG044129 Expires: 1213112020 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Building Use. Job Type: Na .tre of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Arne Youngman, SDG/Pacificl/oungma One Gorporate, Suite 200 Newport Beach, CA 92660 (949) 760-8591 Hobby Lobby Hobby Lobby Construction 7707 Southwest 44th Street Oklahoma City, OK 73179 (405) 74s-15s7 01 1 1 6002 01 1 1 6002 011 1(\002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 5002 01 1 1 6002 01 1 1 q002 01 1 1ri002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 16002 01 1 1 6002 51 603 51603 51 603 51603 51603 s1 603 51603 51603 51 603 51 603 51 603 51603 s1 603 51 603 51603 51603 Qty 62.00 26.00 607.00 12.00 8.00 1.00 1.00 52.00 3.00 5.00 2.00 2.00 9.00 4.00 2.00 1.00 2,361.98 1.00 1.00 1.00 Fee $97.34 $44.20 $685.91 $320.52 $2t 3.68 $26.7 1 $36.50 $179.40 $s2.17 $287.00 $31 3.02 $26.06 $34.56 $100.36 $ee.56 $1 13.06 $1 ,535.29 $23.7e $5e.30 $4.05 Fee Type Amount 125 Volt Receptacle 1 .57 Light Switches, Occ. Se 1.10 Lrght Fixtures 1 .1 3 FWU 26,71 Dedicated Circuit 26.71 Track Light Per 100' 26.T1 Low Voltage/Comm 30.50 Add'l Devices/Low Volt 3.45 Control Panel 17.39 Subpanel 57.40 Subpanel 156.51 Time Clock i3.03 0-1 HP, KW or KVA 3.84 Over 1-10 HP, KW or K\ 25.09 Over 10-50 HP, KW or l 49.78 Over 50-100 HP, KW or 1 13.00 Commercial Addition Tl/Addition Occupancy: Constr Type Code: Date Date: Date. B, M, S-1 V B, SPK cEC 2019 1 1 6002 53601 P lC - 650/o 0.65 01116002 51600 General Plan Update 23.19 01 1 16002 51603 lssuance 59.30 01 1 1 6002 STmAGsMicEl8lonrRmqdqi/addition 4.05 Smrth, [t/ark Chavez, Dave )>u- 06/05/2020 07 t23t2020 Accou nt# Misc. Receipt: 7425'l Misc. Receipt: Misc. Receipt: Total $2j 79 $2,689.35 $28s.72 $4.05 01 1 16002 51600 01 1 16002 s1603 01116002 53601 01 1 16002 57770 Fee Total. Paid to Date: Balance Due: $4,252.48 $1 ,249.57 $3,002.91 Buirdins Permit #: 1 01103381 Every permitissued shall become invalid unless the work on the site authorized by such permit is commence,l wilhin 360 days after ifs issuance, or if the work attthorDed on tlte site bv such permit,s suspendecl or abandoned for a period of 360 days after the \me the work is commenced. lnspector MtD#'. 201 9-155793 ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNIiR BI.' II,DER DD,I,CARATTON I hcreby affirnr under penalty of perjury that I arn exenrpt fronr the Cbntractors' License [:w for the following rearcn (Sec.7031.5 liusiness and Profession Codc): Any City or County which rcquires a pcrmil to construct. altcr. improve. demolish or repair any structurc, prior to its issuance. also requires the applicant for such pennit to file a signed slaternent that lr or she ls licensed pursuanl to thc provisions of thc Contractor's l.iccnscd Iaw (Chapter 9. Commcncing with Section 7000 of Division 3 of the Busincss and Professions Code) or that lre or she is exempt therefronr and thc basis for thc alkged exemption. Any violation of Section 7031.5 by any applicant for ir pennit subjects thc applicant to a civil penalty of not more than five hundred dollars ($5tXt1. _1. as owncr ol'the property. or my ernployccs with wages as their sole compensation, willdo thc work and the structurc is not interrdcd or offered for sale (Sec.7H4. Business and Pnrfessions Ctxle: The Contractor's License Law does not apply to an owner of the pnlperty wlro builds or imprcves tlrcreon, and wlxr does such work himself or lrcrself or through his or lur own entployees, providcd that such irnprovcrnents arc not intcndcd or ol'fered l'or salc. Il, however, the building or improvcrnent is sold within onc ycar of completiorl the Owner Buildcr will havc the burden of proving that he or she did rxlt build or imprcve thc prcpcrry for the purpose of sale). _1. as owner of the property, am exclusively contracting with licensed conlractoni to construcl the prcject (Scc. 7044, Business anri hotbssi<nr Corle: The Contractor's License Law dtrs not apply to an owner of property who builds or inrproves thereon. and who conuacts for such projccts wilh a Contractor(s) liccnscd pursuant to the Conuactor's Liccnse kw). _l anr exempt under Section-, B. & P.C. lbr tltis reason. WORKI,IIS' COTIT PENSATION DECLARATION I hcrcby aflirm under penalty of pcrjury onc of thc lirllowing dcclarations: _l have and will nraintain a Certilicate of Consent to Self-lnsure for workers' compensation, as providcd for by Section 3700 of the Labor Code, for the Jrerformarrce of the work for which thc pcrrnit is issued. _l have and will nuintain workers'insurarrce, as required by Section 3700 of lhe Labor Code, for lhe ;rcrfonrmtrce of thc work lirr which conrprensation insurancc carricr arxl lxrlicy nuntbcr iu'c: O .D Policy _l ccrtify that in thc lrcrfornuncc of thc work frrr which tlris pcrmit is issucd, I shall not cmploy any ftcrson in any manocr lio as to bccomc subject to lhc workers' conrpensation laws of California. and agrce that if I should beconr subjcct to thc workers' conrlrnsation provisions of Section 3700 of the Labor Cqle, I slrall, forthwith conrply with thosc provisioru.. WARNING: Failure to secure workers'compensation covemge is to crirninal pcnahies and civil IIrcs up to oue hundred thousand dollars (S100.000t. in danugcs as provided for the attorncy's [ces. I hereby affirnr under penalty of perjury that I anr licensetl under provision of Chapter 9 (cottrnrncing with Section 7000) o{ Division 3 of the Business and Code, and rny license is in ful! force and effect., Liccnse a a CONSTRUCTION LENDING AGENCY I hereby aflirm undcr pcnalty of perjury that therc is a construction lending agency for the performance of the work ltrr which this pcrmit is issued (Sec. 3097. Civ. C.). [-cnder's Name: lrndcr's Address: APPI,ICANT DECI,ARATION I lxrcty aflinn undcr penalty of pcrjury onc of thc lirllowing dcclaralions: ' Dcnrolition Pcrntits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Part6) -Rcquired lrttcr of Notification to this projcct. agrcc to conrply with all Cily and County of this City and County to entcr upon thc ab<lve mcntioned property for inspection Applicant or Agent Pcrntitcc nanle asbcstos rcrnval not *n -,2#,2@ Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding I Grounding I UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factorv Wired Unit Walls Walls (Roush) Ceilinqs (Hard & Soffit Rouqh Ceilinqs [-Bar Rouqh) N/eter Release Rough Service N/eter /t A FINAL 'LlzLttt Jtr- T5L,I Notes, Remarks, Etc.t,\/.tl \.o pl ?p a --'U t v I -, Rev. 08-07-2015 o .'Y ,)