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
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