HomeMy WebLinkAbout20173848 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2o^173848
Pin#: TOW
Proiect Address: 3332 S Bristol Sta
Assessor's Parcel: 412-141-22 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 3300-3398
Historrc: No
Suite Range.
Zoning: C4
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address:
Phone
CP Bristol SA LLC
6400 S Fiddlers Green Cir Ste 1820
Englewood, CO 80111
(7201 4s3-5100
Dave's Hot Chicken
Visible Graphics lnc
9736 Eton Ave
Chatsworth, CA 91311
(818) 787 -0477
01116002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfilm Records
Amount
80 95
23.79
59 30
4.05
Qty
300
100
100
1 .00
Fee
$242 85
$23 7e
$59 30
$4 0s
signs for' . ,
,rot107340.'
State Lic #: 745555
Lic Type: C45
Bus. Lic #. 32182,,l
Workers' Compensation ! nsurance:Carrier: CompWest Insur Co
Policy #: WCV5900022
Expires: 0511212022
Botch+:601186'7/27/2A21 I0: Griloraleslli
0f i i ce: C IYH Trnns* : 7tt 1 of 2
Accti: tief*: 2017381S
Rcp bi : Ll33:i8648 7 i 27 i 2it2t L?t 46 F H
lronsoct ion TotaI t91 4.+9
Visible Grqphics Inc
iBritdi,rg Use:
.Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Signs
Signs-illuminated
Chavez,
Occupancy.
Constr Type:
Code:
A-2
VB
cEc 2019
Notes:lnstall (3) illuminated channel letter wall
"Dave's Hot Chicken", bond included on
oavlVtL
Date:
Date.
t Date:07 t27 t2021
Account#
Misc. Receipt:
Misc Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 1 01107 340
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
,ssuance, or if the work authorized on fhe site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23 79
$302 1 5
$4 05
Fee Total:
Paid to Date:
Balance Due:
$329 9e
$0 00
$329.99
lnspector MrD# 2021-1648 15
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNERBUILDERDELCARATION .
I hcreby affrm under pnalty of prjury that I m cxctrrpt frcm thc CrntreloN' Licens kw for thc following rcasn (Scc.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a lrcmit to construct, altcr, impmrc, dcmlish or rcpair any
structurc, prior to its issuare, rlrc rcquircs the applicant for such pcrmit lo lilc a signcd st.hrenl thot lrc or she is liccnsd pursuant
to lhe prcvisions of thc Contrrctor's Licenrcd taw (Choptcr 9, Comncing wilh Setion 700O of Division 3 of thc Busincss 8nd
PrcfcssionsCodc)orthathcorshciscxcmptthcrcfromandthebasisforthcsllcgcdcxcmption. AnyviolotionofsstionT03l.5byany
applicant for a Jrcrmit subjccts thc applicant to a civil pcnalty of not mrc than fivc hundrcd dollus ($500).
-1.
as owner of thc propcrty, or my employees with wagcs as thcir sole compcnsation. will do the work and thc structurc Ls not
intendcd or offered for salc (Scc.7044. Busincss and Professions Codc: Thc Contraclor's License [:w docs not apply to an owner of
thc property who builds or improvcs theruln, and who does zuch work himsclf or hcrself or through his or hcr own employees,
providcd that such improvcnrcnts arc not intendcd or oflbrcd for salc. If, however. thc building or improvcrnent is rcld within one )Ear
of cornplction, the Owncr Buildcr will havc thc burden of proving that he or shc did not build or improvc the propcrty for the purynse of
salc).
-1.
as owncr of thc proprty. am exclusively contracting with licenscd contraclors lo construct the projcct (Scc. 7W, Busincss
and hofcssion Codc: Thc Contraclor's Licensc Law docs not apply lo an owncr of proprty who builds or improves thereon,
and who contracls for such projccts with a Contracto(s) liccnsed pursuant to lhc Contractor's Liccnse l-aw).
_l am cxcmpt undcr Scction_. B. & P.C. for this rcason.
I)atc:Owrter:
w(fRKE rts' COMPENSATT(rN
DECLARATION
I hcrcby affirm under pcnalty of pcrjury one of the following dc.clarations:
-l
havc and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
labor Codc. for the pcrformance of the work for which thc p,crmit is issued.
-l
havc and will maintain workcrs' compensation insurance, as required by Section 3700 of thc labor Codc, for the performancc of
thc work for which this pcrmit is issued. My workcrs' compensation insurance carricr and policy number arc:
Cu,ri.r, ' <-OAP (, e t f
l}v OO g -LLoPolicy
-l
certify that in thc pcrformancc of thc work for which this pcrmit is issucd. I shall not employ any pcrson in any manncr
so as to bccome subjcct to-thc workers' compensation laws of California, and agrcc that if I should bcconrc subjcct to the
workcrs' compcnsation provisions of Scction 3700 of thc Latnr Code, I shall, lbrthwith comply with thosc provisions..
WARNING: Failure to securc workcrs'comgrcnsation coverage is unlawful. and shall subject an cmploycr to criminal pcnalties and
civil fines up to onc hundrcd thousand dollars ($100,000), in addition to thc cost of compcnsation. damages as providcd for the
Scction 3076 of the [:bor Code. intcrcst and attorney's fccs. I
r}-'Ll
I hcrcby affirrn undcr pcnalty of pcrjury 3
of lhc Busincss and Professions Codc, and my license is in full force and effcct.
Liccnscctass:. C-{S LicenseNumbcr:- -}tltSlf S-
Date:D ?aZ?-' Z*
W
I hcrcby affrm under pcnalty of JErjury that thcrc is a onstruction hnding sgcrcy for thc lf,rfomc of thc work for which this pcrmit is
issucd (56. 3097. Civ. C.).
bndcr's Namc:
lrnder's Address:
APPLICANT DECLARATION
I hcreby affrrm under penalty of pcrjury one of thc following dcclarations:
Dcrnolition Pcrmits-Asbestos Notification Fcderal Rcgulations (Title 40, Parl6)
_Required trtter of Notification
lrtcnitythat the fedcralrcgulations regarding asbestos rcmoval are not applicablc to this project.
-l
ccrtify that I have read this upplication and statc that thc atrove infornution is corrcct. I with all City and County
and County to entcr uJnn theordinanccs and State laws rclating to building construction. and hereby
abovc nrcnlioncd propcrty lbr
Applicant or Agent
Pernrilce n$me K
K orr" *'L?-L
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor A
Bonding I Grounding I UFER
Transformers \J
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
[Vleter Release
Rouqh ff-Dr.zl
Service N/eter V'I \A'\
FINAL k-"74J ut[/ t
Notes, Remarks, Etc.(/'\-/
-D
CJ,-.., nO n7 Onltr
/n\
VWIIT