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Home My WebLink About20172546 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 20172546 Pin #: 28270 Project Address: 1241 E Dyer Rd Assessor's Parcel: 411-131-36 Lot: NA Unit: 200 Blds Block. NA Tract: NA Address Range: 1231-1241 Historic: No Suite Range: Zoning: SD63 Owner: Address: Phone Tenant Name: Contractor: Address: Greenlaw Partneftt 1231 E Dyer Rd #240 Santa Ana, CA 92705 (949) 331-1316 KPRS Construction Servicet 2850 Saturn St Brea, CA 92821 (7141 672-0800 01 1 16002 51603 01 1 16002 51603 01 1 16002 5160C 01 1 16002 51603 01 1 16002 5777C Fee Type Low Voltage/Comm Min Fee Adj General Plan Update lssuance Microfilm Records tsntch * : 5S+?o 0f i ice: i:TyH .a.--!8rl-lLL t , . Itilrt* l0:i?1r'g; Jr'flrrBfict inn Qty Fee 1.00 $36.s01.00 $38.511.00 $23.791.00 $s9.301.oo $4.05 ii-.. r rr.l i., ;-,'I t.' . L. l', t_l ;1r 1,.. |: ;t .{t. (..r il it i ; .t ii .i. ,' .,,. .-r.* r., . .: i a.,:,'t l',h-i.i..!. .1.,:.-1..,u I ll :ir . r i i ,j -i.1,l.r- i .I.L, a Amount 36.50 38.51 23.79 59.30 4.05 ci I Ui.^/Ll: l It Si Phone State Lic #: 751130 Lic Type: B, A Bus. Lic #: 188704 Workers' Compensation lnsurance:Carrier: Everest Premier lnsurance Policy #: CA10004028201 Expires: 10/01 12021 I ULTI a.-a'.EF.til r I uri[t EE KF'RS Csrrstruct iBri Ser',rices Irrclbenef Ot F ItlIl UPOfiui:i 01 I 1601t2 - til,ir"il_r[r[r[r- f Iectr' icni ttl I loCIt-ti - :ilot-tJ[t[ttt" 11 icroi iim .\ Dscu,ileri ul I l6t"tt-t!* 3777[t[t[t[t- I (:L (:h ecll Llu? 71 ll$ ,, i- 7 {i134 " :.{1 14 , r..t:i .$ "i t 117 " t..t7 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 - Card Readers Occupancy: Constr Type: Code: Date: Date: Date: B VB cEc 2019 03/1 8t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Electrical for card readers. Fee Total Paid to Date. Balance Due: 't,[ Hernan dez, Kathy Buildins Permit #: 1 01 1 05614 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance, 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 s1603 01116002 57770 $23 79 $134.31 $4.0s $162.1s $0.00 $162.15 Inspector MID#: 2020-162058 ELECTRICAL.INSPECTOR R ECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby affrm under Jrcnslty of pcrjury that I m crcmpt frcm the Crntracton' Liccns kw for the following rc8sn (Scc.7031.5 Busincss and Profcssion Codc): Any Ciry or County which rcquircs a pemit to snslruct. alts, improrc. dcmlish or rcpair 4y structre, prbr to its issure, also rcquircs the applicant for such permit to file a signcd statcrcnt th.t lE or shc is licen*d pusumt to thc prcvisions of thc Contractor's Licensd kw (Chaplcr 9, Comncing with S$tion 7000 of Division 3 of the Business ed PrcfcssionsCodc)orthalhcorshciscxcmptthrcfrom.ndthcbasisfortheallcgcdcxcmption, AnyviolationofSectbnT03l.5byany applicant for a pcrmit subjccts thc applicant to a civil pcnolty of not mrc than Iivc hundrcd dollus ($50O), -1. as owner of the propcrty. or my cmployecs with wagcs as thcir sole compcnsation. willdo thc work and the structurc ls not intendcd or otTcrcd for sale (Scc.7044. Business and Profcssions Code: The Contraclor's Liccnse kw does not apply to an owncr of thc propcrty who builds or improvcs ttrcreon. and who docs such work himsclf or hcrsclf or through his or her own employccs. providcd that such improvcnrcnls are not intcndcd or offcrcd for sale. lf, howcver. thc building or improvenrnt is sold within onc )rar of conqrhtion, the Owner Buildcr will have the burden of proving thal he or she did not build or inprovc thc property for the purSnsc of salc). _1. as owncr of thc propcrty. am cxclusively contracting with liccnscd contractors lo construct thc projcct (Sec. 7W, Busincss and krofession Codc: The Contractor's Liccnsc Law docs not apply to an owner of propcrty who builds or improvcs thcrcon. and who contracts for such projects with a Contractor(s) licenscd pursuant to the Contractor's License Law). -lamexcmr,tundcrScctiott-.B.&P.C.forthisrcason.Dale: Owner:- UAUE&LCOMTENSAIIQN DECI.AMtrON I hcrcby affum under pmlty of prjury orc of the followhg delantbns: -lhave{dwill mintsinsCertifrcatcofConsnttoSelf-lnsurcforwork6'cotr{Enstion,as prcvidedforbySction3T00ofthe tibor Codc, for thc IErformrce of the work for which thc pcrmit is issucd. _l havc and will maintain workcrs' comlEnsstion insurorcc, s rcquircd by Setion 3700 of thc Lrbor Code, for thc pcrforlMcc oh thc work for which this permit is issucd. My workc$' @r{rcnsation imurarce tricr rnd policy number rc: cmier: Alt:-4 l*r,waqto fuqr.t. l*. ?.Policy cA, Jooo lo zv zo I to -, -zo2l _l ccrtify that in thc pcrt'orrnancc of thc work for which this pcrmit is issucd. I shall not employ any person in any manncr so as to becomc subjcct to lhe workcrs' compensation laws of California, and agrec that if I should bccome subjcct to the workers' conrpcnsation provisions of Section 3700 of thc Labor Code, I shall, forthwith cornply with thosc provisions.. WARNING: Failurc to sccurc workers' compcnsatiorl covcragc is unlawful. and shall subjcct an cmploycr to criminal pcnaltics and civil fines up to onc hundred thousand dollars ($100.000). in addition to the cost of compcnsation, damages as providcd for thc Scction 3076 of thc Lrbor Codc, interest t- F3' ?oal DECI-ARATION I hereby affirm under penalty of pcrjury that I am licensed undcr provision of Chapter 9 (commcncing with Section 7000) of Division 3 of the Business and Professions Code, and my liccnsc is in full forcc and cffect. License ctors OA Liccnsc Number:tl 70 zo. I Contraclor: W I hcrcby afILm undcr Fnalty of Jrrjury that thsc is s @nstruction hnding sgcrcy for thc pcrfomnce of thc work for which this pemil is issued (Scc. 3097, Civ. C.). [-ender's Nanre: Lcnder's Addrcss: APPI TCANT DECLARATION I trrcby affrm undcr pcnalty of perjury one of thc following dcclarations: Demolition Permits-Asbcstos Notification Fedcral Rcgulations (Title 40, Part6) _Rcquired lrttcr of Notification -l certify that thc l'cdcral regulations rcgarding asbcslos rcmovalare not applicablc to this projcct. _l ccnify th{t I huvc rcad this application od statc lhut thc trtDvc informtion is corccl. I agle lo comply with sll Cily snd County ordinorccs and Statc bws rclating to building construction. and hcrcby authoria rcprcrcntativcs oflhis City and County Io cnls utpn thc ahnvc mcntioncd propcrty ttlr Applicant or Agent Dare: 7'lt'2o2, Pernrilee name ( print ):T--n. D- }lbvi;t Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding I Groundins / UFER Transformers Torqueinct Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Roush) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Nleter Release Rouqh Service lVleter I FINAL lâ‚¬l{17 b{dd-6 Notes, Remarks, Etc. Dn.no n7 .,n{ tr