HomeMy WebLinkAbout20165826 - Permit (2)Permit #: 2O165426
Pin #: 3,20E'2
Project Address: 301 1W Warner Ave
Assessor's Parcel: 408-0'l l-04
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 3011-30'19
Historic: No
Suite Range:
Zoning: M1
q
Owner:
Address
Contractor
Address:
Phone
Tenant Name
Verizon Wireless
3011 W Warner AYe
Santa Ana, CA 92704
J & N Electric
17107 Rosenton Ave
Artesia, CA 90701
(562) 924-0031
01 116002 51603
0'1 1'16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 53601
01 1 16002 51600
01 1 16002 51603
Fee Type Amount
Dedicated Circuit 24.79
LowVoltage/Comm 33.88
Subpanel 53.28
Over '10-50 HP, KW or I 45.21
Ptc - 65% 0.65
General Plan Update 22.08
lssuance 55.04
Qty
13.00
1 .00
2.00
'1 .00
458 02
1 .00
1 .00
Fee
$322.27
$33.88
$106.56
$45.21
$297 .71
$22.08
$s5.04
State Lic #: 323536
Lic Type: C-10
Bus. Lic #: 356445
Workers' Compensation lnsurance:Carrier: State Compsnsation lnsurance Fund
Policy #: 9228186
Expires: 03116/2019
Botch +
tlf f ice
Acct+ !
Rcpti I
transo(
J6 H E
Geaerol
011160i
Electr i
0111601
V isq
gC+: rl
9 /28/2918
Tronsi:34
kef+:- 9/28/2$Lg
?016
? rug
i6s3.on Totql
B, F-l
III B, SPK
cEc 2016
n LJpdote Fee
;1600000-
i1603000-
i****rr3047Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
Elect Tl
Every pemit issued shall become invalid unless the work on the sile
authoized by such permit is commancod within 1 80 days aftet its
issuanco, or if the wgd< authoized on the site by such permit is suspended
ot abandoned for a peiod of 180 days aftet the time the work is
commenced.
lnspector MID#: 2018-141608
$22.08
$562.96
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectlon: (714) 647-5853
Lot: POR 4
Phone:
Arth + , ,;,'
Guevara, Jerry
Smilh, Mark
Chavez, Davee?
05/09/2018
05/r6,2018
09/28/2018
Account#
Misc. Receipt: 70 4
Misc. Receipt:
Misc. Receipt:
Total
Notesr
Fee Total:
Paid to Date:
Balance Oue:
Occupancy:
Constr Type:
Code;
Date:
Dale:
Date:
011'16002 51600
01 1 16002 51603
$882.75
$297 .71
$585.04
DATE ID/SIG.COMMENTS OIINIiR AUILDER DELCARATION
I hcrchy oifim undcr lcntrlry of !.rjuy lhll I aD excmnl lmrn lhc Conrracron l.tcise 1,0{ r'or rhe rolldwine rc!{ (se 70:11.5
Blsinc$ lnl Pmfc\rion Codc) Any Ciry or Counry $hth rcquires s Fnnir ro .on{tu.r. ahct. rnPruvc. (hnrlnh or rD{t any
dru.'urc. pri(trro ns hsumcc, dho nqutcs thc,ppli.dnr lnrsu.h lEnnil ro li,c a si8trcd natrmnl thut hco! shc i\ liccnsli l .surir
h rhc px,vht r olrhc Conrractr's ljc.ed ljw (Chaprcr 9, Co'nmc .ii! wirh S.crion 7fiD ot Divnion I ofrnc Busincs and
Prclcssions Codc)orrhd h.orsh. hcxcm rhcrclioNand rhchrsi! fnrhc illqcd cxcmfliotr. Any violali,nofSecrionT0.ll5 hrany
lprlicitrr for o pcrnir subjNls'nc lpplicanr ro acivilFoalryofnor m,c rh3. fivc htrndrcd dollai\ (1500)
_1. r\ owncr ol rhc ptr,Fdy. or my cmplotccs enh wagcr nr r hcn ek Ntr{xnsarion. *ill do E work ond ltE slulmi\ n,l
inrcftl.rl or offcrcd r.r ek lsd.ro14, Busincss ond Pmr.ssi,n* codc: Thc Conr.dors Li.cnrc L.E docr nol arply ro an6*ncr or
lhu nmrcny who buids or inrlrmvcs lhc@n- ard *lm des sEh qo hnnscllorhcGclforrhmushhnorh.r.wncmtloyccs,
l)rolidcd rhsr :u(h i'ntln,hmnt rru mr inrox|t or .ffcR{ f(r *,L. la h{8 , rhc ttrihin8 or nrlr.tlrEnt is bll wirhin orc ra
of.odpLrion. rhu Ow.cr auiucr qillhrvc lnc bxrdcn ol pmving rhd lr or (hc did tror builil or inlPoE rhc F)pcny ri'r rhc ]rurIh\c of
l.,sowNr oirhc pop.n!- a'n.rclu\nrlycotrkxcrin8 wirh lircn\cd r.trtarh\ ro.rtr$ntd Ihc t'nrlcct iSN. ?(}tl. Buems
rM ri.fNsinC'odcrTh.(lonr&roisLiccnscl-rwdocsn.rrptlrroino$nsoipro!.ny$h{)huil&orin,tn,v.srhfco,
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I iDcxc.rDr u.Jcr SL{'ion
Daler Orre.:
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DICI,IBAIIQX
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-l
hrvc lndBillmoinhin 0CcrlifiurcofConscnrr. Sclflnsure lor {orkc^ co !,.ns t,n,,\ pi.vidcd itr 6y Scction l7o{r or lhc
L.trtr Codc. ror rhc pcrlo.nEtrcc ot thc *o* ,o. which thc pcrnrir n h{cd.
_l hrirn NillnrirllinsorkcFco'nncn\r(ioiinslBncc.rsrc+irdhysc.ri(,n]7morrhcLahuralxlc.iorrhcp.'ri,ntucc.l
rtu rork,nr which rhhlcrfrir ir iskd Mywork.A contrnsrrion nNurlno.rftlctmd p.licy numhcr sc
f-r^
Vlolfi(t
I (dilirhrr i'! rhc Nnnnun.cofrhc q.rk frr shichrhis |fnnii n n{'cd. l $rll nol cu otrnvr.Aon ir riy.rnocr
si N b hcsrm nrticcr t) th. *olk.n dxnpc.\dnn, hr\ olCtrlihnii. tr'xl i8r. hd 1rl shotrkl hccom {$Fcr ro rhr
workcn conrp.n\rrionIohiof\olSccridr.l?0Oolrhc l: rnC( c. ! shrll. hnhqirh.omfly silhrhsc nn)vi\n,n\
WARNIN(;: Frihr ro r.urc workcr'conf.ns ion c.rcngc i\ ntrh tl. lnd shrll \rbF.r d cnpk,y.r ru.rirnioill]cMllics ond
civil fincs up k) onc hundrcd rhousod dollors (SlU).mO). in iri.f b rh. rod of confrn\nrior, dr ug.s r\ pr,lidcd tur rh.
aIq/8"
inrcrcn ro.lxt(nmy \ ltcsX
I h.nhy rfllrmxnder pcnalry or p.rjury thd I arn li.cn*d lndcr EovGion olChrplq 9(co'nmncin-s *irh Setirtr 7uD) oIDivkio.:l
oI th. Burirc.s otrd Pmfcsions Codc- lnd my liccnE is in full lhc and cr..r
la9liLgifi# .,".-"-dJ
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CANflBIJCIIAN"LENDINC.AGINCT
Ihcrch,stlirdunderFnaliyorpcrjuryrh rhcrd ii0..ndtucrk,n kMi6EaBcr.ylbrlhcp€,fo,rBmc orrhc woik I*Phich rhis Fiinit is
n{rcd rsuc :10'J7. Cir C ).
l-lccn'[ thd lhc lcdsil rsuhron\ rsJlrn8 !.h..r^. rflm\Jl$ n,n rnpl'\rblc h rh.s fniRt
I
$l lfd'ryrh lhtrkrddrhs0r,Fkrnn id {.'A\A,r rhc 0h.tc,nrc,turnn r."ncd lasmror',mnl,
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1p#
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Sollit Rouoh
Ceilings (T-Bar Rouoh)
Rouqh 3-l D,RI,IC]
Service lrleter V
FINAL t'9"lr *JLTA
Notes, Remarks, Etc.
ELECTRICAL-INSPECTOR RECORD
APPROVALS
AIILICANLIIICI.AB6.IPN
I ho.t y lrIm un.lq rcnalry orl'.rjuryom ofrh. rollowing i,cclarariotrs:
Dcnrlition Pennits-Asbcnos Norific i(,n F.dcrxlRcsulsrions(Tirlc 41). P,n6l
-Rcquncd
kllcr of Norifi calion
lt/leter Release
I