HomeMy WebLinkAbout20161465 - Permit (2)a)
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #:2O16{465
Pin #: 947971
Proiect Addressi 1622 3/4 N Main St
Assessor'sParcel: 005-153-20 Lot: NA
unit:WCC02 Blds:
Block: NA Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SP3
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
1666 N. Main St. LLC
16148 Sand Canyon Avenue
lrvine, CA 92618
(714) 878-ss3s
Alpha Omega Construction
25051 Earhart Rd
Laguna Hills, CA 92553
(949) 922-892s
Fee Type Amount
01 1 16002 51 603 Serv Meter 49.63
011'1600251603 Overl-10HP, KWorKt 21.69
01116002 51600 GeneralPlan Update 20.56
01116002 51603 lssuance 51.26
Qty
1.00
2.O0
1.00
1.00
Fee
$49.63
$43.38
$20.56
$51.26
State Lic #: 744096
Lic Type: B, A
Bus. Lic #: 345417
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9052368-2016
Expires: 0411212017
Botch+:356t-tg - ?126/2ttl6 I0: ELIZABETH
ttffice:CTYH 1p61nsi:14 2of 2A,:ct*: Refi: 2fl161465
It,:ptl:[t1632342 - 9/?6/2ltt6 9:39 Afl'Irnnsqct, ton 'Iotsl E915.ti3
Alphs 0oesn Construction
(ri:ir ,,tt'tr l P I ttti ljp tl,l i; i.j I--r:ti 6,lt.t . | " r
r.r i .i inr"l[l?- :i161-ll:lLll-lil
t-lIl:ti;r' i,:ttl il/r+ . l, ,r
r:tj. i 16Utl:- i;loLtJiltlLr-
tJ r str 'i'/1:1 .1.. i(.i:+!xI*rr***r*r|:143? Authi:t-tlC'4?4
lnstallation of 16 new walUroof mounted panels in four
groups of panels, plus two new cabinets and ancillary
equipment and screening. New 10'x9', platform with
no roof to install equipments located on the decU roof
of existing high rise building. ICC# ESR 2103 attched
to drawings.
I
\"6
$164.83
$0.00
$164.83
Building Use: Commercial
Job Type: Miscellaneous
Nature of Work: Cell Antennas
Date:
Date:
Date:
-29'
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
Occupancy:
Constr Type:
Code;
B
IIB, SPK
cEc 2013
(
09t2612016
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
q
t^
Planning Conditions: Screening required. All materials to match existing.
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Building Permit #: 1 0186859
A^r\
01116002 51600
01 1 't6002 51603
$20.56
$144.27
lnspector MID#: 2015-124429
Phone:
DATE COMMENTSAPPROVALSID/SIG.
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab /Jloor
Bondin / UFERIroundi ?11-70 c
TransformeV
Torqueinq
Sub-Panels
Air Conditioners \I
Roof Top Equipment 21? -20 I
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)I
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Rough)I
Meter Release rytq/2d\R-c2r7,t )
Rouqh \-/
Service Meter zls-w lLqe v
FINAL \\w.:zo i 4
Notes Remarks Etc.t\
1\I
v \-f
-)
Profe$ionsCode)orthalheorshciscrcrnpllhqefiomandthebasisforthcallegedercrnption. AnyriolationofSfrlionT{).ll.5byany
applicant for a pennil subjsts the applicant to a civil pen{lty ofnot rnore tha[ fi\'e htrndred dollars ($5(X)).
_1. m orvner of lhe propeny. or my empbye rvith rvage as their sole cotnpensation. rr ill rkr the Nork md lhe slnrdru-c Ls nol
intmdcd orofloedforslc(56.7044.Busin6sandProf6sionsCode'lhe('onnacbr'sl-iccnscL.\do6nolapplytoailoNntrof
lhepropeny shobuildsorimprovsth6on.trds'hodo6sucls'orthirnselforhoselforthft)ughhisorherosnerrpkrlecs.
providedthatsuch imp.ovonenlsdenotimorclsloroffaedforsle. If,ho\revtrthehrildirrgorinprorenrntiss:kl*ithirronelw
ofcornplelion. thc Owner Buildo uill have the trrrdo ofpoving lhat he or shc did nol build or irnprove the pr4u1!, for tllc purlFse of
ule).
_1. a owno of the properly. am erclusivcly contracting rvilh licmed conlraclos kr conslrucl the Dojccl (Ss. 7(H{. I}usiil6s
and ProfesionCode:'l'heContractor'sLicensc[-arvdo6not.pplylo[nownerofpropotys'hobuildsorirnprol'cslhcrcon.
and who conlrads for such projects wilh a Contractor(s) Iicensed pursu.nl lo the Conlraclor's License l,a*').
Drte,_ Otner: _ _
WO RKERS' COIIIPI]NSATION
DECLARATION
I hoeby aflirrn under penalty ofpajury onc ofthe following drlrations:
_l havc md will mintain a Certificalc of CoNent to Self-lnsure for rvorkos conrpmrtion. as trof idql for by Selion -1700 of thc
Labor Codc. for the pcrfomancc o f thc rvort for which thc pmit is issucd.
-lmexemptundersetion-.t].&P'C,forIhisreason.
PolicyNumtrer:g
_lhaveandrvillmainlainworkss'conlpensalioninsurnncc.as requiredbySeclioillT00oflheLabor(bde.forthepof(nlnmceof
the *ork for whichLhis pcnnit is i$ued. My workqs' cornpensation insurance can iq ord Jx)licy nunrbcr a e:
,^**,-, EvCe:.arff
h \[tn cs:
I cenify thal in lhe prforlrance ofthe s'ork for rvhich this permit is issred. I shall not onploy aD) person in anl nlanilcr
s as to becomc subjccl to lhc s'orkqs' contpcnsation las s o f ('ali fomia. snd asrce lhal i f I should becorne sutriet to thc
workfrs'con)pensationprovisionsofSeclionlT00ofthel.atxrrCode.lshall.forth$ithconrplyr!iththoscl)rovisions..
WARNINC: Faifure to scure $'orkcrs'coflrpcnsalion coleragc is unlasful. and shall subicct an enplorcr k) (Tinliral laratis and
civil finesuptoonehundredthouwnddollars($100.000).ifiadditionlolhccoslofcon4rcnsalion.danragesasl)ro\i(ledforthe
nnLl allorneJ s fccs.
LICENSED CONTRAC'TOR
DECLARA'TION
I hmeby allirm under penalty of perjury that I an licensed unda pro!ision ofChaptq 9 (conilnenciilg with Sccti(rn 7000) of Division l
of the Rusinss md Profssions Code, ild my license is in full force mdeff<t.
Setion 3076 dlhe Labor ( ode. int(61,?-zb /b
t"*.rruu. ' -4G: LicenscNumber: ' 74q O?
,^r",.%-rz--@)
CONS'I'RUC ION LENDING ACENCY
I h6eby amrm und6 penally ofpgjury that thec is a construction hnding agmcy for thc;nfonrance oflhe sork ftr *hich this pqmit b
issued (Sa. 1097. Civ. C.).
Lcndtr's Narne:
APPLICANI' DECLARATION
I haeby allim under penalty of perjury one ofthe follorving declaations:
Demolition Permits-Asbeslos Notification Fcderal Regulalions (Title 40. I'an6)
-Required
Lelts of Notifi cation
_l certify lhat the fcderal rcgulations rcguding mbestos rcrnoval are nol applicable lo this projret.
furotify Lutl have rear! this application md slate that lhe f,hle infonnalt)n is coral. I sgre to conrply
ordinmce and State lrws rchting to brilding conslruclion. md hereby authorize rggr6cDtatirs oIthis ( il\
above mentioned propeny ftrr insJmtic
AppticrntorAgents rrrr"r", s< Yr-+n7,,& r)sre:'
permire nrme ( prin r' x U.,4oIZ{.*C<AJ
$ ith all ('il\ nnd ( ounty
nild (irunl) lo ontr upon the
/-zb r{
ELECTRICAL.INSPECTOR RECORD
D^,, no n7
I
t\
/\
(.L1
.t-
F\.
._-,,-^-....rt(-
Lcndtr s Addr6s: