HomeMy WebLinkAbout20168817 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #: 2O1688{ 7
Pin #: 27tJ75fl
Project Address:1951 E Dver Rd
Assessor'sParcel: 430-22'l-28 Lot:
Bldg:A
Tract:
Address Range:
Historic: No
Suite Range:
Zoning:
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Heritage Village OC LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Aquatic Technolgies
32232Paseo Adelanto Ste. I
San Juan Capistrano, CA 92
(949) 493-9548
Fee Type
01 1 16002 51603 Fountain
01116002 5160C GeneralPlan Update
01 1 16002 51603 lssuance
Amount
121.O9
22.08
55.04
Qty
1.00
1.00
1.00
Fee
$121.09
$22.08
$5s.04
State Lic #: 744177
Lic Type: B, C-61, A, C-53
Bus. Lic #: 351280
Workers' Compensation I nsurance:Carrier: Zurich American lnsurance Company
Policy #: WC4503556
Expires: 1OlO1l2O19
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
M',06/04/2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Mixed-Use
Miscellaneous
Fountain
Occupancy:
Constr Type:
Code:
Date:
s-2
I B, SPK
cEc 2016
Zuniga, Allissa
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the 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
$22.08
$176.13
$198.21
$0.00
$198.21
lnspector MID#: 2017-139940
Unit:
Block:
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0f f i6s: (:1
Acct*:
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BTIII,DER DEI-CARATI()N
I hcrcby affi[n undcr pcnalty of perjury that I nnr cxempt trcnr lhe Conlractors' l,icensc [-aw lbr lhc lblhwing rcnson (Scc.70.11.5
Busincss arrd Proltssidl Codc): Any Cily or Counly which rcqilircs x Jrrmit lo coilstrucl. nllcr. inurove. dcrnolish or repnir any
structrrrc.priortoils issuancc.nlsorcquircsthcilpplicaollbrsuchlErnlilkrfilcn{igncdsttrlcnrcnl lhnlhcorshei\liccnscd pursucnt
h lhc p()visions of lhc Conlr{cbr's l,iccnscd Law (Chaptcr 9. Conrmcncing with Seclion 7(XX) of Divisbn -3 ol lhc Busincss and
ProttssiotrsCodc)orthnlhcorshciscxctrrftthcrclromflndthchusislbrlhcflllcgcdcrcmpti(n. AnyviolalionofScctionT0-ll.5hyany
applicilnl li)r a fcrmit suhjccls lhc applic{nt lo a civil pcnalty ol not trxtrc lhfln ,lvc hundrcd dollars (S5(X)).
_1. as owncr of thc propcfly. or my ctrrployccs wilh wrges xs lheir solc conrpensalion. willdo thc work and thc sttucturc is nol
intcndcd oro,Icrc(lli,r$lc(Ss.7Gl,l.llusiilcssandl'rofessi<rnrCrrdc:'l-hc(-ontractor's[.iccn{cl-nwdoc\notapplykrnnowncrol'
Ihc proltfly u'h() huikh or inurolcs tlrcreu. and sho docs such rork hinr\cll-()r hcr\clfor lhrough his or hcr own cntphyccs.
providc(llhalsuch irnprovcnrnlsarenotiicndedoroubrc<llirrsalc.ll.howcvcr.thcbuildingorinlprovenritissoldwithiloncyc:rr
ofcoilrdcti(nr. lhc Owncr Buildcr will hrlr lhc burdcn of provirrg tlul hc or shc did ilot huild or inrprovc thc pmpcrly lor lhc purF)sc ol'
salc).
_1. ns owncr of lhc propcrly. rnr cxclusivcly conlr0cling with licensed conlraclors t) coostruct thc projccl (Scc. 7044. Ilusi[css
and PnrltsshnCrxlc:ThcConlraclor'sl,iccrlscLnwdocsnotnpplyk)ailownerofnropcrtywhobuildsorinrprovcslhcreon.
xnd u'ho conttucts lbr such projccls wilh n C()rnrrck)r(s) liccnscd pur\uanl to ihc Conlraclor's l-iccnsc [.aw).
I rnr cxcmnl undcr Scction . B. & P.C. lbr this rcason.
Drte: __ Otner:
UQ8EE8LCAIIEEIIIAIION
DECLAMIION
I hcrchy aflirrn undcr pcnalty of pcrjury onc oflhc loll()wing dcclaralions:
_l havc and will nuintai[ il ('crlifcxlc of Conscnt k) SclLlnsrrc lor workcrs' conrl)cisali()n. {s providcd lirr hy Scctk)n -37(X) ol lhe
I-abor Codc. fbr thc pcrlbrililncc ofthc work lbr which lhc Frnrit is issucrl.
lhc work li)r which lhis pcrnril issucd.workcrs' cort)cnsnti()n insurrtrcc carricr iln(l policy nunrbcr arc:
l\rlicy
_l ccrtily thal in thc perlbrnurncc ofthc work for which this pcrnrit is issucd. I shall nol enlpkry nny pcrs(,n in aDy rrrnncr
so ask)trccomcsuh.icctblhcworkers'conrpcnsrti(,nlnwsofCrlili)rnia.rndilSrcclhrtiflshouldhcconrcsuhjccttolhc
workcrs' compcnsalioil p()visions ofScclion 37(X) ol lhc Latxtr Codc. I shall. lifihwilh comply with thosc provisions..
WARNIN(;: Fnilurc k) securc s'orkcrs conrpcilsrli(nr is unhwlirl- rnd nn cmpkrycr b criillinal pcnilltics rnd
(.11 rdditiorl k) lhc cosl damagcs as provided for thc
,
I hcrcby alfirm undcr pcnally ol pcrjury thrl I am liccn\cd undcr pn)vision ol Chrptcr 9 (comtrrncing sith Scction 7{XX)) of Divisi(n .l
of thc lrusirlcss rild Proltssions Codc. and nry liccnsc is iD llll lbrcc nnd clltcl.
1LlL|t11t
l,iccosc
Conl
CONSTRUCI'ION LENDING ACENCY
I herchy lltrm undcr frcnahy of pcrjury lhat lhcrc is a constructi()n lcnding ugcncy for lhe lxrfornuncc of lhc work for which this fErnril is
issued (Scc. 309?. Civ. C.).
kndcr's Nrmc:
Lcndcr's Addrcssl
APPLICANT DECLARATION
I hqeby trmml undcr pcnahy ol lErjury oilc of thc folk)wing dcclarationsi
Dem)lirion Permils-Asbeshs Noliflcalk)n Fcderal RcSulalions (Tille,t0, Pan6)
_Rcquircd lf,llcr of Nolilicution
_l ccrlily th{l lhc lcdcral rcgulalions rcgarding ashcslos rctrx)valare n(n applicahlc k) this projcct.
_l ccrtil,v lhot I harc rcrd this rnd statc lhilt thc atx)lc ion is corcct. I agre lo conrply with all Cily nnd Counly
ordinanccs and Stale [trlws tcprcscnlalivcs to enler uF)n lhe
atxlvc ntillioncd pft)pcrly fi)r
Applicanl 'rr Agent
/)u
l'rrnril$ nanrc (prinl ):
ard hcrcby
4
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino / Groundinq / UFER 8-t-l?2r (/.{6fu .5
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Sotfit Rouqh
Ceilinqs (T-Bar Rouqh)
lr/eter Release ,/I
Rouqh a 7l-k l/, {*.&?)
Service lt/eter I
FINAL JaleC*A ,67)
Notes, Remarks, Etc.
I
Caricr
civil
l)alr