HomeMy WebLinkAbout20163207 - Permit (3)Assesso/sParcel: 415-03144 Lot NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: M2
\h
20 Civic Center Plaza (M- 19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ1632lJ7
Pin #: {9675
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Conlraclor
Address:
Tenant Name
Ewing lnvestments Vi Llc
4391 Birch Street
Newport Beach, CA 92660
MB Herzog Electric, lnc
15709 llllnois Street
Paramount, CA 90723
(s62) s31-2002
01116002 51603
011 't6002 51603
01116002 51603
01 1 16002 51603
01 1 16002 51603
011 't6002 53601
01 1 16002 51600
011 16002 51603
Feo Type Amount
FWU 23,A7
Dedicated Carcuit 23.87
Subpanel 51.29
Subpanel 139.86
Over 50-100 HP, KW or 101.03
Ptc - 6sak 0.65
General Plan Updale 21.25
lssuance 52.98
Fee
$23.87
$238.70
$51.29
$139.86
$101.03
s3+9,{E
$21 .25
$52.98
Slate Lic #: 383811
Lic Type: C-10
Bus. Lic #: 366412
Workers' Compensalion lnsurance:Carrier: Old Republic lnsurance Company
Policy #: MWC307130
Expires: O4.lO1l2O18
Planning Conditions
lndustrial Occupancy:
Alteration Constr TyPe
Thermalizer Equipment-Trarcode:
N/A
N/A
cEc 2016
Noles Distribution and transformer for new industrial
thermalizer equipment
Davis, Scott
Chavez. Dave-tr
Date
Date
Date
o5t28t2017
07120t2017
Account#
Misc. Receipl: 69571
Misc. Receipl:
Misc. Receipt:
Total
01 1 16002 51600
01116002 51603
$21.2s
$607.73
Fee Tolal:
Paid lo Dale:
Balance Due:
$978.4s
$349.45
s628.98
Every pomit issued shall become invalid unless t e wolk on the srto
authoized by such pemit is cofifienced within 1 80 days afrer ils
issuance, or if tlre wod< authodzed on lhe site by such permil is suspended
ot abandoned for a ponod of 180 days after the tine the wo is
commonced.
lnspector MID#: 2017-136234
Project Address: 4042 W Garry Ave Unit:
Block: NA
Phone:
ety
1.00
10.00
1 .00
1.00
1.00
. ,r 537.09.,t. 1.00
l ' ' '':r.oo
Phone:
Building Use:
Job Type:
Nature ol Work:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE rD/stG.COMMENTS OWIIB BUTII'Ei DET,( RAIION
I h@by ilfm u.d6 p6.hy of FJury $n I o qmt, 6nn (h. C6d6dos l-ic@ Uw for thc frllowbg ra$. (se.701l t
Bui!6 .n Profdbn Cod.)r tu, Ci, or Coiry *hih rquc . Fni ro @'drEr. iia. ul9roE <bbtirh or lq.n &y
ru.tu.. Fior lo il! iM4 .lo r.quiG llE +dkot for $r[ FDn to fih r rirld nraDd llld h. d JE i licq!.d polsd
to lh. FvitioE of 0E CoirErd! Lacd!.d Lr* (Chl9rd e. C.,MtriIs wnh S.crion 7000 of Oivniotr I of lhc BBid .nd
ProftsioN Co&) or th, h.6.L b q.qi lnd(,li !d rlr bBa for rlE rlle.d qderio.. Any r.hrin ofsdrbn 70-rl.5lr ut
.prliol lor r Fmn lbjrxlr llE 99li.d lo . civil Fulry ot@l @a fie lir. hu!d..d dou& (S500).
l. - ow oarlE FoFrr. d ot otrpbt€ *nh r.s6 6 rlE -l. omp6.rs( *ill {b lh sqt a.l E *urE is rDr
daddj d oEord for slc (Sa 7044, Buind ed ProfaioB Cod. Thc codrdol! Lic@ t * &6 mt eplr ro m ow of
'lkFDFI, *ln buir6 or n4.D6 dEqr rd *ho d6 xi w* himldror lE!.lf o. tlmush hir d lE om dph)6.
Ftvidat d{l rct i,sor.Err m ml i, dr&l d ofid!.l tu bL l[ hoseg. tlt hrildilE or i4rlEEr i eld villu @ ]dolcon9ldir tlE O*r Eollda *iI lrE E h,tla olpovins tlEt lE d,n dil ml hrild or nD.D\r dE F!Ft' tu llE FrFc ol
l. ! o*d of tlE FTqr). o schBnrly con rlits rnh kd!.n .offim ro odM rt Fotxt (56. 7O+a, hBE
r,'d hrG6ir C.dc: Tt. contrlolr Li.@ tr* do6 tur qDly ro s own6 o, propqly vh. bui[& or inprov6 rhg6n.ud *ho oird$ rd 3Nn Foj.rl, *nh. Cod,*ro(r) lioEcd pusd b rh.Condn'! Liw t,r).
I M .ropr od6 S..1io.Il & PC a,nrh6 r.f,$n
llaa[flti:cauENs IIa!
DD(jIJXAIIO!
I lEcb,.llm u.d., p. nyof FJUryoEofrlE follo*Ds dsLrdEB
I hlr. Dd vill tul.in . C6ifi.d. olcoerr ro S.lf-lBm for mrl6 onFrdior d Flvidld for by S<rion l70O of rh.
tlho. Co<L lor d. Ffo.ffi of llE wi fn *tah th FDr ir iEEl
lfi.v.Ddwillmi .in *0116 co6FG{r.nlueoa..quEdbrS€lir.17@ofrlELltorCo&.torrt Ftm.or
rh. wt for *hih thn tg ! eld My *.0r\6' oopa{lF! ||ge. clru rd polr) truEb. r.,* .Uld P.au/?lt'c 3^>. 6.
e"*yr,, t 'HWd3o?L k@t Z ,!p,6 .
"y'y'tI cdiiry lM !i tlE Ffomec orlllc wort for *hich rhn Fmn is n3El I J'.ll rx dplo, o, F$n in Mt hmMr a to b<oE st*.l ro E srt6' 6,9drion L*i otc.liftmi !d *r ltr if I slbuld b.@r et dt ro rh.w 6'contsEriionproEiodofserio.lT0oofrhct.borCc{.,ltldlfonhsiih<,nplywiirlh.*pNvilro6
$ALNlNC f-dlur. t' suc trul<i
.i!il fin.e un lo o.c hundr.d lhouetrd
odors ro dimi,rl FEti! !i
ion, dm.s6 a prcvid.d for lh.
Cod.. llnd.n rd alonEy l
7 '7
DFCI ATT TION
I ha*y ilm u8la FEt, of Frury llld I n liud urdd Fnvilbn of Ctqd e (6olEir8 $it S6rb. 7000) ol Dnn.n !
of rlE BrliB od PFtdid Cod.. rn ny liru ic ir tull hr! ri.lI<r
Cto 8t(
4z4a co!,r.dor
coNslRt]CTloll Lt{DIllc lctrtcv
I balht.ffto uldd F!.1, of ,6iurt rti 0E! i. @'rirudb, ls'diiS lgdy tor rh. p6fotu. of 0r @l 6, *t!i.t rhi Fni a
e.d{Sc. 1097, Cir. C.)
a.r&rcAM.DEq.aSduq!
I batt.rsn! ld F!.ty olFrur+ oG orllt followi.S d6ld ioB
D.tuliion P.mnlArh.no NorifdlioD t.d6rl R.UlriD6 (Tn!..10. Pdr6,
Ra|!ir.d Ldlq or Norifi.r.ii
I .dit rhn rh. f.naal r.8!l.tioB ESadn8 Bb6io! rdoral e ml rpgliclbk b rhis pr.j.d
#'xlI hlvc '.d rhN apglrsron a'd 3rltc thd lhc ioo L! cor..l. I 53re lo Lomply w h lllCilyand ( ounly
ar. lj\rcb,'ngn, bUldms ir6 oarli! Cny dn Cou'ny lo 6xd upon rlE
.ho\! @tioD.d p.opc(y fo,
pp[dr or&dr SlBdrre
rmlc rrnt tpanO:)\
.rh.lt
Site-Work
Underground
Pole Bases
Light Standards
Sgls, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER lo-t7-t7 v,w)t)
Transformers
Torqueing lo't7-17 r,wa
Sub-Panels l0-11"J7 Iy,fr-\(,
Air Conditioners \--z
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilin gs (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough td-t7 -)7 ||,w1[,
Service Meter
FINAL l0- 11-t>k'W7t\=Notes, Remarks Etc.
-t
I
I
I
I
I
I
I
I
I I
I
I
I
I
v
CALIFORNIA ALL.PURPOSE ACKNOWLEDGMEI{T crvtL coDE s 1189
A notary public or other otficer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached. and not the truthfulness, accuracy, or validity of that documeni
State of Cali ra
Countv o
5 A f)41,;
who proved to me on the basis of salisfactory evidence to be the person(, whose name(sfis/artr
subscribed to the within instrument and acknowledged to me that he/sheAh,ey executed the same in
his/hetAheir authorized capacity(lrs), and that by his/h€y'lheir signaturejs) on the instrument the person(ar,
or the entity upon behalf of which the person(9.acted, executed the instrument.
I certify under PENALry OF PERJUBY under the taws
of the State of California that the foreb6ing paragraph
is true and correct.
On b b"lor" ^Date
personally appeared _
Here lnseft Name and Titl f the Officer
Name(s) of Signe4s)
WITNESS my hand an icial seal
GAL
Signature a D
Ccn.Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this sectlon /s optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:Document Date
Number of Pages: _ Signe(s) Other Than Named Above
Gapacity(ies) Claimed by Signer(s)
Signer's Name
Corporate Ofiicer - Title(s)
CdlllbbortnohryH.-CfirIL6ritco€
Partner - Limited Generallndividual - Attorney in FactTrustee Guardian or Conservator
Other:
//>I
Signer ls Representing:
4st!c<rL{:cvl!clrcr-a\q,L!jca&!&\E&arcY4<4E!@qucaj-JEcg.!a<L.LEcejc.ccgq!:ce cr
O2014 National Notary Association ' www. NationalNotary.org . 1-800-US NOTABY (1 -800-876-6827) ttem #5907
)
Signer's Name:
. borporate otri"". -titt"(5fPartner - Limited Generallndividual Attorney in FactTrustee Guardian or Conservator
Other:
-=-
--
Signer ls Representing:
€L€CrRC. tNC
Industrial-Commercial-High Voltage-Low Voltage Syslems
iune 29, 2016
Re: letter of Authorization
To Whom lt May Concern:
Thank you,
M B Herzog Erectric, rnc. hereby authorizes Linda Bush to represent and sign on beharf of M.B.Herzog Electric, lnc. in obtaining permits, business license, and related documents.
lf you should need any further information in regards to the above, prease feer free tt(contact ou,.office at (562) 531-2002.
yan M
P res ident
15709 Illinois Avenue,
24 Hr..P,a ra m o u n t - C A 90723 S t. L i c e n s e.. # C-10 3g3gl I(562) 531 - 2002 Fax (562) 53t _ 2272