HomeMy WebLinkAbout20132065 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667 -2738
Electrical Permit #: 20{32065i'
lnspector's Section: (714) 647-5853
Project Address: 4 E Hutton Center Dr
Assessor'sParcel: 411.092-30 Lot; NA
suite: 1000
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C2
Owner:
Address:
Phone:
Tenant Name: The Credit Exchange
California Suppression Syst
2505 Miramar Av
Long Beach, CA 90815
(562) 498-6/144
Fee Type
Fire Alarm/Comm
Add'l Devices/Comm
Ptc 65%
lssuance
Amount
'r 8.90
1.60
0.65
32.50
Fee
$ 18.90
$ 12.80
$ 18.52
$32.50
$82.72
$3.20
Contractor:
Address:
Phone
State Lic #: 327196
Lic Type: C-16, C-16, C-10, C-10
Bus. Lic #: 0012394
Workers' Compensation lnsurance:Carrier: Republic lndemnity Co of America
Policy #: 00348024
Expires: 0l/01/2006
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Commercial
Fire Alarm
Fire alarm
B
I.F.R. SPK
cEc 2004
Notes: fees pd on M-47416
Date
, Fuentes, Fred Date,.lLp(\ Hernandez, Kathy Date
lo 6 rsr<
l\.4isc. Receipt
l\,1isc. Receipt
lVisc. Receipt
M47416
Building Permil #Fee Total:
Paid to Date:
Balance Due
Account #: 011-01-5913 lnspector MID#: 2005-65410
Triple Net Properties, LLC
'155, N Tustin Ave, Ste 200
Santa Ana, CA 92705
Qty
'1.00
8.00
28.50
't.00
Planning Approval By;
Plan Checked By:
Permit lssued By:
Subject to Field:
Occupancy:
Constr Type:
Code:
11t2'v2005
11t2312005
This pemit shall expire by limitation and become null and void if the wotu authoized by this permit
is not commenced within 180 days trom the date ot this pemiL or if the woi< authoized by this
permit is suspended or abandoned al any time after the wotu is commenced for a peiod of 180 days.
Before such wo* can be recommenced, a new pemit shall be first obtained to do so.
ELECTRICAL.INSPECTOR RECORD
APPROVALS rD/srG.COMMENTS Om.FBuild.r Deleali6
I hcEby atlm uda pc.alty ofp.rlury tatl m cxapt aom th. Co.iBci@' Limk L5w aq th. following Eson G6 70ll 5 Aain.$
ed Ptua.rsion Cod.): Any Cny c County which EquiB . p.mn b construcl, ah€., improv., dcmolish or rcpair sy shcrurc, pflor ro rls
issuucc, aho r.quns lh. appli@l for such pmit lo fiI. a sig..d n mat thal h. or sh. is li*nscd puRuul lo thc pmvisims of thc
Conu&rofs Licd$d L.q (Chap6 e. Commmdns *irh s(tid 7000 of Division I ol thc Bsin6s &d Prcl6iois Cod.) or rhar hc o
sh. is dmpl thdclrom ed thc b6is fd fic dlcs.d .x.mplion A.y violdiM of S€lion ?Oi I 5 by ey atplicut ftr ! Fmn 3ubj.c$ lh.
.pplidt to 5 civil p.nrlty ofnd mw ihe fivc hutrdr.d dolld (1500)
_1. a 6w.r of G. Fop6ry, oi ny mplord ,iG vdg6 a t .ir rol. .onpc.rdion. will do th. *ork ed thc rhctu. is not inrod.d
or ofidcd fG salc ( Scc 70,14, Bcin6 od Prcfdios Codq Th. Cohdu s Licasc Laq do6 nd oppty b e ownd oa !h. prop.ny
who buit& tr imFov6 th.r6,, od who dc ruch ea.k hiru.ll or h6.lf or thrcu8h his M hd @n nployes, prcvidcd dal such
inprovd..a e nor intc.d.d or offdcd ld srlc Ii how.vcr. ttc buildinS or ihtrovdd! is sold vrlni! on. ya oi @mpl.!o, d.
Own.FBuildd willhav€ lhc budd oiptovins thct hc nshc nol build or improvc for thc purpe ofsalc)
_I, a o*n.r ofd. propdty, n dclaiv.ly corb&ting,idi Iicdcd c@lrrb6 ro @n ruct $. p.oj.cl ( S.c 70aa, Bsine ed
Profdsim Cod.: Th. Conlrefft Licd. l:w &6 .or arply lo M ownd of proFny sho buil& o improve $a@ , ed who
cotr&E ls such projcclr virh a cohcro(s) lihscd puRuet to rh. cdt ..hr't Lim. L5w )
_l d ampr ud.i sdie
YOATEBIIO!4IEISAIIOX-DDCIABAIION
I hdcby amm und.r pcmlty ol pdjury onc oa lhc aollowin8 dccle.tions:
I hav. ed willmaintaio a C.nifiqc olcotudt to SclflBurc for vorkmr.mporsarion, s Fovidcd fd by S.crion 3?00 of$c
L$or Codc, lor lhc Frfd]:m@ of lhc *ork fo which |h. t mn ii i$u.d.
_I h.v. sd will mini.in wdt6 comFBari@ rtuum@, a rcqut.d by S4rio.1700 ofthc t bor Codq aq rhc Frflm6e of rh.
wtrI aor *ni.h thL Fmn is iis!.d My edtft' @mpos.tid ins@.c @in ed ,olicy nmbd oc
I c.n,ry $al in lhc p6fome@ of lnc work
b.cffi. subj.ct ro rh. wort.R comp.nsario I
is issu.d,I shallf,ot dploy ey FRM in e, n&n.rso B ro
a€r.c thar if I should b@om. subjct lo rh. wd*.6'
.mpc.sation provisions of Sdion r?0o oarhc Labtr cod.,
L L4
WARNINC Failurcb seurc *orlc6'cohp.nsalron covcraac s un hwful, dshall subjctm
nnB up lo on. hundr.d 1ho6&d dolls {ll0O,O0O),in dddnion to rhc c6r of compdsadon, d.mag6 6 provid.d for lhc Sccrion 10?6 of
ih. Labor Cod., int rd md alton.y s f6
LICENSED CONTMCTORS NECLARATION
I h@by amm uo&. paalty of Fjury rhar I h li6s.d unda pmvisi@ of Ch.ptd I (cmmad.g virh Sario 7000) of Dvi.io. I ol
thc Buin6 ed Profsims Codc, md ny licac k if, tull fo@ ed .ft@l
l^,u
CONSTRTJCTION I I]NDING AC}JNCY
I h@by .ifim ud.r Fn.lty of Fjury tnd $ft i! r @osEuction lddiog rgocy lor thc pafmc of tn. wdt a6 which lhi! p.mt is
isurd (sa. 309r, Civ C).
AIIIICA{I]iDECIAEAIION
Dcdolilion PcmillAsb.slm Notificdion Fcd.ral Rcguladons (Tnlc 40, Pan 6)
_ R.qun.d L.tcr of Notificado
I anify Ihar dr. f.dnal rcguhrionr rc8&ding sb6l6 rmoval s. ior appliable o $is prcjccl
_ I cdtify th.l I hav. ed rhis .ppli.dion d 3i.rc ttal lh. !bov. inf@atio is @r€t I ryB b .6pl, wid ail Cny ud Couhry
lo building @on ucri6, dd hrcby erho.iz r.pr&nu1iv6 of this Ciry ud County ro dr.r opo. 0E
abovc mc"tioncd prop.ny
,d hT C4 t1
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough tvltdqt ra
Service Meter
FINAL vits/w /a]:
Notes, Remarks, Etc
DATE
Communications Cable
Policy N!frb.r Expir6:
Gnis scrioi .c.d .ot b! @mpld.d if th. pmir is lor o& hundrcd doll6 {t I 00, d Is,
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