HomeMy WebLinkAbout20164240 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2lJ16,424l)
Pin #: 49127lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: SD69
E
Lot: NA
Owner:
Address:
The Brookhollow Group
151 Kalmus Drive #f-1
Costa Mesa, CA 92526
(714) 850-3910
Fee Type Amount
Low Voltage/Comm 32.61
Subpanel 51.29
Over 50-'100 HP, KW or 101.03
General Plan Update 21.25
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$32.61
$51.2S
$101 .03
$21.25Tenant Name:
Clean Fuel Connection lnc
11800 Clark Street
Arcadia, CA 91006
(626) 643-2226Phone
!'qtchi:40281 - 9/21/2OL7 I0: LFOSALEr,fiice: aTYH Tronsi: ?{ 2 ol :-
A,:cti I Ref+l 20161241:l
l',:t,Li:(t2018646 - 9/21/2017 2117 l'11
lr (lnsoct ion Totol t119.lsllP;rPc Sou
{ leon Fuel Conne.tion In,:
State Lic #: 770564
Lic Type: B, D-12, C-61, A, C-10
Bus. Lic #: 367072
Workers' Compensalion lnsurance:Carrier: Accord
Policy #: 9022a332016
Expires: 1011412017
)t'rrernI PLfln Updote Fee
rrl l t6D02- 516011000-
I I *,:tr i,:fl1
ilt I l60112- 516tl3D0r.l-
t (:l Chec}( Cr017(13
91.93
Building Use:
Job Type:
Nature of Work
Commercial
Parking Lots
EV Charging Stations
Occupancy:
Constr Type
Code:
U
VB
cEc 2016
Notes:
Planning Approval By l\4isc. Receipt:
LIisc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field;
Building Permit #
B ski, T Date 09125t2017
Account#
Every peml issued shall become invalid unless the wo* on the sile
aulhorized by such peinit is comfienced within180 days afler its
issuance, or if the wotk aulhoized on lhe site by such permit is suspended
or abandoned lot a peiod of180 days attet the lime the wo* is
commenced
$21.25
$184.93
$206.18
$0.00
$206.18
lnspector MID#: 2017-138873
01 1 16002 51600
0'1 '1 '1 6002 5'1 603
Fee Total:
Paid to Date:
Balance Due
Proiect Address: 1600 E St Andrew Pl
Assessor'sParcel: 403-202-01
Bldg:
Tract: NA
Contractor:
Address:
Phone:
01116002 51603
01116002 51603
0'1116002 51603
0'1 'l 16002 51600
Planning Conditions:
Date:
\
ELECTRICAL.INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
Site-Work
Underqround
Pole Bases
Lighl Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Bondinq / Groundinq i UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilinqs (T-Bar Rouqh)
It/eter Release
Rouqh
Service ltileler /A
FINAL D--+-lK w$a
Notes, Remarks, Etc.
OWNER EUII,DER DELCARATION
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EABTEES:COMTENIA]IO!
DECI.ABAIIO!
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APPLIC,TNT DECLARATION
I h.rclry anim un lc, Fn.xy or Frjury om olrh. nnhwins d.cld,rons:
ocm'ln()n PermrrAshcnos Norifi.don Fcdcral RcBulnrion\ (TitL 40, P.d6)
Requirc'l Lellerot I'Jd nalr!.
l.cd'lyrhxr rh. ltdc l rcgulalons r-3ding J\h({o! krrrv.lrre ri rPnl'r3hl. h rla( P$jccl
4,,-rrn vl narc rhrr rhc .h,!c mtur lrsd.(,comdyw(hrllCiryrtulc"utrlv
itdmS( tr(tu!rrrn dBl hcrchyaurhorn. rcPkrcnrJrrvc\ oiihr\ Ciryatul(i)unrrb.nr.tutirrlf,
q L9 2-o(1
Under Slab / Floor
lht.-