HomeMy WebLinkAbout20164982 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800 q
Project Address:4041 W G arrv Ave
Assessor'sParcel: 415-031-39 Lot
Unil:
Block: NA
Bldg:
Tract: '1025
Address Range:
Historic: No
Suite Range:
Zoning: Ml
Owner:
Address:
Phone:
Tenant Name:
01 I '16002
01 'l '1 6002
01 1 '16002
01 't 16002
01 1 16002
5'1603
5'1603
51603
51600
51603
Laguna Cookie Company
4041 W. Garry Ave.
Santa Ana, CA 92704
(714) 546-6855
Laguna Cookie Company
H A Kirchen lndustrial Elect
3521 Center Avenue
Norco, CA 92860
(7r4) s0r.0309
Feo Type Amount
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
Min Fee Adj 54.98
General PIan Update 21.25
lssuancd s2.98
Qry
1.00
14.00
't.00
1.00
1.00
Fee
$1.52
$14.14
$54.98
$21 .25
$52.98
Phone
State Lic #: 528109
Lic Type: C-16, C-10
Bus. Lic #: 347078
Workers' Compensation lnsurance
Carrier: Westco
Policy #: WWC3201801
Expires: O7lO1l2O18
Building Use:
Job Type:
Nature of Work:
lndustrial
Miscellaneous
Fixtures/Switch
Occupancy:
Constr Type
Code:
F-r, s-r
V B, SPK
cEc 2016 Notes
Planning Approval By
Plan Checked By:
Permit lssued By:B
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ski, Teri
Subject lo Field
Building Permit #
01t't'112018
Account#
$144.A7
$0.00
$1M.87
lnspector MID#: 2018-140858
$2',1.25
$123.62
Fee Total:
Paid to Date:
Balance Due:
Permit #: 2l)16,4982
Pin #: 23.26,3
Contractor:
Address:
IDi Lt\U:)AL
c9.-t
Date:
Date:
Date:
Planning Conditions: All interior work.
\01 1 16002 51600
0'1116002 51603.\,,
Every permit issued shalt$eco e hvalid unless the work on the sile
authorizad by such peftnit is commenced wilhin 180 days aftet its
issuance, ot if the wo* authorized on the site by such pemit is suspended
ot abandoned fot a period of 180 days after the time the wotu is
commenced.
APPROVALS DATE ID/SIG.COMMENTS
Underground
Pole Bases
Light Standards
S pas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dam pers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundino / UFER
To rquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
lvleter Release
Rough
Service lVleter /.-t
FINAL 2_2-7"tK X -Y//1t)
Notes, Remarks Etc.
OWNER BU!LDER DET,CARATION
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lo lhc rmvision\ oI rhc Conlmctois Liccnsd La* (Cha!r.r 9. commcn.in8 with Scclio. 70ql of Division I oflhe Businc( ond
Pn'r€sionr Co<lc)orrhrt hcorrhc ncxcmpr rh.rctromlnd rhc hasn lorrhc ellc8edcxrmDrhn AnyviolrrionofS<rbn70.ll5hyrny
applic0nr for r p.rnrirsubrccrslh. rytli.ant i. acrvilprnalryofnor nrtr rhrn nrc huklcdiioll*s (35m)
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inrc'ded oroltircd fitr {L (Sa 7(*r. Bu\ircs 0n'l Profc$iois Code: Th. Conlmdor'r l,i.cns La* d.trs ml {ply h m oNncr ol
rhc Fnncny qk, t{ilds.r imrn)rs rh.d . .nd Nk, d,rs \kh worl him\.lr or h.*clf or rhrcugh hi\ or hc. own cf,pl y&\.
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and ltita\bn G)dc fhcConlraclriLiccnscLr*do.snotapplyromoM.rolp(,!.nywhohuild(ornnprovcrrhcrcntr.
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trtx, Cdc. forrhcr. nnn r. of rhc qork nr*hi.hrh. n nnir i\ i\\rc,l
I hrv.ato, willnrinr8i'r *orkcri compcnsolioa insurnnce. !\ rcquncd hyScdion:r?(xlofrhc l.ahtrAxle. for rh. pcrn,nErccoi
rh. worl n)rwhichrhk pcrmir ir i*xd M y uor[cr' .oml.n\al ion insuran(c ctrrir lDd lblicynumher m:
Polty Norlbc,
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$ARNII(; I.nrlLtr( r, \c(!'r (!'L(r\I.rrr lo ainnrlFslts and
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civil rln.s up r. onc hu*lftd rhousnd'rh.lrn C0L i.r.m{ !n.l//-tV ^I
I lErcbyatftrmun.l$ penaltyofpcrjnrylhar I nn lien{il und.r rovision orChJlrd 9 (.ommmin8 *irh s.crnrn TuxJ) ofDivirion l
.r rh. Buli@ssand Pofcsi,,.s Codc- !d my licco\e h in tullforcadelIccl.
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i\sucd (sec .tog?. civ c )
ATIUIANLITIITISAIIA!
I trrhy allnnondcr pcnrlry olpcrjury nne oilhe tnlowins dccldoti.ns
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Rcquncd lxncr ol NorificrriD
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oilhi\ City and Couory fu cnrcr uIx]n rtE
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ELECTRICAL.INSPECTOR RECORD
Site-Work
Transformers
Crrir.
4-.'--
4/1
<8
bndeas Addr.ss:
V .,