HomeMy WebLinkAbout20266682 - Permit (2)City of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2026,6,682
Pin #: 70241
Proiect Address: 110 S Center St
Assessor'sParcel: 007-331-18 Lot: 40, POR 39
Unit:
Block: NA
Bldg:
f(acl2752
Address Range;
Historic: No
Suite Range:
Zoning: Mt
E
Owner:
Address;
Phone:
Tenant Name:
Contractor
Address:
Ui H Lee
17130 Los Robles
Fountain Valley, CA 927083928
(7141614-7731
Owner-Builder
Fee Type Amount
01 116002 5'1603 Demolition (includes ren 48.46
01 116002 5160: lvlin Fee Adj 24.92
01116002 5160C General Plan Update 22.O8
0'1 116002 5'1603 lssuance 55.04
Qty
1.00
100
100
1 .00
Auth i !r.r
$150.50
$0.00
s150.50
Fee
$48.46
$24.92
$22.08
$s5.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy f
Expires:
Botchi:45424 - 8/16/2OtB I0: oito:
office: '-TYH Tronsi: 32 : '-
Acct+: Refi: 202666i
Rcpti:02355684 - 8/16/?(118 11r:{t l
Tronsoct i0n Tobol t718. s-
Ui H Lee
NOTIGE oF Vlol-.ATloN Generol Flon Updote F€e
01116002- 51600000-
Electr r;41(r1116002- 51603000-
ViBq
CC+ i r**I****rr*I242ilBuilding Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Commercial
Alteration
Demo
B
B
cEc 2016
Occupancy:
Constr Type
Code:Notes:
'd
Date
Date
Date
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Buildins Permit #: 10297389
Every peftnit issued shall becomo invalid unless the work on the site
authorized by such perfiit i6 commenced wilhin180 days afler its
issuance, ot if lhe wotu authorized on the sito by such penit is suspended
ot abandoned fot a period o1180 days alter the time the work is
cofimenced.
08/16/20.r8
Account#
lnspector MID#: 2018-145450
$22.O8
$128.42
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01 116002 51603
APPROVALS DATE COMMENTS oWNTN BI III,DNR DI1I,CAIATI(IN
I hcrcby lIirm undcr Fnahy of p€rjury rhrr I un cxcm0r imm rlE ConrEroF Liccn{ Liw ntr rh. rollosin8 rc,eh (s.r.7orl 5
Busincsl &n ProLssion c()d.)r Any Cn, or c.ury *hkh ,.quic\ i Fnir ro s.(dd. ah.r. impruvc. demlish or rctuir any
slrudue, pm. ro i's irsuarc. al$ r.quins rhc aDltmr toi su.h Frnir ro nb a siSrrd s.tcmnl rhal hc or sne h licensd !!nu!nl
ro rh. F)lnions olrhc Contracroas Lianrd Lrs (Chlrrcr 9. Commftins wirh Sc.rion 7(xD of Divhio.I oi$. ausin.$ od
Pofcsbns Codc) o, rhlr h.or shc ncicntr rhcrclronand rhc blsis turhcaur!.dc&mprtn AnyviohrionolSdhn7011.5hyany
nptlicanr for a D.rnir ruhjfth rh. appli.an! ror.iviltcn{hy.fnor mrcrhan lrvc hund..ddoll0( (J5m).
-1.
u\ o$ncr of rhc ptr'tEny, or nry cnrployes wilh wr[cs 0s Ih.n sb comrcn\rr ion. will no lh. work urd rh. {ndm n .ur
inrcndsl or.fcrcd l'or srlc (Ss 7(114, Busincss an.l ltof.sionr Cfrlc] Thc Contrctn\ I.i.cns. L,w d..\ nor ryplyio atr owncr.l
rhcpn)Nny wh. bu ilds or i. rpro vcs r hrrd,n. lkl qh. ddcs{ch w()& hnn\cr or tur$ll .r rltrouAh hk .r hcr own cmploycc\.
F)viJcd rld such i'npn,rmnh uc ton i,ncntud or oll'crul li,. $lc ll howcv.irh. hildiu.r irpn,vctrrtrr is sokl withinonc yclr
olconpklion- thc Owncr lruiucr wil nuvc lhc burdcn oipmvirs rlut hc or \hc did nol ttrild or i,Dmvc rhc pnDdry ror rh pury)$or
_1.!sowncrofrhepmpenr-lnrexclusirclyconrrx.rinswirhliccnrdcon@ttrst,conndcirhcpR,j..r(sc.7o{4.Buencss
.lld lbfssinC.dcr Thc Contdor's Li.cnsc Lrv docs orrpplyb atro$ncr offnJpcny*ho huil&or impn,rc\ rhcrcon.
rnd sho conrr!.rslorru.hP,njccrs*irha(ilrrr.rin(I liccn*d plrlanr hrhcConhci(n rLi.cn\d uwr
-l
m cicmpl undcr S€lio.-. B. & P.C. f(
I h$cht rffinn uidcr I{iahy.l pcrjury ono olrhc lnln,trnrg tl..lrrx{niis
Ihrvcdd sillnri' dinrCcnincdrcotcon{.r t, Sclf lnurc tur sorkcA cu rrcnsdion, rc !$vidcd nn hySc.lior3700olrlrc
LntttrCor,c. rbr lhc pcrformne ol lhc Nork r'or rhich rhc |rrnrii k i$ucd.
Ihrr3trd*illnuirrlinwork.rr$nrPcn\rtnrirNlrlncc.rsrcquncd$ySc.rnrl7(X).frhcl-alFrCodc.turrhcpctfonnoNc.l
rhc *ork nn $hich rhisFnnir is is\d.{ Nly*ortsr.onr.n\rri{,o insurume .aricr rfll F,lic, nunih-r u.:
_ErI,irc\
Iccnifyrhrr inihcn rlnnnam. of rhc w.rk for wh(hrhnl.rnrir is issucd.I sh.llnor cflnloy rn} pc oninunymrnncr
so s li, hccom subjcd ro Ihc workcn'compcns$ion laws ol colifornir o.d lercc if ir iIl \houkl hcco'm $bjcrr tJ rhc
workc^ conrt--nsari.n rrovniois orScclion:l7lx)ofrhc l.aIry C.dc.lshall. ronhwirh comrl, $irh 'hot tn)vL\ions.
WARNINc: I,.ilurc r. sccurc porkcr ompctrsdi.n cov.i Ec hj..r nn .n,Ilotrr b cri inrl f(trrllic\ md
civil fincs up ro o.c hundrcd lhousind doll$ (Slu).000), ir addir h rhc con ol conrlErsrrion. dr'tulcs r( Ftuvirlcd fd rlr
Scclbn .lr)76 ollhe titry Codc, inrcrcsr !frllllomcy \ lccs
I1l.i1!:\-ts1!9r
I h.rchy rfln'n uf,drr p.nalry or p.rjury r hrr Lf lm ad und.r lrcvison of Chnpr$ 9 ((ntrrn.in8 unh Scd ion 7(]00 r of Divilion 3
ol thc Uusirc$rtrd Proac$iorr C.dc. and nry licn\c i\ ii tullrar.c dcntcr
colsBlJgll()xLlrNDlrli_aliINtI
I hcrchy (rrtn undc. pcnalry of pcrjur, thlr rhcrc h, co.nodhn lendin8 rs.nc, ru rhd p.rroirrritr.. orrhc work for Nhich thG rennil n
hrucd (Sc..1097. CN c ).
AIIUCAIL.DECIrISAUON
I h.rdy !frm undcr pcnally oI Erjury om olrhc nnh*ins dcclBralions
Dcnnlition PcrnriG Asbcstos Nolilicalion Fcdcral Rcsulolioas ffillc.(l- Pan6)
-Rcqutcd
t llcrof Norifiolion
l.cnilyrh lhclidcrrlrc8nhlnN rc8ndiD8nsh.(osrcnNv.lirc nor aollnrhE rorhi\ nrcrcc!
',1rhhC yr Cuunr! r.cnr$ ulItrrh(:*,rH;liL:*$;,T,";H"i,:l'i';*[]"'""":-"''h'lau'|hJn''clIc{n'|riv'L
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Site-Work
Underground
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Translormers
Torquerng
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sollit Rouqh
Ceilings (T-Bar Rouqh)
Meter Flelease
Rough
Service lrleter I I
FINAL /4l-TtlK a{]/*74 -tl)_--
Notes, Remarks, Etc.ul
ELECTRICAL-INSPECTOR RECORD
ID/SIG.
Pole Bases
Air Conditioners
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