HomeMy WebLinkAbout20166415 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714), 647-5853
Electrical Permit#: zo{eeerc
Pin #: 66621
Project Address: 3608 S Bristol St
Assessor'sParcel: 412-131-12 Lotr NA
Unit:
Block: NA
BIdg:
Tract: NA
AddressRange: 3500-3798
Historic: No
Suite Range:
Zoning: C2
Owner:
Address;
Phone:
Tenant Name
Metro Town Square
3719 S. Plaza Dr
Santa Ana, CA 92704
(714) s46-2856
Wang Cho
01 1 16002 51603
01116002 51603
01116002 51603
01 I 16002 51603
01 116002 51603
01 116002 s1603
01 116002 51603
01116002 53601
01116002 51600
01'116002 51603
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
FWU
Dedicated Circuit
Track Light Pe||00'
Subpanel
Ptc - 650
General Plan Update
lssuance
li(
il{
I i' :
i.'
Amount
1.45
1.58
1.05
24.79
24.79
24.79
53.28
0.65
22.O8
Qty
34.00
3'1.00
147.OO
21.O0
11.00
2.00
2.00
1 ,202.70
1.00
Fee
$49.30
$48.98
$ 154.35
$520.59
$272.69
$49.58
$106.56
$781.76
$22.08
$55.040
Phone
55.04 ',l 0 : ll.
.J
Iterr
u1l
t1e
ar1 lBuilding Use:
Job Type:
Nature of Work
Commercial
Tenant lmprovement
TURf Mtd Equip
Occupancy:
Constr Type
Code:
A.2, B
V B, SPK
cEc 2016
Noles:
Planning Conditions:
Planning Approval By:
Plan Checked By: Smith, Mark
Permit lssued By: Chavez, Dave
Subject to Freld: Za
Buildins Permit #: 101 97009
Date
Date
Date
07 t2312014
12j1312014
Account#
Misc. Receipt: 71233
Misc. Receipl:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the wo* on tha site
authoized by such peftnit is commenced within 1 80 days atlet its
issuance. or il the wo* authorized on the site by such pemit is suspended
or abandoned fot a peiod of 1 80 days aftet the time the wod< is
commenccd.
$22.O8
$1,257.09
$266.60
$2,060.93
$515.16
$1,545.77
lnspector MID#: 2018-144649
01 1 16002 51600
01 1 16002 51603
01 't 16002 53601
Fee Total:
Paid to Dale:
Balance Due:
Contractor:
Address:
IDNC
3680 Wilshire Blvd 1212
Los Angeles, cA 90010
(213) 355-8981
iL)t
State Lic #: 782798
Lic Type: B
Bus. Lic #: 3702'19
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1661387
Expires: 1'110112018
I
t
sn
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEL('ARAT'ION
I her.bv aft m undd D.nahy ot pdiury lhal I m cxnpl to,n r& Cofl..clos Licds. Iiw for lh. lollosin8 r.Mn (Sa.?oll l .5
Busines a.d Profsion Codc) Ahy Cny .r Conm, which rcqxirs a pssn to cobtrud, alld, imp.ov., donolist or r.pan any
srructue rior ro irs isud... also r.qun6 lhe applic l lor such p€rmi lo ,il. . siSn i sraldn. that fic o! shc is li.oscd pu6ufi
to the rrolisions oi tnc Conrrrcrofs Licdsd lrs (Ch!I)rd 9, Com..cins pith Sdion 7000 of Divi.ion I oalh. Busitrs ed
Itofcsions Cod.) or rhar hc or sh. n.ronpt Ih6.nom Md lhc b6is lor lhc alLscd.rdflio.. A., violarion ots€clio.70ll 5 by dy
ryplica aor a p.mit srbj..G lhc applicsol lo acivilpenallyornotmorclhm li!€ huf,dr€d dolldslt500).
l. is ous orrh. rrop.nr. or ny .nplor8 *irh \ a86 s thct sle conp@lion. \ ill do lh. No,k 5d lh. s|n{1G is nor
inlddcd oi o ITd.d for eL (Sd 7044. BusinBs d Profdions Codr: l lE Cont,ctoas Licm. t w &6 nol orply ro d o\w oa
rh.pmFq sho toil6 or improv6 rhqan, dnd *llo dB $ch $od( hims.lf o, hGlf or rtmush his or hd oM.mployc6.
provid.i ih.r strch inprcldnors mnol hlod.d ororq.d rd eh.Ii ho*66. rlrc buiklins or inllIo\Ed i! $ld$ithin.n.,@
olcomplaion. $.6,a6 Btrildd willtllrc th. bud ofprovins lli4 h. or trh. did not build or improvc thcI)oFy 6r th. purporal
I. s o$nq ofrhc popdy. m dclusiv;ly .omracr ins Mh li..6cd contaclou lo coNrucl rh. Foj.d (sd 704.1. B6ms
and A!6snn Codr: Th. Conkacrois Lic.nsc L.w do6 nol applylo doNn6 olprurdry \vno builds o, impov€s thdon
and Nho conkacts lor $ch r.ojcrs wnh a ConrEclo(s) li.e.sed puuuMt lo llrc Conlmcrois Lic6* I-aw)
lan.\cnl! ond( secri{.n .lt &P( for(hisr(a\.tr
Dri. (rrnrr
llanr!8s:.caMruNlAf:l)!
DECI,AIAIIA!
I hdeby afllnn undq p€nahy olqsrury one olrhe aolloNing dNlararions
Iharcandwillnai.i.rCdifical.ofcoMtloSclf-lnsur.loruoA6'comp.Nalion,6p.ovidcdforbysctiof,1700ofrh.
l-rbor Cod., for rh. Faonnrnc. of tn. work ior whici ln. p6mi is isu.rt
I hay. and Nill nainrain wo 6 conp.Barion i6uran.., s rcquned by Sclion 1700 oarh. Labor Cod.. lor lh. pdlomdcc ol
thc {ork for r hich rhis p.mn is t$dl My wor*6 comFNI ion insur c. can( dd Foli.,nun$c a€l
| 1-(A1e ?vt..JV
"r"r"*,u,' lL6 lb01 zo tb l( -o( -z- \1
I ceni& rhar in rh. ndaoman.c ofihc worl for which thh ponil is issu€d, I shall.or.mploy any lEsotr in any ftmnd
e 6b hco,nc subjel lo lhr woltqs colnposarion laq3 ofc.lif.mia. md asre lhal itl should b.com.3ubjet b lhc
qod6' compaetion provisios oa Sdlion I700 oarhc L.lltr ('ode I sh.ll. fonhvilh conply wnh tho* provisions..
WARI\INCT F.ilur.lo sur. sorkm codFnsaion covdsc i3 nnl,saul. d shall subjdt d ftployr ro aiminal p<Ehi6 and
.nil fincs up ro on. hundrrd thoMd dollm ($100.000). in addnion b the con ofcomp.nelion, dmagd s prorid.d for th.
Sdion 1076 oathe kbor Codc inlr6l dd dnoney s lB
n*e: -L|LLILLZe\L &cnan,,9 fr,{tie aoo
tlCElStArCOtlllACIaa
DECI.ATAIIg!
I lEEb, lftuo ond6 paall, of psjury lhal I o licqsed urdi Fosioi of Chapl6 9 (conhdcins sth sdion 7000) oa Division I
of lnc BNin6s dd Prol6sioG Code, dd ny liccM is in tull forcc md efccr
,".*. a,.* " P
o^"' lz/t+/tot$
I icarP Nu'ntrr \s zqqo
c*"*..,!A ,Iu Joo
CQNiIBlJCIlOIi.tEIDllCrICTN.cl
I hq.by rfilrm unde !6rh! oa pdju!,v lhal lhac is a coNrruclioo hndin8 .8ncy for ln. pqfomdcc ol lh. Mrk for Rhich lhis pqmit is
issucd(Scc l0!?. Civ ( )
4IILICA.ULIIC!,Af,AIJON
I hctby afl'm uida po6hy of pdjury on. ol th. aollowinB ddla.doos:
D.molilion Pmils-AsbBros Norincarion F.ddal Rqllsiiors (Till€ 40. Pan6)
-R.qunal Lard of Noti6.rion
I cGlify lhar lh. f.ddal r.sulations cg&di.s 6b6ros ronoval d. not applicablc Io lfiG prcjdl.
Zl c€lily rfiar I have Esd rh6 appli..rion ed siare thar ih. .bov. intom.lion
's
.od..l I agrc lo conply wilh all Cily Md Co@ly
ordimc6 d Srar€ t vs rcl,li.s ro buildins .on$ocriod rnd hd.by auhonzt r.F€stari!6 oflnir Cny d Counly lo dl6 lIFn lhe
ahv.,hcnrioncd prep€ny for insp..lion purr{s6
ADplici l or gc l Signnllre:
t*rr* ,"," rpano, F- lTirA Yr/ J.: o
,,,. t \7f 17! >ot.$
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
[Jnder Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)/ -:'le
Ceilings (Hard & Soffit Rough w
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL 6-A*n VI
Notes, Remarks, Etc u '\_/
-t
ELECTRICAL-INSPECTOR RECORD
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