HomeMy WebLinkAbout20165213 - Permit (2)City of,Santa Ana
Permit Counter: (714) 647-5800
Fr,Electrical Permit #: 20{652{3
Pin #: E5{58lnspectron Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 5105 W First St Unit:
Block: NA
Btdg:
Tract: NA
Address Range:
Historic: No
Suite Range;
Zoning: C2Assessor'sParcel: 100-301-06 Lot; NA
Owner:
Address:
Henry Huynh
15776 Gateway Circle
Tustin, CA 92780
Fee Type
01'1 16002 51603 Light Std w/ 'l filrure
011 16002 51600 General Plan Update
011 16002 51603 lssuance
Amount
24.80
22.O8
55.04
Qty
5.00
1 .00
1 .00
Fee
$124.00
$22.08
$55.04
Contractor
Address:
Delta Construction Co
16027 Brookhurst Street, G-
Fountain Valley, CA 92708
(7141362-1892 :LLED
State Lic #: 922200
Lic Type: B
Bus. Lic #: 325079
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Co
Policy #: DAWC862945
Expires: 1012012018
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Occupancy:
Constr Type
Code:
Oelto (
6enerql
u 11600Building Use:
Job Type:
Nature of Work
Notes
El€cl
[t1111
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave- ,O
10195645
Date
Date
Date 08/09/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pefinit issued shall become invalid unless the wolr( on the site
authorized by such pemit is comfienced wilhin 180 days after its
issuance, or if the worl< aulhonzed on the site by such peinit is suspended
or abandoned tor a peiod of180 days aftet lhe time the wo* is
$22.08
$179.04
$201.12
$0.00
$201 .12
011 16002 51600
01 '1 16002 51603
Fee Total:
Paid to Date:
Balance Due
20 Civic Center Plaza (M-19), Santa Ana, C492702
Phone:
Tenant Name:
Phonel I rrrlt t l,
91712r'-rt8
frnns+! CY
EEi+
Commercial
Miscellaneous
Light Standards
N/A
N/A
cEc 2016
Planning Conditions:
lnspector MID#: 2014-116066
APPROVALS DATE I 3BtG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Rough
FINAL
Notes, Remarks, Etc
-)
ELECTRICAL.INSPECTOR RECORD
OWNER BUILDER DELCARAI ON
I hcrcby afi,rm undcr p.nauy of Frjury rhar I an .rcmp! rm,n rhc Conrr0cron Ltcnsc Llw for rhc followins rca$n (s( 701 I 5
Busincss alrd Profesion Codc): Any Cily or County *hich rcquncs 0llrcrmil ro .oNrud- aIcr, inDtovc, d.@lish or mPrn any
(rucfurc- pri,r Io irs hsurmc. rko rcqutc\ rhc appltanr lor such Frmir ro filc a sisn.d natmhr rtur h. or sh. is li.cns.n pursonr
to thc pnrvhnrns oi lh. Conr,clors Liccn*d lj* (Chap'.r 9. commcmnrS wilh Scclion ?fiD o{ Divhion :l ofrbc Busincs and
ProfcsionsCodc)or$alhcorshciscxemptlhcEfro.ndrhebnsntbtrhc0llcscdcremprion.AtryvnlrinnofsNrirnT0.ll5by.ny
amlica.l Iorarmil subjcclsthc aprlicril lo ociviltEnallyofnol flmrclhan fivc hundrcd dollsh {$5(x))
l.a\owncr.rrh.pmptny,.rmycmpk,tccs*iih$sgdazirhcn$h.{mlcnsdio..witldolhcwo,dltE(n urcisnol
inlcndsl or ofi.r.d for slc (Sc.7(}!r- Busitrcs otrd Prolcsiotrs Codc:1hc Conrrictoir l,tenrc lis dEs nor arpl, b anowneror
rhc In)pcny *ln hilds or iqrors rhcNn. ard rho des seh *ort himsclror h.sclfor rhmugh hh or h.r o*ncmplorccs.
pr.vidcd rhar sxch inpn,€mnc m nor intcftt d or ollcR\] tur slc. Il h$!wr. rfu hribinS or inr,mEmnr is $ld wirhin on! ]cu.f..mtlji,n, rhc Owncr BrildE will hrrc rh. hxid.n of poving rhd hc or thc di'l tu, hrikt or in 6w rhc Jn,pcny lor th. tdlns of
l.,\.\n.r.frh! ptulrny.. crclusivcly onrd irA *irh li.cnscd coffrcbr to conslDcl ric lmjcd lscc 70.14, Bd\i"cs
Md lt',lsionCodc:lhcConrllcroisl-iccn\cl,awdocsnorlnrlyronno*ncroiproDcn!wh,)buildsornnpro!.srh.r.on.
,n'l who conthrk fr such !$lc.h wirh r Cunaa.bilt li.cn\dl lur'x.nr ro tlf, Cofti.ttr s Ltccn{ uw)
I arrxrnrt, urldrr Sr.li(nl
Dele: oene.:
wonxl *.s' colrtrrv.ilrrrol r
DICLTEAIIQN
I hcrcl'yafi ir.undcr pcnatryotnci!ryoncoilhctoll{,sin8 d(hrolion\:
I hdvc uxlwill mai.rrin rCcnificdcofConscnr b Srlt-lnsur f(tr wortcF ennpcnsdion.as nmvidcd aor hyS.rrio lT(D.trht
Ljhn C]Idc. tr lhe pe.f{rm'R of rhc wo* for which tfic ranrir i\ i\\ucd
ffi-..,..,,,*.,-,,-,.rcr\'!iin'Nn\.(r l'ihc tr,trl'n{ trh(l' rl'tr Jrnn r\ rsqld Mr rnrlqr
/t. D /;aR
sunrcc. is rcquncd bySdinr:1700 olrhc lrlt, C{xlc, f.r rhc rdlornurcc ol
comrcnsoljon insur cc c.tricr ,.d policy nunbu dc:
we o
-lccnilyrhd
irrhcp.rf.rn nccoflhc *ork rir whth lhn tE nir i\t\u.d.I\hrllnorotrDk,yaiypc'$nn'anym..ncr
{) a\ r, h.or {hFd ro rhl w.rkcn ..nf.trrrnni L'ws otCrliLriir. dd agtoc rhnl il I should hc.o,E suh,cd ro thc
workc^'.onycn\arn,nttuvnioi\oaSd.riotr17fi)ofrh.ljlsrCrntc.lshall.fonhwilhcondywirhrhos!tr,vhions
wARNIN(;: Ijiilurc lo ecurc workcn corpctr\rrn,n ..vcnsc i\ unh$rul. rtd \hrll \ubj.cr r't cnrl)fycr t() diDirrLi lEnollics utl
civil lincs up ro onc hunlrcd rhousrn dollnF (Sl(r.fiXD- i! rkuni.n k, ih. con of.rniFnsmnnr. d{nhgcs {s an,viicd tor rhc
wlil^b ,0,,**,Y-Ll!-tilu;LtQtil3]1rlllt' DECIAMIXA
I hcrby lrtrmundcr Fmllrofperjuryltal I n lienst undcr pxrlisionotChrfl$ 9 (coEmncine uith Scrbn ?(]&) ofDivhion 3
of rhc Buciftss lnd Pmlcssion! Codc, ond nry lic..s is i. tull lors md cltlrr.
"iI"-"^ryTf;h -L*cn*Num*
- qlY)-to
*"-"*\ a::1- )z--<.t:-
CONIIBIIqITNIBPIUIiIGENII
I hcrby dirn undcr lxnrh, ot pcrjury lnar thcrc is a onnru.lbn lcnditrs lsency for lhc If,rfortute dt rhc work lor qhicn ihis Fnnn ic
ksucd (S.. :1097. Civ. C.)
AIII.ICANLDEEIAf,AI,ION
I trah, dirm uDdcr p.mllyolpcdury onc oithc following d.cloririons:
D.'nolirn,. Pcrfrirs Asb.stos Noriarcariotr rcdctul Rceulnrions (Tirlc40. Pln6)
-Requtcd
ldrcr ol NoiifElridn
_l .cdiry rhdi rh. redcral Egulaliom mg&ding {sbcsos Rmvd m nor applic,ble lo lhh pDje.1.
M.niiy rhrr I hav. r!!d rhis alplicarion and srorc rhar lnc atDrc informarion n coftcr.I agift ro 6mplt wirh.llCiry!trd Counly
o,tinrnccs {nd Sr.rc L.ws Elarins ro liu ildi
0hovc mnriomd lmp.ny for insl,.Tlion pu
Appllclnr or As.Dl slsBruE K
tr9.otr{n'.ri,nr. an(l h.rchr- xtrrl',trn. tuprt\rnrrri!r\ or
r'"""ir- -,-",pri,r,, Y.-
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Communications Cable
Sub-Panels
Service lvleter
Irn'lc''\ J'l,c$
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