HomeMy WebLinkAbout20166474 - Permit (2)City of Santa Ana
Permat Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 220 S Daisy Ave Unit:
Block: NA
Btdg:
Tracl: 2752
Address Range:
Historic: No
Suite Range:
Zoning: O
q
Assessor'sParcel: 007-333-13 Lot: 50, 51, POR 56
Owner:
Address.
City Of Santa Ana
20 Civic Center Plz
Santa Ana, CA 927014058
01116002 51603
01 116002 53601
01116002 51603
01'1 16002 51603
01116002 51600
01116002 51603
Fee Type Amount
Over 1-10 HP. KW or K\ 23.25
Ptc - 650/o 0.65
Fee Exempt -165.64
lrin Fee Adj 50.09
General Plan Update 22.08
lssuance 55.04
Qty
1.00
23.29
100
'1 00
1.00
1.00
Fee
$23.29
$ 15. 14
$-'r65.64
$50.09
$22.O8
$s5.04
Phone
Tenant Name
Contraclor
Address:
V V D Communications
12681 Pala Drive
Garden Grove, CA 92841
(714) 205-1048
State Lic #r 821598
Lic Type: C-7, A, C-10
Bus. Lic #: 351998
Workers' Compensation lnsurance:
Carrier: Old Republic
Policy #: A1CW12781700
Expiresr 1'll14l20'18
City
Miscellaneous
EV Chargers
Occupancy:
Constr Type
Code:
Planning Conditions
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
eri
07130t2014
08/,t 3/2018
Account#
Every permit issued shal become invalid unless the wotu on the site
autho zed by such pemit is commenced within 180 days aftet its
issuance, ot if the wo* authonzed on the site by such pemtt is suspended
ot abandoned lot a potiod of 180 days aftet the tifie the work is
cofimenced
$0.00
$0.00
$0.00
lvlar
lnspector MID#: 2018-144766
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due;
Permit #: 20166474
Pin #: 971{6
Phone;
Building Use:
Job Type:
Nature of Work:
N/A
N/A
cEc 2016 Notes: fee exemptJetter on file
APPROVALS DATE IDiSIG.
Site-Work Z;)
A,t*/t?Underqround ilrrln r,t't?t/r-4o
Pole Bases ll 2t
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Torqueino
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouqh
Ceilings (T-Bar Rouoh)
Meter Release
Rouqh
Service [\/eter
FINAL f lil ltr t\u-,rrXlP
Notes, Remarks, Etc
OWNER AULDER DELCARATION
I hcrchy afifl. undcr p.nally (,f p.rjrry rhir I an er.infl ron lhc Conki.to^ Lacnsc Ij* for the lolouiry rcN,n (Scc7o:ll5
Burncts .nd Piofcrsn clxi.): Any Cirt or counry whi.h nqut s , IEflrir to c-nsrruc1. 0lrcr. inprovc. dcn,lish o. rpm My
socrurc.,rrior ro ns nsuancc. also rcquircs lhcnppli.nnt ior such p(rmit lo olc, sistrcd {dcftnr rhar h.6r sh. n lic.nscd Nrsusnt
k' rhc pmvtn,ns olrhc G,nrr,.ror l-i..ns.d l-as (Ch,plrr 9. C.n r ing wirh Scdion 7utu oi Divisiotr 3 ofrh. Busincs lnd
Prof.r\io rCod.){rrhd trorshc k cxcrhpt thcnlmnand rhc brsn idrhc {llcScd crenrtrion. Any viohrinnofS<rkn70ll5 by rny
0!pli.a.i r.r r p.nnii subjer rhc omlictrtrl ro rciviltcnrhyofmr nlorerhln r_re huodrcddollars(S5m)
l. rr osrcr ur rhc pnrp.rly, or my cmployccs wilh sltes ns $rn q,k mmtcnun)n, sill do lhc s ork and lh. \rtulm n nor
i e.dal or ofcr.d ror $lc ( SN 704,1. Businc$ and Pmlcsiotrs Cdc Thc Conrra.l{tr\ I -tcny I i* dft\ nor 0prry ro .n oNncr ol
rhctmlrny wkl boilil|.r nr{m,w\ rlrrs.. rxl who &{s s&h w.r* hnNcll.r h..rlfor rhouAh his or h.r own.frployccs.
nrovidcd rh.t such nEorc.rnls @ nol inlcnd.n or ollcrcn lor strlc lt ho*ctr, rhc hu ildin3 d itrDrcrcrRnl is sU s iriin m )t r
oroftpkri'n, rtr o*n.r BuikLr sill haE ri. t ,i.n ol pmvinS lhu rE or shc did trot huild or in{'orc lhc F,rrny r.r rhc pDITn{ ol
L N o{ncr or rhc flDcdy, m .x.tusnrly onrd.rinS wirh li..n\cd cofiacrrs lo coNrucr rtc pojccr lse 7041. Bu\inc$
ind Pirl$sion aodc ThcContrucln!LicenscLcwdoc\notrpplyroanosn.rotp.opcnywhohuildsorimprovcsrhercon.tr sho mnrBch ritr $.h prcixts wirh a Conrh.b(n li.cn\.d lusu,tr' ro rh. Conlnctols Liccne I!*)
I rmcrrn,rr ridcr SNrioi B & P( lnrrhisrcin r.
D.re: oemr:
lonxonir-otuPr'nrs,rrrrrr
DECI/AA.IIgN
I hcrcby rfllrmundc. |xn y oi Dcriury orc of lhc f{nbw inE dNltrorionsl
I hrw .rld will frridtdn a Ccnifictrrc of Con$trl tu Sclf.lnsurc for wor*c6 omFnsrrion. as F.vid.d for by S(rion l70O ol lhc
bb.r C.dc, ror rhc FrtorMce oflhc rort lor which thc pdmn is hsucd.
-l
hovc and will mainhin wortcc c.r,pcnsrr ion insurarcc. N .cquircJ by sNi 6n rT{D trh. tibot Codc,lor thc perlormncc of
rhc wor( forwhichlhn pcfl.ir i\ is\ucd. M,sorkers c.'npcnsrrion instrrutuc.rricr Md p.lf,ynumh..dc:
Policy Numbcr:-ErpiEs:
_l cenily rhal in rhc F.rlornukd ofrhc *ork ror which rhis pcrn,i i nsucd. I sh.ll nor cflrploy any pcson in !n, hanncr
so .sIo h.{onE subjc.r ro rhc w{*cr orycns iotr hss ol Coliionrir. lnd lgreerhar ifl snouu bc&.r stbixl lol
wo*cr'smp.nsorionprolision.olSccrionlTlx)ofrhcl,t$rC.dc.lsh,ll-ronhwnh.omdywirhrh.slnrvisions
WIRNIN(l I: i,,. i) $. '. trr'lc,s (ru ovcftsc ( unl,wtul. ood sh!I {,hi.d , dlll) ora, ni .' mnrl t{ rl{tr\ nl
.l .on,Nn\11i,r. ,lrfnld\ x\ Ird (i(Ll lor rh(civil fin.\ u! ro oft hundrcd rhousrnd d(($l(x).0(x)). nr.d irmn ro lhc
s.!ti.n 1o7a nrrh. I*.r ('riL
"",. s ll't ht
r)1,( r \R\lx)\
I hcrcby {itr un cr pcmlryof rrj cr pnivi\iotrof(hrfr.r 9rco'nntnci'rg sirlr Sc.rion TUIrrol Divilitnr 3
ol rh.llurnc\ rtrd ltolr$nn\ ((!d.. u ry lirc rc i\ ll llnfurn clrr.r
(-ro /zt{qt
5 /s / tr
I hrrhy rfid Dndcr jxnnlryorpcrjury
nn'.d lscc.:r0o7. Civ C )
..nnflcrnr lcrldir8 rgcncy lhr rh. lcrl'onuNc ofrhcwork hr trhi.hrhh Fni n
Lcndcrs Addrcss
-dIL(AILDIUIIBAIION
I hcRttrlnm!nd.r lcnrlrt ofr(rpry onc ofrhc f(,lk,wn,! d.clrrrrtnr\
l)cntliri{in l'cnnit\ Ast[slo\ Nori,lcrri,'n Ird{l.rJl Rrsuhri{nrs l'l irl. .{). l'rd6)
rn,l Coun(!n) c r( uJ!irlir
-Rcquncd
Lcrrer ol Notificarirn
-t{,niry
ry't* tcd"^t
^gubrion\
(E$'iins shc{n. rnr*rlsrc mr sntlrrbh ro !hr Fm|cr.
,.mLf t* *, ** ,rrtrJrbn arn r cth.r rh. at$v. ,nromr Fn scoffit I lprehcomrry
ordmrm. rxs,,rc Lrs(rel,rtrg roburld,n8 c^nstrudbn. md harcb, su6ori^ EFrcscnraur.. nf,hN Ciry
!r-vc mtrrnlt,oFny ror m.wro.,to.*/
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ELECTRICAL.INSPECTOR RECORD
COMMENTS
Transformers
Air Conditioners