HomeMy WebLinkAbout20166685 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C,A'92702 Electrical Permit #: 2O166685
Pin #: 69607
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Project Address: 3503 S Harbor Blvd Unit:
Block: NA
Suite Range:
Zoning: P
E
Assessor'sParceli 414-262-03 Lot: POR 3
O.C. Constellation LLC
3503 S Harbor Blvd
Santa Ana, CA 92704
(949) s2s-2859
The Observatory
01116002
0'11 16002
01116002
01'1 '!6002
01'1 16002
51603
s1603
51603
51600
51603
Fee Type
Light Fixtures
Lo\,v Voltage/Comm
Min Fee Adj
General Plan Update
lssuance
Amount
1 .05
33.88
10.'10
22.O8
55.04
Fee
$29.40
$33.88
$10.10
$22.08
$55.04
Phone:
Tenant Name:
Owner-Builder
Phone Eotchi:45424' 8/16/2018
0ff ice: r-TYH Tronsi: 55Acct+: Refi I
Rcati:02355839 - Sl16/7tJ18
Tronso,:t ion lotol
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
lat ion LL(
Buildang Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
Tl/Walk-in Cooler
Occupancy:
Constr Type
Code:
A-2, B
III B, V B, SPK
cEc 2016
Notes Auth. filed.
Planning Conditions:
Planning Approval By Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permil lssued By
Subject to Field:
Building Permit #
Teri 08/16/2018
Account#
0196665 $22.08
$'128.42
$150.50
$0.00
$150.50
Every permit issuad shall become invalid unlessthe wo* on lhe site
authorized by such pemit is commenced within 180 days aftor its
issuance, or if tho wotk authotized on the site by such permit is suspended
or abandoned fot a peiod o1180 days aftet the time the wotu is
cofimenced
lnspector MtD# 2018-142190
01116002 51600
01116002 51603
Fee Tolal:
Paid lo Date:
Balance Due
Btdg:
TTact: WILLIAMS
AddressRange: 3501-3521
Historic: No
Owner;
Address:
Qty
28.00
1.00
1.00
1.00
'1.00
Contractor:
Address:
Auth+ 3 tl,
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
Ivleter Release
Rouqh 4 P a\u\)
FINAL tt PI rr -I fi{,latS lt;rt )
Notes, Remarks, Etc ra
OWNER BUILDER DEI,CARATION
I hcEby afirn lnder lcnrlry or Frjury rhd ! m cr.'@r lonr rhe G)nkrt,n t-tcn{ rjq rttr rhr f.lbant8 rci$n lSR.?o.1,1.5
Busnrss and Profc$n,n Cqlc): Any Ciry o. Coutrty whi.h rcqrnd( r Fmir b .otr rucr. 8lct, impovc. d.nmhh or rcprn ony
srru.rurc. prior ro its nsudrcc..lso rcquncs rh{ {tlicr.r lor such p.rnrn tu fibn sirtrcd {dcnrctrl thit hcor sh. is li.cntd l)Uisu"nr
h rhc F,visio.s ofrhc Cont..rofs Li.cnrd Law (Chinrcr 9, C.nrmrRir8 wirh SccLon 7OU) of Divnion I oI rhc Busincss rnd
Prcfcsions Codc ) or lhar hcorshc hcxempr lhcrcfiomand rhcbalh ior lhc illcscdc{emprion liyltrhrt,norscclion 7oll5 byuy
appliunr nn aF.n,ir subj.ckrh. dprli.rnrroacivilpcnllryolnorno.clnlofiv.hundrcddollaB($500)
L ns ownfi or rh. pft,rcny. or nry.nplorrcs wilh wn8.r $ rh.ir sk conu(nsll i(,n. aill do lhc w( unlhc ntum Ln.r
inrcndcn .roitrcd fu' elc (Sa.7(!44- Businc$ and Prorassnns Codc Thc Conksci{trlLi.cn* bw d€r not.ptly rn !nowncro,
rhc pm0cny wtb huilds or iqroK Emn. lnd wno des such w.rt himscllor lrcr*ll'or rhftugh his orh.r.wn cnplorcs,
,rolidcd rhar s!.h ifrpmrcftnn m nor intcnd.rl or dlTcrcd ft, elc. ll k)sdlr( th. buikti.a or inDmrcmnt is $U lilhin om )rr
ol comDbrion. rhc Osrcr Buildcr *ill har rhe hrdcn ot pnvins rhd he or dr dil nor buikl .r n ptuh ih. tstxiy for lhc Fuqnc oi
L rsownrrofrhd pr.tcdy. rrcx.hnivclycotrtrcrir8 with li.crrd coftacrns lo .otr\Iru.t rhc proFr {S( 7O.r4. Bus.c\\
u hrlc\lhnColc:lhcConl.rcioisl-iccnscl,0wdocsnorupt'lrl.!nowneror'piorcrr,wh{,brild\ornnpntrcsrhrcotr.
Jfd *ho conrrcls itr such !mF1s wirhr s) li..n\.tl tursurd i,rhc Cin 'r(rr'\
I rn,.\.n,fr trn,l.r S.r1tr)n
u[!t !!rll!!u
I hcrcby.ilrrn undcr pcnllry.ipcrjuryonc ollhc f(
-lnavclndwillminroinaCcninc(corConrnrroScltlNurci(*orkc..of.Narion,,stmvidcdlorbyScclion3TO0oirh.tibor Codc. for lhc ,crform0n.c ol thc vork tu which thc Frnril h hsuLn
Ihrvu ndwillm inr ( lvorkcri conf.isdrn i'rntumc,trs rcqrncdhrS..rir lT(Xlolrhc lihnr Onlc. forlhcpcrfomun.c.I
rhc uork tur$hi.hihis pcmiir is issucd. My workcr\' .onr!.n\rrion nrsurriN.dri$d nolicynun$cr rc
Policy Nunrhcr:-Lrtter
-
WAltNlN(;: r,ilur b *ur. *.rkcn ..nr.tr\.rn,r .ovcrr8c,s unlawtul. nnd shrll subjcct an cmp
('rrl lnrc\ trt r. .no hundrcJ thotrsr d dollnrs maScs rs tmvidcd f(tr rhc
scrroi .1076 0frhc l-ahtr codc. irictun.n'l
I hcrchyafitm unncr p.nrllyniperilry
DECLAEAIION
under rrclision ofCtapl.r 9 (comnttins wirh s.crion 70()0) olOivision l
of rhc Busiftsand Pofcsions Cod.. my li.cnsc
ca$iralJquoNLExuNc.dliDxlI
I tur.hy xrlirm undcr pcnalrr.rr*rjrry rhrr rhcd is a con(dcrhn lcndin8 4.my ln hc l).donrMcc.f rM aork lor which rht lcrmil is
ksucd 1S{. :l(Y)7, Civ. C.)
AIETANLDECLAN{IPN
I lrrch, afljnn uadcr |xnally of pcrjury onc ofrhc rbllowing d(hmtions:
D.fr,lirion Pc.mns Asbc(.\ Norifidtion F.dciol Rcguldions (Tnlc 40. PM6)
_RcqliEd Latr( of Ndrificdrin
-l.cni,
thd rlE ndcnlrcsuhlions rcradins !\hcstos ,cmvrl lrc nor srpli.nhlc ro lhil Prcj.{r
tuxd rlr^ rnt,luritrrrxl {11clhrr ion G corccr. I asre tommnly wirh ull Cirydd ('outrrt
rizc rcprcBnhrivcs otrhn Ciylnd Coonry kr.nro upoi rlf,\
""rtf q q./^kb,\lz-
ID/SIG.COMMENTS
Pole Bases
Service lvleter
-l
ccniiy rhor in lhc pcrlonnrncr olrhc work ior Nhich thh Fnnir h issucd. I rhxll nor cmpby !i, pck,n n' trtry n'jtrncr
$ tr h hccqnc shjed ro rhc wortcri coopc \arion lxws ol Ctrlifqnir riJ rgtt rhr if I lk,uld h..oN subl,ct lo lhc
workc compcnsarion poli\n,ns ofSccrnnr.l7U)ofrhc tahr Codc.I shall. tudh*irh.o,nt)ly wirh rho* [olisbns