HomeMy WebLinkAbout20165802 - Permit (2)20 Civac Center Plaza (M-1 9), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853
Electrical Permit #: 20{65802
Pin #: 37988
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 3330 S Harbor Blvd
Assessor'sParcel. 415-023-07 Lot: NA
Unit:
Block; NA
Btdg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Ml
e,r
Owner:
Address;
Phone:
Tenant Name:
Conlractor:
Address:
Tam Nguyen
3330 S Harbor Blvd
Santa Ana, CA 92704
(714l,241-0235
Robinson Pharma
Owner-Builder
01 'l '16002 51603
01 1 16002 51603
01 1 16002 5160:
01 I 16002 5160:
01 I 16002 5160:
01 116002 5360'
01 1 '16002 5160C
011'16002 51603
Fse Type Amount Qty Fee
Light Switches, Occ. Se 1 .58 12.00 $18.96
Light Fixtures 1.05 164.00 $172.20
Dedicated Circuit 24.79 2.OO $49.58
Time Clock 12j0 1.00 $12.10
Ove|100-500 He KW o 150.79 2.00 $301.s8
P/C - 65% 0.65 554.42 $360.37
General Plan Update 22.08 1.00 $22.08lssuance 55.04 '1.00 $55.04
Botch+:44778 - 7/12/?.(.ttg I0r LRoSALESoffice! CTYH Trons+: 13 I ol IAcct+: Fefi: 2t-r165902
Rcpt+:02323177 - 7/12/2itl8 10:5? ArIronsoct ion Totol t6{9,09
Torn Hgugen
Generol Plon Updnte fee t?2.[S
01116002- 5160000F-
El ectr ic6l t609.46
01116002- 51603000-
P./C Electr ic $13.54
011 16002- 536ru00r.1-
renantlfilprGhrrrltnt andtilff{or equipment t645. ttg
enclosure. Exterior concrete and curb work. New10'
high gate and exterior roof structure. Newceilinggrid
and additional lighting for first floor. Add one room
and vestibule on second floor and new lighting. No
new roofequipmenr. REFUND 1 HR ACC PER MARK
SMITH
$991.91
$346.83
$645.08
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Poliry #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Tenant lmprovement
T.t. -
Smith, Mark
Link, Patricia
05122t2018
07t12t2018
Account#
Misc. Receipt: 70931
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
B, F-1, S-t
III B, SPK
cEc 2016 Notes
Date:
Date:
Date:
Every peinit issued shall become invalid unless the wolk o, the slte
authoized by such pemit is commencect wilhin 180 days aftet its
issuance, ot il the wo* authoized on the site by such pemit is suspended
ot abandoned tot a poriod of180 days after the time the wo* is
commenced
lnspector MID#: 2018-143150
01 1 '16002 5'1600
01 1 16002 51603
01 116002 53601
$22.08
$609.46
$13.s4
Fee Total
Paid to Date:
Balance Due:
Phone:
ELECTRICAL-INSPECTOR RECOFD
ID/SIG.DATE
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm i Dampers
Communications Cable
Buildinq
.,.1Under Slab / Floor
\^.^'<r4 7yBondino / Groundinq i UFER I b 14 l\^,,
Translormers vl r J \
Torqueinq I
&Al^f<-,lUolll e/Sub-Panels i 0 \ /\=r,Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh I
frw.til<>7)Ceilinqs (T-Bar Rouoh)ll
I\Ieter Release U
Rouoh
Service [/]eter
C,o?4
Notes Remarks Etc.
FINAL
\fl\0r{It
OWNER AUILDER DI'LCARATION
I hcrchy aifim !od( p.nally of pcrjury rhar t m cr.mPl fmm lhc Coorr,.toE LieM Llw ror rhc folLwina Eatn (s'c 70l l '5
susincs anl Profcssion C.dd) Any Ciry ot Counry *hi.h rcqlircs a Pcrmil ro snsru.r. altci imProtc .tcmfth or Epan 8ny
srrucrlrc. orior ro irs issuarcc. d{ rcqun8 rh. ,pPlham lor suci pcrm h n,c a sisrcd srarcftn! th h. or \hc i\ li.ertd Purualx
lo llE pmvhions of rhc Co.kr.rois LiccnEd tlw {Chapi.r 9, Commncing (ilh Section 7O0O of Divkion 3 oflic Busines and
Prcfc$ions Cod.) .i rhar tr or shc h crcnDr rh.i.fmm and rhc basis tu rhc allc8cd exerynin. Anv violslion ofSccriin 70ll'5 bv anv
amlicrnr f(tr d Frmi suhjcclsrhe lppli.rnr rotrcivilpcnahlolnor moerhrnivc huid!.d dollds($500).
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ds oumr o, lhe pmtcny. ,tr my cmployccs virh *ryes a\ rhct solc conf.nsar ion. Nill do thc Bork rtl lh. slmhrc k 'rni' cn,lcrl .r olTcrd f.r sL rs(.?()44, Businc$ dd Piofcssnrns Codc: 1 h. Cont.clois Licen* tiw d@s not lplly ro ,n owEr of
rhc pm!.ny who ttrilds or irnpmYcs rtuNn. and Nho dcs su.h sork hinscllo. herstlror rhrou8h his ot h.r ostrcmplovecs
pr",id.d rh,r such impnJErrcnh m mr im.ndcd or oFctcn ior slc ll howcrcr. rhc huildine or irrfrercr is 5U wnhtr' nm vtr
;fcoflphrioo. rh. ()wftr suiBs will h.t rtr bnnL. or provins lhlr tE o. {h. dil frn trild or inltoE rE lret'cnv fr rlf, PurlnEof
;r,
I)t,( t,,\R,\l t()N
I hcrcby rflirm undcr ,.nahy of pcrju,y oft of lh. followi,B dslmrkrns
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harc ud will roinl.in 3 CcnifEarc orconsfl to Selfltrsurc tor work.rl conuensrio.. ri pmvilcd lor brs'crion 1?(tr orrhc
rjb.r Cnlc. for lhe perfo.M.. of lhc wo* to. which th. p.mn is issucd
-l
havc and will tuinlain workc$ codp.osation insumncc. as rcqutcrl by Srclion 3700 6rrhc tihor Code. fo, rhc p'rfomumc or
rhe wo li, shi.h rhis ,.rmil is hilcd. My*orkcs compcnerion insuruncc.r cr ud policv numbcr ue:
Policy Nunrhcr:-Lrli'a\
I c.dify thnr ir rhc o.rlornDn c olrhc trork i.r shich rhn Fflnir il i\{tl- I \hnll mr cnDlov lnv p.r.tr rtrv m0nmr
e Nt' b..onE hJcd k, rh. workcr( conlP.nsdion hwsorcnlir'otni!. ri{tuBrcclhorifI shoukl ^*or* subjccr l!rh'
woltcd.onpcosrriontn,visionsol'Scclion.l?(XlofrhctihorC(ic.tshall.fonhsirhconrPly$irhrhoelmvi\n'ns
Wi\RNINC Fdlurc lo sccurc r.rkcN .onrPcns.rion corcrugc i3 !trhwful. od shall \ublccr .n cnl!]{,rrr ro dininolFmlir rnd
. \iL fi'c\ rt) t, otrc hrf,lr(l ilr \rirl dolrr\ {:ll(l).1)(xr)ion. damScs .s prcvnlcd lnr rhc
r076n/,hc Lnhrf',trr. ' r,u{.'nd
4t418 a
DECIdMII]N
I lEahy rlfirnr xndd p.Mlly of Friury rhrr I am licnsn udcr pmvirion.(Chaple.9 (emmftin8 wilh Sdi6n ?dD) orDirkb' l
of rh. Busimss and Pmfcstiotr{ Codc. alld my liccn* is in full fi)(. and c,f(r
cQllrBllql{)N.LllDlNlilcENcv
I hcEhy aifin! und.r Fmllyofpc.Jury rhar rhcrc is I connruclion knJin8.gctrcy lor rhc ncriafltuncc oIIhc *od tor which rhn Pclnir is
i*r.{lrs.. lo97 Cir C I
APPLiCAN'T DT'( ]I RAT'ION
I lErhy aiim udo pcn.lly oaF€rjuy onc orrh. iollo*ing dccldalion\:
Dcnblition Pcrnik A\hc\t,s Nolincalion rcdfi,l R.Sxhln'ns (Tilk'r0. Pdn6)
RcquiEd t lrer of I'lorificaion
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c.niry lhd rhc fcdcrll (sularions rcEardins asbcnor rcmvrlta ml olPltar,k ro rhk prcjccr
I.cdiiytMl I hnvc rerd rhianplicil i.trlnd shre rhar rhc .h,vc inhflMri.i t conccl I o8ra ro con{ly uilh all Cirv rnd counr}
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COMMENTSAPPROVALS
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V. "..**, ",* ^^nr.
,m c\clulkl) (onra!rms -irh lkctrEd.ont,.ro6 ro onsrdcr rtE tmirr lsec T(,r.l. susircrs
J fttrrcsnn Codc: Thc Conkr.hn's Liccn\c La, doc\.or blply ro anowno orlrclcnv *ho tuilds or imrmks rheEon.
6nd rh,, cnnrB.r(lursuchFFl!qirha(hnracr.ndltrcrscdpu,{,nrt.IhcCo 'a.ro' ' LKcnsc L!tr,
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