HomeMy WebLinkAbout20165959 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, cAg27o2 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O165959
Pin #: 49717
Proiect Address: 3771 S Plaza Dr Unil:
Block: NA
Bldg:
Tract NA
AddressRange: 3701-3795
Historac: No
Suite Range:
Zoning: CR
E
Assessor'sParcel: 412-131-12 Lot: NA
Contractor:
Address:
Phone
Tenant Name:
51603
51603
5160..
5160:
5160.r
5160C
5160r'
Fee
$5.80
$3.16
$2.10
$49.s8
$53.28
$22.08
$55.04
Phone
State Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9134311
Expires: 06/0312019
Metro Town Square LLC
3604 S Bristol St
Santa Ana, CA 92704
(714) 546-2856
Goldline Construction
300{ Gainsborough Dr
Pasadena, CA 91107
(5261222-6174
011 16002
011 16002
011 16002
01116002
01116002
01116002
01116002
Fee Type Amount
125 Voll Receptacle 1.45
Light Switches, Occ. Se 1.58
Lighl Fixtures 1.05
FWU 24.79
Subpanel 53.28
General Plan Update 22.08
lssuance 55.04
Qty
4.00
2.OO
2.00
2.00
1.00
1.00
'1.00
SeoeroI PIon l,pdote Fee
r111160(12- 5150(1000*
E lectr icol
r:r1116(102- !1603tr0u-
ICL Cherk tit12l2?
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Commercial
Tenant lmprovement
Upgrade Restrooms
Flores, lvan ost2412018
Occupancy:
Constr Type
Code:
M
VB
cEc 2016
Notes:
{\\H",nuno",, x"tny
Date
Date
Date
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
10196544
Every permit issuod shall become invalid unless the wo* on the site
authotizod by such pemit is commenced within180 days after its
issuance ot if the wo* authorized on the site by such pemit is suspended
or abandonecl ,ot a peiod of180 days after tho time the wo* is
commenced.
$191 .04
$0.00
$191.04
lnspector MID#: 2018-143563
011 16002 51600
011 16002 51603
$22.08
$168.96
Owner:
Address:
P.,otch+ r 4,l7S0 - 7/L2/2n18
off ice3 CTYH Trqns+r ?f,A.cti: Refi:
Rcpt+:02323?48 - 7/!2/2918
Troosoct ion Toto I
/ioIdl ine Construct ion
ID: oii
2rrl6
11:4tgD.
Planning Conditions:
Fee Total
Paid to Date:
Balance Due:
o7t12t2018
Account#
ELECTRICAL-INSPECTOR RECOHD
COMMENTSDATEID/SIG.
Site-Work
Under round
Pole Bases
Li ht Standards
AS Pool Fountains
Si ns monument
Fire Alarm / Dam ers
Communications Cable
Build in
Under Slab / Floor
Bondin i Groundin / UFER
Transformers
Sub-Panels
Air Conditioners
Roof To ui ent
Facto Wired Unit
Walls Conduit
%
Ceilin hsHard & Solf it Rou
hCeilinST-Bar Ro
l\4eter Release
Rou h
Service [t/leter
FINAL
Remarks, EtcNotes
OWNF.R BUILDCR DELCARATION
I hcrchy amrm udo ,..0lly ot pcrjory rh,r I m .xc.rfl fiom rhc Conrn.bN Li.cnsc I2w lnr r hc tollowing enon (Scc .70'l l 5
Buiin.* d l Pofc$ion Cul.): ny Citt or Counry shich requt i ! pctrnir tt coh{ cl. lllcr inPrcvc. &mlGh 'tr rc!'rn onv
stdclurc- I,ltulo ils n*uan.c. llso rcquircs rhc npplicad lor such Iicmir o nh o sisncd (lrctunr rhd hc or shc i1 licencd lunuml,..
er rhc F,vrsions of rlE Comra.rot s Li.cnsd Law (ChaPrcr 9. Co.rmrcins qirh S.ction ?(xt) ol Division -1 ot th' Busincs rnd
Pmrcssions Codc) or rhlr ir or shc is cxcnu rh.(fton and $. hash fot ltc rlLgM cxcnrflion Anv viol.lhtr of Sdi6' 701I 5 bvanv
anrlic.nr f.r s p.nnir rubt.crslhc umli..nr ro a.ivilFn.lrrotoor dtr.'h fivc htrndr.d dou!61S500)
l. {s ouncr of rhc pt,Fdr, or ory c'nllotNs wirh wrScs .s rh.t slc conp.trsotion. Nill do rhc wort ad rhc snfu h mr
inrcnlcd or ofi.rd for srlc ( 56 ?01,1. Bu\incs rnd Arfessions C{xlc Th. Conrra.ror's Li..nsc L{w doc\ nor +plt lo an owdr of
rhc pmFny wh. h{ilds ff nr9mrB rhcNn- od sfiu des sch wtt him\clfoi h$$lfor rhmush his or h.ro*n cq'lovccs.
pNid;d rh,r sxch inDNrcmnk m ior ir cfrkn or offeEd for slc. !r, bwcvcr. rtf, hu il iry or irrynorcrnr i\ $ld wthin orc )u
;l complcrion. rhc OwMr Builde! will hn* lrt budrn ol povnrs rhar tu or {t dil nor trilr or nr'llbrc $c ImPca, ror lhc Nrlns ot
l. r\osnfiolrhc nDncny, r'ncxclusivclyconnding sirh lic.trscd..olrlcnEt,.onsrucrlht lmjc.i (Scc 1044. Btrlinc\r
.nd holb$ion codc rhcc.trtrcr.is l.i.c \. t)w doc( nol llPlyi, nnos cr olltr)nrny who buildsor imln,vcs rh.ton-
rnd who onn rls lbr such Pr {cch wirh ! Conrncbn s) li.cn*d lusumr b rh. (in mcfi s l-iccn\c kN)
I a rxcnrpl trfd.r S.rr
Drle: Owner:wotx!]ls' rrruprnslttol
DECLAMIIO!
I hcrcb, allird utul$ !.n.llyolFrjuryonc ot rhc lollowins d(l[dions
-l
hav. aid will dinllin a Gnifrotc of ConE lo SclHnru,c ror wotkos on{rnsrio.,.s Inolidcd lor bv Srrion l7m of rhc
tihor Gnl.. for rtE F.rornEmc of lhl sot* r.t which lhc permn n is.u.d
-lhavcandwil,mainltritr*ork.6
conFns.lion iNurarce. !r EqxiE{ tv Sr.'iion 17fi) of rlE lihor C'd'.lor thc p'rr'mm' or
rhc eork ror *hich ltis llcdir ir is$cd. My wo qi omp.nsttion iflsuruce .srhr 0d !'oltv nunb.r m:
Pul',I \un$(r:---
-!.cdiry
thar inlhcFrntrndn.corlh. wort for whichrhis Pcrmil n issncd l sholl not.q'lov inv rcnotr in anvmnrct
!o as lo tEcotu subjccl lo rhc sortcs mmP.ns.riotr laqs ot Cslitomia. &d !8rcc ihtr ir I shou ld hccomc rubjNt b the
porkcr conp..saliutr Pn'vhions otserion 3700oflnc LatDr Gi. l shrll. fonhwirhco.rrlvrilhlhocpbvisions'
WARNINGT Failurc to surc sorkos ompcnsalion .ov.ngc is unlostul, and {hall subjccr trn cnlplorcr to qitund Fn'lli's and
civil fincs up ro on. hundred rhoxslnd dollm (SlOoO0O) in addnion ro th. co{ ofcoDp€nrorion. dom8cs as fl'vidcn ror ihe
Srxon luT6 ofrhc tah,lcoJc. inrcrcn !n'i dlnmy ( rds
;:"")"zv;;'""" ^,.^,u r4- ,2*,-
I ICEi\SED CONTRACTT'R
DECLAS&UA!
I hcrby.fiiirn undcr l.olty of pcrjury rhar I sn licns.d ur'dcr Foti\idr ofChorrcr 9 (L\,frmrcins wirh Sdirn 7U)0) orDivirion l
of rhc Busims a.d Pmfc*ions Codc. and my licc.* is in lull forc srxl cllNi
{a-r-o*,(
(:(TNSTRIICIION I FNDING AGI'N(]Y
lhcrcbyrllirEx(lcrpcnrllyorlcrjuryrhtrrlhmhacoiicriunlctrdiDsarcncyr.rrhcpcrlhroanc.olthcworkftrwhi'hlhnPcrmiri\
hsucd (Scc 1097, Civ C.).
t-cnici\ A,ldr.s
AELISANLDESLAEAITO!
I hmby dim !.der pensll y of pcrjury otc .l lh. lolhwinS dNlqalions:
Dcmlirio. ftr.r s-Ast stos Norifi.arion Fcdcrll Rcguh.ionr fink 40. Pdn6r
R.quirrn lJlrcr of Nolifi dbn
-l
ccniry th!! lnc fcdcrtl dgxl,rions rcBarning astE{os rcmvd orc nnl srdicablc to lhis peixt.
-l
ccnifylhal I h!!c rnd $is.pPltarion ard $arcrn rhe!tD!c infomlion n orccl t ,ere lo onlpl, wiih all Cilv {nd Countv
;di,amcs;d sr'rc L{es rl,rini io blilding conirucrion. sd hochy adhoria rc[c*Drativ.s ofrhiscnv and counrvro enld ulb' r
ffi:-H;"'*T'Y .io ."," 7/a/r r
prr,,,e nnme , prrnr):._ .. 3hq am -,zL/u rcia-
APPROVALS
Lile Saletv /Low Voltaqe
Toroueinq
,tvJ ?1_Walls (Rouqh)
1rJ>r)'t ltal rc
VAL.at I l?a)*lPltg -t,
txrofl s Nanr
-