HomeMy WebLinkAbout20166009 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, C49270?
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Assessor'sParcel: 007-'120-2'l Lol: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range: 2003-2015
Historic: No
Suite Range:
Zoning: C2
Y
Phone:
Tenant Name:
Contractor:
Address:
REGENCY CENTER L P
36 EXECUTIVE PARK lOO
lrvine, CA 926144727
The Hoops Academy
Owner-Builder
Fee Type
01116002 51603 FWU
0'1 116002 51600 General Plan Update
01 116002 51603 lssuance
Amount
23.87
2'l .25
52.98
Fee
$23.87
$21.25
$52.98
Qty
1.00
1.00
1.00
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
Notes: Handout given/fees pd in full on M-71057
Date:
Date:
Date:
Misc. Receipt: 71057
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Evary pernit issued shall becomo invalid unless the work on the sile
authotized by such pormit is cofimenced wilhin 180 days aftar its
issuance, or if the wotu aulhorized on the site by such pefinit is suspended
or abandonad for a peiod of180 days atler the time the wo* is
commenced
06/04/2018
Account#
$98.10
$98.10
$0.00
lnspector MID#: 2018-143648
N/A - No Balance Fee Totall
Paid to Date:
Balance Due:
1D7)L- \o{l-
Permit #: 2Ol66009
Pin #: 78506
Project Address: 2009 W First St
Owner:
Address:
Phone:
N/A
N/A
cEC 2016
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Sa /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
(Hard & Soff it RouqhCeilinS
Ceilings (T-Bar Rough)
lvleter Release
Rough
Service lVleter
FINAL b l2-z ltc .tdc7!)
Notes Remarks
OWNEN BUILDER DELCART{TION
I hcrchy olfirm undcr p.halry of Frjury rhar I am cicmpt liorn llE Conrdus Liccn* tiw f.. dc followine rca$n (S.. 70:l L5
Blsiness and Profcsn,n Codc): A.y Cny or Coliry shkh rcqlncs a lEnnit to .onslflcl. llrLJ. improvc. dDmlnh or rcprt any
\locluc. priorlo ils Gsuarcc. aho rcquncs tht amli.tr.t f(r slch pcmn lo fiLr siSncd stotcmnl thot hcor shc n liccn*ri puisudr
lo rhc rrcrnions of rh. Conrrbcrors Licensd Llw (Chaplcr 9, Conxftmine *irh s.crion rom.t Divnhn:l orrhc Busincs\ and
PnfcssionsCodc)orrhrrh.o.shcilcx.iprrtrclmmandlhcbashforrhcallcgcdcrcn{nion.Anyviot.rionofs{rion70tt5byanv
rrtlicrnr fin ! pcrhn subjcch rhc apllic{nl
'o
acivilFnalryofnor mr rhao fivc hundGddou s($500)
l. ^ o*nc. of lhc pmFny. or my cmployccs w irh wuscs as rtct n,lc conDcnqtion- *ill do rhc !ol( od th. nEtu 6 mr
i uftn ot dff.*d n, sE ( Ss.?O14, Busitrcss atrd t]ofcsions C.dcr Th. Conkr.tr\ Lk.n* bw dfts frn rptly to En owncr ot
rhcpmpcny who b!ikls or irrl|]nvcs llLNn.0nd whd ddr such sd( him{cllor hcRlf or rhmo8h his or her own erfll.yccs.
[ovi{]cd rtar $ch imfmrcrftnh m mr i.r.nd.i] or ofic8r for elc lt hoscEi llE huiling or inlmrcmor is sld *irh$ o* }rr
ol o'rq)Lr n. lh. owmr Bxilds {ill halc rhc burdcn ol roving thr hc or shc did nor hlild or in{mw rhc ,mFny fir th. purJns of
_1. trs ownn .r rhc ptuFiy. rn cx.lu\i{cl, .onrrucrins wirh liccn*d c.nraclo^ io snsrru.l llE prol.cr (scc 7044. Bus $
rfrl lhfcs\ioo Oic: The Conlrncrois Lic.ns. tis docr nor 4r,ly ro !n o*ncr of!rcpcny who hui
,id *ho .o tucr\ ,nr \uch pnlcd s wllh r Conrr &kn( 9 licctr{d pu.\unir hihcCo racktr
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l\'( )RR l.tRs' ( I )nt PFNSA',T'!()N
DIiEt &[tl.):
I h.lchyrilnnrundcr!.nrlryol!.!uryoncofrhfollosingilftl rtiqrs:
I hdv. and silltuinrin a CcdifElrc ofCon$nt ro Sclf.lnsurc fo. workda L$npcnrdi.n. ds ltr.vidcd for bySc.rion -1700 orrh.
trbor Cod.. for rhc pcrforuncc of rhc *ork t'or *hich lhc pc.nn is issudd
Ih vcrftiwillnui air w.rkcis .orpctrsdn iNuhncc,ns tuqrned bvScrrion:1?(n.irhc lrlhorGrlc. for r hc pcnbr nun.c ol'
rh worl i(tr whi.h rhi\ Fnrir i\ hrud. Myworl.r{. ..nrtc \di(,, ii\uran.c uri.r md lx)li.t ntr'nh(r ar.
$rcs: _
I.cn'fyrhar i'rrhc|f,rform0nccoflhcworknnwhi.hrhrprrnrirr\irsucd.Ishallnorcnll,loyrnypc^o i.rny'nuncr
$ N lo hcconr uhrcd ri $. sorrc' \ .rmpcnsar ion Lss ol Calilhrnia. $d a8nc th if IsbuldR..onr hJcrhIIr
workcr conp.nsrrnrn ,r.v'\n, sofSc.ri(,n:ITOOoftlE Lrhr Ciljc.l shJl. fonhw h mnlry wilh rho{ ptuvision(
\VARNIN(; l.nihrc t, {.urc *or[.]5 $nr|tns oD cor.rrgr i\ un!r*tu|. xtrd \hJll \u
::llrZY-
DIiCI ARAT(TN
I hcrby!tfinn undcr Fn0llyofp.rjury rhd Ltrr liccn{d undcr F.vtion ofChrprq 9(.omnErcins wilh Scctioa ?(x)0) olDivhion:}
ol thc Busimss{d Pn'laslbnsCodc. nl my liccn* k in iulllilrcc dcltlcr
b /
CONSIAICEOI{IED|ICAGENCT
I h.Eby dmrm undcr Fnllrt of l,crrury ln8l lhse is a onsld.rion lcdirS aEcncy ro. lh. Frrorlme .r rhc hrk ror which this ltmi i
nslcd (S(.109?. Civ C.).
AITIICANLDECLI8^IIA!
Itmt'yflltimundcrp.n lryof pcrjnryon..rrhcnnk,winEdcclar0tn,ns
Dcnnnn,. P.rhirr Astt(.r Norific,rion tucalRcsuLrions (Tnh,r0, PM6)
Rcquncd Lxrf of NDrifi ctrrir
l.cnLlirh[ rhcladcBlr.suLri(]n\ rc!uding i\h.{os rcnmvrt irc rol utplic tcrorInt(!.cr
I ccnifyrhrr Ihrvcrcodlhisnnllicrlionrtul t'.c r) rotrrt,lt $ir[ trll (''rv rnl (,)unly
odi'rtr.c\ iJ Shr. Li*srclirin3b huildin8
alr,vc tunrion A popeny|or insrdiotrpu
.{ppll.ml or Af 6l Sigtrilue:c rL4YldzA{oL
Etc.
civil fines ur lo orc hund,cd lhouamd dolltrs l$100.0GJ). in
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