HomeMy WebLinkAbout20165238 - Permit (2)20 Civic Center Plaza (M-'19), Santa Ana, C492702
lnspection Requests: (7 1 41 667 -27 38 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 228 N Harbor Blvd
Assessor'sParcel: 198-061-17 Lot NA
Unit:
Block: NA
Bldg
Tract: NA
Address Range: 100-230
Historic: No
Suite Range:
Zoning: SP2
Owner:
Address:
Phone:
Tenant Name: C V S Pharmacy
CVS Pharmacy
228 N Harbor Blvd
Santa Ana, CA 927033337
Septon Development Group
9414 E San Salvador Dr #15r
Scottsdale, M 85258
(480) 391-8383
011 16002 51603
011 16002 51603
011 '16002 51600
0'l'1'16002 51603
Fee
$7.00
$71.61
$21 .25
$52.98
Fee Type
125 Volt Receptacle
Dedicated Circuit
General Plan Update
lssuance
Amount
1.40
23.47
21.25
52.98
Qty
5.00
3.00
100
100
Phone
State Lic #: 903427
Lic Type: B
Bus. Lic #: 367818
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:
M
V B, SPK
cEc 2015
Planning Approval By
Building Use:
Job Type:
Nature of Work
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
T.t.
Amsden, Julie
0195679
o6t11t2014
Account#
Notes: T.l. - lnterlor remodel, accessibility upgrades to public
areas of the store.
$'1s2.84
$0.00
$152.84
N,lisc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
lnspector MID#: 2018-14'1686
01 't16002 51600
0't 116002 51603
$21.25
$131.59
Fee Total:
Paid to Date:
Balance Due
Permit #: 2016523E
Pin #: 73121
Contractor:
Addressl
Pot ':h+:4423?uf i ire: (:TYIJ
Fi':ptil0???16
TronE(1,:L ion
Tr
ct oi
it;
l1
trl
ROSALE
-.- of 3
5:39
Afl
$E,l:ton De,,)eloFfler,t
Planning Conditions: lnterior T.l./No exterioralterations
Every pefinit issued shall become invalid unless the wotk on the 6ite
aulhoized by such pemit is commanced within180 days aftet its
tssuance, ot if the ii/o* authorized on lhe sile by such pemit is suspended
ot abandoned fot a peiod o1180 days aftet the time the work is
commenced
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h.nhy rrfirn undlr pcnalty of pcijury lhlr I m cicnDr tiom rhc Conrreros Lhcnsc taw ior thc followins rcasn ls.t70.!l5
Blsiness and Profc$ion Codc): Ary Ciry or Counry whi.h rcqxn.s a Fn t lo con(rucr- 1116. impmv.. &frrirh or rcJ'oir any
sltu rurc. prio, ro n\ nsu,ice. rho r.quncs lhc r!,plicanl for su.h IEm l ro lilc a sisEd {dcmnr rhat tE or sh€ Ls liclntd puNsr
lo rhc Folirions ol tlE Contraclols Liccnsed Lxw (Ch!pr.r 9. conmncin8 rith Seclion 70(n ol Divisi,,n I oi rhc Buiinc$ and
PmfcsionsCodc)orrh{ltor3h.ircrcnrplthcrcfromaJdlh.bnsisforthcullcs.ncxc'nprion.Anyvi.lNlionofScclionT0ll5by$y
aprlic,nr i{, !l.mir.ubjdtstn. appli.anl loacililpcnalryofnor mrclhrn livc hundrcd dolles ($500).
-1,
N nwncr ofrhc lroFdy, or my cmplo)ccs *ilh wa8cs as thcir sle conrcnuion. will do dE *ork xl rrE slnElK is nor
i . rd orofrcrcd for s0lc(Sa 7044- Busines and Pmfc$ions Codc. Thc Conr,.rols Liccnt L2q &Es norlptlylo Mo*mrnf
rhc tmtEny who huilds or in{owi rhodro,,.d who dds ru.h w( hnnsclior hcNllor lhrough hh or hd o*n.mployccs,
providcd rhtrr su.h iqmkftnh m nor inrc .n o, offcEld for sh. Il h.wcrcr. llE building or nrFetmd h $td anhin om Ft
ofc!trpkrion- rhc Owncr Bri*Lr will hdr rh. hdftrcn ot povnE ihd h. or \hc dd nor buill o. inDmvc 6c rnpsiy tor rh. flrlEs oa
-l.,r.smrorih-
nrorcny. trm crclusirclyconlraclins wiln liccnscd..dr&bN b.otr{trucr lh. prcJccl (Sec.7044. Busim$
tr.d Bof$shn Codc lhcConrmcxtrsLiccnseLawdocsnorapplyb0nownnofp('p.nywhobuildsorinprovcsrhcrcor
,nd wh. .ontricB rdr such pojNlr wilh a Cotrlmto(, liensed nurslanr lo rhc C.n'ra.tr\ Lkcnr tj*)
I nn.xctrr,, urdcr Scdion-, B &PC turrhsrc.sotr.
uaa6[&1lo&llENldraN
DECLAAAIII'N
I hcrcby riitm utrdcr p.nllry of Frjury otu ol rh. followin8 d.cLftri,rns
I hivc .nd ull mrn ain ! CcniiEtrr. of Con*nr ro sdlf-In\urc fd kxkcs comltcr$l tr as polid.d nn by Sccrion l7(D oI rlE
tihor (1xlc. l'o hc pslonMrcc oI rh. *ork fir *h ich rhc p.mir i\ i\socd
-l hrr andsillnrinrrin woikcn compcnsurbn insurincc. us rcquircd hysc.rn)n lrmof rhe tjbor Codc. fot rhc Prrormkc of
rh. w.!k r(, whi.h rhis ptinir is Gset. MyBorlcn'coDrl.n\arion inslrane crdu 8rld Flicy nu'nb.r c]
-l
ccnilrrhar inrhct.rrorm.kcofthc wort lbr *hi.hlhis pcirni( is hsucd.l sh,ll..t cnrtloy ony I'c6on inanrnMmi
so 0s ro irNnE suh].d b thc wolkcr' .smp.n\dn,i hw\ .r Caliromia. {nd {8rcc thrr if I stoull bcmm subjt{r ro lhc
workcs comtcnsarnrn F,vi\i.ns of Sccrion lTtX) of rhc bhrr Codc. l shall. fonhwnh comply wnh !ho{ pornions .
WARNIN(; Fiilurc h $.urc s.*cr comlEnsrir covc(gc is urlJ{lul. aid drllnrh )cr b.niti'rl Nmlri\.nd
,tr'r r' .LIr',,' lLrlnrrlj.L. rl,ltl.. 1l'*j.'ri''ion. damscs rs ln'vidcd ln lhc
I hcr.by rflnm undf ,$rlry .f ltryry
ol rhc B!\i.c)rnd Pmrcssio sCodc
DECIAEATI!)N
rhd Iam lion€d undc, Fntn'on' chJnE c ,.nmmmq $ trh serln 7000, ol D'vtrnn .1
andny,Ectrrn ntu,rn,c,x, "^, q r, Z t{O {'4Wr*lWCq'er-Zmn
CONS'f RT-IC]'IoN LFNDIN(i A(:ENCI
Ih.toby,fllrnundd,cMltyolp.rjuryrharrhcrei\rcu.{d.rio Lnding!8cncyforrherftntun..olrhcsorklorwhichrhi\Fflnirit
6',ndcls NanE
AISUIANLDECI.AIAU!.}N
I lmby nlfim undcr Fn.hy of pc.jury on. of rh. rolb*in8 dcc,mr ions:
D.mhion PcrnilsAshcslos Noliarcarion Fcderal Rcgxlarion! (Thlc.1O. Pan6)
-Rcquircd
L.rrcr ot Notiff,ari.n
I.. iryrh{ rhcfcdcrulrcsulariotr\ rcsrdins a\hdosrcnxnal rc trorrmli.$lclo lhn fl,)jt.r
I ccnilirhlr lllNc rc.d rl,isrrpl iuri,u Md {rr.rhri rhc ilt^c rnnnnrri,I i\corNr I rsft r,.rmply*ith all Cnyand Coonrt
iv.s ofrhir Cnyand Counl, lo cnhr dlnn rh.ordinliEcrand Srorc lj*s rclrinB kr bu oi{fl.rirnr. x l hcrchyitr
rbvc nE.lioncd l)nrNny ti, in\pccl
Applicanl or ,\qcnl sistutu
e"^n* n ^",eano, fu2 84L4 fu-:^Qt/r*
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Salety /Low Voltaqe
Fire Alarm / Dampers
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilings (T-Bar Rough)
Meter Release A
1-t?4y y-p(1{))
Service Meter
FINAL 1lzoltg -A''iD I+.r).*(lutl l-, |'u{rf h"t ?
otes marks, Etc
G
0
-7lza /-e-c,tul.tk-4 oL bak..
L/\)
APPROVALS DATE
Communications Cable
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