HomeMy WebLinkAbout20166017 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2016,(l'017
Pin #: 64077lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 3700 W McFadden Ave Unit:
Block: NA
Bldg:
Tract: NA
AddressRange: 3600-3770
Historic: No
Suite Range:
Zoning: SP2
E
Assessor'sParcel: 144-262-01 Lot: NA
Owner:
Address
Rio Vista, Llc
3700 W McFadden Ave Unit# G
Santa Ana, CA 92704
Fee Type
01116002 s1603 FWU
01116002 51600 Generai Plan Update
011 16002 51603 lssuance
Amount
23.87
2',t.25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$21.25
$52.98Phone:
Tenant Name:Little Saigon Foundalion
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Comoensation lnsurance:
Cafiiet: ' 1
Policy #:
Expires:
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016 Notes: Handout given/fees pd in full on M-71057
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie
Date
Date
Date
Misc. Receipt: 71057
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless lhe work o, the slte
authoized by such pemit is cofimenced within 180 days aftet its
issuance, or if the wo* authoized on the site by such perrnit is suspended
or abandoned fot a petiod 01180 days aftet the time tho work is
commenced.
$98.10
$98.10
$0.00
lnspector MID#: 2018-143656
N/A - No Balance Fee Total:
Paid to Date;
Balance Du6:
Contractor:
Address:
Building Use:
Job Type;
Nature ;f Work:
Other
Miscellaneous
Fireworks Stand
06lo4l201a
Account#
ELECTRICAL-INSPECTOR RECORD
DATE IDiSIG.COMMENTS
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Solfit Rouqh
Ceilings (T-Bar Rough)
Ivleter Release
Rough
Service lt/leler
FINAL 6_27_ttr r.ww
Notes, Remarks, Etc \.2
OWNER AUILDER DELCARAI'ION
I hcrcby slfifln undd p.mlry of pcijury rhd I m crcnipr fmm rh. CbntJcb*' Li..ns. trw fi, rhc bllowin8 r.rbh (x-.7031 5
Busi'rc$ 3nd Prolcssion Codc) Any Ciry or Counly whi.h rcquncs n Nrn lo con(ruc|. altcr. nnprovc. dcnnlish or rcprn any
srfl.rurc. pri,tr t, iis i$uancc. al$ rcqun \ rh. qdi.flnr lhrsuch pc.nir h lik ! \i[n.l darcmnr rhar h.or rh. h li..nr.d pu^rrr
ln lhc lmvhions oi thc Conhcrois Licen*d L.w (ChUcr 9, Conrnrmin8 wirh Scclion ?OlrO of Divhion I oflne Businc$ and
Phfr$iqNo)dc)orrhltn orrhc ncicmpr rhcrcfromlnd rheh(sn for rhe ulLscdciem?rnrn AnyliolnrionorSftrirn?0ll.5btrny
lppli.anr Lr r p.rmir sublc.rs rhc .ppli.rnr tu a.i!il lcnrhrotnor mnc rhdn tlv. hundr.d dours (3501))
-1,
as ouncr ol lhc prorcny. o,
'ny
emplortc\ wilh wa8cs $ lhcn sk compcnsal ion- *ill do rbc udk snd rh. srurm i\ ml
ini.ndcd or oficEd aor {k (Se 7U.a, Bucimss d! Pr.i.s\ions Codc: Thc O]nr6dor'. Lkcis lj* docs m' artly to an owrcr oI
lhc DmFdy eho builds or irymvcs rhemn. atrd vho dcs such w.rk hinBclro. hcrsllror thmuBh his or hcr owncmfloyccs.
lmvidcd rhar snch irpmvcmnk m nor inrend.i or orleBl ror sh Il ho*.rci ir I'uilding or iqmrccar i sld wirhin "m )rr
or conDlcrion- ll". Ovncr Auibs will havc llE burdcn ol provirB rh,r tE or slE dil rcr t!i! ot in{Nrc ',r
pmpcdy for r,r I)U4n{ or
l. rlowncrofrhc prcI.nr. ul.rcluriv.lrconkldir8 *irh li(en\cdconrructnk,.dnnnr.rrhc pn,,..r(Sd 7{}14,Bhirr$
and Pirfcssin Codc: Thc Conkr.rois Liccnsc lrw do.s nor apply ro M own.r or Drornd who conracr\forsdchlojcct *irh rconrrucrl'(s) |
DECLAMIIAN
rrfii,n, ^rlftr.'lrinln.rjurtnncof rhcf.,l'.$n,rdr,lf,r'o.
I lrrr drd will minrrin r Ccdilkdd ot Co.scnr b S.ll ln\rft i, $drkc^ .o'hp.n{ n , ar trovidcd ln by Sccrion 37(rO o! rhc
bbn Code, lor rhc pcrfun6cc of rhd worl ror {hich rhc pm r h hsucd
I h,vc and will d int,in sorr.rJ ..nD.ns ion insxrancc. tr\ (qlncd hy Sod bn l?(D ol rM lrbor Gdc. for thc pcrlbflMrcc oI
rh. work for which rhic Fhnn ii ilsxcd. Mywork.s co rpcNrrion i.\ u rnkc .rftici aid policy numb.rdc
-l
enilyrhor r rhc!.rrormakcoflhc work lor whichrhis p.rnln h issucd.l shJl not cndoydtry F:son iranynlnncr
$ d\t' trcoE sh]ccr t' rhc *orkcr Lr'nteisarn,n hws oiCalia{,mie. !tui !3rcc rhd ifl slNxld h...ft subjc( ro (rr
eoikc comncnsort,n prorisn,ns ofSccri{,n l7O0oarhc Iilu Gnc- I slull. ronhsirh d,n'ply wirh rhor pmvhions..
W RNINGT Failu.c h suc workcs conw.sarb. .owag. ir unl
lhousmd dollir lSlm.Ux)). r iddirn)
(-
Ll( l.\rit,r) ( r)\ I R\( l()l{
DICI.IBAIION
Ihcftlryrlfi' rundcr p.trJlryofFruryrhd I n li.ci{ rn crpn,rni(,.ulChrpr.r9l.o nkn.rnswIhSc.lion?{)tXDoIDirision.l
of rhc Blsincs Md Pnfes\ion\Code. iud,nylicen* is in tull Lr.c und cifccr
C(}NSTRU(]T'I(IN I ENDIN(: A(:ENCY
I ncrcby afrtrD undcr pcnally ol pcrjury thlr rh6s h, onerucrion hdins ascmy lor rhc pc,f.r@ncc oIrh. wort ror whkhrhis p.rmi h
ksucd (S.c.3097, Civ C.)
,{PPLICANT DFCLARATIoN
I hoEt'y lfiinn undcr pcn.lry orp€rjuryonc ollhc lollowinB dNlaolions:
lxmlnion Pcrmn*Ash.nos Notifi.ariod Fcd&trj Rcgulnrio.r (Tirlr 40. Pd6)
Rcqurcd trrt.. o, Notf{rtion
-l
enilyrlut rh€ rcdcrul r.Bularions Esadnr8 asbcsros,cB)!
I ccnifyrhd lhrve rr rhnrpplicrrir)n rfrlnrrcrhrr
ordinrncci,nd srrrs lrws BhriiB k, building c.n{ocr
ahor mnlioncd lmpcny for inspNlionlurFss
lir nt or nHdl SiAnrlur.
,\tx? ;:'.1',,:,'i1if"ff H" ",. r-(z(ty
APPROVALS
Under Slab / Floor
7