HomeMy WebLinkAbout20166752 - Permit (2)Project Address: 2841W MacArthur Blvd
Assessor'sParcel: 414-1a1-O1 Lot: NA
Unit: D
Block: NA
AddressRange: 2701.28A1
Historic: No
Suite Range:
Zoning: C5
q@City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requestsi (714) 667-2738 lnspector Section: (714\ 647-5853
Electrical Permit #: 2IJ166752
Pin #: 22292
Owner:
Address:
Phone:
Tenant Name: Jamba Juice
Donahue Schriber
3645 Rutfin Rd #310
San Diego, CA 9212318A7
Gary Maddox Construction
10133 Meadow Glen Way
Escondido, CA 92025
(909) 262-s,l4s
01116002 51603
011'16002 51603
011 16002 51603
01116002 51603
011 16002 51603
01116002 51603
011 16002 5'1603
01116002 51603
01116002 51603
01116002 51603
01 116002 51603
01 1 '16002 5360'1
01 1 16002 51600
01 1 16002 51603
Fee Type Amount Qty Fee
125 Volt Receptacle 1.45 25.00 $36.25
Light Switches, Occ. Se 1.58 4.00 96.32
Light Fixtures 1.05 42.00 $44.10
FWU 24.79 2.00 $49.58
Dedicated Circuit 8.00 15.00 $120.00
Low Voltage/Comm 33.88 1.00 $33.88
control Panel 16.14 2.00 $32.28
Subpanel 53.28 2.00 $106.56
Subpanel 145.28 1.00 $145.28
Time clock, . . -..-- 12.1P,r., ,,,"10,9 , (,. $-12.'10
Over 1-10 HPrKWorKl.,, 23.?g l, . I 3.00 , $69.87
PIC-65%t ": 0.65 r:,:,W.71 ,r1,r,$383.96
cenerat Ptqn tjri,€ite 't>2.o8 t | .' iroo " :' $22.08
rssuance l--' '- 55.bi r.do ''' sss.oa
..1I.,' .ri,(i{, , ,rrf1r lr, I ,.ir Lr.-
Phone
State Lic #: 598667
Lic Type: B
Bus. Lic #: 341232
Workers' Compensation lnsurance:Carrier: California lns Co
Policy #: 4641415201
Expires: O1lO1l2O19
Building Use:
Job Type:
Nature of Work
Commercial
Tenant lmprovement
TI
enersl t'1qn ljpdqte
1 116'-rt2- 11600000-
leEtr icol
1l I6!102- 516Cr36((-
2, Ll
Noles
11 I 16lln?'
ICL Checl
i 36t:t1U00 -
1Sl48
Planning Conditions:
Planning Approval By:
Plan Checked By: Smith, Mark
Permit lssued By: Chavez, Dave
subject to Field: =t'BuirdingPermit#:,,|.0197478 0'1 1 16002 51600
01 1 16002 51603
01 1 16002 53601
Date
Date
Date
09t17 t20'18
11115t2018
Account#
Misc. Receipt: 71428
Misc. Receiptl
Misc. Receipt:
Total
Every permit issued shall become invalid unless lhe work on the sile
authoized by such permit is commenced within 180 days dftet its
issuance, or if the wo* authoized on the site by such peftnit is suspended
or abandoned for a period of 180 days aftet the time the work is
commenced.
MID#: 2018-'145608
$22.08
$71 1.26
$210.08
$1 ,1 17.30
$r 73.88
$943.42
Btdg:
Tract: NA
Conlraclor:
Address:
Occupancy:
Constr Type:
Code:
B
VB
cEc 2016
Fee Totali
Paid to Date:
Balance Due:
lnspector
ELECTRICAL.INSPECTOR RECORD
DATE IDiSIG.COMMENTS OWNER BUILDEIT DELCARATION
I hdeby afi.m u.dd pdalr, ol pdlury rhar I @ q@pl Eonr rhc Conr.cros Lic.ns. La* lor lhe aollowins r.sn (S& 70l l 5
BNinBs a.d Prolsion Cod.) Any Cily or Cou , which r.qune a psmn ro coNlrucl. ahs. improrc ddnolieh or r.pon uy
stldsq rior ro irs isuoc.. al$ r€qun6 rhc applic r lor suc,r Fmit ro filc a sisn€d sraloc rhar hc or shc is lico$.d p$uut
lo lhe prcvirions of lhe Conlrsclois Liccn*d ta{ (Ch,pra 9, Corm.d.ins *irh Sdlion 7000 of Division I oalhc BNin s &d
Pof*ions Cod€) or thar hc or shc is ercmpl thsclio,n d th. b.ris for thc alhs.d €rnpliof,. Any\iohtiotrols.clion7011.5byany
appli.ant aor a pmril 3ubjeh thc .ppli.a lo a civ il pcnalty of ior moE rh& Iive hddrcd dolla ($500).
-1,
6 oM.t oithc ,torEny, or oy .dplo'6 wilh {as6 6 rh€ir ele compc,slion. will do rhc woA &d lh. srruc1u. E rcl
inrmd€d or orftd lor s.lc (Se.7044, Busin* md Pro lNiotu Cod. 1h. Conrracrois Llcos. tie do6 no' oDply ro o oNncr of
rh. poldy who hil& or imrovB rra6n, ad *ho &E such st* hi'*.ll or hGlf or rhmuBh hi or h€r oM.nploy6.
Drovided lhal such inprc\'ffils e ml inlo& or olTe.d lor eL lf. howd6. fi. buildiq or iqmr€mol is &ld * hhin on. y@
ofohpldiol! de olmd Build6 will hrv. tlc het, oaFolins ['d h. or sh. drl mr hiild or ioproQ O. plDFIy aor t5. Brp.e of
-1,6owncr
ofrhc preps1y. m dclsiv.lyco racli"Bsirh licG.d contncroE lo coNtrucl lhc projrr (Sd. ?04,{, Buss6
and P$faion Cod.r Th. Contraclois Li...sc Law do6 nor apply ro mownd olprop.ny sno bxilds or ihprovB thdotr,
and sho conrBcls for such Fojcds {ith a CorrBcio(, ltdal puB@r to rh. Contrc.rois Lic@ Lav)
I tuncrcnrpr unJ6 Ssrioi , R & P( (riht ros.n
D.lc _ _ OrnE:
woRKrRs, c(lnrPEiisATKN
trtrcirABArla!
I bocby alrtrm und6 poaityolFjuryon.oath. aollosi.s ddl*ado6:
I h.vc rnd will maihrain r Cdinc.t. ofcosan lo s.lf-lcui. for rorkdr 6nrp.ns.lion, d provid.d for by S6lioD 1700 of th€
t4or Codc, lor rhc pdfomd.. o I the rort for which th. pmil ie isu€d.
56-r and will nainlain wo&.E compeNalior iNurance 6 rcquned by Sdion l?00 ohhc Labor Codc. lor lh. pdfo,r@.. of
the wo,k lor which lhis pmit is isu.d. My erl.rs comp.tratio. iNuoc. crun6 trd policy nu'nbq &.
A ?al z c-t
(-2-o t-
_1.€nifythal in lhe Ffom,nc. of rh.*o lor \ hich rhE Frmil 'r ssu.d- l sh,ll nor onploy any pd$n in sn, r ner
s a to l,e.om. sbjdt io ih. Mlk6' comp.nsalioo l.ws of caliaomia. Md 4r thal il I should be.on'c bj*l lo lhe
trortm.omp.nsalionprovisions.fSdtionlT00olrh.Ijborcode.rshall.aonhrvilhcomplywithlhosprovisrcns..
\VARNINC: Flilur. kr Fcue qtrlcB .onpasaxon corcragc is unla$ful. d shallsuhj(r o qnplolt b oninal ptnrlri6 tu
lo onc hundEtt lbous d dollm {5lO0.Ul0). i. addil i, d@as* a provid.d for $c
Sation :1076 olth. l,bor Code id.r61 ad
DECIdSAIIQ!
I hd.by alIm unda F@hy ol pdjury rh.r I d liGs.d uodd Envision ol chat 16 9 (conm@i.g eih sdiotr 7000) oa Divnion I
ol lhc Buils &d Pofsio6 Code, and Ey lic.N i! i. aull ao!.. ed cIIe(.
*.',* .- 5'
*", jlr
clttlrL.u.l_LLtllltllQLJcr
I hd.by.ITm ondq F.aIy of pdjury Oa rt@ i! a coGrtu 1ioo hndirg rgo.y aor tne pcfol]fuc oaln rcrt for phich lhis Fmil is
isucd (Sd.1097. Civ. C.).
ATEIII:AILIIES,AAAUA!
I hqlt y rifm undd poalry of Fju.y on. of Oc lollowi.s dc.l&ationsl
D.moliriotr P6niG-Asb6los Norificarion Fcd6.l R.,rulations (lirtc 40. Pa16)
-R.quir€d
ldlsolNoli6c{rion
I cdify $ar fic la16.l rcgulaiirB eeedins dbcror rdorrl e nor rpplicabL b thG poj.l1,
Lll -riry tU t t r". ,*a ,tu rpplicsrion md lhrc rhd ln abovc inaomaI0n iscotral.I agre ro comply wilh oll cilyand coury
ordir.trcs tuld Shrc IjN rclar !cr.66ta1n 6 oi rhis Cil, ud Counr
Oclz
;;'7,""
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor I "24-t YlSt)
Egnding / Grounding / UFER l,/
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Facto ry Wired Unit
Walls (Conduit)
Walls (Rough),1-.lg u \q.1u
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough IL I t ct4fur^
Service Meter l\\
FINAL l-3s-t7 V;NLII)}VNotes, Remarks, Etc
f Z.Y /t^l o{
-+
APPROVALS
I
ldo
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