HomeMy WebLinkAbout20172277 - Permit@ City of Santa Ana 20 civac center Plaza (M-19), santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Permit #: 20172277
Pin #: 43144
Proj U nit
Block
Bldg
Tract:
ect Address: 1901 E Dver Rd
Assessor'sParcel: 430-221-26 Lot
Address Range:
Historic; No
Suite Range: <6\,)
Zoning:
Ownef:
Address
Contractor:
Address:
Phone
Tenant Name:
PR Broadstone Heritage ll LLC
2462 Dupont Dr
lrvine, CA 92612
(949) 706-8460
Outdoor Dimensions
5325 E Hunter Ave
Anaheim, CA 92807
(714) s78-9555
51603
51603
51600
51603
57770
Amount
26.71
80.95
23.79
59.30
4.05
Fee Type
Dedicated Circuit
Signs & Neon
General Plan Updale
lssuance
Microfilm Records
011 '16002
011 16002
01 1 16002
01 1 16002
0't '1 16002
Qty
1.00
1.00
1 .00
1 .00
1 .00
Fee
$26.71
$80.9s
$23.79
$59.30
$4.05
State Lic #: 1042246
Lic Type: C-6'1, C-45
Bus. Lic #: 556
Workers' Compensation lnsurance:Carrier: Travelers Property Casualty
Policy #: U82R00i90i 2043c
Expires: Ogl15l2021
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan checked {-t -
Permit lssued tiy: 1 Amsden, Julie
Subject to Field: \ ,
Buirdins Permit #: 101104602
Every pemil issued shall become invalid unless the wotu on the site
authoized by such pemit is commenced within360 days after its
issuance, ot il the wo* authorized on the sile by such permit is suspended
ot abancloned for a peiod of 360 days aftet the tifie the work is
comfienced.
Multi-Family (5 or more uni Occupancy:
Signs Constr TYPe
Monument Sign Code:
Datel
Date:
Date:
N/A
N/A
cEc 2019
11116t2020
Accou nt#
Notes: lnstall (1) monument sigry'"Broadstone Archive-Be
Kind, Stay Humble, Work Hard". Bond included on
101104602.
$194 80
$0.00
$194.80
lnspector MtD# 2020-157694
0'1 1 16002 51600
01 1 16002 51603
01116002 57770
$23.79
$166.96
$4.05
Fee Total:
Paid to Date:
Balance Due
Planning conditions:
Phone:
Misc. Receipl:
Misc. Receipl:
Misc. Receipl:
Total
ELECTRICAL-INSPECTOR RECOBD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDEN DEI,CAII.ATION
I lEr.by affnn !nd.r p.nahy of D.i]ury rhd I d, .x.hpI t n rh. Co mror' U..tu. kw for th. followin8 Eaen (Sd.701 1.5
Busincss &td Pr.lassion C.dc): Any Cny o. Counry which rquncs o p.!nt h on{DcL allcr i'nprov.. demlish or Rp3n ry
$ruduE, !ri, o irs irsu0nc.. a]lo equircs rlE apDltur for su.h p.mnr k' 6L a sign.d sr ftnr rhrr lE or sh. i. lic.Md tuhud
ro l& pnvkinns of$. Contrcroir Liccnscd lrw (Chaprd t. ComncncinS wirh Serion 7000 oI Divkion 3 ofthc BusiEss md
Pbfesions C*lc) or rlEr 1r or\hc iscrenpr rllElron zJxl ttE baln lbt F alL8.d ex.q)rioD. AnyvbllrionoISrrionT0ll,5hylny
applicint lor a r.mn subj.{ts rh. +plicdm ro rcrvilp.nnhyofnor mrcrh.n n!. hun'1rc'l dollr( (l5m).
_l, a1 ouncr of rll. lfl,pcny, or my c'nprry.cs *nh v4cs ar $.n $k comp.nsion. will d. rlF rolt .id (h. {dE s mr
i d{al o. olT.r.d rr {h (Sc 7Or.1. B!Ji,r.s !trd Blrcs$iotrs Cod.r TIE CodRrois Lic.nc bw Jcs nor 8ppl, ro m o}mr of
the tmp.ny *ln bditl! or iqrovcs rllfrm, uxt who dd! sfth mlt him.lf or lp6elf or rhruu8h hh or lE own.mploye.s.
,rovidcd lhal such impoEmnlsmmrn. cn nroltcrcd Id el.lt horcw. ilf,buildi.S or in ovcm is $H wi6in orc )td
ofcoflrpltbn. E owrcr Buittrr sill havc lhc hrrd.n ol pmvins lhdt lE or $. dil ml buiu or rnFok L'. prpdr, ior l}E p!.!os or
-L
rsownd olrh. rNpdy, r.rciclusivcly Ntrkdlrila rnh li..M'l conlrsro.\ ro oDnnd rlE pmj.d (sd.1044, Burin.is
a,rd Psli\liot Co{., Th. Cont'acrol ! Lr.ok Lar des rct appl} to m orr., ol p,op.ny who btildr or ir9roBs rh.r.ot.
and whl, con@.k for itrch pr+crs *irh a Co'{6hns) li..nll pu6xMr to itr c..b&tocs La.M t:w).
ldrcrLnu uM& s.cnu .B.&P.c tu rhirrcr{r
]!9ts[Eaii:cQllrrti' tla!
DEELA.BAII9!
I h.rcby ilrjln ukL.r l[trrhv olncriuryrn. olr1[ rnl[,wi'rs rlcdiraionr
-l
h.v. rlwillounr( rCeniltntofcoDs.lrroS.lflnsur.Ior*ork.6.omp.mdion,rr If,rvid.d for bySarion 1700ofrh.
V;*rrrv
ntr (b. pdlnlw. ol th. *ort foi qhrh rh. psnln s n\!cd
wrll rtr'ir[rn workcN ..nl|xN nor irrurar., as ,lquiE l byS..ri,n, ]?00ofrlE llh- CoJ.. nn ilt Frtunn c.of
*hkh
'ln:
jrcnd
'r isslcd My!!trkqs .on{r siritr'trhu . N aryl pli.y.uni,.r ac:
Llco (
t)hl-L'olqOl tn+A /n
_l ccnilyihat in rlE F-riornEncc otr|. work tor uhich tht Frtrir is nsu.d, I ll,nlls( cnfloy my tEr$n r dy Mnct
e asro trmm sut er h rh. so*c^ c.mp.i$rion la*s.fCalj|mi., and agrcc rh.r rrI shuld b.coD rubjcd biE
wo.t.6.onp.nsdiotrpm\i\ioBotS.rti)nlTl)0ofth.bhorCoJ.,lshall,fonheirhconDlywnhrlrr*povbions..
WARNING l_triltrr. b kcurc worlc* $,np.nsdion covcmg. is unliwtul. and shall subJ.d on .r.ploy.r to oimindlF@his {nd
civil lin$ ut' b on. hurdr.d rlDdsand dollrm ($100.000). in aunioa ro rl* coi of.u,ry.,Lsdn,n. dmlg.s s trovid.d for rhr
Secrion 3076orrk hh.rCodc. inrcrcsr lnd urmyil!.i
'' rrcmsto comlet:rr_F
DES!484!!ON
I hcEby affr rndd p.nal(yurpdjury thar I.nr lic..stund.r povisionorchlprd9(conmftint wnnSctbn?000) ofDiviiion l
ol rhc Busms ind PDlsions Cod.. !d ny lii.nsc t in ru0 ro@ 0d .rr*r.
c45 A"L4
1
go&trBlc!9NtENpac.agElgr
I herby aitm u^d.r p.nahy o{ p.rjury (h{ rh.rc is . on$ru.iion bndiry racrcy for th. Flormrc or rfic edk fi, which rhi pemn il
issu.d (s.c. 30e?, cir. c.).
AIELIEINIDESIABAEqts
I ffiy,Irufl undq ll.nllry of pcrjury o* ol rlD nnbwitrs deLndioBl
Demliioo PennBAshcnos Notificarion F.dc'rl Rqulrb.s (Inle 40. Pd6)
_Reqoncd lartcr oi NirifEtion
__al.dLr rhd rh.,.'ladl'.tul iaB r cSddrn8 rO.{.\ rcrm\ al m n.r anpl,L abk 'o $h rr.Fr
L.,tzdrty rld I luw Rrd rbs dpnlrasun rl {dc rhir rhc ah,v. inrorndion is cDd.I $rro onrpty uilh a Cnya Coutrty
oilmk.s Md Slar. bls rchri.3 ro ildiq .onnDdi.n. ajn hcrcby ,rtsria r.pEeui!.s or rhk cn y .nd
trbov. nEnrion.d pmpeny lor
ADlrlica l ur,,lgol Si,jnrl!
Z
,,r" I I I
,LO
Site-Work I
Underground Htloo HbrA ,tut"
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Itrleter Release
Rough
Service [rileter ^l^t-1t ., a"/
FINAL t'l'1tl ar/uq4t l/N
Notes, Remarks, Etc
Fev.08-07-2015
IrnJ.: \ AdJ.\
-
:---+---