HomeMy WebLinkAbout20132666 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, CA92702
PermitCounter:(7141647-5800 lnspectionRequests:(7141667-2738
Project Address: 4 E Hufton Center Dr
Assessois Parcel: 411-092-30 Lot: NA
suite: 1000 Blds:
Block: NA Tract: NA
Electrical Permit #: 2O1t26
lnspector's Section: (714) 647-5853
Suite Range:
Zoning: C2
Address Range:
Historic: No
Phone
Tenant Name:
Triple Net Properties, LLC
'1551 N Tustin Ave, Ste 200
Santa Ana, CA 92705
171415454976
The Credit Exchange
Owner:
Address
Contractor:
Address:
Commercial
Miscellaneous
Burglar Alarm
Occupancy:
Constr Type
Code:
B
I.F.R. SPK
cEc 2004
Amount
18.90
8.90
32.50
Qty
1 .00
1.00
1 .00
Fee
$18.90
$8.90
$32.50
$60.30
$0.00
$60.30
Owner-Builder
Phone
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Date
Date
Date
Misc. Receipt
Misc. Receipt
Misc. Receipti, Teri 02t16t2006
This permit sha expire by limitation and become null and void if the wofu authoized by this pemit
is not commenced within 180 days from the date of this petmit, or if the wotu authoized by this
pemit is suspended or abandoned at any time atter the wotu is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Fee Total:
Paid to Date:
Balance Due
Account #: 01 1-01-5913 lnspector MID#: 2006-67588
Fee Type
Low Voltage/Comm
Control Panel
lssuance
Notes: Auth. filed.
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
ELECTRICAL-INSPECTOR RECORD
IDiSIG.COMMENTS Own.FBuildo D.cle.tion
I hcrcby afiim undcr porlt, oapdj!ry tha! I m d@p( fom rh. Conl&rm' Liccns. Law for rhc lolloqing..son (kc 7031 5 Burin6s
6d Prof6sion Codd Any Cit, or Counry which r.quiG . p.mil lo .onsruc! ahd, imprcv., doolish or rcpat rny srrucrur.. pnor ro rri
i53!&c., llso r.qut6 thc appli@nr ior su€h pqmit ro filc a risn.! srarcmdt th hc or sh. is liccns.d puBudrtolh.provisionrof!h.
Coitaddt Liccmcd Llw (Chapd9, Commc.cing wnh S.crion 7000 ofDieirion I oftc Blsines sd Ptoi6s,on! Cod.) or ar hc or
rhc is cxchpr lhdcflom d thc b6*lhl allcs.d cxcmplion Any viol,rion orScdion 70ll 5 by m, appli.ul lor. p6n subjeB rh.
applicanr lo a civil p.n.lry of nd thm fivc hun&.d dollds (1500)
, dny coploycd wiln was6 d lh.irrol. cmp.nsation. wrll do th. worl ad rh. rttucrE. rs oot inrcndol
?04!, B6in6 ed Proa6io.5 Cod.: Th. Coihcror'r LieN. L.w aG trd .pply .o u ovn.r of thc Fop.ny
daon, ud who &.s sEh *o.k hiNclf d hoclf d thrcugh his orfi6 @n.mployr6, Fovid.d lhar such
nradcd or of.r.d for sal. Ii howcvd, lh. buildins or improv.mot is $ld within onc yd of c6pl.!o, th.
will h.vc thc burdd oa prcvinS lhar fi. or sh. nor build or improv. for tu purposc ofs!lc)
d o*nr of in. prop.ny, m .x.lqiv.ly .onE&rine wnh lic.ns.d co.rdo6 to coisttud $. prcjat ( Sa '70!,1, Buins ed
ission Code Thc Con!'&toir Licms. L.* d6 ior .pply ro & owi, of prcpriy who buil& or inprovB dd@n , hd who
conracB aor such pmj.ci' with r Co.LEro(t li@scd ro $c CoirB.toar Licchrc Law )
It
I h.rcby affim undcr pdalty ofFrjury @c
I havc dd will m.inrain a Ccnifidc ol Coiscir ro s.ll-ln!ur. for sod.6' compcnseti@, B rrolidcd for by sarion lT00 ofrhc
Labor Codc, for lh. Frfomecc of lh. work ior *fiich lnc p.mil is ilsucd
_l hav. md willm.inrain wo*.6 @mpasation iaurdc., a r.quir.d by S.clion 3700.i th. L.bor Co.L, ao, thc p.rfom&cc ot rh.
*ork lor wnlch lhis pmir ir ilsu.d My wo*!ri' comFsitio i.lurDcc cai.r Dd policy numb.r acl
iot bc cooplctcd ilihc lamir is for oi. huidrcd dolla {t100} or 16s)
iry that in lhc pcrfomacc oilhc *ork for which rhn ir issucd,I sh.llnotcmploy uy pcEon in lny m.M.r!oa to
bnd. subj@( (o $. worl6 ' c@paiation laws of Cali foh,
S.cion3700ofrh. Labor
WARNNG Failur.lo sccurcvorkcB sholl subjccl M .hployd to qiminal p.n.1ti6 ed civil
,i.6 up lo onc hundr.d lhoGnd dona (l l0O,O00),in lddnio to 0E cGt of @mp.is{ion, (llma!6 s prcvid.d for rhc Setion 3076 of
lhc Labor Codc, inrd6r ud lnom.y's f6.
UCEISED.CqNIMCIAB&DICIA lq!
t h.rcby.inm unddFndry ofpajury ddI m licccd uid6povi6im of Chlprd 9 (cmmdciie wnh Sc.lioi 7000) of Divirio I ot
thc Businst ud Plof6ioN Co.l., d hy liccne ir in full forcc Md.il6t
Cqd9IBIC1|IOU,EEDIXC.ACIICI
I hd.bt amm undr p.n.lty of p.rj!r, $al thft ii . consEu.rion lodiDs rsocy rd 0E lqfcl@a of rh. sdt lor *hi.h $ir p.mn i3
i*ucd (S*. 1097, Civ. C.).
APPLICANT'S DECLARATIOI!
D.nolitioi Pcmils-Asbets Norillcaiion F.d.r.l Rcgulations (Tnlc 40, P5n 6)
_ Rlqut d L.n.! of Nolifi6li@
_l cqliay that th. a.doal rcsddins 6bsts Enovd u. nor applicabl. torhis proj.ct
calion d starc thar rh. .hov. inlom.tion i5 6rer I agrc. ro conply wirh all Ciry and Counry
auihorizc ,@r6c arive oflhis City ed Cluty io cntcr upon rh.
q.lru loa
I
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
Bonding / Grounding / UFER
Transformers
Torquing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL 6its/ar J '-2.""2 ,_6/r;"Jrh4 Z;r"CZ.,a
Notes, Remarks, Etc
1-od )
APPROVALS DATE
Sub-Panels
Md 6Er. rhar ifl should
Lic.nr. CIa _Licdc Numbd_
D{. _ClnEctor
- MAY:R
I u;guel a. eulido
. MAYOR PRO TEM
Brett E. Iranllin
CCXJNCIT MEMBERS
Claudia C. Alvarez
l-isa Bisl
Albena D. Christy
Mike Carcia
lose Solorio
tior 1
CITY OF SANTA ANA REcErvE D
FE8 16 2006
OWNER-BUILDER VER|FlcATloN (HSc 19831) City of Santa Ana
Attention Property Owner:
An "owner-builder'' building permit has been applied for in your name and bearing your signature.
Please ccmplete and relurn this information at your earliest opportunity to avoid unnecessary delay inprocessing and issuing your building permit. No building permit will be issued until this verification-is received(Read information on Page 2 priot lo completion of this form.)
I personally plan
improvement (ye
I (have/have not)
proposed work.
to provide the major labor
I have contracted wilh the following person (firm) to provide the proposed conslruction:
Name
PTANNINC & BUITDING AGENCY
20 Civi( Center Phra (M.I 9)
P.O. tsOX 1988 . Sanla Ana, Calilolnia 92702
f ax (714) 647-5878
www,santa ana.org
1
2
3
sorno )
and malerials for construclion of the proposed property
signed an application for a building permit for the
City
Conlractor's License No
City
e
4 I plan to provide portions of the work, bul I have hired lhe following person lo coordinate, supervise
and provide lhe ma.lor work:
Address
Phone
Name
Address
Phone
5
Contractor's License No
I will provide some of the work, but I have contracted (hired) the following persons to provide the work
indicated:
NAME ADDRESS PHONE TYPE OF WORK
h
Signed:
Property Address:
rV"ft4
Date:
LL Prafw+*at
CITY MANACER
David N. Ream
.CITY ATTORNEY
Joseph W. Fletcher
CIERK OF THE COU,.ICIT
,anice C. Cuy
Property owner (print): l/MAl 1_t+-:to-.,h^'o-
?
Form of ldentification:
Address:
Office Use Only:
Permit No: