HomeMy WebLinkAbout20165020 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests; (7 1 41 667 -2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65020
Pin #: 84{08
C)ity of Santa Ana
Permit Counter: (714). 647-5800
Project Address: 2214 N Heliotrope Dr
Assessor'sParcel: 002-08241 Lot: POR 34, POR 35
Unit:
Block: A
Bldg:
Tract: 1035
Address Range:
Historic: No
Suite Range:
Zoning: R1
ry
Phone
Tenant Name
Contractor:
Address:
01 't 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 'r 6002
51603
51603
51603
51603
51603
51603
51600
5'1603
Fee
$r 1.6s
$32.20
$15.20
$21.21
$11.65
$11.65
$21.2s
$52.98
Robert Wilde
2214 N Heliotrope Dr
Santa Ana, CA 927062544
(949) 645-1717
Mattox Electric
26500 McCall
Sun City, CA 92586
(949) 29s-2443
Fee Type Amount
Time Switch 1155
125 Volt Receptacle 1.40
Light Switches, Occ. Se '1.52
Light Fixtures 1.01
Time Clock 11.65
Photo Cell 'l 'l.65
General Plan Update 21.25
lssuance 52.98
State Lic #: 493194
Lic Type: C-10
Bus. Lic #: 367506
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Eol,:hi:41935 - 1/19/2r:r19 J0: oitoroleslltifi ice: (:TYH Trons+3 91 1 c'f 1i,:.t i r Ref+r 2t-U65rl2u
li:,:Ft+r(r2141699 - r/1S/?01S 2:39 Pn
frnnstt,:t ion ToLql i117 .79
lirri:t.ox Elect,r.ii
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
,i|.ri,r:r'(r1 F'l0rr llFd(rt e l-ee_
f 1I tbf[l.j- '.;16lll"I_lt:tl:t--i t r, lr r,-tr1
: r t 1 l rt{-r[t:i- i,l6ir,jr:rLl0-
Ok to itisa per lnspector J. Desoto.
; iii rt.lI*rJ(r*r75j?
,, $?1. ?5
s1t6. i4
it?1 .7,
Auth+:t151117
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016 Notes.
B eri
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
1 94427
01nal201a
Account#
$177.79
$0.00
$177 .79
Every permit issued shall become invalid unless the wotu on the site
authoized by such pemit is commenced within 180 days aftet its
issuance, or if the wotk authoized on the sile by such permit is suspended
or abandoned tor a period of 1 80 days attet the time the wo* is
comnenced.
lnspector MID#: 2017-139215
$21.25
$1 56.54
Fee Total:
Paid lo Date:
Balance Due:
Owner:
Address:
Qty
1.00
23.00
10.00
21.00
1 .00
1 .00
1 .00
1.00
Phone:
Single Family Owelling
Miscellaneous
Outlets/Switches/Fixtu res
Date:
Date:
Date:
01 1 16002 51600
01 1 16002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
S AS Pool, Fountains
Siqnq (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding i Groundinq / UFER
Transformers
fqlqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
lVleter Release
Rough fr2s/it tlJr'i
Service lVleter
FINAL 6f/4/,Y v\'{6
Notes, Remarks Etc
OWNER BTIILDER DELCARATION
I hcrchy .iltn und.i pcnrlry of Frrury rhd I dr crnpr lbn rhc Conka.(tra Lacn{ Lde lor th. tofirwin3 r..vr 1S.( 7011 5
Bu{n$s anii Prnison C,,lc): A y C y o! Counly qhr.h rcqutrcl r lrns to c.tr(nlul, alt(, impr'!c. Jcdntrh or qrtr rny
!fl.xtr., prid t) irs 6 rhcc. nlso rcqun.s rh. llpl'c{nr l,n {'.h lf,rmirb fiL, silnclt nrr.ftnr rhar h.or sh. ! l,ccnscJ ttrrnml
u rlE polisions oi lhe O,nrrrrroir Li.cnsa.l lnw (Chapr.r e, Conrmcn.ins wirh Sc.rirn ?m0 .i Divti.n I or rh. Busincs J
Ptufc\si,n\ci.)urrharlrorshcL\c1.nprrherfroorJrhcha\ntu.rhcallce.dcr.mprn,n Any viohr nofS.cron70115bv.ny
applicdl lnr { Icrm( suhjcB rlE aplli(rm k) . civrl pc.alry or nor norc rhd l r!. ntr Jrcd dollds ($5{)lr)
LasowmroIrhcp$l.ny,ormy.mtLy€.rwhw,ecsa\rh.rn)kconlPrhsario.,willJo,.wrkarldrntufurcii,xn
i.r.ftlcLl or oitred lbr sL (SN.?(}44, Bu$nc$ ."n Pmhrn'ns C.rtc: 'rh. Conrr.clni Licns. Lsw dcr nor {dy k, !n o*!cr oa
lhr F'!.ny who t'uilds ur inporcs !h.N,n. airl who des su.h u,i. hims.lfor h.r{lfor rhdrlh hh or h.r dwncfrphy.es,
F)vid.d rhat skh impn*.mnrs@ nol inkd.n oroliir.{ li)rslc.Il lnBrcr. rh. huillin! or imliruEmnr is hll wirhin orE fs
of oonrpbton, rtr Owr Bui!.r will haw tlf, trhrcn or pn)vre rhxr h. or dr drl mt turll or lrlmrc rhc t,ntEry lhr rtr puqi,$ ol
l. rs owmr ol rhc ptuIl{ny. !m crulNncly .otrlr.cr DB *[h hccnsc,l (n ncl(ns b uon(nr.l llrc tnucLr lscc. ?014. hKnc$
and Pn,ft\\i'n C(xic: Thc ConrB.(r'\ I-(ensc l-!w d{rs nor apply b rnownc. oIn(,IEny wh' h'l'l\ or ihprott\ rh.rd)n.
atr'l *ho !o nrrsktr$(hpn'J.uhw haC nrncro(srlr.nscJl)urruanlt'rh.Cnnlr&rttrst-iccnscLrw)
-l
r .r.,n trrl.r sc(noi . B. & l,c trtrlhr rcrnnr
TOIKEBS:IOIIIENSAIION
DECI.II3AIIA!
I E(rchy rfltrnond.r F..k y or r(rjLry onc otrh. tullowiog d..ldaron\
I hav. Md w 'll minrd,n . C.nitirdr. ol Con\cnr ro Scll:lnsu'c Iitr wtrk.B' $q,cns$on, ,s lnr!'dcd fttr byS.don l7(x) oflhc
Uhtr Cr .. nr rlt Frfoturt. olrhc worl nr whrch rhc p.mrt ir n\!cd.
_l hrvc and willnrinrirn workcr' uompcnsaron uantuncc,,s rcqurcd hyS.clon]?molrhcl-al,orCo!c. turdc p.d,trmin.. ot
rh.workiitrwhi(hrhtpcflnirrstsucli.My*or[ccuomFsalionin{uanccu.ri(rd Fni.ynunhcra:
Poli.y Nnmhcr:-h pirc\
l.cdify thrl o thc p(rLrnrafrc (,fthr work Lr wh'ch rhn Frm,r n tr\u.J, I rhill norcmfkry rny ttNon in My r ncr
$ b n$om $njal lo llrc uorkcls uomrcnsllM hws otc.liloiitri, MJ rere lhalirl sk)uLl bcB'm shjccr brlE
workcr' .onrpcn\rr i,)n pn)vsons ol S&ton l?m ol rlE Lahtr C .lc. I \hill- rirnnwirl conrply wirh rhos rovnions
WARNING: t'.rltrrc to \c.urc w(ficn onpctrsrri(,n cov.rafc,t tr hwrul. .nd shill suhjR. i m cnr oycr to trminil Fmlri.r irkl
civrl lrncs up to onc hunllcJ thous,*l dollds
sc.rk)n 1076 01 rh. lrhr(ixl. inr.,:-
Df,(.:
DEC! Bt!!!9.\.l pc,jury l lrar I an lu.\cd undcr rovron oi $rrh s.(Il,r ilrlr0) ol l)'r,\
rxl n,y h.cn\. N n lilllnk! m,lr
I h.rby xl tum un,icr lrnxX, ol Frjury
F\ucJ (S.. 10e7. Crv C ).
rh.rc ir n un(ru.ron hnJry rg.nry l;r rhc r-nnmrn.c ol ,r $.rk ntr *h(h rhA r--m,ir tr
APPLICANT DECLARATION
I rrnty,llim xod.r p.nahyolpcrjrryonc orrhc tullowin8 ilc(lualnus:
Deholirion Perm(lAstcsros Noriltuarion rt'.lcrtrlR€EuL'ttr,ni (T lc 40. Pln6)
-R.qumd
tr cr of Ndfurtun
r"",ir"\"
trnJfl'\ A'lJrc.s
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