HomeMy WebLinkAbout20167447 - PermitCify of Santa Ana
Permit Counter: (7141 647-5800
20 Civic Center Plaza (Iil-19), Santa Ana, CA92702
lnspection Requests: (71q 6A7-2738 lnspector Section: (7lq A47-5853
Electrical Permit #: 20167447
Pin #: 6362$
Proiect Address: 309 N Bush St
Assessor'sParcel: 398-503-11
Unit:
Block: I
Bldg: Address Range: -309-313 N
Tract: TowN oF SANTA Atiistoric:
".i'"t'lzoo-zo
Suite Range:
zoning: o
Owner:
Address 01 1 16002
01 1 16002
01 't 16002
01 1 16002
0'1116002
5160:
5160:
5160:
5160C
5160:
Phone
Tenant Name:
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
v V D Communications
12681 Pala Drive
Garden Grove, CA 92a41
(714) 206-1048
Fee Type Amount
Over '1-10 HP, KW or K\ 23.29
Field Verification 160.25
Fee Exempt -283.95
General Plan Update 22.08
lssuance 55.04
Qty
2.OO
1.00
1.00
1.00
1.00
Fee
$46.58
$160.25
$-283.95
$22.08
$55.04
Phone
State Lic #: 821598
Lic Type: C.7, A, C-'10
Bus. Lic #: 351998
Workers' Compensation lnsurance:Carrier; Old Republic
Policy #: AlCWt278t700
Expires: 11114120'19
Building Usel
Job Type:
Nature of Work
Occupancy:
Constr Type
Code;
U
VB
cEc 2016
Other
Parking Lots
EV Charging Station
Zuniga, Allissa
J. Pham
10198408
11t20t2018
Account#
Misc. Receipt:
Masc. Receipt:
Misc. Receipt:
Total
Notes: lnstall (1)EV charging station. FEE EXEMPT PER CITY
MEMO
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Every permit issued shall becomo invalid unless the wo* on the site
authotized by such permit is commenced wilhin180 days aftet ils
issuance, or if the wotk authorized on the site by such pormit is suspended
ot abandoned for a petiod o1180 days aftet the tirne the work is
commenced
lnspector MID#: 2018-147794
N/A - No Balance Fee Total
Paid to Date:
Balance Due
$0.00
$0 00
$0.00
Lot: '1,2,3,4, POR 5,5
Contractor:
Address:
Nt-..,Dd(e\ \ Date.
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCAR"ATION
I hd.6, afrm undd pcnally ol pBjury thal I m .xemlr 6on the (bnt,cro6 Li..ns. Law lor rhc hllo*in8 r.Mn (Ss.70l I 5
Dusinss ed Prolsion Cod€): Afly City or Counry which r.quir6 3 n66ir ro co.sttucl, rlrc. imprcvq ddolish "r rcpan any
srruclre rior to irs issuMcc. atso r.quir6 $c appli.d lor such pernh ro nb a sig.cd ststdrot $al hc or shc i.s licdsed pdua
'o
rh. pmvisioB oirhc ConlBcloas Lic.nsd kw (ChEns 9, ComocinB *ith S6lion 7000 olDivirio. I of th. BGi.N dd
Proacsio.s Cod.) or thar h. or sh. is .r.mpt rhq.fror drhch6isfortheau.!deidrrio..Anyriolalio.ofsdrion?01l5byany
applica.r lor o p.mn subjErs rhc a$li.oi ro , cjril p@hy o I nor mo€ ihd 6v. hon&ed dolltrs (t500).
l. s o*,ner oflh€ prcpcny. or ary cnployt6 Bnh s ar6 a their sole comrGarion. vill do lh. Nork and lfic slrucl@ G m!
lnrod.ri or ofised ,br sl. (56.7044. Bwinss ed Proasions Cod. Th. Co rlclols Licas Law do6 not ,0ply lo & oMa of
rh. FDpdy *ho tiik or nnpr.v6 tlsotr .nd who do6 such wo* hims.llor h.Mlf or lhoush hit or hd oM.mploy.6.
provid.d lhat such improvdd ft ftr inrdd.d 6r olla.d ao' sE I[ hotr6d. th. b{ir.]{B o. nrFovclmt is sll wnnin oft Fr
olco'npkion. lh€ O{rr Brildg $ill havc rh. hrdd orPIoviog rhd h. or sh. did nor hild or i,npmv. d. F!F1-r tor lh. purpo* ot
_l.6ovhdoarhc pror.ny. m .xcl8iv.ly conra.r i.E wnh lic*ed conrftciosro colnruclrh. pmj61(56 704,1. Bci.s
ad A!ftssin Cod.: l hc Cooldcroa, Liccns. Latr do6 nol apply lo e o* ncr o apoFny $ho builds or ihprov€s Ihson.
dd who enrdft ror su.h ptujds rvnh a Conhdo(s) li.m.d plRuml b $. ConrEclors l-iccr ti{)
I an.rdnfl undd sdion .lr. & P.(' lorrhis r.don
]!98{!8S-lA}!fEl64llOX
DECIA.8AIIQ!
I h6.by amm md6 pdahy of pdjury onc ot th. aollosios d4lr.lioE:
I hav. and will nai.t.in r Cdific.te ol Co6mr to S.ll-lNUr. for @rke4 omp.nerion, 6 prorid.d aor by Selion 1700 oflh.
Lahf Codq lor Oc pdfomdc. o ath. work for which th. pmil is issucd.
trU.una"itl.u.ru'n*o*c4conpcG.lFniBur.c.6r.quircdbySdrio.3700oath.L.b.rCod€.forlhcFforl1ecol
thc{orlf.rtrhichrhir!.mrrss.dVyso'rdtomnGal'.n'DudrrrmderlFrhrtnumb6d.'
._o, ald e-r\.1\c\i c (lc,^"t) {r.rs...*AiZtr z--zE r 8o I u \t'r (,r
_lc.nirylhatinlhepsiorrru..olrhcwortrorvhichrhispdnisissu.J.l3hallnoloployanyp.soniney6.d
$ 6 ro b..o,n. subjat to rhc q!rl6' ompqEalion lars ofcalifomia &d as@ rhd il I should h..om. sobjd to lh€
sortEs comp€.srion provniod oasario.lT00 ofrh. tnbor codq I snall fonhwith comply rvnl rhos prulDioB.
IVARNiNG: Failur.lo suc vorkgl enDsslioa cov€Esc is unlasful. dd shall subjet m mplors lo sidinal FElti6 and
cilil fin.s up to onc hnf,dr.d thousd dollss ($100.000). in additioo lo lhc cosl of comp.Nrion, dmB86 6 provid.d for $c
slaltun.1076 olrh€ tihor code imdd md
o*.1o I Sor',.{Posl
DFCI,ARATION
I hs€by arm unds pcully of Fjury $ar I d li€nsal @dd Fovision of Chrlts 9 (ommdcing wnh Sdion 7000) oa Div6ion 3
of th. Busins sd PmfsioN Codc ad my lic.E ir io lull ao(c ad df<l
(z-t (48
o.,.,rr IZol rB .",,-[^Qrrrq dt cr$r.a-,t
caNirBl]cuaxtElD.llc-acllcy
I hqeby amm unda F.ahy ol psjury thal rhd. t a @6ttu.1ion h.din8 ag6cy for th. p6fomuc. oalh€ mrk aot *hich lhis Frnn i!
issu.d (Sd.3097, Civ. C.)
ATTI,ICANI.IECI,AEAIIO!
I halty atrm undd paahy ot pdjury on. oflh. followins dclaalions:
Dmolnio. Pmils-Ast<los Nolific,lion F.dml Resularions (Till€.40. Psn6)
R.qnir.d Ldid of Notific,lion
-l
c€nify rhar th. lcdcral rcsulalioN Esedins sb€sros rcmoral de nol arplicable lo rhis protdl
-l
cslify rhar I havc rad r his applicdion dd stare fiar $c ahore inlomlrion is codd. , asle lo co,nply rvilh all Cil r tnd Counlt
ordinanc6 od Stalc L.ws,ehtins ro buildinr consrrucrion. &d ho.byaurhon,r r.FMialiv6 oarhh City d Counly ro orr urs. thc
aborc,nmrioncd pmpdy for i
Appli.itrl or genl Signst
-(P6r-+
\6
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unrt
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rough
Service Meter
FINAL 21 /r/za."z */.r-)
Notes, Remarks, Etc
Pole Bases
L.ndd ! Ac&*
-
i
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