HomeMy WebLinkAbout20170145 - Permittl-,
City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA\27O2 Electrical
Permil Counter: (714) 647-5800 lnspection Requests: (7'l4l667-2738 lnspector Section: (714) 647-5853 l
Permit #: 2fJ170145
Pin #: 16538
)
Proiect Address: 1 E MacArthur Pl
Assessor'sParcelr 411-071-05 Lotr 5
unit: 115
Block: NA
Bldg:
Tract 13802
Address Range:
Historic: No
Suite Range:
Zoning: StN3
Contraclor
Address:
Phone
Tenant Name:
Ocean West Partners-Stephanie Yoo
2101 Rosecrans Ave Ste 3270
El Segundo, CA 90245
(213t 814-1647
L T Electrical & Constructior
4467 Avenida De Las Flores
Yorba Linda, CA 92886
(714) 686-9678
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
01 1 16002
01116002
01 1 16002
01116002
5160:
5160:
5160:
51603
51603
5160C
5160:
5777C
Qty
8.00
9.00
25.00
4.00
1.00
1.00
1.00
1.00
Foe
$12.08
$ 14.76
$27.2s
$103.04
$35.21
$22.95
$57.20
$3.91
Fee Type Amount
125 Volt Receptacle 1 .51
Light Swilches, Occ. Se '1.64
Light Fixtures 1.09
Dedicated Circuit 25.76
Low Voltage/Comm 35.21
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
P'ntchi:5?917 -0lfi(er CTYHA,:tL!:
Fcpt.+: r"r?9{r?31?
State Lic #: 742172
Lic Type: B, C-10
Bus. Lic #: 332687
Workers' Compensation lnsurancel
Carrier: Hartlord lnsurance Company of the Midwest
Policy #: 76WEGD!4224
Expires: O7l1Al2O2O
FronsncL isn Toln l
I Electr icnl & Csnrtr.uct itrn
Building Use:
Job Type:
Nature ol Workl
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type:
Code:
B
I A, SPX
cEc 2016
Genersl Plfln Update Fer
81116002- 516r:rn[ r:r-
Electr icql
tr1 1 160r:r2- 51 6r"t30t:lt-r-
ll icrol i t rrr & DocufientE
tr1I160|:r?- 577700r:rn-nnster Cord
(i(:i r x *r x *I ti'f **x *{x:r?/r
\rlY
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
BuirdinsPermit#: 101101792
Every pemit issued shall become nvalid unless the wotk on the site
authorized by such pemit is commencec! wilhin360 days aftet its
issuance ot if the wo* authorized on lhe site by such permit is suspended
ot abandoned fot a poriod of360 days after the time the work is
commenced
1110712019
Account#
$22.95
$249.54
$3.91
lnspector MID#: 2019-155024
01 1 16002 51600
01 1 16002 51603
01116002 57770
Owner:
Address:
Phone
t7 /21119
kell
11,/7 /1tt
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Fieldr
Notes
Fee Total
Paid to Date:
Balance Due;
Irrt h+ : tI r
$276.40
$0.00
$276.40
APPROVALS DATE IDiSIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)I 'tkz)
Ceilings (Hard & Soffit Rouqh ul
Ceilings (T-Bar Rouoh)
lr4eter Release
Rough il_4)
Service Meter UI
FINAL I {4lc d1r\)
Notes, Remarks, Etc VT VrT-
ELECTRICAL-INSPECTOR RECORD
OWNER AUILDER DET,(ARATION
I h6.b) altum und6 ,€.alry of psjury rhd I e .rcmpt fiom rh. Conr6.ron- Lic@ riw aor ih. followiu r€Nn (S( 70] I 5
B8in6s dd hofeion Codc): Any Cn, or Counry \ni.h rcqunB . Fnil lo snslrucl, alrd, imtrcvq d@olish Dr c?at ey
sttudue prioi ro hs isu cc, also rcquic lhe applicant for such p6nn lo filc a sisnol staldor rhd h. or she ie lic6.d puBuml
to rhc lrotsions olrhc Conrador's Lic.n*d La$ {Chapid 9. com€ncin8 wiih Sdlion ?000 ofDilisto I oflh. BEin6s Md
P(l€$ions Cod.) oi rhar hc or shc is .xmpl tnE€fto,n ed rh€ bdsis aor the aucBed cxdplion. Any violalion ofSetion 70115 by any
applicantlorapmilstrbjcdsrhc.pplicanttoacivilpenahyolnolnonrh&nvehundredd.lds($500)
I, d o*n6 ol rh. pr.p.rty. or my dnplorc wilh NaB6 s rficir ele composlion, sill do rh. work ald lhe $tude is not
inlurded or ord.d fo! slc (Sc.7044. Busiod and llrolNiod Code Thc Conrradors Lic.e k* doe nol apply lo m owno of
rh. popdy who blilds or inprovB rh@n, d tr'ho dcsucn m hin*lf or h6clf or rh(n'sh hi! or hd om .nployc.
fovidcd rhat su.h inprcvand6 e mr i a .d o. ofiisi for $L ll ho\v6's. $. ttrildi"s o. impmtmdl is pld rirh'. o.. ]a
ofomplcrion. thc olrnq Build6 will havc lh. hrdo oiForins thd h. or sie did d hiild or inFo!. lh. popsfr lor lh€ purpos of
I. s o$na ofrh. ropsly. m .rclusi!.ly .ontr.crin8 lvnh li.m.n conrrrroc ro consrrucl tl"{ Fojd (Sc 7044. Bds'n6
and ft.r*ion Cod. 'rhl Conkadoi3 Li.cns. Law do6 nor aapl, ro d os.s o f prop.ny pho builds or inprov6 lhrmn.
and who conrrads lor such projccrs wirh a Conn?do(, liccmcd pus@l ro rhc Contador's Lics. bw).
I m exenpl und6 Sdion
Drr.: Onmr:
WORKERS' (IIIPENSATION
DrclAxarlo!
I h6cby amrm r.dd p6.h, oapcrlo4 oneoalhc follo\in8 d(ldalio6:
I lD'c and * ill ,minhin a cdifi..t. of ( oN.nr ro s.lalmorc for trvk6 comptral ioa. 6 pror idcd for by S{lion :i700 . alhc
l,abor Code. for lhc p€rrommcc of lhc $oa for *hich lhc t6nil ie i*ucd
Ihaveandwill,non sin workcu compens.tion insur.ncc.6 rcquned byS(rionlTo0ofrh. t.aborcode. aor nrc F6fonnm.. ol
thc work for shich lhn pennit is issued. Myvorksi conrpens.lion iGurdce !ei6 dd Ix,licy numbo de
PolicyNu,nbcrl
I cen,ry lhar in r& psnrmanceoalhl sork lor rvhi.h rhh prnrir is iss$n, I shall.or mploy er D€son in ony mann(
$ 6 ro b..o,n€ subjar ro
'h€
\orls' co,npffirion laN of calitomio. and a{re thar ir I should b..om. subjer '. 'h.wor k6' comp€netion provisn,m of S.clion 1700 oh h. l,fltrr Codc. I shalt. ronhsi(h c.mpl, snh rho* prolisioB..
WARNINCT [ailurc to surc rork6 mnrpmaxoD covsasc is unla*ful, and slrall subj(t an dntloy.r ro dimirol p6.lli6 atrd
cnil fines up lo onc hundred thousand dollaB ($100.000), in addnrcn b thc cos ol.omp.nsdtion. danaScs 6 providcd for Ihe
Strri.n l(176ofrh.l f,t-r a.dc inrd6randdiomcv s fasttn/tg
PECI.ASAIIO!
I h6cby .Itm undo !..rlry ol pojury rnar I m licaE d uda Fnlision of Ch.pt6 9 (co'n'Mcins wnh SElion 7000) oi Division l
oa rh€ Bui.6 and Phf*ionr Codc, od my licds. is in tull forcc dd .flcr
,"*."**, ( lo 1il)11)
""," ll/7/ l1 .,",,",y=W
A.TIUIANfDICIASAIII)!
I hedy amm und6 pdalry of pojury onc of lh. aollo*iog ddldarioN:
D.molition Pdmils-Asbeios Nolilication rcdfial R.aulalions (Tilb,r0, Pa,l6)
Rcqun.d krt6 of Norificarion
I cqlily lhol Ih. Lddal r€sol.tions Essdins 6b6tos rdolaluc lor lpplicablc ro rhis pojd
I cfiray Oal I havc reail rhis application dd sar.rhd rlE above inaomaliof, is conal I asrE to conplywiln allCily ud Counry
odinanc6 ud Slalc LlM r.l,lins ro buildine comtrucrion. r.d lftby aurhorize lcprBdltrl iv6 oflhis Cny dd Cou.tyto old tpo. fi.
ab.!e
'nenrioned
propeny fir insp.dion purlris*
Applicanl or Eonl Signlluc ttl k,+,4/tc(^",Lut/tq
Pole Bases
lltttvtel,'lb
't6 lP,'N',E
'Tl.,g...ut<
.lr. & l, C. i)rlhis re$n
CONSTRUCTION I .INDINC AGENCY
I hmby ,IIm ud6 Fahy of pdjury rt,t th6. ie s snnru.1ion koditrs .sfty hr Oc p6foill@. of rnc ert for s,hich thi! Fnn is
i$!.d (Sc. 3097. Civ. C.).
L.nd6 s Nmc
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