HomeMy WebLinkAbout20168458 - Permitcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
PermitCciinter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section (714)647-5853
Electrical Permit #:2lJ168458
Pin #: 125lJ1
Project Address: 1951 E Dver Rd
Assessor'sParcel: 430-221-28 Lot:
Unit:
Block
Bldg:A
Tract:
Address Range:
Historic: No
Suite Range:
Zoning
Owner.
Address
Phone
Tenant Name:
Contractor:
Address:
Phone
Heritage Village LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949)706-8487
Aquatic Technolgies
32232 Paseo Adelanto Ste. /
San Juan Capistrano, CA 9i
(949) 493-9548
01 1 16002 51603
01 1 16002 51603
01116002 5't603
01 1 16002 53601
01 1 16002 51600
011't6002 51603
Fee Type
Light Fixtures
Swim Pools
Spas
PIC - 650/o
General Plan Update
lssuance
Amount
1.09
125.84
125.84
0.65
22 95
57.20
Qty
4.00
1.00
1.00
256.04
1.00
1.00
Fee
$4.36
$125.84
$125.84
$166.43
$22.9s
$57.20
State Lic #: 744177
Lic Type: B, C-61, A, C-53
Bus. Lic #: 351280
Workers' Compensation lnsurance:Carrier: Zurich American lnsurance Company
Policy #: WC45035S6
Expires: 1OlO1l2O19
Bobchi:5tt675' 7 /3/2419
0ffice: CTYH Transi: 6
Acct*: Refi
Rcpt,+:tr2679985 - 7/3/2ltl
Tronsoct ion Tobol
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By
Multi-Family (5 or more uni Occupancy:
Swimming Pool/Spa Constr TYPe
Swimming Pool/Spa-Buildin,Code:
A-2, B, R-2
IIIA, SPK
cEc 2016
Acuotic Technolgies
05t29t2019
07t03t2019
Account#
Misc. Receipt: 72467
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Generol Plsn Updqte Fee
0l I 16002- 516t-10rJLrL1-
Electr i col
CI1 I 160r.12- 51611311110-
F/(: Electr i,:'
0il16002- 53611100f-
ICt- Check tr02t124
llants
, Teri
Date:
Date:
Date:Permit lssued
Subject to Field:
Buildins Permit #: 10199810
Every permit issued shall become invalid unless the work on the stte
authorized by such permit is commenced wtthin 360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work ts
commenced.
01 1 16002 51600
01 1 16002 51603
011't6002 53601
$22.95
$313.24
$9.01
$502.62
$157.42
$345.20
!nspector MID#: 2019-150840
ELECTRICAL.INSPECTOR RECORD
!D/SIG COMMENTSAPPROVALSDATE
Site-Work
Underqround 7-zl-1(.t)rS&-t ,(v)
Pole Bases
Light Standards
tu)Spas, Pool, Fountains ?'4o-(e J)-Q{p1
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor {aBonding / Grounding / UFER ?- ?cs --tQ ./"t5*
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rough
Ceilings (T-Bar Rough)
ltleter Release
Jes'tRouqh7-7 O -{q ,@
Service Meter
{o-tr4? -hle9-1-f,tr)FINAL
Notes, Remarks, Etc
OWNER BUII,DER DEL(]ARATION
I hereby affirm under pmalty of perjur] thal I arr erernpl fiom the Conlracto6' License l,arv for the following remn (Sec.703 1.5'
Busincs and Profssion Code): Any City or Counly u'lrich requirc a pmnit to conslrucl. alta. improve demolish or repair my
slruclue, prior lo ils issumce, also require the applicant for such pmr{t to file a signed slatqnflt that he or she is licmsed pursuanl
to the provisions of lhc Conlraclor's Licensed Larv (Chapto 9, Commencing $;llr tsslion 7000 of Division I of the Busincss and
Profe$ionsCodclorthalheorsheisexcrnptthsefromandlhebasisfortheallcgederemplion- AnyviolationofSectionT0-ll.5byany
applicantforapmitsubjslslhe applicanlloacivilpenaltyofnotmorelhanfir'ehundreddollas($500).
_1. as ouner of lhe froperty, or ily employs wilh wags 6 lheir- sole compensation. rvill do the work md the stnl.lue is nol
intodql or ollercd for ule (Sa.7044. Busines and Profcsions Code: The Contractor's Licase lnw do6 not apply lo m owner of
the pmfmy rvho huilds or improve thson. md u ho doe such *ork himself or hsself or lhrough his or hq oM cmployec.
providedthalsuch irntrovcnfflsoenolinladedorolTgqiforsle. If.horvo'o.thetrrildingorimprovmmlissoldwithinoneytr
ofcomplction. the (hvner Buildq will have the burdq ofprcving that he or she did not build or i,ntrove lhc Ftrotsry for the purynse of
sle).
, l. as o\rer ofthc propely. anr cxclusircly contracting $'ith licensed conttack)F lo constnrcl the projel (S*. ?0J4. llusinss
and l,rofcssionCodc:'lheContractor'sLicenseLawdo6notapplyloanownerofproperlywhobuilclsorimprovesthermn.
and who conlracls for such proiecls with a Corrlraclo(s) liceilscd puNuanl lo the Conlraclor's License Law).
I en erempl unds Sstion . A. & P.C. for this reason
I)a(c _ Owtrer:
WORKERS' COI\IPENSAllON
DECLARATION
I hereby affirm uncler penalty oIpojury one ofthe follo\ving dslarations:
_l have md u ill mainlain a Certificate of CoNmt to Self-lnsure for rvorkm comlmstion. s prolidcd for by Setion 3700 of the
tabor Code. for the lrfomancc of the work for rvhich thc ponit is isued.
_lhaveandrvillmaintainu'orkss'compensationinsurance,6 rcquirctlbySetion3T00oftheLahorCode.forthepsfomanccof
the Nork for rvhich this pmnh is isued. My workm' compdation iNurancc canio od policy numbo uc:
Cmiq:_
Policy Nurnbe:-Ii\pir cs:
I cenity thal in lhe perlornrance ofthe rvork for rvhich this pcrrnil is issuetl. I shall nu onploy any person ir any mannc
so as to bccome subiecl to the s'orkfls' coillpensation larvs of Cali foilri.. and sgrec that i f I should beconre subjet to lhe
rvorkes'cornperLsalionprorisionsofSelinnlT00ofthel-atpr(.ode.lshall.fonhuithconrplyrtithlhoseprovisions..
WARNINC: Failure lo secure rvorkers'
civil fines up to one hundred thousand
conrl)ensation covoage is unla$ful. and shall subiecl an lo qirninal penaltis and
dollars ($in addition lo lhe cost of darnages ru provided for the
Setion 3076 Code. intsGl
I hoeby afl'irm unda poahy ofperjury that unrler 9 (comnrmcing rvith Srction 7000) of Dir ision l
of the l]usin6s 6nd Profssions ('ode. and nty licose is in lull fotce md effccl.
1Iqt
I hereby affirm under pef,alty
issucd (Sa. 3097. Civ. C.).
Lendcr's Narne:
-
ofpcriury lhal is a conslrilction lcncling agency [or the pe'[o[nance oftlrc rvotk ftrr which tltis perrtrit is
[,endcr's Addras:
APPLICANT DECLARATION
t heetry allinn undo penalty ofpojury one ofthe folbwing dalaratfuns:
Dmolition Pernits-Asbestos Notification Fcdsal Regulations ( l itle 40. Pan6)
Required I-etler of Notificalion
I cdify thil the federal regulalions reguding rubcslos rernoval are nol applicable to lhis project.
read lhis and state that the at[\'c agreto comply rvith all Cily and ('ouf,ly*.:"'fl;[i":.l.aws
abo!,e iltcnt Pr opcil\
Applicsnt
n"..it""n\tp,f,
huilding conslrucli()n. and hcrehy
is coret. I
I rcprsenlal