HomeMy WebLinkAbout20165955 - PermitCity of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-'19), Santa.Ana, C492702 Electrical Permit #: 20{ 65955
Pin #: 59142lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Proiect Address: 1901 E First St unit: 138
Block: NA
Bldg:
Tract: MAYBURY
Address Range:'1901-1903
Historic: No
Suite Range:
Zoning: C5Assessor'sParcel: 400-081-08 Lot: POR 15
Owner:
Address:
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Updale
01'116002 51603 lssuance
Amount
139.86
21.25
s2.98
Qty
1.00
1.00
1.00
Fee
$139.86
$21 .25
$52.98Phone:
Tenant Name: Huskins Coffee Co
Phone
Slate Lic #: 831334
Lic Type. B
Bus. Lic #: 352269
Workers' Compensation lnsurance:Carrier: lnsurance Co of the West
Policy #: WSD504010800
Expires; Q3/08/2019
Building Use:
Job Type:
Nature of Work:
Mixed-Use
Tenant lmproYement
Service meter
Occupancy;
Constr Type
Code:
B, R.2
A
cEc 2015 Notes: lnside location. Underground feed.
Planning Conditions;
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Amsden. Julie 05t2412018
Account#
Every permit issued shall become invalid unless the work on tho site
authoized by such permil is commonced within 180 days after ils
issuance, ot if the work authoized on the site by such parmit is suspended
ot abandoned for a period of180 days aftet the time the work is
commenced.
$214.09
$0.00
s214.09
lnspector
01116002 51600
01 1 16002 5'1603
$21 .25
$192.84
Fee Totall
Paid to Date:
Balance Due
Contractor:
Address:
Lyon Housing (First Street) XLVlll, LLC
4901 Birch St.
Newport Beach, CA 92660
MITCHELL GENERAL CONT
52 TESLA
lrvine, CA 92618
(9491 387 4477
MID#: 2017-139450
ELECTRICAL.INSPECTOB RECOBD
APPHOVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq / Groundino / UFER
TransIormers
Torqueinq
Sub-Panels
Air Conditioners I
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Ivleter Release
Rouqh
Service [t/]eter 1 -L,/,/ltl t.l ll I
FINAL 7{//1t ',u I
Notes, Remarks, Etc I
OWNER BUILDER DELCARATTON
I hcrch, afirn undc, Fnahy of ocrjury lh l m cxcmpt lmm lhc Co.t,rri,6 t-i.cns ljw for Itu following rcaen rS(.70:11.5
Busincs and Profcssioo Code): Any Cny o. Cou.ly whrh r.nutcs a pcnnil ro onrrru.r- alld, imp.ovc, d.nmlhh or rPrt any
stucrxrc, I,i, to irr issumc. 0ho rcquias thc lpDlicuol lbr such lrrmn h fib a siBncd $arcrnol that lE or shc i\ liccnscd Puruanr
k, rhc p vhioDs of rhc Controdols Liccn\cd Lrw (Chaplcr 9- Coddehcing *ilh Sccrion 7UJ0 o, Divtion 3 olrhc Burinc\s ard
Profcr\ions Codc)or ih3r bcorsh. iscxcmpt rhcrcrtun and Lh.b.ris lnllhc ol lescd c xcmrr nnr Any vioLrionofsationTOll5 h, lny
lmlicanl nn i !.mn slbj.ra rhc applic,nr ro a civil ,cnalty of nor mrc Ih fivd hundd dollais ($l{ro).
L r{ oRtrcr ol llr fmlcny. or trr, cmplo}tcs wnh,rgcs a\ rh.ir $lc.onFtr\0rion. will do rhc wori end rh. {mrut i, tr r
intc or ollcrcd a{tr eh I SL{.7(l'4. AusRs\ and ft.fcsions (lodc l'hc Contncxr's l,ic.nsc bw docs nor rPply ro rn o*Rr of
rh. pnFny wlF t{ilds nr inrlF$( rlENn. ,trd trho dms such nn* himQlf ot h.r\clf or lht ugh hh or hcr own d lrlo}tcs.
trovi'lcd lhar such imporlnrnk m dn inrMdcd or oficftd for srb lr. howcvcr. rM hikli',! nr nnpmvc tnr is $l.l wirhin unc )cr
.f.onDlcri.tr. rhj Oqnc! Buildq*llhalc lhc hudcn ol provins rhli h..r\hcrlid,x, buildor im[orc thc pnDcny f rh.pu4rs(l
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n\oencrolrhcnmp.nt,,mcxclusrvclr.onr(rinS wnh li.cn{d conlr trst,coi{fl.r rh( rn,l.ct (Scc. ?(!3. Bu\inr\\
rM Pdlsirn codc: l hc Cotrlrad{tr s l.iccn\c I-aw do.\ nolrrply n) rn ownd ollr{cny $ho builds.r i'npmvcs rhcrcon.
rnd *ho c.nrtucr\for\uchp(,jc.rswfhrCronh.nrns)li.ctr{dt'ursurnrlorh.G)nrrrcrtrll-ic schw)
lrD,rx.nr un,ljS.cri(r .ll &l'( lLtrrlri $n,r
I),r€ ()rnrr
rrcatr[&r.CalrtlNsArr0N
DECI.AAAIIAN
I hcrch, llltD ondcr ImlryorNauryonc ofrhc r'ollowins dcclff(lioos:
-lhavc&drillminrainaCenirrnrcofco.snrrosclal.surclor*orksi.\,mp.nstrn'n.,srr.vidcdforbySeclion.lT0oofrhcLftor Codc. for thc rcrfonMncc ofrhe korl ror {hich rhc nmir il isucn.
_lhavcrodwillminnaiiwork.Bc.np.n\rlrcnnNunrcc.!sr.qutd$yS(rionITIX)ofrh.tjbotCodc.Iorrhcprnon x.nr
rh. *ork lu lhichrhi\
')(rm[
is isucd Niy*orkcra corDcnlarion in\0
4 k u)
o'10 L
-l
ccnilyrhut inrhc pcrforroncc ofrh. wo.k forwhich rhrFrnril n nsucn. I\hallnor c Dlo!atryFrson in rnydanncr
{, $ tu tr.o'ft subj.cr ro Ihc wo*c6' convEnsar ion llws ol Crliloriir. ,trd o8m rnar il I lhould t co,t iubjed u rtu
wolkcs.onv.nsdnnrprcvGionso,Sccrion:1700otrhctrtrrC,il.,Ish{ll.,t)nhwilhconv'1,*irhrho*F)visions
WARNIN(i, Iil[r b \ccu'a {orkc^ (ntrcD\ rtni .olcrrtc 1\ tth$t. rn,l \hrll stric.l ar) c d.ycr n' ci'ninal P.irki\ rnd
r. onc hundred rhousatul dollars 1Sl(D.uD). in 4niioD n, rhc co{.r.omPctrstrio., damscs r\ Pdvid.d fin rhc
u[rhc Ltrh,?c.rtc, lcrcn in,l drla\v{ *,
DICL.IBII9I
I hcrcby alftrmutrdcr pcnolly of rcrjury rhar Lfr lien{d undd Eovision olCh{lcr 9(commncins wnh scdion lom) ol Divhtr:l
of rhc lrusincsand PmL$ions Codc. ud myliccnrc is in tull lor 3rd.flatr.
. .62* rz-g5ZLo1
,,,, s[.4 f] g ..,,,*,." l,4,tt ldl h"^tc,t 7(wnn
s)Nuausu0NrlNDllc-&cEN(r
I h.rby rrfinn undft Fndryoip.rjury rhar lherc n r con{tocrhn hftiine aAcfly ior Ihc !.rformrcc orrhc $uk nr which rhh Pcrmi n
hsucd (Scc 1097. Civ C )
AIIUCANTDEIIABAIION
I llrt, lmo Dnd.i lEnahy of pcrjury o.c ofthe lollowins dsldarn'ns:
Demlirion Pcrmirs A\h€do! Norirrarion Fcdcral RcSulorions (Tillc,l0. Pan6)
-Req!ncd
kucr of Ndifa.lion
I ceniry rhar rh€ t deml rcSularions rcsardins asbcsror rcmval arc nol ,,'rla,bh to thh Imj.rl.
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ccdiry th0t I h8c @dlhk appliclrt,n ud s . rhar lhc.boE inrorndion h corer. l{8xe roonllly*ilh 8lt Cityaod Counl,
SL duthorizc rcprcsnhrncs .t rhn Ciry,M c(Isi?L/L .1ra
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Communications Cable
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Gndcir Addrs
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