HomeMy WebLinkAbout20165330 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
Inspection Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 3941 S Bristol St
Assessor'sParcel: 410-301-18 Lot NA
Unit: D
Block: NA
Bldgl
Tract: NA
AddressRange: 3701-3941
Historic: No
Suite Range:
Zoning: CR
q
Owner:
Address
Contractor
Address:
Phone:
Tenant Name: Ding Tea
Greenville Ranch LLC
2125 E Katella Ave #100
Anaheim, CA 928066078
Ngoc Ky Nguyen
8822 Kennelly Ln
Anaheim, CA 92804
(714) 261-3361
0'1 1 't6002 51603
01 116002 51603
01 1 16002 51603
01116002 51603
01116002 51600
01'1 16002 51603
Fee
$1 1.65
$18.20
$9.12
$37.37
$52.98
Fee Type Amount
Time Switch '1 L65
125 Volt Receptacle '1.4O
Light Switches, Occ. Se 1 .52
Light Fixlures 1.01
General Plan Update 2'1.25
lssuance 52.98
Qty
1 .00
13.00
6.00
37.00
1.00
1.00
Pl]t.h+:43884 - tr12112tt19 I00lf icer CTYH Tnons+: 76Accti: Ret+! 2
R,:pt+:(2268106 - 1/21/2ttlg I
l fonsoct ion lotql $IState Lic #: 1014704
Lic Type: B
Bus. Lic #: 369377
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:
l.lqoc Ke l,lgusen
6enerol Plon Upd(tt€
r:r t I 16r:102- 5160ur"tr"1(r-
t- lectr icol
r_r1 I 1 60112- 5160300r:r-
I (:l Check 1r:156
Fee
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildang Permit #:
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type
Code:
B
VB
cEc 20't6 Notes:
[[nernanoez,
xatnv 05t2112018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
10195787
Every pemit issued shall become invalid unless lhe wotu on the site
aulhorized by such permil is commenced within 180 days after its
issuance. ot if the wo* authorized on the site by such pefinit is suspended
or abandoned fot a petiod o1180 days aftet the tirne the work is
commenced
lnspector MID#: 20'18-143143
0'1 1 16002 51600
01116002 51603
$21.25
$129.32
Fee Total:
Paid to Date:
Balance Due
$150.57
$0.00
$1s0.57
Permit #: 2O165330
Pin #: 46.214
Phone:
Planning Conditions:
Date:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BU!LDER DDI,CAR]ITION
I hcrcby rlnrn undcr p.mlly of F ju,y lh l m drenpr rmm rhc Conrra.ro* Ltcnsc tjw r0r rh. folk,wine rc,k,n (Sc. 70l l 5
B!\ircs ond Plofe$tufl Codr) Any Cily or Counly whi.h r.rtuiEs r lrrnir Io $nsto.r, rltc.. im0iitrc ncmlirh or ElJn any
ntuc'ud, Pri,fb ns hsuMcc. al{
'.quncs
lhc orplicanl lo! such pc"nil k,filcasiBrEd sr emnl lhal h.or shc n lic.o*d puru(nl
lo ltc pmvisbns oi thc Conhclols Liccnscd hw (Chq'r$ 9. com.rncing Nith Sc.lion ?(xl) of oivhion 3 ol llrc Busincss ond
Profcssion\Cod€)orlhatheorlhciscrcmplrhcrcnonandrrEhsisforrhcallc8cncxcrylion.AnyvioltrlionofSccrhnT0ll5byatry
applicrm rd r p.rnir \ubiers rhc {plicanr io {cirilpcnllrrofnor mrcrhsn firc hundEd douaF l55lx))
-1.
as o*rcr ol thc I[)Ilcny. or nry.nrployccs with w.gcs d\ rh vncd npcNrriotr. will do lhc so* u lhcnMrurcnnor
i,ncndcd or offdrcJ tur slc {Sm 70.14, Burims\ lnd lrrolc$ions Codc: The C.nractn r Li.cn\c L{{ dEl nor ll,ply h rn own.ror
rhclmlrny *th h{ikls .r illlI.rs rhcE\n. aftl who des su.h krk hinNclf or h{rsclf or th(nr3h his .. hct own cnDlo}c.\.
ptuvid.d rhnr n'ch inpnrcmnr\ m nor inrcnld or of[@d ior eb ll ho$$s, rll hoihing or in{n,lrtunr is $ld wirhin o.c ,tr
olcomplclin lhc o!trn Buildcr willMvc lhc huRlcn or pmvir8 llrr tr or shc did nol auitt or npflxr lh. pmpdly for tu pu4,osof
,. N oNncr of rh€ I,l'!cny. !n crclusivcly cnnlrrt in8 wiih li.cnscd cotrt.crors lo .onnrucl rlE nro]lrl (S( 7(!4, 8!\i"cs!
0 d EoLssin Codc lhcContra.ttr'sLic..scl-owd..rnortrpplyk,r..wnrroflnrl]cny*hohuildsornnfrovcsrhcrcotr.
rnd sho .ontncls for slch pmjc.rs sirh ! Conlncton s) l iccnscd nu.sur trl lo rhc Conlr.crn s l-iccnsc L!$)
-l
amcrnrnrundcr Scclion-, B &PC lrrrhtr.rsotr
lral€ Orn€r
laa&&r:laurrNsalla
IIiCLAf,AIIIIN
I hrrchy nr'iirm undq ,co lryolpcrjuryonc olrhc tulbwiru dcclift nnN:
Ihav.ui*illnxinrd)aCcnificarcofCon*nr6ftllltrsurcforsorkc^conf$sarion,asftr,rid.dforh,S..rk:17fi1orrh.
l:h, Codc- ttrrh.,rrnn'.!mc olrhc *or( turehich lhc Ennil is issucd
rtu sork n, $hich rhi\ pcrnrir is is\u.d lvly*or[c( c.NF-r\arion in\urrN. ciri.r xft] Frlict Nnrbcr arc
l .cnily rlEr in rhc po ntrtunc. ol rh. work tnr Nnicn rhn r.r.ril h nsu.d.I shlll nor cnrploy aly pcrro, nr rny rincr
so 0s ro hc.om suhj..t h Ih. BolkcrL oomp.in ion l.ws of Californir M +re rhd iflshould h..onc suhicl rolhc
woltcr..nr..qtionDmvhionsolSccriotrSTmofrh.latnc.d..lshall,lonhwirhconlrywirhrh.ctmvhions
.ivil finr\urroonchu rcd ihnrs dolllr\(SllD.lxrr).i.a<ldiri,nrrorhcco{drconrt^-n\rrion.drrSc\rsli{'ridcdtorrhc:;::;pl,;
I hcrchy ifinn und$ p.Mltyofpcrjur,
'h!r
I ul lmn*d undcr tr,visi or Ch.l)ter 9 (omrmrcin8 \rirh Sccli.n 7uxD oi Oivnion .l
.{ lhc Rurincssrnd Pn'fc$i{,n\ Cod., *d my liccise h in tullfo.$udctfrr
l*L-
I lrrcby lmirn under ,f,Mlty of Frjury Ihll lhcrc is, coNldclion lcndinS a8crcy for lhe Frforrome of rfic work for whi.h rhk lsnlil ir
isu.d (S.. .1097, Cir. C.)
AIELICANLDEII.Af,AIION
I hfr$y rrftrm undd p.n,lry oap.rjury onc olrhc following dcclmrnr.sl
Dcmlnbo Pdmns Ashc os Norifi.dio. F€d&nl Relalario8 (Titk 40. Pd6)
-Rcquircd
trllcr olNdifE.liotr
-l
ccnify rn thc ll{rrul rc8uhtnnN E8ulin8 osbc{os r.rrcvi drc not rprli.$k h tht pmjcd
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monumenl)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
R oof Top Equipmenl
Factory Wired Unit
Walls (Conduit)^D /)
Walls (Rouqh)/a,/A//H '1Pltt //Y1,CId
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
lvleter Release
Rough
Service [Vleter ,/-^
FINAL 7-251g
Notes Remarks v
Pole Bases
!r.(lr0l
Etc.
-l
ccniiy thrr I hlvc Eod rth apFlicorion orn sr.lc lh.l $c 0hvc info.nurion isconsl.l aEe roonrly*irh all Cityand Counry
odin.E.s nnd sratc taws rcbtinS to buiklinE conslru.tion,.M hcreby aulbriz. rcr8.nralivcs olrhis Ciry$trd Counry k' cnr.rupon rhcffi,-^#;:"Ixz--_ ^,. sft,/rs