HomeMy WebLinkAbout20166116 - Permit20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702
lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit#: 2Ol66ll6
Pin #: 54062
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 2303 S Bristol St
Assessor'sParcel: 410431-01 Lot: NA
Unit. A
Block: NA
AddressRange: 2301-2303
Hisloric: No
Suite Range:
Zoning: C2
q
Contractor
Address:
Legacy Air HVAC, LLC
3529 E. Wood St.
Phoenix, AZ 85040
(602) 263-8111
Fee Type
011 16002 51603 Air Conditioner
01116002 51600 General Plan Update
0l'1 16002 51603 lssuance
Amount
93.28
21 .25
52.98
Fee
$'186.56
$21.25
Qty
2.OO
1 .00
1 .00P hone
Tenant Name
Phone
State Lic #: '1026949
Lic Type: C-36, C-10, c-20, c-38
Bus. Lic #: 366171
Workers' Compensation lnsurance:
Carrier: Zurich American lnsurance Company
Policy #: WC0158146
I eeqcr Air dVA(:r LLC
6enerol Flon Updote Fee
UlI16002- 51600r'100-
Electr icql
r.11116002- 51603000-
I(:L Chech rl5584l
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Faeld:
Commercial
Tenant lmprovement
HVAC change out.
Chavez, Oave
-/"
Occupancy:
Constr Type
Code:
B
VB
cEc 20't6
Notes Roof mounted equipment.
Date:
Date:
Date:06111t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
L,
Buildins Permit #: 101 96699
Every permit issued shallbecome invalid unlessthe wo* on the site
authorized by such pemit is commenced within 180 days attet its
issuance, or if the wo* authorized on the site by such permit is suspendod
or abandoned fot a peiod of 180 days aftet the time lhe wo* is
commenced.
$260.79
$0.00
$260.79
lnspector MID#: 2018-141753
$21.25
$239.54
Fee Total:
Paid to Date:
Balance Due:
Btdg:
Tract: NA
Owner:
Address:
Starbucks
2303 S. Bristol Street #A
Santa Ana, CA 92704
(7141292',t878
Botchi:4{229 - 6/ll/2$t8 IDl JGUD$Ioffice: (1YH Trons+3 1(7 i u:A,:ct+: Ref+: 2r:11651 t r1
Rcpt+:02292(r64 - 6/11/2(rl8 l:13 l l
Tronsoct ion lotol 3989. r:rl
Building Use:
Job Type:
Nature of Work:
01 1 16002 51600
01116002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDEN DEL(ARATION
I hcrcby artrm uodn !.n!lty or pcrjury lhlr I m cicmpl lmm rhc C.nrt.bn Ltcnsc tj* for rhc follo$in8 fa$. (s.c 70.11 5
Business arn Prolc\si{,n Gne) Ant Ciry or Counry *hih 6quircs tr Frmit lo connrucl rlls. nryrolc. &mli\h or EFn nny
rmdh. prior ro ns niuan.c, .t$ rcquircs thc !pdic0,t for such pclm ro nk r sised rlnrcftnr rhtr rE or shc h licctr$d plnulnr
ro lhc Fovkions ofrtr Contracrols l-icensd ti, (Chaprcr s, Coon n.in8 with Scclion ?000 ol Dilision:l of rhc Bnsincs itrd
Pnfc$ions Co.lc) or thor hco! shc hexcmpr rhc..lo,n{nd rhc bnsh for rhc 0l1c8cd cxcmplion. Anyviol0tionolscdion?0ll.5hyany
ntplic,nr ror n p.mn subjeIs rnc appliclnr ro acivilpemhyofnot morcrhdi lv. hundrcddollrs($500).
-1.
ss ostur .l rhd lr.Fdr, or my cnplolcs wilh r08cs as thct slc comp€ncarion. sill dD tlE edk atrl lhc ntrtw is ml
inkftr.d or oficrcd lor $L (S( 7014. Busimss lnd Pr.fcsions Code Th. C.nta.ror's Li.cnsc tjw rkrcs mr ryIlyt,,nowmi or
rh. pFFny sh. hoilds or nr{mhs rh.m( lrl wtb dB skh mlk himsclfor turclf or rholgh hii or h.r.*n .nl,lo}tcs-
piovidcdrhat such numwmnr\ @ mr hrcndcil oroficGlfttr sk Il lbecrd. rh. ttrildina ot inrmEmnr is rld sirhino* )td
ofdrllLikn rtr ownd Build.r qill h.vc l,E hurd.fl of pmvins lhal lrc or shc dil nor hxild or impoE dc lmFny lh, rlE puqn{ or
I. Lsuwrerorrhc ptuIcny. amcxclusivcly conracrins wnh li.enscd conrract,s r...n{ru.r (h. pmlccr {scc.7Ol,4, Bu\inc\\
od eoission Code: thc Conrreioa r Liccn\c L,w do.\ nnr amlt tt a6 ownct of |trol'.ny qho bu ilds o, inrpn,vcs rhcrcon.
0nd *h. o Ecr\ rti su.h pmj.cB wilh a Conido(s) liccnscd punulnr lo lhc Cont&ror's Liccn* trw)
I n.rcn,lrrunLl.rS..ii,n, lJ {PC l(! llri\ i,'a\r,
I){r. ()$der
w()RKFRS', C()lUPl]NSl{l t0N
I2ECLI.BAIION
I hcrcty aflnmldcr pctrrliy urpcrluryotrc ollhc rblbqirS dcclar0rion\:
-l
havc a will moiorain ! Ccnific*e ofcooscnr ro Sclalos!rc ror sorksl compcnsation. as pmvidcd fu ily sNrion 3?00 of rhc
uh)r Codc, for rhc p.rrormrcc of I h€ wort for $hkh l,rc psnir i\ i\rx.d.
-l
trk a.d *ill tuinrain wo.kc.f comp.nsnlion innrorcc. !s rcqutcd by Sccr iir :1700 ol rh. bnor Codc. hr lie pcttortuncc of
rhc*'k,orsh'chrh^Frnnri.FqnlVyAmlolm'nncn{r'on,n.u,rn.rtmc'JklFl'.ynu
,,",,., flt,zer! ltzl#
-"^*,,60co/ 5e1/6 o
lcnify rhrr i. rhc pcrroirruEe ('llfic work lor *nth lhis rErmir is 1\$.d. I drll trol cryloy lny pcrsn in dy nrnEr
w .\ ro h+om cul,jd lo lhe so cs..mFn\rrion lnssorc,lirornia. tndlsEriar iflsholld trtotu hi.rrorhc
sorrLrs co,npctrsli,,n pnvtions ofS(rion:17{nofrhc l-rh, qrdc,I shrll. r'onh} ilh c.nDl, sirh rlbY !tuYision\
WARNIN(;] Frilxr. r) scurc qorkcr ohpcnslrnrn cotrl3e i\ unlawful. ,trd \hall subjNt alr cnrpli,yc, k, dimiml lEmlric( trnd
.ivil fircs up ro onc hunircd lhouqnd dolhN ($l(r)-(xD). in lddnion b rh..osl ofconpcnsrrion. d!tuCc s pravidcd for rhc
s.cr'oi rrr76.f rhq,lihr fo,t. inrcre{ rnll0norruy \ r.c..;,;,"6J;/)4" ;;l;E-
UCENTED-(!)NI8AINIB
DECIJNAIIAN
I hcrcby oftnn undcr p.nalry nf llcrrlry rhar I e lie.s.n und* p.virionofCtotl.r 9 (odmming wirh se'ion ?uro) ofDilnbn:l
ot rhc ausi,rc$ nd Pmfcssions Cod€. ad ny li.cns ir in anll aord tnd .fter
CZd o C3 DZ 6
o"., ' 4 L.,*,*,
lollirall]IloNrlN[Iacl(iEllr
I hcEby afirm undcr I)cuhy ol Detjury rhat rhm is a conslNcra,. lcdins asency fo. rlt !.rronmnc. of rh. wor* for *hi.h rhi\ Frmn k
isu.d (Scc 3097. Crv C.).
AIILICANIDECIdAAIO!
I h.rt, altim uds I]...lt, of p.rjury oR of dc followin8 d(hral io.s
O.nFlilion Pcnnik.Asbcstos Nolifio'i.n Fcd.rd R.eul,rions (Tnb 40. PIn6)
-Requircd
Lcrrcrof fiorifEdir.
l.crrifyrhar thc lt&r0l rc8ulo I ion\ rc8uling !sb.io\ rNnn)vrldc nurllltlic0ht nr lhis pnI..r
-lccniiyrharlhivcrcudrhissmli.arionardndrcrhdlhcaholcinlormarnnncor.cr.li81ero.onl['lordinarccs and Srare li*s el,iing b bnildinB .onsrfl.ti.n. dt hcrcby aullnri.. rcF.\ddurivcs ofrhn Cil
y wirh {llCiryund Coutrr,
itx,vd nM(ioncd !tup-ny lo irrpcclion
At,pli.nnt trr AE.nl Si[nnlu
Pcmi(@mmer,rrnr: Y- f2rn-f
Site-Work
Underground
Pole Bases
Lighl Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundinq / UFEB
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rough
/A
FINAL l-29-11 YN{.10
Notes, Remarks, Etc
--+
Service Meter ft..:--_
l.n,lcr\ \Jnr. _
lrFdu''" Adi!.$
-
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