HomeMy WebLinkAbout20166018 - PermitProiect Address: 2677 N Main St
Assessor'sParcel: 003-013-18 Lot: MANY, SEE COM
Unit: 1 10
Block: A & B
Bldg:
f nd 7211315
Address Range:
Historic: No
Suite Range:
Zoning: SD31
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853
Electrical Permit #: 2Ol66018
Pin #: E7398
Owner:
Address
Phone:
Tenant Name:
Contractor
Address;
Muller Company
1100 W Town & Center, Suite 810
Orange, CA 92858
(714) 543-0100 ext. 202
Sanctuary Hospice
Buildrite lnc
'1609-D East McFadden
Santa Ana, CA 92705
17141547-7737
01 1 16002
01116002
01 1'16002
01116002
01 116002
0'1 1'16002
01 1 't6002
01 1 16002
01 I '16002
01 1 '16002
01 1 16002
Qty
32.00
19.00
4'1.00
7.00
'1.00
16.00
2.OO
1.00
407.16
1.00
rr 1! 1.00t-,
Fee
$44.80
$28.88
$41.41
$167.09
$32.61
$49.28
$23.30
$101.03
$264.65
$21.25
i RLWLBs
I r.:! '.i
1tIr:r1L
r Li t'l'j
51603
51603
51603
51603
51603
51603
51603
51603
53601
51600
51603
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1.52
Light Fixtures 1.0'1
Dedicated Circuit 23.87
Low Voltage/Comm 32.61
Add'l Devices/Low Volt 3.08
Time Clock 11.65
Over 50-100 HP, KWor 101.03
Ptc - 650/" 0.65
General Plan Update 21.25
rssuance flf!,:h+,rfi.,lf, t
A,:cL+ I
R(pt+:0?3tr{636 -
Tl.(lnsoct ion Totol
Bu i ldr ite In{
State Lic #: 830308
Lic Type: B
Bus. Lic #: 310487
Workers' Compensation lnsurance:Carrier: Everest Nat'l lns Co
Policy #: 7600007095
Expires: O4lO'll2O19
Building Use:
Job Type:
Nature ot Work
Planning conditions
High-Rise Commercial
Tenant lmprovement
TI
i, Teri
10196s86
Occupancy:
Constr Type
Code:
B
II A, SPK
cEc 2016 Notes
Generol Plon lrpd(rte F
01 I 161102- 51 6000Lrtr-
Elertn i(ol
111l60tl2- 516030011-
P,/(: Electr ic
rt11 161102- 53601tl8rl-
ICL Che;k 0(r(r'Jr,rl ?
Plan Checked
Permit lssued
Subject to Fiel
Building Permi
By
Date
Date
Date
06126t2018
06t27t2014
Account#
$21 .25
$541 .38
$63.45
Fee Totall
Paid to Date:
Balance Due:
Misc. Receipt: 71034
Misc. Receipt:
Misc. Receipt:
Total
Every peftnil issued shall become invalid unless lhe wo* on the site
authorized by such petnil is commencec! wilhin 180 days after its
issuance ot il the wo* authorizod on the site by such permit is suspended
ot abancloned fot a penod of 180 days after the time the wo* is
commenced.
lnspector MID#: 2018-143657
$827 .28
$201.20
$626.08
Phone:
Planning Approval By:
t.3 3 ., 4:;
s L' 75t. 6l
01 1 16002 51600
01 1 16002 51603
011 16002 53601
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
L ighl Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)I
Walls (Rouqh)z/ill .-M4-)
Ceilinos (Hard & Solfit Rouqh
Ceilings (T-Bar Rouqh)
lVleter Release
Rough
I
FINAL ffi/rb t/il .'YtA -/,tl l
Notes, Remarks, Etc ,-rSlVo-t,-1
OWNER BUILDER DEI,CARATX)N
I hcrby aflirm under l.n.lr!.frcrjury rhr I am.x.mg rn,o rhc CuntkIoN Liccns Law Inr lhc iollouin8 rcav,n lscc70ll5
Busitrcss nrn Prolcssbn Codc): Any Cil, or Counry whicn rcquircs 0 Drrmir x) con{rud. 0hcr. improvc, tufrnish ot ml!ft dny
\rdcru,c. rrir ro ils issuamc. lho rcquid\ rh.applicatrr ll'r \uchl](nnirb fiLa lig.dd *r'cnrnr (h tuorshc h liccnscd pursuanl
to lhc prolkions of rh. Contr,crols Liccn{d IjR (Chllr.r 9. CommcrcirS silh Scdion 7u)0 of Division :l oa rhc Brsines ud
Pmltssionr Codc) or ihsr L(orshe h cxcflrpt lhcrctomlndlhc b0si\ lorlIt rlle-scdcxcmnlion Anyvidrrio.orsccri,,n70ll.5hydny
lrplicrnr nro pcnnir subj$h rhc rpplicanrroacivilpcnxlryolnornDrcrlunivchundrcddollrsl$5(xr).
-1.
is owrcr oilhc Dml,cnr. or mychpk'yc$ wilh *nscs rs lhcn {'b con,l]c sarion. willdo rhc work rid rh. stufun k ml
i c icd or dftcrd for vlc ( Scc 70{.4. Busi'rs and hob$n,na Cod. Th. C.nkmror's Liccor Liw docs not mnly lo m owmr of
rhc nmFny who huilds or impmrcs rhcrsn. ind who dm. $ch wo* hlDsclfor her*lfor lhn,u3h hh orhcrosn cnpldy..s.
pmvidcd rhlr such i'nprokrnrs N nor hrcd.rl or orca{ rhr {lc ll ho}evcr. lhc huiuins o, nr{mEmd n $U wirhin nn. yer
olcomfkrion. thc owtrcr Builicr * ill hlvc thc blrdd of lrovns rh.r h( or slE dil nor buiH o. nnpmlr thc lr,Iioly lor rh. purlx]s oi
-l..sowrcrofthcpn,lEny..ncr.lu\ivclyco
ra.linSwilhliccnscdconlraci,\lo&n{.irhcF)).cr(sc..7(}1rl.aunncs
Ild Plr,tusim Codd l hc C..r:dofs Li.c.sc Lrw d.cs nor 0pply b ahown( ofprotcrry who builds or inrlrcvcs rhcrcon.
rnd sho mnrBch for slch pn,lcch {irh a A,nrru.ro(n liccnscd I,uB$nr ro rhcG,nta.t, ! Licch\c lj{).
I rm.rcnrr xndcr Sc.rn . B. & P.C. ld thi\.crv'n
D.l.:_ O*n r worxr[sirrrvprnrslrrrw
DICLABAUA!
I h.icby rfllnrundcr l.nrlrt of p.rjury orc ofth. folbwntg dcclrflri.ns:
Il vcxtrdsill'nai'nrin r Ccnifiuic ol Coisrir k, Sclllisorc i(tr work$s .oni|xn\.rt .r\ fmvidc(lli)rbySc.ri,,nl7(rrofrh.
l,rl}1r a.dc. hr lhc pcrfonuncc ofrhe *ork ntr shi.h rhc rrnrir i\ n\urd
I hrvc rid sill tu,inrain uur*fa .onpensariotr nNurancc..s ertuircd b, SNrion 3TOOollhe Lahor Codc.lor rhc l)caroflmR. of
rhc woA ror which (hN p.mir is isssd My work tr .ompc.srion insurarcc caEic! ud policy nlmbcr E
-l
ccnifylh nr rhcpcrlornBnaolrnc wor* lor thi.hlhis pcrmil is is\trcd,I shrllnur cnrlbyanyr.son in lnynunnct
!' I b hNom suhrc.r b rh. w,Ac(' confcNnriotr h*s of cnlif ia.andlBNrh ifI stould trcom subjcd iorlr
wolkcs.onrFnsariotr[ovisionsofS.crion]7firoIthclj$orCodc.Ishlll.l.nh'irhs,mply*irhrho{pmvnn,s..
of rh. Dusin s! d Pr.fc\!ior\ Codc, uxl nry liconsc n in tull liir(urdcllccr
Bu't6t'
30So(,2.1 {
I h.eby affirm undcr Fmlty of pcrjury lhal
issucd (S.c..1097. Cir. C.).
L ingrg.tr., lnrrhcrrhnun.c olrhc sorl lnt B[ich rhi\ ]r.i,nir i\
AEIICAILDES.AXAIII]N
I h.rcby trfrm uMcr ,.n!ll, of pcrjury orc ot thc follo*inB dc€Ltr ions
D.fr,lnion P&nrirs Asbcal.s Norificdion F.d.hl Rcgulorions (Tnb 40, P3n6)
Rcquircd Lnn of Notifrcdhn
rh.lcdcr{l rcsulllion\ reElrdi'rs r\tf,nos rcmovrl rc nor td'cabL b rhii proFcl
ri I hi!. r.){lrhis rfln.rri,rr {rr.vc i',ronturhnis.or.ci IrerN!.conrrly$ilhallCiryatulG'unry
roihtr,zc rcprcscnrtures of rht Ci
L L-.
'q;;r;{'"-
ELECTRICAL-INSPECTOR RECORD
Service lVleter
civil lnr\ trp k' oR hu rcd rh.u\r d drllrrs
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Lcndn'r Ad(trs:
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