HomeMy WebLinkAbout20166226 - PermitCity of Santa Ana
Permit Counter. (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2(J1fi6226
Pin #: 97790
Project Address: 230 N Harbor Blvd
Assessor'sParcel. 198-051-17 Lot: NA
Unit:
Block: NA
Btdg:
Tract: NA
AddressRange: 100.230.
Historic: No
Suite Range:
Zoning: SP2
q
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
GARFIELD BEACH CVS LLC
1545 W tTTH ST
Santa Ana, CA 927063300
Lighting Technology Servici
2801 Catherine Way
Santa Ana, CA 92705
(949) 428-5040
01 116002 51603
01 1'16002 51603
01 1 16002 53601
01 1 16002 51600
01116002 51603
Amount
23.88
0.00
0.65
21.25
52.98
Fee
$573.12
$0.00
$0.6s
$21 .25
$52.98
Fee Type
Light Stdw/ l fixture
Add'l Fixt, same pole
Plc - 65%
General Plan Updale
lssuance
State Lic #: 675901
Lic Type: C-10
Bus. Lic #: 0001898
Workers' Compensation lnsurance:Carrier: lnsurance Company of the West
Policy #: WSO5027983
Expires: 111O2J2018
I iehtine TechnolGse Servi.es I
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
Light Standards
Arabe, Jill
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016
\t-x
Date
Date
Date
';enerol PIqn Updote tee l
r'rl l16utr2- :;1 6 (rtr(rtr(r -trle,:tr icol
I rl 1 160(r2- -.,16(t30ur-r-
f ,/( E1e,:tr i,j, 1I I6(rtll* :136rr1t|il"r-
llqsler Cqrd
[(:+: xrr*r*rr*11156?5 Auth+ ! r-r:i:].r ,
lnetall(24) nsw llght3 flxturB (LED) on exlstlng llght
poles, (16) additional light fixtures on same poles
$648.00
$0.00
$648.00
Notes:
06/18/2018 Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every pe.mit issued shall becomo invalid unloss the tvork o, the slto
aulhotized by such pennit is comrnenced within 180 days after its
issuance, or it the work authorized on tho site by such peinit i6 suspended
ot abandoned for a peiod of 1 80 days after the time the work is
commenced
lnspector MID#: 2018-144112
01 116002 51600
0'1116002 51603
01116002 53601
$21.25
$626.10
$0.65
Qty
24.00
16.00
1.00
1.00
1.00
Phone:
Eotch+:{4384 - 6/19/2t1l9 I0: orrri
0tf rce: (TYH Tnons+i 43A,:cti: Ref+! 2r-116,5.
F:iDt+:02298625 - 6/ 19/z(tlB I tlL-'
fronsoct ion To[ql l6rig, r-il
06/19/2018
Account#
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOH RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Translormers
Torqueing
Sub-Panels
Air Condrtioners
Bool Top Equipment
F actory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ce ilings (T-Bar Rough)
Meter Release
R ough
Service It/eter
FINAL 9lt t11g ,,ua(tc )
Notes, Remarks , Etc.
OWNER BUILDER DELCANATl(,,N
I hcrchy umrm undcr pcnllry()fEj!r, rhat I !m cxcnDl fm lhc Co rucloN Lk.nsc Llp for thc {ollowins rclstr {scc70.11.5
Bu\incs ,il Pmfcsio. Cdc): Any Cny .r Counry which rcquircs a pcnni' k, con{flc', aho, inpnJ!.. &nmlkh .r rFn M,
slrudur., t ior lo irs hsuamc. rlso rcqlircs rhc lpplicMl ld suchr.nhil to ilcs siSncd slalc,mnt rhtrl hcorshc h lienscd lururnr
lo thi prurision* ofrhc Contakn s Lic.nsdl taw (Chapr6 9. Cohftking *irh S.crn,n 70fi).f Dirkion I ol th. BusincN od
I'mfcssions Cod.) or thar tE or shc k cxcnpl lh.rofrom and rhc b.sis for thc trllcBcd cxctrrplion An, violaliono{SccrionT0:ll5 hyan,
rrpli.anl l'or a I'cmil subjals rhc at,plicanl toacivilpenahyofnol nrrc than firc hlndrd dolh6 (S5U))
I. * o*ncr ol rh. nmFny, or my .nlplortcs wirh wdg.l d{ rh.n htu co.rtxrsrnor. sill d. rhc wtrk rd rh. imtua i\ ml
i c.dcd oroficrcdforarlc(SaT0l4.BusincsandPmf.sionrC.dcThcCnnra.rorsLiccn\ctrwdocsnorq'!lyro!nowmr.f
rh.ptuIfny wlm buildso! in!}mc rhcB)n, unr who &Es sch slt hnnsclfor ncrclfor lhrcu3n his or hq oNn crpl.yrc\.
Drovilcd rh0r su.h inln)vcmms N mt imcMcd oroficrud fqsah.lf- ho*dci rhc brildin8 orimpmee'ftnr isq,H snhinon. rrtr
olcomddi)n.rtrO*ndBuiLLrsillhrycrhchurdcnolprovingrhdlEor\hcdiltrorhuildori'I0rovclicloFnylarrhcpqnsof
l. o$rc.ofrhe rroFny. mcxcluriwl) conhclin-q enh li.ctrscd conrrocroslo Nn{rucr rh. pn,jlrr lScc.7(N-:r, Busii'c\\
nul PiDfssir C.J. ThcConra.roasLi..nscLr*doc\noratpltt,rno*n$ofri{)prdywhol,xililsorinrtovcsrhcrcon.
and *ho conlr.ch n, such prcjccls wnh ! Contr.don O li.etr*d runumt ro rhc ( onricrois Ltcosc ljw).
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am cxcmol utrdc, S(lion-. lt & P.C. for rhis rcu$n
UOBKI&1j:OIIIENSAIION
Dti.ct xtrua!
I hcrchy !finn undcr r.nalry ol p{riuly.rc or'rhc Inlhq'ins dcclararions
-lhavcuxluill,mn
nin a Ccn iaFarc oi Conrc roS.l trsu.c lor workcN .onFnsation, !s pmrid.n ror byScclnrD ITOO ofrhe
tibor Codc. ror lh. !.rrdmc ol lh. work ror ehth rh. l.rin i{ hsucd
_l h{!c atrd willflrBi oin workcr' conFensBlion insunrcc,.r rcquircd hySaliru:1700olthc l,ahtr Codc. ti,rrhcr$ro'.'tric.or
lhe work lq which this pe,nrir is hsu.t MyworkcN comNns,lion insuroncc clricr ann rnicy nunrhrr m:
l.cdity thrr i. thd lcrformtr.c ofrh. *ork fff *hich rhi\ I.nnir is ksucd.l shall tror.nploy rny pcron in lny m.nrcr
s m ro hc.onr sunid h lhc snrkcn'conlp.Dsol ion laws of cnlirornin, ond laEc Ind il I sholld bccom subtd ro rhc
so*cA' compcn$tion pmvhions of Scclion 37I[ of lhc tjtn Codc. I stu]I. fonhwilh comtly wilh lhos arovi\ions
W RNTN-'G: Frihre k, sccure sutch comptnsarn,n covctusc is unla*tu|, ,trd chall subj.cl an crnpbys to ri,ninalFmhics urd
civil fin.s up t, onc h!nl,.d rhotrsrnd d6ua {$100.m0). in uddnion lo rhc.o$ orconpcnsllion. &nr8cs !s provided lor rhc
S..rion 1076.frhr Lnbor Codc. inrcrcs ntrd anorrcy\ fccs,",.ulnla n*-#
DECI,AIAIIO!
I h.rcb, annnr undcr r.nollyoiperjurylhal I anr liensn under lovnio ofChafls, (comnrncin8 wirh Sc.rion 7(xrj).loivision l
of lhc Businc$and PofcssiorrCod.. md nry liccnr n,. tullrorc. and cfi6r.
l;?tr g
calslf,ucuoNLlxDllcA{ilxtI
I hcrchyail r undcr Irnulry orpdrjurr rhar rhcr h tr con\rtucrt,n lcndin! ag.ncy ror
'hc
l)crformtra oirhc mrk for which rhis pcnnir t
hsucn (Scc. 3l)o7. Civ. C.)
APfu(Jlf![cLaf,InlrN
I hmby ofm under penahy of pc,jury orc of rhc lbllo{ing dNlarlions:
ocrn nn,. P€rmils.Asb.stos Nolificniion F.ncBl Rcgulolions (Tnt40. Pan6)
Rcqun d kn$ olNotifi mlion
-l
ccnity$ar thc lcdcnlrcsularions rc8rdins Nl,csros rcnmvrl urc nor epplic,hlc ro rhh tmjc.r.
-l
ccnify thar I h!!c rcad rhn {pDcarion dnd sut. rhar rhe alr,lc inaorn ion h.ofrlr.I rSre ro coq)ly snh all Cnr ud Counry
o'ninarces and Srarc Laws r&rins ro buildins con(rucriotr. and tcreh, ludernc (prcscnr0riv.s ofrhis Ciryand Coutrl, tn cnle. ut'on dE
rhvc mnlioncd nrop.ny lhr inspccl
ApDlicarl or Aaetrt SiaMlu
lremil.e nam€(prinl):
a l!1b
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