HomeMy WebLinkAbout20166799 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 66799
Pin #: 11t7E
City of Santa Ana
Permil Counter: (714) 647-5800
Project Address: 2941 N Hesperian Wav
Assessor'sParcel: 002-231-28 Lot: POR 17
Bldg: Address Range:
Tract; POTTS, BORDEN &tlistoric: No
Unit: A
Block: NA
Suite Range:
Zoning: A1
E
Owner:
Address
Phone:
Tenant Name
Contraclor
Address:
Thomas Pham
2941 N. Hesperian Street
Santa Ana, CA 92705
1714l-890-2250
Owner-Builder
01116002 51603
01116002 51603
01115002 53601
01116002 s1600
01116002 51603
F€e Type
Serv Meter
Subpanel
PIC - 65!o
General Plan Update
lssuance
Amount
53.28
53.28
0.65
22.O8
55.04
Qty
1.00
1.00
106.56
1 .00
1 .00
Fee
$53.28
$53.28
$69.26
$22.08
$55.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Botch
Off ii
Acct i
Rcpt?
Tr ans
i:16620 - LR/26/1t7tBe: CTYH Trons+r Sr-: REf+
.021?0999 - lit/ 26/7
oct ion Totsl
IDI LROSALI?^f-
? '1i.t\66799
r.tlg JrIg Pfl
,lr,i1 . tt4
Thofias Ph(il
6eneral Plsn [Jpdqf,e Fee
01116002- 51600000-
Ele,:tn i.nl
|]r1r 16002- 51603000-
Uisn
CC+: rxil****;**r0l [7 *
$ 161 , .ir:r
$551
:ft?3911
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Commercial
Miscellaneoua
Service Meter
B, S-l
l B
cEc 2015
Occupancy:
Constr Type
Code:
, Julie
Subject to Field:
Building Permit #:
Evary pefinit issued shall become invalid unless the wo* on the site
authonzed by such peftnit is commenced wilhin 180 days aftet its
issuanca. or if the wotk authorized on the site by such permit is suspended
ot abandoned for a period of 180 days after the time lhe wo* is
commenced
$252.94
$69.26
$183.68
Orozco, lvan
Smith, Mark
Date:
Date:
Dale:
10t26t2014
1012s12014
10t26t2018
Account#
$22.O8
$161.60
lnspector MID#: 2018-145756
01116002 51600
01116002 51603
Building Use:
Job Type:
Nature of Work:
Notes: Service meter re-seuupgrade due to structure fire. P/C
required per J. Pham.
0195932
Misc. Receipt: 71458
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage Y
Fire Alarm / Dampers
Building
Under Slab / Floor
Bondinq / Groundinq / UFER,,
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment x
Factory Wired Unit
Walls Conduit
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lt4eter Release
Rouqh
w)-Service h,4eter t2.t/- tg .l/-/M
ulnurttAFINALtlalm -T ?,
Notes, Remarks, Etc U\
OWNER BUILDER DELCARATION
I h€.cby !flin! undd potlry of p6jury tbol I m cxcr.pi from Ihc Contrclon Liccns l,w forthc rollowin! l@n (56.?011.5
Businss and Profsion Codc): Any Cty or Coudy which rcquir* a Frmn lo consltud. tlrd, improv.. danolish or r@.t my
strucrue Drior lo ns issu&cc. also r.qund fi. spplkml lor soch pcmit lo lilc a sign.d slar.lmt fi.1 h. oi sn. i5 lic.Md pusuul
to rh. trevisioE of ln Conrradois Licenicd Law (Chafld 9. Cof,nc.cibg silh S..tion ?000 of Division 3 ol lhc Busin€s &d
PmfNions Code) or lhll hc or sh. n c\6pl lhaeEofr dd fi. bsis lor lhc all€s.d .xdpl6n. Any liol.lion ols*lion 701I ., try tny
applic.nl aor a p€mit subjcrs th. appLimt to 0 civil pa.lly oi nol mor. thd ,ivc hundrcd dollds ($500).
-1,
ae oMd of lhe Fopcny, or my .nploy6 vath *as6 4 rh.t elc conp.nslion. *ill do lh. wqt md lhc snElrc i5 mr
i ddcd or otrrcd for sslc {56.7044, BusinB md Prof6sioB ('ode -l1c Conrnclois LicG hw do6 ml a$ly ro d own6 of
th. p,opdy *ho bnild! or imFtrv6 th@r ud {to d(6 such erk hiff.lf or h6s.lf or lhrcush his 6r hd os .mploy6,
y ovid€n thal s!.h inFovtuls @ mr i di.d or ofiird ror el. ll ho\'4s, lh. hildins or idprclcrud i, $ld withio onc ,@
olcompkiotr
'h.
O"n6 lruiks will hav. th. hrdd 6r pruyins rhd h. or shc did mt toild or inprov€ rh. poFr, lor rh. B,Fs oi
6 o*,n6 oflfic propsrx d .iclBiv.l, codhdin! w n fic@d co rac,o6 to codd.l lh. Foj..l (S(. 7044. Bci,e
dd Pofissnn Coda Tn Cotrl..clois Licdrc L.w do6 nol !p?ly ro d ow.d of a,opdly who builds ot imProv.s thdoa.
and who o E.,ls aor such poj..rs wnh a Co.lraclo(s) licmd puEuat'l to $e Contoclois Lic.e L.E).
ud6 Selion-, B. & P.C. fo.lhis rce(
tol,4
uteialr lllLl
I hcreby afiinn undcr lf,Mlrl ol oncolrhe lollo*inr ddl&ari06
I hdv. dd vill @inr&n a C.niarcstc of CoNol lo S.lf'lcu. for sorkoa mnrpentstion, 6 proliddl ao. by Sation 1700 o I lhc
bb.r Cod., for th. p6Iolr]1!e ol$. sorl fot which fi. p@il is iseu.d.
-l
havc aod will mainiain m*.( cotrrp.Balion idurancc, 6 rcquircd by sel ion 1700 ol rh. t bor codq for lh. pqfolr@c. of
rh. e* for whi.n rhi. D.mil is isu.d. My oorl6 @opoE tion icnrec. ceid &d policy .u6bd e:
PolicyNumbq-Expircs:
-
I ccnifynE! in th. Faomrance oillrc *'ort lor which rhi !.mn is issucd.l shall nol onploy 6y pdv,. in an, nano{
$ 6 ro b..ome subjar ro rhc wrt6 @npdation la*s of Calitomi& od asd Ihat if I should b€om. suhj.cl lo
rvorls! comDNlionprevsn,ns olSdion 1700ofthc l-abor Codc.lshrll, fonhsirh conDly wilh lhoE PnvdtuG
WARNING: F.iluc to Ku€ wortds conp4arion covd.g. is trnlawful, and slBllsubld drPloy6 lo cinin.l Fuhi6 afld
civil lin6uptoon nun&cd lhousd dolld {Sl0o.0o0), in sddilion lo lhc cosl oa conpdalioo, dmas6 a provid.d aor ln.
S(lion 10T6olrh.bborCod€. inr6r &d artorney s fG
DECI4BAIION
I h@by alfm undd poalry o f pdjury lnal I m liErs.d ud6 Fovi.io. ofchrplr 9 Gomodig Mlh S..liof, 7000) ol Divisioi l
of rh. B6i,B md hoiBsions Cod.. ad my lic@ G in tull fore &'d.ffd
coN:rBi,lclllN.L[lDldc.AcDlc]
I h6€by amrm und6 Fnahy ot p.rjury thd lhft b a €otr( clbn lcndhs agd.,lot lh.Pstom c.oflhc\!orl aor which lhis pdnit i!
issuo.j (Se 1097. Civ. C.)
AIIIICANIDECI.AEAIIO!
I hdltr afrm und.r pqahy ol pdjury ooe of th. followin8 d(la,.lions:
Ddolnion Pmirs-Arberos Notilicalion F.da.l R.gularioN (Thl. 40, Par6)
R.qdrcd htd of Noificalion
crrily th.t rhe f.{cral rcsulrriotu rcgddin8 st€ros rdno\ al uc not appli.abl. ro this pojat
I cdiry thal I h.v€.ead rhis,ppli..rion dd slalethd ti€ ah'v€ inronnali.n is.or.cl. I a-!!E to cootly vnh al Citv and Countv
and SIal€ l,ws chring ro building coBtrudion. and hscby.ulhortc r.pr6at.tiv6 ofthis Cny md Cotrnlylo alq upotr lhc
abov. mariofl.d pop€ny for iNp<rio.
Pcmire nrnElpnnO:A
DATE
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