HomeMy WebLinkAbout20167333 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714), 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{67333
Pin #: 66621
City of Santa Ana
Permit Counter: (714) 647-5800
Proj ect Address: 416 W FoudhSt Unit:
Block: NA
Bldg: Address Range:
Tract; BIRCH AOD Historic: No
Suite Range:
Zoning: SD84
T
Assessor'sParcel: 398-593-02 Lot: 34, POR 33, POR
Owner:
Address
Lft Property Management Llc
406 S Teri Ln
Orange, CA 928694652
Risk Enterprises DBA Coasl
610 E SANTA CLARA
Santa Ana, CA 92705
(714) 234-9150
Fee Type
0'1116002 5'1603 Special Event
01116002 51600 General Plan Update
01 116002 51603 lssuance
Amount
160.25
22.O8
55.04
Fee
$160.25
$22.08
$5s.04P hone
Tenant Name
| / | /2t1rP,
'flns+: 6[
-11/t/lttll
ID: NGrtrli(:I f
2r116 73;
l2:3rl F
lrJiS.lPhone
State Lic #: 623480
Lic Type: B
Bus. Lic #: 2401
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
hli
6en
n11
EIe
r.tl 1
I (:L
ies 0BA Constfll B
lrrdqLe Fee
Ir'lrtflfl-
I r:l
Building Use:
Job Type:
Nature of Work
N/A
Miscellaneous
Special Event
Occupancy:
Conslr Type
Code:
Planning Conditions:
Chavez, Dave
Date:
Date;
Date:
-<r/.-
Every pemit issued shall become invalid unless the work on the site
authotized by such permit is cofimenced within 1 80 days after its
issuanco, or if the wod< authoized on the sile by such pennit is suspended
or abandoned for a poiod of 1E0 days after the time the work is
comnenced.
1',t to1t201a
Account#
Misc. Receipt:
Misc. Receipll
Misc. Receipt:
Total
$237.37
$0.00
$237 .37
MID#: 2018-'147402
011 16002 5'1600
011 16002 51603
$22.08
$215.29
Fee Total:
Paid to Date:
Balance Due
Qty
1 .00
1 .00
1 .00
Bql
0ff
Hir
l-|' r
-.Contractor:
Address:
Surl[r-
tfi) ?
5
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:10198237
N/A
N/A
cEc 2016
Noles: special evenusaturday Nov 3rd
lnspector
APPROVALS DATE COMMENTSID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service Meter
rri$reJ#FINAL I ,ltY-w 7-r)
Notes, Remarks, Etc.I
-t
OWNER BUILDER DELCARATION
I hd.bt afrtr,n und6 p6aly of pdjury lhal I d etopl from lhc cont.ctoR l-icds. lja lbr th. lolloviry rcen lS< 701 I 5
Rusins 'd Proldioo Codc): Any Cily or Cou.ry *h(h r.qun6 a Fnnn lo conslrucl. all6, inpro(, tknolish or rqrt m,
stucrdq rBn lo ir. 6tu&cc, rlso r.qui6 th. spplket for such p.mit kr fils a sisncd sldclMl rhar h. ot slE is lic6$.d pGuar
ro thc provtioE of rhc Conr,.rd s Li..trsd Lrw (Chrprs 9. Commcncing wirh S..lion ?L{O of Division .l oao. B6inN md
Piol*ioB Codc) or rhar hG orshc ir.x.mpl th(c6om ed rh€ b6is lor lhc allcscd qdplion Any riolarion ofselioo ?0ll.t by y
applicanr ior a p.mn subjEls the applic tlodcivilp€.alyornolno(rhdnvchuodr.ddoll s(1500)
-1.
6 ownr o frh. p6p.ny, o! my enployc with w.E6 6 rheir $le mnrp.ns3l nJ.. *ill do fi. $orl 0.d Ih. sndue ; nol
intsdad or ofio.d for sl€ (58.70{.{. BBi6 dd Po tsio6 Cod.: Tn. ConrEclors l-icdsc ljr do6 mr a9pl, ro d or,( of
thcpopdry \lho t il,$ or impm!6 fi@fl, od \vho do6 sch N* hinsclr or hKclror rhouah his o. hd oM mploy.6
prcvid€d thar such inpmrddc ft 6r iddddl or of6rJ lor eL lf h.$ 6q. $e huiklins or iqrovmr i. eld wilnin onc !@
olonpl.tion, fi. ORnd ltuildc rill havc th. htrd ofp.ovins lhal h. or shc did nor boild ot in{rcv.lhc pDpqly for lhc PUrF* of
I.so*nsolrhcp'rFny.a ex.lusivcly cobta.rinB wnh li.cnsed contoctoEto conslrucl lfic r,.i(r (sec 70,14. B6ins
and B.tesion Cod.r 'rhc Con'raclois l,icms€ l,.r do6 nol apply ro d ownd olpropdy who builds or inprov.s rhrmn.
and Bho conr.a€c fo such rol{b sith a co.lr&loi9 licmed purstr..llo lhe( oimcntrt t-iccns. La$)
I mc\empl undcrS€clion-. a &PC lor rhis re.son
Dr(r: OBner:
!llBEEB$.cQIil8E!l41lO!
DEC!,ANAIIIIN
I hd.by amnn utrdr t nlkt olFjory oo. of the follo\ving d(lmtioB:
-l
harc an<t sill @imai. a Cdiicalc of Colsat 1o Sclf-lreur. for work.^' 6nrp.n$rion, 6 Folid.d for by Selion 1700 ollh.
Labor Code lor lh€ Irffolfuc. olrh. vo for which fi.l16bn b issu.d.
-l
hav. ed will rai6rai. wD*c^ comp.Gation iNuBnce 6 rcqun.d by S(rbn I700 oarhc Labor ('od.. fo! th€ pdlome.. of
rh. worh aor whi.h rhi pmnn is ies,ol My workd comp€.salion iBlrdc. .did od poli., nu'nb.r 6e:
f,:ifythar in lhc Erfomancc ol thc wort loi whichthis pdnn is issued.l shallnor onpl,,yanypmon inanym no
l.Jsobccomerub6rrorh.w.Hdi.ompe'saron'.Hntcaton'a.uda!'rrhar'fldruldb.(om.rubi<hh.
\dFaF.omBrarionpnrisroNofSdion37OOolrheIdbn'.o'jeIshill.tunh$rhlnrnplt*rhth.Mportst.ns
WARNINC: [ailu,. ro suc sor!ft' coqmrion .ov.rag. is uf,hwlul. &d shau subjg*z& mploFr lo oiminal pcE]ri6 dd
civil liocs up to oo. hutuircd thoMd doum ($100,000).
Ssiion 1076 ofrhc t,atFr Corjc. inrd6r dd anonEy s lc
in .ddnion ro rhc.o* or tr. daDises 6 I'ro\idcd nr thc
DICI,AAAIIO!
I heby amm und6 pcnalry of pdjury Oar I @ lteN.d u.dd Folision olchapts 9 (.ond6.ing {th Sdiotr 7000) ot Division l
oa the Busin* ud l'ref6io6 Codc, ed my liceM $ t lnll forc. tnd .,Idl
2-9'th
,.,", - I I L-iL
cQxiralJcrloNr[lDllc3cllcl
I hoc6y amnn undtr p.nahyofp.rjurylhal lh6cis a coNruction lddinE nlscy lor lhc pqfomaflce ofthc*o for which lhis panil G
issu€d (Se 1097, Civ C.)
atrl.rcaNlDlctd84llo!
I hdttt altm uidd p.f,ally of Fjury orc of lhc lollowins dEleatioal
Dcmohioo Pmns Asb6los Noriicario. F.dml R.Sulatioos(Tirlc40, Pan6)
R.qut.d Ldrd oaNoi6cdbn
I cdiry thor lh. I€dcral rcsuhtnrB Esadins Gberos rooul ar. no' .ppli.abk ro rhis p.qet
-lcslilyrhd
I have rad rhi! 0ptlicario.ion is cor.cr. I asrd 16 cooply wnh aU Cnyod Counly
ordinanc$ and slirc l.assddinst)3othonucr.lr6drariv6 ofrhB ( hyed Counlyto 616 upon tht
abov€ morioncd propcny for
Pernile nrrc (prnrl): {,S "",,.1r
p la
ELECTRICAL.INSPECTOR RECORD
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L.ndd s Addr6
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