HomeMy WebLinkAbout20147421 - Permit yt City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2014742,
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector's Section. (714) 647-5853
Project Address: 1250 N Cabrillo Park Dr Unit: F Bldg Address Range: 1200-1490 Suite Range
Assessor's Parcel: 931-604-14 Lot: 1-4 Block: NA Tract. 10515 Historic: No Zoning: R4
Owner: Neighborhood Housing Stabilization Fee Type Amount Qly Fee
Address: 198 West Lincoln, 2nd Floor 01116002 51603 125 Volt Receptacle 1 20 1.00 $1.20
Anaheim, CA 92805 01116002 51600 General Plan Update 18.25 1.00 $18.25
Phone: (714)490-1250 01116002 51603 Issuance 45.50 1,00 $45.50
Tenant Name:
Contractor: South Coast Builders Inc
Address: 4 Venture,#290
Irvine, CA 92618
Phone: (949)727-9240
State Lic#: 938912
Lic Type B
Bus. Lic#. 340295
Workers' Compensation Insurance:
Carrier: State Fund
Policy#: 0013218-2011
Expires: 11/01/2012
Building Use: Condominium Occupancy: R-2
Job Type: Alteration Constr Type: V B
Nature of Work: Outlets Code. CEC 2010 Notes: Change out.
Planning Conditions:
Planning Approval By: %� Date: Misc. Receipt:
Plan Checked By: Date: Misc. Receipt:
Permit Issued By: ��r dowsk,, Teri Date: 03105/2012 Misc. Receipt:
Subject to Field: Account# Total
Building Permit#: 10174529 01116002 51600 $18,25 Fee Total: $64.95
Every permit issued shall become invalid unless the work 01116002 51603 $46.70 Paid to Date: S0.00
on the site authorized by such permit is commenced within Balance Due: $64.95
180 days after its issuance, or it the work authorized on the
site by such permit is suspended or abandoned for a penod
or 180 days after the time the work is commenced.
Inspector MID#: 2012-101877
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG. COMMENTS °
I natty affirm under penalty of perjury that I am exempt form the Contractor:License law for the following reason(sat 7031 5 Business
Site-Work and Profession Code) Any City or Cowry which requva a permit to consuuq Sher,dmmove,demolish or repair my,tor tmq prior Wits
wartce,a1w requha the apPltnm for wet permit.file a sigad,aterr m dust he or she is bearded guratmt w the pmmsluw of the
Underground Com.Wr,L.-Wed Law(Clapt.9,Commero,d,with 5«tion IOW cfDimsd"n3of the business,and Prafesomis Code)or that he or
9 she is exam,,therefrom and the tarn for the aleed examlionn Any violation of Section 7031 5 by any apphoml for a permit mbjecta,hc
Pole Bases applicarm to a civil penalty of nor more than five hundred dollars($500)
Light Standards _I,as owner ofth<pmp ny,or my employees with wages as their mic compensation,will do the work surd the struamc is muntended
9 r offered for We(Sm90Ca,Business and Prof<asions Code The Contractor's License Law does not apply m an owner nfthe progeny
Spas, Pool, Fountains who builds or improvers,hire.,and who does such work himself or herself or Punish his or her own employa.provided that such
improvements arc not intended or offered for nit 1(however,the Intotbne or improvement it sold within one y...ofwmpl.loq the
Signs (monument) Owner-Builder will have the burden of proving that he or she rot build or Improve for the purpose crWe).
1,downer of the property,am exclusively comoddiing wish licemd contractors to comma the molar(Sm 7044,Busmen and
prostration Code The Contractor's lieanse Law does nor apply to m owner of mop.y who builds or improve,thereon,sit who
Life Safety/Low Voltage wntraaa for cod projects,with a Connm,m(s)licensed pursuant to the C"nti.m,s Lieanae"w)
Fire Alarm / Dampers —I.tm.,1 veers oo B &P C for this reason
Communications Cable Date
—D"'"r
WORKERS COMPENSATION D' -s RATION
I hereby aRtam under peiWry of penury one ofNe following dcdenriom.
Building _I iuve and will maim.in.Cmifma of connm to stlf-Insure for worker$wmpenntion a providd for by Sion 31W ant Nc
Under Slab / Floor fubor Code,for the performance ofNc work for which the pamd is hued
Bonding / Grounding / UFER _I have and will m.intiln workers compenntion lnwrance,as re,qulyd by Section 37W ofthe V�r Code for the pafonnmwuflha
work for which his tarred,us awed My workers'compensation msourrce carrier and policy number ire.
Transformers Car
Torquing Policy Number Expres
Sub-Panels Ths aon adrob wmpined ift permit is ro�oeh ddAollu,(slw)orle.)
Air Conditioners _i i ably that m the'dirro umcc ofthc work for which this peamu is laud,I thall inn employ my person in any mama w a to
baame subject to the workers'compensation I�sws OfC5ilfiorrda,and aga that if I should become,subject to the cookery
Roof Top Equipment mmpenamon,ocr fSec,on33WofthK-sr
ormail.rn ith comply with those proisions
Factory Wired Unit Data 3 Walls (Conduit) WAR 9LYC Failurem a rcwmrkerrwog fur, dshall wbj.anemployamo criminal penalties and civil
fines up to one hundred thousand dollars(sl W,000),in addition m di n of compen.aamq damages a gmvided for the Section 3016 of
Walls (Rough) Ne Labor Code,imeati andmomayr fact
Ceilings (Hard & Soffit Rough eby LICENSED CONT CfO1LC DECUKATION
_ 1 her aff rn under drafty of perjury that I am liccnsd..it.Drovismn or Chapter 9(mmmencing widh Section 10[q)of Division 3 of
Ceilings (T-Bar Rough) the Bulkiness and professions Code,and my license 1sin bill foraandaffDo
Meter Release License Class- 'License NumberL—
Dater or".�hlLF N�A E Rough I herebymundopenalty ofperury that V
_
is a m,mdolon ng agency for the performance of the work for which this permit is
Service Meter issued(Sac.1091,Civ C)
Lender'a Name
FINAL 3 /2 /2 y Lmder',Addras, -- - -- __ -
Notes, Remarks, Etc.
APPLICANT'S D'C A aT10N
Demolitmn lttrom -Asbcaws Notification Federal Rcl,I.Wna(Title 40.Pm 6)
Required]-.tar of NMfiwlon
_I anify Nat the/federal mild Wioos r<gardin,aabastos removal me pre,aFWiuble w this pooh,
1 certify that a red this application ad sum slut Ne above iM ornoto o a con. 1 ages to wmp1Y whh all Ca'and Coumy
— ---_ ordi w<taws Maine ro building constructor,and hereby ruib tore rc,o ntatives of thy,City ad Cwmy m min upon the
above and property for iiupseu..pmpo
Appliun enuig.. Date 7 I Z
Perminee
M.\WP51\Permit-Inspection Fams\ElepnuaHospeamn Record.aloc 03 31 06 _