HomeMy WebLinkAbout20165929 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65929
Pin #: 27451
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 4002 Westminster Ave
Assessor'sParcel: 198-032.02 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SP2
q
Owner:
Address:
Phone:
Tenant Name:
Contractorl
Address:
Amount
1.0.t
93.28
21.25
52.98
Fee
$1.01
$186.56
$21.25
$52.98
Adohr Farms Llc
4OO2 WESTMINSTER AVE
Sanla Ana, CA 92703'1310
(7141775-5081
Stremick's Heritage Foods
CMC General Contractor lnc
510 Hacienda Drive
La Habra, CA 90631
(562) 7ss-7795
Fee Type
01116002 51603 Lighl Fixtures
01116002 51603 Heat Pumps
0'11'16002 51600 General Plan Update
01 116002 51603 lssuance
Qty
100
200
100
1.00
Phone
State Lic #: 700477
Lic Type: B
Bus. Lic #: 367629
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9146081
Expires: 1110112018
Batchi:4390t1 - 1/72/2018 ID: NGAllt:
office: CTYH Trnns+: 14 2 o{Acct+3 Ref+: 2016I??t
Rcpti!02?6&645 - 1/22/20lg ltr:19 Al'l
TronEact ion Totql $t t499.'it
Cr(l is noclntosh
Cnc 6eneP01 Contrqclor In,:
6enerol F1(rn Updote Fee
01 1 I6tl[2- 516001-luu-
E lectr ic(l1
01116002- 5160I0r1n-
Visn
CC+: ***rrr rr x*rr54l 1
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
lndustrial
Tenant lmprovement
T.l./Roof Mtd Equipment
F-i, s"2
V B, SPK
cEc 2016
Plan Checked
Permit lssued
By
Amsden, Julie
Subject to Field
Building Permit 10196248
Every permit issued shall become invalid unless lhe wo* on the site
authoized by such pemit is conmenced within 180 days after its
issuance, or if the work authoized on the sile by such pemit is suspended
ot abandoned fot a period of180 days aftet the line the wo* is
commenced.
Notes: lnterior extension to manufacturing rooms. Add more
equipment & (2) foundations.
$261 .80
$0.00
s261.80
#0'1 1 16002 51600 $21.25
$240.55
MID#: 2017-140018
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due
Date: Misc. Receipt:
Date: Misc. Receipt:
Date: OSl22l2O1a Misc. Receapt:
Account# Total
Occupancy;
Constr Type:
Code:
lnspector
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEN DELCARATTON
I herel,) afliln lndcr lenah, of peri!ry rhar I d cicry tunr rhe Conrra.x,F Liens. hs lor lhc tolbein8 rclsn (SN.7031.i
Burincss (n Profc$ion Code) Any Ciry or Counry shich reqxircr r Fmi b onsrucr. {lt$, imProv.. dcmlhn or rcNt otry
i crur, lriorro ih iriudrc.. so rcquins rhc 0pplka ror such tfnlnr ro lilc a siSncd .llrcmnl lhalhcorshc ir liceoscd Nrsdl
ro lhc pm*ions ofltr Conrncrors l-ienscd Lle (Chapter 9, Com@n.ing wirh sccrion 70(x) of Divkion.l oi rhe Ausine$ .nt
Prcfcsri.n. Codc) or rh h. orsh. k cr.mpr rhcrcfrofl aM rh. brsis f.r lhc all.gcd crcryrriotr. Atryviolario ofSccrion7l).11.5brrny
applica for ! p.iinit subj(tsrn opplicur to acivilpcnnhyofmr morclhln fiv. n!.d6d doUd6 ($500)
l. d\ oukr of'hc pnlFny..i ny.mplorrcs with u,!.r.\
'hcn
sh.onrr.nsdion. willdo l,f, trtrk !r.l thc sltul!rc h mr
i etrdcd o. ofi.rcd ror $lc (sR.?044. Busimss and Pmlcsions Codcr Thc Conlrocrol\ l,i.cnr l:w nocs mr applyi{, 16o*ncr or
rhcpmFny *lil hoilds or inDmv.s rhcE)n. aJri who dB sch M hinxclf or lrr*lf or rhmu8h hN or hq own cmtloyccs-
prcvidcd rhlr such imrolcmnls m ml hrcndd or otl'cr.d for {le.lf. howcs. rtf, hxildin! or iq,n,wmnr i! $Li $irhinorE }tit
of.o Dlcri,tr rrE ownd aui$.r eill hl\r dc burd.n or pnrving ttu h. or slk dn mr buikl or i'qroE lhc lr,rEry ttr rh. purFt 6r
-l-
0s owner ol rhc F)pcrry- rm eiclurivcly conr.lcrinE with licenrcd conrruckns h .on{tu.r rlr Fn+r( ( scc 7(}l4. Busrmss
.nd Pftfasin Codc Tn. conrr.ror's Li.cnsc kw des nor ,tfly b ,n owncr of tmtcny who builds or imtovcs rhcrcon,
nnd wh,.onhcrslorsu.nrmircwirhaConrBcto(9ltcnsdplNunrrotll.ContucttrsLk.nr.kwr.
-l
hovc ud *ill minroin ! Ccnilrarc oa Conscnr ro Sclf lnsurc for sorl.B con{r.\.lion, rs ,rcvidcd lor by Sal ion 3?ur of lhc
L or Gdc, ror rh. pdorrorcc oflhc *o* for which rhc,Ermil h issed.
I hr\c aDd will mri' dn*.rk.rr.o iFnsrrn,n in\rrancc, n\ rcquircdhySccri ST(x)olrlrcLrhorC.ic.lbrrhcncrlonrRrol
h. w'trk l.' $hx.h rh^r"r r Frucd Mt q 4l.^' omIrr \ricn 'n.u$ft
( cJricr Jrd nnhc) nu mhcr 6(
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4 t+ l,idt - L, t1 It It
Iccnifrrhriinrhc|rrrlarrntr'f,c()frh.sorkntrshi.hrhnNnirnissu.d.I\hnllnolcnlrloyiryncronin ntnHtrmr
!, rsrr)l.dnrE \ubjccr lorhcworkcrr'.onDcn\rrion h*sol CrliI{nnir. rn{ll!ruc rl[ il I nn)uld hccotr* nrh]ccr ro rlr
*ork.r\'con,|I0\rri,n,pn,vi\ionso{Sccri, lTfilolr[c l.aht Codc,ld]rll, nnrh*irlr corltllr srrh rho$ I)rovi\io's
lv/\RNtN(;: Inibrc ro krurc *orkcr snnpcnsrri{in ..vcragc i\ ttrla*rul. anJ nrll nrl'jc.i .rr cnqnoy.r ti d nrinrl F-trrhi.s rnn
civil linc\ up k, oN hundrcd rhoussnd dollrs (S100-OOiD. n, radirn, k, rhu.on ol .ontcn\rri(4 drnngc\ r\ prcvntd in lhc
Sc.ri,n.rll76of rhc LrhurC,ltlc inrcrcd JnJurhrmy \fcc>,*",itultv n,,,,-^ CPt+lb et t urEtrfl(!,\lBA(ruf,
IECI,AEAI(}!
Y4LD /v71, ttl
I hcEby alfirmund$ pcnallyofperjurylhar I om lienan u.dcr lmvnion olChaptcr 9 (commncinr *irh Sccri.n 7ur) oiDivnion,l
oI rh B!ri*$ dnil Prof.s\ionr Cod.. ,rld my li.cn* n in tull fore dt cltur
b -70 04'7 7
tL":.Fe C vhc b,'v,(t..1+1'- Dt L
CoNEIAISIQN.IINPING.6GENI]I
I hcrcb, !fiirm u.dfi Fnahy of Frjury lhat lhcrc n ! mnsidclion lcdin-q ascrcy ror th€ Fnn.@@ .l rh. srk for whi.h
'hh Fhil is
hru.d (s4. 1097. civ. c.).
AIjLICAILDIC|.AAAIIIIN
I Iml,y afiinn unds pcn0hy of pcriury orc of thc lolloNinB dal<ions:
Domlition Pc.mirsAsb.sios Nodnc0tion Fcdcral RcEUlrlions finlc 40. Pan6)
Rcquircd tf,tt r of Noriftslion
y*irhDllcirrntr(l (1 trry
y rnd Cornry t,.nr$ qtun rhc
-l
ccnifrrhlr rhc acderal Esxhri.ns e!,rdi.g dit d.arcnmvr ,rc nor {tli.ahl. rorhis Dror..l.
I.c iryrharlhrvcr. rhis ap,,licrlion uld sl,lcrh.r rhc ovc inionnirion G cotrccl Iasreloconrpl
H*:":ilYiS-ruUZ* *'
::,:'
perm,kn.mc,pr,n,,: CP++{t- e - Moitvl>t ft
rlLLltE
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service lvleter
FINAL ) 12/llq 4(f r rl-)
Notes, Remarks, Etc.
Air Conditioners
I rm.\cmnrun,l., S(rion .D &PC lnrrhi\rrrynr
lhl. ()nner
EABtrI8S:I;OIIENIA.IIAN
DECI.,A6.TAN
I hcrchy rfir trndq pcElryorp.rjuryonc orIh. n,lk,*iDg dcclnrarnm\
Lr.dci. Ad.lr.s
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