HomeMy WebLinkAbout20165885 - PermitqProject Address: 1551 N Tustin Ave
Assessor'sParcel: 400.211-04 Lot: POR 5
U nit:
Block: NA
Bldg: Address Range: 1537-1s51
Tract: FELIPE YORBA HistoTic: No
Suite Range:
Zoning: P
Permit #: 2O165885
Pin #: 34329
Phone
Tenant Name:
Jennifer Ourant
1551 N Tustin AYenue, #150
Santa Ana, CA 92705
(949) 331-1313
H lL Builders lnc
15511 Product Lane, Suite E
Huntington Beach, CA 9264
(714) 895-2200
01'116002
01116002
01 1 '16002
01 1 16002
01 't 16002
51603
51603
5'1603
51600
51603
Qty
8.00
78.00
4.00
1.00
1.00
Fee
$ 12.16
$78.78
$95.48
$21.25
$s2.98
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Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
B
A
cEc 2016
$
Date:
Date:
Date:Hernandez, Kathy
Buildins Permit #: 101 95353
Every pennit issued shall become invalid unless the wo* on the sile
authorized by such peinil is commenced within180 days after its
issuance, ot if the wo* authoized on the site by such permit is suspended
ot abandoned for a period of 1 80 days aftet the time the work is
comfienced.
MID#: 2017-139800
05/16/2018
Account#
01 116002 s1600
01'116002 51603
$21 .25
$239 40
$260.65
$0.00
$260.6s
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address:
Contractor:
Address:
Fee Type Amount
Light Switches, Occ. Se 1 .52
Light Fi)itures 1.01
Dedicated Circuit 23.87
General Plan Update 21.25
lssuance 52.98
State Lic #: 425119
Lic Type: B
Bus. Lic #: 132428
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 760001843617'l
Expires: 1213112014
l-,; lfitl_.lALE
*i
- $:t1 .::,
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tl t r.r4S.l fl
{ut t : ; ri l4r--r? -
Commercial Occupancy:
Revision Constr TyPe:
common Areas gth g 1616 lCode:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes;
Fee Total:
Paid to Date:
Balance Due:
lnspector
ELECTRICAL-INSPECTOR RECOHD
APPROVALS ID/SIG.COMMENTS OWNER BUII,DER DELCARATION
I hcrcby afilrm undcr Plndlry of rcrjury Ihal I m dcnfl rmnr $c Conr.lcro6 Liusc tis fot rhc ruuowins rclsn (Sm 7(R l 5
Blsirc$ snd Porc$io. C.dc): An, Cnt or counry which rcquncc t Pcmil ro onsr cr. ulr.r. nnprou. d'@lish or EPair 8nv
srru.iuE.Iriorlo ns isumq,ko rcquircs rh.,ptli.a.r ror sx.h Fn,n lo fikrariSn d slllcNnl rh{r h.o. shc is liccn{d nursutnt /
b rh. rovisions oflhc ConrBcror's Li.cnrcd t w lchaplcr 9, Conmcnciirs silh Scction ?m0 of Divnion I of$' BusnEs 'ndP r.sions Codc) or rhsl h. ot shc is cxcm lh.rciion&d rlE tEsis tu thc alLscd.rcoll,tiotr Anv vnnarnrn of Selhn 703 L bv 'nv
aptlicnbr lor a pcmir {uhjds rhc amlicanr lo a civil pcnaxy ol not mrc lhan nvc hundred dollm (S50o).
-1,
as owncr otrh. pmpcny. or 6y cnplo)Ns virn w,8cs.s rhct v,L coryrnsolion. silldo rtr wdk ald thc {Mm k mr
inrcndrd or off.rcd for $lc I S( 7044. Businc$ ond hltc$iotrs Codc l hc Conlru.has Licc.sc t wdocinorlpIlvl.0nowncror
rhc llDpc.ry rho builds oi iqroK rhcrsn. tr*r who de\ cEh wrt hinr\clfor hcrtlfor rhmu8h his or icr own cBpkirtcs-
,,iovidcd rhal suct impmwrEnt e ml inrend.n or oflcrst n, {b. l( ho*c\s rhc tuilding or inptu(mnr is $ld *nhin oro vu
.r.omDhriotr. rh. Owncr BuiHs will haE thc burdcD ol povin8 rhd tE or shc dil nor bui or in[mvc lh. Po|fnv for thc I,!IIF{ or
l. N owncr ot rhc llr,rtny. an cxclusircly conrrrrirrg wirh licctr*dconrtrro b.o.soct rhc P(rjccr (scc 7O+r' B 'i""
lnd Ptr'f6sbn Culc ThcConrEcrois I-i..nsc tjsd@s norrnllyh nnowmr oflrcpcnywho buildsor iml]ovc\ rhcrcon.
rnd who $ntmcts r'or sn.h pmjNrs wilh a Conrrucrorlsr lkcnscd luNutrtr rorhccontodois l-ien\c b*).
I nncxcDrtn tndcr Sccrn
-,
B &PC lorihi\r.rvrr
Dat. Oer6:
WORKERI' C()IIii'FNSATI(}N
DECIITEAIIO!
I hcrchy afl irm uid.r p.nrltrof lsjuryom orrh. rollowirB dalomrioas:
-lhureand*illneinriinrCcni,icolcofCon$niroScl
nsurcforworkcn.onDcnsrlio.-N pmvirlc{ lor hvs'crid:17(x) 'l'rhctih.r Oodc. fnr rhc pcrfomn.. ol lic wotk for whth rhc p.rnrir is issutd
-lhuvcand*illmin
ainworkcr co'npcn\0lion insuruncc. as reqnncd bv Sccrion:l?O{)ofrhc Lahor Code fitr lhc frri}rnuncc of
lhc $ort fo. whi.hrhnpcmir is isskd MyworkcG .omlEnslion i.\unrcccatrt, ind B,lky trunbcr Ec
Policy Nu6b.r
-Er!i6s:
-l.cniryrhrrinlhcl]crronnaN.olrhcworkfor$hichrhilr.rn i{ hsucd l \hrll Dor cmllov nnv pt^.n nr rnv mlnn'r
$ s k, hcco'ru ub].d r. rhc worlc6 conFnurion ldws ol Cnlifomi!. and isN lhd iII sbnld
*ork.s omrcnsari,,n Froviiions olSatjon l?fii ofrh. tjtbr Codc.l rhall ron hsir h omPlv {iih rk
WARNING lrdilurc b {.urc w.rk rl conrt^-n\dio. cov.rng. i! utrliltl. ud nhll
civil nncs up ro onc hunnlcd rhourand dollar (!l(X),fi)or. in rddirio.lo rhc con
Sc.ri,r' 1016olrh.lrlxtr O r. irrr.rc{ rnn r(ornc} \ fc.\
o*., S-/ 6- -/g a,pn-,
I hcEbyllfiflnundcr P.nalryolPctiury rhd I um [ensd undcr Pr.ehion oiCh,plcr 9 (codmfti.8 wilh Sr.-rirn 70u) otDivhio' ]
ol rhe Businc$ and PDressions Codc. ad nyliccn* is ir tull lorcc lrl.ffL{r
e
s--/6-
I hcruby rfinn undcr ltnllry.tFrjurt rh.r rhere h r consltucrbn Lndin.! r8ck-^y lor rhd pcrt.rnrncc orrh. work tbr rhich rhn Fnnr is
Rnrcd (Scc.:1097. Civ C )
APPLICAN Nf(II ARAl'ION
I llaEbyaninnrndcr prtrrhy oiteriur, onc.lrhc l.lkrwins dc.nvalioi\:
Dc rlirion Pcrmir! Asl,cnos Norificrrinn lcdcral R.srlarnnr\ (Tirlc 40. P3n6)
Rcquircd ldrcr or Norin.dion
rhnt rhclcdcrrlresuhrn N ^_Aa(lir8 ashcnos rcnn)
#.*lr yrhN llnr. rrxd rl,^ r|t)lrnri,rrnrl {rr.rhxr(lrcr roconrdyqilhall Cir, rtrd cotrtrry
olrht Ciry Md Counrylo cdr.r u,mn Ihc
atnrc trf, ri.'rd llo|].ny iot
Applicnnl or A!.nl si*trrlu s-te-1/
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Founlains
Sions (monument)
Life Salety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soflit Rouoh
Ceilinos (T-Bar Rouoh)
Itrleter Release
Rouqh Sl,nltY €Ntblw W
Service I\Ieter
FINAL // ////f Zr/k71,L-z€--
7 -/ t-Notes, Remarks, Etc
DATE
q
knJcr s Addrc$'-