HomeMy WebLinkAbout20161311 - PermitBldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning
ctProject Address: 120 S Pacific Ave
Assessor'sParcel: 007-320-04 Lot: NA
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Electrical Permit #: 2lJ161311
Pin #: 95{87
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Contraclor:
Address:
Phone
Tenant Name:
Olson Company
120 S Pacific Ave Unit# 34
Seal Beach, CA 92703
(s62) 595-4770
Olson Urban Housing L P
3020 Old Ranch Pkwy n400
Seal Beach, CA 90740
(562) s96-4770
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 53601
0'1 116002 51600
0'1 1 16002 51603
Fee Type
New Res
New Garage
Serv Meter
Ptc - 65%
General Plan Update
lssuance
Amount
o.'t4
0.14
0.65
21 .25
52.98
Qry
1,542.00
460.00
1.00
362.54
1.00
1.00
Fee
$271.88
$64.40
$s1.29
$235.6s
$2'1.2s
$52.98
Phone
State Lic #: 939166
Lic Type: B
Bus. Lic #: 363131
Workers' Compensation lnsurance:Carrier: Cypress lnsurance Company
Policy #: 1NWC904693
Expires: 0110112019
Building Use:
Job Type:
Nature of Work
Condominium
New
New condo w/garage
Occupancy:
Constr Type
Code:
R-2, S-2
V B, SPK
cEc 2013
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: CSG Consultants Date: 1211212016
Permit lssued By: Zuniga, Allissa Date: OSlOzl2Ola
Subject to Field: Account#
Buirdins Permil #: 101 90463
Every permit issued shall become invalid unless the work o, the site
authoized by such permit is comnenced within180 days aflet its
issuanca, or if the wotk authoized on tho sito by such permit is suspended
ot abandoned for a peiod of180 days after lhe time the wo* is
commenced
011 16002 51603
lnspector MID#: 2016-130955
PAID
},lAY OB 2018Misc. Receipt: 68297
Misc. Receipt:
Misc. Receipt:
Total
City of Santa Ana
01 1 16002 51600 $21 .25
$440.55
$697.45
$23s.65
$461 .80
Unit: 39
Block: NA
Notes: Plan 4AJfees pd on M-
Fee Total:
Paid to Date;
Balance Due:
APPROVALS DATE ID/SIG,COMMENTS OWNER BUILDER DELCARATION
I hcrcby rr6rn u nddr pe n ry or Frjury 'h,r
I m .r€m!'r ron
'lE
Co.rlscio^ Lilrns Lrw f(tr lh. lollowing rcastr ( SN 7trl l.5
Busirrss tr.d Prclcsion Codc)r An, Ciry or Counry which rcquiEs a pcrnir ro onsru.l- alrs, improw. dcmlth o, rF bt
nru.turc. prhrto its nsuoncc. aho rcqxircs rh. ipplicatrr nn such FnnI io filc! siSned ralcmor lhar hcor shc n licenrd pnrsur
tu lhc ,mvisnrns ol thc conrrelofs Liccnscd l-ow (Chryrcr 9, Commcocio! sirh sc.tion 7000 of Division I oflhc 8uri.c$ ,nd
PmicssionsCodc)orrhlthcorshci\crcnp hcftrionandrhcbari\rorrhcrllcgcdcrcmrrion.AnyviolationotSdhnT0.rlrbyan!
aptlionr for r |c.nrir suhjccr\ rhr {dicrnr to , civil !.mhy or Rn lxft ttun livc hun'lrcd d.llur ($500)
I. as owmr of rhe roFny. or flry cmployccs with wa8cs $ lhcir elc ompcnelio.. wiu do rhc wtrk dnd !r* (nlim is mr
inlcnH or otlcrcd for sL lS€.?044. Busircss and Pmtcssion\ Cdc: Itu Grnrucrols Licctrs ttrw docs nol ollpl, ro d oetur of
rhc pmllcny wh. builds or ir{,mwr rh.Mtr. old *ho des suh wo* hinrlfor hcrclfor rhmlBh hn or h.r own.mpby.ca.
ttuvid.d rhDr rnch inptuwftnt d ml inlcnd.d or oilcrcd for sh Il howcK. rhc bildins or itrpnrrce is sold {ithin onc tre
orcotr{kikd rhc Owncr Buitdr $ill hlw rtr hlrdco ol Dmtns rh,r hc o. shc did ft, boild or i,Irnw lhc pmpsl, {or rh. p!ry*or
Xl. sowmr olrhc rmpcny, a cr.tusivcly.onlraclinr rirh liccnkd conrraclon ro onslrucr rlr pmj.rr (scc 704.,r, Busrcs
,nd Pmlis\ion Corlcr Thc CirnrE roas Li.cnsc Liw des nor rptly lo nn owncr oflrolJcfly*lt, builds or imProvcs thcrcon-
rnd sho conm.r ld su.hpmjcchw'rhaConrrocrons) licctrsd pururnr hrheConk,.tn \
-l
lm.rcn,pr utrJ.r So.rn,n . Il & P C
DICLABAII!.IN
I hcr.$y atlirnrrnd.r p.nalry.fpcrjurrodc ofrhc f(,lk,win( dc.lrr ion\
-l
hlvc and *ill mintlin rCcdili.ni.ofCon*nrlo s.lrln\urc rur workcrs onrf,netiotr. as providcd for by s..tnrn.1700 ollh.
Lihor Codc. for lhc pcrformncc oI rhc hd ao! qhth rhc pcrmir is ns&d
_lhorclndwillmninuin*orkcs.ompcnsarioninsxhncc.,s.equnrdbtsuclio.lT0oolthcLtrhorOdc,i{trrheponJrmnc.or
lhc $ort lirr whict lhirrcrnrir is n\ocd Mywort$ comp.nsariotr insuhNc.rdicr d policynunrbcrm:
P'nicyNumbcr
-E[pnc\
_l ccnify rhar in rhe pdformtuc of rhc work fd whi.h rhh p.rn r is nsucd. I \h!ll noi cnpk,y nny P. on in .ny mMrcr
v, ds ro b.rom subi$r iorlrc *orken compcnsorion larsol California, Bf,d aad rhdr ir lsh.uld t$om suhid tolhc
workcrs Llmpcnsrrian pn,vri{,ns olScclioa 17 )ollhc Latry c^alc.l shrll. ronhwirh co'n/y with lh.c lmvhions
WARNIN(; I'rilurc ro rculc wnkcr c.mpcnsrrn,n covcrrsc i\ unhstul. and \hdl subjccr loycr ro dmind pctuhic\ Lnd
doma8c\ 3s In,vi!.d fr rhccivil tincs u! lo onc hundrcd rhotsrnd dollrs (S100,(XX|), in a.ldir
Sccrion 10?6 olthc ldtnrCodc. inrcrc{atul omcy'{fccs
D.r€, {- S -, e
LICEIISLC!)XIAACIAB
DECIAMIION
I hcrcby.filrmundrr p.nally of,'crrury rnd I !m licctrxn undcr rmvision ofChap{.r 9 (.ommncinB with S<lion 7000) otDivisidn,1
ot rhc Bu\in.$ rd Piorcsions Codc. ard my licens is in tul! ,orc. ond ct{dr
Liccn\. Clos\r-Lictn
CONEI&ITEU}LLENDTNGAODXCI,
I hcrby !fiirn undcr Fn,xy of pcru.y lhal llErc is a con(rudion lendins sscn.y for rhc ,crrormncc of lhc work lo, which rhn Fmn ir
hsucd (Sa.1097- Civ. C )
ATTIICANIIJLCLAf,{IPIT
I lndry
"ltirm
und$ p.tr,lry of pcrjury onc oi thc lolloqing dccl alions:
lxmlirion Pcrmits AslFnos Nolifi.di,n F.dcrdl R.tuhrnff (I irlc 40. Pan6)
-Rcqun.d
knc.orNniar. ion
l.c iryrhrr rr fcd$rlatuhrion\ rcSrdinr rlhc\los rcnDhl irc norrpplirahl.n) rh$ l]n,t cr
lcdlrlirhd I hrvc rcld rhirapp n..rcd I rSra loc.mnl, wirh rllCiryrnd coun'y
drcicnr.rir$ olrhn Cirt otrd County lo cnrcr uIn. rh.ordindmc\ rtr Srdc Lrusrldin8 to 6u
rhr. nrrrn)ncd pn) nvntr iNpcc
,\ppli(hnr or \xrnr siIn lurr
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab i Floor
Bondinq / Groundino / UFER lo-L1-tb ,4zn
Transformers
Torqueino 1o.zs-r&a?t+fl.-\^.1-.-:.f, *^f^4-
T
Air Conditioners
Floof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Itrleter Release
Rough rc1t-tx Zc2'l
Service It/eter /o2?-tq 4c a4
FINAL /z-3-/B fuan z.r- Z*-/
Notes Remarks Etc.z-t 22
ELECTRICAL-INSPECTOR RECOHD
Sub-Panels
t ndcis Nam:
-
t= e-/g