HomeMy WebLinkAbout20165978 - PermitCity of Santa Ana
Permit Counter 1714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927oz Electrical Permit #: 20{65974
Pin #: 95174lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 2151 3/4 E Santa Clara Ave unit: WCC02 Brds: Address Ranse:
Assessor's Parcel: 396-141-07 Lot: NA Block: NA Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
Ownerl
Address
SBA
980 Roosevelt Ste 210
lrvine, CA 92602
(949) 892-0517
Verizon Wireless
Fee Type Amount
01116002 51603 Serv Meter 0.00
01116002 51603 Ove|10-50 HP, KW or I 0.00
01 1'16002 51600 General Plan Update 0.00
Fee
$0.00
$0.00
$0.00Phone:
Tenant Name:
Contractor:
Address:
lnland Valley Construction
18382 Slover Av
Bloomington, CA 92316
(909) 875-2r12Phone
Slate Lic #: 483530
Lic Type: A, C-8, C-34
Bus. Lic #: 186863
Workers' Compensation lnsurance:Carrier: Old Republic lns Co
Policy # A1CW96191708
Expires: 1010112018
Commercial Occupancy:
Miscellaneous Constr Type
Change Contractor - Cell Sitcode:
U
VB
cEc 2016 Notes: Changecontractor
Planning Conditions;
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie ost29t2018
Account#
Every permit issued shall become invalid unloss tho work on the site
authoized by such permit is cornmenced within 180 days after ils
issuanco, ot il the wotk authoized on the sile by such permit is suspended
or abandoned fot a period of 180 days aftet the time the wo* is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2016-128745
Fee Total:
Paid to Date:
Balance Oue:
<.)
Qty
1.00
1.00
0.00
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground 1 lD'> ro I $ s" elL 6Eo $q'flc
Pole Bases ( o.r r*r.,,. i" d
Li ght Standards
Spas, Pool, Fountains
Signs (monumenl)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding i Grounding / UFER )q lUt
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilin gs (Hard & Soffit Bouqh
Ceilings (T-Bar Rough)
Ivleter Release
Rough
Service lVleter
FINAL 6-44 I }."v$(I
Notes Remarks EtC nn
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t, rhc pn,lntun\ of rhc Conrracioir l-ic.nr.d tis (Choprcr ,)- Connnrmin8 $irh S.crn,n ?(XX) ol Divi\nr :r ol rhc Buslnc* und!
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rhcrmF*ny who boilds o! iDrNq lfuNn. $xl trh dG\ \kh wo* h im\cll or hcrrcll or rhoueh h h or hcr own .ryk,y..i,
Frvid.J rhrr \uch irnpmknrnG rc rx, ir .dsl or oltcr.J nr qt. ll h.Lv.trr. rhc huilliq or irv.vcnE i\ n,kl wirhi'r onc ytar
olconlPldion,lhcOsncrBuildcrsillhiErhctrlldcnorDmvinsrharh.or\lrdx] orhulkl.ri'nfn,rrrhcD^,p.nyli'rlhcpuqnEol
l,rs.wncior(hrJn,p.ny.nmcxclusivcly.otrrrctinSwnh.cnrdcodm.lorloconstrxdlhcFDjcd(Sa.70'14,Bu\iru*
und ft{csbn C(ic, Thc Conrracrois Liccnsc l,os docr not aDnly ro 0n o$nc, oap.opcny *ho buildr or hhprov.s rh$.or
8nd who mnrm.R for.r.h pm)ccr eirh r Conrmcro(s) li...s.d pursu0trr ro rhc Q,M$tols Liccnk tj*l
I ancxcnDr undcr Scrio
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I hcrc6y ar'ltmundcr pcn!lry or pcrjury onc oflnc n,lL,wirB rlcclirarions:
IhavcaMwillnDinrrinrCcnificricofCoscntroSclf-l,NtrrclinworkcNompcn$rion.!\pmvidcdl],,hysNri(,nl7(x)olrh.
Ijbor Cbdc. f.r rhc pcrfornDi.cofrh. w.rk for whi.h rh. pcrmii is i\sucd
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hJvcand Nillmrinlain *orkL6' compcnsrrin insurircc. (\ rcqtricd 6rScdnn.lT(X)ofthc IrhorCodc, ftnrtu pcrfonnancc of
rh. work n, whn_hlhi\ pcrmir is isrcd Myworkcrr coDpcnqrn,n in\uancccrni.r rl fl'li.yronrllr c:
I ccniS rhar in rhcp.rformnc.ofrhc work ror whi.hrhis pcrmn n hucd.l shrllnor cmplo!nny pcrson inany manrcr
$ asr0 L(,M uh]ccl ro thc mrkc smpcnsdion hws ol Crlilomir. nnn iBE rhar ifl \hould hcconrc $bFd k, rh.
sorkes conFnsarion trelisionsol Scdn r lr0oollnc Lihor C'odc.l sh,ll. tonh*nh comrly wiih rho* frbvki.ns
IVARNINC: Failu,. 'o sxrc workcs co!ry..erion .ov.agc is utrl,wlul. 0nd shall su6rc.r cmtlo)€r ro sininal lcdlrts dnd
civil nncs ut ro oft hundEd rhou*nd dolldr ($Ioo.fix)], in dddili.. ro lh. cost ofc.nwtrsolion. d!roEcs !r plovided fu rhc
Sc{ion 1076 ofrhc bhor Cod., i.r.rc{ d0nomyt16.
D.,.: 4 t,lre Appren,: Tnl*q J*1"-"< za ^ 1f-
LTTENSELCONIXAj.:ruf,
DECI,Af,A.IION
I hcrcbyorirnundf pcnahyofF.jury thar t am li.cns.n xndcr pmvnion ofch,pln 9 (c!mm iry trirhScclion 7000) orOivi\ion l
.r rhc Busir.s ,nd P,olcssioos Codc. dxl 6y li.dos. n in flll li,re dd.Uccr
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CONEIX.IJIIIONIENDINS.&CENCI
I hcnby aflli,n und.r p.nalryoficrjurylhd lhdc is !.onerucri( kBlin8 qcncy for rhc rcn'onmncc olrhc *orl lor whi.h rhir l.nnir is
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Lcndcr's Addrc$
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ELECTRICAL-INSPECTOR HECORD
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ATILICAII.I}ES.AAAIION
I hodry !fimudcr pcnalr, ol periu.y.n. ofrhc folloqinB dehturions:
D.nnlilion Pcrmih-AstEsros Nolificrlion F.dc!!l Re-subl ions l rnt 40. Pan6)
_R€quired brro ot Norifsrion
_l ccnillihai ihc lcdrrrl r.grlrrnnr\ rugrdin! r\h.no\ r.nurlrrr otat,flr.rhlcl('r,ristr.lc.l.
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