HomeMy WebLinkAbout20161306 - PermitCity of Santa Ana
Permat Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{6t306
Pin #: 90261lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit: 34 Bldg:
Tract; NA
Address Range:
Historic: No
Suite Range:
Zoning
E
Assessor'sParcel: 007-320-04 Blockr NA
Owner:
Address
Olson Company
120 S Pacific Ave Unit# 34
Seal Beach, CA 92703
(562) 596-4770
01116002 51603
01116002 51603
01'116002 51603
01116002 53601
01116002 51600
011 16002 5't603
Fee Type
New Res
New Garage
Serv Meter
PIC - 65Ya
General Plan Update
lssuance
Amount
o.14
0.14
51 .29
0.65
21.25
52.98
ety
1,953.00
460.00
1 .00
363.97
1 .00
1 .00
Fee
$273.42
$64.40
$51.29
$236.58
$21.25
$52 98
Phone
Tenant Name:
Contraclor:
Address:
Olson Urban Housing L P
3020 Old Ranch Pkwy rr400
Seal Beach, CA 90740
(562) 596-4770Phone
State Lic #: 939166
Lic Type: B
Bus. Lic #: 363'131
Workers' Compensation lnsurance:Carrier: Cypress lnsurance Company
Policy #: 1NWC904693
Expires: 0110112019
Building Use:
Job Typel
Nature of Work
Condominium
New
New Condo w/garage
R-2, S-2
V B, SPK
cEc 2013
Planning Conditions:PAID
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Date
Date
l\,lisc.Receipt: 68297
lvlisc. Receipt:
lvlisc. Receipt:
Total
t,lAY 08 2018
CSG Consultants
Zuniga, Allissa
12t1212016
o51o212018
Account#
{ Santa AnaCity o
10190458 $699.92
$236.s8
$463.34
Every petmit issued shall becoma invalid unless lhe wo* on lhe site
authoized by such peinl is cofinenced within180 days after its
issuance, ot if the wo* aulhonzed on the site by such permit is suspended
ot abandoned for a period of180 days aftet the ttme the work is
commenced
lnspector It/lD#: 20'16-130881
01 1 16002 51600
01 1 16002 51603
$21.25
$442.09
Fee Total:
Paid to Date:
Balance Due
Project Address: '120 S Pacific Ave
Lot: NA
Occupancy:
Constr Type:
Code;Notes: Plan 4c/fees pd on M-
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Site-Work
Underoround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER /0a-B ,
Transformers
Torqueinq i0.2S-tB S,( B 8pe
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rouqh lo.1l-loa 7c 4,1
Service lt/leter /2-zt -1$4e zl
FINAL /z-t'-/6 ZO<*,rzz z?..-,X?.
Notes, Remarks, Etc
q
OWNER DUILDER I}ELCARATTON
I hcrc$y alfirm undcr pcnolt, otF,jury rhrr I dd cx. l,l fn,6 rhc CotrlEcloF Licensc Llw ror rh. ftrlowin8 rcawn (Scc 70315
Businc$ and Profcssioo Cod.): Any City or Counry which tcqui.cs r Isnir ro .ons .r. dlrct. inprcrc, dcmlish or drair any
{flcrrr., D.nr (o nr issunNc. lle !.qiireslhc trtplicdr tor su.h l.mir ro 6lc u siAmd dlt ntnr rhai h.orshc il lien{d pursunr
k, rh. pmlisions or lhc Cotrtsctor's Liccnscd Las lchaprer 9, (:.nrmmin! *nh Scclion TuOl) of Diltn,n I orrh. Aucirc$ and
Pftn'csbns Codc) or r har hc or shc is dcntl (hocrro ffd thc bdsn for thc allcscd cremprio. AnyviolarionolsNlionT0ll5hy,.y
applicrnrlora!.nnirsubjccr\ihc,pplicanrlorcivilpcnillyofmlmrcrhrnriv.hundr.ddolltrs($500)
L rs owNr of rhc pmJEny. o, my cdplortrr wirh "!sc\ !s thcn $k .onilcnsal ion. will do rlr woA dn dx df,r:iE t ml
inrcndcn or oficrcd for slc isd.7014. Busincs Pmacssions Codc Th€ 6.rr,.r.r's Li..n* tjw dcs ml apd, ro d owrf ol
rh. nNlcdy stx) huilds m inrpmrcs lhc@n- anl {lm d{rcs \rh so* hnffcllor hcr$lfor rhmush hir or h6 o*n.nployccs.
trovid.d lhar su.h impmrcmds e nor imcnddl or oftt d ror sh. li howcvcr. lh. hilding or inlprorcmnl ie $ld wniin nnc rtu
or complcrbn. th. owmr Buildcr will harc rlE t{d.n oa pmlins rhnr h. or sh. dil ml hrit or in{,m!e lhc l,otEry ror llf ,D4ns of
14. u.o-n* "rr* n-n"ar.,mc\ lu!v.lyconkhrdB wirh trc.Ncd !ontr!cx,^ ro cunqtu rh. roFr't( 1044. Bu{nc$
dndEt\bncodc:ThcCotrt0ctolsLkensctiwdocsnoruprlyro,n.Rmrofpropcrtywhohuildsorioprovcslhcrcon.
and who contffls for such lr*ds wilh a C.6r.clo( , lic.nscd puru! lo rlE Contr'.rs Liccn* tj*).
I rmcrc.fl u cr Sccri,n-. B & PC.lbtrhis rcn\on
WORKTR$ C(}I\IPFNSATIoN
D[Ct A.[AIlr]N
I hcr.by lfinnr!ndc. rEnalr, or P.rury onc orrh. r(rbwin8 d.cl.rd,ons
Ihavc.ndwillm0i oiraCcnil-rrnrcofCoii.irt,Sclllisutntrworkrs comPcns.lbn. rs lnrvid.dforbyS!-tion17U)oIrhc
I-itxr Cod., ror lhc p$rortu.cof thc wo* ior *hich rhc pcrnrn is nsu.d.
I hrvc a.d will nrinra in workcri compcn{dnnr in\rran.., rs rcguncd hy Scct ion :l?ffr of I lt ljbor C(dc. for rhc Pcrf.nurcc of
lhc qork tor phich I hh nemil i\ i$kd My wo*.rj ..mpcnern i.sur!rcc dtrhr nl B,lty nu mb.r r.
(-r'i1r _
-lccnilyrhar
inrhr p.iroilmncc of rlrc work for whichlhis tcrmil i! issucd.l shnllnor cnlPloyanyp.ron inooynl ncr
", as ro bc.o'ft subjccl to Ihc workcr oftp€nsdion l!{1 or Crlirnnia. md i8rcc th*t ifl should hccom subiIl lo llt
woltcn conrFnsdi.n pmvtions olSccrion:lT0oolthc bhn cld.,I sh!11, bnhwith.omrly wirh rh.e lovisions
WARNINC: Frilud ro KUrc wortc omEtr\rrion covcBsc i\ unhwtul. ntrd drll subjc.r 0n cnPlo)c! ro Giminal lxntr[ts Md
.ivil rirc\ !n r{r o c hundr.d rhotrsrnd dolla^ lsltro.ooo). nr adlirion n. donNscs r{ trovidcd ntr lhc
f. e.
trhtr codc. inlcrcst.nda onEy s fcc(
t9
DECI.ASAIIQN
I hcrchy,fiirnr nnd$ pcnany of p.rjury that I ah licensn !nd.r prcvision o{Ch{Fd 9(commncinB silh Scclion 7filo) ofDivision 3
of rh. BusiRss atrd Pmacssions Codc. and my It.nc iq in tull lom en cfi(r
f't- tg
caNglaqquaNIldDllcaliENcl
Ihccbyliirn:!icrFn,hyollcdu.ylhalrhcrcisoconsrdcrirnbodin8lg.myforrhcFnbirllNcoflhceorkrorNhichthislqnnn
nsuc{l lS€.1097. Civ. C.).
APPLICANT DECLARATToN
I Hry lllmlndcr pcnalry oa rcrlxry om olitu lollopin8 {ccleariotrs:
Drnn il,o. P$nrils-Asbcnos Norilicarn,n Fcdctul RcgnldrioN lTirlc 40. Prn6)
R.quncd Lctrcr of Norificarion
_l.cdily tlDi rhc rcd.rrl rcgularos rSrdiU i$c{os rcflrvrrnrc nor ipdicrbk b rhi\ pfl,jc.r
lc."ily rlLr I hrvlrondrhn xfplriri(rr ion hcoret.I og.e rocomdyvirh lll Cnyand counry
rrize hE.snlalnls ol thn Cily a.d Counry to c.lcr upon thc
D"t . -9^- g_ lS
oxli',aN.\ atrtl Srrrr l-n$s nL[irC ki
xM nrnriorud pru|r.ny fff
Applnin! or,\,l r Sixnrlurr
APPROVALS
Communications Cable
1121t7
t d.lr Nam'-
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