HomeMy WebLinkAbout20161307 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Electrical Permit #: 20{613O7
Pin #: 3{963
Unitr 35
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning
EProject Address:120 S Pa cific Ave
Assessor'sParcel: 007-320-04 Lot: NA
Ownerl
Address
Contractor:
Address:
Phone
Tenant Name:
Olson company
120 S Pacific Ave Unit# 34
Seal Beach, CA 92703
(562) s96.4770
Olson Urban Housing L P
3020 Old Ranch Pkwy ,1400
Seal Beach, CA 90740
(562) s964770
01116002 51603
01116002 51603
01116002 51603
01116002 53601
01116002 51600
01 't 16002 51603
Fee Type
New Res
New Garage
Serv Meter
PIC - 650/o
General Plan Update
lssuance
Amount
0.14
0.14
51.29
0.65
21.25
52.98
Qry
1,942.00
460.00
1.00
362.54
1.00
't.00
Fee
$271.88
$64.40
$51.29
$235.65
$21.25
$52.98
Phone
State Lic #: 939166
Lic Type: B
Bus. Lic #: 353131
Workers' Compensation lnsurance:Carrier: Cypress lnsurance Company
Policy #: |NWC904693
Expires: 0l/01/2019
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Condominium
New
New Condo w/garage
CSG Consultants
Zuniga, Allissa
Notesr Plan 4Dlfees pd on M-
$
PAID
llAY OB 2OI8
Occupancy:
Constr Type
Code:
R-2, S-2
V B, SPK
cEC 2013
Date:
Date:
Date:
121'12t20'16
0sto2t20't8
Account#
City of Santa Ana
Buildins Permil #: 1 01 90459
Every pemil issued shall become invalid unless the work on lhe site
authoized by such pernl is cofimenced within180 days after its
issuance, ot if the wo* authonzed on the site by such peftnit is suspended
ot abandoned fot a petiod of 180 days aftet the time the work is
commenced.
L
lnspector I\IlD#: 2016-130947
01 1 16002 51600
01 116002 51603
$21.25
$440.55
Fee Total:
Paid to Date;
Balance Due:
Misc. Receipt: 68297
Misc. Receipt:
Misc. Receipt:
Total
$697.45
$235.65
$461.80
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER /oz?-/Z .Ve 2t
Translormers
S ".5 ?antrl .*!4r--Torqueing to--zjr.l8 4c-27
'Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rough lb -r t-tB 7c 4\
/o +?-16 4e *i,z
t)Notes Remarks, Etc
FINAL
OWNER BUILDER DELCARATION
I hcrcby siltm undcr t,cMlty of pcrjury rhlr I um cicmnr 6oi rh. Conrlcrua Liccns. tjw ror rhc lbllowing relson (SN.?oll 5
trusincs Mn Profc$n n CGr.)r Ant Ciry oi Couity whi.h rLl]rins a ,.rmn lo consldcl, !lt.r. ihprovc, dcmli\h t{ rcn.t y
{fl.ruru, l,rii ro irs issuur.c. rko rcquncs lhc E plicani for sucn lrrnil ro fih r \isdd {aremm rhd h. or shc is licensd Purua
ro ric ro ions ofrhc Conrfucror's Lk.n$d ljw (Chflcr 9, comcNins wilh Scclion ?O0O oI Divnion I ofrh. Burincss and
PtuLr\iois Cddc) .r rhlr h.orshc iscxchp rhcrcfromlnd lhcbrsis ror lhc ullcgcd cxcmfli.n Atryviolnt,otrofScclion?031.5$yBny
,pplicrnr lor rrc.nrn subjccN thc ifplic0nt lo !civilpcnultyofnot nn,crhan nvc hundrcddollars (550o).
-1.
as oercr ol rh. lml](ny. r, m, d rrl.rrcs wnh w+cl ,i rh anc compcnsnriotr. siU do rhc wo.i ad ft. nMm is fr
inrcdcrl .r oficrtd {or {L lsd.7u14, ausiN$ and Pr.ltssions Codc: l hc Conrraci, s Li.eose Lr$ do$ nor amly lo an owncr of
lhc pmtcny who buikGor improlcs rhcE)n, aJd uho dds \!ch k)rk himsclf or hcrscll.r rhmuah his or hs o*n cnfloyccs.
Irovnkd rhlr xuch iDpmvcmnlse Bn iorcndcd orollcrcd for salc ll. howcvtr. rht hoildinS or improveEnr i\\old sirhinonc red
.rrodplcri,rn. rh. Owmr auihcr *ill h0r rtE brrdcn of provin8 lhll lE or she dkl mr t{ild or i,{mw tr pmFn, n,lh. purlx,r ol
-4, rs ow cr .r rhc rmpcny, ,m cx.lusivc ly conrmding wilh licctr*d .onlracrrs ro .on{dcr rlt proid (scd 7t!l4. su$ncs
atrd PisrL\sbn Cod.: Tnc Conlracrors Liccnsc l-aw docs nor apply b an ownfi orptupcnywho huilds or imrmlcs rhci.ot.
!.d who .onrkc for such pmj.cF w h a Contmd(( n lactrrd nu6@r b rhc Conra.tn \ l-kcns bw )
l,rcrc.Dr urdc. S..rn I & P.C. turlhi\ rcrvnl
]voatrE8s3;!)llfENsarloN
DECIANAIITN
I hcrchy alnmundcr lcorhrorFrjtryonc orrhc r(rk,win8 d..latdri.rs:
Ihrvcn, $illnui rirICcnii.ricolCotr*trrt'sctrln\ur.lnrrorkcs conrtcnsrrion. r\ pnrided I{, hysccrb.lTLx)ofrhc
titxtr c(xh, ntrrhcrdlnntun.c Dlrh. work iorshi.[ rlE Ennil is isucd
I hNc aM sillnrdinlnir sorkcri.otr,p.i\nri,n, i',\rrrnrc. r\ ruqrncd b!Sccri( :r7(xrofrhc Lnhor (idc.lnrrh. Frr.n'ur...l
rhc work nn whichthis Dcnnir is is\ucd My worke^ onr|*nsrri{r i!1s$ni.cranic, Dd Flicy Nuh.r rc
-l
ccdilirhrl nrlhe pcrionmnccorrhe sor* fttr shi.hrhh pcrmir is istrcd.l sholl nor cmrloyunrI.6on in nnymnncr
sr t, t{..N \ubjdr b rh. wo.*cm snlrnsliotr liws ofc.lilornia. .nd aErcc rhr ifI sh.uld h..om subF_r h ltE
workcr' co'hFnsar n,n !rcvirions ol S.d ion 3rm ol thc l-!t{r Codc. , shau- fonh*irh .omply w irh 'hs tovni{'ns.
WARNINC l'0ilur. h rcurc {orkc co t sari{ ..r$ngc i\ !trI,wtu|. md shrll \u6fccl m cmrlortr b rinin,l lf,orllts lnd
civil tur\ ut ro orc hundrcd rholeid dollts l$100,(xD). in idirir sr ol conrcnsarion. drrogc\ n\ ptuvidcd li,r thc
2-o ti&, C{xL. inrcrN rid at.nry \ la.r
'tS
DECI,ASd.IIQN
I h.obysfln xhdfp.nxltyofp.rjurylhal I m lian${ undq lovhion of Chaflcr 9 (d,nftncing *ilhSc ion7OO0JofDiviri.il
ol lh. Busincs ond Pmlcssions Codc. ad m, ltensc is in tull n,& nd .nc.r.
f-a-r2l
q)IEIII]CUI}NIEIDINCIIiIN.CI
I h.rb, afinr ufldcr pcnuh, oa pcrjory rhd rhcrc h a .on{fl.lirn lcndin8 08cEy rot Ih€ pcrlomncc or rh. w.rk for rhich lht Ismn is
hsucd (sN l(l)7.C,v. C )
A&UCANI.IIEII,A.BTIION
Itrrctrynliinnutrdcrpcn{llyolpcrjuryoncoirh€n,ll.singdccl rrn,ns:
Dcmlhn,n PcrmnrAsb.{os Norilicurion ltdcrul Rqulilions (Tirlc.lo, Pan6r
Rcqrrcd txnft of Nolifi cation
-l
ccniiyrhd lttr\c rc lhis pplicrrn,n kl i\conccr I a8r loonDly wirh rllCirymd Counry
rcrircscnrarivcs ofrhh Ciry and counry ro cnrn ult)n r.rdmarccsnnd Store L.ws rcl ins nr bui
rh,\c mni nrcd [opcny ror irN!(li
,\ppliun or'\rt l Sir trl ^,. E.'\''g
Site-Work
Service lt/eter
lf,ndcr\ Namc
ttr.nd.''\ AJJrc\.. _
I ccdiiylh.t thc ldcrrlr.sular otr!frgxrdidg r\lr{os trurlrrc trol d|tlic$lc I' rhi{ pnrt cr
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