HomeMy WebLinkAbout20161308 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ol6{3OB
Pin #: 74265
City of Santa Ana
Permit Counter: (714) 647-5800
Unit: 36
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{770
Olson Urban Housing L P
3020 Old Ranch Pkwy ,1400
Seal Beach, cA 90740
(562) 5964770
01 1 '16002 5'! 603
01 1 16002 51603
01 I 16002 51603
01'1 16002 53601
01 1 16002 51600
01 't 16002 51603
Fee Type
New Res
New Garage
Serv lvleter
Ptc - 65%
General Plan Update
lssuance
Amount
o.'14
o.14
51.29
0.65
21 .25
52.98
Qty
1 ,961 .00
460.00
'1.00
365.0'1
1.00
't.00
Fee
$274.54
$64.40
$51.29
$237 .26
$21 .25
$52.98
Phone
State Lic #: 939166
Lic Type: B
Bus. Lic #: 363131
Workers' Compensation lnsurance:
Carrier: Cypress lnsurance Company
Policy #: |NWC904693
Expires: 0110112019
Building Use:
Job Type:
Nature of Work:
Planning conditions:
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Condominium
Nerv
New Condo w/garage
CSG Consultanls
Zuniga, Allissa
Misc. Receipl: 68297
Misc. Receipl:
Misc. Receipl:
Total
Notes: Plan 4Bfees pd on M-
$
PAID
}lAY OB Zt]1B
CitY of San la Ana
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
12t1212016
05t0212018
Account#
10190460
Every permit issued shall become invalid unless the work on the site
authotized by such permit is commenced within 180 days aftet ils
issuance, or if the wo* authoized on lhe site by such permit is suspended
or abandoned fot a petiod of 180 days aftet the time the work is
commenced.
$701.72
$237.26
$464.46
lnspector MID#: 20'16-'130949
01 1 16002 51600
01 1'16002 51603
$21.25
$443.21
Fee Total:
Paid to Date:
Balance Due:
R-2, S-2
V B, SPK
cEc 20'13
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS
Sate-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monumenl)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq i UFER fiax48 a<e 2 t-7
Transformers
Torqueinq rOzf-/fi 2c 2,:.+B (-J +,&^
I
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Ivleter Release /a2?- tB 44,)
Rough ro-ilifi 'Sa an
Service Meter
3 2
-2
FINAL
Notes, Remarks, Etc
OWNER BUILDER DELCARATION
I hcrchy rafirm lnder ocnrlry of pcr/ry rhnr I an €r.hpr fr,f, rhc conlrocros Li.ens L!* for lhc follosinS rc.$n (Ss.?011.5
Busincs und Profession Codc) Any Ciry or Counry qhkh nguics . lermir ro conntucl nlrm, inProvc, d:nnlhh o, Epan uy
srtucrurc. prt, ro n\ tsudftc, s rcquncs th. .ppltan! for su.h Frnri b lilc x siBftd {arcmnr lhol lE ot shc n licen*d pui a
ro lhe Dovhiotrs olltE Conrrrroar l-ic.ntd tiw (Chaprcr 9, comnrnci"s wirh Sdion ?Om of Divkion 3 oflhc Busincss and
Pmlc$n'ns Codc)orrhar h.orsh! iscxcn lhcrctromlndrhct^lshrorlh.ollcgcdcx.nflbn.Anyvn,hlnrnofSari,nT0ll5by,ny
{lli.0nr ron pcnnn subj(Is lhc e,,tlicotrr ro !cililpenalrroi.or turcrhitrnvc hundrcd doUars (Sstro).
-1,
ss oune. of rhc pFFny. or my .nplolms wM wagcs !s thcn sb compeniarion, will d. lhc wotk dd rhc sltur!re h nor
inicrkd or ofl.r.d for sal. (se. x}44. Busimss md Pmttsions Codq Thc Con(acloa s Liccnsc bw docs nor aDDly & a owncr of
rhc r$tEny wh. huildso. ir{mwsrlEmn, ud *h., des .h w* hnnsclf or h€trclf or llhlgh his or h.r o{n cfrPloyecs.
ptuvidcdrhar such mJrormnls e mr hroded or olt En f.r sk. li h)mlci thc building ot i npl*rd h eh wirhin orc }es
ofd,r{,Lrirn. ltr O*nft Bui!.r will h,vc l,f, honlcn of rovins thd nc or sh. dil mi hild or ir,TroE tnc pmrny fdr 0r purpo$ of
4 osowncrorrt pnrrnv. amcrcl!\ivclyconitucring enh li.cnwl.onracbs ro consrruct ttr lmj*r {Se 7014. Busimrs
md ElfLsshtr Code: l hc Co.rdcl.r's Licc.* hw docs nol,tply lo anowrc. oftrcncrly who builds or impmves lhcr@n.
and eho conrrch ror such rml.ck *nh a Co mclo(r) I icenscd ,u iFuant ro rhe C.nthcror's LtcnE L€w).
-l0r
cxcrrpr undcr S&r
trcf,f,ExlllotdPrNsAro!
DEII,AIA.IION
I hcrhylrtudundcr p.n yortdlury orc oilhc lollosnrr n..hralnn'r:
-l
hulc !d *ill mainrdn d Ccn iaret of Con*nt lo Sclr.lnsurc for *ortcF d,dp.nsdion. as Imvidcn fu ty S&r io. 37m or thc
Gbor Codc. rbr rlrc pcrformrc ol rhc wo.r fm Rhich Ihc psm n ns$d.
I lrr!. r J *,ll riitain qorkcra conucD\rrion insuranc.- r\ rcquncd bySccrotr:lT0Ool lhc l-lhrCodu, t)rrhctcdoirnrtrccoi
rtu work rn whi.h rhis Ni,nir is i\\'d My work.r' conpcnsri i,tri i'surrtr.c cnr ricr md Anicy nunrhcr m:
I ccniii thar in rhc lcr{orrorcc orrh. work rd whi.h rhis lcirnn is hsucd. I +rll nor dnfk,y xny,,.Mn in rny mlnrr
$ $ ro tKom slbFr ro rh. workcrJ .onqrnsarion laws of Calinxnia. uft] alm I har ir I stn!6 tE.om subjccr b rh.
workcli omp€n\arion prcvisn,ns .r sNtion 3?00 of lhc tatxtr Codc. I rhsll. fon hsnh omPlt wirh rhnc Imvnions
IVARNING rribrc ro r.urd workcrJ..nDcnsdion covcnsc i\ unln\tl md sh,ll hycr x, sn iml FnaLric\ utr
drnurgcs !s providcd ftr rhcro.nc hu rcd rh.usnnd dollrrs (Slu).(xx)). in tul{
Ssri,)n .1076 ofrh. Lalbr C.d.. intcrcsl rnd olknrcy s lccs
,-3-(8
LICENSED CONTRA(]T(}R
DSCI.AAA.UON
I h.rby 0fiirmu cr lcmlly ol pc,jury rhr I am taccnsd uRhr povGion of CnlFq 9 {6nmn.inB withSelion7000) otDivirion l
6f rhc Bulincis ald Polc.sions Codc, sd m, liccnse is io flll forN a,rd .fict.
CONSTRfICTION I L'Nt lN(l A(;ANCY
I hdrcby rri n und.r pcnaltyolpcrjur,finr rhcrc n a con{ru.rirn L.dir8.8cmy lbt lhc P.rr.mBtu. olrh. wotk torwhichrhi\ pcdir i\
isslcd (Ss. lO9?, Cir C )
ATILII;ANLI&IAAAIAN
I hcE-by utrm under lenaxy ol Frjury otrc otlhc follorinE d(lararionil
Dcmnithn Pc.mik-Asbestos Norin.otion FcdcEl Rcxulat ions Ont 40, Pon6)
-Rcquircn
l,llcrol Ndifdlhn
l.cnilyrhrr rln'fcdc.ilrc3ullli{,tr\ rcgrdin! rshcdo\ rcnnnrlrR oi lfPli.rhh rolhi\ nDrcr
I ccnilirhd I lDrc rcr
ordi'[i.c\ rtrd Sr(c L.w(
xM n{Drioncd Frupdr"
ApDli(tr orAE€nlSIam
rh.rrhc0hr$ irli,nMrion t corsr I rra& t, ..n/y q ilh 011 Cil, ud Counry
rize rcprccnurnr\ olrhn Ciry 0nd Counryro c.rcr u[x,n rlt
i g-/€
IDiSIG.
Sub-Panels
Air Conditioners
w", f'd- t I
:
I
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