HomeMy WebLinkAbout20164047 - PermitProject Address: 2757 N Grand Ave
Assessor'sParcel: 390-171-11 Lot: POR 13
Unit:
Block: D
Eldg: Address Range: 2705-276,1
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
E
Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853
Electrical Permit #: 21116,4o,47
Pin #: 75E9O
Owner:
Address
Phone:
Tenant Name: Buccaneer Pizza
Amount
1 .40
1.52
1.01
23.87
51.29
Contractor:
Address:
Fee Type
'125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Subpanel
General P
lssuance
lan Update 21.25
52.98
ety
10.00
4.00
2.00
2.00
'1.00
1.00
1.00
Fee
$14.00
$6.08
$2.02
$47 .74
$s1.29
$52.98
Phone
State Lic #r 986824
Lic Type: B
Bus. Lic #: 366873
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
oono {:onEtrurt jsn
6enerai Pl(ln Upd(tE
r:r 11 1611112 - 516il:rtxl]-
Electr ic(l1
t1l1 1 61102- 5 1603r.100-
ICL (heck 1552
Fee
i
Building Use:
Job Type:
Nature of Work
A-2
VB
cEc 2016
Commercial
Tenant lmprovement
Tl/New Restroom
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Buildins Permit #; 1 0192546
Every permit issuad shall become invalid unless the wo* on the site
authoizod by such pemit is commenced within 180 days aftet its
issuence, ot if tha wo* authoized on the site by suah permit is suspended
ot abandoned fot a period of 1 80 days after the time the work is
commenced.
lnspector MID#: 2O17-135312
09to6t2017
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01'l'16002 5'1603
$z1.25
$174.11
Fee Total:
Paid to Dale:
Balance Due:
$19s.36
$0.00
$195.36
01116002 51603
01116002 51603
0'1116002 51603
01 1 '16002 51603
01 1 16002 51603
01 I 16002 51600
01116002 51603
GVD Commercial Properties lnc
1915 E Katella Ave #A
Orange, CA 928675110
Dano Construction
10101 Edye Dr
Huntington Beach, CA 9264
(7r4) s104298
$nu'n'no"''
*"n,
Occupancy:
Constr Type:
Code:
Date:
Oate:
Date:
Notes:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BI]III)ER D}]LCARATION
I hotby arfirm under D€nally of pe.ury ttal I an cxmr, tor lh. Co raclo6 Lice6. t w for thc aollowins rcsotr (Sa.?0:11.5
B6i!6s ad Prof6sion Cod.): an, Cny or Co! y which r.luic a Frmn lo coNtDcl. ahq. inprovc. <keolish ot iqtsn int
srtucluc, ,trior b ns isuancc. rl$ r.qunB rhc Aplicmr aor such pcmir ro filc a sisncd $aldml rhat h. oi sh. i, lico*d pu6umt
lo rh. povnioN of dr Conlr&roa! Licd.d bw (chrrta 9, comn.ftins *nh Sdion ?000 of Divi.ion I oarh. Busins and
PrcfNions Codc) or lhor h. or snc i5 ercmpl thsefroD ud thc bsB ror rlr all.g.d exmprion. Ary violalion olscclio. 701 L5 by any
aplli.a tor a psnir subjdk lh. applicdt ro a.i!il p.nalt, of not norc tho livc hun&cd dolles {1t00)
I. s o$ns olrhc popcny. or ny .oplqEs wirh ras6 6 lh.ir $lc .onpoBlion, $ill do fi. wort ud $c nruclue 6 nol
inrqdcd or ollr€d lor sa]c (se 7044, a!si.* &d Proa*ioN Cort : Th. ( ontBclois Lic6F k* do6 .ol t9pl, kr d o$ nd of
rlE pmD.ny who builds or impovG thEon. $d who do6 strcfi wrk him.lf o. h.Nlf or lhrourn his or hs oM mpbre6.
Drevided thd such imrrsvftils dc d i.nqdcd or ollqld tor slc lt hosdr. th. Lrildi4 or improvdml 6 Fld wirhin o . t@
ofompldiotr th. olmd Buildd wi[ hr!. lh€ hrdo ofprovins thal h€ or stc did mr hild or inprorc $. pmpal, for thc PlqDs of
I. 6 osns oflh€ prop6ly. dn .rclusrcly contd.lins with li.d,$d contadou ro coiN'acl
'
he Plojd (56 7044, BBm.$
asl Phasnn Codc -l'h. Conlracr.. s Lic.Bc Li{ do* nor spplyro aownd olrnopcnywho buildsorinpro\d rhamn.
$no conlr k for such pmj€c wirh s Contmclo(, licdsed puuui lo rhc Co.tadois LiccN€ L^v).
Iancxc,n und6sNrion .lt. & P.C. fo,lht rcson
Drre. Owner
v()atrEetlcaluEtlalla!
DEQAAAIIO!
I ha.by afi.m under Fnrn, oapsjory onc of th. aolk sin3 d(l&arn'c:
I hav. dd will m.inl,io a Cc.rificatc or CoEor Io S€la l6uc lor works compmerion, s Fovid.d for by S6lio. 1700 olrne
Labor Cod€. tor lhe pslonnocc orlh. art fo. wh,ch rhc pdil i3 dsled,
I havc aod w,ll dainrai. work6- conrpcnsarion i6ur.nc., 6 rcqut.d by S.clion 3 Tou ohiE llbor Cod., aor rhc FlomlRe ot
rh. *ork aor which rhb p.mil is issued. My worl6 comp.Mlion iNurtrc€ cmir dd poli.y ntrmbd tr
PolicyNufrbd:
I ccnitrhar in rhc p{fomrcc of rh. $ork for {nich rhi. pdnn b issoed.l shall nor odoy any lNn in any mdnd
e 6 to bco6c slbjd lo lh. "!rtd' comp..sslion la*s olcalilomi., and asre lh.l il I shuld bdon suhd lo lhe
vork6' .onpoelio. povisioE oasdion ?00 oflhc tlbo. Code I siEll. fonfi\'ilh onply {alh lhoe povisioB..
$ARNINC li.ilre ro surc \orkeG'cornlEnslion co\@!e 's unlaNltrl. dnd shnll $'GDpIL)rcr o dinrinrl rmlr$ rnJ
ciril fines up ro oDe htrndred lhousnd dolla* ($100.0001.in addirion 10 rhc cosr Dl damar6 as p'ov'dcd tu rhc
inldGrMda otu ysad
a-
!.M!r!!3IIX\
I h@6y .mnn ondd p@aht o f psjury that I m liccE€d !nd6 Fovision ofch.pld 9 (co@dcing {ilh S..lion ?000) of Division l
or lhc lrusin6s 6d Proa6lioG Cod., ad ny 1i.6. L in tull forc. ad .iIel.
/
COISIEUCIO!.j,ENI)INCAG.ENqI
I hcEby amrn undd penalry of psjury rhar fis. i. a odru(ion kndilts atsmcy tor llE pstomanc. ol lh. \ oik lor which rnis Ftnil is
is ril (SLr 1017,Civ (.).
AITI,IIANLDICTAf,AIIO!
I ndlby rfm lndd paally of lqjury on€ of lfi. tollo" in8 dalrat ionsl
Dcmohion Pcmtu A3bdos Noli66rio. Fed(ll Rcgnlario.s (Tirl. 40. Ptr16)
._ _Requiicd lnrdof Noi6@lhn
I .d it thd rh. f.ddal rcsuLtiotrs r€sddins sb.slos Enolal arc not applicabL lo rhs pmjd
I .di! rhar I ha\€ rqd rhis apllicdion md $al.thot rh. ato\c in ion itcordt.I a€Icro.onplyrnhr[ Cnyed Couniy
.nlinn.c$ ed srar. Lar s ebri.s Io buildiq consltucrion.authorize rep' Gatalns of rhis Cirt trd
abovc n{rn n.! p'lrrry tx iturdion
\pflicrnl or '\!rtrr Si!nNrtr 7
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lvleter Release
Rough
FINAL 1/%/n 5\,8
Notes, Remarks, Etc
Service Meter
--D_:.:j4?
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