HomeMy WebLinkAbout20166661 - PermitPermit #: 20{5666{
Pin #: 49352
Unit:
Block: NA
Bldg:
Iracl: 7729
Suite Range:
Zoning: M'l
E
Assessor'sParcel: 403-121-25 Lot:25
Owner:
Address:
Phone:
Tenant Name:
Southside lnvestment Co
1420 E. Pomona Street
Santa Ana, CA 92705
(2131263-7759
Cowgirl Cafe
01 1 16002
01 1 16002
01 't 16002
01 1 16002
0'1 1 '16002
01 1 16002
01 1 16002
5'1603
51603
51603
51603
5'1603
5'1600
51603
Feo Typs Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
FWU 24,79
Min Fee Adj 15.64
General Plan Updale 22.OA
lssuance 55.04
Qty
2.00
2.00
2.00
2.00
1.00
1.00
1.00
Fee
$2.90
$3.16
$2.10
$49.58
$15.64
$22.08
$55.04
Contractor
Address:
lnno Construction lnc dba P
7425 Orangethrope Ave #F
Buena Park, CA 90621
(2'r3) 500-1877Phone
Stale Lic #: 887068
Lic Type; B, C-39
Bus. Lic #: 367310
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9109036
Expires: 0412312019
rPlil
rorlsr
l
0
E/ t+/ 2t1t'\1
rrons+r 49
Reli I
- s/14/2U
I ttntu on lnE dho
{reOefO 1
(r11l6xu
Electr i
ir1 116ir(l
1,/ iso
updote F
5LrutrtrLr-
Occupancy:
Constr Type
Code:
A-2
VB
cEc 2016
ift,,ltrttlBuilding Use:
Job Type;
Nature of Work
Commercial
Tenant lmprovement
TI
Notes:Upgrade restrooms for accessibility
Planning Conditions: lnterior work only. No exterior alterations or modifications.
Date
Date
Date
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:eri 08t't412018
Account#Subject to Field;
Building Permit #:195872 $'150.50
$0.00
$150.50
Every pefinil issued shall become invalid unless the wotk on the site
aulhodzed by such permit is commenced within180 days aftet its
issuance. ot il the work authoized on the site by such permit is suspended
or abandoned for a peiod of180 days after the time the wo* is
commenced.
lnspector MID#: 2018-143175
01 1 16002 51600
01 116002 51603
$22.08
$128.42
Fee Total:
Paid to Date:
Balance Due;
city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Electrical
Permat Counter: (714) 647-5800 lnspection Requests: 1714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1720 S Grand Ave AddressRange: 1720-,1730
Historic: No
Planning Approval By;
6Jr TotqI
DATE IDiSIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding i Groundinq / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Facto Wired Unit
rWallsRouh
Ceili hSHard & Soflit Rou
Ceilinqs (T-Bar Rouqh)
lvleler Release
L
I0 ?
?/a7p-a
0LRouh
Notes Remarks Etc
Service lt/eter
FINAL
OWNER BUILDER I'ELCARATION
I h.,cby dnn undcr Fnalry ol p.rjury lh.l I im cxcnpr fmm rhe Conta.roN Liccnsc t w for th. lolbwing rcas. (S.c 70ll 5
Businc$ a.d Profcssidr Codc): Any Cny or Counry {hkh rcquncs r Flnil ro conslrucl. ah.r. inpnJvc, dctrDlhh or rclan lny
slrclurc- prhr to ils hsuaEc. aho ,cqrids rh. rpplicanr r.r such Fnnir lo lilc a sisNd {,r.mn! rhd hc or shc is liensd lrr{sr
kr thc ptuvhhns of rhe Conlructors Liccnsed L!* (Chaprcr 9. CommcrcinS wilh Sccrinn 7(D0 of Divhi.n I ol thc Busincs rnd
Poli$ions c{dc)or lhar tr or rh. is cxtmpr rhcrcriomMd rhc h.sn for lnc allcscd ck.mlrn n Anyvn nlionolSdionT0:ll5 hynny
amliclarr(rtrr.rn,irsrhrdrsrhcaprliconrloacivilpcnolryofmrmrcrh.nfiv.hundrcddoll0rs($500)
-1,
!s o*mroaficpo,tny, o.nrycmplot .s withw!8csas rhcn st c- ric.\arion. willdo fic wo* ond rlE srtulm n mr
i.rcdcd.roficrcdrttrelc(5(.?044,Businc$andProfc$ionsCotlclltCtnradoisLiccnschvd.trno({DryroanowBol
rhc pmp.ny -tb ttrilds or impn,rcs rhcm[.mlwho dor such *ork himrcllorhc^clfor rhoulh hh o! hct owncmPloy&s.
l,olidcd rhxrsu.h impmmntemr inrc cJ orollcrcd,or ek Ii h.wcvcr. rhc tuilding or irqdrcm issh wirhin,,nc
'srorcomplcrion. rhc OwNr Buiud will h.!c ltrc bunlcn ofnmvirs rhlt hc or sh. did Nr burd or inlmw rh€ PDItn, rd rrE [r4ns of
L r\orncrofrhcpn,ttrnv, rDcx.hr\ivcll.onrrrclirg sirh li.rtr{d co r' a.t* r. L_o0{rucr rtl lrujc( ( St. 7t!'1. 3u!N\\
arkl hilissi.n Codc llrcConlrmk, s t-i.ci\.1-rw docs norrlflrlo rf.*ncr.fl)()lcdysho huildsor imrrov.\ rhcrcon
r.i \ho conrrrcrlarsu.hfoj..lswiihr(inrDcktr(9liccn\cdrr^urnrk,rhc(inrrrroisl,i.cn\c1trtr)
I Jncrdnnruidfl s.!trotr .B &Pc r{rFtsrr-n
WoRt<l R-S' ( lt)Nl Pl'NSAI'I( lN
DLCLAXAII(]!
I hicby rffiflnnndcr |{nrlry otpcrjry oic.frhc f{rbsmE dccl.mrion\:
lhnvcdrlwillm.int0inaCcnificlrcolConscnrbS.lflnsrr.forsrlc^snnpcn{rnn,.aslmvidcdfnbyS(rion:lTlDofrh.
tihr Codc. tu rhc Fjriorino ncc ol I hc worl( Ior Nhichrhc p6'nir is hsu.d.
-lnarcnndNillmainlain*ork.^comrc.\rrionnrurinc.rsequircJ6ySsli,nr.l7ll0.rrh.hborCodc-torihdptrrornr^_corlhc work ior which lhisFrmir ir hscd. My*orkdj comI,cns0tnnr insu.lnce clricr,rd Flicy nun$ct uc:
Cer:
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Iccriitilhllirlhcpcrfornunce{)irhcworkrd*hi.hthisrcnnirisi\\ucrl-I\hrllnorcPby.rrypcnonin!n,m,nmr
{ r lo bccom sobjd b rhc sork s conDcns{rion hws orcolirixnia dnd rgfrc rh.l ilI should lrs,r $bitlo rhc
wo*c* .onprN,r n povnn'nsofSsrion 3?01) oarhc If,txtr Codc.I \l[ll. fonh*irh ompl, $irh rk)* pir,risidF.
WARNING: r,ilur. () wurc Norkcn'comrcnsarion ovcDsc i\ unhstul, ut, shall \uhFl an e'nPk,ycr b dimiml PcMllic\ and
livil [,cs trt b oic htrndrcd rhou\rnd dollri\ (xX)). i', Uirn,i n) dr .o{ ol .of,Dcfsrri,)n. dr rgcs rs Povid.d for rhc
S.crioD.1076 otrhc li&tr Corlc.
*, o*/,+/E 34 ' zt,-'
!.l!!ri!!dUati
I hcrcby ommunder ncnllryolpcrjury ihor I n'n liccnsl undn lovkion ofChstrd 9 (conmcrcing wirh Seclion 7lxl0) olDivisiotr l
of lhc BusiRss and Prcfcssioas Codc, srd m, lkcn* is in full foN and clf(l
t-7 9?t,69
Yg/r4l t9
lh.'.h\ rlltnrkl.r trnrlrtol N,juO rhnr ru.rim hndi'rsr!.,ry nrrhc ttr.loiinrn.c olih.$.rk nn *hichrhi\ P.nnil i\
isucd (Scc lO9?, Civ. C )
w""^.
ATTIIIANI.DEII.ASANO!
I hsll)y o|mr und.r p.nally oi lErjury onc of lhc lollowin8 d(hrari..i:
Dcmnition Pcrnils A\bc{or N.rifi.rrion Fcd.rsl Rcrulllions (firlc4{. Pd6)
Rcqutdd l.n.r ol Noriicari,)n
I
ELECTRICAL-INSPECTOR RECORD
APPROVALS
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