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20166900 - Permit
Proiect Address: 801 W Civic Center Dr Assessor'sParcel: 005-14240 Lot: 1-8,14-30/10-16 unit: 100 Block: NA Bldg Tract. Address Rangel Historic: No Suite Range: zoning: P E City of Santa Ana Permit Counter: (7'14) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA92702 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Electrical Permit #: 20{66900 Pin #: {13O5 Owner: Address: Phone: Tenant Name: IRS Contractor Address: American Realty Advisors 700 N Brand Blvd Ste 300 Glendale, CA 91203 0r 1 16002 01 1 '16002 01116002 01 1 16002 01 I 16002 0't '1 16002 5160: 5160: 51603 5'160: 5160( 5160: Amount 1 .45 1 .58 1.05 33.88 22.O8 55.04 Fee $5.80 $4.74 $2.10 $33.88 $22.08 $5s.04 Fee Type 125 Volt Receptacle Light Switches, Occ. Se Light Fixtures Low Voltage/Comm General Plan Update lssuance Qty 4.00 3.00 2.OO 1 .00 '1 .00 1 .00 Phone State Lic #: 686221 Lic Type: C-10 Bus. Lic #: 164636 Workers' Compensation lnsurance: Carrier: lnsurance Company of the West Policy #: WSD5032839 Expires: 0210112019 Bdtch+r 45904 - ?/ !3/ 7t-tt9 Off ice: CTYH Tnnrrs+r .?Acct+: Ftef+:(cpf+:0238315(l - L11312t-tlg Trqnsoct ion Totu I ID; LRoSALES1of 1 :.rul669rlrlg,.r7 Afl S 1rl.J. 61, iockoee El ectr i. In, Building Use: Job Type: Nature of Work: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Commercial Tenant lmprovement Tl/Card readers B III B, SPK cEc 2015 91.r1,56 $1?3,64 \,h Date: Dale: Date: [Iisc. Receipt: l\4isc. Receipt: NIisc. Receiptl Total Hernandez, Kathy 10197625 Every pemit issued shall b4cone invalid unless the work or, lhe slte authorized by such permit is commenced within180 days aftet its issuance, or if the work authoized on the site by such permit is suspended ot abandoned for a peiod ofl80 days after the lime the work is cofihenced. lnspector MtD#.2018-'r46058 09/13/2018 Account# 01 1 16002 51600 011'16002 s1603 Fee Total Paid to Dale: Balance Due: $ 123.64 $0.00 $123.64 Hackney Electric lnc 23286 Arroyo Vista Rancho Santa Margarita, cl (949) 2644000 Planning Conditions: Occupancy; Constr Type: Code:Notes: Clenerol Plfln Updcrte lee 01116Cr0?- 51600011r:r- Ele.tr irnl trlI1600?- 51611301111- ICL Che.k rlTltBi $22.O8 $101 .56 ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG,COMMENTS OWNER BUI[,DER DELCARAAION I hcrchy afirm !tutcr ncorlry or r.rjury rhm l , l cxcmpr rbn rhc ConrlElon Licctrsc ln$ r{n rhc lallowiriS rc,son (Scc.?0.11.5 ausinNs and P(ni$ion Coic): Any Cily or Counry shich rcquirc[ Fnnn ro otrindr. lxcr. nnp(,vc. dcnFlnh or rFln Mt ntuciurc, prhrh irs hsu,n.c. rlso rcqtrncs lhc lPlli.nnl r.r snch li.rmir lo filc! sisned dsrcNm rhar h.orshc n licc.scd Iiu6uant lo rhc [ovisions ol thc Conracr.is Liccnsd li* (Chrprcr 9. Comm.RinS wnh Scction 7000 of Divnion:] or'h. Busincs: ,nd ProaesbnsCodc)orrh korlheir.x.n1prrh.turiu'nanilrhcb{islorrh.rllcscdcrcnrrliur Anyvt,lari,nofsNlhiTo:tl thy,:ny ,pplicanrforrl.rnirrubic.Brhcaprli.snltor.ivilpcnollyofnolflsrcrhmfikhrndrcddolltus($5fl)) -1. !\ owncrofrhc trlFny, rv my.nll'loyccs wirh wrg.r rs rhcn \olc comrnsalion- willdo rlE w.lk,nd thc slmtm is ml irtcMcd or olT.md ro. $h (Se.7044- Busirc$ ond Pref.sions C.<ic: -l hc G)nr&i{tr\ Li.rns. tjw docs ml ap}ly ro an oNncr ol rhepmFny sho bnilds or imptuv.. rh.6 r.d wh..ld\su.heorkhinNclforh.rclforrhmughhis.rhcrorncDploycc\. providcd that such inomwmnls arc (, inrs'rd.tl or oflbtd fff slc ,l lhftru. rhc hoildiry or irynovcnr is s,fil *ithin ..c )t'd or.o.Dr.ihn. rhc Owrcr auiUd will h.E lh. hnrdcn ol'FmvinS lh.l hc or $c dil mr hli! ur in9rcw lhc ptutdy r'or the !uq.{ of I.Nowmrolrh.lopcny.rnrcrclusivclyconuaclinss'ilhliccn\cdcoDtrd)^t)con{rucrrhcl)(*cl(Scc 7{X,4, Bt,i"t* !d ltDrissbn Codc TncContackx'{Lic.ns.LrwiloNnor.pplyrotrtrowncrolpopcn}wh,,l,uild\orln1t'otsrhcrcon. atrd who .onrrn n, such projcd s rnh i Conrmcknl t lienstl pu^ur h rhc C. k,.ttr\Lrctr*Llwr -l Lmercfrfl undcr s.clior IQAKEBTIAUII;NSA.IIAN DECIATA.IIO! I hcr.by allim o dnl).ntrlryofNrjuryonc olthc folkrBirg d€l.r.rnrns -l harc md qillnrinrainaCcniicrrcotCon{nr n' scll lnrdrc ntrworkds comlrns[i,)n- !s tovi{lcd id hysc.rion]700olrhc tih.r Codc. ln, rhc Frl'omncc oi rhc sork for which lhc pcn.ir k i\su.d l harc oDd *ill nrrn ain aorkcrr .on!*trslrn innrrmc. u{ rL\oircd bySccrion l?(X)orrhc lllitr C(xlc. forrhcF lirnEN.oi rhc work fin*hichrhi\ p.irnir rs tsucd. Mywork.n (nrFnsrrion iNurrN. catricr a' F,licy xmb.r ml I rdify rhr in rhc |f,rLrnrnccol lhc *ork i{tr $llich thi\ pcrmir l i\\urd,I \hrll nor c [loy0nylcnon in anymrnn r \i u\ m hccom {hr.cr ro rhc sorkcn' .o iFn\arion hw\ .r Calironrir. rfrr u!rcc lh ilI shruld b(o'ft \uhjc.r turrt srnkcrs onrtcnsuri,r p(,vision\orS..ri.r:l?00 ol rhc Lrh, Corlc.l shsll.lonh$irh cannPly wiih ltxJss Pn,visions.. WARNING: F ilurc ro ccurc workcrJ {nrrcnslli(nr (n .i\il finc\ ut r,.nr hundrc'l rh.tr\rhl d.llirs l$l(x).lrx ,,,,,.i1f1sf ro Cdc. i cic( rnd altormy \ DECI.ABAIION I hcrchy amfl.!.der pruxy or p.rjury rh.r I am liftnx.d utrdcr Imvision olChatrs 9(co'nftncing snh sclion 7000) ofDivhion l of rh. Busi'r$ a'Id Pmf.s{onr Codc. ,Jd fr! li.cn* is in f{ll fom dd clLcl. r..: /\ , t^1. "^"'7 / 1 5 19 M {JU*' coNfrBlsltoNLrNDtlti-atiENcr I huicbt nlttm und.r Fndhyoipcrjwylhd 'h.rc is s con(dclion bndin! {cn.y ror lhc lrrfoirMnce oflhc q for shi.h rhis Fflnil ir is!,cd (Sa. 3097. Cie C ) AITUCANLDECI.AMI]ON I ffiy lfam undcr pcnahy of pcrjwy o@ ol rhc follo*ing d€l,a' ions D.trhlirion Pcrmik-Asb.(os Norificlrirtr Fcderal RcBUlarions (Tirlc 40. P!n6) Rcquned klrcr of Nolifrotion -l ccnifyrhr rhc ndcralresuhrion\ r.! di+r\hnosrc mhl& nrr n[t]li.!blc r()lllnF,jccr l.cnifrrhrr llirr r. rhisrpt, .'di'rnccsrnd Si rc l-r*\ RhrnEn, tr rnd stircrhrrrfu rhorc irlonndion ot&vc mDrioncn nm|cny n, Applicnnt o. AA..l SiEtrhnr aErN r, omnly sih ill aliry Jnd GunD Nc\ rrhrc y,nd coulftyt. cntc!u},n ltE ^," ?LilE- Site-Work Underoround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lile Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Groundinq / UFER Translormers Torqueino Sub-Panels Air Conditioners Roof Top Equipmenl Factory Wired Unit Walls (Conduit) Walls (Rouqh)il- t-fit - ))e )ef(,-t {) Ceilinqs (Hard & Solfit Rouqh Ceilings (T-Bar Rouoh)//..8-r9.DJt+.t iv) [,4eter Release Rouoh Service lVleter FINAL /2-?-/e J)asdz ,ad Notes, Remarks, Etc. LcnJci' Add c*: -- --r----- tt