HomeMy WebLinkAbout20166838 - PermitProject Address: 21 15 N Broadway
Assessor'sParcel: 399-102-25 Lot: '10 THRU 17
Suite Range:
Zoning: P
qUnit:
Block: NA
Bldgr Address Range:
Tract E. M. SMILEY'S SUBlistoric: No
Permit#: 20{66838
Pin #: 3118,4
Owneri
Address:
P hone
Tenant Name
01'116002 51603
0r 't 16002 51603
01 1 16002 51600
01'116002 51603
Schools First FCU
2115 N Broadway
Santa Ana, CA 927062613
(714) 466-8665
Schools First Federal Credit Union
Broadway Building Group, L
4590 MacArthur Blvd. Suite
Newpon Beach, CA 92660
(949) 335-7183
Fee
$3.16
$'18.90
$22.08
$55.04
Phone
State Lic #: 1005485
Lic Type: B
Bus. Lic #: 370469
Workers' Compensation lnsurance:Carrier: Mesa Underrvrite6 Specialty lnsurance Company
Policy #: MP0104016000116
Expires: 0A1U2019
T
:0237S546 -
a,:t ion Toto I
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
Commercial Occupancy:
Tenant lmprovement Constr TYPe
Tl/Restrooms and accessibkCode:
B
V A, SPK
cEc 2016 Noles: lnterior Tl includes demo and remodeling of existing
restroom at level 1 & 2 and rework parking area per
CBC accessibility upgrade.
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave-7"'
10't 96396
09/05/2018
Account#
01116002 51600
011 16002 5't603
$22.08
$77.10
$99.18
$0.00
$99.18
Every permil issued shall becone invalid unless the wo* on lhe site
authoized by such permit is commanced within 1E0 days eftet its
issuance, or ifthe wotk authotized on the site by such permit is suspended
ot abandoned fot a period of 180 days after the tifie the wo* is
cofimenced.
lnspector MID#: 20'18-143286
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Fee Type Amount
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Qty
2.00
18.00
1.00
1.00
I-EO5ALE53ol 5
1569J9
"r Pll
t.lg- 91
Contraclor:
Address:
8ot.h+:4-q755 - 9/1/2titg ID; :llr
F.p-f t I/:{r!9 1
Ir'ocrdwoy BLr i Id ine 6r.oLrp ]' LI I
6enerql. Plon Updote Fe€
01 1 16[r(t2.. i 1 6f"tct0r:ttr-
Electr i,:o1
01 1 1 6t:r0?- -E1 6(3r:rtr(-ItL f-:he,:k t)i2217
s77.1n
tl r l r-3,91Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Slandards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm i Dampers
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Sollit Rouoh
Ceilinos (T-Bar Rouqh)
Meter Release
Rough ("*IL (.<)6 ,Dffi l " ffo.r R.(. ,.1/4{1
Service Meter
U
Notes Remarks Etc.
FINAL
OWNER B('ILDER DELCARATION
I hercby allirn xndcr Fuolry of pcrjury rhal ! onr cxcmp' fb,n rhc Conrrrron LtenE Las tor thc following e,son (sc.7o:ll 5
Businds dnd Phrcssioi Codc) A.y Ciry or C.unry which rcqrircs a ,.nnir ro .onslDd, altcr. imnrovc. &.nlkh or Eprn any
srrucrurc. prhr ro ns ksuatrcc- aho rcqutcs rhc lt'Irlicanl lbr sucn Frmir ro filc u sisncd {dcmnl rhlr lt or sh. is lkcnscll N^u ,
h lhc tmlisions ol llE Conlraclols Li(cned bw (Chprcr 9. Conmrmirg wilh S.crion ?un o, Divnion I of lhc Businc$ and'
trulc$ions Conc)orthithcorshe Gcxcmpl lhcrcfonlnd lhebasis ror lhc rllqcd cxcnrprn,n An, violdioiorS&rirn70rl5 bt{ny
aptlicsnl arr a IErnrir subjccrs rhd lptlica !o ucivilpc.llrrofnor mnc rltrn tlv. hutrdrcddollam($500)
l. N ownm of rhc EoFny. or my cnDlorcs with w,gcs as rhcr $L cotrrlxos.lion. will do lhc work 0 ltr nru.iuE n tur
i cndcn or oilcrcd lnr $lc (S( ?0,14. BusiDcs atrd ProLsions C(ic: rhc G,nrraclois Licnsc ljw do$ nor arpl, t,,d.widror
rhc pmrcny wh. huild\ or inptuws rhcd)n. ud *ho dm\ \uch sork him\clfor hc*clfor rhnru8h hh or hc..encmpbyccs,
proridcd rhar such improwmnh m nor i cnl.:l or olT.r.n lor sb lt nowcNr, rhc buikliiS or inPmk,Etrr k hld wihrn nnc ,tJr
or.ompLiion, rhc o*ner Buiud { l htrE Ihc budch or lmvint rh,r tr or shc dii mt build or iry'rcvc rhc Imp.ny for rh. lnqrrc ol
I. asoundrlrhcfmp.nt, rnrcx.lusivcly.onticrirAwirh lic.r\d,contrdorrocon(rucrrhc pojccr (S( 7O1.{. Bu(ncss
rid E f6\k,nCodc: TneCotrrmcttr \ Li..ns.l-awdocs m! rpllyk, rnnqi$ ofpn,|[nytho builds or iflnrovcs rh.rcon.
rnd q'ln,.onrnr.hlorruchfrolcch$irhaConlEckrl()liccnscipuFUanrn,rh.(innructr'sl-icrn{Lrs)
-ldflrcxcmpl
undcrSccl
]I!]l]f,IiEsllolltDlsrlllON
DE!:ITIM.IIIIN
I hcrehy ilrtm undcr Fnnlly of lsjury onc oalhc i.llowin8 n(hrrlions:
-lhnvcudvillnminrain0CcnificlrcofCo.scntroScltlnsurcr'orBorteh.l,mp.isdn.dsImvid.dfo.bySdinn3T00olrhct lbr Codc. for rhc pdlornurce oi lhc qori for which thc psmil h Gsucd.
I! hav. ud *ill mrinrlin sorkcR c.nrcnsd ion insurarcc. es rcqut d by Sc! ion 1700 or lhc t$or Codc, for lhc perfom ceof
rhe work lor Bhicn lhh Fdir ia is$.n. My wo.kcs ompcnsrt,n anruon.c cmi.r dll polky numh.r uc
ca.i, . tTqit CAtt?PpS A77oL) lr% Eo^)b
/,
)(i ccnily rhat i'rihc pc n.umcorrhc w.rk lar which rhis p.nnir i\ isnrcd.l sl[llnol cnploy0n, pcnon irany nxnncr
s, as ro hcconE $lijd to lhc wo cn mmpcnsdiotr lows oi Calilorrir. lnd qsrcc rhar il l \huld h.rom \!bj.\r ro rh-
workss conrpc.s0rion [ovisions ofSc(rion]TmoIIhc bnor L-dlc.l shlll- k]nhsirh comply sirh rh.s pn,vi{n,ns
WARNINC Farlurc ro s.urc \rork s conDcnsdrion.ovc.!E ir unloNiul. {nn sholl subJecr an cnll)li,rr ro di.in,l!.mllirr and
.ivil inc\ up ro on. hundrcd thousMd dolllrs ( 100.fi)0). nr addirion lo llE c.sr oI comF.slii.n. dlrugc\ dr providcd fot rht
S..ri()n 1076ofrh. LrhtrCidc. ir crci rtrd dtorncy slics
,"..,- 1/4/4
I lrcEby dfirmundcr pcnillyofpciury thal I !m licensd undcr pmvision ofChllrer 9 (commncins {irh s..rir 7000) ofDivision l
of rhc Busift\r m{ Pmrcdlhns Codc. ord nry lacns. h in tull fore .nd cfiLrt.
)b 5
I hcrhy trfn und.rFn,kyorp.luryrhairhcr.isa$nNru.ri).lcndnrgaScmyforlh.pcrfonunccoflhcsorllo,whi.hrhi\rcmirk
hsued (ss 3097,civ. c )
AfIUCANIDECLAAAIIIJN
I haA,y anim undcr Fnalty of pcrjury .nc or I hc rollowin8 d(larar ionr:
Ocmlition PeflDik.Asbcstos Notificrrion Fcd€ml Rc8ularions (Titlc 40. Pan6)
-RcquiEd
Ldlerof Notilerion
dh,w rmtrriotrcd Imt dy ror i.slEiio" IurlFss.
Applicsnl or Asent Slsnrh'r€ >(.
Pemire mnelprini),rD(tM,4-ll tl ep A/.d5
EJ,TZWAIM
Communications Cable
Sub-Panels
Air Conditioners
il14
L,ndri Addr.ss:
-
-l
ccnili thnl lhc fcdcrol rc8u lario m rcB{din8 asbc(os rcmvrl&c n.t olpltahlc to lhn pnjccr.
-l
.cnify lhal I nlvc read rnh omli.ar ion ond natc thar rh. atBvc informrion n corccr I agft b .rorly wirh rll cny ond Coutrl,
ordiranccs rnd Slntc tiws Ehrins ro huildins consttucrion. lnd hcrchy authoizc rcprc*nrnri!6 o,rhi. Cnyand counlt lo cnt$ urr lhc
I