HomeMy WebLinkAbout20166893 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 41 667 -27 38 lnspector Section: (71 4) 647-5853
Electrical Permit #: 20{66893
Pin #: 20345
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 944 W Buffalo Ave
Assessor'sParcel: 001-185-17 Lot: 6&POR7
Unit:
Block: NA
Btdg:
Tract 3012
Address Range:
Historic: No
Suite Range:
Zoning: R1
br
Owner:
Address
Contractor
Address:
Terri Neuman
944 W Buffalo Ave
Santa Ana, CA 927061903
(7141 747 -0291
Alps AJC & Heating lnc
1000 E Howell Avenue, Unit
Anaheim, CA 92805
(714) 633-8892
01116002 5160:
01116002 5160C
011 '16002 5160:.
Amount
24.79
22.O8
55.04
Fee
$49.s8
$22.08
$55.04
Fee Type
General Plan Update
lssuance
Qty
2.OO
1.00
't.00
Tenant Name:
Phone
Eotchi:{S887 - i/12/20la I0: CCUELLARoffice: CTYH fronsi: 59 5 of 6Acctg: Refi: 2016699J
Rcptt;02382?38 - I llUZ$lS ?t2? Pn
Transoct ion Totol lLtrl37.77
AlPs A/C & llettt ins IncState Lic #: 667953
Lic Type: C.2O
Bus. Lic #: 0177939
Workers' Compensation lnsurance:
Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY
Policy #: FLA00731700
Expires: 1011912018
Generol Plon Updote Fee
0u t6(Xn- s1600000-
ElectP icol01 6002- 51603000-
ICL Check 00{661
ICL Check m4662
ICL Check 00{663
r?2.08
r$#o
3305.93
|269 .22
s437 .62
Building Use;
Job Type:
Nature of Work
Planning Conditions:
Single Family Dwelling
Miscellaneous
FWU
Fregoso, Vince
Occupaniy;
Constr Type:
Code:
R-3, U
VB
cEc 2016
Notes: c/o auth on file
\N
Date
Date
Date ogt't212014
Account#
09t12t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Hernandez, Kathy
$126.70
$0 00
$126.70
lnspector
0'1 1 16002 51600
01 116002 51603
$22.08
$104.62
Phone:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Every pefinit issued shall becone invalid unless lhe wo* on lhe site
authorized by such perfiit is conmenced within 180 days aftet its
issuance. or if the wofu aulhorizod on tho site by such peftnit is suspendod
ot abandoned for a peiod of180 days after tho tine lhe wo* is
comfienced.
Fee Total
Paid to Date:
Balance Due:
MtD#: 2018-146041 .
OWNER BUILDER DELCARATION
I hcEby amr ondcr pcnllry ol pcrjuly rhlr I am cxcnDl riom lhc Co,rrrclon l-iccn{c L!* {or lhe follo*ins rcr{i (Se70.ll5
Businc* Md Pnrfcsion Codc)r Any Ciry or {trunry ehtuh rcqrtcs s lltrn b ..nnrud. dr.., improvc. d.molish or Epuir 3ny
srru.lurc. prior h ns kuoncc, 8ho Eiutcs th€ 0p/icd for iu.h lrrnrit h f,c r si8trcd satm th hc or shc is liccnscd purs0nt
h rhc pmvisions ofth. C.nlEclols Li.enkd bw (Chnflcr 9. Connr..ing *irh S.c(i.n 7ffD ol Divisiotr 3 ofrtu Busiocss rnd
Profcssions Codc) or lhat [corshc iscxcmpl lhcrcarom and rhc bdsn ln rhc rllc8ed cxc'nflion. Any violathn ol Sdio! 70.] 1.5 h, lny
,npli.rnr ror a Frnrir \rbFcBrh. lptli.ad er s civil Dcnalty ot nor n,c rh fiv. hundrsl d.llan ($500)
L r\osn.rofrhc pnDdt. r r.rchNiv(lr(onkrring sirh lircn\.n.otrtxcktr\ ti coin'a.r rr In,l..r (Scc 7(N,1. Bustrcrs
d.d llnlissir Cdnc lhc (onkrct.r's l-iccnr l-& (bcs nol rprlv k, ro\ncrolnropcny$ho htritlsor nnprcvc\rhrrrotr.
dtrd who ro nrrr\lnrsurhfn'1..($irhaCoikrckir)lit's. puftuxtrrhrhc (i rr(kr'\ l-i.cn\c l-rq).
I rmcic lI, ri,ldr Sc.rio
lrof,Klif,Stro lfrNsa.Iloa
DICIdAAIION
I h&.by rlarnund.r Fhalry otp.rjury onc orihd folk,wing {lcctmri{rn\:
I htrvc el s ill tuitrrrin , C0 riiicrrc of Con\cnr r, SclflNurc itr workcn .onrp.n\rii,,n. r\ pR,vid.d r.r b!Sc.rhn lTUlotrh.
I trtx, ( odc. Inr rh. Fnbrroncc ., rhc so& ntr Nhich rhc p..nrir ir isnNj
I hrvc rid Rillirinrrnr sorkcra.otrrfnsrrioi nxurrmc. r\ rrqrnrJ h!S.dtrnr 17(N)ofrhc lnh.r Cidc. hrrhc pcni,nrr.col
rhc work lnrwhirhrhr\ p.nnir i\ rsucd. My$orkcrs conpcnsrri,r nNnrni(cudcr trllx)li.y iu $cr rc
I ccdify rhrl in thc ncrfofluncc {,frh. Nork fttr shl(h rhi\ Il.lnil is issu.J. I \hrll nor cmpk,y r'ry p.(on in rny nrtrkr
$ .s lo b..om suhtt{' ro
'hc
wo es .onrr.sarb. laws ol CrUturnir, rtrd tr!^-c rlu il l dsuld bc.o'rc subjccr lo lhc
wortcn.onlp.nerionprovsion!ofSLrtiotrST00ofrh.LahtrCodc.lrhrll.n)dh$irhcoardywirhrho{pmvhions
WARNINCT ljrilurc b Burc wr[en comNnsalion corchBc r\ unl0*tul. rnn shnll suhjccr ar cnrpl.yer r. criminrllrnrht\ ald
civil nnc\ !p ro onc hundrcd rholsand dollln lsllD.()(x)). in itldirio ro rhc coslolconrpcnsari.n, d!roEc\ Ds providcd nn rh.
Scdion 1076ofrhc lihnCde. inrere(rod alonry\ lc.{
1/ /21 I ( o,,,,-",,
DECI,ANAIO!
I hcEht nmrmxndc. r.n.l'yorpcrjuryrhar l.n li(6$d undcr p(,virion orchapt$ 9 (oNErcin8 *ith Salion ?fixr) oiDivnion 3
or rhc Busim$and PretcsinrBC.dc, ard dy liccnse n in tullforcc md eltel
a/tzltr ,;q
CONEIf,I&U!.INIEIDING.AGENII
I hcrcby lffirm u.dcr !.ntrlly of pciury ll'al lhcE h a consldclion lcndin8 {gcncy for thc pc ornEe ollhe work for shich lhis Fnrir ii
issucd(Scc :1097.Civ C).
AITUIANIDECI.Af,AUI.N
I h.r.5y aflim undcr Fnalr, of pcrju!, ore of rh. followins dehrul ions
Dc,mhion PcnnirrAstEstos Norificorion F.dd,l Rc8uldions (Tirl. 41,, Pan6)
_Rcqutcd lrricr of Ndifi calion
I(nilyrhrr rlr lidcrxlrceu[rio \rc!]rdi'rgn\h.no\r.'no\rlrrcnorrtfl'cnhIt,rtnffl)jrd
-lccnilyrhd
I h!!c.can rtulprlicrrionanlnlrcih0r rhctrtntt nrLrnrrion hcorc.t I rlre b c.nDly sirh all Ciry a.d cortrr,
ahovc nrtrriolL.d I)fuN y tur ir$""''/\""'*'po ltzlttADplic{rl fi A*cnl Si*nnlum.
APPROVALS DATE ID/SIG,COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monumenl)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Bu ild ing
Under Slab / Floor
Bondin g/Grounding/UFER
Transformers
Torqueinq
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilin gs (Hard & Solf it Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service lvleler
FINAL lo /ta /*S[ Efr
Notes Remarks
AL4
e\..^
^5,;
ELECTRICAL.INSPECTOR RECORD
-1.osownsoflhclm,tny.ormycmtbyNspirhwa8c(trsrhcn$h.!mF{bn,silldortEwoll({nlh.(ulurci\flnim.ndcn or ofitrcd nr sb (Ss 7044. Busirc\r an{l Prolcssions Cq,c: ltc Conrraclorr Licen* hv des nol amly ro L.o{ncr.r
Lr DmFny who boilds or tuipn)r3 rh.mn. and sho dcs skh uorl him\clfor h.s.lfor ih$uEh hh o. h.r ovn cmployccs.
pn,vidcd rhrr.kh i pnrtmn* rc mr imcndcl orcrcd fin srlc lli ho$rls, rhc hui|ing or n{nokn* ksU*irhin.ft}rJ,
or comphrion. lhc (rncr Buildcr *ill tut rh€ t u cnolpmvinslhat tE or shc did nor buiu o, impmE lhe rnFny ld rhe pxq.{ or
Lrndo . Addrc$
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Sub-Panels
EIC.