HomeMy WebLinkAbout20166491 - Permit20 Civic Center Plaza (I/-19), Santa Ana, C492702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Electrical Permit #: 2O16649{
Pin #: 68338
City of Santa Ana
Permit Counter: (714\ 647-5800
Project Address: 830 E Fourth St
AssessoisParcel: 398483-07 Lot: 8&POR7
Unit:
Block: A
Bldg: Address Range: 826-834 -
Tract HALL'S ADD Hastoric: No
Suite Range:
Zoning: SD84
E
Contractor:
Address:
Phone
Tenant Name:
Salvador Jimenez
16551 Ridgefield Dr
Riverside, CA 92503
(7141913-7647
Owner-Builder
01 116002 51603
01 116002 5160:
01 116002 51603
01 116002 51603
01116002 5160:
0'1 1 16002 5160C
01 116002 51603
Fee Type Amount
125 Volt Receptacle 1.45
Light Swilches, Occ. Se 1.58
Light Fixtures 1.05
FWU 24,79
Min Fee Adj 42.01
General Plan Update 22.08
lssuance 55.04
Qty
2.OO
1 .00
2.OO
1 .00
'1 00
1.00
1 .00
Fee
$2.90
$1.58
$2.10
$24.79
$42.O1
$22.08
$5s.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Jrllir
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type:
Code:
M
VB
cEc 20't6 Notes
1$ n",nrno".'
^",n,
07 t20t2018
Account#
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
10196540
Every pemil issued shall become invalid unless lhe wo.k or lhe site
authoized by such permit is conmenced within 180 days after its
issuance, ot if the wotk authoized on the site by such permit is susponded
or abandoned fot a potiod 01180 days aftet the time lhe work is
commenced,
$150.50
$0.00
$1s0.s0
MID#: 2018-143546
01 '1 16002 51600
01 '1 16002 51603
Fee Total
Paid to Date:
Balance Due:
Owner:
Address:
7 /111/2t1l9
lrfln5+3,i1
REI'+ l
- ) /')ti/'ltt1
,I 1te l- er
l 16l.
L i.li{
Date:
Date:
Date:
$22.08
$128.42
lnspector
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouqh
Ceilings (T-Bar Rouoh)
lVleter Release
tl
Rough (/zart ,r*'tt
FINAL I
Notes, Remarks, Etc T_
OWNER BUILDER DELCARATION
I hcrchy 0fl_rm under I].nalr, {,r pcrjury rhar I !m ercmfl frcm rhc Currrb^ Li..nsc Liw tu rh. iollowir8 rca$n lscc.loSl 5
Bu\nhs an{t Protcssion CodeJ Any Cny .r C.udy *hich r.quidr d |]dnir k, o.\iflct, altcr. nnl,ovc. dr'tulth or EFt aiy
stu.ruic. tEi* ro ir\ i\sunR.. also rcquncsrhcamli.inr fd su.h Fflnir to lilc a signcd st.tcmnt ltar tEor\hc ir li.cntd pD^uanr
b ihc pn,vtnnN ofrhc Conkr.tr \ l-i&n\cd ljw (Ch,prcr 9, C. nmn.rn! wnh Scdion TlxxJ of Division.l of rhc ttlxines ud
Profcrsn,ns Codc) o, rhd h..rsh. k crcrn thcrcliom drh.br\isli,rlhcdlcBcdcxcmplion AnyliolarionorSc.rionT0ll5bynn,
rypli.ant loraI'.nnn suhjais rh. rpplic.trl to icivilr.n.hyolnol nmrclhan nvc hlndrcd dollr\ (t500)
_1. $ o*rr of rhc pn,Fdr. or my .n1pk,yes sirh sar.\ rs rlrt y,lc .onpc0sr( tr :. eill do rhc work mn lhc slnErurc ii Bn
imc ]cd or ofi.rcd rff $k ( SLr '7o1il. Busi,rcst Md B'ofc(sioN Cdc Tltr CoDhcrr's I iccnsc li$ docs tror rmlt r. irr .u rcr of
rh.nfl)|x y who huild\ nr irFmvd\ rhirdr. xl sl[ d(.\ such w* lrlm\clt or hcr{ll or rhn'ugh hi: or hcr o*n cnfloy.c\.
nrovidcd r har such jmpraKnrnh rc nor i crtlcd or olIcR{ f{n wl{ Il li)acwi ih. lflildiu or n\rovcmnr is wld $irhin , nr )sr
ofdinpkrFn, tlr Owncr Buil.Jd *ill haE rhc l$dcn ofprcvm8 th.l hc or \hc dil trol ttriklor impr.lc rhr pmFny iir rtE Ptrlr.{of
-1.
$ oNEr ofrhc Itl)pcny. !dcxclusntly conrrucrinr wirh li.ctr*d cont..ttr\ ro..trid.r rtE pmrd (Sec. r(}1,1. Bu$c$
uil ftofcsi,nCodd:-l'hcG,ntactn s Liccnsc Lrw d.cs n l rl,plytu ar owncr of prorcrry who blildsor impoh{lhricon,
rtrd who contBcf r'or slch prcj.rts siri ! Conrrdcro(s) licetrscd rluFoanr rorh.
-l
umcxcmfr undc, Scdi->o-U o*n..
I h.d,y illirtrrnn(l.r N lry ol |['j f oN olrhc 1,,11,,wi,,!
-l
lrvc el wi,l ruinrBh ! Ccnificde of C.Ncnr h S.lflNrrc tu {orkda .onDcnsnliotr. !r 0rovnbd lor h} sccrion .1701) oi rhc
tibor Codc. for lhc pcrformncc oI lhc *olt lhr which rhc pc,n l n iNucd.
IhdvcandwilliDinrninwor*cH.ompcnsat,oninsurimc.asrcquircdhyScction37(I)ofIheLahorG)dc.furlsPrloiimncol
rh. work fttr which rht p.mil is nsu.d My vorlcd .onrpcneriofl i,Numncc cnEicr ad policy nlahcr Ec
_l ccnilythlr in rhc Frlorroncc of rhe wnrl for *hichrni\ permn i irsucd,l dru.or cnrrloyonyrcnon in lnynunMr
$ a\ b r*om slbiccr b rhc wtr*c $mpcnslion lr*s olc{lilornir. and a8rce rh ifl should bc.o'ft subjrd rotlE
*.dc* L\,n .nsnrt,n Imvisiois ol sedion l7m .l lh. knlr Codc, l shull- foah*irh co'nply sirh rh){ nmvhons.
WARNING |rinrc b {cnrc *orkcri r.n,Fnsxrion cokrsc i\ ttr rwlu sh,lt subt{ an cnrloycr x, siminaln Nlrics snJ
ciril lin.\ up b.nc hun r.d rlbr\r dollnr\ ($l(X).(xX)). in l'(ldil conDc.srrion. d Mgcs x\ pruvidcd ln' ihc
Sc.rion 1076 olrhr Lrhn(odc. i crc{r d rtr.nrt'
,".7 -)4 -{L
I hcrbyatirnrrndcrpdnrlryofFrjuryrhnr I Mrli..ns{ undcr F,vi\n or 9(coflnmrcinA *ilI S.crion TlxX)rdlDivi\n :]
ol rhc llusirEsslnd tto lassio n s Codc- dl n,y liccn\c is in lnll iiftr and .lT&i
_Lke.s. Numb.r:
SONiIBIJI:IIONI.DIDINCACENI.I
I hcrcbynlfirm unds penallyoipcrjuy rhrr rherc is ! coniocrn,n bndin!.8ci.y lnt rh. rcrfoirm.cc oflhe work Lr shi.h rhh Frnrir il
issucd(S( 1097.Civ. C )
APILIqANLIECI,IBAI]OX
I Mlt affim u*Lr n mh y or p.rjnry on. or lhc lollo*ing {h.lmrions:
Dcmlirion Pcrmik.AslEsros Notification Fcdcdl Re-qlhtions (Tirlc 40. Pdn6)
-R.quircd
t rrcr ol Nolirr.lion
Icc'lilyrhrrrhelidcrrlrcEUhri,,n\rgmln,ErhLnosrn^lrrnorlll)tl'.d,lct)rhisplrl..r
I r. ilirhrr lhrvd rud rhirnfDlirri(r d {rrc
odinrtr.e1!nd Srarc l:t*sr.t in8 h huildi',gcon{tu
vr iniflndnnr i\corrccl IiBGx'con'flyIirhrllCiryMdC.unty
rurhorizrftprcrnhrilcrofrhisCiiyan'lCounirbc crr1l rh.
ali)v. rNnrioncil lropcny lilr inrpc.r
,\ ppliont or ,\a€tr1 sianll ure
5Maea,<.v ,",.7'lo'1b
ITflfiAdEfiI
APPROVALS
Communications Cable
Service lvleter
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