HomeMy WebLinkAbout20167494 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ167494
Pin #: 296{8
City of Santa Ana
Permit Counter: (714\ 647-5800
Proiect Address: 1918 E Glenwood Pl Unatl
Block: NA
Btdg:
Tract: NA
Address Range: 1904-1918
Historic: No
Suite Range:
Zoning: Ml
E
Lol: NA
Owner:
Address
Phonel
Tenant Name:
Contraclor
Address:
Rob Socci
1918 E Glenwood Pl
Santa Ana, CA 927055129
(7141935-2314
Axiom Materials
Griftith Electric
5682 Research Drive, E
Huntington Beach, CA 9254
(71413794823
01 1 16002
01 1 '16002
01 1 16002
01 1 16002
01 1 16002
51603
5'1603
5'1603
51600
51603
Fee Type Amount Qlf
125 Volt Receptacle 1 45 3 00
Dedrcated Circuat 24 79 2 00
Over 10 50 HP, KW or I 45 21 3 00
General Plan Update 22OB 1 00
lssuance 5504 tl 100
Fee
$4.3s
$49.s8
$13s.63
$22.08
$5s.04
Phone
State Lic #: 598445
Lic Type: B, C-10
Bus. Lic #: 348705
Workers' Compensation lnsurance:
Carrier: Security National lnsurance Company
Policy #: SWC1213611
Expires: '1010112019
Updote Fee
6irJ000-
,l]00-
i87(l
Building Use:
Job Type:
Nature of Work
Planning conditions
Chavez, Dave
lndustrial
Miscellaneous
Electrical
Occupancy:
Constr Type
Code:
B, S-t
V B, SPK
cEc 2015
Notes: Electrical - dedicated circuits, power apparatuses
Date
Date
Date
4?
12103t2018
Account#
lMisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
Every pemil issued shall becofie invalid unless the work orl lhe site
aulhorized by such permit is commenced wlhih 180 days aftet its
$suance, ot ifthe work authonzed on the sile by such permtt is suspended
ot abandoned lor a peiod of 180 days after the time the wo* is
comfienced
$266.68
$0.00
$266.68
lnspector MtD# 2018-147947
$22 08
$244.60
Fee Total:
Paid to Date:
Balance Due:
Assesso/sParcel: 403-041-06
benIl]
Ele
011
I (..
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:01 1 16002 51600
01 116002 51603
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Qgnding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rqof Top Equipment
Faclo ry Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Rough
Service lvleter
FINAL /2-f'/s.J/tilz fi,1)
OWNER AUILDER DEL(]AR{TION
I hdcby ,iftd undd paally oi Fjury lhn I M crempt 6onr lhc Conrra.los l-i.cns. Law for lhc aollowins r€en (56 701 I 5
Busin6s and Proadion Cod.) ,^., Cily or Counry which nqut6 a lrnn to coanru.r, alt6, improvc. <tdnolish or r.pat dy
srructuc. pnor lo its iasu c€. lls rqun6 th. opplicd aor such pdmn io fiI. . .ign d edmd thd h. or sll. b lico$d pusmr
ro lhc Fovisioc oftE conl.lctois Lic.n$d t:w (Chafls'). ComEc.ciry wirh S*ro. 7000 of Divtion I oflh. Blsin6 6d
ProGsions Codc) or lfiat he or sh€ is dmpl lh6.from Md lh. b6is for ih. rll.gaj .rdFion Any viobtion oas.dion 701 L5 by .ny
applicsl ior a Fm iubjel3th..pplicanlroscivilpc..hyofnormor.rhMfiv.hu.dr.ddolles(t500)
l, 6 ownd of rh. FoFny. or ny .mplo!6 knh $a*6 6lhcir sl. conpoMion. will d. t *ork and $. rd6. b mr
idodcd or o fs.d ior slc (Sc.7044, Bsins od Pmfsio6 aod.: Inc Conlracrois Lics. ks (t)6 nor aDply to o oBrs of
th.polEny who toil& or ihproGlhm.. ed who d(E suhuo hxns.lrorhd.lr6. rhmugh ht or ha o*n mployc.
provid.d rhar n'.h mprdrddts ft rtn i dd.d oarqcd lor eL. l( h.rvdr. lhc buiuine or inprcvo.d 6 Fkj wilh,n dn. )d
ot co,nplctirn, lhc Owr A!iU6 will hav€ thc hrd6 of Fovins lhd h. or sh. did ml hlild or improrc lh. propory ao, rh. FrFs ol
I. 6 o$nd 6i rhc Fop.ny, d.xclusiv.lyconrraclin! sirh licscd contradoslo (Nrruct rh. projdr iS6 7014. BGme
and r\irtusi, Codc lhe aofu,cr.a s l,ic.nsc Law do6 nor apply ro e own6 ol DrorEny sho builds or imDrov6 th6on.
and vho contmds aor such proj..ls $ith a Coilhdo(r l'ctudl tuRudr rorlE (ontraclois Li.d* tiw)
I m .x.mpi mdd Salion_, B. & P.C. for thi5 rcen
]llrA|Lt-lrllll]lrrlllAlDt( t_AR,\t l()N
I h(.br amnn und.r p.nahyoaFjoryon.oath. aollo{i.s ddla@tio6:
_l harc ad $ll mamrsin a Cqrilicate of CoNmr ro S.la- lBUr. for rvorkst conll,.nsrnn a proridcd tor by S..lion 1700 of th€
bbor Codc. for lh. pdaomec. of Lh. Mrt lor which lh. p6nil b isu.d
_l havc and ull m.inlain work.d comr,.Eslion i6uBncc. 6 rcqoircd by S(tion I700 oalhc tabor Cod.. aor lhc psfolMcc of
rh. work lor wh,ch rhis pmir i. isu.<L My *ort6 comFMion iNurmc. catrid ud policy nunbq tu€
"*,* ' *o".{- lJ r-L^l 5a 3,."..-<<- Ce
2-r:l Z
I c.nifylhot in rhe pdaonMm. ofrh. Bork ior $hi.h rhi trmn is irsu.d. I shall nor mploy any p.Mn in rny marn r
$ 4i lo bdon. subJd to lhc {ork6' comp<NI ion laNs ofCalifomi.. md qrc. ihal ill should b.conE subjal lo lh.
qod(d. codp.nerion pruvnioN ofS.dion 3?C{ofrh€ trhor Cod..ldEll. ionhsirh comply rilhlhos prcvi.io6..
WARNIN(;: Failut r. s@ Rort6 conptuation covoa8c is unlastul. and shzllrublct an @ploy6 ro ominrl Fuhis Md
ciil lin.s up to oh. hundr.d ihou@d doll6 (1100-000). in add ion to thc cosr or co,nFNalion. &iascs a provid.d for lhc
s&rio 1076 ofrh.l.alx)r codq inls51uddfrotuy't fB
!ECI,A8AI]A!
I hmby rtttrn u6do p@.ly o f p.rjurt lhat I o ltaa.d uidd Fovsion ofchapr6 9 (@maci.g * irh Sc.lion 7000) oa Divtion l
ol lh. BBiIB dd Prot6ions Co& &d ny licGc G in tull aorc. ed crdl.
c-t(2 I 528 ar ,/ S-
t2 ->I 5
coltllltcrurlrDlDrlcIc[lIjt
I h*by arm und6 Fn6ny o f pdju.y rhal fiq. b a cotdtu lio. hndi.g aldcy aor rl& pofol)@c. oalh. mrt for $tkh lhis Fnil ie
issu.d (S(.1097, Civ C )
AITI,TCANLDEO.dAAIIO!
I h6!byrlrmr.dd paaliy ofpdjury on oIthc followins dc.l&arionsl
Ddolirion Pmns-Ash6ros Notificalion Fcddal R.suLlions (Till. 40. Pan6)
R.qun.d Ldld of Non6.aion
I.fiiayrhar the leddal qularions rcrdd,ns db€stosBnoral e nol apflicable ro lhis prcj4l
-l
cd ify lhar I halc Bd rhi. applic.rion md $ar. ihd $. al!\. inlonnarnrn is .odd I as@ ro .onpl, wnh rll cny and aouhry
odmancB and Slaic k*s r.Ltiialo bu
!bov. morio..d lropd, lor inspfttion
( ald hd.by adhona r.F.frrdir6 o lrhis Cit, d c.u.rt ro ni6 uFn lh.
Applic.trl or Aaml silnrlure
eermiree nrme I panD, K t*\d>, cJ. G", ({, 4
IIIIIIIII
APPROVALS
,,,",.1a-3-/,
Ldd.r 3 Ad6<
-
Meter Release
Notes, Remarks, Etc.