HomeMy WebLinkAbout20163836 - PermitCity of Santa Ana
Permit Counter: (7'14) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O163E36
Pin #: 95174
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Project Address: 3401 S Harbor Blvd
Assessor'sParcel: 414-262-08 Lot: POR 3
Unil:
Block: NA
Bldg:
Tracl: WILLIAMS
Address Range:
Historic: No
Suite Range:
Zoning: P
Owner:
Address:
Phone:
Tenant Name:
Contraclor
Address:
Kaiser Fondation Health Plan lnc
1707 Barcelona Circle
Placentia, CA 92870
(7',t41. 572-57'.to
Kaiser Permanents
Kaiser Foundation Health Pl
1707 Barcelona Circle
Placentia, CA 92870
(909) 4274700
Fes Type
011 16002 51603 Air Conditioner
01116002 53601 P/C - 65%
01 l 16002 51600 General Plan Update
01'116002 51603 lssuance
Amount
0.65
21 .25
52 98
Fee
$839.52
$545.69
$21.25
$52.98
Qty
9.00
839.52
1 .00
1.00
Phone
Slate Lic #: 370871
Lic Type: B
Bus. Lic #: 2108
Workers' Compensation lnsurance:
Carrier: Dept of lndustrial Relatlons
Policy #: 1053
Expires: O1lO1l2O1A
A-3, B
ll B, SPK Story lncrease
cEc 2016
PAID
sEP 01 201/
City of Santa Ana
Notes: fees pd on M-69995
Building Usei
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permil #:
Commercial
Alteration
Roof mtd equipment
Davis, Scotl
\If Hernandez, Kathy
Date:
Oate:
Oate:
10193710
$
Occupancy:
Constr Type
Code:
08t09t2017
09to1t2017
Account#
Misc. Receipt: 69879
Misc. Receipt: 69995
Misc. Receipt:
Total
Every permit issued shall becorne invelid unless the wo* on lhe sile
authonzed by such pamil is commenced within 180 days allet ils
issuance, ot il tho wo* authoized on lhe site by such pennil is suspended
or abandoned lot a period ol 1 80 days aftet the tine lhe wo* is
comngnc:Ed.
$1,459.44
$1,459.44
$0.00
lnspector MID#: 2O17-1378'lO
N/A - No Balance Fee Total:
Paid to Date:
Balance Oue:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS I ha*t .,Im undq Fst, of Fjuy lhd I o ctdF fion E (lntrrtoE Lic6e k* tor thc ftlbwnU twr (li€.?01l5
Buitld id PrcIdnr Cod.)r A!, Cn, or Co!n, *htt EquiE r Fha l. orEn<l. .!q, tr4.oE &tulirh or lrt , Dr
ltr*ic. Fir to irr illffq .to EqiE tL +didl tor uh Fma lo 6k . iei.d rrdrd lhr h. o, thc i lilq!.d Fjld
to rh. FDvisio6 ot rlr Coflsiqt Lkar.d L.w (Ct p(g 9. Comtrins wih Serrn ,0(x) of Divnior I ol lh. BoilB ud
Pref.sioN Co&) or ll[l lE d ,E k GxmF lfiddron sd llE h.si for lhc .lkB.d cran tiotr An, violdion olsdbn ?0! | , b, oy
4li.d for. Fnh $bjal! rlE rppli..r ro r.iril Fuhy of 6r mc
'h.D
fir. ltui{icd {tolltt {t500)
l, s o9@ olrh. FlFly, d tuy onplo,6 wilh $.s6 B lhcir $t snFdion, witl & tlt 6t.,t ltE llidE i N
inrGx,.d orotrd.d for rlc (56 ?O&. BNi.B ed ProaqioN Cod. Th. Co r&ioit Uc.e t w <bd ml tPply to d ot6 ol
tlE FFry * lb tlilb o Dgis tlrdoa !n $l, dE rrl wri hief o, bd*lf or thftus! hn s lE o$ atplor6.
Fltlral rhl un nFrEEr. E d. dcrd.d d olE .l ir sl. l[ ho$w. rlt hr'ldiB s !+EEr b iB *inh m ]6
ot.orpltia fi.O*E Boilb sU lirtln hddr ofFlvtB lh.,tdtt dit ml llfiG itqotllE FbFr,6rdE F,Po..of
l. s NE orrh. FDFry. d 6.lAndy odrsrrls *nh lkdE d otu*16 to @,eu.r 0E F.jd (Sa 704,1. h!i6
dd hok& Co&: Tt C6 r-roi! Li.e t {' dG ml .Fly lo 6 0*'.6 olFFty wlb hlit! or iDp.ot€ rhc6a
od who snrxrr am sxh Fj.rrs wnh. ( odr&lo(t) ltoB d ltrBBi ro fi. ('oln,alm ! lioe L.*).
I m.rmF urb Scrion
WORKFRS'COMPT\SATION
lrEgtaallll!
I h6d'y .llm !i(b FEn, ol Frdy or oirlE f.lb$in, ddh nBl
I h,\. r'd will tuinrld . Cdttsr. oa( o.er ro s.lf-lnsG for m.t6 oiFEro.. a FttiLd lor by S6lio! !?qJ of lh.
L€bor ( od., aor rtc Ffoduc. o t rh. *o.I lu *ni.h rh. tEnil b isu.d.
-lh.(.d*illtui .ns a.mrEdbniffi..6 Equrld b.vSdi.n 17m of rt bor Code ft,r$. Ffo.m ot
$. *ut rd $tth ria pdmn i iBld My wo.l6 (oFui6r iEuft. @b .!d pola, Dumbc c
I cdify rh i. rh. Fforun.. of lh€ *ork for vhich thn Ddf,ir 6 Go.d. l rhrll nol mploy !try pdsn in My nmnd
i 6to b.omsti6r lo rh. \dtd'@hrFE nn h*. of ( niftlmia ud.srlh, itI stDuu tBo@ sbrel lolL
uortd' onpddhn FoBioB of Sdiirn 17m of E l,h, Co& I rbll fonts'ih @r4ly sdh lh.r Fo\ ilbB
waRNl C F.ilurc ro EU. wrl6'conrdllion o!6.sc n unh*ful, Ed rtdl sbjd o anploF b cnnhd lErhi! ud
civil fo6 up ro oE hu,iL.d tho6.!d &llr. (tloo.(x]o), ir..lditb,lo llE cor of Eohp@aiotr drd36 B Flva.d for tlEildfr:*1#.:w
DECIJAAIIq!
I ha!6, .rm u.& FE[! of Fruy lhr I e h.q!.d u!d6 Foririr olch+r6 9 (oMiA3 *nh Sdl.n 7000) of D\ irbn ]
of rh. BBitg Dd PrladioB Codc. td ny licde ir h tull loc ti.116r
K?-/-/"
cox a!(Jla!l.t:!!actcE!t1
I h6!by .mm und6 FElly o I Frury lhi rrF. i . @innEi.. ldiie .rtry tu rlE Fflfuc olllE sott tu sith
'hi! Fnn a
L$al (sc 1097,('iv. c ).
AIIUSAUT.OECIIAAITO!
I i.rby r&E udd p6rl, ol p6Juy m 6frlE fouowq ddlrrb6:
Dqblirion Pdin-Arb.not tloritudio! rG.k l R.SrhiD [ritk 40. P.n6)
R.quircd l-.rla of Nod6..io,
I csrit lhr rls f.d€.1 EluhioG Esrdi.s std6 mr.l c 'bt
q,pl.$L h rhi! FoFr
I colityrhi I h.vc @dlhn lppltdio. nil n.rhr, th.,livc i.aonn lion isco,r.cl I lstc ro &ndy *irh ill ( ny snd ( ounly
mdirc rd Sr.r. l:s Eldit* ro hlildiIs o!r!t\r.lio[ n{ had} dbriz rq* ir6 ol rhs Cnt Ed cou.iy ro 6ls upon llE
!bo!. Mrb..d Fordr for iNr<1ion
,{ppli.rtrl orAgdl Signi(urr ).c4-J ?-/ -/2
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing 1
Air Conditioners t7-z-lf 9 -Y-tL'
Roof Top Equipment (/
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
.A
Rough N-FlJE.t)
Service Meter \_/
FINAL K lfU/JIT
Notes, Remarks, Etc
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Sub-Panels
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l2-zl'l /@n'-