HomeMy WebLinkAbout20164050 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ol64050
Pin #: 99507
Project Address: 520 N Main St
Assessor'sParcel: 398-254-11 Lot: '1, 4, 5, 8, 9
Bldg: Address Range; 500-520 -
Tract: TOWN OF SANTA Allistoric: No
Suite Range:
Zoning: SD84
EUnit: 250
Block: 19
Owner:
Address
Contraclor:
Address:
Phone
Tenant Name:
CCP Holdings Group, LLc
520 N. Main St.
Santa Ana, cA 92701
17141925-5827
Hassard Construction
1355 Logan Avenue, Unit g
Costa Mesa, CA 92626
(949) 836-1679
Fee Type Amount Qty Fee
125 Volt Receptacle 1.4o 99.00 $138.60
Light switches, occ. se 1.52 46.00 $69.92
Light Fixtures 1.01 76.00 $76.76
Air Conditioner 93.28 2.00 $186.56
Dedicated Circuit 23.87 6.00 $143.22
Subpanel 51.29 1.00 $51.29
PIC - 650/o 0.65 667.00 $433.55
General Plan Update 21 .25 'l .00 $2'1.25
lssuance 52.98 1.00 $52.98
Botch+:41211 - 12/6/?nl1 ID: CCUELLARtlffice! CTYH Trensi: 68 ? ol 3
Acct+ | fiel+: 2trl64rllrl
R,-pt+:tr21t11962 - 12/6/21f7 12:35 PII
Tfsnscct ion Totcl l1'r:r19.r:rg
Hnssard (:onstruct ion
Phone
State Lic #: 937779
Lic Type: B
Bus. Lic #: 341444
Workers' Compensalion lnsurance:
Carrier: Norguard lns Co
Policy #: EDWC855975
Expires: 0911212018
B
VB
cEc 2016
Commercial
Tenant lmprovement
T.l.
Notes:
6enerol PlBn Updote F€e
0ll16002- 5160r]000-
E lectr icol
01116002- 516030rir1-
V isn
CC+: I*** *f*r**IltlQ I4
_ ,21.?1
*719. 33
tlr0l9.t1B
Auth+:133s11
Planning Approval By: Date:
Plan Checked By: Davis, Scott \(\,/,/ Date: 1011112017
Permil lssued By: Zuniga, Allissa\ Date: 1AOG12O17
Subject to Field: Account#
Planning Conditions:
Buildins Permit #: 101 931 53
Every permit issued shall become invalid unlass the work on the site
authoized by such permil is commencod within 180 days afler its
issuance, or if the wo* authoized on the site by such permit is suspended
or abandoned fot a period of 180 days after the tine the wo* is
cofimenced.
lnspector MID#: 20'17-136558
Misc. Receipt: 70005
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
0'1 1 16002 51603
$21.25
$719.33
Fee Total:
Paid to Date:
Balance Due:
$1,174.13
$433.55
$740.58
01116002 51603
01116002 51603
011'16002 51603
01116002 5'1603
01116002 51603
01 1 16002 51603
011 16002 53601
01 1 16002 51600
01116002 51603
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab i Floor
Bonding / Grounding / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)rA raAr ts./
Ivleter Release
Rough
Service lvleter
/1/iq )n9.,(
Notes, Remarks, Etc
ELECTR CAL.INSPECTOR RECORD
OWNER OTIILDER DEI,CARAITON
I hcrchy arfirm undcr Ptnahy {)a Frrnry r hnr I d cr.hpr fmn rhc G, a.tu6 Lt.nr t p for ihc followinS rclson ( SN ?rX 1.5
aulrncsr and Pturdsion C('d.) Any Ciry or Countt shi.h rcqun.s a Fmir l. connrucl. rller. imnnvc. d.mlhh .r rcp'tr ,ny
sddurc. ,rior lo ilr irsulme. trlso rcquncs thc rprlkrnl for $.h lErmir lo fih r si8ncd slll.m rhlr rt o, shtJs liccnrcd Nisu.n(
h ihE pn,riqi{,ni.r rhe Cont&ror's I-i..n*d t2w (Ch+ier 9, Conm.min! wirh S.dion ?0(D oI Divhkn 3 oflhc Busin.r\ and
Ptuf.\\ion\Codc)orrhrrh.r\hci\.rcmflrh.rcfroMandlh.hrsisforrhctrllcecdcxcnrl,tion.AnyviohrionofSccrir.T0.rl5byDn,
0mli.{ for N ,rrnrn sxhj..r th. r0plicant lo acivilnc.axyorfr, mrclhrn fivc hundr.n d.lla6 lS5m)
L dr owftr dr rh. plDp.ny. .r nry cmlhtd. wilh *ag$ * rh.ir $k .oftIEn{rion. wiu do llE *nk Et llE snrtu. n Bn
inrctrd or ofrcrcd ior qL (56 7044. Busimsr and Prufc$ions (odc: Thc o)nrrad( \ L,iccnsc ljs do6.or arplt l.3n osftror
rh. F,pcny qb l{ilils nr inln,B thmn..rxi who (lf,i {ch w)* himrcllor h.s.lfor rhouah hi( or hc, ow..q'Lrc.r,
pmvidcd ihat sucn imln)rcrd\mn, inr. lcd olLr]d aor elc ll lx,*crr. rh. trildinS or irpbrmnr is $ld withirorc tu
ofcotr{,ldion. lhc ourcr Buildc! will hlK IIE hud. ofrovitr8 rhd trorrhcdh mr tuiu or iqmw [E pDFnr aorrrxrn$)f,.r
-1.
a\ owmi ni rhc pmp.riy- !m crclu\iEly conrracrins $irh liccn*d conrracr,,^ t' onN!rucr rh. Ia j..r (s.{ 7o1.{, Bu'lm(
and RlfL\si)n C.dc: Thc Contr.rtr iLidcnscLavd€( no.attlyk' an.*ncr olfmpc y*ho builds or imtrove{ rhc.do..
rn'.r.md undcr Settr ! A &PC fo, rhtr 'cJ,nn -
f, //l '."'z "_*J,/<-- (h a/1 2n
w{rRxFtS coMpFNs^rroN
DEII.ATAI]!]!
I hcrchy !ffnmundcr pcnalryolFrju.t onc orlhc n,lbsin8 dcckrdrt'nl
-l
hlye aln will minroir a Ccrliararc of Conenr r., Scltln{rc tu sorkcn $n{rnMrn,.. i. FDvrd.d ror by Sdlion 3?(n of lhe
libor C.nc, forlhc pdlornEr. ofrh. wo forwhkhrh.Fnnil ii issucd.
ke 1,Z
_l hlvclndwillroi lin*ork.F coqEns.rion ins!rumc- as requncd 6ySNrn,n.lT0Oofrhc tritxtr Codc. for lhc Inform0ncc nl
_t
who cnnrDci\ in su.h F)re.r! *nh aConrm.hrlt li..n{d nursurnr k,ihcConkmtr\ Li.cnsc Uw)
i'Nurrr. cJricr nM fn'rynuinrrr ircl
a< lt, <aL
ciril nncs up ro onc hunnrcd rhols.nd dollan lsl )). rtr i!nlIi,,n rh rl[ c.n ol crtr,pctr\rri,tr,. Jrn']!r\ \ t,'!!vrl(L l!tr rhc
s..rirn.lo?60rrhc lrhtr (ixlc. idrr.! rnd
C
-l.c
ily rhdr ir th. NrlonMicc oi th. work lor wn ich rhtr Frnril i\ i{\ucd.Ish!llnor ctrDloyrnypcrsm in any nrtrkr
v, r\ h hcq,m \uhjccr h rhe workcrs'conBD\ur i.n lnw\ ol Crlit rnir- L isftc rhrrirI \kruld h.om luhj.cr lr,lrE
$orkcn on,pcnsxriln pmvii,,n\ o{ Sc.ri,m .17fO of r h. l ihtr C{xlc. l \hxll. fonhwith .o tply wirh rho* nnyhions
^,,,€ l2/jo tz a L
D'CLAI(AT'ON
I hc6hy ,rfirm und.r p.Mlry or pcrjury rhar Lm li.cnqn undfi I' vi{i.n or (]}pr.. 9 (d'mmmina wilh S(rion ?OOO) or Di!ki{,. l
or rh. Butims and P2[csi,rn\ Cud., rJxl ny lk.n.. t in fi'll nnm rd.n&a
-o V.2.n
o
bn{fl.rr)n hMinel8cmy for rnc ncr,ornumc ollhc Nork fortrhi.h rhi\ p.n irk
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I hcsht dftr utultr F_nrlrt orr.rjury rl'dr Ih..c r
k\ucd (SN .lll')7-Civ C)
at[utaNt oEcl,llarur]!
I trft+ry lnLn undcr Ii.nahy or p.rtury om ofrh. tulk,qing d.clr'rt,ns:
n nnibn Pcrnih A\hc\ros Norificari{,n Fcdcrrl Rcsukrions (Tirlc 40. Pana,
Rrttunc,l lrrr.r orNorili(rrhn
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ccnrlyrhr rhc fcdcrr I Esu ld ions rcBndin8 $tE{os rcnr!,lm n.l al)|)licablc to lhh roJccl
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ccnilylhlt I hovcrcadrhn rI k{rnnrud (irc rhlt rhc ahrlc inlon n'nncnrccr I rsre b @frply *irh all Ciry 0trd c.unry
orliNnccs aM Srarc Laws ellir8 k'h.n7c rcprcscfrinrs ofrhtr (''r! rtrd (irunrt, ki ctrrcr trti rlr
lhrc nEtrrioncd pmNdy for ins
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lDDliunl or AEcnt SiIn{lrre
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FINAL
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