HomeMy WebLinkAbout20166245 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza ([/-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2f)166245
Pin #: 76933
Proiect Address: 2757 N Grand Ave
Assessor'sParcel: 390.171-11 Lolr POR 13
Unil:
Block: D
Bldg; Address Range: 2tos-2761
Tract A.B. CHAPMAN Historic; No
q'
Owner:
Address
Contractor
Address
01 1 16002
01 1 '16002
01 1 16002
01 1 16002
01 't 16002
01 1 16002
5160:
51604
5160:
5160:
5160C
5160:
Phone
Tenant Name: Buccaneer Pizza
GVO Commercial Properties lnc
1915 E Katella Ave #A
Orange, CA 928675'110
Dano Construction
10101 Edye Dr
Huntington Beach, CA 9254
(714) 5r04298
Qry
1.00
1.00
100
2.OO
100
1.00
Fee
$1.58
$1.05
$96.90
$49.58
$22.08
$55.04
State Lic #: 986824
Lic Type; B
Bus. Lic #: 366873
Workers' Compensation lnsuranceiCarrier: Exempt
Policy #:
Expires:
Eotch*:43620 - g/28/2,:tLg I0: |_R05ALE5
off ice: CTYH Trqnsi: 2? 3 of {Acct+t Ref+: 2[16,9?45
Rcet+:0236.(399 - 8,/28/2(r1.q 1 :19 Pr
Tronsoct i on Totol ll.rtl04.:i1Dftn Robents
Dono Construct ion
General Plan ljpdote Fee
01116002- 51600000-
El pEtr i col
01116002- 51603000-
Viso
CCa: Ilr**rrr*r**684[
$?(t/r " 15
$1r(r(r4"11
Auth+:r:t7914dtsuilding User
Job Type:
Nature of Work
A-2
VB
cEc 2016
Planning Conditions
Planning Approval Bla Date:
Plan Checked By: Date:
Permit lssued By: Hernandez, Kathy Date: Oal23l2O1A
Subject to Field: Account#
Buildins Permil #: 1 01 9681 1
Every pemit issued shall become invalid unless the wo* on the site
authoized by such pernit is commenced within180 days aftet ils
issuance, ot ifthe wo* authorized on the site by such pormit is suspended
or abandonod fot a period 01180 days aftet the time the work is
cohmenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 2017-135312
$22.08
$204.15
Fee Tolal
Paid to Datel
Balance Due:
$226.23
$0.00
$226.23
Suite Range:
Zoning: C5
Fee Type Amount
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
Air Conditioner 96.90
FWU 24,79
General Plan Update 22.08
lssuance 55.04
Phone:
Commercial Occupancy:
Tenant lmprovement Constr TYPe:
Roof Mtd Equip/Walk-ln CooCode:
Notes: Ok to issue per lnspector S. Derleth.
01 1 16002 51600
01116002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER B('I,DER DEI,CARATION
I h.Bh, rrfirn lndcr lenally oi perjury rhar I {n cxcnDr rrorn thc Gn rado6' Liensc trw for lhc iollo*ins rcuur (Sc.7o:lr 5
Dnsircss rrd Profcsr n Codc) Atry Ciry or C.rir, *hich rcquir.\ a Fhrir h $nd cr. ,li.r. i.rtrov.. d.molish or rclrir any
(ruclurc. prior ro ns nsi.tr.., dh rcquncsrh. rlpli.,trr ntr surh p.nnir ro filc, signcd s,lc f,nr rhar h..r shc is licctrscd |uisu.nr
h rhc lrn,vhion\ oI lhc Conrracnn \ !-iccnscd ljw (Chtrrr$ 9. CoNrcNing wirh Sslion ,lxll ol Dilhion 3 oi lhc Bus.lrc$ lnd
PtuIcsn,i\ Codc)or rh!! hcorsh. n cxcmrr rhclclrom and rh.n sh for rhc alhscd cxcmprion. AnyviolarionofS.crion?0.ll5byany
.t'tlicr ld, [:iinir rubjc.kihr rrpli.a.l h acirilpenllry.tnor mre rhrn lile hundreddo]la6 i55m)
L as osn.r of dL rnliny. or tt c tol.yE\ wirn *!8cs ar rhcir slc comDr nurion. s ill do rnc *or[ rd rhc ddLN n ft
intcndcn or oficrcd tor *& (Sd.?(,l4, Busiftrs nid ft(,fcs\i.n\ ci'dc: thc Gn rnckr's Li.cn\c Iiw ln).s n.r apply h .tr oqkr ol
rhc pmpcny wh) huills or iDlrows rhc@r lnd qho dc su.h *1)* hnnstlfor hctrclfor rhmu8h his or her oEn cnlnLlccs.
lruvidcJ rhrr ru.h impmvcmn*m n iir.aial oroflcr.d lor \ah ll hoN.w, rhc hoilding or iqrmletunr i\ nrld *irhin um )t1tr
or.onphri{nr. rnc Owrcr Euildc, will hnt lh. hurdcn of fmv ! rlrr tEorshc dil ml lDinor inlmr lhc pmpcny for rhc ruF){ ol
l. 3s o*mr .f lhc Dtr,rEny. rm cxclu\ivcly conr,cr ir8 wirh ticcnscd comacror to construd rhc rmj.{l (Se 7(44. Busincs\
aftl Br{ssrnCodc:I'hcConkNror'sLi.ctrs.La*dmsnorapllykrano"nrr.flronntwhobuildrorimlrovcsrhcr.on.
,nd who.a,nrErsaor\rchpojccliwirhrConrrlcto(rltc.scdpusunrr.rhcConrra.roisl-tenrlj*).
Id rcrc rtr u"dcr sc.rnni .B &Pc rbrrhisrcxvrn
uaatrEf,s.t0M.8[Ntar]a!
DEgIISAIION
I hclcby !fi nnlndcr F,rhyof pcrjuryoncof lhc rolh{ing d.clu,rk,.s:
Ihav.n'xlqill'n,i'nrinaCcnilicrirofConscnrhSclfln\urct(r$orksicompcn\!rn,n.rspmvidcdturi,yScciionlTmofrhc
titx, (idc, f{, rhc rErforft$cc olrhc *ork tor which thc pLrnrit n nsucd.
lhrvrrr,ls'llnlrnainsorkdi.otrpcn\inn,in\urrmc.r\rcrluircdhySrcri{,nlTmofrhclxhorG)dr.nnihcpcrlnnrr{or
rhc *ork tur*hrhrhi\ fi,rn i\ issucd My$orkcrr co Fnrari,n, nNUrnRrcxd.r md F,licy nun$.r rc
Policy Numb.n_Ernnes:
-lucniiyrlrrrillhcpcrfonnrftcoIrh.sorkntrshi.hIhi\Fnniri\i\\ucd.I\hrlliorc'ntlot
nyNr* irrtrynmncr
v' * n, l*dnn. sl,jc.l lo I hc workcr( (ortEn\lritr h$ or C{libfliia. ud arrc hnr il I should hco'm su6icci h ih.
work.^ .o,pciuri{nrpovisi,,tr\ors.criu.l?O0otlhcl-ahor(i!lc.lshrll,lnnIwilhcomnlrNiihihoscptr)vi\i,nr
WARNINC: Frilurc t() sccurc rntcs
cieil 6trc\ up to onc hundicd lhousond
:-,'"'ffY'y-
contctrsritrri rovcfulc r\ u rh$hrl. nDd
loll{c (SltD-000). ir diriotr Ir' rlr oi.omlEDsatiotr- drnmBc
t)ll t. (R \ (,\
I hcdht rfilr r n rr Ffrhy of ncrjry rhd I trm licnsL\l undcr tnovhion oi Chlplcr I (connm,rin8 s irh Srcrin TOrD) or Diriskn .l
ol rhc Bu\iM$onn Prot $ionsCodc. and rr li.cnsc h h hllror.c iM cr'iar
{ ,^"*",K
r0lsltsll-I]0lllill2lNli:llj
I hcchy sfln unlcr ltnllrr of pcrju,y lnll rh.rc t a connrudion lcndin8 uency for rhc Frtomncc of lhe work tur qhih rhis Fr ir i!
niucd (Scc.1097. Civ C.)
ATTIICANLDECLAAAIII)N
I hs.+yatrmlnder pcnahy of lcrjuryorc of ltc followin8 d(hEtions:
Dcmlnhn PcrmirrAsiE{os Nolification F.dc6lRcSDl io.s(Tnh 40. Pan6l
-Rcquncd
Lettcr ol Noli,lcoliotr
-l
lanifylh{ rhr fcdcral re8ulation! Esa!"lin8 lsbcstosr.trDv arc rcr lpnlicablc lo this prcicr
I cdilyrhd I hr\c rc d lhir.ppli.di,,n (klsd.rhnr rhcrtl)vc ink n i\conccr I agrl! h c.nlPly wirh rllCiryrnd C.utrry
orlinumcsn Shc tjws rchrine to hu ildin8 consndmn. xlhc
{hovc
'mnh.ncd !tup.rly tu iNnr.rionN{x)
bo-,
Site-Work
Underground
Pole Bases
Lighl Standards
as, Pool, Fountains
Signs (monument)
!!!9 Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundino i UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solfit Rouqh
Ceilinqs (T-Bar Rouoh)
[/]eter Release
Ro ugh
Service lvleter
FINAL 1/za/t<t s\<t
Notes, Remarks, Etc.
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