HomeMy WebLinkAbout20166547 - PermitProject Address: 3779 S Plaza Dr
Assessor's Parcel: 412-131-12 Lot:
Unit:
Blockr NA
Btdg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning
E
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 20166547
Pin #: 85680
Owner:
Address:
BSG West Bristol LLC
5 Park Plaza
lrvine, CA 92614
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01116002
01 'l '16002
5160:
5160:
5160:
5160:
5'160:
5'160C
Amount
1.45
1 .58
1.05
53.28
'14.57
22.O8
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Subpanel
Min Fee Adj
General Plan Update
Qty
200
100
100
1.00
100
100
Fee
$2.90
$1.58
$1 .0s
$53.28
$14.57
$22.08
Phone
State Lic #: 994034
Lic Type: B
Bus. Lic #r 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9134311
Expires: 06/03/2019
01116002 5'160: lssuance ktcnt:{iq77 -519totmn 1fft ccurl$#a
office: CIYH Trolle+! {l 7 of I
Accti: Rrff: 201665{7
Rcott:0113{4{98 - TlNf)Ofi ll:15 All
Tronsoction Totol ll 1693.20
Goldline Construction
3004 Gainsborough Dr
Pasadena, CA 91107
(6261 222.6174
r4rt 6oldl i ne ConsLrwl ion
Cen€{"ol Pton lbdote Fee
01r 16{x)2- 5t60dre0-
Ele<tr icol
0u t6ffn- 516{lls00-IcL Check fifiI29
r22.08
1t28.+2
tl 1693.20
Occupancy:
Constr Type:
Code:
M
V B, SPK
cEc 2016
Planning Approval By: DAe:
Ptan checked By: I(,/tut",
Permit lssued By: Zuniga, Allissa I ' Date: 0713012018
Subject to Field: Account#
Planning Conditions
Buildins Permit #: 10196857
Every pemit issued shall become invalid unless the work on the sle
authoized by such permit is commenced within180 days aftet ils
issuanco, or if the wo* aulhorized on the site by such permit is suspended
ot abandoned for a penod of 180 days aftet the time the work is
commenced.
lnspector MID#: 2018-144079
lvlisc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notest T.l. - Demo partition walls and install new walls to
create restroom.
$150.50
$0.00
$150.50
01 1 16002 51600
01 116002 51603
$22.08
$128.42
Fee Total
Paid to Date:
Balance Due:
Phone:
Tenant Name:
Contractor:
Address:
Building use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
T.t.
tr
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS 0WNER DUTLDER DEI,CARATIoN
I herchy affifln und.r p.nalry.r rErrtry th{ Ln crempt fm'n rhc Conr!.r,^ t,icctr{ La* in rh. tou.{ing rdd$n (scc.70l5
Bunncss r l Prolc$ion Codc) Ai, Ciry or County whi.h rcquncs ( ,crnil ro mn{fl.r, atrcr. inrprovc_ dcnnnh ur torJtr Jny
irucrlrc, I'lio. ro ns issuancc. aho rcqutcs rh. +plianr ior suchlxmir b fit. a \igrcd srlrcmnr rh tr.r shc ir ti.cnrd puruMr rro rhc pmvnn F olrhc Conlrrctols Licciscd t,aw (Ch0!rcr 9. Conntuncins $ith Se.rio. Tuxr olDilisnri I oalic Fnsirc$ 0nd
Pmtc$ions Codc) or rhI hcorrhc n crcnpt rh.r.rtum 4d rhcMsh tbr rhc tr cgcd .r.nprion. Any viotnrion or sdion 7ot I 5 b, (ny
aptli.rnrnn!pclnrnsubjc.hrh..ppli.anloacivitp.nalryot.ormrcrhlnrivchundrcddd rnlS50O)
-1,
!r owtur or rhc popcny. or my cnltllorrc\ eirh wr8cs $ rhcir $tc d,nr.osation_ *itt do rhc m r.drtr {Nllru is mt
n cndol or oilcicd for el. (S( 7ol.l- Businc$ snd ftorc\siotrs Cdc: Thc Conkfi,\ t-i.cn* tj* des rer optty h r owtur oa
rhc Impciy who boild\ or ilnnmrcs ltrNr,nl *ho d*s sEh por* hnns.tfor hor*tfor rhmugh hir nr hcr own cnDhyc*.
providtd rhit such iml$rcnrnB oE e hrc eJo.ollc{d fi,uk If. tnsewi rhe buildiry o! iqm\rmnr ir $H wirhi,, u,r r{otmnl,lcrion. th. owncr Buitlcr sill harc lnc burdcn orltrnlins rh he or shc dil nur hriH or iqmw rhc pmFny for rh. pury,s of
l- s\owncr.rrhc ptupcdy. au crclusivcly..nrs.rinc Nirh liccnsd cotrra.k,F r, consruc nc !mj..l tscc 71r,14_ Bu!trcs
and Pnfcsiri c:(dc: Thc Conkacrols Lic.nse l-nw des nor dfrlv kJ r. o*ncr oi propcny sho builds or inpr.v6 rh.reon.,nd eho cnnimch ror su.h pfrrccls wilh I Conra.r4r) liccnsd rusuanr ro rhc Conrkrn s Li.cnsc Law)
I lorcicmrruM.r Sc.rnrn ,8.&P.C lnr rhis rc.son
llat.:_ - O{rcr
woRxFis' (l{rNrpFN.sATI()N
DECI {RAI(TN
I hcrcby rrfird undcr p€nalty of p.rjury oft ofrhc lhllowirA dekr[ions
I hrv. nrxl will mt oinrCcnnicrrcofConscnrroSctf"tNurclarsortc^ omp.trsdi.n. rs pn,vidcd fitrtyS(rion 37(X) trhc
Lrbor Codc, for lhc rcrrormrm. ofrbc ror* lor which ihc ncrnrir h h\ucd.
I h*e and sillm.int.in *ork.rs .onrpcnsarim insurnncc, as rquircd byScdid 37([ofrhc ljtxn Codc. lbr rh.
€,hf -,. rdrior in\unNcuricru F,lic,tu'nhcr cl
atnqzrr
_l.cairyrhtrrin rhc !dlofln0mcorrh. sork rir $hichrhis pcnnn is i\surd.I sholl nol codoy 0iy !c*oi i,r any unncr
* tr ro bccom suhrL{r h rhc *orksi conrFn\lriotr l,w\ of C.liraflrii. and rEEc rhar ir I \k,rld bccom suhjccr ro ..
sorl.n.onDctrs.rnrnF,lisn,tr\oIS(riotr3rmofrh.lihrrC{!lc.Irh.ll.fonhLvirhontl,sirhrhocprcvnion(..
IVARNIN(;: lilurc nr ccurc qork$ .rnnp.n! irr .or.rrg. i\ untr\iir!. rtrd shn suhlc.r i,r cnpkD.! r).rinrimt p.tr hs md
.^il litrc\ un ro onc huftrcd rho!\xtrrl (lol[r\ 1$t00(xx)), rn b rhc con ofcoml).n\rrn,n. dx'ngcs !s trovidcd ntr rhc
SLrri( 1076 of rhe l-nlnr Codc. incrc{ riJ r(or %o*- ? -zztt:/ / n
l)lr(l,AR,\ Ito\
I hcrcbt 0fatrm undcr Fn!|ry oa p€rju y lhar I aD lie.En undcr pmvirionofch+r$ 9 (cohmminB wnh Sclk. 7(xD) or Divnion 3
of thc Busimss and PmLssfuns Cod.. ard my li.cnsc h i. tull to.i a,rlcflal.
Zo
I hcrcb, nfli'n undcr Fnaltroftcrjury lhnrrh.r. is a con\ln.tiotr Lnding rt.my r.tr rhc pcrfonn.ncc irhcMtrk r.r $hichihi\ Frmilisi(suL\ttse -1097_ civ c ).
APPLICANT DFI:I AqATTON
I ltnby olilr'n u'der pcnrlty oipcr]nr] onc orrhc lollo$ini dc.tdornlN:
D.mlnbn P€rmirs.Asbcjos Norirr.uraon Fcderal Rcgul.riois (Tittc 40. Pin6)
-Rdqoircd
krrerof Nolifi cdion
_l ccnif, rhli rhe lcdcml E8ul.t ions ESrdins $besros rsnmvul m n r qdkdl,k ro lhn fmjer.
-l
cdify lhar I hdrc rcad this appli.alion ard {arc rhd thc,bow inro@!ioo iscorer.I agm losmptysirhalt Ciryart Counlyo'Ji nrcsnrtd Slrrc l-rsa r.i{n'.rtr. r'kl hcrrhyntrrhor/crtrcw Jrivc\ol rhis (-iryrtrd (tudtk,cdrr
rl$ve trEnti.trc fn,pcdylnr iN
,ltIli(.nr nr,\x r Si,!nrrtrrr '.,"J e o'/?
Site-Work
Unde round
Pole Bases
S Pool, Fountains
Life Safety /Low Volta ge
Fire Alarm / Dam rS
Communications Cable
Buildin g
Under Slab / Floor
Bondin / Groundi / UFER
Transformers
Sub-Panels
Facto Wired Unit
Walls (Conduit)
Ceili S Hard & Soffit Rou h
Ceilin S T-Bar Rou h
FINAL
Notes, Remarks , Elc
Liqht Standards
Siqns (monument)
Torqueinq
Air Conditioners
Rool Top Equipment
Walls (Rouqh)
It/leter Release
Rouoh
Service Meter