HomeMy WebLinkAbout20166607 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O166607
Pin #: 25205
City of Santa Ana
Permit Counter: (714) 647-5800
Unit:
Block: NA
Bldg:
Tract: 2089
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Lot: 37
Owner:
Address
Contractor
Address:
John Le
2707 Olive Ln
Santa Ana, CA 92706
(714) 809-0505
Coastal Estates & Oevelopn
10527 El Campo Ave
Fountain Valley, CA 92708
17 14). 955-1221
Fee Type Amount
01 1'16002 5'1603 Demolition (includes ren 48.46
01 116002 5160C General Plan Update 22.O8
0'1 '116002 5160: lssuance 55.04
Qty
't.00
1.00
1.00
Fee
$48.46
$22.08
$s5.04
Tenant Name:
gotch+:45214 - g/6/2fr18 ID:
off ice: ,-TYH Tronei3 123Acct+r Refir ?ul
Rcpt+:02349371 - 8/6/2018 3tit
Trsnsq':t ion Totsl $449
Phone
State Lic #: 945'191
Lic Type: B, C-27
Bus. Lic #: 341984
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9088187
Expires: 0210412019
Co(tstoI -3t(ttes & oevelop ent
Generol Flon tlodote F€e
ir11t6[02- r16Ll0UU(r-
E lectr i,:ol
r1111600?- 516030(r(r-
Cosh
(:honse
Single Family Dwelling
Demolition
Demo pool
Zuniga, Allissa
10197263
Occupancy:
Constr Type
Code:
Notes: lnfill existing pool
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unloss the wo* or, the sife
authorized by such permit is commenced within 180 days after its
issuance, ot il the wotk authoized on the sile by such permit is suspended
or abandoned fot a period ot180 days aftet the time the work is
commonced.
Date:
Date:
Date:08/06/2018
Account#
lnspector MID#: 2018-145186
01 1 16002 51600
01116002 51603
$22.08
$103.50
Fee Total
Paid to Date;
Balance Due:
Proiect Address: 2707 N Olive Ln
Assessor'sParcel: 0O2-244-OB
Phone:
Building Use:
Job Type:
Nature of Work:
R-3, U
VB
cEc 2016
l\4isc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
$'125.58
$0.00
$125.58
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DEII DELCARATION
I hcrcbr oflnnr trndcr pcnahy or p.r.,uiy rhd I am.xcnDr liorn rhc G)ntmclo$ Licen\e lj* forrnc lollowing eos r (5(70115
Ilusin.r\ a l Prof.si,)n cdc) try Cily or Coutrt! which rcquncs r Fmrir lo onnod, alrd. inpr.v.. d.mlhh or reFn any
{tu.ruc. rrid ro n\ issnnm.. als rcquncs rhc arpli.o rb! such I'crn l lo lilc a sised {dcmnr !h! tror shc is li.ctrs! pu^uonl
ro thc provkions ofrhc Conrlacrois t-ic.ned Lr* (chaprcr 9, c(,nncmnrS with Scclion 7fiJ0 of Dilhn,n 3.f rhc Bu1,nc$ 0nd
Profcssn).s Co.lc) or rhd hcorshc i\.xumfl lhcrcron ind th.hsis for lhcrllcscdcxcnlprion. Aoy vidarioiofScdionT03l.5 by!try
rppli.anr lnr tr !.mi suhj(rs lhc rDplica.r tor.ivillcMlryolmr morcrhan fiv. hundrcd d.llds (s500).
l. al osncr.frhc pn,Nny. or nrycmploles wirh er8cs nr th.ir arle comnctr\arion. $illdo rht wrk dxl rhc slMlurc k mr
idcndcd or oltcrcd l'or sllc (Sa.7O1-1. Busincs lnd ltofe$ions Cod.: Th. c.ikn.rols Liccnsc tjw {locs nolapplytu rn owNr of
rhc pmpcdy (ho boilds d i'rqros rh.u)n. urt who des sch vo* hnnscllor icrsllor rhn,ugh hi\ or hcr o$n cnlloyccs.
provi.lcd lhirsuch i,npn*cnEnh rc rn inrcndcrl or.ttcnd rbr {lc Il k)tt!.r, rh. huiklin8 or rlmrcmnr h sd*irhi"onc }u
ot.onfLri,i, rhc Owmr Buikhr *ill lllvc rhc hord ot pmvinS lhd hc or sh. did nor bxiu ot it{mrc (hc td'Fny lor rhc purtns of
I. asowncr oilhc pmpcny. om cx.tusncly conlrrr ins ,irh liccn\cd cotrtack"s ro.onsrudl rnc pm]cd (Ss. ?O14. Bu\inc\s
aftl tltrlssh. Codc: Thc Conrracrors l-i.cnsd Ltrw dds nor stply b Mowrcr ol pro,Erty who 6uild\ or tnphvs rhcr.otr.
and who conracr\ ror su.h l)t,Jc.rs silh ! Conltr'ons) liccnscd pusuont ro rhc Conka.tn \ Liftnsc tiR)
Ir rrcnfr Dnd$Sdri(,n .a &PC li)rlhi\rc!{[
D,le Oener
woRxEn-s' c-oMPEI{SATloN
DEClrl&lIO!
I hcrchyuffir und.r Fndkyorpdjuryorc ofrhc tollowirB d(lomlions:
-l
har ud sill minllin a Ccd ificDrc .f cons.nr b sclaln\urc r(, *or*cN .ompcnsal ion. !\ pmviddd ttr by sNr iotr l70o o f ihc
tjhor Cod..l.r th. p.dormme oarhc sork n, $hich thc Frmn is i\\ucd.
Ihdv.dndsill,nrinrrinqolkcrrcorpcnsalioniNuram.-asrcqutcdhySc.rn:l?U)olrhcljboiCodc.forrhcpcrr.rtun...f
rh. work nr whih tht F.rmir is hntrn. My workcN compcn\arn,n iisurrfrc .drifi exi Plicy number uc:
T
(
-t
ccniiyrhnr in rhc t rfortui.c ofrhc woik for trhi.hthrs Nrnit h issuci- I\halt i.r cnlloy riy pcmn ir rnym ncr
s, rsroL(n.sublcdk,lhcwo crl (nrp.ns!ri{)n law\ ofcllilni,ri( id rsrcc rhd ll l should hccom \uhjccr rorhr
w.rkcr' .onrFnsarh !tr,vhi.n\ of Sccrion .17(Xr of rhc lihtr ('o1., I shrll. lonhwirh conrply w irh rh)q Pmlnt'n\ .
WARNINC Foi'u'e In s.drc wqk.,i curn .n\arnn.r{mgc r. utrllrrul. d \hull \uhirr sn.nrli'J.r
'n
om,nd FMli.\ dnd
civrl lincr un ro onc hundrcd rhru.rnd Jolla\ riloo,QmNn ,Jd ioo !o rhc c!! or c rnncn.dion, '!nruc.' r( Prord.d lor
'hcScroi.lo76of rhc L€tqcodc nlcN dd drqFv rf.".. \ I n
,,,". ( -G -t( ^,,#,-!v*tr^-lG- .'
LTCENSED CONIRACTOR
DSC!.ABATON
I hcEh, altr unde. pcdlry or pcrjury (hat t an liccns.d lndcr pmvhion oaCh!fls 9 (conmrci.g vnh Scdion ?U[) ofDivkiotr ]
of rhc Busimss and Pnfcssinnr Codc. nnd my li..mc h in tu)l nre ard tu.
""" g<'C- l{.
CONSTRI]CTION I TNDIN(I AGENC1
I h.rcby 0iltm uEd.r lEnohy of ncrjury rhd rhcrc h a onsln(lidn lc.dinB l8.Ry ior lhc l,cnormrcc oa rlE srk ror whkh thk Fnn ii
i\su.d rscc 1097. Civ. C.r
AIPI,II]6NI-IIEII,IIBAIIO!
I hdrby iflim undcr p.nolly olpcriuryonc oflhe foUowins dccluralions:
Demnirion Pcrnn. Ast*nog Norifi.arion F.tcral Rcrulations (Titlc 40. Pan6)
R.qLiBl tdtcr of Norification
-l
ccnify rhlr rhc fcdcral rcslhrk,nr Eganling alrEio! r.mtal m nor epli.rblc lo thh pmjcr
-l ccnily rh l nsve read rhk npplic0lion nn alc rhal thc 0tnvc infomlion is corer I !88 ro corply *ilh all Cily lid Counly
o'(linxN.\ rna Srrrc I r*\ftlnri'rgr nrr xl ltrrchylurh.ri7.r.[c{mnrivcrorrh C:iryitrd CoutrrrlocnlcruF'nlhe
:ltltrc nrtrlnnd poNny lbr
A|lnti.lnr nr A8enl SiX xlsre t\IJ
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilinqs (T-Bar Rouoh)
l\4eter Release
Rouqh
Service lvleter tl
FINAL u g tq /U//h (q)
Notes, Remarks, Etc rl L.z
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