HomeMy WebLinkAbout20166476 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2016,6476
Pin #: 613O9lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 1801 E Chestnut Ave Unit:
Block: NA
Bldg:
ftact:24
Address Range:
Historic: No
Suite Range:
Zoning: O
E
Assessor'sParcel: 402-212-01 Lot: 3, POR 1, POR 4
Owner:
Address:
City of Santa Ana
20 Civic Center Plz
Sanla Ana, CA 927014058
01116002 51603
01 1 16002 51603
01 1 16002 5'1603
011 16002 53601
01't'16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type Amount
Subpanel 242.07
Over 1-10 HP, KW or K\ 23.29
Over 50-100 HP, KW or 104.95
Ptc - 65% 0.65
Fee Exempt -726.98
General Plan Updale 22.08
lssuance 55.04
Qty
1.00
2.00
1.00
394.25
't.00
't.00
1.00
Fee
$242.07
$46.58
$104.95
$256.26
$-726.98
$22.08
$55.04
Phone.
Tenant Name: Prentice Park
Contractor
Address:
V V D Communications
12681 Pala Drive
Garden Grove, CA 92841
(714) 206-1048Phone
State Lic #: 821598
Lic Type: C-7, A, C-10
Bus. Lic #: 351998
Workers' Compensation lnsurance:
Carrier: Old Republic
Policy #: A1CW12781700
Expires: '1111412018
Ciry
Miscellaneous
EV Changers
Occupancy:
Constr Type
Codel
N/A
N/A
cEc 20't6 Notes: fee exemptJetter on file
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Smith, Mark
Brodowski, Teri
Date:
Date:
Date:
07130t2018
08/13/2018
Account#
lvlisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
Every pefinit issued shall become invalid unless the wo* on the site
authoized by such permit is cofimenced within 180 days aftet ils
issuance, ot if the wotk authorized on the site by such permit is suspended
ot abandoned for a petiod o1180 days aftet the time the wo* is
commenced
lnspector MID#: 2018-144769
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Dale:
Balance Due:
$0.00
$0.00
$0.00
Building Use:
Job Type:
Nature of Work:
APPROVALS DATE COMMENTS OWNER AUlLDER DELCARATION
I h€rcb, arfi,m undcr pcnolry of lciury rhor I 0m exenpt lmnr rhe Conlncron Lksn* lj! iu rhe fouowine r..avrn 1s...70.11t
Burincs a"d Pmfe$ion Crtc) Any Cny or Counl, rhth reqlir6 r pcmiit b c.n{ru.r. 61rft, in1proE d.mnnh ,. rcpatr y
smclue, priqro irs ii\u.cc, als. Equircs rhe npplica tuslch Frmi t, fiLa ri8n.d sdc,mm rhar hcor shc G ticcnsc{ pu.\n t
to th€ pmvisions oflhc Conlnclols Liccnrd tjw (Choptcr 9. Comncrcins wilh Sccthn 7Om ol Divirion -l ofrh. Busincs ,nd
Professions Codc) or rhar h. or sh€ iscrcnrpt rhercfrona rnc bork lbr rh. allcscd €xeoFrior, Any vdalionof SNion 70.11s hyan!
arplica rbr a pcmil slbjalslhe apolic! to scivilpcnrllyofnol'mrclhan fivc hundrcddollds($50o)
l.,s owror olrh. Fmp.ny. or mycmplorf,cs eilh waBcs {s rlrl $k.untcnsarion. willdo Inc nork o.d llE srurdE i\ ft
idcdei u of,ercd ttr ele (Sa 70,i4. Bushcs and tt{,lesioF Codc Thc CodBctois Liccn* Ilw des nor ,F!ly lo & oq'ncr ol
rhc tmpcny *ho hoil'is o. inworcs lhcmn. nt who des sEh *ork hiarsclfor hcrslfor rhmryh hn or hcr osn enpl.yc.s,
providcn rhlt such numvcm.rs m nor inrcnd.d or ofloql f.r st. l( h.reE. rh. tuikliry or in{mrcmrr ir bld wilhin nm Fr
of.or{iLrion. !h. Ownf Buildcr will hak rh. buftLn of ptuvi.g rhnt h. or shc did tror build or inrpDvc dE pmtEny for rtE nuqns ol
I. owic.olrhc trolreny, ad.x.lxrivcly contacrins wirh liccnscd codlrrbN rd..tr{tu.r rh. pnrc.r lscc. ?o44. Busir'c$
ml ftoission Codc Th. Gnrrcctoi \ Liccnr tiw docs n.r rnply to m on nc. of prolEn y who h ild\ or ihpn,vct rh.rcon,
ind who conr.Jcr fir such ptuj.c( wnh n Conrncdr \) li.c \dl pursurnt ro rh. Coft0ck sLiccnetiw)
I rcxc rlr ! dcr Sc.noi
I) r O*.r.
ranKl:&t.(auuNtdrr0-ri
DICLIAAIION
I h.rcby rflirtundcr FnJlr) of|f,rjrry.n. ofrhc n,lb$ing d.chrrri{)n\
-l
hovc and willmintrin a CcnifElrc ofConscnr lo Sclilnsurc ao! workcrF Nnpc.qrion, r\ pr.vid.d ror b, scdion l70ooirh.
L0hor C{nc. for th. pcrforroncc olthc work aor whkh thc plrmil h issued
_1tulc rnd silln[i trin workcri.onr|[n\rri{nr insurrnc.. as rcqnncd hyScrii{in.17([olrhc t;$orCodc. ror thc lcrfonnnkc ol
rhc sbrk ntr*hichthi\ ptnnir i\ n\ucd MyNorkcrr comli.nsrriotr insrrlm..ari.r md F)li.t nun$.r u.
PolicyNu'nhcl-
I ccrlifyrhar inrh. rcrtortunccofrhc wo* ld uhichrhis Fnrn is issuod,l ftrll nor cmploy atry lEnon in anymanncr
so s ro hcconE subid h lhc qolkcr conDc.s ion hwsofcaliaomia. and asrcc lhlr ifl shotld bccntu rubjccr turh(
*orkc6' compcnlar ion poli\ionr ol Scclion 3?00 of rhc , ihtr Arlt. I \i!ll. ft'nh*irh omply w i'h rbs pn'vhion\
WARNING rtriturc b surc workcs conrrns ion covcmg. i\ utrhellll. .nd stull \ubjcr !n cmplorr ro oidinrl lrruhk\ and
civil finct u! ro.m hnndrcd lhousnnd dollnrs ($lm.uD). itr iddiltun ro rhc co( ol conrpcnslrion. donrsci a\ Fovidcd titr rh.
S(r'on x',o ni rh. blnr a'odc, rcrc{rod0 onu \14.
D.l.:_ _ _ ._ Appllol: _LICENSEDc6ii cToR
II&q,AAAIII]N
Ihcrcby,fiirmund€rFnahyoiFrJurythltIamlien*du.rpmvhiorofChlplc9(commrcing*nhSsrbn7000)ofDithionl
of $c Busin.$ ed Profcsions Codc. ald my li..ns. is in tuU foE ond crccl.
ATIITANfDECIASAIII]N
I hftty ofiim lndcr pennhy of p.rjury one ot $c followinS dcclffilions:
Dcmlnio. PfnriB-Asb.slos Nolin arion Fcdcral Rcguhrions (Till.2lO. PM6)
R.quircd ldlc. of Nodlrcdion
I ccnilyrl,rrrhc n.lcrrl rcguhrn,n\ frg&llnE a\hc{osrtr vJlrrc a, rptlic$lc n' rhis nnic.r
Underground
Pole Bases
Light Standards
as, Pool, Fountains
Signs (monument)
Lile Sale ty /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding i Groundinq / UFER
Torqueing
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
It/eter Release
Rough
Service Meter
FINAL (lrte,// ?I ''ma-rl-,/rrl
Notes, Remarks, Etc
ELECTRICAL.INSPECTOR RECORD
ID/SIG.
Site-Work
Transformers
Air Conditioners
(:(}NSTRUCTrcN I ENDIN(; A(;ENCY
I hcE$y am,r.uRlcr pcnalry.trrjuryrhor lhqe is acon(ruclhn hrdinr lscty lor rh. F nnuftc orrhc work lot shich rhis,r.nrit is
nsucJ (Scc 3097, Civ. C.)
l.nd.a! N m.
I .cnify th,t I h,v. rcd rnis .pplicariotr dt stdc rtu lhc rtDvc informrion is conNr I a8c to omply wirt all Ciry and Counry
ordin!rccs ed slrrc bws Elrrin8 ro building .onmcriob. lnd h.r.by aulhoirc rcfce.rarives otrhis City ond Colnrylo cnld lFn rlE
,liv. trnrioftd pn,p.ny tor insp.cria. puri!*i
Appllcrol or Agcnl SlgMtlE, -, Drl.:
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