HomeMy WebLinkAbout20166472 - PermitCify of Santa Ana
Permit Counter (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 1 41 667-27 38 lnspector Section: (71 4) 647-5853
Electrical Permit #: 2016,6472
Pin #: 2o349
Project Address: 20 Givic Center Plz
Assessor'sParcel: 008-067-38 Lot: l-10, POR 3
U nitl
Block: A, B
Bldg:
Tract: ROSS ADO
Address Range;
Historic: No
Suite Range:
Zoning: GC
ry
Owner:
Address
Contractor
Address:
Tenant Name
01116002 51603
01116002 51603
01116002 51603
0'1 116002 53601
01116002 51603
01116002 s1600
01116002 51603
City of Santa Ana
20 Civic Center
Santa Ana, CA 927021988
v v D Communications
1268'1 Pala Drive
Garden Grove, CA 92841
(714) 206-1048
Fee Type Amount
Subpanel 53.28
Over 1-10 HP, KW or K\ 23.29
Over 50-100 HP, KW or 104.95
Ptc - 650/o 0.65
Fee Exempt -415.48
General Plan Update 22.08
lssuance 55.04
Fee
$53.28
$46.58
$104.95
$133.55
$-415.48
$22.08
$55.04
Phone
State Lic #: 82'1598
Lic Type: C-7, A, C-10
Bus. Lic #: 351998
Workers' Compensation lnsurance:Carrier: Old Republic
Policy #: A1CW12781700
Expires: 1'111412018
Building use:
Job Type;
Nature of Work
Planning Conditions:
Planning Approval By:Date
Date
Dale
o8t14t2014
oBt21t2018
Account#
Misc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
City
Miscellaneous
EV Chargers
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016 Notes: ln parking structure. Fee exempuletter on file.
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall bocome hvalid unless the wotu on lhe site
aulhorized by such pemit is commenced wilhin 180 days after its
issuance, ot if the v,lork authorizod on tha site by such pennil is suspended
or abandoned fot a period of 180 days aftet tho lime the wo* is
commencecl
[,,1
fl
$0.00
$0.00
$0.00
lnspector MID#: 2018-144764
N/A - No Balance
N/A - No Balance
Fee Total:
Paid to Date:
Balance Due
Phone:
Qty
1 .00
2.00
1 .00
205.46
'1 .00
1 .00
'1 .00
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Life Safet y /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
lrl>*qoBqnding / Grounding / UFER /o-1-r3 J )
Transformers r:-Y
Torqueing
Sub-Panels
Air Conditioners
Rool To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Sollit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rou gh
Service Meter
FINAL to-?-rg J/n,frr{frt:
Remarks
OWNER BUILDER DELCARATION
I hcrcby rifiirn uft.r pcnrlry ar lf,rlurt rhrr I m crcnui h,nr rhc Contaclon l,ic.nsc trw lbr rhc folloNii! rca$n (S..r0ll5
aurin.ss rd Prolt*ion Codc) Aiy Cil, or County which rcquircs { I)cnnit lo coosrrud. rlrcr. inl|/ovc. dcirnlish nr mF r .'ny
idclurc- I,liulo ils issuaRc. aho r.qrircs rhc appli.nm fu sr.hpcrnir b lllc a stncd ,rcdnr rhar hrorshc i\ li..rs.d prruant
ro lh. Frvnnrns orrhe Conrrrcktr \ l-i.cnscd ljw (Ch!!rer 9. Com'Rn.nr8 *ith Sc.lion 70( of Divkioo 3 of rhc tsusiNss lnd
Prolcssionr Codc) or Ih.r h.orrhc kcnq, rhcrcrr,ma.d rlchtrh forrhc 0llcsed crcmplion AnyvidutiooofSccri,n?Oll5byony
,rtli.a.r for!pcmn subjslslhc applic.nlrorciviltctrrhyortrol rorc rh,tr livc huMred dollrs (S5m)
_1. as osrcr or (hr rop.ny. rr n'y d.'rl.rte\ wirh wrscs us rhcn Db .onrFnsllion. will do rhc work ond lh. (urur n nol
idc lsl orollcrcd lnr slc (Sc 7044. liurimss and P(nissions Cod.: ThcCin a.kr'\I-i.cn\c LaNdod\nor arflybr owicr.f
rhcpolcny who huilds or inlrovs rlrBfl, and uk) drf,\ chsn hinr.ll or hcNla.r rhmugh nis o. hcr own.'nphyccs.
pn)ridcd rhar ruch i'npmkmnc m nor inrcftl.d o oficEd for srL ll. howctu. rh. huiklir8 or nnpnrcmn! is \nd *irhh . . Jrrr
oldnnlkli('n.lhcOwncrBuiklcrwilhrvc rlrburdc..fpr,vi'r! rhrr h.o!sfic dkl n tniu or imrrolr rhc propcnt fffrhtllrln{ol
-1.
asowtrcr olrl[ Fmpcny.0m.r.lusivcly.onta.rins wirh liccnscd conrracroN ro c.n(tucl rhc I'n,rcct rS(. 7044- Bosinc$
rtol Pirft.sb. Codc: 'l hc Conracroar l-iccnsc La* docs mr nftly k' M owncr olpr.Fny who builds or inprovu( rfurcon.,nd who conrRch ror such pmjccrs w'lh r G, 0d.n n lkns.yl pu^u nr rh. G,nrrcroa\ l-iccn* l!s)
-l
rncrcorF undcr Sdifl . B & I( |,tr r[n rrrnn,
Dtrlc: ()qne.
ITO.BtrE&::IjOMITNSA]]ON
I2EUdAAII'N
I hcrcby rmflnxnd.r p.nalry orFrjuryucofttu ti,llosios dcci{rlrioN:
I ha{ aftl u ill rtuinrain ! Ccaiff,lrc of Conscnr ro Sclf.lnsurc fo, $orkcrr ompcnsnrion, rs ,svidcd tu 6y s.crbn lTur or lhc
Itrtxn C.dc, l'or rtr lcrftrmncc oI thc qo* lor which
'h.
ponir i\ issncd
-lh.vc
nd willDannain qnrkc. cohpcn\rrn'n insur!rcr. as rquncd hySccrion lrotrol rh. t]bor o)dc.t:(,r lhc pcrloflnrncc uf
rhc [ork lor whth rhis p.inir is nsu&1. My *orkcn conrFnssr ion insur@e crrk. r'xl policy nu nrher ec:
I.cnirrh!l inIhc pcriormncc of rl"a sork Iir whi.hrhtr$,nir i\ h\uc . I\hrlln.r.npk,y rnyprr$. ina , trrr.i.r
v, skJtxoft s!bF1-r lo lhc $orkc$ c.mlcns[ion hws ofcrhlirarir, ,trd +Nrhar ill *ould hc.o * sub]cd brhc
work.r\'co'npcn\rrionpovisionsofSccrionl?00ofthcht rCod..lshrll.lodhNirh.onrplywirhrh.*rrovisids
W RNIN(|: l;{ilurc to ccurc *orkcrs mmtci\ on.o!.'rtc i\ trnlnwful. rtrd shxI\uha.r rn cillhy.r k' dnnitullttrrlri\ kl
civil finc\ up i. otrc hun rcd rhousond dollan 1 cosl ol .. lt*hsdn . danu!.s rs flovid.d for rhc
s..ri6n :1076 of rhc L,tnr Codc. hrcE
116tc:
z_-
Dr.( I \R \ l t{)\
I hrtuby inn und.r nrfuhyor|rtrjrrt
or rhc Busircs und Pmic$ions Codc. ord my liccnse t h rull ior.. and cficcl
I hcrchyalln rundcr JrMIiyott)crjuryn r rhc'ci\acon(
n\trcd rscc 109? Civ C)
r lc insrBcncy rbrrlrNrli,nnucc ollhc work rnrshichlhn pcrnrir t
t8rLl! Nfuirlj$anaN
I lrrbyrflinnundcr prnalry.f p.rjrry om of rh. n,llowin3dcchrarnnrs:
D{- dinun Prnrirr A\tf,no\ N.ri{icrii{,n Ic crrl R.Buhriqrs (Tirl..l0. Por6)
Rcqui'rJ l-crirrolNr.,i.rriotr
d rhir nfplicatbn .trd {Jrc rhxi rh.llr,vc i',fon,uri{,r i\romcr lr!a{kicompltsirhrllCiryrndCouiry
rclaringroIrurldirEcoNru.n.i.tridhcrchtrdlktrircr.prcsd rrivDrofrhisCir,MdCounryt). tTuA rhr
Lq L<-
Ou,,,,,",,,'{",",".,*rh-\,frr(rnc rr".
dFl,vu trErlxt|nN t
^o!li""eh, ^py;ism
Pe-i'rr{,m#rinr)l
N&ILft
Siqns (monument)
Notes,EtC.
I r liccnsc trn{lcr rx)ri\1fl.r (-hrDrcr q(connncNins $irh S.clion 71[[))oll)ivi\i.n.]
l-ctrd.r's Addi.si
-l
ccniiylharrhc ltdcnrl rc.lul0rions rcgeding rsbcros rcntr'ral rrc nor arpli.filcn, rhisri(rccr