HomeMy WebLinkAbout20166674 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ166,674
Pin #: 39112
City of Santa Ana
Permit Counter: (714\ 647-5800
Project Address: 3750 S Bristol St
Assessor'sParcel: 412-'131-12 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
AddressRange: 3600-3798
Historic: No
Suite Range:
Zoning C2
Owner:
Address
Contractor:
Address:
01 1 16002
01 1 16002
01 1 16002
01 I 16002
01 1 16002
01 1 16002
01 1 '16002
51603
51603
51603
51603
51603
51600
51603
Amount
1 .45
1 .58
1.05
-150.50
69.30
22.O8
55.04
Fee
$1 .45
$1.58
$1.05
$-150.50
$69.30
$22.08
$ss.04
Phone
Tenant Name:
Metro Town Square
3719 S Plaza Drive
Santa Ana, CA 92704
|'71415464255
Spruce Grove lnc
3719 S. Plaza Dr
Santa Ana, CA 92704
(7r4) 5464255
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Fee Exempt
Min Fee Adj
General Plan Update
lssuance
Phone
State Lic #: 229077
Lic Type: B, C.12
Bus. Lic #: 136/f26
Workers' Compensation lnsurance:
Carrier: Safety FiBt lnsur
Policy #: FCL4058142
Expires: 01/0112019
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Date
Date
B
V B, SPK
cEc 2016 Notes: CHANGE OF CONTRACTOR/LETTER ON FILE/AUTH.
FILED.
efl 08115t2018
Account#
Misc. Receipt:
Mjsc. Receapt:
Misc. Receipt:
Total
197372
Every pemit issued shall become invalid unless the work on the site
authoized by such pefinit is commenced within 180 days after its
issuance, ot ifthe wo* authodzed on the site by such pemit is suspended
or abandoned fot a period ol 1 80 days eftet the tirne the work is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2018-'143695
N/A - No Balance Fee Total:
Paid to Date:
Balance Due;
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Commercial Occupancy:
Tenant lmprovement Constr TYPe:
Change of Contractor-Tl/NetCode:
ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communicalions Cable
Building
Under Slab / Floor
Bondin g/Grounding/UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceili ngs (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
Rough 7-21-l Yr-Wil
Service l\/eter \J
FINAL lo -ll'l g 9)t|.1fi
Notes, Remarks, Etc lf
OWNEN BUILDER DELCARATION
I h.r.by aflirn lndq lr..dlry r,f p.rjrry rhar I m cic'npt amm rhc Grnt{roN Liccnsc tjw ro. lh. r.llowing rco$n (Scc 7031 5
Busin.ss Nrn Pi{rr.rsnrn Cod.) Any Ciry or Counry whi.h rqut s r FTnt ro con{fl.r, allcr, nnprovc. dcmlhh nr rcrEn lny
ed.rur., rior ro iri kuam. aho rcquics rhc apdi$r ror su.h Fnni to fih a siSocd st!'cmnl lhal nc or sh. is liccnscd puNanl
ro rh. povtions ofrh. Co.lnctoii l-icen\ed l,w lchaflcr 9, Conmtuing sirh s.crk,n 7ux) or Diyist,n ] !f rhc Businc$ {nd
PbfcsionsCodc)orrhsrlrorsh.n.r.q)rlhcrcrron,ndrh.b3\isrorrhcalhgcd.rcnDrion. nyviohrbnolScLlionT0ll5by{ny
q'plica fo. a p.rnn subj(k Ihe appli.lnr lo 0.ivilrcmllyofnot nrcrc$an livc hundrcd dollas($500).
I.ssowncrofrhcpn,lrny.o ny.'npk,y.dswnhwsEC\!srhctv,l...nrp.is.ri..willdorhcRorkindrh.sttrrurcisnol
ir[c,rk]l or ulLr.d for srlc (Se.7()4-.l. Busiross tr d Pn,fc(n \ C.dc Thc Contrrttr s l-i.ctrr ljw doc\ nor trpply lo u o*ncr ot
rhcpmpcdy Nho builds or improvcs rhcrdnr. rxl *ho dm\ \uch woll hinsellorhcrrlrorrhi{,uBh hi\ or hd o{n c rloyces.
providcd lh0r su(h nntretlmnh ee nol irrdrdcJ o oltNt tu ! c. lt howcrr. rlr ttrildi'U or i'qx,rcnrnl is Mrd wiihin oic )un
of.\nthrion, rh. Ownd auikln willhrvc rhc hordcn of pn,ving rltrr h..r slE did nor build or inr0mtr rhc lmlcny lor rh. pu{n\c of
-1.
isosncrofrhcr,rcFcny. amcxclusivclyconrdinA rnh liccnsd contricro^ ro otrsl[cr rrr prorcrr (scc ?04.r, Bu\ims
nnd E fcsinCod.:ThcContacror'sLiccn\cl-asdmsDoratplrroanoqncrofl,i(,p.dywhobriltlsorinrForcsthcrcon.
and 'ho.o.rtrdsforsurhpmj.ltswirhaOrtrrack'(OlictrsdpuFunrbrneGnr(kr'\l.tcn\eli*)
I rmcrcnlpr uM.r Sccrio
tlaatruE:rlll8rNtarlaN
DICI.ANAIIO!
I hf.hr rf,n,undrr p. rhyof p.rjury.ncol rhd tulh,wi'rg J..hzrhnsl
l hrvc od will roinhin a Ccn inclrc or Consnr k, Sclf lnsurc for {ukcB conf.nv i{'n. \ rtr)lidcdr.rbrSc.liourTu)ollh(
IitNr Codc.lor rhc nqlofl.mcc ofrhc sork r'or which rhc Ermil is hxucd.
Ihrvcrndwillnrinlrinsorkcrc.onp.ns.rnrnin\uracc,.\rcquncdbySc.rnnr1700oflhctiborCode.lbrthctcrloruncco,
rhc work for uhi.h rhh pcrmir ir issu.d. Mt wor*c^ r..rFnsario. insu!.ncc cnFicr dkl lrolicy numhcr sc:
-lccniry
thir h th. p.rfo,nuncc oirhc solk rbr wli.h rhn ncrnil is issucd. I shrll fr, cmrLy &ny pcrs'n in uy 'hMrr$ {s t, h..onr subjc.r b rh. w.rkc( conD.nqii.n ltrws orcrlili'mir. and lgm rld ifl dnnrld tr.otrE subjcd to rhc
w r*.$ .on1pcnu io pn,vhions of Scrion l7(X) .f rh. txhtr C.dc. I shall, tonh*iri snrply qith lhoc flovisions
WARNINCT F.ilurc k, $curc qorkcs c.mpctrsrridr covcflSc is unlaBiu. rtrd shnll suhiccl nn cmpl{i
lniotr ro lhc con .fcoarpcnsorhn, danD8$
I h.rchy xllnm trnl.r I[nrlrfotp.rjtrrt rhar
DS;IAEAII()N
I under provhioi orChapr$ 9 ((,nnftn.nr8 wirh sNrio.70(x)) otDivnion.l
42 7ar?-'
Ih.'chy llt r t ndi |xrxlrr.lncrir'! rh is a.- srtocrim lcndin8 agcnct ror rhc l,cridnmR. ofrhr "ork for whicn rhn Frmil n
i\lucl(Scc :llD7- Civ C)
,"-,r*"a.",rf
ELECTRICAL.INSPECTOR RECORD
APPHOVALS DATE
[,4eter Release
('n(1
of lhc ltusircs and Pmlcssirns Codc..nd nryltctrr n in tullforcc lnd crd
{
AfIIICAILDIELA8AII9!
I h.rcty anim undc{cnalty ol lErju,y orc of rh. follo*in8 dcclalal ions
Dcrrclirion P..nn$A.b.slos Noiific.rion Fcdcnl RcSul{ions (Tnb 40. Pfi 6)
*Rcquircd t ttcr of Noti6calion
tc,lcBlrcgtrl ri(,,s r!3lrdi'{ hnovcnn)v lrrc Dor ffli.ahtu h rlri\ Jni].cr
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