HomeMy WebLinkAbout20168650 - PermitAssessor'sParcel: 198-133-05 Lot: NA
Unit:
Block: NA
Bldgl
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C2
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Pe_l rmit #: 2O{6865O
Pin #: 46134
Owner:
Address
Contractor:
Address:
011 'r6002
011 16002
011 16002
011 16002
011 16002
51603
51603
51603
s1600
51603
Qty
20.00
20.00
12.78
1 .00
1 .00
Fee
$29.00
$31.60
$12.78
$22.08
$55.04Tenant Name:
ADT3 Enterprise Ltd
11272 Westminster
Garden Grove, CA 92843
(7141902-3022
Design Concept and Constr
14371 StaEia St
W€tminster, CA 92683
(7141612-7112
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Min Fee Adj 1.00
General Plan Update 22.0A
lssuance 55.04
State Lic #: 593585
Lic Type: B
Bus. Lic #: 187798
Workers' Compensation lnsurance:
Carrier: Southern lnsurance Company
Policy #: PWC008464
Expires: 09/15/2019
Botchi:49755 -
0f t rce: (:TyH
Rcpt+:0162[99(r
Tron soct ion TotOccupancy:
Constr Type
Code:
B
VB
cEc 20r6
arBuilding Use:
Job Type:
Nalure of Work
Planning Approval By
Plan Checked By: ,
Permit lssued By
Subject to Field
Building Permit
Commercial
Tenant lmprovement
TI
, Teri
0197998
0er. i9n Concep t
Planning Conditions: All materials to match existing. See Planning condition under
Ml-NONR2016-8,r4T1.
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
05/09/2019
Account#
#01116002 51600
01116002 51603
$22.08
$128.42
Fee Total;
Paid to Date:
Balance Due:
$150.50
$0.00
$150.50
Every permit issued shall become invalid unless the wo* on the slte
authoized by such permit is comfienced within360 days after its
issuance, or il the wotk authotized on the sile by such peinit is suspended
ot abancloned for a period of 360 days aftet the time the work is
commenced
lnspector MID#: 2016-133278
Proiect Address: 2410W Seventeenth St
Phone:
Phone:
Notes:
Generol PIon updctte F
01 116002- 51sr:r0r:rtr[-
Electn irol
01 116002- 516r:rluLrt-
V iso
(:C+ 3 rrrr *rrrr{rrrggE
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service Meter
?trvr-FINAL .1.-a)
Notes, Remarks, Etc \}\T | \--..
OWNER BUII,DER DELCARATION
I hd.by amm undo po6iy of pdjury ih{ ! m .r.mpr arom rh. (onlr.clo6 Liccns. LaN for lhc folloG.s ..sn (Sd 70.1 I 5
B$in6s .nd Proa6sion Cod.) Any Ciry o. Counry Nhich rcqriB a psnn ro cofudrucr, rlt6, inprovc &nolish or ra.t ey
srrucrm, pno. lo ns isueq aL. rcqun6 rh. rorlic&r for such p6ftn b nl. r si8n d si4ffir thol tc or $c is licdscd p@dl
to rhc Fovisio6 of rh. Conu&roa! Lic.n$d Law (Chlplcr 9. Commcnclnr *irh S<lion 7000 of Divbion I oflh€ A6in6 ed
holNions Cod.) or rhat h. or sh. i! .x@pl thdcfrcm ed th. bais lor Oc alLedl .rmption Any viohtion oasc(ion 701 I .5 by uy
applicafl for a Frn subjfls th. rppli.dt rD a ciril p..alr, of.or nDr. thm fivc lundrcd dollas I lt00).
l, 6 owM otlh. p.op.ny. or nry .mplo)6 wilh wa!6 6 lh.ir $lc conFeridn, will & lh. *..t Md $c srrEim b nol
Dtad.d or oll(cd for el. {56 7or4, BBinB dd Ptul<ioc Codc In. Contraclois t-ic@ Lrw do6 nol lpply lo M osni ol
Ihc ptDpdy who blil.h or iDpmv6ln@r ud wno &6 sch r!* himclf or hqs.lror rh.olsh hi. or hd os mploy.6.
,rcvid.d that such ihFnvdob e mr i ad.d or olI.ral for sL l I hoq6 6. rh. toildiag or impro\ c1Bl i! eB lnhin on. Ja
otcotrrpkion.lh. Crxn6 BuiEs sll hav.ltE ttrrdo olprorins lhd h€ o. sh. did @t t ild or inFo€ lh. Fopcty for th. pu,pos oa
_ l, a osr6 otrh. Fopdry. d cr.lusir.ly codiad ins *irh li.aMn .o6tmlo6 lo conslrud lh. proj..l (S( 7044, BBmGi
and EDf.ssion Cod.r Th. Conlrictois Licms. LaE do6 m! aDplylo u os!( orprcp.ny $ho builds or inpb\.s thdan.
and who .onld.ls for such Foj.11s wnh a ( odDcro(3) licotsld pu6@d b thc Conlraclois Licdse lj!).
WOR,<ERS' COIIIPENSATION
U:QAAAIIA!
I hd.hy 6mrn undd p.n.ltyofp€luryon. oflhe fouo$in3 d(laratioE:
-l
hav. a'd Bill mamrain . C.nin.alc ofcoas! to S.ll lBurc ior work.6 conrp.ns.lion, G Fovidcd lor by Salion I700 oalhc
Labor Codi aor th. pdfomec. oflhc Nrk lor vhich lh. pGnril is isu.d
-lhav.andwillmai.inwork.ccomFsaiioniBura.c..6r.qun.dbySdionl?00o|thcLaboiCodi.ao.rhclcfomdc.ofp.mn i. issu.d. My worksr cohp.roalion i6uruc. cono and F,licy.uftbd d.
do 6 . tt5:
-l
ccnilyihal in thc pslo.lBncc oflh. sork tor \hichlhis Frmir t issu.d. I shall nor mplo, any p.mn in any muncr
$ 6ro bc<o6. sobjd Io th. workd' comp.Nl ion lawsofcdiaomia. and as!ft lh.l irI sh,uld bc.on 3ubjd' to 'h.{od6' cohpdsdon l,srisioB of S.clion l?00 ofrh. t bor ( od.. I shall. fonh{ilh conply wilh lho* prcvilioB .
WARNINC: Fa'lurc to ss. work6 conpccamn cor@sc s u.lasfu. dd sn.llsubj.rl dnployE to qininal p6ahi6 dd
c,vil fines up lo onc hundr.d lhousd d{nlds l, in a.Union b th. cosr oi ion, dmas6 a proidt!
Smri,)n 1076 ofrhc lf,hr (ixl. in
ffirA
I
I hqcbr amfln und6 p€nalry olp.rjurr I undd FnvLiob of Ctapta 9 (comMcins wilh S61ion 7000) ol Divi
ol Ihc Lrusin6s md Frol6i0N Cod.. dmy
I hd.by .mm undr pcn0hy of p€riurr lhal
bsu.d (s{ :1097, civ ( )
n! aloct ldr rhc pefofran.. of the work for Nhich lhs p.rnn Ls
AIIIICANLDESIAAIIO!
, hqtbr.frDn undd pdahy ol pdjury on. oflh. follorvins d(loalioB:
D.nohion Pmirs-&b6ro. Norili.arion F.doal R.grlarioN (Inl. 40. P,n6)
R.gun d t?rnolNodfE lion
I c6li& thd lh. a.d6al rc8ulalioN rcsadiu ab6los rmoval de nol arplicabl. lo lhts lrojed
amliclxon dd (arcrhar rhc ahorc '
nnatin is.ondr I aBrero corrp! Nnh:llCnrand Couhry
aurhoriz. r.prddrali!6 ollhis Citydd Cou.ryro ors uFd fi.
""-u**,\.,1r/
r) hurldn! rotrsrrudnnr, r'd 144
ELECTRICAL.INSPECTOR RECORD
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