HomeMy WebLinkAbout20173023 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 2(J173'o.23
Pin #: 12349
Proiect Address: 2800 N Main St unt 232
Block: NA
Bldg: Address Range: 2800-2890
Tract: RESUB OF SHAFEflistoric: No
Suite Range:
Zoning C2Assessor'sParcel: 111-'111-11 Lot: 1
Owner:
Address
Phone:
Tenant Name:
A Simon Corporation
5425 Wisconsin Ave
Chevy Chase, MD 20815
(714) s59-6s25
The District
SRD Signage
10601G Tierrasanta Blvd #21
San Diego, CA 92124
l3't0l617-0222
01 116002 51603
01 1 16002 51600
01 't 16002 51603
01116002 57770
Amount
80.95
23.79
59.30
4.05
Fee
$80.95
$23.79
$s9.30
$4 05
Fee Type
Signs & Neon
General Plan Update
lssuance
Microfllm Records
Qr]
'1 00
100
100
1 .00
Phone
State Lic #: 1017277
Lic Type: C45
Bus. Lic #: 375305
Workers' Compensation lnsurance
Carrier: Exempt
Policy #:
Expires:
StiD S isnqs€
Generol Plcn lJpdate t
r-r1 I 1 6r:r:12- i 16BUr-r0rl-
11i. rof i l,i & 0ocurlents
(r1 1 16r-r-l?- 5777tfl.rLrtr-
ElFctnicql.
r:r1 1 16002- 5 16r:r30r-r(r-
I(:L (:hecl{ tltl')4
Building Use:
Job Type:
Nature of Work
Planning Approval By Date:
Date:
Date: 0411212021
Account#
l\,lisc. Receipl:
l\4isc. Receipll
lvlisc. Receipt:
Total
Commercial
Signs
Sagn-illumanated
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2019
Plan Checked By
Permit lssued By
Subject to Field:
Amsden, Julie
Buirdins Permir #: 101106277
Every pemil issued shall become invalid unless the work on the sile
authonzed by such permit ts commenced withn360 days aftet its
issuance. ot if the wo* aulhoized on lhe site by such permil is suspended
or abandoned for a penod of360 days after the lme the wo* is
commenced
Notes: lnside the mall - install (1) illuminated aluminum wall
sign for "The District", bond included on 101106277.
$168.09
$0.00
$'r 68.09
lnspector MID#: 202'l-165173
01 1 '16002 5'1600
011 16002 51603
01116002 57770
$23 79
$140.25
$4 05
Contraclor:
Address:Boich+:59792 - 4/!2/'lttzl I0: EL0ll'ice: CTYH TrBns+l 21 2
Acct+ I ftef+i l0l7I
Rrpti:1324931tr - 4/1:/2tr?1 1011:
Tronso,:t ion Totol ,712.i
.tl
Planning Conditions:
Fee Tolal:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DELCARATION
I h.rchy aflnn nndfi ,.ndry or p.rjury th,t I m cxcflpr lmnr lh. Conracro6 Li.cne L:w loi rhc followi.S Ecsi (5(.?031.5.
Bu$ncss and Prolc$ion Codc) Any Cily or County uhkh rcquits r tsrfrii ro snirucr. all.r. iq,rovc. &mlnh or rctln ony
nrucluc.priortonr issuaxe. also Equircs rh.4,plkanr r.r ru.h Fnnil lo 6lca si8ncd slarcmnl thrt lEor shc is liceiEd r!!^oani
ro rh. fmvi\ions or lh. Conlricrors Liccnrd Liw (Chaplcr 9, Comftmins wirh S.crion 7000 ol Divnion 3 of lhc AusiRss rnd
Pmrisions Code) or rhll tr or shc is cx€mpr thcrcliom and rlr tusi. tur rhc rlLgcd cxcmprion. Any viohtirnofScclion 7011.5 byany
{Dlicanr for a pcrmn slbjet rhc aprlicrnr ro r .ivil pc6,lry of mr mre lhon five hundrcd dours 1$500).
_1, as owmr olrhc pmpcny,,r mrcmpk,yccs uirh wigcs as rhctr olc cory,.nslion. will do rlE lork od rlr stndm is mr
inrcnd.d or otttrcd ro. eL (SN.r0.14, Busim$ and Prclc$ions Codc ah. Conracrors Liccnsc kw docs nor lpply lo an owmr oa
rhc Im,p.d, who ttrilds or inDDrcs thcNn- dxl who &Es $cb m* hinNlf or h.rslfor rhhuah his or h.r osn cmrlolecs,
prolidcd rhar sn h irymvcmna s Dr inrcd.d d olIcrd tor sh lt lnucwr. dr ttikiing or irpovrEd is $b vnhin orc ]tu
of con{,Ltioc drc Ovncr Builde! eill har rlt blrd.n of Flving $d k or shc dil mt hiild or itrprcvD l}t rhFr, for ft pnqr,s of
_1. a\ owrcr of rhc pmp.nr. am cr.lusively contr.ring wirh liccn*d conra.tod Io onnrud rhc prcjNr (Sd 704.,1. 8u\ik\'
rtrd Piiixsaitr Codc: rhc Contrrctol ! l-i.cnsc Lru dft\ not lplly ro d ou.f of prop.ny who builds or imProvcs rhcron.
and who .onrn r r.r such pbjccB wnh 0 Conbrcbnr lienrd p!6unl rorhcG,nrncrors Ltcnsc bw).
I uncxd.rB u.d$scrior
-l
have ad sill minraiD a Ccdilicarc or Concm r. Sclr-ldurc ror workc* comp.nstiotr, as [ovidcd for by Sdion ]700 ot (h.
Lrhr Codc. lor rhc Frforrome oi rhc *ort rir which rh. Frmir ir isucd.
-l
hrvc in'l will'nrintrin sorkcr' coryrn\arnrn insurancs, rs rtluncd by Sc(rion 1700ofrhc L.hor Codc, tor lhc p.rrormBncc or
lhc work for whnh tht pcrmir is i\s'rd. My workcr' .o rr..sdio, i.surm. cuE lxl poli:y numbcr oc
Expncs:
I c.niry rhd ,n rhc rcrloflun.c ol rhc f,ort lor rhichlhh p.rmil i\ i\sucd.l shallnor cn l,o, an! P.son in lny Enner
s sto b.ronE subicr ro rhc mrlss $mpcnsrhn lass orcalir.hi and a8rcc thlt ifl should tErom slbF.l ro rh.
*orkcs'conrp.nsorionprolisionrolScctioo3T00orrhtlrb.rCdlc,lsh!u.fonhwith.on{'lywilhlh,€prolisn,ns
WARNINC r'lilurc ro {curc $orkcr' conpcnrrnnr c.vt sc
.iL'l tinc\ ut r, i r. hunJ'c,l rh.,u\rnJ J"l'J'r ,$l(x).u{" i'r
Scdi,,n:1076 olrhc L:lrn C,xlc. "ncrc{ rnd in.nrt's fccs
{,blcur rn .nui,rs b cnni'rl lEulrf,s aid
)n,r^-n\rrn,n. dn B!.\ ns F)v'dcd ntr rhc
41L-7'p11
Illlr &l.t.112I
I hcrehy amrm!.dcr pcElryofp..juiyrhd I rn lianerl und.r povnion ofCharter 9 (ommtins eirh serio.7000) orDivision l
ol thc Businc$ ond Pmfcs\nrnr Cod., ari my liccns i\ r tull fot c alrd cft(1.
.,**""**, C-Llf z--?()
Dll >ta
0 L1-""r,,"'",L1U<4r-- J
l.cdiry rh.l rhc fcdcrllrc8ulations Esrdina oshc(o! Efrrvtr] e. tut lprl.$L ro Ibis prcj(t.
IccnifyrhrrIhavcE rhn +plicsr ion rxt (arc thd th. otnrc inlbmlion is comr Irgrero.onplywnh.[CnrandCounly
ordimnccsr d SrrrcLrss rclnriryro bui
rh,vc
'mtrri{,ncd |m,Drny lnr i"srr.rnnr
nstrucrion. aaj hcrcbyrurh,nzc repdsnuriv$ ofrhisCily{nd Countylo e quFnlhc
A|,|llic!nl.r AxotSixnnlu
tLt,--q 1d"4YL
*,.,41?'7,bzl
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service ltrleter tl --2
FINAL U,l)r btulru %x
INotes, Remarks, Etc
UOBKDIILS.IIIIENIAIION
DECI"dTAIION
I hcrchy llfirn under prnrXyofFrluryom ofrh. folb*in8 dcclr.rions:
CQNSIBUI]UA|{.LEIDING.AGDNCI
Ih.rcbt.ltirnundcrp.ndryofp€rjuryrhllth€rcna.onsr.tirnLndirg!8crcylorrhcFraormrceofthc*orlf.awhnhrhigpdmtis
tsucd (sN. 3097. C,v. C.)
lxnd0 ' Nrm
-
L.nd.' \ Addrc(
-
ATEUgANLDECI.AMIIQN
lhsrby rfim rndfi pcnrhy ofp.rjury om olrhc followinS drchEtions:
Dcmoliriotr Pcrmia-Asbdlos Notification rfderrl RcBulat ions Ont 40. Pd6)
Rcquncd L,rrc. or Norirtdion
Communications Cable