HomeMy WebLinkAbout20145629 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738
Electrical permit #: 21p{45629
lnspector's Section: (714) 647-5853 i/aJ
Project Address: 1570 E Seventeenth St vni{ qfir o Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C5Assessor's Parcel. 400-25', -07 Lot: NA
Easter Seals of Southern Calif
1801 E Edinger Ave #190
Santa Ana, CA 92705
(7141 834-1 111
Easter Seals of Souther Calif
American Alarm Systems
1101 S Grand Av #G
Santa Ana, CA 92705
(7 141 547 -7 47 4
Block: NA D\d
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type Amount
Low Voltage/Comm 27.72
Add'l Devices/Low Volt 2.64
Control Panel 13.20
Min Fee Adj 3.24
General Plan Update 18.00
lssuance 45.00
Qty
1.00
6.00
1.00
100
1.C0
1.00
Fee
i27 72
$15.8q
$i 3 2C
$3 za
$r g cci
$qs.co
State Lic #: 299406
Lic Type. B, C-7, C-10, C-28
Bus. Lic #: 0017761
Workers' Compensation I nsurance:Carrier: American Zurich
Policy #: WC966037600
Explres: 0 210112012
Bnbch*:14753
flf iice: {:I'YH
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BuihJing Use:
Job fype.
Nature of Work
Planning Conditions:
Commercia!
Miscellaneous
Burglar alarm
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cEc 2010
t"t
t-t
?
L,
Amsden, Julie
1 01 69777
Every permitissued shall become invalid unless fhe work
on the sire authoized by such permit is commenced within
180 days afterifs issuance, or if the work authorized on the
sife by such permif ,s suspen ded or abandoneci for a peiod
d 180 days after the time the wofu is commenced.
Planning
Plan Checked By:
Permit lssued B!r:
Subject to FietO:[
Buiiding Permit #:
ApprovA Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
06/1 6t2011
Account#
01 1 16002 51600
01 1 16002 51603
$ 1 8.00
$1 05 0c
$123.00
$0.00
$123.00
lnspector rvltD#' 201 0-93765
f': r.i I
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS Ocffi-Euild6 DElutio
I bqtby r6mutd€pcadtyofpsjurythd'I macmF ftmthrCorffir'LiccaxI:w&rthobuowirgrc.m(87031.5 Burirss
ud Ptoftsrion Codo): Any City tr Colty which rcquis r pqmit to qltruct, rlta, imDrcvg rtmlirh q rcprir uy rtnrctrc Fis o il
irrurm, do rcquirg tfE lPpliod 6r sch psDit to filG . tigncd tartmEt thrt hc or &G ir limrcd purstd !o tb poviriu of thc
Oonrrrrra': Lisrcd Lrw (Chrpta 9, Commriag with Sccim 7000 of Divirion 3 of tho Burim rad Prefqriou Codc) or ttrt hc c
tho itqmptths!&om ud tbobuitfrrdEdl€Gd ffiprim.Aryviohtioof Sccrio 7otl.5 by uy rpDtiomfor.pmh nDjG.ttthc
rppliiltt ro r civil paulry of rrt rilrc thu 6w huldrcd do[a (t500).
_I, u m of thc prcpety, or my oployu whh srg6 u $cir slc mpodioa will do th! wuk rDd ttc ruuanm it Dt idad.d
or ofrcrcd for slc ( 56.7044, BuitB ud Prcft$im! Coda: Thc CfiErct6'r Licce Lrw dG rct rpply b u ffi of tho propcny
wlD buildr s impros tlmt! Dd r^o dG uh wL hirelf or lself or thogh bit ff bs om oployc.!, poidd thtt sdr
imgrmmsdr e Dt irrGtdGd d ofied fd da I( how, rhc huildiig d improm.d ir sH pithil G y{ of orplaiolr' th3
Grnr-Buildq will herc tbc hrda of prcving thrt hoor sho mr build rimprorc brthc prrpoocof llc).
_I, u ow of ttc prcpgty, e eluiwly ffitrurir€ wirtr lieE d mtr&loa to mdrud thc Fojc.* ( Sc. 1O+t, Buin6r ud
Prc&[bn Codc; Thl Cotnttor'r LieE Lrw ds Dd .pply to m ffi of pro,psty who huildt tr imDm€ tlEu , .!d who
mblc! for uch prcjr.$ with r Cootncor(:) liard purum o thc Cooancor'r Lime hw.).
Duc;
I hccby.frm utds r.-O rr*i- *ffi
_I $rc ud will mrintrin r Csrifrcrrc of Cmt to Sdf-Iw 6r wrt6' onpastioo, u previdcd for by Scctiotr 3700 of ttc
IrFr Codc for thc pqfontrc of thc wrk fq c/tich tha p@dt ir iscd.
I' I hrvc rod witl uintrb worka' 6trp6rriu in$nDcg u roquird by Socim 3700 of th.lrbor CodG, for thc pcsforure of thrG*m *nicurtir ps.it iri$ucd. Myrirerta'mpcnltio!idrcenia rd policyunbor m:
A r.,.6e-c I A ^, Z,rl,r2- l c-L l^, .
Policy
(This section ne€d not be pcrmit is for Onc dollars ($100) or lors)
this is issLlod, I shdl not employ sny pcrson in any mEnncr rc !s to
to the workcrE'
u
WAnITIING: Frilurc to ffi wqt6t' oEperdim wrgp ir uDhwtrrl ed lhdl Dbj.(t u @ploy6 to einiul F lhi6 .!d sivil
fitr6 uD to ooa hrndrcd thdrnd dollrn (3100,000),in ddftie !o rhr ort of oopanntbq a.-tpr g pryidcd for tho Scaioa 3076 of
rt Irbor Codcr iilqst .td .tomcy't fcca.
@
I h.tdy fim uodq pcorlty of pcjqrytha I u liconrcd udr povirion of Chrpta9 (oruing wirt Sociio 7000) ofDivirbn 3 of
thc Burirc$ rd Profc$iora Codg Id Ey lire ir ir full foiac md cffcct.
LiccnrcNumbcr 2qol 4OA
Date:A r-. A LA a-rh-
OONSTRUCTION LDNDINC AGENCY
I bstby efiim uds Fulty of FiEy $rt th* ir r mrmraim lcadiag $!rEy for rlE pcfomrm of thc urut frr shich thir pa.Dir ir
iN.d (S6. 3097, Civ. C.).
ladc.'t Nlre:
[.ender's Addrcss:
APPLICANT S DECL/\RATION
Demolition Permits.Asbcctor Notificstion Fedcnl Rcguluionr (Titlc /+0, Part 6)
_ Roquired l,cll,s ofNotification
I Ertiry thet tlE ftdqd rcguletiou Fgrrdirg ubstor moul e rct +plioblc to thi. Drcjccr"
_ I wti$ thu I hrvc rcrd thb ryplicethn .d fir! shrt th. rbow iofornrtio ir qrcct I rgre o ooply wi& dl City rd Codyqdim rnd Stac bwr nlrtirg to buildiog urtnrrioo, rod h.Gby .r[horbG rrylaa.dlinlr of 6ir City rd Cointy !o cda upoo rbc
rbow mcrtimod prcpcrty 6r inrpcaim prporu.
ApplirotargEat j&: Ddc;
Pmittcre(pda);
Site-Work -*-Underground 'Drf
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bonding / Grounding I UFER
Transforrners
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
^.l .?.4-
FINAL I
1,r 7 7.( D YW 6-/
Notes, Remarks, Etc.
t,
in the pcrformance of the
the workcrg'laws