HomeMy WebLinkAbout20167558 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927O2
lnspection Requesls: (714) 667-2738 lnspector Section: (714\ 647-5853
Electrical 4)6?5s8
79{OO
Proiect Address: 1910 E Warner Ave
AssessoasParcel: 430-222-12 Lot: NA
Unit: A
Block: NA
Bldg:
Tract NA
Address Range: 1900-.1920.
Historic: No
Suite Range:
Zoning: M'l
Owner:
Address
Phone:
Tenant Name:
Contraclor:
Address:
JZ Realty LLC
4040 Civic Center, #219
San Rafael, CA 94903
(415) 6064357
CB Labs
01 116002 5160:
01 1 16002 5160:
01 1 16002 51603
01 1 16002 5160:
01 1 16002 51603
01116002 s360'
0'1 116002 5160c
01116002 5160:
Fee Type Amount
125 Voll Receptacle '1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
Air Conditioner 96.90
Subpanel 53.28
Plc - 65% 0.65
General Plan Update 22.08
lssuance 55.04
Qty
8.00
3.00
3.00
1.00
1.00
'169.67
1.00
1.00
Fee
$1 1.6C
$4.74
$3.15
$96.90
$s3.28
$1 10.29
$22.08
$55.04
Phone
Planning Conditions
Planning Approval By:
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
nsultants
rodowski, Teri
10197952
Occupancy:
Constr Type:
Code:
B
VB
cEc 2016
Notes:
Date
Date
Date
03/08/20r9
o3t12t2019
Account#
Misc. Receipt: 71904
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$224.71Every pemit issued shall become invalid unless the work on the site
aulhorized by such pemil is commenced within 180 days after its
issudnce, ot if the wotu authorized on the sile by such permil is suspended
or abandoned fot a peiod of180 days after the time the work is
comnenced.
lnspector MID#: 2018-142235
01116002 51600
01116002 51603
Permit #: 2O{
Pin #:
Avaland Group lnc dba Aval
5198 Arlington Avenue, #90:
Riverside, CA 92504
(714) 86s-0824
State Lic #: 752083
Lic Type: B, C-33
Bus. Lic #; 342241
Workers' Compensation lnsurance:Carrier: Nat'l Liability
Policy #: A9WC900499
Expires: 0110412020
Building Use:
Job Type:
Nature of Work:
lndustrial
Tenant lmprovement
TI
\/12/2nl9 Ir
r(rnE+3 75Rel+: '.
3/ l2/1lt!9 :
Fee Total
Paid to Date:
Balance Due:
ll
$357.08
er ln ro
$246.79
ELECTRICAL.INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
Under round
Pole Bases
Li hl Standards
S FountainsASPool
Si ns monument
Life Salet /Low Volta e
rSFire Alarm / Dam
Under Slab / Floor
/ Groundin / UFERBondin
Translormers
To uein
Air Conditioners
Rool To UI ment
Factor Wired Unit
Walls Conduit
Rou h
Ceili S Hard & Soff it Bou h
Ceilin hST-Bar Rou
lVleter Release
Rou h
Service IVleter
FINAL
Notes Remarks Etc
OIYNIiR BIIILDER DEI,CAK.\T('N
I h.rch, altum undcr pcoahy o{ lcqtrry rhal I e .x.mpr i m rhe Conki.los l-acns. L^w lor rlt rouowins 'e'-' l57orl 5
Burnc$ ad Profc$on Co,.lc): An, C(y or Counry which hqun s a [f,rtur to ondrur! alrd. hpror' J'srnsh or qvt rnv
sro.tr'ft,pmrroitsssrdcc,rlsorcluircsrh.rpplijdrforsuchFm(lolilcarign.,l$aicmnrrharh'orsh'islic'n'&l|rururnr
rd rhc nruvsnrs or !l'. Co.rturu \ LEnsd L.* (Chap(.t 9, CommcNi,s w([ Sccrnrn 7flxi oi DilFion ] ot lhe Br$m$ anJ
Pn,tcsii,ns Co.lc).r rhrl hc or she ir crcqr lhcrcli{n a.d rh. hasis for ln. alk8erl $cnDrrn' rv lolarion ol Selhn 7lr'rl'5 bv anv
{plicanr ni , tErnir su$jcck rh. lPdicanl k, r.,v,lP..!ltyornor mrc rhs livc hunltrcd loll6 ($50o)'
L$ own.rolihcpft{cny.orny.mPloyccs*nhwrgcsasihcn$b.o l. salion willdo dr w{r* dJ rltr srtut@ n fr
in ,l.d or ontrcd tm elc (Sc..7oi4, B;iindr and Prole$iom Cod.: Th. Gn rrcrtrt Liccns tjw J*s not apdv b " ownq or
rhc pDpcny wh. btrilds or inriaruEs rhcErr. !tr'l wio dms nrch *.r* himscu or h.rsll o' drlulh hs or hcr own cflrplovc's
,tuvkl.L, rh(i sch iiptuvcmnlseR irrcndcd orolitrd lirsrk.Ii h.*.*r. rhc hurltling or inll'ortm'n issUwrhhonc,td
;)lcon{krtrn,lhc owrcr Builtcr Pill lEt rh. bun cn olFlvi,s rhd rEor she,lil frn h{ru or inl&t lhc prulenv lbr lh' Puqx)eor
-1.
r\.wncrol lhc F)n ny,.mcrchsively co, k...rin-s wirh lic.n*d Lontacro6 n) (on(ru.r lh' P'j'cr (Sec 7ol4 Bu\inc$
*r t-r,,i.*.- Cua" r'r," C"nrd.roa x Li.cnsc Law docs not .PPlv to u own r ol Prut'dy wlhr huilds or inDrovcs rhcr'on'
and who conr@k tor rxch nmiccr s w h r conra.ro(9 liccoscd lusulnl (' rh.c.n racrois Liccose Las)'
_lMr.xcmfl tndcr SLU
WORl(FRS' (-'OII'PENSATION
BECI EArlA!
I h.r.hyrlnnu .rF..llyoiP.riuryonc{llhcn)lltsn*,lcclarlio.r:
-lh{v..
will m,inrah ! Ccll il-Earc ol co.scnr b Sclllo rc ior *orkcc omPcnlaln'n, !\ Povidcd n)r bv Sc'r ion l70o or thc
Lalxtr Cdlc, tur lhc Frao!r@< ol thc ,ork t whi.h lhe pemn ir i$ucd.
I hrvc {ndvill nrinrain workcr'c. r|xnslrio" insuraE-c, !r rcqui.J hyScdon.l?(nol rh' L!6or Codc Lrrhcr'dnm"nc' ol
rh. work tur whichths pcmrr is,soul. My work.n' ..mFnsanon in\ur c.Qr.rul F,licvNmhc, dcl
taDm\:
-
l.cnily rhr nrthc pcrlnimdnccol ihc *ork litr*hi.h lhFl.rnrir n ^\ucl,l shilln.rcmfl()v rny l'N"n itnnyntnnc'
s h ltdrE $bi*i lo rlE -orko i .onrF nsulir bw\ or Cal,Lnri! rnJ rsmc rh.r il l rhnrld b"'m uhjc'r to
'lEwo,kcr( conrp.nsarb. pmvnn,n\ orsc.lNn l?00 ol rhc LrtNr CGlc l shall nnlhwilh('6plv withihos ptuvisbts"
\lAl(NlNC liJlu,c ro {cm *orkri o llf,ns.rtD c.vctxsc ,s nnh*tul. rtrd \r 11 {'hr:cr d cnr0l
)n. hrm!r.J rhousxnJ dollr in rJdntr t' rhr co( ol .om
S.Lrtr llrl6.l rlr tifitrCil]c. nrrc,r! x !^',
I hcNbyrntr u crpcn,hyorPcrjuryrhr I rm l"tne.l un.lcr p"rision ol Ch'fl'r g lconrmncin! wfh Se'rirn 7000)'rDivtkJn I
ol rhc Dusmcs ad PruL$iou CoJc. .nd my ltch\c is in tull torc ! .flc.i
N/t
I lrr.hy rinnr und.r Fnahyol t'crirtr-v rhI
rssu.J lS.. .109?, Civ. C )
i)n LRii,,p rlcn.y lnr rhc pcrliirmrnrc ofrhc work tur whr[ llri\ Itnn (
l.ndcrs Nam:
drrrtcA!.LoEct Ea.Ilol{
I lErhy,ilmu cr pcnrhy.rp.rjury onc or rhc rdLwnr8 dccla, ions:
rlcnrnn$n Pc.nik Asbcslos Noritci.on ltJcr{lRqrlariotrs (Tillc 40. Ptn6)
Itcqutcd t rt.rol Ndillcrton
l.cnilylhd thc t d..alrcsulariohsnt Jin-! ish$tx r.m'!al ire nor rylicahle k'rhi\ t'i(i'cr
lrxrcct)uonflyw(hallCi!yrtu]Counrv
aurhorr. rc[.s.nrr$.r of rhis C, dd Counryb cnrs uFnrtE
Site-Work
Communications Cable
Sub-Panels
Walls
I
D,,", 3- 9 - /,