HomeMy WebLinkAbout20170808 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #:2O17O8O8
Pin #: 93376Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address 1 #FEEAI*Jffiz* CooT,-#nit
Block: NA
Bldg:
Tract 1363
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 777-777-77 Lot:
l2v9 tD ' cqE+TP oT
Owner:
Address:
920 N Grand Ave LLC
190 W 3rd St
Santa Ana, CA 92701
(714) 8364764
Fee Type
01 1 'r6002 5160: TPP
01116002 5'160C General Plan Update
01 'l '16002 5'1603 lssuance
01116002 5777C Microfilm Records
Amount
107 .11
22.95
57.20
3.91
Qty
1.00
't.00
1.00
1.00
Fee
$107.1',
$22.95
$57.20
$3.91
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
TPP
Zuniga, Allissa 02t1312020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date:
Date:
R.3, U
VB
cEc 2019 Notes: Temp powerpole for new construction
Fee Totat
Paid to Date:
Balance Due:
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 'l 16002 51603
01116002 57770
$22.95
$164.31
$3.91
$191.17
$0.00
$191.17
lnspector MID#: 2019-156629
ELECTR!CAL.INSPECTOR RECOR D
DATE ID/SIG.COMMENTSAPPROVALS
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas. Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
4t11/*../k4124zon fe)Bonding / Grounding / UFER
U ITransformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
+qr*l/(Al210ofr ?D)lVeter Release
)t
Rouqh
?hl/\ferhService Meter $luDTi 'g)
'rh^AL,a;FINAL .i/il l.2o?t ffr)
RemN Etc.
_()\RA',ilON
IherebyaffirnlunrlerpcnrltyofFriur_vthalIanrexenptfroDrtheContmcb6 Licensclawforthefollowingreavn(Sec.7o.ll.5
llusincss and Prolcssion (lodc): Any City or County which rcquircs a [rcnnil to construct, altcr. irnprovc. dcrnolish or rclair any
() thc provisions ol'tl. Conlraclor's l.iccnsed l-aw {Chaptcr 9. Cornrncncing with Scclion 7(X[ ol l)ivision J ol'lhc Busincss and
Pr)fcssions Code) or that lt or \he is crcDrpt therefront and tlE hasis lor tl* allegcd eienptirn. Any violatiut ofSeclion 7031.5 by a0y
nppticanr for r pennil suhjecls the dpplicrnt to n civil peDrlty of not more thiln llve hundred dollars ($5{){)).
_1. ar owncr ol tlE prclaflv. or nry ('trlpklvccs with wagcs as thcir solc compcnsation. will do thc work arxl the stMurc is frrt
ittrcftled orolferedforsale(Sec.T(}il.BusinessandPmfcssionsCodc:The(inxrnclor'sLiccnscLawd€snolapplytoanowncrof
the pfi4Er1y wlx) builds o, in{x,ves llrrqn and who doca such work hin)selt ot lErself or lh()uBh his or lter ou enrpiryees,
providcd (hat $uch itnprovcrncnls nrc rrn intcndcd oroll'crcd lbr snlc. Il: howeyF. thc building or irnprovcnrnl is sold within onc yetr
irf conrplctirr, rlrc Owrcr tluildr'r will hnvc llE burden of pnrvir)g tlu( lr or sh#id Btr build or improve rhe pmpeny for rlr puqn* of
nrle). / /
_1. as owncr ol the Prrpcr ty. arl cxclusircly coDtrilclinE wilh
and huli's\i(n) (irde: l lrt (i)r[rnct(tr \ [-i(Ulsc l-rw docs nol
corslrucr tlt pNject (Sec.7O14. Ilusilcss
wlro builds rrr in:proles thereon.
and who coilracts for such pr(t'cts wilh a Contrack)(s)Contracrcr's Liccnsc [jw).
I anr cxetrDt urrdet Sect
2'17 ?,o?h-
I hcrcby allirDr uxlcr I)cnnlty (,I pcrjury ('nc
_l have ail willnuinlnir a (,l C(rlsetr(Itrsurc lirr w,rkers'cr)rnpensati(,n, a\ pnrvrlerl for hyScctxrn 1700 ofthe
lrtx)r G)dc, li,r thc pcrfornurec of thc worl lbr which t|t pcrnrit is issucd-
thc sork tar which this l{nDit is issur(|. My workcrs' ronrltDsrtiur itNurdlcc carricr ilrl lx)licy Dunttf,l ix'c:
l1)licy
-l
ccnify thilt in thc trrli,rnHncc otlh!'work fot which this lrcrmit is issucd, I nol cnrpk)y aily ltrsorl ln ary nranncr
il l sh)uld hccorrc subjcct to (hc
conrply with tho* provisions..
s as to bccorrc subjcct t) lhc workcrs'cornpcns{tion lnw\ ofCalil'ornia. and
wrrrkcrs'conrpcnrationpn)visi(,DsofSccti(xl.1700oflhcLutx)r(i)dc,Ishall,
IVARNING: l;ililure to scure sorlicrs N,npensnlion coverogc is xnd subFct an cmployer lo qiminal pcnaliies and
civil litres up to otre huodred lhousund rlollnrs (1il iu oI conlfctrsaliur. danuges as provided for llle
Sccli()n J076 (,1 lhc t-alxr'(l(xlc. irilcrcsl ud lacs.
,*", -2-lj'?{)t4
I hercby afllnil under lrcnaky ofperjury tba'(m ti.ense,l unls
of lhe Businas\ lnd Proltssions Code. anl nrv license is in full
9 (conrtrrcncinB with S€ction 70UJ) ol Division l
l-iccnse Class:NuDrber:
C0hlraclor
CONSTRUCTION LENDINC AGENCY
I hcrcby allirD undcr [rilally of pcrjurv that thcrc is a conslruction bnding agcncy firr thc;crlbrrnarce ol lhc work lbr which this tErtrrit is
issucd (Sec. :1097. Civ. C.).
lf,nder's Naille:
kndcr's Ad,lrcs.:
APPI,ICAN'T I)F]CI,ARA'I'ION
I lrrclry dflirnr uD(lcr Irnalty of pcr iur y onc of thc f(,llowing dcclarilli(rrs:
Dcnx,lition Pcrnrils-Asl{sk,s N({ificrttr)n l;cdcral Rcttulations (Titlc.l0. Pda,
_Rcquircd lxltcr (,f Nr{ilicalion
_l ccilily lhnl thc Itdcral rcBulalions rcga'ding b this piljcct.
cc(ili llHl I hnve rcn(l this applicrliotr url stalc lhat lhc is I agrN () conply witlr ull City and County
oilinanccs and Slatc Laws rclding lo buildinS ol this City and County lo cntcr upon thc
at)(!yc nlenti(nrcd p()l)ertv Iiil'
ApDli(ant or Agml
I'crn)ilcc nxnrc
Purlx)ses.a'17 2D2o
t
./Date:_