HomeMy WebLinkAbout20151896 - Permit (2)Proiect Address: 305 E Fourth St
Assessor'sParcel: 398-326-10 Lol 'l, 2,3, POR 4
Unit:
Block: 1
Bldg: Address Range: 3OS-315
Tract: FRUIT ADD TO SA Historic: No
Suite Range:
Zoning: SD84
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit#:2O15{896
Pin #:8o4$
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
FIESTA MARKETPLACE
PO BOX 10728
Costa Mesa, CA 926270231
1 - Stop Electrical Service
13231 Jefferson Ave
Hawthorne, CA 90250
(310)6764520
Fee Type
01 1 16002 51603 Special Event
01116002 51600 General Plan Update
01 1 16002 5't603 lssuance
Amount
134.59
18.54
46.23
Qty
1.00
1.00
't.00
Fee
$134.59
$18.54
$46.23
(.l
State Lic #: 308606
Lic Type: C-10
Bus. Lic #: 198026
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:d'kt*
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Other
Miscellaneous
Special Event
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2010 Notes: May 3,4, & 5,2013, Cinco De Mayo Festival. City Event.
Fees to be collected per PD.
y"05t01t2013
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Permit lssued By:
Subject to Field:
Building Permit #:
Every permitissued shall become invalid unless the work
on the site authoized by such permit is commenced within
1 80 days after its issuance, or if the work authoized on the
site by such permit is suspended or abandoned for a period
d 180 days after the time the wotu is commenced.
lnspector MID#: 2013-107669
01 1 16002 51600
01 1 16002 51603
$18.54
$180.82
Fee Total:
Paid to Date:
Balance Due:
$199.36
$0.00
$199.36
\
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE !D/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
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
FINAL
Notes, Remarks, Etc.
Om-Buildq Delrntion
I hrcby affrm unda pcElty of pdjury thtt I u qcmpt fom thc Conln(,on' Li@uc kw for thc bllowiag tleu (re.703 I .'i Duriacrr
ud Profosion Codc): Any City or Couty which roquiro a pmit to @EEuca, dts, improvg dmlirh or rcprir rny nructrg pdor totrr
irrucc, rlrc rcquiro tbc rpplimt for sch ptrnit to 6lc r ligncd artcat that hc or rhc ir liccud prput to tbc poiliou of tbc
ContEcror'! Liccucd Lrw (Chrpt6 9, Co@ocing with Sction 7000 of Divisioa 3 of thc Buinac ud ProfElrioro Codc) or thrt ho u
rhc ir acmpt thadrom ud th! buit for tbc dlcgcd coptim .Ary violrtior of Scaioa 7031.5 by ey rpptiqr for r pmil sbjcd! rhc
appliut o r civil pcndty of Dot morc tte five hudrod dollu (1500).
-I,
u omq of thc prcpqty, or Ey .mploya with wrga u thcir rclc ompcoltioq will do tho wort md thc nrudre ir rct id@dcd
or ofcrcd for rdc ( Se.70,14, Buciur !trd Profccriolr Codq Tha Cont&lq'r Licre hw dG oot rpply to u ow of thc prcFty
*ho buildr or improvo tieoo, rod who dcr mh wort himrclf or h@lf or through hir or ha m cmploycq puidod tlrt acl
improvcmcrlr re not intqodcd or offcrcd for dc. I{ hom, thc building or improvmot i! rld withh oe yd of omplaioq thc
Oma-Buildd will hrvc tho bwdcn of prcving thd hc or lhc rct build or improw for thc Frporc of dc).
-I,
r omq of thc propqty, m qclu3ivcly ootrraiag with lic.rued @rEdoE to @Etrud tha prcjet ( S*. ?ot4, Burioqr ud
Prcfcsion Codc: Thc CootrrctoCt Lieoe hw dm aot rpply to u ow of prcp<ty wbo build! q inprou tlsor , rod who
contncts for sch prcj@t! with r Contnctor(t) liccred p|mmt to thc Coarartor'r Liere hw.).
_I m cxcmpt urdr Scrion
-B.
& P.C. for thit mD
Drtc:
WORI(ERII COMPENSATION DECI,ARATION
I hacby r6m urda pcmlty of pcjury oDG of tbc follwing d*luatiou:
I havo ud will uintain r Cqtifiqtc of Corent to Sdf-Iruc for rcrt@' ompcnsstioo, u prcvidcd fu by Scdioo 37OO of thc
Labor Codc, for thc pcrfomanm oftlc rcrt for wiich rhc pmit is ilscd.
I hrvc ud will rointrin wortm' ompcutiotr iMc., u rcquircd by Sction 3700 of thc bbor Codg for thc pqfome of tbc
work for which thir pmit ir irrucd. My mrkm' compeotuion inrwe uir urd policy mbc rc:
I Poliry Numba Eniu:
|cntitrotion* oil*l-
for which is iud I rhdl ncr ogloy iamyrmarcuo
thc wuto'md thd ifl thould
ompcnstion ofScction 3700 ofthc
WARNING: Fdluc to rrucwsk6'
fin6 up to onc hudrcd thoumd dollu
ltd rhrlt sbjEt u cmployq ro qimbd pcsdtis rnd civil
addition cost drmgu s prwidcd for thc S6tiotr 3076 of
thc L8bor Codg irtqqt Dd domcy't f6.
LICENSI D CONTN CTORS Df,CIIRATION
I hacby r6m unda pcnrlty of pajury thrt I m li@lcd utrd6 prcvirion of Chtpta 9 (ommciag
rhc Buircs ud Prcfssiou Codq rnd my licru ir in 6rll fore rnd cfca.
with Sction 7000) ofDivirion 3 of
Liw
Drc:
b
r /t
I hccby affm uoda fEnrtty ofpsjuy rhrr
ir0cd (56. 3097, CiY. C.).
Lcrd6'r Nuc:
rgcscy wuk for wbich thir pmit is
Lcndcr'c Addrcss:
APPLICAN?S DECIIRATION
Dcmolitiotr Pmit&Albcnor Notifcation Fcdcnl Rcgulrtionr (Iitlc 40, prrt 6)
_ Rcquircd kaa of Notificdioo
-I
thc fcdanl rcgulation! rcgrrding ubcrtor movd e not qDliqblc to thir prcjEt.
I r€d thi! rpplicltion ud stdc thlt th! rbow iofomation with dl City nd Comy
ud Coutrty to @td upon thcrclsting to building orstIuclios,
rbovc pupos.
Appliont
I
for
ILLrA/\^. €-R xttt-,7?
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