HomeMy WebLinkAbout20166807 - Permit (2),6L Ci$ of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Electrical
(GP permit counter: (7141o47-s(oo tnspection Requests: (7i4) oG7-2738 tnspector section: 1714\ 047-5853 ;
Permit #: 2Ot66EO7
Pin #: 32OAz
Proiect Address: 3217 S Park Dr Unit:
Block: NA
Suite Range:
Zoning: RlAssessor'sParcel. 410-263-01 Lotr 35
Owner:
Address:
Contractor
Address.
RENO, TORI
3217 S PARK DR
Santa Ana, CA 52707
(714) 5s7-9987
Dynamic Air Services
21088 Bake Parkway, #104
Lake Forest, CA 92630
(714) 804-8886
0'1116002 51603
01 't 16002 51600
01'116002 51603
Fee Type
FWU
General Plan Update
lssuance
Qty
1.00
1.00
1.00
Fee
$24.79
$22.08
$55.04
Tenant Name:
Batch+:45649 - g/?.9/;t)tg
0lf i(e: CTYH lrons+: zr:t
li.nti:tl
Transoc
IO: I-ROSALEIlof?
2!166gtr7
4;34 PH
$3r-ri , 9r-
Phone
State Lic #: 753286
Lic Type: C-20
Bus. Lic #: 368671
Workers' Compensation lnsuranceCarrier: Mid-Century
Policy #: AO9484152
Expires: 0310112018
Eef+:5?3,{ - 8..',29./2n1
n ToLo I
0enon ic Air Servite:
enerBl Plsn Updotp Fee
111600?- 51600t1r:r0-
lect r icol
1116002- 51603000-
t50
CC; : {***rr***rrr.99S2
_ t?2. l:t.q
- $79.83
s305. 93
Aut h i: r'17,61t16
Building Usel
Job Type;
Nature of Work
Occupancy:
Constr Type
Code:
Single Family Dwelling
Miscellaneous
A./C & Furnace
Planning Conditions: A./C on side yard
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Date:
Date:
Date:B dowski eri
Building Permit
Every pennit issued shall becone invalid unless the wor.k o, the slte
authorized by such pemit is commenced within 180 days aftet its
issuance, or if lhe wotk authoized on the sile by such permit is suspendod
ot abandoned tot a period of 180 days after the tifie the wotk is
comfienced.
o8t29t2014
Account#
$101.91
$0.00
$101 .91
lnspector MID#: 2018-145763
01 '116002 51600
01 '116002 51603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due
Bldg:
Tract: 6906
Address Range:
Historic: No
Phone:
Amount
24.79
22.O8
55.04
Notes: Per contractor, this is a change out.
R-3, U
VB
cEc 2016
Misc. Receipl:
Misc. Receiptl
Misc. Receipt:
Total
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soflit Rouqh
Ceilings (T-Bar Rouoh)
Rough
Service It/eter
VYtu\rc^FINAL lolt1lUI,./>>
Notes, Remarks, Etc I u)
OWNER BUILDER DELCA'UT!ON
I hcrchy lffim undcr pcnslrt .r p.rjxry th,t L crcfllPl !io'n th. ConracroF l-iccn{ u{ ror rhc knlowirs rBs! (Scc 7(l:ll I
Bu\in.ss dd P(,L$ion Codc) Any Cily or Counl, shtch rcquircs a Jrrmir ro on{fld. alrci inlPrcvc- dcn,lirh or qtir iny
$flcturc. priM to irs hsuance. fio rcquirc\ rhc lPpliclnr ror skh |rcrnrit ro filca \i8trcd sl cmnl rhlrh.or\h.nli.cnscd lunuMr
n, rhe ptr,vision\ of rh. G,nrm.rr's Li.cnrcd Lrw lcn!|lcr 9. Connncncing wirh S..rt 7fix) of Divni .l ofrhc Bu\incss rnd
Phrclsions Ctd.) orrl hcorshchcxcmprlhcrcfrom,idlhchs\i\ntrrturllcgcdcxcnrtlion.Anyli.lariotrofsccrn'n70ll5bra.y
.pplica tu !frnrir suhFchrh. imlicanl ro rcivilpcnulryofnor rmt hln fivc hundr.d dollds ($5CrO)
L as owncr of rhc ,mFny. or my enlLrccs * irh *asc! $ rhet {,L .o,nlEnrariotr, qill do rhe w. ul rrr (dur L\ nor
n cndcd orofcrcd lbr slc {Sa 7{144. llosincss d Prorc\\ionr colc: Thc Co trocrois Lijcnsc bw docs nr,lPly to mo*ner ot
rhc propcny wtx, bxilde or itrDoEs rtuBnr. and who des nr.h s.rk hi'n\clfor h.^rlfor rhbu8h hh or hc. own cmplorccr.
providcd rhar ruch i'npiovmnG m ior idcMcd d ofcrcd ntr silc ll. ho*crcr. rhc hoilding or imprc!.ntnr is srld wirhin onc ,cu
oiconrllhti,r. rhc O*ns Buildd wiU hr\c lh. hufthn.l !tuvir8 rlnr hc or shc did nor ttuikt or i'rrpr.k *r Pm!.ny ior rhc lurPs nf
-1.
dsowmrot rh.!,mpcny, !mcxclusivelycontracrins sirh liccn$d .ontrcro^ ro onsldcr rhc Proj.tr (S--' 7 4, Bu\m$
arn P,Df.ssir Codc Thc Conrracnn r l-icdi\c I-,w dms nor rynly ro oqncr of lrorrr y sho hoildsor inrbvcs lhcrcon.
lnd *ho comBcN ror cuch rmjccrs wnh o Co.lmdo( s) liatrsd puBum k rhrcd r{roisLtcnsc tjw)
I xn.r.m.r un,hr s..rion
()*r€.
]}AXTDⅈqUIENIAION
DF(II ARATION
I hr.by rlnnnu.dft |xnrlryol lErjuryoncof rhc foln,$i,,9 Jc.l]rrri,)ns:
I havc sri'l*illnnidldnaCcnificilcofConscnr roScll lNurc n, $orkc^ smPenstion. as providcd tn by s(rion -17tD ol thc
Latior CdL. lbr rhc pcrformrncc ol rh! sork lor which lhc pefl r is issucd,
Ih.\crtrdwillnrn ain workcrr conwn\arion n,\uranc., a\ cquircdb!SLrrion-171X)oarhcLf,bo.Codc,ntrrhcPcrlbnlrnccol
r sorx for w[icnrllis!.nnil is isu.d Mrk.rkcd ofrpctrsarn,n in\ur .ccrnicr inl lolky nlofic. dc:
I.cnifyrhrri'1(hcp.rfoflnrnccol'lltrwo forshichlhnlcmir i\i\\ucd.Irl lltrorcnrPloytrnyPcronnrdyi1 trcr
eJ ns ro h...nr \ubjccl k'lhc worksi con,Fnsrr idr !dw\ or Crll tunri.. and .3te thrr il I dx)uld bc(rr {hl.d brhc
sorkcrs cotrrtrn! rior pmvi\hns ofSc.rn,n.l7(nofrhr l;fin Codc.l \tull.lidhsirh conrply sirh rhot rn)vision\
WARNING: FrihE ro rcm worrcn
cilil fin.s up r. onc hu.drcd lhous0nd
srtion covcnl8c i\ uola*ful. a \h ll suhFcr an cnrDloycr ro d'ninal FMkEs ind
(Stor.(xro). in lddirion ro rhc .o{ of co,npcnsarion- dantr'r.\ rs rruvidcd for rlrc
Sc.rn :I)76 rfrhc Lrbr Codc 6-t"'Sg/z-q
u(xrsrD_rcllI lll2B
uDCLi-EA-UAN
I lrnhy illiD utrlcr ncn!lryol liens.d unncr pmvision ofChryrs 9lconmming wirh sccrion ?Om) olDivi\nrn -l
oi rhc Burirc(\ rtrd PrcltsionsCo,lc. ud nry licen\c i i',llrllr{,r.a cftacr
253 Lgb
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I h.rhy .fiinn uMcr Fnahyolpclury t a m.{acri)n h.dinBqcncy lor lhc pcrfunun.c ofrh. sork for shich rhn lEntir i\
hsu.n (Scc. .1097- Civ C.)
trMcr's Niflrc:
-AITLII;ANLDECI/A6IIOX
I horhy rtrim u6dd pcnnhyofp.rjuryonc otlhe iollowing d.<ldrdbns:
Demolirion Pcrnriri Asb.sos Nolifi.alion Fcdcml ReBuhtions (Titlc 40. Pdn6)
RcuuiRl trtrff I Nolfmnon
sb.(oi rcmvdl m nor +rlklblc lo thh pmirr
rhai rh. lh.rc inlomtion is cor(l I aeffi lo omply withrll Cnytid Counry
dion. !.d hcEhy luthorizc rcFc*nrarir.s.flhis Cilyard Coonly ro cnrc. ut$n lh.
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r'"-r,""1.**, p/",,' /trot ^*5 tollin5
ELECTRICAL-INSPECTOR RECORD
lvleter Release
2
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