HomeMy WebLinkAbout20370338 - Permit (3)City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714\ 647-5853
Permit #: 20370338
Pin#: 1548d{
Unit:
Block: NA
Bldg:
Tract NA
AddressRange: 2OO-222.
Historic: No
Suite Range:
Zoning: MiAssessor'sParcel: 011-152-09 Lot: NA
Owner:
Address:
Contractor
Address:
RIF lv-Grand LLC
11520 WILSHIRE BLVD 3OO
Los Angeles, CA 90025'1759
Fee
$1'1.1C
$72.60
$s4.83
$45.85
$22.95
$3.91
Fee Type Amount
0-1 HP, KW or KVA 3.70
Over 1-10 HP, KW or K\ 24.2O
P/C - 65% 0.6s
Min Fee Adj 45.85
General Plan Update 22.95
Microfllm Records 3.91
Qty
3.00
3.00
84.35
1 .00
1 .00
1 .00
Phone.
Tenant Name: Gold Star Vinyl Windows and Doors
Kevin Hernandez
11251 Sierra Ave #2El133
Fontana, CA 92337
(951) 334-9370Phone
State Lic #: 1013179
Lic Type: C.10
Bus. Lic #: 374952
workers' Compensalion lnsurance:
Carrier: Exempt
Policy #:
Expires:
Eqtchi:S4tl76 - I /27 /2R217 I0: CCUELI.AI
offices (:TYH Trons+: F6 I of ?Acct+: Ref+: ?037r:t.138
Rcpti:(f2s93654 - 1/27/2(r?u 47i3 Pyt
Trunsoct ion Totol $4tr9,41
Kev in Hernondel
Generol Plon UpdGte Fee
ttrl 1161102- 5160000n-
E l€ctr icol
rl1 I 16tlt2- i16031100-
ll icPof il. & Docu$€nts
01116002- 5777[00r:t-
V isn
CC+: *rx***rrx*rr8521
9i$??
_ $1?9,59
$3. 91
5419 .1t
Auth+:r:r27?3,{Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
Elect Tl
Occupancy:
Constr Type:
Code:Notes
Every pemit issued shal become invalid unless lho worr( on the site
autr)rized by such permit is commenced within360 days aftet its
issuance, or if lhe wotk authoized on the site by such permit is suspended
ot abandoned fot a peiod of 360 days after the timo the wo* is
commenied.
0112712020
01t2712020
Account#
Date
Date
Date
Misc. Receipt: 73857
Misc. Receipt:
Misc. Receipt:
Total
$22 95
$129.5s
$3.91
$211 .24
$54.83
s156.41
lnspector MID#: 2019-153282
01 1 't6002 51600
01 '1 16002 51603
011',t6002 57770
Proiect Address: 214 S Grand Ave
0'1 1 16002 5160:
01 116002 5160:
01116002 5360-
01116002 5'1603
01 1 16002 5160C
01116002 5777C
Planning Conditions:
il[T;1""/
F-1
t B
cEc 2016
Fee Total
Paid to Date:
Balance Oue:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER Bt]ILDER DtL( RAI'ION
I hs.t-v amrn und6 p6aht ol pdjiry th.l I m er.mpl frem lhc Conradon- Li.e tlw for thc lollorvins lten (Ss 701 I 5
Rusinds and PNlsion codc) Any cily or counry $hich r.qun6 a pemir ro conslrud. alts. improve. dmolish or EPen an,
srtucru., I)nor ro ns issuec.. also r.quir6 lh. applicd lor slch ,.nnn ro 6le a si8n.d srarondr lhal h. or sic is licds.d p6Lianl
ro rhc lEolisio6 olrh. Conta.tors ti..nsd kw lchapld 9. Con'dencin! *ilh Sdion 7000 of Dilision I ofrh. Busin.s &d
Pioicsnrns cod.) or thar h.orsnc Gcxenpr lhs.li.m ed rne bd.h aor the alles.d cxcmflion. Anyliola onofsEtio" T0ll 5 byany
flpplicanrlorap€ntrnsubjdsrh.applic.nlto.civilpcnahyolnolnorclh&fi\chu..lr.ddollds($500).
l, 6 o*nd oflfi€ prop6ry, or ny oplo)B *nh wrt6 s $cn sk comp.@iioh. tr ill do ih. \ork dd tlE sltucl@ 6 6!
i"rd(H or olldld lor sL (Sd.7044, Busirs ud Prcfsions Co3.: Tt. Codraclors Lic.N t$v do6 nol ap?l) lo e ownq of
rhc pmrEny who bdil& o' inrr6v6 rha€n. ed {ho dE such Nri hnns€lf or h@laor rhsulh his or nd oM .mployc.
proliden riar such inprovcnots @ rcl illdd.d orofl.rcd rorsk.ll howa6. fi€ hrildins or inprovffir is eld qilhio o.c )@
ofcompldio.. rhe oM6 Build6 will hav. llE hrb olrrovins rhd h or sh. did rct boiE or iqtroit lh. PlDpdq tur lhc ptrpos of
L s o$ nd of rh€ prcDsly. m cxclusivcly co'n.a.ri4 snl licdrs.d .ont.clou to co.rrud rhc Fojai (Se 7044. Acind
.nd Pmkion Code Th. Contrcrors Licasc Law do6 nol apply to d ov.r of liop.ny qho builds or inpror6 lhndn.
and who .odnds for such pIojc<s wilh a Co'i6cto(sl li.os<l plsmr ro rhc Conlmclois L'ctue llw)
I m.rml, uMd SErioo
D.lq Orre.
laaKEaL(oltSENsAlIoN
DECIAEAUqN
I h@by arm u.dn p6aly oap6ju., otrc ollhc fouowins d(ldatio6:
I h"v. r.d sill naintain s Cqlific.l. oIcongl to S.lf-lNuc for *ork4 .o'rpoetion, a Fovid.{ aor bt Sdlion 3700 offiG
t bor Codq for rhc p6fomec. o f th. wort fot s,fiich lh. pqon b asucd.
I lDvc and wilt mainlain workd cohp.Nation iBu6n c. 6 r.quted by Scl ion 1700 of lh. Lrbo. Codc. fot thc Ffon@.c of
rhc sork aor whicn rhis lmnit is isued. My &npdsarn)n nBurancc ca s a.d a ,licy nutoh{t d.:
.Ic.niryrhari.tbcpdfom.c.ofth€\rcrkfortrhNhthispcrdiriljsu.d.lsh.llnolenployanypdso.i.a.Ynrmnd
$ s ro h..orhc srbjd ro tic Lvor k6J comp€Mlion ldws oa(aliaomi.. ,nd a$e lhar il I should b..one subjd to lhe
iorlm compm.rionprcvsionsolS€dion I700 ofrhc lrhir Codc I shall,lodnsilh complyvithlhospm\hions
\VARNING: Failur. ro ssure \orkes composrion cov(asc is onlawtul. and shall suhjcrr an onpl.td ro ai,niml Pdahi6 dd
.ivil fins rp to one hund.d lhousand dollas ($l
tlo, ;;te
6 P"v ded i'r rhc
1\^
I h6€by aflim undeQaalr, o lpBjury lhtrl I dn licosd unds prolisio. of Cha/6 9 (comm€ncins wilh S..lion 7000) of Oivision l
oa rhc lrusins ed Pmf*ions Cod., &d my li.ds. is in iull lorcc ad cIt<r.
L,cosccrEs.' C'\O
^- ",g,,1>11fu,"
(1
nl^t/\ ld a
AEfII(:AILDEIIAAA!]A!
I lEet', aflim u s p..al'y of tojury onc oalh. aollowin8 d(la6tions:
Denrlirion PsmiB.Asb6los Norin.
R.quned Lellq ol Nolificaio.
cotr(t I alrero comply wilh aU Cny&d Cour,
rc[rsohrn6 ol$is City u{Cou -[;1WbalDle nrcnrion.d rtropslyfor insDd
IApplicnnl or q.nl SiBnatrr.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Ivleler Release
Rouqh
Service It4eter
FINAL z/tz/oa ,.lb-qt ,,
Notes, Remarks, Etc caluagiloN.LENulclq[lcy
I h@by aiiflr mdd F ally of pdjury lha lhde s a co.$tuclion ktdin8 .86cy for !h. pdfomd.. of rn work for shich lhis Fnn b
issu.d (Sc.109?, Civ. C.).
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