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HomeMy WebLinkAbout20170529 - Permit (3)City of Santa Ana 20 Civic Center Plaza (N4-19), Santa Ana, cA92702 Electrical Permit #: 2()17(J529 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 Pin #: 22364'\\ Proj ect Address: 419 E First St Unit: Block: 1/6 Bldg: Address Range: 315-431 Tract: BLEE'S/J&F ADO Historic: No Suite Range: Zoning: c5Assessor'sParcel: 398-516-19 Lot: 5-9, PORS 'l -4 & ' Owner: Address; Phonel Tenant Name ROtC 11250 El Camino Real, #200 San Diego, CA 92130 (888) 888-7642 Marshall's Fee Type FWU Min Fee Adj General Plan Update lssuance lvlicrofilm Records Amount 25.76 46.59 57 .20 3.91 Qty 'l.00 1.00 1.00 1.00 1.00 Fee $25.76 $46.59 $22.95 $57.20 $3 91 REEMECHANICALINC P.O. Box 1354 Temecula, CA 92590 (951) 296-0984Phone State Lic #: 940700 Lic Type: C-20 Bus. Lic #: 373559 Workers' Compensation lnsurance:Carrier: Falls Lake Fire E Casualty Policy #: FLA005446-02 Expires: O5lO1l2O2O Building Use: Job Type: Nature of Work Commercial Alteration Rf Mtd Equip Occupancy: Constr Type Code: B,M VB cEc 2019 Electrical for roof mounted eqtlipment Planning Conditions Planning Approval By Plan Checked By: Permit lssued By: Subject to Field:/* sden, Julie Date Date Date 01106t2020 Account# lvlisc. Receipt: Misc. Receipt: Misc. Receipt: Total Buildins Permit #: 1 01 101 000 Every pemil issued shall becohe ihvalid unless the wo* on lhe site authoized by such permil is commonced within360 days after its issuance or if the wo* authonzed on the site by such permit is suspended ot abandoned for a poriod of 360 days aftet the lime lhe wo* is $156.41 $0.00 9't 56.41 MID#: 2019-153462 01 1 16002 51600 01 1 16002 51603 01116002 57770 $'129.5s $3.91 011'16002 51603 01116002 51603 01 1 16002 51600 011'16002 5't603 01116002 57770 Contractor: Address: r rbchi i aj.iTt:j:iice; a riii llertrr .ii (iri (r iI' a r ,'lrIL I fri . i, ti; r..tiilrrr,Jl ,rn -:ir,.L jrlri l(jt(11 rr(lllr(ilr r:.' l. iji L. ri,il.j1i..hl lIfln Li!u(r.hi iee ::i 1 6l-I:[J rJ r:r - fl1- ;i t 6r:r,Jr,rur-l- rrl tr it O,.- Lr r,r e r r r,:, ..i;/ /;;trr:rr:tr1- $ 1t,6. {Notes Fee Totall Paid to Dale: Balance Due: lnspector ELECTRICAL.INSPEGTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION I n.rcb amrft undd poDlry oapdjury lh,l I m ermpr Eon rh. Cont.cto6 l-icm. L{e for thc lollowinr r.en {Se.7031.5 Businds and Ptufsion Code)r /\., aily or Counl, $hi.h r.qrne r p€mn to connrud. all6. impolc. donolbh or reAiii dy stnrcru.e prior ro irs isuancc. ale r€qut6 rhe applic r for such pcmir ro file a r,8n€d stsr.md rha h. or sh. is 1i.6s.d pouumr ro rhe pm sions ofth. conlraclois Lic€.s.d La* ((naprer 9. Comm.ncins rilh Sdion 7000 ofl)ivision:l ofrh. Business fd Pmf6sions Codc) or llur hc or she n ercmpl rhg€iioft and th. bais for rh. alleg.rl eranprion Any violarion ofS..lion ?0:r1.5 b, an! Applicaor fora p€.hn subjers rh. atplica to acivilpenaltyofnor nor. rhM liv. hodrcd dollm ($500) l. 6 osr€r of thr prorEny. o! my cmrlorG \rirh Lvas6 s lh€n $E compss.lion, Nill do rhe $ork and th. ntudr b nor inrodql or o[r.d lor s]. {S{ 7044, B6in6c ed &oa6sioN Code Th. Contadois Lic.n* La* do6 nor apDly to o orvn( of rlrcOoFly who btrilds or ilnlro!6 tl6@n, ud {'h. do6 such $rI hi'nselfor h6s.tfor rhtutrEh hk orhd oqn anploys. /.!ided nlat such imfrcvdnols orc ml inlodal or ofieGd lor sols I I no*6(. lhe hrildins o. iq,mwhdi is $ld wihin on. ,ar olcodpldidc rh. o$rd Builde $i11 h.r. th€ hrda oaproving Od h. or shc did nor boild or nnprove fi€ propoly lor $. pupos oI l. .s o\ ns of lh. rrlpsly. dn erclusircly contractins Lvirh licctrsen conrmdoG Io osrrud rh4 Foj&1 (s( 7014. Ban6 ed ftlfBi,h Cod. l he Conkacroi s l-icms€ l-as do6 nlr .mly r. ar o\rn6 ol0ropcrt $ ho builds or nnprov6 lhs6n. and who conlmds forsuch p.oj.c1s Nith a Conrrnclo(s) licos.d pun@r ro thcCoirraciois Li.dsc lrv) I n€r€,npl undsSdlion WORXERS' CO'PENSATI(TN DECTAAAIIg! I hn b' rrtrm und* penillr o r pdjory on. of thc lollorins delamlionsl I ha\€ dd {ill mainrain r Cedificar. of Consdfio SclfJ nsuc aor sr ies comp.nsarion. ds previd.d lor hyS<rion ]700 ofrhe Lahor Cod., for lhe rEfonne.. ofrh. *orlt lor wfiich ih. pnnir i! isu.d. I h.v. and Lvill mliirain $ork6 codt Ealion iNuranc€. 6 r.qur.d by S<l n :1700 of thc bbor Code, for th. pgiomancc of rlt Nr! for \fi,ch rhir pesn is isudi Mv work6 conp.nsarion n&ran.. crid ed t licy numbd {c:n. FqQ(,,",".*-I > Lok< {)r< + Casr=lLz LAoo 5 4Lla - oz Erpire oJ--{( -zoa I ccni! thal in thc pdfomance ofth€ Nork for vhich this Fmn is issu.d. I shallnol onploy rny pdso. in 4., monr $ 6 ro t iom. sbj<t to $. *ork6 comFsrion l,\* olcalilomia. rd rere thd if I should b€com. subjdl ro lh. s..16' .onpens.rion pmvtiom of Sdlion 1700 ollh. Labor Code I nd l. lonhwilh comply Nilh lhoe pm\isio6. \IARNING Fail!'e nr *cu( *!'kcrs cotrrtlNarnrn qxc'ilc,s unltrstul, &d shill $bic.r an Lrnpl.rcr k, dirniMl p.n.hns aod (tril lincr up k, .nc hundred ihousxnd d.ll3^ ($100.000). tr, id(iirnnr nr rhr oa.dmp.6arion. dona8cs 6 provided lor ihc xE:l'T:1T;l,t( [\s )( (rNIR.\( IOR DDCTASAIIO! I ncEbt amm ondd pmah, of pojury thrt I dn liccGcdund6 pbvision oachaprd 9 (coNnacins withSdb.7000l orD,visionl ol rh. Busines and Prof6sioG Cod.. a my liccB. L in full forcc ed €ildr j1 J-5^1 AXSUCANLOSCLAAATO! I Hy amm uod.r poalty olpqjury onc ollhc tollowing d(lualiois: Dcnmlilion P6mns-Asb6ros Notificarion F.d6al Rqul.tions (Till. 40. Pd6) Reguted ldts of Noli6cdion I cctiry lhil rh. Ldsal r.gulalioB reutrdin! Gbdros rdnoval ar. nor apflicobl. ro rhis pmje.l l.difyrharlharcrcadrhirapplication d(arerhatlhcabovcinfomrari.niscord l a!i& ro .onpl! $irh all aily and Count! .dinlncs dd Slare liss rclarinE lo building coNrrucr i.n. d abo\c D4lionedpropcny for inspecrion purp(ls6 aurhor;. rerr.srarivc.f rhh cn, dd countyto dl6 rFn th. Applicatrl or ,\gfll SignstrreA4A -tc Lf L,\ *,.,1-b-zd Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Rough Service Meter FINAL /-7 7- 2o DN /d) Notes, Remarks, Etc. Under Slab / Floor Meter Release .a &P( larlhisre6on ,1,..sccras L-'zo \^,. /-e^'z't ca.Ng!aucrIaNuBD!!G_&G!!(Y I hcab, aflifln unds lEialryof!.rjury rhat rhsc is a coElBcrion lndin! ag.n y tn rh. pdlonnancc ofth. wolk lor $hicn lhk p€nnn is issrcn (Sa 30q7. Civ C.). I cndo \ Nme Ldrde s Add,6s: (:latnq (a,t(ort Sauc l.tE7 AUTHORIZATION LE'ITER Decerrber 20.2019 To \\'honr it N4a1' Conccrn. I. Jonathan Evancik, aulliorize Manuel Cruz to rcplesent on m1, behall'lbr. an1, busincss license. plan check and permit services needed in regards to Marshalls # 1220 located at .11 9 E. First Slreet. Sanra Ana. CA 92 Sincelelv S iqnature NOTAII.\' A notan'public or other officer contpleting this certitlcate verifies only the identitl'olthe individLral rvlio signed the docuntenr to which this cerriflcate is attached. and not the tmthfirlness. accuracy. or validity olthat document. State of Califbrnia County of Riverside On 14 befbre me. Heather Oliveira. notary public, personalll appcared . who proved to n're on tl.re basis of satisf actory evidence to be the person rvhose nane is subscribed to the within instrument and acknowledged to me lhat he executed lhe sanre ir.r l.ris authorized capacity, and that by his signature on thc instrument the person, or the elltity upon behalf of wl.rich tlie persor.r acted. executed tlte instrument. I ce'rtify under PENALTY OI.'PER.IURY under rhe lar.vs of the State olCalilbrnia thar the fbregoing paragraph is trr"re and correct. WITNESS nry har.rd and ofticial seal- HEATHE COMM RIVERSI L # 2192992 BurlZ04,!-^-,..- 2 { DE COUNTY NOTARY PUBLIC-CALIFOR VY COtrv,SStOt't fXPrnrS I Notarl, I'ublic Signature PR lL 21,2021 .lonatlian Evancik P res icle nt REFI Mccl.ranical. Inc.