HomeMy WebLinkAbout20166626 - Permit (2)Proiect Address: 4518 Westminster Ave
Assessor'sParcel: 100-190-36 Lot. NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C2
e?
City of Santa Ana 20 Civic Center Plaza (M-1g),-Santa Ana' CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:
Pin #:
r 6662
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
MK&SONS
4518 WESTMINSTER AVE
Santa Ana, CA 927031221
Donald F Holly & Sons lnc
209 S Richman Ave
Fullerton, CA 92832
(714) 329-9832
Fee
$148.74
$198.32
$'1 06.56
$294.85
$22.08
$55.04
Amount
24.79
24.79
53.28
0.65
22.O8
55.04
Qty
6.00
8.00
2.00
453.62
1.00
100
Phone
State Lic #: 4fi223
Lic Type: C-10
Bus. Lic #: 336239
Workers' Compensalion lnsurance:
Carrier: Truck lnsurance Exchange
Policy #: 809441240
Expires: 1110112018
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ll' I?,irL
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Ig9tLE'
1An
Ef,1
Don0ldFHollg&Sons
Commercial
Alteration
Electrical
B
VB
cEc 2016
6enerol. Plqn Updote Fee
r-r1116tr0?- 5160[(10(r-
E1e':tr i,:o 1
n1116002- 516030(10-
P,/t: EleEtr ic
lr11 1600?- !Id[1trtfl:r-
lloster Cord
CCi: r r{r*r}ri *}*749?
* $2?, r:r8
_ t5'18.66
_. t40. gtl
$73r'1' 94
Authir67312JNotes
Building Use:
Job Typel
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Pham, John
Chavez, Dave
\zc-.
Dale
Dale
Date
oat23t2018
o8t27 t201A
Account#
Misc. Receipt: 71341
Misc. Receipl:
Misc. Receipt:
Total
Every pemil issued shall bacofie invalid unlessthe work on the site
authorized by such permit is commencod within 180 days afler its
issuanco, ot if the wotk aulhoi?ed on the sile by such pomit is suspended
or abandoned tot a poriod of 180 days after the time the wo* is
cofifienced
lnspector MID#: 2018-145259
$22.08
$508.66
$40.80
Fee Total:
Paid to Date:
Balance Due:
$825.59
$254.05
$571.54
01 1 16002 51603
01 1 16002 5't603
01'116002 5'!603
01116002 53601
01 1 16002 51600
011'16002 5'1603
Fee Type
FWU
Dedicated Circuit
Subpanel
PIC - 65Yo
General Plan Update
lssuance
Occupancy:
Constr Type:
Code:
01 1 '16002 51600
0'1 't 16002 5'1603
0'1 't'16002 53601
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.
Sile-Work
Underground
coM:'-"-- \
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilings (T-Bar Rough)
[/eter Release
Rough
Service Meter
FINAL z-1/ - t7 Zc z,
Notes, Remarks, Etc.
OWNEII BUILDER DELCARATION
I hcrchy utfim undc! F.dlry of pcrjury lh.l I am cxcmll frorn rh. Conhcknl Licensc L€* aor rhc ti'llo*in8 rc,$n (SN ?0ll 5
Bu\incs and Protc*ioi Cod.): Any Cny or Counry *hich r.quirs r Frmit lo con(ruct. !llm. imfrovc. dc'tuni\h or rc!,n ,try
sid.rurc, r{r b irl issu.h_.. trl$ rcauircs thc epli.unr fttr su.h Fi,nir to 6h ! si8ncd (aremnr lhal L or shc Ls liln{J nuru
ro th. Fmvhrns or rhc Contracror's Liccnscd tr* (Ch0fln 9. clm'*minB wnh Se.lio. TuxJ of l)ilision 3 ol lhc B!\inc$,n'd
Dorcslions Codc) or lhar lEorshe h cicmfl Ihcrcfirmatrd lhchsis lor ttu allcEcd qcdpl ion. Any !n,hi('nolsc.rion 701l.5 by any
applicn.l lir rtermil suhjalsrhc applicul ro acivilpcnrhyolrcl nmrclhln fiec hud,ed doller ($5(x))
l. rs owfti olrhc ptuFny. ff hy.npk,F.r wirh wr8cs ar rhct yrc.omp.nsrrion. willdo rl[ work ard rhc srtrNN k mt
i'lcnJcd or o,rcrcd fir $lc (Sm 7!?. Busims and Eolt$t,N Cqlc 1 hc O,nhctr\ I-i.c s. tnw Jd.s nor nmly ro nn o*mr of
rhc nDlrny who huildr or inrlmvs rllmn. ad wh. dc srh wd hnns.lfor ncr{llorrlmugh hi or hcr o*n.hrl.ycc\.
providcd rhdr su.h inpfl,vcmns rc nor i, cnd.t orofi.tuIfdr ek ll tnsc\c( rlE huildirB or inDmvcr*nr is $ld wirhin "rc,srolroil0brion. rhc Ownq Blil&r willhur rhc hldcn olpmins IMr hc or rhc did nor hxild or i'npmh th. pmpdly fo. rhc purlp$of
l. rsowncr.frhc fl.Fyly. m.xclusivclycotua.ring *ilh li..n*d.onracb^ro con{nrct rtr rmrd (Scc. ?(!4. BusEss
Md Pro{ssion Codc: Thc Conrrrclor's l-iccnsc Lop doc\ nor otply h !n owncr olproperry who hrildr or idDrot$ rhcron,
Itrd whu.onrEcreldsxch!$jeNwnhacor.J.rr(oltccn*druNutftk,rhcG,nlmdolsLicensctl*).
I nm.r.ml)l xnder s.clio
uaBsDSl:.(auf[Nsa.rloN
l)qcllnAuaN
I hcrcby rltlr'nrndcr p.Mlry ofprrjuryonc ofrh. tulk,win8 d..la.rri,tris:
I hr\t dxl will 'ninrain n C.n i.rrc ot C.tr$trr kr Sclf- lnsurc frtr $r)rkcs .onDcnslrion. is nmvd.n ,or hy Sccri{n, ]?m of rhc
btxn Codc. for rhc p.rfortuncc of rh. woA for whi.h rhc pcrmn is kucd
-lhrvcrnd
willmainra workcn conlPcnsrriotr iNurrncc. as rcquirctl hySednnr.lT(x)ofrhc lih.rCodc. tor rhc r]cdornrncc o,
ch M y {or[crr' .on'lf,nvrt,r i'rnmi.c. rirr 'W'-tsCaffi9J ( cl L
1 4 l g
I rcnify rhar in rhc Frformk. of rh. work lor whi.h rhk Frnir is i\\xdi. I shrll nor cmploy rny pcnotr in rny nxmrcr
n, .{ (, b$o'E ubid ro tnc w{trtcrJ co rrcnsllio, laws of Calinmir, and asrcc lh.l il I should tEcom \ubjcd t, rh.
workc* onllrdslrion pnrlsions ol'Setion 3?m oflhc tjtn. Cod..I shlll.lonhsilh oarply uirh th)r prcvisbhs
WARNING: Fnilurc l{, Ecurc workcr( compcN'lion mlera8c is mlxetul. rnd rhrll srbjccr nn
cnil fin.\ un ro,.n. I undrJ rhou\Jftl dullr\ 'llr}r.(In'. in r'lJtriqn 'u rhr (r!L',r (crtp.n\,/t..1
,,," - $ /27ItY n*,,-;,)<l ,{( (-.
I ICENSTD CONTRACT(}R
DICIJIAIION
.mpbr.r lo dimin{l Fmhics ond
ion, domBcs as pmlidcd lor rhc
I h.mby nflirn u.dd p.n.lry or pcrjury th{t I am liensd undc. pmvision of Clwlc! 9 (.ommncin8 qilh S(rbn 7ul0) orDivhk,.l
.f $c Busincss rnd l,r.tcsionr Codc. rnd
'ny
li..ns ir in tuU ,orc. ud cffmr
C t0 {l r)5
z7 lts.
CO! AUqI()NIINDINC.AAEACI
I hcrcby uffirm undcr Fnalryolpcrjtrry rhar rheic h r con\rtucrion lcnding rg.n.y r.r rhc pcrlormmc olthc work tu which rhh pcrmjr n
i\su.d (Sc..1097. Civ C.).
AIIIICANLDECIABAIA!
I hsltry lfm undcr Fnally ofpcrjury orc ollhe folh-in8 d(ltralions:
Drnelirion Pcrnirr Ash.rros Norinc.rion Fcd.ful RcSularonq(Tirlc 40. Prn6)
Rcquitod lrucr of Norifiurtun
-l
ccnilythlI rhc lcdcral rcsularions €sddin8 asbcsros rcmv.l arc nor applic lch rhis nmFial.-
-'ffi-dn! hd t t-'c n,J thr rnplrd(nn ort {arc rld lhc,bovc inrornEtmn is cotrcct.I acE lo smply *ilh all ciryDnrl C.unry
ordinanc.s rnd Sr,l. hwr mlnring robuilding conslflctnrn. old hcrcbyrulhorizc rctrcscnurilcs ofrhh Cirr rnd Counrrro ctrrn uF. rh.
rla,v. ni{,Nl pr),)rnI lar insFcii{r,
ADIliont o. AIenl Signntur:
e"-ir* nrnr" rp"ino, {,/1 -l\ap M d42tp
t Dd.i. Addrs