HomeMy WebLinkAbout20166074 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2O166074
Pin #: 364tGlnspection Requests: (7'14\ 667-2738 lnspector Section: (7'14) 647-5853
Proiect Address: 2038 S Main St Unit:
Block: I
Bldg:
Tracl: 517
Address Range: 2O34-2O3A
Historic: No
Suite Range:
Zoning: CSM
E
Assessor'sParcel: 015-074-17 Lot: 5, 6, 7
Owner;
Address
Veronica M. Jimenez
53 Seton
lrvine, CA 92612
(949) 981-6290
01116002 51603
01116002 51603
01116002 s1600
01116002 51603
Fee Type
Subpanel
Min Fee Adj
General Plan Update
lssuance
Amount
51 29
'19.35
21.25
52.98
Qty
1.00
'1.00
1.00
1.00
Fee
$51.29
$19.35
$21 .25
$52.98
Phone:
Tenant Name
Conlractor
Address:
Owner-Builder
Phone 6/ 6/Zt_t18
lr(rns+!
otol
ifiene,
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
Subpanel
Occupancy:
Constr Type
Code:
B
VB
cEc 2016 Notes Subpanel located inside building
Planning Conditions:
Date:
Date:
Date:
NIisc. Receipt:
l\4isc. Receipt:
l\4isc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Amsden, Julie 06/06/20r8
Account#
Every permil issued shall become invalid uhless the wotu on the site
authorized by such permil is commenced within 180 days after its
issuance, ot if the wotu authorized on the site by such peftnit is suspended
or abandoned fot a pe.iod of180 days after the time the work is
commenced
$144.87
$0.00
$'t44.87
lnspector MID#: 2018-143740
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due:
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires;
Eot,:h+:441;
ull i Ee I ,-'1 Y
Frpt+ I t:r2:gt
Trons(l,:t ior
IU: o,i(
z016ir
$289 . 1,
i,rPt.txt i,
Planning Approval By:
$21.25
$123.62
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.OII'I{ER BUILDER DEI,CARATION
I hcnby rfr'n unrLi pcn,lry of Frjurt lhar I m .rcnpr ,mm rh. ConticroB Licene tiw ro. fic f{nbvin8 rcas,n (Scc 7031 5
tsusincs !fld Prcfcsio. Codc): Atry Cily or Counry whah rcquncs o lEmit lo ooslrucl. ahci impmls- tlcmlirh or q{n uny
{flcrurc. tii.r ro irs tiu cc. !h. r.qlirc. rhc ,mlic,nr i1tr suchr€ndr k, filc' \igrcJ rarcmnr rhar h.orshc iq li.cnsd pureuani.
to lhc pmvisions of rh C.nt,ctols Lic.nscn tlv (Ch,fl.r 9. C-omn.inB Rilh Scclion 7mO of DivGion I of lhc Blsitrcss and
Profcsiotrs C.d.) or ihal tr or shc h crcnyl lhcrcliom.nd lh. hxis for lhc all.Bcd cxcmplion AnyviolllionofScclionT0ll.5hysny
amlicanl for a Frmil subj.rls rhc amlicrnt lo ! cilil pcMllyofnot nmrc fian riyc hundrcd dollds (5500).
\/v. .*^, r,* n-*",,. n n,y cq,lorRs w h q r!.s.r th.n bh cofrp.ns,rion. wil d. rh. wMk urd of, srEtu is mt
lnrodcJ or ollcrcd for slc (5(.7044. Bu\inc* and Pirrcsions Codc: Thc ConrBcroas Liccnsc ke doc. nor,pplyro an owroror
lhc Imlrrty *b hilil1.r iq,oB rrEmr .od who dm sxch slt hin.clr or h.Mlf or rhrcuen hn or hcr own cmrhyccs.
providcd rhlt such iml,oEmflt! m ml inrcnacd or ofit(n 6r $h. Il ho*cw.
'h.
hdirdiru or impmrcmd t sold wilhin onc ,.u
ofroq,lclion. lhc owrcr Blildcr rill havc dc bo.dcn oa ptulin! rhd h. or shc did mr hild or inpmvc lnc pmFny lor ltE puqnc ot
_1. r\ o$mr of rhc pmFny. rr cxclurilrly conrmtirg rith licctrsd conlmcrrs ro onrrud rh. IroFr ( Scc 7or,r, BD\irc\\
ond ttotusiotr Codc: ThcConrraclor's Liccnsc L0w docs nor rtplyro atr oqnf of rropcny who huildsor imtrovcs rhcrcon-
and who conrmrs for s!.h roFk wirh a Cloittur.(n ltencd pn6ur.r brh. G,.t&rois Li.cnsc Ltrw}
;:ta"db4 IB u** Vaartrco M
WOR(ERS' CONPEN\^ TION
IIECI.ABAIII}N
I hcEby trlttm!ndc. pc.rlryoillcrjuryom olthc folk,winS dslnrd'nns
I huvc ,nil will mintain { C.nirrarc or Con*nr r. Sclf ln\uE nn w6rkc6 .onwnelio.. 0s ,,svidcd for by Sdlio! l?00 of lhc
libor Cdc. for lhc Frformflcc of Ihc sork fu which the pcrmil is issucd
I hrvcand willnrn arn *orkcra comncnslriotr insurin... as nquncd hySccrmn 1700oflhc LlborCodc. turh.F lortuncc o,
thc uork lbr which rhis pcnnn is iss8d. My wor tcN conFnsdrio. irsumncc .r cr ,lpolicynun$ersc:
v4|ir'-,iiry rhr . rh.r..r,"mto. I rhe sork rur whf,h rhis Frnir is hsu6d. I .hnrl nor cmploy any p.Mn in rny n,nrcr
so s Io h.snE subicd lo thc srtqc conqrcnsalior l0ws of Calinxni., ond ssm lhal if I sh,lld b€cotu rubid ro llE
wnkcll comtcnsolion pDlisions of Sdion 3?00 of thc t bor Cndc. I nrll. tunhvil h ompl, sith rE s polnions .
WARNIh"C ts,itu.c ro knrc workc6' conWnsal io. .ovcr,Ac h unl.stul. 0nd shall subjcct an cmplo,€r Io dminal pciahhs ud
.Ml lincs up ro onc hundNd rhousand doll0tr (Slm,(XD), rddiliotr ro rhc.oi of.orpcnsutio., diftrg$ as prolidcd lor rhc
Codc. irncrc( o.d inomy
\Jrranrc. MaI
-Xrtete-Z
L&EILTED-qONIAAI:IAB
DECI.3.B{IIO!
I hcEbyafli,nund.r pcnahy ol r.rjury rhal I am liensn uMcr pmvisio. ofChaprcr 9 (comnrncitrB wilh Sdt'n 7(x)0) orDilkion l
ot rhe Bu\incs and Pmfcsioni Code, aJxl my lic.n* t in alll aorce anl .tfer
calsrBuquaxrEuuNc-&GtNlx
I hcrcby llrrd u.dcr ,.mlry ol l)crury rhd rhc.. isa oNtudhn Lndin! rgcmy for rhc pcriormmc o, thc work for shich lhh Frhil is
isslcd (S€c.:)09?, Civ C )
AELICANLDECIdf,AIIQ!
lH,rrrmundq pcnalry oa p€rju, orc orrhc iolloeins dcclaali{,n\:
Dcnmlirion PcrmirsAsb.sros Notiicaliotr Fcdcml RCBUlaliotrs (Tirl. 40. Pd6)
-Rcquicd
L.trc. olNolifE4liotr
-l
ccrlilrrhrr thc tedcnl Esularions ECUdins {slEsror rcnoval!E.or antli.lhlc ro ihis psj..t.
&t4lL.dirr rhd I hnvc rcrd rhh atpli.arn,n aJd {,r. th r rhc atnvc inromrion is coftcr. LEu ro comply *nh.ll Cnyand counly
ordinamcs Md StIc trwi rclrling ro bnilding.onslncrion,.nd hcrcby Nnrhoriz Eprcsrnlstiwr oflht Cily rnd Count, to cnlcr uton rlE
rtor. Df,nrioncJ pron.nyntr in\pccri{,i prlxrc\
"^,, otloslB
!6n!cs-\-.{Lv.4€4e-z-
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
It/eter Release
Rough bha/R liifJh-a n-^a?
Service Meter !
FINAL
No1es, Remarks EIC.
APPROVALS COMMENTS
ti'"nfnez
Liccnsc Clls:-Liccn* Numbcr:
Dolc: Conlmror
Pole Bases