HomeMy WebLinkAbout20166485 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA127O2 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O166485
Pin #: A3AIO
Project Address: 5100 3/4 W First St unit: ELEO1
Block; NA
Bldg:
Tract: 8939
Address Range:
Historic: No
Suite Range:
Zoning: R2
E
Lot: POR B
Owner:
Address
Erbe Management
2877 S Fairview Street
Santa Ana, CA 92704
(7141 540-5204
Amount
53.28
22.O8
55 04
Qty
'1 .00
1.00
1 .00
Fee
$53.28
$22.08
$55.04
Tenant Name:
Contractor
Addressl
Three Phase Electric
28 Rancho Circle
Lake Forest, CA 92630
(9491 457 -1252
/ / 191 ltJli!
lr'08!* ; /.i
'lei'+:i ;19 / )t1tl
i l
Phone piii
(iri'rCl lot0.l
State Lic #: 599757
Lic Type: C-10
Bus. Lic #: 370061
Workers' Compensation lnsurance:Carrier: Cypress lns Co
Policy #: THWCgl2663
Expires: 03/10/20'19
r.Ji, dat
5UrJt.!{rl
rU J l"ll-ll.l-
rr1i37g
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
pedestal meler Code:
U
VB
cEc 2016 Notes: Pedestal meter for gate & irrigation
Planning Conditions:
$ahL
@l € ( e ,:atl- o ttc.v/o<'r' , so't\ t7 r'r
Planning Approval By: Escamilla, Manny Dale
Date
Date
07t1912018 lvlisc. Receipt:
l\4isc. Receipt:
l\4isc. Receipt:
Total
Plan Checked By:
Permil lssued By: /
Subject to Field:
sden. Julie o7t19t2018
Account#
Building Permil #:
Every peftnit issued shall become invalid unloss the wo* on the sito
authoized by such pemit is cornrnenced within 180 days aftet its
issuancg, or if lhe wo* authorized on lhe site by such pormit is suspended
or abandoned fot a penod of 1 80 days after the lime the work is
commenced.
$130.40
$0.00
$130.40
lnspector MID#: 2018-144796
01 1 16002 51600
01116002 51603
$22.08
$108.32
Fee Tolal:
Paid lo Date:
Balance Due:
Assessor'sParcel: 108-742.49
Phone:
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Update
0'1 '! 16002 51603 lssuance
err et (r l
1116[l
.ll
i
Building Use:
Job Typel
Nature of Work:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O'IVNT]R BUILlIER DELCARAIION
I hcrchy ltlnm undcr Nnalry al lrcrjuy llrl I d cxcnur froD rhc C.nts.rorr t-i.dns ttra for rhc hllowin8 ,.a$n (S...70:rl 5
stsincss and Pdt$ion Codc): Any Ciry o, Cou.ly which r.'tuircs o rslnir lo consrrucl. alrcr, impn,vc. dcnn,lish .r NtE r r,
{flcrurc. prirro irs is.xrtuc. ako rcqxncsrhc atdicnnr fd such pcmn ro filcr sigtud srarcmnr rh.r h..r rhc is liccnrd pu6u.nr
ro rh. ptrrlhions of rfu Grnrr{rois I-icciscd L{r lchrptcr 9. Connrc.ciog Nirh S.crion 70( of Divi\b. I ofrh. Brsin.ss and
PnricsiotrsCodc) orthd h.orshc iscrcmrl lh.r.from and rhr h*h lor lh. rllc8cdcrcmfrion Aryvhl ionolSccri{,n70115hylny
amlicanr for !lcrmil suhjalslhe atpli.ant lo acivilpcnahyofnol nmrclhan tilc hhdrcd dollur (5500).
-1.
as owncr of rhc p$pcny, or my cntloyes wnh wngc\ A rhcii nnc coml'ensrion. will do lhc qork dtl th. strrlE i mn
itrrc cn .rohtrcd ior uh (Se ?044. Businc$ and Prclt$ions Codc Th. conrek s Li.cnsc Law docs oor drply ro o o[mr oI
rhc pml.dy who h{ildroi inlrmhs rh.mn, dnd who des ssh qo* himsclfor hcMlf.rrhFu8h h( or hcr oancmploycs.
lrovided rhar such nnpmrmnh arc mr inrentn orolIcrcd tor elc. tl. homvcr, tlE buiuins o! n{,tuvcm h $ld wilhin onc )tr
or.onpLrirn, lhc O*nc. Bliklc. sill hivc rhc hil.n or F)vin! rhd tr or shc did nor buiH n. i.pnrrc thc ,'mlEly f.. rl! purlbs oI
-1,
!soBncr oirhc pmr.ny. r,ncx.hsivcly conrracrins $irh liccn{d c.ntn toF ro consrrucr rlE !$jccl (S( 7014. Bn(in.(
dlld hnissinCod.:'l h. Conk*nn s Liccnk bw docs ror r,,Ily ro an oqncr olproP.ay who build\ or nnpmvcs lhcrcon.
and uho conrEcrs tor sucn I,n)Fk virh o C.nrmdo( s) liccnsd purdxnr tu rh. Co r.cktr s Liccn* I2s)
llOaKE&r:grMSENliAllAN
IIDI;'dSTIION
I hocbt rflnr undd Fn,lryoftsjuryorc orlhc iollosir8 dc.lararion\:
-I
h,vc i,xl will rtuinrain u Ccaificlrc of Conscnr ro Scla l.slrc for workds ompcnqri.r as rovid.d ror b! Sdion ]700 o, rhc
tlbd Cdlc, a{, rlr r.rronMmc ol$c work for which lhc trmi n &kd
-l
havc (nil sillmrintoin $. c^ comFns,ion insunn.c. t{ rcqui..d by S(r ion .l7l)O or rhc tjbo. Codc. ior lht prrronM^_c or
rhc *ork lorwhichrhn p€rni is t\!.i. My workn( .onr.ns,lion in$rrcc otricr ei lnicy numbct uc:
Y/l(r
XP,,(
oS-ronc t ( c*t . ^,^4L4(-qt?us \-ro-,dtl
-lceniiyrhulinlhctcrtordhnc.olrhcworkf(rwlricnrhN!.nnir
is nucd.l shall nor cmPloya.y Pcrson inlny nldnNl
so i! b h...nrc suhF.r ro I hc workcs' .o macnsal ion laBsolcalifornir- and nBE rhd ill should t cotr{ srhr.d ro rh.
wo*cn' coqrtrs.r ion nmvnions ol Sccrion :17fi) ol I he titr'r c.d.. I \hrll. fonh*ilh conlPry wirh ih.* provisions
WARNINC: Faiuc n, *uc workcN compcnsilion covcrs8c is unl.wfll- lnd shrll subjd an cnlPloys lo oninil FrkEs (nd
civil fincs !p ro orc hudr.d rhous,nd dolh6 (Slln.uD), ifl ddniotr ro rhc cor or..ntEnrrrion. &nE8es 3s lrovidcd aor rh.
S(rr,r lon, ol rhr ljrnr CoJ.. 'n'.m{dnd droflrcy s Lc\
>'"'"1-t*t9- tg Xppt""'t w /L,@'
Ul.[LUiD{9NInrlrI()llD!(Ir\tsilll!)l
I hcrctry aflnD undcr penalryofFjuryrh l !n lien{n undcr ttuvision olChrprcr 9 (coDnrcncins wilh Sftrion 7000) ofDivnion 3
.f rh. ansincs rnd Profcssions Codc. and nryliccnse h in lull for.c and cffc.r.
D(*-"""",519 ) s->
>,,"lrJ>,-tq-ts 7az- -/pi^-s- /:r..A 'z
l.cniltrhd l hc lcdc.,r I rc8ul ionsFguiiDB ish.nos rcmorxl lre nor rptli.nhL ro rhis fotccr
I rnilyrhnrI hrvc rclld ihn ryplicdri{,n rkl {ar. rhd rhcxh,vc inln i$ ir .orccl. l .3ra lo conrply $irh rll ciry a d coutrry
ordinrnccsondSrdclnwrrclarinsiohuildingcnndtucrn)n. dhcrehylurtutrizcrcrc{nr.rivcsolrhisCiryan Counrr ro cnrn trPor rh
L Jb.vr rnrtuNd nbrcny for insFctiotr nurF{s
for,,.-, - n*-,.n-.*'{'4 ji1?
f,".-,**..,0n.,, R- st< I t t3-+./o,.eg.,n.,-z
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding i Groundinq / UFER to14lt9 ,{/aq7 )
Torqueino
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release tolllty..{,t4f(/1-
Rouqh /o/qlt9 ..<144(i)
Service I\/leter
FINAL rch ltq /.uLq f4)
Notes, Remarks, Etc t,
(
Translormers
Air Conditioners
-lrncxcnrDl
undcrSedion-. B & PC fu rht rcinn'.
D!lP, OPm.
a1
CANiTBII(:IIAN.LENDINIjICENSI
I hcrh, amirn undcr Fnrlryotpcijuryrhd rttc il a @n{ cridnknding.Ecncylorlhcptaln,rurccofrhcsorklorwhichrhispcrmin
n\u.dlSr.. 1097.Civ. C ).
Irl'n.,'. A'lJ'c{
-
AITUSANLIIEII.AAAION
I lrr.b,,mmxndci Fnolly ofFrjury orc ollhc fouoring d(lamtions:
Dcmlin,n Pcrmih Asb.sros Norilicrrion Fcdcr.l R.gularions (Tillc 40. hn6)
-Rcq!ircd
brr.r or fiorir'cartu.
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