HomeMy WebLinkAbout20166153 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{66{53
Pin #: 37550
I nspection Requests: (7 1 4, 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Project Address: 2000 E Seventeenth St Unit:
Block: NA
Bldg:
Tract: MAYBURY
Address Range: 2000-2278
Historic: No
q
Assessor'sParcel: 400-121-01 Lotr 1
Ownerl
Address
lnterstate Consolidated lndust
2130 E Seventeenth St Unit# D
Santa Ana, CA 92701
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
0'1 1'16002 51603 lssuance
Amount
23.87
21.25
52.98
Fee
$23.87
$21.25
$52.98Phone
Tenant Name:John Muir - OC Eagles
Owner-BuilderContractor
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016 Notes: Handout given/fees pd in full on M-71'110
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Link, Patricia
Date:
Date:
Date:06/'13/2018
Account#
Misc. Receipt: 71110
Misc. Receipt:
Misc. Receipt:
Total
Every parmit issued shall become invalid unless the wo* on the site
authoized by such pemit is commenced within 1 80 days afrer its
issuance, ot if the wo* authorized on the site by such permit is suspendod
or abandoned tor a peiod of180 days afrer the time the wo* is
commenced.
$98.10
$98.10
$0.00
lnspector MID#: 2018-143963
N/A - No Balance
Suite Range:
Zoning: Cl
Qty
1.00
1.00
1.00
Building Use:
Job Type:
Nature of Work:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
DATE toisrG.COMMENTS OWNER BTIILDER DELCARATION
I hcreby afirn lndcr Fnrlry {,f ncrj!ry rhar I d ricmlr fn,m
'hc
Conha.k,F Li..nsc tjR rrtr lhc lollo*itrg r{son (Sc.?031 5
Busincss and Prorcssion Codc)r Any Cny or County shh[ rcquncs { Falil lo onstrucr, llrcr. imDmvc. dedolhh o! icprf dny
ruclurc.p!6rrons issusncc. olb lcqltcs lh. lp,,licant ior such I'cmir ro filc a risred darcftm rhlr lt or \hc n liccn$d l,u.$a
h rh. t'bvisnrnr orrlF Contnc(tr\ Lic.ns.d ti* (Chapr.r 9. comrcn.nr8 wilh Scdion ?tx)o of Division I o, rh. Burih..l a.d
Pq)rc$ nns Codc) .r rhri hc or \h. rcrcn{r rhcnfnmsnd rhc hosn for thc llks€d cxcdpri.n Any violalionorsccrinnT0lr I by,ny
/t$liclntlbrJpcm.ublcchrhcdlnhcanrros.nill)cnrlr)ntnom,,rrhrrrr.hundmdJnll0r\,110u,
//,[", ,f *. ra" r.**. or ny cmnl.rrci s h ]a8cs,r Ih.i. slc con,r.nsarion. will do rhc $olk o,r'l rh. srurB is norjrdJelo..n rt,jro, 'le (se 7(,r4 Bu(mc{r rtul Prnrcsshtrs codcr Th. Cnnrodol\ Liccnsc Lav dcs mr aprly b rn.wmt of
lhcrmpcny wno builds or impmvcs rhcNo. ard sto d{Es srch sod iim\elt.r lreltot rhough his ot lEr owtr cmpLyccs.
pn,vidcd rh.t such inDrovcmnk e nor inrcdcd (r oflaE'.1 for s,c. It hoqcvcr. lhc huildir! or imnmrtunr i\ sld wirhin nic rr
of co'rpLiri.n. rh. Owncr Buiud will hrvc rhc hunLn of pmring rhdr h .r shc dn ml buiu or iqmE lhc ImFny fo, rhc llrF,* oI
l.i\o{n$.1rhctr,t^-.dy,rn,crclu\iv.lycoitr.rin8airhlicc\cd.o..n.hsnrc.nsndrhcDEicr(Se..r(}]J.Du\incs
rM I'bh$a,tr Corlc lhcCotrlrrctofs Liccnsc t.iwrnrcs Nr rDrlylo rnorvncr.l pr.pcnywh. $uilds or nnpn,vcslh$con.
rnd who $nt&t r{r \uc[ pRIL.r. $irhnCo r.rct,n\) ]i.rn\rd lusultri n,rhcG
I hcicby ifilr.r undcr lcnalry ol !.rjury onc olrhc r.lloqin8 dcclaldions:
-l
hlvc trtrd willflrairhir 0Ccnilicnr..lCon\cnr roselt lnsurc ror snkc'r .u$cn*r (r1. rs ptuvidcd
tjhor Codc.Ior lhc,rrfoinrrcc olthc wo* lor qhich ihc pcrmir is nsucd
I h,vc.nd qillm0inlsin workcr' compcnsalion insu!.rce. rs rcluircd hyScc'i{,n1700orrh. btxrr c.d.,lor thc pcrloiin,nce ol
llr wort forwhkhthis Frnil is hsu.d My workcr' onp.nsalion insuii'n.r catricr Erd Fli.ynun'b&dc:
r:-Expirc.
nrlhc lcrionunccollhc w.rk ritrlhich lhi\ pcnnl is n\ucd.l shrlldor.'hpk)y dny pc6o iDrDynranncr
\uhj.c[orlr sorkcA cohpctrsirtn hwsorcrlinmi{ nndrfrclh ilr shoulJ hccom su},icr x]rhc
sorkcrs comnrn\irionpDrisiotr\ofSc.rion.lTlx)olrhcLhn(id..lrhll.tunhrirh.otr y*ilhrhoelnvi\ions
WARNING Frihtrc ro scurc qorkcs comP.nsdi.tr covensc ir unla*ful. rnd shall sohjccr dn.mtl.)k l. rininal,lctrrltts md
srrtui. dnrmxcs ns ,i(,vidc{l lor rhc
I hcNhyrftnnundcr pcn,hyolFrjuryrhal I m li.c.sdundcr prcvisionol Ch0plcr 9(coontocihg wirh
of rhc Busincs Bnd hofcs\ions c(d.- d my lkch\c h in hrll r(tcc tLid .fit.r.
l,i.rn\.( lrs:-l.i.c \o ND rlu
ConlEcror:
CONSIIIJCIIIINIENUIT(;.&CENI.:I
I h.ichy aflnm u6df rn,lry of prlury lhal rh.rc n a conslrucli,.l€nd,ns lautrcy fnrhe pcrrormanlt .r ihc worl ntr whi.hrhn Pcir h
nsued (S( 3097. Civ C.).
A'ILICAII.IECIAAdPN
I horrrydrllmr.dcr peMlry orp.rjury on orrh. tolk,wing dNlrdn'ns:
Dctrxnirion Pcnnih Asb.sro. Noriicrrion ltdcrtrlRcguhrion\ ('lirt 41). Pan6)
Rcluned krlcr ol Nolincalt)n
lslrslor rcmval m ml E tltdbb lo lhG tmirl
c lh rh. abov. infornation is coEccl. I lsrc ro onDl, wirh ill Cily rId C.unty
ADpli.n orA8enlSiEmlum :"CI,4{s
Site-Work
Underground
Pole Bases
Liqht Slandards
Spas, Pool, Fountains
Sions (monument)
Life Salety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Rough
Service lt/leter it ../'l
FINAL LQIT2 (whq
Notes, Remarks, Etc ,I
APPROVALS
Ivleter Release
lri{-. Ndn'c
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