HomeMy WebLinkAbout20166066 - Permit (2)City of Santa Ana
Permlt Counter: (714) 647-5800
20 Civic Center Piaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66066
Pin #: 24OOg
Project Address: 420 W Seventeenth St
Assessor'sParce| 005-110.02 Lot: 23-30,3340
Unit:
Block: C
Bldg:
Tracl: BARTON
Address Range: 402430
Historic: No
Suite Range:
Zoning: C5
q
Owner:
Address:
Phone:
Tenant Name Santa Ana HS Football
Owner-Bullder
School Santa Ana Unified Distric
1405 FRENCH ST
Santa Ana, CA 927012414
Fee Type
01'l'16002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21.25
52.98
Fee
$23.87
$21.25
$52.98
Qty
1 .00
1 .00
'1 .00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016 Notes: Handout given/fees pd in full on M.71067
Date
Date
Date
Misc. Receipt: 71067
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permit issued shall become invalid unless lhe work on the sito
authoized by such permit is commanced within 180 days after its
issuanca, or if the wo* authorized on lhe site by such permit is suspended
or abandonad for a peiod of180 days aftet the timo tho wotk is
commonced.
06/06/20't8
Account#
$98.10
$98.10
$0.00
lnspector MID#: 2018-'143795
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Contractor:
Address:
Occupancy:
Constr Type:
Code:
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILI'ER DELCARATION
I hcrchy fifln uMcr pcnohy ol rcrjury lhd I am excmpl fmm rtc Coor,rcior' l-iccn* taw lor rhc followioS rcason (Scc 7031.5
tsusincs and Prcle$i.n Code): Ao, Ciry or Cox , which r.qrncs a p,ann lo connruc'. allcr. imrrovt, dcnmlish .r Nrair d.t
{ru.!ua. Irior io irs issuamc. lko rcquncs lnc amlic.nl lor surfi [Ermit to iilc , sicftd rarcnrn h,i tr or shc t licensd plNonr
k, rh. F.vision! 6f rh. C.ntr.rofs Li.c.sd tjN (Chafrcr 9. Commcmins *nh Sccrion 7(l(XJ 6f Division I ollhc Busirrc$ 8nd
Profcssions Cod.) orlhd h. or shc h cxcmpl thercliom and thc bosh n, fie alkscd cr.nfrion AnyvioldionofSdionT0ll.5l,yan,
,!mrfo hr rIlcrmiruhi(h rhc rrplicanr ro r.*'lr.ndl,yn' nur tr'crh.n livc hunJrcd dnllu. '5500'tJ
,l&1, !\ unn$.lrhe !tunci), nr my cnrhlm! wirh qucs !r thcn sok compcisarnri. willdo itf work atrd lhc stnrlw k ml
''nrcrtAl oron'rrrd ror elc(S( 7ur4. tsu$m$ rnd Eof6\ions Codt: Th. Conterols l-ians Lrr docs nor amly to owmrof
rhc lr,Fny utx) huilds., irprovcs rlEntr. a.d wh. dfts such s* himscllor hcMlf or rhmuSh hii or h.r osocmployccs.
,roridcd Ihor sucn impm!€rnrs rc nor inrcrdcd uofi.ffl ror ele Il hovcRr. th. t{ild ins or inphvctunr h k,ld wilhin onc y.a
of 6,rflciii., rhe owmr Bnikl$ will h.{ tr bordctr of rovinB thd hc or she dil m! hiu ot inp6\t tlE pmlrnt tor lhc purlEs of
,. * ovncr dr r pmFny. .,n cxclusilcly conra.rins wirh li.cn*d conka.tns r. en{ru.' rh. pmJct ( SLr 7l!.1. DBim$
ofti Pn,tssion Codc: 'l hc Contrct, s t-i.cis.l-aw does nDr.tply ro dn otrncr.fFopcn, wn(, bnilds or inpovcs rhcrcotr.
ond who .onrn ts lor such rmjecB wirh o Conrracto(n liccnscd nlrum brh.G,ntidoas LiceoscL,w)
I ib la q,
I hc(hj rnirn, utrd.r I)cnllryofltijLiyonu ofrhc nnL^ving d
-l
h.vc ud wjll'ni ,ir aCcdincarcotcooscnr lo Scll lislrc tuworkcn con1P.n\ahon. as providcd torbySccrion.lT0oorlhc
Labd cod.. ror rhc p.rrormrcc ol thc vo for which the pcrnil is nsucd
I hrvcrnd qilln[i air workcr\'conrpc'strrin i'rurrmc. rs rcquncd hysccrion]70Ootrhc l.!borCoJc, ntrrh. tEronnrn.c ot
rhcworkr'orwhichrhnp.rmiri\i\\edMyw..Ncomt.urt insur,rc.cmti plicynulllt'c.rc
4*d;-r",*
*orkcrl .onDcnsari{nr poli\n,ns
rof'hc wort for*hichriis p.rmir h hsncd
'kd. snp.n$rion lowsorC.lifornii. and 13
|.fsc.rion 1700 ofrhc tiln codc.I sholl.li
I shallnrl cmpby lny lEi\on inrny'nmn.r
rcc rhar ia l sh,old lE o r srbjr{( x' ltr
)nhsnhco'ntly *irh rhos piovirhns
WARNING: Fdilurc tu *.urc workcs' dDpcnsorion covcogc is unh*tu|, ind sldl suhiccl an cnrPlotet r. ninrinal Fnaki.s rnd
.'!Ll lik\ r p k, !i. htrtr(
Iid :ffi,'""
rhc con olco pctrr0rion. damr8e\ a\ providcd f.i rh.
H h,i
\._)
ftn.inE inh Sdion 7000 r or Divhion :1
(,,
I hcrchyrllirm n,lcrnctrrlrtol triln!rhrr Irnr li(trlcd u ,lcr
AIPLICIINLIECIANAIIO!
I Ny dam undcr penrhy ol pcrjlry one olrhc folldwinl JNlmli.trs:
Dcmlilh. Pcrnrirs-Asb.(os N.lification Fcderal Rc8ularions (Tnb 40. Pan6)
Rcqutcd Irncr or Norifrdion
:cnily rhir th€ fcd$dl rcguLrions E8&1i4 ustrstos r.nFvalarc nor lprli.al,h b ihis rn
Wrtilyihrl Iluvcrc.dlhisrpplic!ri{ni tsl{arci1 r
'herk)vc
i.tunr i({i is.orc.t.I{arcc
.hylurhoriDrcFrcs arivcso
rlbvc rcirioncd |r pcny 6r i
,\ppliunl or AE.trl Si8onlure
0t
ro comdy wnh dll cilya.d Counly
lrhis Cny a.d Coumy ro cn'cr upon
'h.
".,"
,nlnlu
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Air Conditioners
Roof Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
It/leter Release
Rough
Service Meter
FINAL tt[l*tlrt,9D5lt
Notes, Remarks, Etc
ELECTRICAL.INSPECTOR RECORD
Sub-Panels
ol rhc ll$incs ind Pn,lcsion\ Codc. Drxl nryliccn\c i\ in fxllfu( d clTc.r
I i.c \. ( h$ I (.tr\. Ntrtrrltr
lr'rc
(]ONSTRIJCTIoN I T'NDIN(; A(]ENCY
I hcEty uflirnrundc! rEnalryofprrrry rhrr rh.ru is tr con{fl.rirtr hndirS rScncy lorlhc p€rronuN. or rhc work for which lhh rrmi n
issucd (Scc.:1097,Civ. C ).
I cnJcr',\ N,,n
trnd.as Addrcr:
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