HomeMy WebLinkAbout20166185 - Permit (2)Citv of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2O166{85
Pin #: 86664lnspection Requests: 1714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 818 W Seventeenth St Unit:
Block: NA
Bldg;
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: ClAssessor'sParcel: 398-571-01
Owner:
Address:
James B Tucker Tr
818 w. Seventeenth Street
Santa Ana, CA 92701
Fee Type
011'16002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$2',t.25
$s2.98Phone;
Tenant Name:Masteryiece Foundalion
Owner-BuilderContractor:
Address:
P hone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type;
Nature of Work
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:Notes: Handout given/fees pd in full on M-7'1110
Planning Conditions:
Plannang 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 pemit issued shall bacome invalid unless the wotu on lhe site
authoized by such permit is commenced within 180 days after its
issuance, or if the wotu authoizod on the site by such permit is suspended
ot abandoned tor a peiod ol 1 80 days aftet the time the wotu is
cammenced.
$98.10
$98.10
$0.00
lnspector MID#: 2018-143996
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Lot: NA
E
N/A
N/A
cEc 2016
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS OTYNEI BUILDER DELCARATION
I lrcrcbt al6rm undn t'.mxy of pcrjury rh l m cxcmfl fmm rhc Conlrgclos Lianrc Lrw for lhc followins .cann (Scc 7011.5
Businc$ and Pmicsion Codc): An, Cily or Counly which rcqutcs a pcrnrir lo consltu l. alrc. iqrrove. dcBni$ .r reldn 6ny
srrucrurc, tior lo ns ksu6ncc, oho rc{tuncs rhc arpliconr lb. su.[ Irrni ro nh o sis.cd staretr rhdl lrorshc t li..ns.d puBu0nr
ro lhc pmvkions ortrE C.nrmcroas Li..n$d uw (Chaprf 9, CommcminS with SNlion 7ux) of Dilhion I oflfie Blsincs lnd
Pmfcssions Codc) or lh|t hc orsh. iscxcmnl rhcrcfrcD !.d lhctEsk for rhc olk8cdcxeflrflion. Any vnrblioo.fSerionT0ll.5byany
,h#-ffiffi .ffid#;;;ffiffi;il:r;ffi ffi :*",",
rhc r$lxny who blildc or irpmws lhc6n. dd who do( su.h w)* himr.lror hcrslfor thmu8i his or hcr ownemnk,)@s.
pmvided rhar such imFmvernk m tu, inrcndcd or.ftrcn lor sk la hokrci rhe t ilding or inlh,vcnrnr h sold wirhin onc )rd
ofcon lclion. tlE Owmr BuiUs *ill h!rc ltr t[r&n of rmvin8 llEl lE or nE dh ml hild or i.q,mh lnc poFl, lor th. pu4n* of
;: bk ?
I hcrcby lltirm undcr !.trlllyofpsjuryorc ofthc followin8 deldalio.s:
I h,w ,Jld wiu minr,in n Cdif$rc or Conrm to S.lt-tnilE for worrd{ nrorens.rion. 6 J,mvidcd aor by S(l ion 3?00 of lhc
ribor Codc. ior lie p€iformrc of thc *ort for ehich l,E rrcmir is issled
,lh0vcrtrdvillnrirlainworkcsconDcnsorioninsunmc.osrcquircdbySccrion:1700ollhcL!$orCode,f{rrhcpofdrtuiccol
l,E work for ehich lhh lcmil is nsuct. My wortcr ompcnsorion inslErce cuicr ald policy nrnhcr e:
Policy Numh..-Ex0ncs
--
/llly'."\X'iy,r,,, * 'r'" 6'r*mtuc or'rhc wo ior*htrhrhispcrnirisissucd.lshallnorcr0rt,yaiypcroninany'n,nnct
'
^.
l( ro t mft objNr k, rhc Nnrk6 $'nn n\Jri,m L!\ orCslir.rnia, a.d rgft rh,r ir I should hccom suhiEl ro lhc
*orkc(' .onp.n$rnrn pnrvhions .l Scdion 37uJ or rhc tjbor Codc. I shall. fonhwiih .omply with rlFc lrovisiotrs .
\IARNINC: Frilurc ki r.urc $orkc6 .onrptn\atn,n $krrg. '\ unhsful. x nrll \lbjccr !| c rnl(,,tr t. criniNl Fnikf,s rnd
.rll ftr.\ un rr on. hnrlrc(L rhon\r rlol x^ lslrx).ixx|. m rddirr)n Ihc.oi of.ompcnslnon. d,ntr8cs {s [ovidcd lor lhc
;:l-,-'ui,?{lig
I hcrctry alrtrm under Il.MIty o f pcrjury lhal I om liened undcr !,mvkion olChoDtcr 9 (commrcn,s wnh Scdirn Tlxx)) otDi!i,io.:l
of rh. Busiftsc ud Pofcsions Codc, .nd my li.cnsc h in tull forft and cllt.i.
-Liccnsc
Nunbcr:
cQNsrf,lcuQNLENDMiili[Nct
I h.nby rmrn undd Fnnlry of p€rjury $ur lhem h a consd.rio. IendnE decky tu thc pcrfolmre or lhc rcrk for qnich rhis pcrm h
nr!.d (se :1097.ci!,c.)
AITI.IIAILDECIABAII9N
I hmbyofildnnndcr pnrhy orr.rjury on olrh. lollowing dehmrions:
Demn ion Pe.mic Arbcsros Norilicarion Fcncrul Reslhrio"s (Tirk rl0. Pan6,
-Rcqxncd
bncr of Nolifi calioi
ylh. hc l.dcral rcBulations rcru ins asbcslosrcnDvdtrrc trot 6pllicrhlc to rhi\pmrccr4aA
'!4lj/adiry lhal I hnrc rsd this applicrrion ond stdcrhar thc atnlr inlbrmarbn ii cor(l ! asre r. 6'ryly wilh .ll City and Counly
nd srarc bws El ri.ero buildinS .onqrucrn lrxlhcEbyaulhorizcrcprcs arivcsolrhhCiryandCornryrocn(cruronrif,
ahrv.
'mnrioncd
pml.dy ntr insr.crion lullosc\.
'\t't,ln nl or A[(nl Si,rnnt,'rr
IP,tb k,>.* b/#ll
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm i Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFEB
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
C eilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL ttILT,4E,:>\r#
Notes, Remarks, Etc
-1.,s
ownd nfrhc F)Icriy..fcx.tu(ivcly.onra.ling wirh lic.trscd.onlrnckxslo connrud lhc pmjd (S.c. 7044. Buiims
"trd Pmlbsion Codc: 'l nc Contactorrs Li.cnsc l-aw dtrr nor lpflyro an osncr oftrdp.dy wh. build{.r inD(ncs lh.ron,
Md who conh.ts nr s.h l)l)jcds qith ! Conlmdo( s) lietrsl puruanr r{r rhc Conrrldoi s l.iccn\c l-3N)
tr.n,hl \ AJJ,i$
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