HomeMy WebLinkAbout20166166 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 9?702 Permit #: 20{
Pin #:
66
46626lnspection R uests: (714) 667-2738 lnspector Section: (714],647-5853
Project Address: 400 N Grand Ave
Assessor'sParcel: 398-383-13 Lot 22-28
Unit:
Block: F
Bldg:
Tract: 344
Address Range: 400-404
Historic: No
Suile Range:
Zoning: SD84
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
ANTRAI{IK G KASSABIAN
17950 LAKE VISTA OR
Encino, CA 913164412
Santa Ana Unidos Boxing Club
Owner-Builder
Fee Type
01116002 51603 FWU
01116002 5'1600 General Plan Update
01116002 5'1603 lssuance
Amount
23.87
21 .25
52.98
Fee
$23.87
$21 .25
$52.98
Qty
1.00
1.00
1.00
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of work
Planning Conditlons:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #;
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016
Occupancy:
Constr Type
Code:Noles: Handout given/fees pd in full on M-711'10
Date
Date
Date
Misc. Receipt: 71110
lvlisc. Receipt:
l\4isc. Receipt:
Total
Link, Patricia
Every pemit issued shall become invalid unless the work oIl the site
authoized by such pemit is cornmenced within 1 80 days aftor its
issuance, ot il the wo* authoized on the site by such pennit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced
06,13/2018
Account#
$98.10
$98.10
$0.00
lnspector
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Electrical
E
Phone:
MID#: 2018-143978
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER AUIDER DELCARATION
I h.r.by afilrm undcr Folry of p.rjury Ihar I m crenpr fmn rhc Contrrcro6 Liccnr bw tor rhc f.llowing rcN'n ( S(. 701 1.5
Busincs alld Prorcssion C.dc) Any Ciry or Counly whkh Equircs i trmir lo conirud. alt... inprove. (lcmlish o! rcI[n ony
iru.ruE. priu t, ir. issuancc, rko r.qrim rhclpplicanr lor such rEnnit ro fiLa sisned srarcmnr rhlr hcor shc is licn\.d pusuair
lo rhc Imvkions ollhc Conl!.clo.s Liccnscn tjq (Chaptcr 9. Connncrcins wilh Scction ?0 ) of Division I ol lhc Businc$ ad
Polcslionr Code)or rhar hc or sh€ is eienpr rhcrcfromand rnc b,sn rbr rnc nllcsed eichprion An, viohrn,nofSdli,nT0ll t bFny
4,?--;: ;.:"; :, ;::;.::::'; :::,t *:.::- :" :*::::*.*-,,-,. .,
ftrrckl orun rcJ htr slc rs\-. ?r rc.{ Buvics and Pr.rcr(nN C{xlc Thc G)nkrcr{tr\ Liccn* hw dft. nor rp/y lo mownd or
rh.rmIcny whn huilds or in$mrcs ltFFn. ond whn d{s such Mlt himsclior hcrsllo. rhmu8h hir or h.r o*ncmplorcc\.
Providcd rh such inprohm.h re nx i, cftl.i or oficrcn ftr ele. lt howcwr. lhc huiUing or imrrcEmnr ii $kl *irhin o . ,tdofsntllkril( rh.Owncr Buiucr willh3vc rhc lrrdo olpmviq lhd hc or shc dil mn tuikl o. inDmw lhc r'$Isy f.r rhe puqnc ol
_1. is oprcr oI lhc ,!o!cny, :m cxcl$ivcly.ona.r ir! w h li.cnrcd..nr,.ros ro cotrslrucr rhc prolccr (S(.7014, Bunnc$
a.d lhf€*id Codc ThcConrmcrois l-iccn\c l-oa d.cs nor flDpiyio m os ncr of prorcny sho buildsor nnprovcr rhcr.oi.
aRl wh. coflr r for such pmrtk qir h a Comndr(\) Ii.cnscd ruburnr k,rh.Cbnrn rois Li..n* Ira)
;1,'"'"'tl,Ii
Itt+
I hcrchy lffinnunnq lenrlry ofpcrjuryonc ofthc iollow
Ih.rcdndsrlltruinrnra(tnificarcofcorscfiros.lflnsur.t,,w.rtc^.otrlP.nvlntr,,s pr.vid.d fo. bySsrn'n 3700 olrhc
Lnhor G)dc. for ihr pcrlbrmatud .l rhc sork t{r which rh! ncrnrir i\ issucd
I hrvc and wiil nuinlaio sorkers comFnsarion insur.Nc. ns tu'quircd hy Sccr ion l7(D .r rhc ljbor Codc- iq rht pcrrormrrc or
rhc suk rir which rhn I,trnir is hsud Myworkcn co'npcnelnn iNUrsrucstrt, rBl E,liy nunfi.r dc
in Ihc p.rfoirnm.e nlthc qork fttr rhi.hrhh n rn't is irsucd.l sh0ll not cnployonyF6on iranymlnncr
sohF.t h rhc {orkdi con,F.\rrion law\olCdili'riir. rnd aIr.r rhrr ifl \hould h...nr \ubj..r b th.
w.rk.rs NrnpcNrr i.n pd!i\i(,n\ ol Ssrn,n :l?00 ol rhc lrtxtr Cdlc- I lhall, rodhwirh oilply wi rho$ t)(,vi\ions.
WA|INING Idrlurc n, *.rrc sork${..nr!cn\nrn &vrrrac bjc.t rtr cnlpb]q lo riminrl
,r,", U
I hlrhylnnm undc! Fn.lryolpcrjury rhnt I am liccnxn u cr Imvhbtr of (llllplcr 9 (commnc ins wi
of thc ausifts ain Pnna$iorx CGlc. ed
'ny
li..n$ is in lull nnc. 0*l cffc.r
COISIBIJCIIONIEIIING E
I hcntry af6.fl undcr Fhahy of pcrjury fi{ th.rc t , .$nntudirn bndinS n8cmt for llE psfonumc of thc *orl ,or shich r,ris lcrnril ir
hsucd (S.c 3097.Civ C.)
AfIUCANfDECT,ASAIION
I hcrd,y !ffirm undcr p.nah! ol p.dury onc of th€ following dNlsations
ocmlirion P.rmir$Asb.sos Nolificalron F.dcml Rcgularions (TirL 40, P.n6)
Rcqun d knfi of t{.dllalb.
/AA;
iry ! har lhc rcdcnl r.Sulorions mBrdin8 ,shcsros .cmval arc nor amlicoblc lo lhG projc.l.
rhd I fiavc red rhi\ xrtlicarn,n,Jd (ar.rhd rtc atx,vc ini(,rori.n irc. tr. I agre lo..mply wilh rll Cily lnd Coutrly
ornn,an.c\ rDd Srrrc lr\rsrlrri'rE k' btriUtr,E
rhovc f,nrtrr.tltk,Fny lnr in\Fcri{ni ptrrB
Appltcanl or &eni Sis@lue
Pedile Mme (pnnl):\Puk
:,'-'d"lr lf*
Underground
Pole Bases
Light Standards
S pas, Pool, Fountains
Signs (monument)
!!!e Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Boof Top Equipment
Factory Wired Unit
Walls (Conduit)
[alls (Rough)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
It/eter Release
Rough
Service [/eter
FINAL /-zt-e J)c{r ?fr)
Notes Remarks, Etc.
APPROVALS
Site-Work
Under Slab / Floor