HomeMy WebLinkAbout20166151 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2Ol6615{
Pin #: 75O8Olnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 511 N Harbor Blvd Unit:
Block: A
Bldg:
Tract: 490
Address Range: 501-521 *
Historic: No
Suite Range:
Zoning: SP2
E
Assessor'sParcel: 194-162-24 Lot: I THROUGH l1
Owner:
Address:
F TRIVISONNO
20262 LIGHTHOUSE LN
Huntington Beach, CA 92546/f415
Feo Type
01 116002 51603 FWU
0'1 116002 5'1600 General Plan Update
01 1'16002 51603 lssuance
Qty
1.00
't.00
1.00
Fee
$23.87
$21 .25
$52.98Phone:
Tenant Name;
Contractor
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 20't 5
Notes: Handout givenrfees pd in full on M-71110
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Link, Patricia 06/'t3/2018
Account#
Misc. Receipt: 71110
lvlisc. Receipt:
lvlisc. Receipt:
Total
Every pemit issued shall becoma invalid unless the tvork o, aha slfe
authoized by such permit is confienced within 180 days altar its
issuance, ot il lhe wotu authorized on tho site by such peftnit is suspended
ot abandoned fot d petiod of180 days after the time the wo* is
commenced
Fee Total:
Paid to Date:
Balance Due:
$98.10
$98.10
$0.00
lnspector MID#: 2018-143961
N/A - No Balance
rrF-"4{"
Pho Da Temple
Ovvner-Builder
Amount
23.87
21.25
52.98
Date:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
APPBOVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
S pas, Pool, Fountains
Signs (monument)
Lile Safet y /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
[,4eter Release
Rough
Service firleter -(
FINAL blzn tf/,,(,/4{7 r t9)
Notes Remarks, Etc E7
OWNER BUILDEN DELCARATION
I h.i.by arun undc. p.nolry or p.duiy rh,r l d ei.mrr from rhe C.ntact,n Lk..\c tiw rorrh. tolliising rc.$n (S..7011.s
Busincs .nd Profcssnr Codc): Any Cily.r Counly which r.quircs a F.nrit lo consloct. !lrs. imuovc. dcmlish Dr rclan y
(rucrurc. Drior ro irs issurme. alw ,equircs ric applicsnr for such ncmir lo nb a sistud uarcmor rhar h. or shc i! lic.nsd pnEu:hr
lo thc pmvisions oflhc Cont0doas Licetrscd tiw (Chrprf 9, Comnrcn.in8 with Scclion ?000 of Division:l of rhc BnsnErs aid
Pmlts\ions Coilc) or rhar hc or shc t dcmpr rh.r€trcm and thc t{sh for rhc alLscd.icnprion Ahy virlrrionofsolion?0ll.s by riry
fu*;ffi ffi*;;-;;ffi ffi;il;**i****.,
lhc tmlEny who boildr or nr{mhs ltLBtr ml eho dks *h m& hnrls.lfor hcs.lror rhroxgh his or hcr ow.rmtloyecs.
pn,vidcd I har slch inpmrcmnrs @ mr inreDd.d or oficNd for soL ll howrRr. rh. ttrildir8 or in{'rovcEnl h $H uirhin onc ycu
ofc.mplcrion. lh. Opncr Suills will tlvc lhc turdm of tmvinB th,t hc or rhc dil ml tlit or iq,oE rhe Fmneny ,or lhc puqns .f
Lr\o{nqotrhcFlpcny.rdcr.lo\ivclrco.rracring*irhliccn\.d..irrt^t,cod{fldrhcpnlc.r(S..7().l4.Au$0cs
Md Lhl|s\bn Codc ThcCo6tr.ror's Li.cnsc Lrw do.s nor+tlyt, drotr.cr ofr,rcpc ywho buills.r nnfrcvcs lhcrcon-
and $ho clntBds ld such projLrts s irh o Co.hcn,n o licctrrd puN'rnr h rhc ftnrra.r(, s l-iccn\c lj,)
;:.'$1dt#
I hcrc$v arrtnrundc. pcnrlry olF-rjuyonc olrh. li)llo{ing
lhrvcrndwillmrinr0inworkcrs.omtnsarionin$traftc.rsrcqutdbySc.riotr:17U)ollhetfborCodc.forlhcperlortunccoi
rh. woik rorrhkhthis p.rnir is issudl Myworlc^ ..mpcn\dn,n in\ur N c,rin drolicy nuflbcr rc:
oirhc work Lr whi.h rhB rciinir is is{rcd. I \hnll nor cnrploy (try pcrson D,ny 'numrcs'.otru.ns ion las\ofcalilhnria- !.d rgErtrr irl\hould trcoft {hj.d t,rh.
workcrs' comprn{arion provi\hns ol Sccrn,n .1700 oa rh. Llbr Cqlc. I \hf,ll- lbniNirh conuly wirh rho* ,n,v(n,n\
:**u
I.,ltrr t' f,urc lorLc^
'.1-- ',"r-,,",-**r
M;W
.ovcnSc is unhwtul. ond shill sub,iccr !n cnrphycr x' Lri'nindl pcnahics Md
I hcrcbyoitnrundcr pcnnllyol r.riurylhd lom licctr{n undcr i,r ol ( hrfrcr 9 (.onnn.minE *iih Sccr
.l $c Busilcs 0nd Profc$iorr Cidc.,nd myltcn* is i,r lullfttr c md clltcl
Dole Contmctor
TONSIBIJI:IIONIINI2INGIIIINCI
I hdchy!llirmtr crpcMltyoi rcrjuryrh.lihcrc h.coNnElinr lcndin8 trgcncy rorrh. pcrr.rmncc urrhcsoIk rar shi.hthi! Fnrir is
n\ucd (Sc. 1097, Ci!. C r
A.?ILICANIDECI,IMIION
I hmiy aninn u.dd pcn.lly of pcrjury ooc of thc lolhwnrS ddlrarbns
D.rmlnion P.rmirr Asb.s.s Norii.arion F.d.rdl R.Bulnrions (Tillc 4{), Pan6)
-Rcluicd
t ll.rof Nolrrotion
h*fi
iftrhrr rh ndc'rlrclubri{'n\ m!Mling r\bc{.\ rcnx,vrl rrc norr!|li.$tu n, rhn pnUcrr
rhar I hrv. rcrd rhtrppli.aridr alc rh0r rtu nhovc infonMriotr n cone..r I aBre ro omply wir h lll Cir, rnd Cou.ry
nd srrrc lrs\ rcldii8 (r huildi'r3 tucrtrnr. d hc'rhyrurhori7crctr.\cflrrivc\o, rhi\
$ovc nrcnli,nrcd Inncny n ir\rclion0u
pDlicnnl or Atol Si*trrtu
\\a
'qu["L"
I
-l
tqvc !,!r will roinkin a Ccniarcrrc ol Con{nr ro Scll lnsu.c for *o c6 romptnsarion.nr pmvidcdfoibyscdiotrlT00ofrhc
L,txn C.dc. for thc F.rformlce oirhc sork rbr trhth rh. Dcnn h nsucd
I
---T------
--f-