HomeMy WebLinkAbout20166171 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2lJ166171
Pin #: 34084lnspection R (7 1 41 667 -27 38 l nspector Section: (7'1 4) 647-5853
ProjectAddress: 1951 N Mabury St
Assessor'sParcel: 396-023-01 Lot: POR OAVENPOR
Bldg: Address Range:
Tract: A.B. CHAPMAN Historic: No
Unit:
Block: A
Suite Range:
Zoning: O
q
Phone:
Tenant Name:
Contractor:
Address:
School Santa Ana Unified Oistric
1405 FRENCH ST
Santa Ana, CA 927012414
Fee Type
01'1 16002 51603 FWU
01116002 5'1600 General Plan Update
011 16002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1 .00
'1.00
1.00
Fee
$23.87
$21 .25
$52.98
John Muir Fundamental School PFO
Owner-Builder
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:
Permil lssued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
N/A
NTA
cEc 20't6
Occupancy:
Constr Type
Code:Notes: Handout given/fees pd in full on M-71110
Date:
Date:
DatelLink. Patricia
Every pemit issued shall becorne invalid unless the work on tho sito
authorized by such permit is commenced within 1 80 days after its
issuance, or if the wotk authodzed on the site by such permit is suspended
or abandoned for a period of 1 E0 days atter the time the wo* is
comfienced.
06/13/2018
Account#
$98.10
$98.10
$0.00
lnspector MID#: 2018-143983
N/A - No Balance
Owner:
Address:
Phone:
l\risc.Receipt: 711'10
Misc. Receipt:
l\4isc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOB HECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUII-DER DELCARAIrcN
I ficrchy arfirm undcr p.nrlly of p€rju,y rhnr I m cr.npl fmn thc Co.rru.ro^ Ltcnsc tiw fo. rhc foll.wins rctr$n (scc70.t1.5
Busihcss ond Pnicssion Codc) Any Cily or Counly which r.qxirs a lsnrir ro .on{ocr. dlr.r' inyovc. {hmlhh or rclln onv
(tudu.c. prir t, irs issuurc. also r.nut.s th. arplic|.r tor such pcmil ro lilc i siBftd rtrtentnl rhs' rEor shc k liccn*d purua
b lh. pmvisions ofdr Co.ka.iois t,ienscd liw lchnpr.r 9. conrrncitrg wirh sccrion ?u)0 of Dilhi.n I of'h' Businc$ 8nd
PmtcsioorCodc)orth0lhcorshchdemflrhcrcfbmandth.bashl{trihcall.Ccdcxcmplion.Aor!iol.'io.ofSNlionT0ll5hvdnv
rpnlicJ lo' x r'cn \uhj(h rh. rplltrinrro 0.trr ncnrlrl otn.! rnnrc rhan r c hur.lddolla,!t$r(io'
/hA, ""*, * t" ,-*.y. d my cnrluree\ wirh * asc\ * rh.L s.k conrl,cnsar ioo. will do trt $o* ord rhc rrBrm is mr
7 #nait "r .ncrca r". qtc r s( 7u44. Busincs Md Pmrcssi.ns Codc ]ltr Conh.rors Liccrt L{s de\ nol qDlv r' rn owmi ot
rh nDncny wlo hu'ld\,tr i'q'rnv.( rh.mn. and whn dies sEh $o* himsellor hcrslfor rhmugh hk or hcr oq.nlkty.cs,
Irovidcd rhsr su.h impmvcmnk d nor im.ndcd or offcBl n, sh ll ,F*crcr. rhc huildi.s or irtetdsr is sld I ilnin ore ttar
oto@krbn, rtE OqNr Builds vill h!ft rh. t dcn ofPovitr3 rhul hc or she did ml hoiu or itqrew dx l,oFnv ior rnc Pn+ot of
I. r\osn.rorlhcrorcny, rmer.lu\ivclyconhdirs qilh licer{d .ont,.ror\ k' con(dcr rh. pqccr (Ss 7lx4 Bustrc$
dxl Porif,si'n Codc:'l hc Coirrr.tois Liccnsc l-as dfts norarnly t, rn owrcr orln'lcnywho huilds or impi(,vcs lhctcon.
and wh. conh.r ld such prcFr sNirhr Cb in.rrr\) licctrr,l,rurnirnr r.rhc('qrlrrcnn s l-icci\c LN)
;:- u{ial
I hcrcbyJ,ftmu cr ncnnlry l ,rjury onc .l rhe lollo* ilU
I hrvclM will nEinllin a Ccdirf,alc of Cotrsnl ro Sclflnsurc tr workcs- comlcrsstion. n\ providcd for bvSccridll?U)ol lhc
ljtrr Gdc, tur rhc rcrforMncc ofik work for th,.h rhc Fnnil i\ i\\ucd
I h.!c rRl u ill mainrain wo*cn conpcnslrion iNuratuc, .3 r.quncd hy Secrnrn .r7m ol lh. Lnhor a)dc. ror rh. lcrfo'mncc of
rhc vork for which lhn pcmir is hsucd Mylork€n .onPcnsrrn,n insunncc clFicr dnd lFlicy nunrher ec:
Pcl'.vNumhcr
-Erplc.
frM,nfrt,^,**u",nEnccorrh"workra,wh'chrhisp.mirntiu.d.lshallNrcmplovtnvp.ronin!n,mdncrh tr\ r. bcrom subrrl !n lht *o*di (nmncnsal nn la*\ of California. rd 08N lha' it I should tE om slbj.d ro lh.
sortcr' mn{Enslion pmvhions of Serion :}?m of lte Lstbr Cd<tc. LrEll. {onhwi$ onlpty wiln lb* ,rovniods .
WARNIIG: Fi,ilurc Io suE workc^ conF.salion corcmse is unlnuhrl. and shrll slbjdt s.mPlovtt lo oEiml
'ri
ln!\xd(l (lollnrs rSl(xr.olxrr. i', rld nnr ro rhc.orr or conpc.sari
trl
,qrcq JrlrEky'\ ri{\b *^,**.a
I hcEhlrfilnnundft n.hyol prrjtryrhrr l3m licc.{d undcr i ofClrU.r o r.onnmn.i'r! tr{h
l-iccns. N0n'rrr:
-
CANiISUCIIONTEIDIMICEdII
I hcEb, rmrd undc, lEnllly of ldjury rhd thcrc h a con$rucrion lcnding r8.rcv ao, rhc l.rrormB of lhe work for shi.h rhn Fr'nir is
i$ued lS€. 1097. Civ C )
AITI.IIAILIIECIJAAIION
I h.rc6y altnn uMcr ,.nrlly of ncrjuly one of lhc followinS dclarar ii,ncl
t)cmoliiiotr Pcrmirs Arb.slor Nolilicolion ltderal RcguhrnnN (Tirlc40. Prn6)
Rcquircd l.llcr of Norirslion
-t
ccnilyrhrr rhd fcddrJl rc8uldrrns rgrrdin8 r$.{os.crovnlurc nor +pli.iblclo lhG Pn)cci
ifyrhar I halc rc rhhlpplic ionrfrl{arclhst rhc al$v. inf(mrr i iscotrr.r l rgr( ri (inlrly wirh rllCirynNl
ro huildint.on(rucrion- a.d hcrcbyaurhtrizc "iT,';inh,vc mcnri{)n.n pn,!.ny Lr in{Iisrion IUiIx
Appliunl or Ascnt si,tnnloR
I
t,
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Sions (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Roof Top Equipment
Factory Wired Unil
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
I\4eter Release
Rouqh
Service lt/eter
FINAL 6-27-/9,/)Jot;6 (rr)
Notes, Remarks, Etc
Sub-Panels
Air Conditioners
of rhc Busincs,nd Pn,rcsionsCodc. and nylicn\c isin full irtr c ffil eff..r.
t nd.r! Nam:
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