HomeMy WebLinkAbout20166177 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2(J1ll,6177
Pin #: 6891{lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 2910 S Main St Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C5
q
Assessor'sParcel: 4'10-311-05 Lot; NA
Owner:
Address:
Kiener
PO Box 711
Dallas, TX 752210711
Amount
23.87
2't .25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$23.87
$21.25
$52.98Phone:
Tenant Name:Te-Kenjutsu-Kan Karate Do
Owner-Builder
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't6 Notes: Handoul given/fees pd in full on M-71110
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued 8y:
Subject to Field:
Building Permit #:
Date
Date
Date 06/13/20r8
Account#
Misc. Receipt: 71110
Misc. Receipt:
Misc. Receipt:
Total
Every parmit issued shall becorne invalid unless the wo* on the site
authodzed by such pemit is commenced within180 days after its
issuance, or if the work authoized on the site by such pemit is suspended
or abandoned fot a period ol 1 80 days aftet the tine the wofu is
conmenced.
$98.10
$98.10
$0.00
lnspector MID#: 2018-143989
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
rt(
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
0'11 16002 51603 lssuance
Contraclor:
Address:
Link, Patricia
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Vollage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouqh
Ceilinos (T-Bar Rouqh)
Meter Release tl /)
wt vt I I U al,
Rough w/1
Service lvleler
Notes, Remarks, Etc.
OWNER BUILI}ER DET,CARAIION
I hcrchy aiirnr rnlcqrnrlrr .f p.rjuiy lhrr I @ e\cntr froh rh. Contd.ttra Li.cnsc tiv ror rhc followiry rco$n (Ss ?031.5
Ausiucss 0nd Proicssion Cclc) A.y Ciry or Counry which rcqutcs a !c.mn ro consrrucr- lltcr, inDDw, dcnolhh or rcprk ,ny
srruc.urc. prhr k) irs tsu cc. sls rcqut rrhc applicanr nn{.t Froir r. fik i rigmd natmnt rhd lEor shc h licensd pulsa
lo lh. tmlisions oI llE Conracl.trt Licensed L.w {Chaplcr 9. CommcminB sirh Sccrion 70{D ol Divisi,n I orrhc au\in.ss and
Pn,t sionsCodc)orlhar ncorshc tcxcnDr rhcrclronund rhch{xis fitr rncdllcgcd dknllion Any viohtionofSstion?0:ll5 hy rny
,-rrtrtrrnr n{ . p..n'ir .ut'r.rr\,h. {pl'.rnr ro 0.'v'll. Ar) d n r 'n{crhin lrvc hundrcd dnll0hi!1rrt,,
AA t\
Ili/s olner,lrhcrmFrly. nIrJ cm!l")..\$ h(,a.,u'rhcn {lc cnrTcl{rtr'n. w,l J rh.}urlnxlrtr{dumhnil
I,M"d.d * "fi-"d r". *h lsm 7or4, au$ft\. Jn'i Pn,rcsions Codc: Thc Contdor's Li.en* hw des nol atply ro an o*ncr ol
rhc pmFrly whJ buikh or inyrors thcmn. ald who des such *\rk hnnscllor hc^clfo, throuEh ht or hcr oq..mtloycc\.
f)vidcd rh"r {ch impotnxnk m , inrcnd.{l or ooerd for salc. lt hoscwr, lhc hoilding or i'.pa,v.!tunr is sld *irhir om }td
oi compbrhn. rhc o*rc! Buildc, *ill hnw th. tnrdcn oI provin8 rnd be or rt. dil rcr 6uild or i'n oE k rrerdy aor rh. l[tlhic.r
l. r\oqncr.irhe non dy. amcxclu\im1, c.nrra.rinE wirh li..n\en cotrkxct,^ t' con(tucr rht tn'ic.r (S(. 70,1-1, Bu.ir'c$
nnd Pnifcs\inr Codcr Thc Cotrta.rofs L(ctrsc Lnw d.c\ tror rttly k) rtr nwncr olpmpcny who bnil& or i,ll|rnrMs thcr.oi.
nnd who conk&(ntr ru.h tn,jccr\wnhrConrrrcr.(r) li.cn\cd
li?1"v
I halc a willnrinrrii*orkcrJ.omFtrsrrionirsuian..,r\rcqutdhySc.riotr3r(XrollhctiborCodc.ffflhcpcrtuirtbn.cof
rhc wo'k r{tr shich rhisFrnrir is irsucil Myworkc^ .o Fcn\ n ,nsur .c crfticr {xlNlicynun$cr tuc:
A,,kr, *, . *" *uo,'*nLc orrhc worl ror which rhn rem,ir n isiucd. I slEll nor cnploy nny pc^.n h {ny m..ne,
{f,V,ir"'..* -r,r..i. 'r'"
$orkc^.onryn,r,un rau i or c;rirornia. d +Nrhrr ial sn;h h..onE subFr rorhc
workc^.onrNnsritunnft,vkionsofS(tiotr3700oflhcLIbrC.dc.Ishall.bnhwilhcomplywilhliosIrovisions.
WARNIN(;] lj0rlurc lo surc rortes compcnsdi.n covcrr8c is unla$tu|- rnd shau suhjccr an cnrpl.rtt t, oininrl Fmlri*.nd
:*$M#nolhn (Slm.(xrr. h trddirion TfiW-
I hchbyalftnun<ld Fndhyorp.rjury rhd I a li.cn*l und.r rovisio; oi Chrplcr 9 (commmins eirh Seri,n 7fix)) or Divhion l
!f lhc Ausinc$and PmfessioniCode. rfll nylt.nsc n in tullrorcc dnd.ffftr
i..n{ Nunhcr
-CONIIBUCII(}{.LEIDINGIIiENII
I hcreby,flir{ lndcr Fnalr, orp.rjury rhd lhec ktr mnnrucli)n hndine +emt for ln€ pcra.rut. orrhc work ror which thh lEmll h
nsucd (Scc. 309?. Civ. C.).
AITLS:ANLDESABAIIS,N
I ,E$y !fimr.dcr penrlry.ipcrjxry om orrhc r.Uowins d(brdrions:
Itmolirion Pcrmils-Asl,csros Norificario. Frdcrul Rcsuhrioos (TirL 40. Pd6)
-Rcquircn
lrtrcr of NclifEarion
rions agaidine Lqb.jros rmval arc nol applic lc lo rhls preJccl
icorion lnd srordhor thc trtrvc infornmrion n corccr I ogd ro..mply wilh all Cil y snd Counly
n l.en4(rhrr thr rcdcmlrcsuld
4,,k(**.tr*.*1,*',t
,hovc ft.r t,ncd flop.dy ror inspccr
Appll.r orA{.nlSlgmlum:
Pemire Mn.tpnn0:N ItA
"^'il;i[
I
APPROVALS
FINAL
I hcdby amrm undcr !.Mlly or r.rjury oft orlhc rouowhg dc.ldrioncl
I hDvc aid will mimain d C.n ia*ar. or Con*.r kr Sclf l ninrc for sorkcis ..'nFtrsd ion. N Imvilcd tor by Sel ion :l7l)o ol lho
ljb$ Codc. for rhc perfonturcc oi rh. {orL for wli{n rhc Fnnir k issurd.
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