HomeMy WebLinkAbout20166163 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ol661 63
Pin #: 95464
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 2429W McFadden Ave
Assessor'sParcel: 407-06248 Lot: 36
Bldg: Address Range:
Tract: SANTA ANA ACRE$listoric: No
Unit:
Block: NA
Suite Range:
Zoning: C5
E
Owner:
Address:
Contractor
Address:
Duk Soo Yum
2429 W McFadden Ave Unit# l 15
Santa Ana, CA 92704
Knights of Columbus San Jose Counci
Owner-Builder
Amount
23.87
21.25
52.98
Fee
$23.87
$21 .25
$52.98
Qty
1.00
1.00
1.00Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expiresl
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016
Occupancy:
Constr Type
Code:Notes: Handout given/fees pd in full on M-71'110
Date
Date
Date
Misc. Receipt: 7'11'lO
Misc. Receipt:
Misc. Receipt:
Total
Link, Patricia
Every permil issued shall becofie invalid unless the wotk o, the site
authoized by such permit is commenced within 180 days aftet its
issuance, ot il the wo* authoized on the site by such pemit is suspended
or abandoned fot a petiod of 180 days after the tirne the wo* is
commenced.
06/13/20't8
Account#
$98.'10
$98.10
s0.00
lnspector MID#: 2018-143975
N/A - No Balance Fee Total;
Paid to Date:
Balance Due:
Tenant Name:
Phone:
Fee Type
01116002 51603 FWU
011'16002 51600 General Plan Updale
0'1116002 51603 lssuance
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.OWNER BUILDER DELCARATION
I hcrcby afitm undcr Fnllrt oft rjury lhsl I m cxcnq ln'm Ih. ConhdoF LnIosc L{w f(tr rh. fdlowins r$hn (5&70115
Bu\inc$ !d Pntc*ion Codc)r Any Cny .r Cox.ry whkh rcquies s Frn,it b con$flcr. 0xcr. imir.vc. dcmlhh or rctEn any
sdclun, trior to irs i$uakc. lko rcquircs lhc applicrnl aor such Firnil 'o
filc o signed stolcmnr ltar tr or shc b liccned pu^uanl
to
'he Frvkions of rhc Cont&rofr Li..ns.d bw (ChJflcr 9. G,@n.in8 wirh s..lion 7000 or Divhion I oi thc ausincss and
Prcf.ssions cod.) or
'har
h.orshc Lr crcmpl thcrcfrommd rlr bns( lnrth.slE8cdcrcm ion AnyviolaiionoaSdtion?011.5by,ny
Jnpflicdn! r.r a Fmr ubjRF rhc aptlrcdtrrr.0ctrrlp.null) olturnorcrhtrr fi\c hun.Lr.d,lollu\ rt5OOr
414.n-*, r,* n-*"r. olnyc proycc, q h sr8crasrhdt nncconwtrsrrior. s,rrdr trtwtrkund rhc srmrft h s'r
' ,'*trdcd ;r .fic'cd for -lc (5( 7ur4 Butincs rnd l,,ortssions Codc Thc Codr!.roa s Liftn{ tiw &rs nor afi'I, ro e o*n$ of
thc lmpcny who builds o. i'rrors Em.. ond wh. docs skh k,ci lrinscli or tursll .r rhrcush hi\ or hcr oNn cnqn y.dr.
providcd rhar skh inlrDwrf,n ft nor inr.nddl or oltcrrl lor et ll tx,*c!r. rlt hiuing or nqmkftnr h $U wirhin om tw
ofcoDl,lcl ion. ltr Owrcr Buildcr will h!rc rhc ltrd.n of I 'vin3
lha hc or shc dil nolbuild or impmle 0t poricny for rtr purpo$ or
-l-
as osrcr of thc ImtEny. am crclusivcly c.nk tine wilh liccnscd co.lndor ro ondrud rtryn,Fr ( scc 704-,1. Busftss
nnd lt)lc\\inCodc Ihc Co rrnr's l-i.cnrr Lrq docs r nml!h! ownd ol[ore ywho buildsor impovcs rhcrcon
;:--util\I
I ho$yrfinhundcr p.n ry .l F,rjury orc oi rhc lolbBnr8
_l hf,vc dwillmui ain!Cenifi.xtcorconsdnrrds.lrln\lrcrorworkcrs.on:pcnsnrion.NnmlidcdLrhyScction.lTuroflhc
t tor Codc. forlhc pcrlornEtreoflhc trort toruhhhthc lHnril is hsucd.
-lhavcr.dwillmflinluinworkcs
compco\lrion in\urarcc. !s rcquircd hy sccrion l?fi).rrlr bhorcodc. ior thc rcrlorntrne oI
rhc work lhr shich lhis p€rmii is issoed. My sorkc( .onpcnsit,n in\tratur cdhr dd B)licl nunft.rm
- Polic\ Nunrhcr'- T\ni'c.
1\4,,/4'ry rhJr m rrr f.dn,mRe.r'hc 'o,k ro, shEhrhk p.rmir t hsucd.I sholl nor emrloyanyFNn in 'ny mmn .
' $ 6h}rcom abjcd ro rtf, *n'ks s,mncnsrnn rsws oaciliaomio, ann asE. rhd irl shoxld beom suhjer b th.
wnrtsa comFosorion trovisions orSd.iio.l70oorrh. Lstbr Co&.1 dEll. r.nhwirh.ompl, wilh lhos povnions..
WARNINC: I'rilLtrc r' scurc $orkcr'conrpcns ion corsrsc is utrla*ful. rnd \hali \trhict rn cnlPbycr t) di'rnfil rnrhics rnd
civil fincs up to onc hundrcd lhourlnd dollss ($lm.ourr. in uddirio'
lufrdl+
I h.Eh, alltmunderltrnalryoipcrjury rhar lu) liccn*J undcr
of (h.Ilu\inc\sn d Pnncssi( rsCod.. i nrr li.cfsc h i rull
n ol(-hrfrcr 9rrrtrtrnr . rS\irh
AIELUANI.DEILABAIION
I hnt y afllnn undcr lcnrhy or p..jurt onc olrhc folkr*ing dc.lni,riotrs
DcRnnnrn Permih Arh€sros Norificarion Fcdcral Rcglhrn,ns (Tirlc40. Pd6)
-Rcq!ncd
lxuer oi Norirrcarion
44;rdffi;:;
Emvalrc ndr atplicabh lo lhis pmjcd.
lboE infomrion t comd I alIl{ ro.osply
nd hcr.by trdh.nzc dpdscnl0tivcr ofthis Cily
aliolc mnliDmd lropcny for in\ta-.-rionnuqr
ADplic.nt or /lActrl SiAml urc
\6
-tlt:;T6"
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rough
Service [t/eter A\
FINAL G.ZI-IN V,W]U
Notes, Remarks, Etc.
APPROVALS COMMENTS
rnd *l$ co N \ for \!ch pmlcci\ *irh a O,nrEchn s) liccn\cd lu6uur b r hc G,.r3.1, r Lkc.{ Ijw).
Liccnsc Closs:-Liccnsc N!'nh.,
-
lr.re ( orrftror
coxirf,ucuorLExDlN{iScENcr
I hcreby firn under Foalr, or pfijury rhar thdrc is d .onsh.ri,n L.din8 igctrcy for lhc Isl'onMcc of lic vorl for which rhk Frnir is
hsucd (Sec 3m7. Civ. C.).
Lndcl. N.m:
-
knicir AddFs'
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