HomeMy WebLinkAbout20166156 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 6G156
Pin #: 37A4A
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 2130 S Raitt St
Assessor'sParcel: 408-421-01 Lot: NA
Unit:
Block: NA
Bldg: Address Range:
Tract: KUFFEL & FLETCHEistoric: No
Suite Range:
Zoning: O
q
Owner:
Address
Contractor:
Address:
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21.25
52.98
Fee
$23.87
$21.25
$52.98
Qty
1.00
1.00
1.00Phone
Tenant Name
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
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 Notes: Handout given/fees pd in full on M-7'1110
Date
Date
Date 06t13t2018
Account#
Misc. Receipt: 7'1110
Misc. Receipt:
Misc. Receipt:
Total
Link. Patricia
Every pefinit issued shall become invalid unless the wo* on the site
authonzed by such perrnit is commenced within 180 days aftot its
issuance, or if the wo* authodzed on the site by such pemit is suspended
or abandoned fot a peiod ol 1 80 days aftot tho time the work is
commenced.
$98.10
$98.10
$0.00
lnspector MID#: 2018-143966
Fee Total:
Paid to Date:
Balance Due:
SCHOOL SANTA ANA DISTRICT
1405 FRENCH ST
Santa Ana, CA 927012414
Raya Foundation
Owner-Builder
Building Use:
Job Type;
Nature of Work:
Occupancy:
Constr Type:
Code:
N/A - No Balance
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS OWNER BUILDER DOLCARATION
I hcrcb, trmirn u.dcrycnnlr, of t'erjury rhar I sm excmpl &om rhe ConrEcro6 l-ien* llw fo hc aollowin! r.,$n lso 70:rl 5
Businc$ ard Pro{esn,i Gdc) Any Cny or C.xmy *hich rcquihi . Frn r ro con{fl.r, nllcr. nnpmv.. rlcmlish or rc,'on lny
sirudue. Fior ro ir\ iqsuon c, aho,cqnnrs rhc ,l)plher for su.hFmi r. tilc 0 siemdslstcmnt ltul tEor shc is liccnscd puNanl
to thc Imvhions oflhc Conlrrclors Liansn Lrv (Choflcr 9. Comrcncins wilh Scclion 7000 or Divi\ion I ollh. Busin.s $d
Pmfc$ions Codc)o, thll h. or shc n cicnfl lhcrcfrf,m lnd th. h!\is lor rhe alk8cd crcfrprion. Anyvid(rio.ofScdnnr0ll.5 by,ny
$tl'.dnrrNdt'h \uhJ(h rh. rmhrnr ru rcr'lprnrlr) nlnu( m'crhd l^c hundrcd d.llor rS5Ur'.
/r{l[ * ,,. *. "t'n" n-*"y. ur ny cryr,'yb]\ wirh lr8cs as rhci' $r. d,nFns,ri.n. wirr do rtE w.'k md rhc lrxrm is mt
'Ftu*.a6r.ff.rcdror$hrs(704-1.Buqm(andPFfisio.icodcrTh.ConlrrrolsLiccnscL.*docsnolamlyhuoorcrof'rhc nmFny qhn hnrkt\ or,tr{rnws rJirtr ui }ln dms sch sA hinselfor hcr{lfur rhhxSh hh or h.r o*n cr{loyccs.
provaed ihlt such inDmrcmnt m mr int.nded or ofi.En tur $L It hor$!r- rlE tniHiry or in{tuvc'Enr k s,ld wirhin .nc fd
orconpldion. tlr owmr Buildd *ill h,w rlr h)rd.n ol provinB th,t tr or shc dn mI hih or inrl'mE thc pmFny tor llt Plrlb* or
-1.
!s .wncr .l rhc !opcn]. am cxclu\irc ly ronlmcriry wirh liccnscd conracroG ro co.drucr rtr prcjc.r (s.. 701.1, Bnnn.*
anl ADfcssiinCud.rThcConrr.ror'sLi.rns.Lrwdo.snorlpplybanowncrolrrr.pc y wh{' buildsor ir.fovcs rhcrcon.
and who mnlm.ts ntr luch rmjccts wirh a (bntmcbns) liccnsd pu^ua ro rhc Conl[cr.as l,iccnsc lrw)
;: "ryi,
I I'r'chy xlli'nr und[ JInrlryol t).'i,ryotrc ol rhc lalk
Ihrvcatrdwilln!'i'rnr.Ccdin..rc.lC.trknrbScll lnsurcforsorkds..nDensrrion.aslr()vidcdiorhySccri,.l7O0orth.
Irhor Cixlc. itr rhc llrrlhnuRc olrh. work f{r whih rhc Frn,ir ii h\udd
-l
havc ind qillnroiNrin workcr'conrpcnsorion in\urrncc.0s rcqutcd by56..rioi l7m or ihc ltrhtr c.dc, for rhc P.doirnrncc ol
lh. wolk lbrwhi.hthis pcrnrir is nsucd. Myw.rtcr'c.mr.nsolion in\urancc urid dldt,li.y tru $cr m:
ily rh in rhc Frfonun.c olrhc work lor phich rhis pcnlnr is isucd. I slx,ll n.r cmpk,y lny p.rnn, in ant iffmr
d* comr.n\dion lrws of C! lifornii. and rgcrh.r ifl should hccorm rubtcclro rlrc
,lSccrn,n:l70O.rrhc lihr Gxr.. I \hnll. rodh*nh mmpr, *nh rho{ tmvkions$or[crs .un|En$lbn p&vtinN {
W/{RNINC: :rtrilrm t, {cur. workf\ confen\arion 6rdBE. i\ unhsrul. .nd \hall subj.rt nr crplotcr k) qiminol lf,naki\ and
irtr k, rlr .od orc.mpcnqlon. drnuScs !\ provnted ntr lnc
lFli
i' crc( rnd rrhmy s fc.\
V t
I h.rcby rrm undcr rcn,lrrorpcrjury lhat I0m fanrn undc. provision ol Chlplcr 9 (co.n*ncins lnh Sdion 7000) olDivnion 3
6f rhr Busituss !tu1 Pofc\ri.rr Codc, rrld ny lic.ns is in tull for.r ld cft'st.
CONSTRI'CTION I I.NTIIN(I A(IENCI
I hcrcby ffrnxndci F.alrt olpcriurr rhd thcrc is. snsrucrion L:ndire l8ercy lor inc pc,i,rnatc oarhc w.rk ror shich rhk lErmil is
nsucd lscc.l0)7. Civ. C.)
ArfITANIDECI,AIAIIO!
I M,y arnn u.dcr pctrlhyof p.rjury om orthe fouo*ins dslMrn,ns
Dcmlirion Plrmns.Ash.$os Nolification Fcdcrsl RcBubrn,ns fink 40, Pa.l6)
Rcquncn L.llcr of Ndilicalion
-l
ccnilirhalrl.c ltdcrul rcsu ld ions rcsrdins rshcdo\re.oval c nor,tPlir lct, rhisln+cr
A4\,(Ir, htr, rcir,hFlff,Ea,,nn m.r (n,c,hi,
'od$!ftc( rnJ srsrr Lws rclor,nE ro hurldrns!otr{ructn
rtl. urnt,"r"a pn,prny r" n\N.rmnnnnnes
rhc.txtrc inlonn ion is.omcr I agrr k,rotrlPlywir
ApDlitn l o.,\xulSi,rnhltrrr
T?b
b
Counryro ctrrcr uIi)nlh.
lwlrc
Sile-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fi re Alarm / Dampers
Communications Cable
Building
Under Slab i Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Rough
Service [t/eler
FINAL ,a1vrflg -1-N7 .dtfir/41
Notes, Remarks Etc.
APPBOVALS DATE
Meter Release
civll llnc\ u! t, onc h!ndrcd ihou\rnd dollrrs 151(x).(X[)). in
bndcrs Addrcsq
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