HomeMy WebLinkAbout20166154 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2Ot66{54
Pin #: 7{956lnspection R uests: (714) 667-2738 lnspector Section: (714),647-5853
Project Address: 2235 N Tustin Ave
Assesso/sParcel: 396-281-49 Lot: POR 12
U nit:
Block: B
Bldg: Address Range: 2231-2239
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
E
Owner:
Address:
Phone;
Tenant Name:
Contractor:
Address:
CKL PROP LLC
20640 MIRKWOOD RUN
Yorba Llnda, CA 928867107
Calvary Temple Royal Rangers
Owner-Builder
Fee Type
01 116002 s1603 FWU
01116002 51600 General Plan Update
0'1'116002 51603 lssuance
Amount
23.87
21 .25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$21.25
$52.98
Phone
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:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016 Notes: Handout given,lfees pd in full on M-71'l'10
Misc. Receipt: 71110
Misc. Receipt:
Misc. Receipt:
Total
Link, Patricia
Every permit issued shall become invalid unless the wotu on the sito
authoized by such permit is commenced within 180 days after its
issuance, ot if the wot* authoized on the site by such peftnit is suspended
or abandoned lor a period ol 1 80 days aftet the lime the wo* is
comnenced
06/13/2018
Account#
$98.10
$98.10
$0.00
lnspector
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date;
Date:
Date;
MID#: 2018-'143964
ELECTRICAL.INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDI]R DELCARATION
I hcrcby,trtrm undcr p.nalry or pcrjory rhir I m eicmpl li.m rhc C.ntmclos l-tcnsc t,w for lhe follo*ins rcasn (Scc?01,.5
Arsinc$ and Pr(r'cssion Code) Any Cily or County whi.h r.qxi6s a J.r. r ro .onsdcr, alkr, imprdw, dcfrrirh or mpLn any
sltudurc. prhr ro its tsuancc.0lv, rcquncs thc opplicnd for su.h Fnnn ro ika siSncd {nrcm lh.l lEor sh. i licenrd pu*ua
lo lhe rorhions orthc Contacror's Licc.scd tjw (Chaprcr 9, Conmcncing {irh Sccii.d 7O(D ol Dilknrn 3 .frhc surnrs and
Proic$ions Codc) or lhal hc or shc t cxcDrpi lhcrcfrcm and rhc ttr$is ror rh. ollcgcd cxcnlpri.tr. Any v,olation ofScclbtr 7011.5 by atry
4ffiffi ;ffi."*,#--*ffi ffiffi"-;inn**",.,
rhc J,mpcny wk) boilds or iqmws rhcd'n. dd wh. d6 skh sorl himsclfor hc^clfor rhmugh his or hcr o*n.rplorc.s,
providcd rhi stch impmwmnrsm mr inrcn& n oficrcd lorsrlc.l( ho*crcr. rhe huirdiq or imrmEmnl issUwitiaom 16
olco'.plcrior rhc owrcr Buildcr willh'rc rhc burdenolpovirS lh lt or shc did nor huild .r nnpi(,vc lhc potmy for rhc l,Urrx's of
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I hcicht rlli'nrrn,lcr pcMlry of|[rlurtotu olrhc rallowi
PolicyNun$cr Erph\
I.cdityrhrinrhcncrrnnnurcolrh.sorknn$hichtlrilt^-rniri\isnErl.Ishrllfrrctrrloyanypcrvn,inrtryornnci
o rsrobr.oif, \uqcd brlr w.rkc^' .onrlfn\d 6n lrw\olCrlif{{fir. rnJ xErL{ rlrrifl \lr,uu h.cotrr\uhrc.r hrh.
*.rk.rs.onrFtr\rridrpflrvni,,nlolS.dn,n.l7(nofrhclrhtr(t{c.lshlll.lonh\irIcon t$irhrl$\cpmlis n\
WARNINC: lj{ilurc to sccurc wo.kcn
::r'f.'fiaTiH
conDctrsalior covcrtr!. is unlawhl. itrd rll suhjcct rtr cmploycr Io crimirrlrEnrliics and
dollffs (Sl([.uxr. tridr ro rh.
Ihcrcbtrfln'nuidur.rhyofFluryrhrrI nli.{.s.dund.rtnovi\i{nrofChaprcr9(onnkncingsnhSc.ri(
or ihc Busircrsand thilssn,n\Codr. d nry licensc is ir tulllnr.u xlcr'iicl
CotrtE.lor:
CONSIiIJI:IIANIEIDINC-AIiIN.CI
I h.rchy affirm uM.r Fnrtyofp.lurr rhar lh.rc k aconsroction lcndin8 trgcty fd rhc FrfornBn.e ofrhc work Lr whi.h rhi\ Frrir i\
hsocd (S( .ltr97, Ci!. C.)
A.TIIIIANLDECITIBAIION
I ho{ny alilm undcr Fnalty of pcrjury om of llrc followine dftlur(ions
D.nnlition P.mirs Asb(ro! Norificorion F.ddrl Rcsubrn,ns Oirle.r0. Pan6)
Rc!uiBd bnf of Norificarion
h*d;hcfcdcmlrcSulolions E8ardirg .sbcnos rc r'rtrlr* nor,rpl{ahlc lo
rc,.ad rhn lIplaart,nond slrrcihir rhc ltDvc nnonMrion is corc.r
rudion. u\i hcr.by ouihorize rcprecn!
rtx,vc nEnri,,nctl p.orcny lhr in\iccrion
Appli(nnl or Ag€nl Si*nalrN tlix
I rxret,i{'plytrirhallCi,y rn'l C dtrla
rn's "r,htr ci,vrndcou y,icdrundn,hc
"^,l4fu1fu)){
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Saf ety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
fqqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
ft/eter Release
Bough
Service [t/eter
FINAL /,27-/8 J/elaz ,fr/
Notes, Remarks, Etc
Translormers
_l havc ad *ill Einrain a Ccniiiclrc ol Consc ro Sclf.lnsur. fr. worksl com,E.snrion, os lmvidcdforhySNri.fl17(x)ofrhc
tabor Codc, f(tr rhc p.lfonMmc ofrh. wo { for whi.h rh. p.mn ! i*u.J.
I hrvc rnd sill @inr3i. Macrr' conpcn\arion inslrarc., as rcquncd hy Sccrion l7O0 ot rhc trh.r Code, for rh. lcrfolfunc. of
rhc work l uhi.h rhis p.rnil is issu.d. M y work.^ ..nt nsdr ion inslrsn.r crid ,rd F,licy nxnrbfi ml