HomeMy WebLinkAbout20166107 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 1 41 667-27 38 lnspector Section: (7 1 4\ 647-5853
Electrical Permit #: 2O166{07
Pin #: 353OOt
City of Santa Ana
Permit Counter: (714], 647-5800
Project Address: 2520 S Broadway
Assessor'sParcel; 410.381-05 Lol: NA
Unit:
Block: NA
Btdg:
Tract: NA
Suite Range:
Zoning: Mi
q
Owner;
Address
Pamela Kelly
8445 Laralwood Lane
COLORADO SPRINGS, CO 80919
(7141973-2878
Anytime Electric
17670 Hombre Lane
Murrieta, CA 92562
(7r4) 345-647s
01 1 16002 51603
01116002 51600
01116002 51603
Amount
23.87
21 .25
52.98
Fee Type
General Plan Update
lssuance
Qty
7.00
1 .00
1 .00Phone
Tenant Name: Finco Fabrication
Contractor
Address:
Phone
State Lic #: 470747
Lic Type: C-10
Bus. Lic #: 351851
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:
rnyi ine E1€
Planning conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Fieldl
Building Permit #:
lndustrial
Miscellaneous
FWU
F-2
VB
cEc 20r6
Occupancy:
Constr Type
Code:Notes
Chavez, Dave
Date
Date
Datet 06/08/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every perrnit issued shall become invalid unless the wo* on the site
authonzed by such permit is commenced within 180 days aftar its
issuance, ot il the wotu authoizod on the site by such pemit is suspended
ot abandonod fota peiod of 180 days aftet lhe time the work is
commenced.
$241.32
$0.00
$24',t .32
lnspector MID#: 2018-143856
$21.2s
$220.O7
Fee Total:
Paid to Date:
Balance Due:
Address Range:
Historic: No
Fee
$'r67.09
$21 .25
$52.98
Botchi!44205 - S./ti,/Jr"U g
tlff ice: CTYH Trnrs+I -{Acct+l l:Et +:Rcpti:lr??9!114 - -i ,: i:r:r1g
Tronscl{L i0n fotol
ID; LEoSALE"
:'r 1661{r7
I3:,+ AH
$i:1.32
6enersl Flan Updst e
r:r1 I 16r1r"r2- i16[{r:rlx-r-
Elsrtr ic01
r-r 1 1 16r:I:12- 51 6Irsir:rn-
I{:L Chectr ir[' r-,':r[r,
$?1(r ,lt7
Building Use:
Job Type:
Nature of Work:
c.
011 16002 51600
011 16002 51603
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDEX DELCARATION
I hcrcby .mrn undcr p.nalry of Frjory rhd I an .r.nfl fmo rh. Conrack,^ Lic.nc li* lor rh. ruuowins Easn ($. 7O1 !.5
Busi"c$ nd Proicssion Codc) Atry City or Counry q,hi.h rcqutcs ! Fan l lo on(rucl, alts. itr1rruvc, dcmlhi or ErEi atry
srtucrlr. !.in ro ns hsuucc, !l$ rcqunci rhcrpllicsnr for such pcmir b filcu signed dllctu rhar hcorshc ic lic.oscd PUNonl
hthcpmvisionsoflh.Conra.lolsLiccnscdb*(Chrflcr9.Conr.rrf,ir8ailhScclion?0OOofDivi\ion3oIlh.Businc$and'
Pmli$ions Codc) or lh hcorshchcx.mlrlhcEfromrndrh.bashforrhcullcBcdcxcmlrion.AnyviolalionofScclhnT0:ll5brony
applicanr loro pcmit subjcchrhe oDDlicanr ro ocivilp.nallyotnor mrclhln fivc hlndreddollus($5(x)).
-1.
!s owncr of rhc lmpcny. or nry cq)lor$s wilh wascs as thcn $lc q,nDcnsutn,n. sill do rL w.rk md fic nMm is n
inr.ftL{ or oficr.d for sL l Sd.7I)44, au{m* a.d Profcsbns G)dc: Th. C.niiactof s LiccnE tjw do.s nor amly lo e owrcr of
incpmlrny who buit! or itr{,roEs rhcmtr !.d who dc sEh w.I himsclf o. herslf o. rhmush hir or tcr own ctr'l,lo}t.s.
goviddd !h.r *u.h infnnrftnts m mr inrcndcd o..fi.rd f.r sL ll h.wN.r. rh. t{inin3 or nlT EnE h $ri pilhin oR }te
ofcon{krhn. rhc Owrc. Buil{tr wiu hN rtr hodctr ofFovin8 thot tE or stc dil mr llild or nrq,rer! rlr phFri, ror dr purt yof
-1.
nsowncrofrhc propcny. ! ciclusivcly conrrldiry wirh liccNcn conrrukF ro con{rucr rhe nrojsr (Scc 7l},14. Bu\ntu\r
d ftofc{ci,n Codc: Thc Co.tracttr sLicctrsc Lrw docs nor ryplyro trnow.$ oftmpcrlywho huildsor improlcs rhcrcon.
and *ho oirr&h tor skh pmiecrs wirh I Gnrmcro(s) liccn*d pu$lanr hrhcc.nr..lof*Lic.nsc bw).
_l8frercmfl !.d* Secri
laatrE8s:r0lltrNtArlQN
DECI,UAITO!
I h.rht rlfnmrndcr pcnJr, ofFrjury oi. orrh. Llbwing dehitrrion\:
-l
hrlc md *ill mainlli! ! Ccnificarc ol Cotr{nr ro Sclllnsurc n, Mrlcr\' comFnsnrt,n. as tmridcd ar by sc.tion l7m or rhc
Lat'or Codc- r'or ihc pertbnnancc oflhc uork l'or which lhc llcrmit is hsucd.
I hrvc and sill h,inrrin workcri.ofrp..\rrn ii\urance. r\ r.nrnd btSccrir 1700ofrhc L.tdC.dc.,orrhc pcrlo Nnc.ol
rh. uork n, whi.hrhN pcflnir is i$Md MyworkcN conpcicdR,n in\ur,'{c crricr.d lolty ru.rhc! rc:
€ vt't t-
WARNING roiture to se workcs' comaEnslion oveEse is unla*tu1. lod \hall subJ.{r an .mrLytr ro dimin.l p. lrax ond
civil fincs ur ro om hundEl rhousnd dollun ($100.000). in addirion h rhc orr ot.dnll*nettun, dntrg.s as povidrd for rh.
Scclion 1076 oi thc tihor Codc- intcrcsl !fld lllomr\ fes
ocrt: r t) O'C
DFCLARATI(IN
Ihcrcb, aflnn undcr p.rlhyofpcrju.y rhlr I o lidns{ xidcr ptuvisn,. or Ch{rd 9lcom'mncins wilh Sccl iofl 7000) of Divisn,n 3
of rhc Businc$lnd Pmlcsrions Codc. lnd my licensc is in tull lorcc lrd ctt6r
t tt\
<-zi- ta XD
QNIIBII:IIANUNDIN!.trGENCI
lhcrcbynfitnundcrtr.dhyofpcrjurylhdtrhcrckecotrsrruLlionhndinglScncylorrhco.rfom.c.ofrhcsorkforwhichlnisrcmilis
issu.d (sec.3097, Civ. C.).
ATTIICANLIECI.A8.4IION
I hnrry,J[mr undc pcn{x, or ncrjury onc ol i h. followinS dcchalions
Dcmlirn,n Permirs Ailrsros Norifi$rion Fcdcral R€sul ioos (Tirlc 40, Pd6)
-Requncd
kno of Norifi ca*r
-t
enily fiar rhc fededl rcgrlario.r Eslrding &rb.sros ercval @ oor .lplic0bh b lhn pDj.{
y l_enrry rhd I hrv. rcad rtur rpplE.rtun aid {!rc rhd rhc atnvc inlotmrhn is Ntr€<i I asr roompl, wirhal Cny0nd Counry
..dinaft.s.nd sr.r. t:ws EhtinS ro buildine coneMio( a h.Eby lulhori4 rcrcsnrurivcs of rhis Ciry lid Colnly lo.nln upon tlE
,h-ve E.tiodd pmFdy fn i.st*.rion lDqr$s.
Applicont or Ascnl silnrtuE,-L
P"-rlr"" n"." r p.irrt, X-
D,,".. 6 -t,,t?2
t4 /i o lo,se..'=--B
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
It/eter Release
Rouqh
Service Meter
FINAL )-l-/u,rdeJ*,'Gr)
Notes, Remarks, Etc.
COMMENTS
r-:n:,'
[l.ci'ryrhJ rtupcrroir trccotrhcroA ror whrch rhis p€flnit k issuc,l.l \hull nor cmpk', !n, pcN,n in ,ny nmndr
{-l't,n, hc..m \uh}{r'nrh. tr 'l{\n,mnnd'nnlutrr, Ctrli'{n,r.,'tu]J!m. rld rfI rhould }E1nnE quhF!t torh.
wo.(.r,mp.ni,ionpmvti.nr.fS..rionlTlDofth.bh.rCrxtc.I$rll.fonhwithcory)lywirhlhosprovnions..
A"iD atltl
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