HomeMy WebLinkAbout20165837 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65837
Pin #: 49717
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 2318 W Borchard Ave
Assessor'sParcel: 407-111-1'l Lot: 32
U nit:
Block: NA
Bldg:
Tract; 1347
Address Range:
Historic: No
Suile Range:
Zoning: R1
oy
Owner:
Address
Phone:
Tenant Name:
Conlractor
Address:
Jacob Zimlichman
230 Riverside Dr #6L
New York, NY 10025
(908) 2s5-2178
Owner-Builder
01 1 16002
01 'l 16002
01116002
01116002
01116002
Fee
$83.30
$71.61
$35.35
$52.98
51603
51603
51603
51600
51603
Amount
0.14
23.87
35.35
52.98
Qry
595.00
3.00
1.00
1.00
1.00
Fee Type
Addn/Res
Dedicated Circuil
Low Voltage/Res
General Plan Update
lssuance
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:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Fiq
Notes: auth on lile
it(ll
Date:
Dale:
Date:
lJE dOte I
;11r:ur:rIl-
r,iltrt
r-ri t-17
Misc. Receipt:
Misc. Receipt:
N4isc. Receipt:
Total
rnandez, Kathy
10195694
Every pennit issued shall become invalid unless the wo* on the site
authorized by such permit is commenced wtthin180 days aflet ils
issuance. or if the wotk aulhoized on the site by such permit is suspended
or abandoned lor a peiod of 180 days atlet the time the work is
cofimenced
05/'t0/20't8
Account#
$21 .25
$243.24
$264 49
$0 00
s264.49
lnspector MID#: 2018-141715
01 1 16002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due:
Phone
Single Family Dwelling
Addition
Addn/patio cover
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARAIION
I hcrchy rliirm utrds pctr.hy ol lcrjury that I u, cxcmpr lun lhc Conracror t-i.cns L,w for lh.lolloRing reasotr (Scc.70ll.5
ansinc* {id Profcsio. Codc): Any Cny 6r Colnr, *hich reqlirc\ a Frnrir to conslrucl. allq. impmrc. dcmlth o cplt lny
srructuE.Irin b ns issumc. trh. nquinslhc amlic.nr lor ru.h p.rnil ro filc! si8rcd slllcm rhd,rcorih. i\ li...s.d Pu^urr
Io thc pbvhionr of rhc Conlrrrois Lic.ncd tjw (Chlrrer s. Conncftin8 wilh Scclhn 70oo of Divnion I of rh. Au\incs lni
ProrisstnsCodc)or'h!rtEdr.hchcxemtrrh.ratunundrhcbarnforrhcallce.dcrctrrrliotr.AnyliolationofSdbnT0-1l5bra.,
oppli.r for 0 !.nrfi suhjNt lh. ,mli.an! lo a .ivil Fnalry of ndr mrc ihm fivc hundrcd dollffi {$500)
I. ar o*ncr ol rhe pmpcny- or my cnplort.s wirh sagcs $ rhct $L omp.n\alion, will & rt* wmk rnd th. srMtE h mr
inlcfticn or oilcr.d for sL (Se.7()44. Bunrcss rnd Pmfcrsions Cdlc: Th Co.rrrclols Liccnse Ll* dcs nor lprlyro i( owtur df
rhe pDpcrly rho huilds or i.umws rhcNr and who des such eofi himsclr or hcnclf o! rhmush hh or hc. o{n c'n loyccs.
provid.d rh r sx.h inJromnri e frn idtftkd d olTercd f(r sh Il h*cEr. rh. hoilllin8 or iqmEnEnt sH qirhi. orc }!E
.f6.plcrion, rhc O*ncr Buiud will hiw rtr t r&. olFoving rh.r h. or \h. dil mr hoiLt or ir96k rh.!)mFdy fo. fic luranc oa
-1.
asoqncrofthc Imncny. arcxclusivclyconk0crir8 Nirh liccnscd cotrrrrcror ro con(rucr rhc pm]ccr lS(. ?(x4. Br\incs
Md Pn,ftrsir Codc -l'hc Contacktr * Li.cnsc Uw do.r nor apply ro an own$ ot proFn, wh. bu ilds or imFtres rhcrcotr.
.nd *h' onrmds for such pmjccls wnh. ('omtrton, licc.serl pusuenr r{' thc Conrrucrois Licc"e l!*)
-l
rn cxcDnrutrdcr Sccl B &PC forrhisrmvnr.L/-/L L"-,;l ro (l
DIiCTASAIIQN
I h.rbyrlnrnundrr prMliyof )^-.Jury.ft.rrh. ioll.wirg dcclnrrrn \:
I hrv. dd $ill tuinrrin i C.diftlr. of Con\c t roSclrln\utufor sorkcn'.ompctrs nnr. !s povidcd lbr by Scctnn, -l7ll) ofuh.
Ljkr cl'dc. tor rh. rcrfomEc or rhc sork i(, which rhc Fnni is nrkd
I h vc ,nd eill mrinhin work.ra comrcnrd i(,6 insurnft.. r\ r.quircd by Sel nn 17fi, oi rlE tibor Lidc- fo, rhc Frtun&E-'c of
thc work lorwhichlhis pcrn is h$.d. My workcr' onlnctrsdion insu.incccffiis and policy numhcr oc:
-l.cniiylhorinlhcpcrfoirE..coflhcuorkr'orwhicnlhnp.
nir is Gsucd.I shall.or cnrrloylnrr.Fon in 'nyn'anMrw, * t, bcor subjecr ro rhc worlc^ conf.nrdn,n hss o,Csliromis. nnd aBftc rhd irI shorld bdom subj.cr ro th.
woft.6 coryrniarion t6vkio.s of Sdrion 3700 of rh. L2&y C-ulc, I shall. fonhwilh ompl, sirh tlns pmvisioos .
WARNINC: llilurc to surc srtc6 compcnsdion co\ensc is unla*ful. lnd .hall rubjlf,r an.mploru ro diminil lrMii.\ end
civil litrcs up ro orc hu lrcd thousnd dollln t$100.()00), in lddirhn ro rlr .osr oa.omp.nsario., drm8cs as prcvilcd for th.
.rlrr,olrl{ l.rhor (-lic. i' r'c( rnt nrtnN lt 4 L-t:(1".1u(f tolt(
^
DEqJAA.IIII!
I lrcEhy amrm trndcr rnslly of Frjury lhal I 0m lie.snunder lmvision ofchrpls 9(commfting tirh Sftrbn 7000) olDirision l
of rhr BLsift$aid Ptrrlc$n,n.Cod., dnd mylicnse n in txllrdL! d.n..1.
CONSTRUCTI(TN LENDING GENCV
I hcrchy ufinm undcr I'cn ry of pcljury rhar rhcrc h a construcrion lcDdins ,setuy ftr rhc ruiroimftc or rh. *ork lor which l hh p.nnit h
hsucd (scc 3097.Civ. c ).
-/ro 14ffi, - ilil":i:'-Yt :t u lL t/-
p.m,,mnsm.,pr,n,,, A-' p rt c4 ao T4t 1<tetl
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life SaIety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouqh)
ltleter Release
Rough srl t4 ll? -e")
Service ltrleler I
FINAL tolkltk Znrvg Ib7--'
Notes, Remarks, Etc r l--tr-
Site-Work
iA*-4.^l
AIIUCANIDEq.AAIIION
I hellry allim hdcr pcoalry of Frjury oN 6f rh. followins dsbrtrr ioor:
D.mlit ion Pcrmik- Astrslos Nolilicrl ion Fcdcnl ReBlld ions l l-illc tl4. Pan6)
-Rcquircd
Le(cr of Norificarion
-l
ccnilythat lhc icdcral rcsuhhns rcs&lins asbcsros rcrm\nlrrc nor,pplicabL r. rhh ln'lc{r
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