HomeMy WebLinkAbout20165914 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2O1659{4
Pin #: 435{8lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Project Address: 3233 W Harvard St U nit:
Block: NA
Bldg:
Tract: 3236
Address Range:
Historic: No
Suite Range:
Zoning: M1
q
Assessor'sParcel: 408-141-01 Lot: 3
Ownerl
Address:
Oavid Mersereau
3233 W Harvard St
Santa Ana, CA 927043917
(206) 794-1 180
Orchid MPS
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
01 I 16002
51603
51603
51603
5'1600
51603
Fee Type
Light Switches, Occ. Se
Light Fixtures
Min Fee AdJ
General Plan Update
lssuance
Amount
1 .52
1 .01
62.55
21.25
52.98
Qty
2.O0
5.00
1.00
1.00
1.00
Fee
$3.04
$s.05
$62.55
$21 .25
$52.98
Phone:
Tenant Name
Contractor
Address:
Xpress License Schools lnd
500 Bencamp Street
San Gabriel, CA 91776
(625) 551-8112
I
{h+:439!1
i cP i (:'JYll
t + ! r:l??6PU
State Lic #: 1028785
Lic Type: B
Bus. Lic #: 368742
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9222854
Expires: 'l2l15l201A
dnsdrt ion J
/t,iit cQ I TaEH
Building Use:
Job Type:
Nature of Work
lndustrial
Tenant lmprovement
Upgrade Restrooms
Occupancy:
Constr Type
Code:
B
V B, SPK
cEc 2016
'.r11 llt:rtr ,- :i1
E1,:,:tr i,:n1
,r111_{i[:'1,- 5!1il ahcr,:lr
l ';r
Notesl
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
\N Hernandez, Kathy
Date
Date
Date o5t21t2018
Account#
lvlisc. Receipt:
Misc. Receipl:
Ivlisc. Receipl:
Total
Building Permit #: 'l 01951 78
Every pemit issued shall become invalid unless the wotk on the stte
authoized by such permit is comnenced within180 days after its
issuance, or if the wotk aulhoized on the site by such permit is suspended
or abandoned for a period 01180 days aftet the time lhe work is
commenced.
$144.87
$0.00
$144.87
lnspector
01116002 51600
01116002 51603
$21.25
$123.62
Phonel
Fee Total:
Paid to Date:
Balance Oue:
tVlD#: 2017-140657
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDER DELCARAIION
I hcrcty aifirm utrdcr pcnalry ol rrjury lhol I a,n cxcmpl fDar lhc Conl.rrnn l,tense Laq ror rh. rollowidS rco$n (sL{.7or1.5
Bu\inc$ snd Prot $ion C{dc): Any Ciry or Colnr, whih rcqltcs a lrmh ro .ui{ru.r. rkcr, impn,rc. dcnnnhh or rcNn ony
ifl.rrc, pri., r, ir\ issxftd, also mquirs rh. ,ppli.anr t r rn h Farnl io hL { siSncd {abnrnl rhlt lE or shc n liccNcd pu6uinl
to rhc poviiions of lhc Contrrror's Liccn*d trw tcn0ptcr 9, Co rmercin-q wirh Scctn,n 7(Xx) o, Divnion I ofrhc Busincsl,trd
horc$ions Codc) or ltiltE or \hc is cxcmpl lhcaft,nrsftl lhc tEsis n rhclllcs.Jcr.nflnnr.Anyvn,hriotrofSerionT0:ll5hrrny
rtplicr r turrp.nnn suhjc.trhc aprlicrtrrro,.ivilp.nrhyofmr x,orha. firc hundrcd dollas ($soo)
_1. ds own.r oa rhe pFIEny. or ny cmploy.es wirh sdScs ns rhet slc co.9.ns.rn,n. will do dr w.d ail rts dutw i\ nol
idcndcd or ofcrcd for nnc (Ss ?044. Busircss otrd Pmr.s\ions Codc: Thc Controcrols l-tcnsc L!* dms noi ardyro rnownd or
rhc pnFn, $h)tloildroritr olB rltBr. ad *lD des sEh err hinFclf.r h&sclr or rhough his o. hc. own cmployccs.
nrovidLrd rhtrt such irllrov.nf,nB dc trol inrcnLd or oficrud for $lc. Il howcwr, rh. hoilding or im0mvcrrcnl is sld wirhin onc )eu
.f..'elcrbn, rlrOwn.r Bniu.r eillhtrE rlr t idchdfpovingrhdtrorshjdidk boild or iqmrc rh. pmtmy ro lhc l]lqne ol
I. ,{ owmr or rhd J,orcny, dmcx.lxsiv.lycotrrh.rin8 si'h li..n$d .ont,croN lo .anerud thc nn+.r (Ss. ?044. Bu\incs
ond hnis\i Codc:'fhcConlrucrolsLiccnscL{*de\notnpnlyl,)aoo{nqnfpmnnywho$!il.horiniprovcsihcr.on.
rnd who onrds for such pmJc€k pnh r ConrNh(t li.cnseit Du6u!flr ro rrE Conrrlcrois Lic€n* Lw)
I onrcxcnrtr undcr Scctio 3 &PC lbrlhisrciv,n
uaBK[&tgqufENsaroN
DI:CLAa -I!Ar
I hcrchy rflnmrn.lcr r--nrlr, ol pcrjry otrc ofrhc l,nkNin! dcchmri(nN:
-l
hrvc iril willm nrri,r a crcrlificrrc ofCu.scnr ro s.lf.lnsurc f.r worketr snlpenBrion.6 pmvided in btsccrion:1700 ofrhj
bktr Corlc.ltr Ihc J,sforntrtrc ollhc rclt lor whi.h ihc fsnlir t is$cd.
rhc *ork fq*hichrhis p.rnrir i\ isu.d llly worl.( cotrlPcnqrnm in\lrrmccM'cr a*l tx'l{ynu rh.r uc
Cartr:-
, r.nifyrhd i', rhc r(na rn.colrlrworklar*hihrhi\nrnn[|nnnl.lshrlln.rcnrployanypcrorinanyunncr
s nsro hcorr \rh]cd lo rhc $odcn conrpcns{rnrn h$\oiCrlifornir. rndl8rcc rtur it I \horld hc$m srhFrr k'irt
so*ci\ conrr.nsarion0rovklonrorSccrion.lT(X)oflhcljt{r(odc.lshrll.Ionhwirhconrpl,sirhrho{px)virn \
WARNINC Frinrc k) r'ctr,. so.kc.s .onlrnrx,iotr .ov.fu!.bj..r ,n cnrtloFr lo niminal Fmhics lnd
.'!il lnr\ rp n' onc hu lrr rh.usrnd dollrr (Sllx).lxxJ). i'r dir:ffi:L
DECLAAAIIOX
I h.mh,"ni.u uhdcr p.nahy.lp.rjury lhd I am liens.d und.r pmvkio. olCh.rrs 9 (smmmins sith S6ihn 7(xn) orDivhbn:l
or rhc Burincss Md Pbfcsions C.dc. aid my lkc.s. is io full foM ,nd .lficl.
ZI
IANSI&EIIONIENDIIiIA{jINI}
issucd(Se.. 1097. Civ C ).
rl-tfut rtl2ljcl B,!rI!t!
I lx'r1)vrnnnu,lcrr rlrlorIf,'ttrr!.f.ol rher,,ll,)trrtr9rlc.lrdirfl\
t)cntrniior I'crnrn\ A\h.{rs Norirllrri{r lt{lcrrl Rrgulxrnnx I tirI to. lrl,16)
Itc!r r.d lriorol Nollicrr.tr
I ..nlli rhni rhc 1!(hrn rcrnllri,itr\ rcErni',9 r\t\n,N rctrn,vrlr r tror rl)fli.rhl. n) rhA f',t!.r
onlinnrcc\ 3nd Srarc hw\ rcldiog r. bu
rh.\c,,rn,oncd rF,rny rnr in\fon
a ppll,'rnt or AS.nl Sign.luft ]\
rnd h.r.h\ , urhitr /r rctl'c\. xr \.\ ofrlri( (lrI
o{K (&?V;t,^;
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
[/eter Release
,{
Bough 6-24-lY vl&14\
Service Meter /;=
FINAL '1.ro,/ E I t/4 *.,rc,t .514'/)
Notes Remarks, Etc
l.nJr \ 'lJ'"r
Site-Work