HomeMy WebLinkAbout20167403 - Permit (2)EProiect Address: 929 W St Andrew Pl
Assessor'sParcel; 015-148-06 Lot: POR 9
U nit:
Block: NA
Btdg:
Tract: 1 '191
Address Range: 919"929 *
Historic: No
Suite Range:
Zoning: Ci
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O1674Ot
Pin #: 36343
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Phone:
Tenant Name
Ramzi Saba
4411 Putting Green Dr
Corona, CA 92883
(951) 496-5851
3 Princess Flowers and Gifts
Owner-Builder
01116002
01 I '16002
01 1 16002
01 1 '16002
0'l 1 16002
01 1 16002
01 1 16002
51603
51603
51603
5'1603
51603
51600
51603
Fee
$1.45
$3.'16
$2.10
$24.79
$41 .88
$22.08
$55.04
Fee Type Amount Qty
125 Volt Receptacle 1.45 1.00
Light Switches, Occ. Se 1.58 2.00
Light Fixtures 1.05 2.oo
Dedicated Circuit 24.79 1.00
Min Fee Adj 41.88 I .00
General Plan Update 22.08 '1.00
lssuance Br,r., h+i +t.iir 55.#/14/,tl g 1.q0: t:,
(ti r . r: .- ;.- ,.flnsi: i4 :
Ai:,rt +: &el*r 11r:r I {r
ti,-.,. +; 1".. i1r.-r 11,/14l'JIJi.l 1;l!
Tr'rr.sn,:t c,r Tot(ll $52::i, .
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
ftnr
Notes: Pre-fab walk-in cooler
lJeii(tte Fee
6(rf.rl:r00-
6031100-
r*Ixrg686
Bualding Use:
Job Type:
Nature of Work
Planning Conditions
Plan Checked By
Permit lssued Byl
Subject to Field:
Building Permit #:
Commercial
Alteration
Walk-in cooler
M
VB
cEc 2016
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
sden, Julie
Every pennit issued shal become ihvalid unless the work on lhe site
authoized by such pemit is commenced within 180 days aftet its
issuance, or ifthe work duthorized on the site by such pennil is suspendod
ot abandoned for a peiod of 180 days after the tine the wo* is
cofifienced.
lnspector MID#: 2018-147665
T 1111412014
Account#
01116002 s1600
01't16002 s1603
$22.08
$128.42
Fee Total:
Paid to Date:
Balance Due
$1s0.s0
$0.00
$150.50
Contraclor:
Address:
l"+l
Auth+ : t i
Planning Approval By:
Occupancy:
Constr Type:
Code:
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OW\ER BT ILDER DEL( ARATIOT
I hrcby alfim unds pmalrr ot pstury rhd I m c\enpr Eom tb. Conlracloc' Lic.ns. La$ for lh. aolloRine r@n (Sec 7031.5
Businds tnd Proreiln Cod.): An) C(' or Counry vhict r.9ut6 a Fnnh to .on(dcl, .1t6, inpro!., &mlisn or r.pai! ey
$rudu., prior
'o
irs Gue... also requiB Lh. rppli(d for su.h Fdnn kr nE 6 sirn.d $acodt rh,l h. o. shc u li..ns.d p6u&l
ro rh. Fo\isio ol rk Cotrt..ror s Licn!.d Ljw rchaptq 9. Co'nmdcins $ilh S.clion 7000 of Division I ofthc Bsincs &d
Pro tNiotrr Codc) or
'har
h. or sh. is .\mptlha.from dd lhc bas$ lor rh. .llcs.d c\mption. Any liolarion of S..rion ?0.t I 5 by oy
tppl(anrforap<flntrsJbrtrcrhcapfhcorroa!ivilp.Mhlofnormorrhsn\.hdndrcddoh6l$ruu)V,i |!r. * """. .r, r'. p-p.n). o, mr onployc s irh { arc d rh.n $t conFd"rarion. will do rh. work md rh. $ruclw b mr
inrnd.d or o rT6ed lor elc I Sc 7044, tsB'ns dd Prea6sioN Cod.: nE confuloa s Lice b* doe not 8r,ply Io e owna of
rh.prlpcny who hrilds or improvE thoaq ard who do6 suct Nlt himscllor hc6€lror lhough hb orh6o*n cmploycs.
provid.d rld soch iDFo€mrs e. @r i.rodol or oltqld lor sle.ll ho*d6- rh. buikiing or imlroGcin is eld rithin on. )@
ofconDt lion.lhcOMd guilda vill ha\.lh. Utrd.o ofFo\ing thal h. or sn did iol blild or idpmvc 6c potcl! lor $. purporoi
_ldnr\.nrpr unds secrrcn_, tl &P( inihisrcdotr
(,"" ll -rq- \ I J**^{\/dD\rotr(tts, (oNtPENsAl]()N
!EeL!aar!a!
I hscbyamrnr und6 pdally olpsjuryonc olrhe follo\rio8 delarariofls
-l
hatc ed will Dainrain a Ccnific.rcoacoNor lo Selr-lNxr. for uo st conrp.n,ation, a pmvid.dforbySdion1700olrhc
Labor Code aor rh. p6fomec. oflh. sort for shi.h th. p<ht ir tsued.
I have and will mainlain s ork.ra co,npens.tion imrance. 6 requi.d by S(t ion 1700 of thc kbor Cod€. for rh. pqaom&ce ot
thc r ork lo, *hich lhis p.flnir is ilsued My wor[.8' comp€nelion iN!,mc€ csiq md policy .udbr ac:
-t! cdri rhd m rh. |{yhro!. or,h. tr^rr for shtr h rhis Ddmn b i$ual. I shall nor drploy an, !$$n in any mend
dr sto bec"m. sJbi6! b lh. tr 0116' comFnsr ion iiu{ofr'alfomi0. Md +E rhar irl 'hould b(.m. 'Lbjd o
'h.vort6' conp.nsalio" provisions of Sdiotr l?00 oflhc lrbor Cod.. I slEll, fodhrnh conply wirh thok pmvisions..
WARITNC F ihr. to sa. korl6' conpcnetio. ovdasc i! unla\tu|- dd shall3ubj<{ & mplord ro anniml Fuhi6 dd
civil fn* up ro on nu.dred thoGmd dolls ($100.000). in addirion ro the co$ oa conp.@riod. da@a6 a povid.d aor rh.
serion:1076olrhe Ilt[rcode. inrcrsl dd arohe.- ! 16 vw
KD.., t\-tq- \g 16 4
I |( t,tNst:t) ( ()N rRi( r{rR
DECI.AAAIION
I hftby arm und6 p60lty of pdjury lhal I e licosd urds rmvbion of (napl6 9 (co, nocingwilhS.dion?000)oIDivision3
ot th. BosiB md PmfBioB Codi ed my lic.ffi ir in tull lore od clt<r.
LiccN CIN
-Lic.N
Numbcr
Drt. conr .tor:
coxtrBltcllo!-tElDMlcElsr
I nd.by aitum undr p.nalty ot pcrjury thal lhqc is a codtuctiod Lndirg ag6cy for lt pqfo,rmcc ollhc wort lor shi.h lhd pdmn b
issu.d (S( 1097, Civ C.).
af[r,lcaNr.lEcla8.euo!
lhdlbyammundd porhy ofpdjury onc ofth. follo*ing deldalions:
Dmolilion Pdils'Asb6ros Noxficarion FGd@l R.sulalions (Tirle 40. Pd6)
R.quncd Ldl6 of Nodicaio.
,
-l
cdiry lh.l the lcdsal rqubl ioN resddin8 sbGtos rooval de nol applicablc lo lhis prcjd
1{,.-rr,no, , nu,.,*0,nts appL(ar'on dd 3rdcrhar th. abovc infomdion is cod..r.I asE ro conpl, $irh all city md cou.ry
od.nc6rdSra'ek*srlnin€lobu,ldin8co6rruclion.ddhd€byaurhonz€r€pr66rariv6olrt'isC'tyddCou.tylodrsuroorh.
Site-Work
Unde rg rou nd
Pole Bases
Light Standards
Spas, Pool, Fountains
Si gns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communicatrons Cable
Building
Under Slab / Floor
€onding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilrngs (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
FINAL ,*ts q \rAcl
Notes, Remarks Etc
V
)
\
APPROVALS
Air Conditioners
Service Meter A\
_1.6o{erofrh€ rropqry. mdclsivcly conrraclins wilh licNd conrracloGro consrrucr thc rrojd (S*.7044. B6in6
{d ft!ftsbn Cod.: ThcConlraclois Li..M La$ do6 no' lpplrro Mosi6ofpiop.nywho huilds or inpo!6 lhE6..and \rho &6'6cl3 fd ech Foj..rs with a ConrEcror(s) licosd punuui ro IhcConrracrois Licmc La*).
.L,S A g A z&," tr- t{-\8