HomeMy WebLinkAbout20166849 - Permit (2)City of Santa Ana
Permit Counler: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Electrical Permit #: 20{66849
Pin #: 66541
Proiect Address: 313 N Birch St
Assessor'sParcel: 398-591-10 Lot: PORS 38, 39, 40/i
Bldg: Address Range:
Tract BIRCH ADD/PARK Historic: Yes
Unit:
Block: NA
Suite Range:
Zoning: SD84
E
Owner:
Address
Phone:
Tenant Name;
Contractor:
Address:
Liennette Chung
243 Newport Ave.
Long Beach, CA 90803
(7',t41612-2917
American Legion
Owner-Builder
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
51603
5160:
5'160:
5160C
5160:
Amount
1 .58
1.05
38.70
22.O8
55.04
Qty
6.00
24.OO
1.00
1 .00
100
Fee
$9.48
$25.20
$38.70
$22.08
$55.04
Fee Type
Lighl Switches, Occ. Se
Light Fixtures
N,lin Fee Adj
General Plan Update
lssuance
Phone
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Bo[ch+ r4577i " I /6/2i]tg
0fl ire: CTYH Trnrrsi: 38Arct+: Ref+ r
Rcp ti: tr?379ir16 I / 6/20L8
Tr0nso,:t iiln Totq I
IO: NGART:IA7a{'L
2r't 16684'
11:23 All
ttr944.Bj:
L iennetle [h une
Commercial
Tenant lmprovement
Tl-1st & 2nd Floors
6enerql Pl(n LlpdRt€ Fe€
[1 1 16Dtl2- 5 16l]L1r]0rl-
Electr iiol
[11 l6r]0?- 5l6r]3rl0u-
Visq
CC+ ! rx***x**xi*x4121
s22.08
s1??, .42
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By;
Plan Checked By:
Permit lssued By:
Subject to Fieldl
Building Permit #i
Occupancy:
Constr Type:
Code:
B
VB
cEc 2016 Notes:
$1 r ?,i+ .89
Auth+:[r].51r81
$'1 s0.50
$0.00
$150.50
\d
Date
Date
Dale
Misc. Receipt:
[Iisc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
10197054
Every permit issued shall becone invalid unless the work on the site
authoized by such pemit is commanced within 180 days aftet its
issuance ot if the wo* authoized on the site by such pemit is suspended
or abadoned fot a period o1180 days aftet the time the wotu is
commenced.
09/06/20r8
Account#
lnspector MID#: 20'18-144073
$22.08
$128.42
Fee Total
Paid to Date:
Balance Due:
01116002 51600
011 '16002 51603
ELECTRICAL.INSPECTOR RECORD
APPROVALS OATE ID/SIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Grounding / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls Rou h
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
Rough
Service It/eter ./--.\
irAqJeAFINAL7lrlu ii ryl
Notes Remark s, Ftc a1
tpl24
U' lr'II
OWNEN BUILDER DELCARAIION
I hcrcht affirm !nd( I'culiy of pcrju,y rh l om cicmor Iiorn rhc Conrracr.r'l-iccnse Law for rhc followins rcnn,n (se.?01!.5
BDsin.ss ,nd Potc*ion codc): A.y ciry or a'ounry *hich d+ncs a trmr h consldcr, alrn. inFrovc. {tc Flnh or rcI!tr r;y
ntu tm, prior ro irs nruma. slso rcquncs th.,ppli.Mr ror cu.h p.rmi' ro lik ! si8red salcmnl Ihrl hco. shs i\ liccn$d puruanl
tu rnc lnrvhions ol thc Conrlcttr\ Li.enrcd L{w (Chlprcr 9. Comnrncins *irh S.dion ?00o or Divnbn I ofih. B!$nc{s and
Pmf.rsionsCod.)orrhath.orslris.x.mprrh.r.lm6,ndlhcb6ri\(trrhcrlhscdcr.nlhon.Anrvnrhli.n.fsetionTO]l5h].iy
appli.atrl ror . lcrnir iubr..k lhc rrpli.anl ro a.ivilpcnaxyolnol morcthan iivc hutrdrcndollss ($5LU).
L as .wncr of rh. Itur.dy. o. nry cnrtk,rtcs *nh wngcl a\ rh.ir v,lc .o'np.nsln,n. will do IIE wor* uld rh (ndN is mt
irrcndcd or ori'crcd ror sk (S( 7(x.4. Alsircs otrd PJofc$ions Codc: lhc Co racroirL,icco\eL{wdo6n.rtrl)pltroinown.ror
lhc pm[l.n, who huilds or impmEs tlEmn. a who dra slch so* himscla or h.rsclf or rhrcugi his or hcr own cnlployees.
,hvidcd rhar such imttuhmnh @ n, inrendcd or onaEd lor sh ll howcvcr. lhc hoilding or impmlermnr G sold wirhi'r nnc Ftr
orcomplclion, lhc Owrcr Buiklcr wiilhaw ltr burdcn olprovin8 thor fuo!\tc d m! toild or in!,mrc rhc pmpcny ror rrt l rlr,s or
-l.
oso*ncroillrpml,eny.!rcrclusivclrconr,rdirs wirh licctrscdco 6.l(n nr considclhc pnrjer (Sc. 7()ll4. Bdsi'rc,\
aM Pmf.rsi)nCod.: ThcConrNroas Li..nsc t-aw do.c nor rptlynr itrosncr.fpmp. ywho huildr or impmvcsllrrcon.
rnd who .o mcts lor such nm rcch withrConhdo(s) licc.rd thc Conlrr.ror\ Liccnr l,*.
I hcrcby rflnm uidcr ncmltyoiEriuryorc oirhc folk,w
-l
hivc md will mrint.in s Ccnific.rc of Co scnr ro sclalnsxr for (orkns cnnp.nsorion. is tmvtin fo, by Sarhn .1700 or rhe
bti.r Cod.. for lhc tErf.nMn.. o f rl[ wort for Rhi.h ihc lcmir i\ is\ucd.
-l
havc ud will mainrnin woricF co.rcnsrr ion insurance. !\ rcqutcd hy SNrion :l7m ol rh. bhntr C.{lt, nn r ncdonm.cc ol
rhc sork for whi.h rhisn:nnir i\ i\rudd My *.rkf\' co'nnctr\ation i',surtuc ddicr 0nd l.li.Inu rbcr rrc:
PolicyNumhcr:-
Icdnifyrhrrirrhcp.rrornmncc.frhc*orkf(tr*hichrhtpcrmir t isrcd.I \hallnor.,nlby rnypcNon in.ryflr ncr
eisbb.com\uhj..rroth.w(.n..n[.n\irionl.asorcalir.rnia.drdn8NlhrilIslnuldhccoNsuhidrollt
workcrs.onrrnsrt6ntmvisinnsofSccrionlT{roorrlrtjhrCodc.lshrllln hs ilh conl!ly uirh lnoc pmrhn,0s
IVARNINI; F.iltrc b vrurc *orkcr\ rompcn\ ri{ .olsrgc i\ nhwfDl.a unploy$ to cnnrinrl Etrdlri\ {nd
hutrLlrd rlrr\rtrJ tlollr^ lSllXl.(Xn)). i,, ri,l(rrr I cump.ns,rion. d{roEcs rs prorkk ior lhc
('dc. inr.rcd rtrd rrttr'ry \ a.r\
"ft or.(l"]!!lt!j
unJq p!traltyol pcrjury rlu I {n liansd u.dcr prcvisnr olChaDlq 9 (conu Sccri,n, ilXX)) ofl)ivi\i{ l
ol lhc Au\incs\and Pmlc$io,NCodc. ord nry li..nsc is nr fullfora lnd clltcl
C(INSTRUCTION LENDINT; A(:['NCY
I hcrby afiirn undcqEndlly ol pc,jury lhal thcrc is i constru.tion lcndin8 a-qcncy for lhc ricrfornuncc of rhc work roi which rhk Fnhir h
h{cd tse j097. cir. c ).
APILICANLDICLAAAITON
I lf,dryanjmundcr !.n,lry ol Frjury oro of rhc ftnbwing d..lrdio.s:
Dcnblit ion P.rnirsAsb.{os Noiii.ation Fcdcral Rcgul{irns (Tnb40. Pd6)
-Requircd
t rrerof N(rni.lrbn
-lccnilythat
lhc{cdcralre8uhn,ns rcsudins rstEilos rcmval nc tror Bp tohk b rhis tmrl{r
lcdili rhrr I hrvc rc rhisnp,rlic ri(mrnd dxrc rhd rheah)vc info n n.or..i I rtrL{h.o rdysirholl(
ordirrn.cs otrd Srarc lj*s rcldnB ro huildnrB c rcprc$N.tivcs ol rhh Ciry ind (
nlr)vc nrr r okd |xrj{nr rn.
A|lplicant or A8enl Sigmlurc:/1.+//.n L
2t
Pole Bases
Under Slab / Floor
lvleter Release
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