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HomeMy WebLinkAbout20166618 - Permit (2)qProject Address: 1220 W Hemlock Wav Assessor's Parcel: 410411-21 Lot: NA unit: 107 Block: NA Bldg: Tract: NA Address Range: Historic: No Suite Range: 103 Zoning: C2 City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), SantaAna, CA92702 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 Electrical Permit #: 2O166618 Pin #: 18255 Owner: Addressl Phone: Tenant Name: Contractor Address: wtc Owner-Builder 01 1 16002 01 't 16002 01 't 16002 01 1 16002 01 I 16002 01 I 16002 01116002 01116002 01 1 16002 01 1 16002 Karim Markarbhichi, Keystone Builders 4212 E La Palma Ave Anaheim, CA 92807 51603 51603 51603 51603 51603 5'1603 51603 53601 51600 51603 Fes Type Amount Qty Fee 125 Volt Receptacle 1.45 67.00 $97.15 Light Fixtures 1.05 37.00 $38.85 Heat Pumps 96.90 6.00 $581.40 FWU 24.79 16.00 $396.64 Dedicated Circuit 24.79 14.00 $347.06 Serv Meter 53.28 1.00 $53.28 Time Clock 12.'lO 3.00 $36.30 Plc - 65% 0.65 1 ,551.33 $1 ,008.36 General Plan Updale 22.08 1.00 $22.08 lssuance 55.04 1.00 $55.04 gol,:hi:+6ii61, - tl/9/'2ljlY I[:,.41 -(olf, :.:t . iirj irons+r 4? Ac.t +; Refi: lr.tl Trnnsnct, r,i I ot.01 $i,o Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance Carrier: Policy #: Expires: Knrr llcrkrlrbhi(hir KegsLone Building Use: Job Type: Nature of Work Planning Conditions Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Commercial Alteration TI B VB cEc 2016 Occupancy: Constr Type Code:Noles Tl to existing medical office including new partition vralls, lighting and finishes $2,636.16 $1.008.36 $1,627.80 Smith, Mark Chavez, Dave Date: Dale: Date: 11t08t2018 11t09t2018 Account# 01116002 51600 01116002 51603 Fee Total: Paid to Date: Balance Due: Misc. Receipt: 71335 Misc. Receipt: Masc. Receipt: Total -62lz 10197280 Every permit issued shall bocome invalid unless the wo* on the site authoized by such pennit is commenced within 180 days dfter its issuance, ot if the $/o* authoized on the site by such permit is suspended ot abandoned lor a period ot 180 days aftet the time the work is commenced. lnspector ltnlD#: 2018-145222 $22.O8 $1,605.72 ELECTRICAL.INSPECTOR RECORD / APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I h@q" amrn udo p.naliy of pdjury lhar I en .r.,npl f.om ih. ContEclo(' Lic.nse tj* tur llE lollowi.g rwtr (Sc 7011.5 Alsin6s md Prolsion Codc) Any Ciry or County which rcqln6 a p6nn ro coGrtud. alr6, inprovc. d.holish or Epar y sLaclr.. pri6r ro irs isudc.. ako rcqun6 rh. rpplicdt for luch Fml ro iile a sisn d sralonsl thol hc o, sh. G licms.n pNanl lo rhc ForisioN of rh€ Conlracrois Li.en$d trw (Chatr.r q, Comm.n.in8 airh Sation 7000 of Division -1 oflh. Buin* ed Pmf6sions Code) or rhal h. or sh. ir €xcmpr thr.from ed th. bsis for lh. all€scd ddplion. Any riolrtion oasdion 7011.5 by any applicanl for a pmil subjak rhc applicant !o a civil pcnalty of not nor lhd nlc hundred douds (1500). -1, as oMo oarh. ,nrpenr. or dy .mplorG wnh was6 6 rh.n eh conpe.elior. will do lh. so.t ad lh. srMuc is ml inrmded or olred for sal. {Sa.?044. Lrosins dd Pro f6ioN Code Tn. conlhdols l-icmc liv doG .or apply Io an 0*16 oa llr pFtisry who tulds or idprcB rhdatr dd s ho do6 ech so'{ himsclf or hm.lf or lhrcush his or h6 oM @ploycB. provid.d rhat sucn impsrEmls e. rct inrod.d or olIdld lor sl. I L nov6s. rhe huildinr or i.Fovd.dr a! $ld *ithin on. r@ olcompldion. rh. o,nd alildd will have Ih€ budo of prcvins Lhd h€ o. sh€ did .ol tuild or inFoE thc pordy lot rl'E purpos. oa l,6 owndolrhe !rop6ly. mcrclusivcly contraclins silh licos€d.o r!(106r.codocl lh. Irojel (S4.7044. AB16 a t Prnadir Cod. Th. cotrt.crols Licms. l-r{ dos n.r ,pply lo d o\rod of prop.ny rho builds or improv$ rh6.on, and sho contmcrs lor such roj..ls vith a Conrado(n licds€d p6Mr lo rhc Conrrocnn-s Lic.N Law). I an€reDpl under S(t *,",. t|n I hcrebr amfln !nd6 p6ahy oipsjuryoncolthe i)llosins d* -l hav€ ad will neint.i! . Cdificar. ol Co6or to S.lalBur for wo,k.6 onDoerion, s Eovided lor by Serion l70o of rh. Labor Cod€, tor th. pglomoc€ of th. por( lor which the p6nil is isu.d. _l ha!. and will naintain wo*.ii conpftation iBurmc., I requtcd by Sdion 3700 otlh€ Labot Cod.. foi rhe palofln cc oa rh. *o* lor *hich $is pdnit is isal My worlm compdslio. iNuarce cad6 rd policy nuob6 ec: I ccnily rhat in lh€ psformuc. oflhc vorl for *hich lhi5 p.mn is irstr.d, I shall,ot anplo, aoy p€6on in any nmnd s a b bdo,ne subjdl 'o the wo.t6l onrpas.lion laws oi C.litonris. md qE rhal ir I should bsoftc srbja( ro lh. $0'{6 corpr.erionprovisioN olsdion lT00 oflhc Labor Code,l shall. tonh*ilh cohply wnhrhos pioli3ioB WARNING: Failorc lo Buc rorkos, comp€nslion covtrase is unlaNtul. dd shall subjd m anployd ro ln'nmal Dd E od cnil fines up to onc hundr.d thoGtrd dollm ($100.000). in add(ioo lo rhc .ost doMls d fiovidal lor rh. Serio 1076of rlE t-atirr I hercby alfinn trnd6 rcnahyofpqruryrhd I d mdo arolirion of Chaptg 9 (m,nmmcing wilh S..lion 7000) oa Division l ol thc lrusins ed PrcfsioNCode. ard Dy I-i.cnseclas: Lice.se Ntr.rb€r Drt.: conlnctor CONiIBIJqIIAN.I,EIDTIG.AGEICI I holny arrm !f,ds Foahy of pqjury thd lh6. is a @islrudo,lddin! agdcy for th. pafo unccofth.work lor which lhi pdnn t i5!o.d (Sd 3097. Civ. C ). AIIIICANI.DECI,AAAIIO! I hsrry alfns u.dr paaly oa pdjury o,c ol thc followinS d(l-alions: Demolilion Pmils-Albdros Norificarion Fedoal R.lulatiom Gnl. 40, P.rl6) -R.quircd lrlt6 of Noinca6n I cdity rhar lhc icddal r.sulalioN resddins 6b.stos r€'nolal d. nol appli.abl. ro rhG projecl I corilr rhar I h3vc r€ad lhis applicatnrn adslar€ that thc ahr\€ i.tr iscord.l asr to comply rvilh ,ll Cily ed Coumy ordinancenndSr0r.I-awsElalinr to buildinsc.nnrucrioo. d iv6olthisCily d Counry lo 616 upon rh. abolc nmrioncd pmp.ny f inspdion pn,pos ADrrli..nl or ,^rml SiEmlure: 6t ,,n H41z*rLLA Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rouqh)t"5-l-x )L{td Meter Release Rough Service lvleter FINAL .-Utd#z @9 Notes, Remarks, Etc LMdff s ^dJr6 1rlsl[\l /4a-l