HomeMy WebLinkAbout20373025 - PermitCity of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cA92702 Electrical Permit #: 2o373o25
Pin #: 28422Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspeclor Section: (714) 647-5853
Project Address: 1701 E Edinger Ave Unit: 3 Bldg: B
Tract: NA
Address Range:
Historic: No
Suite Range: \;
Zoning: Ml
v
Assessor'sParcel: 402-091-06 Block: NA
Von Der Ahe Real Estate
26440 LA ALAMEDA, SUITE 270
Mission Vieio, CA 925918307
(949) 348-9690
Foas General Contractors
01 1 't6002
01'1 't6002
01 1 16002
01'1 16002
01 '1 16002
01 1 16002
51603
51603
s1603
5't600
51603
57770
Fee Type Amount
Light Switches, Occ. Se 1.7O
Light Fixtures 1.13
Overl0-50 HP. KW or I 49 78
General Plan Update 23.79
lssuance 59.30
lvlicrolllm Records 4.05
Fee
$3.40
$6.78
$149.34
$23.79
$59.30
$4.05Contractor
Address:
Klett Electric
5732 Oak Meadow Dr
Yorba Linda, CA 92886
17't41926-7074Phone
State Lic #: 1051132
Lic Type: C-10
Bus. Lic #: 377664
Workers' Compensation lnsurance
Carrier: EXEMPT
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
lndustrial
Tenant lmprovement
TI
Occupancy:
Constr Type
Code:
B
lllB
cEc 2019 Notesr Electrical for equipment
Planning Conditions:
Planning Approval By Date
Date
Date
Misc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Amsden, Julie o3t3012021
Account#
Every permil issued shall become invalid unless the wok on the site
authorized by such pemit is commenced within360 days after ils
issuance, ot il the wo* authonzed on the site by such petuit is suspended
or abandoned lot a petiod 01360 days aftet the lime the work is
comnenced.
$246.66
$0.00
$246.66
MID#: 2021-'165'181
$23.79
$218.82
$4.05
Fee Totall
Paid to Date:
Balance Due:
Lot: NA
Owner:
Address:
Phone:
Tenant Name:
Qty
2.00
6.00
3.00
1.00
1.00
1.00
Plan Checked By:
Permit lssued By:
Subject to Fieldl
Building Permit #:01116002 51600
01 1 16002 51603
01'116002 57770
lnspector
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATTON
I h.rcby trfl]in utrdcr l,cnllry of pcrjury that I am cxcnpt from lhc Coituro6 Liccne tjw lor thc iolloqins rcasn (Sec.?011.5
lrusincs ond Prolc$ion Codc): Any Cny or CoMry which r.qums a FJ,nii ro onnrucl. trltcr in mrc. dcmlkh or rcllln dy
sro.rue. pri, to irr is\uftc, al$ r.qxircs rhc atplica for such Fmn to fik a sisncd srcrc'mni rhd h. o. sh. i\ [Nns.d putru t
!o rhc povision\.f rh. C.nhcror's Lkrnsdt bw lchap'cr 9. Commcncins wilh Section 7000 of Division I orrhc Bu3incss md
Profcsions Codc) or lhol tE or sfic k cxcm lhcrcfrom ond lhc hosn for lne aucg.d cxc'nprion Atryviolalionolscclion?0ll.5bysny
0rpliclnr for a pcmir slhjars rhe lpplicur ro i civil p.nxxyornol mrc rhan 6vc hundrcd dollas ($500).
-1.
as owncr of lhc pnlcny, or my cnDlorrcs wirh w,g.s al rh.n $k comF.$lion. qill do lhc wo a,n {E stnh@ n frn
i.r.ndcJ or oficrcd lor ulc (se 7044. Busincs ond Pmicssions Codri The Conra.t,t Lkcn* ljw des nol a!/y to 3n o*ncr of
thc F,pcd, who builds or imrbrcslhoso. lrxl who dfts such wott hi'nsclfor h. cllorrhmu8hhhorh.rorncmPloyccs.
providcd rhrr such inrprclcmnls m mn hrcdcd .r ofli,.d ror slc. Il tb*cw,
'trc
huildine or iq,mtmnl ir sU *irhin .nc ,cu
ofcoqrLriotr rt Osncr Builds will hnh rh. hrd.n ol pmting thal hc or shc dn rcl buiH or i'qrew $c tqEry foi Lhc tn Fe or
-1,
osow.cr oflhc nropcny. rmcxclusivelyconrE linx qnh li.cnscd contukrs lo.onencl ihc poj€cl (S( 7(144. Burinc\r
and Prdrsbn Codc: Thc Co.t.tor's Licc.sc Lnw docs.or applyro inowncr of proli.nr eho builds or inprovcs ih.r.on.
and wlD onhds lor such poirIs wirtaConrE ro(s) liccnsd lu^uMr ro rh. Conea.rols Liccn€ LIw)
I 0ncrcnrpt undcr Scclion ll & l'C l(tr rhn rc nn'
ulr86E8S:lOlIrDNS rlQN
DECIdEAIIQ!
I hcrcby Jlfirm utucr pcnrlryolDcljury onc oirnc tallowinE dc.lararn n!:
-l
htrvc and will minrsin s Cenificrrc of Consenr lo sclalnslo for worr6 onp.nstrn. as pmvidcd for by Scclion 3?00 of lhc
tibor codc, for $c F lormrcc ol rhc wort for whicn rhc pcirnir is iisled
I hrvc.id willnuinrdin workcrl .ompcnsliion i.sMtrcc. rs rcquncdbrSftridnlT00.arhcbbotC.dc,forlhcpcrfonnorccol
rlr wo.k ror which lhis pcrn l is ksucn. MyworkEC ompcnsation inlu.ancccuicr ar'd roli.y numb.r t.:
j4l ccn'ry rha! in rhc ncrrorNmc orrhc wurk fur *h'chrhis p.rmn n ksucd.l shlll nol c$ployany p€rsn in lny turcr.-s xs ro h.sm subl..t ro thc wo*cN (.mpctreron laws otcllilomia. and lse lhar ifl should b..oft sbj..r ro tlr
workcn.ompcneriontovtionsolScclion3?00oflncLlhorCod..lshall,fonhwnh.omPlywnhfio$pmvilio.s..
b onc hundicd thousud doll.rs lSl0O-000)- in oddirion lo lhc co$ ot cornpcnsariob, damgcl as porid.d for thc
Sc.rnr .1076 of L[. Labn Codc. i crci dlxormy s
\^,|V??/21 \e
IECI,ASAIIQX
I hcrb, sLtrm undq lcnlhy oi p€rFry lhol I afl liensd under lrovisi.n 6r Chapr.r 9 (orlmrcnrg wilh Salion ?000) ol Division 3
of
'hc
ausimss and Pmfcssions Codc, {d my liccnsc t in frrll fole ud .fldt
I t04ll3I
€lectrrL#\ =\.,,..",.., Flati
CON5IAIgU()I{IIIDINGAGINqI
I hcrby atfifln unds Fnalrrol pcrjury rhur rh,r n a e.sttucrion lchding rg.ncy ror
'h.
p.rloMcc ollhc wo.k lor whichlhis pemit is
issucd lsc-. 1097, Civ. C.)
APPI I(]ANT DE(1 AI{A'floN
llmhyafimund.r p.nrlry otpcrjrry onc otrh. f(rkrqirg dc.lrflriotrs:
lxnElirion PcirnirlAst s.s Norilicarion Fedcral ReEularions ('rirh 40. Pd6)
-RcquncJ
krrcr of Norifi.didn
!..diry rhar Ilf, fcd.nl E8llalions Eg&din8 rstEslos rcnbvolarc not lppliccble ro this pre,..r.
rlll ccn'ry rhJr I hrrc rcd rhn apnlndion r'd {,rc rhr dc.bovc inlbrnElion k cotrEt.I acrt,&dply*irh rll Cirya.d Counrt-udoJ.lcr J shrc hwr rc|0fio3 ro burldrn8 connrucuon. md hcrcbyuurhorizc lcprcrortrrivcs ofrhk CnyaM Coutrlyto cntcr upon th.
uhorc f,trrnnLi[opc y Inr irspc.rdrlllrpo€s
\pDlicsr or {ecnr Sigmrum:
\ Pemriler n6nr(rnnl):,urtrn K-let*
X"? ? ,
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rouoh)
Rough
Service It/eter
FINAL 74-zr /.ztst v^eza>vZA
Notes, Remarks, Etc
\
ELECTRICAL.INSPECTOR RECORD
Meter Release
Cuk!
Irndc'\ AJ'lJr\.
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