HomeMy WebLinkAbout20170612 - PermitProject Address: 1919 N Fairview St
Assessor'sParcel: 399-031-23 Lot.
Unit.
Block: NA
Suite Range:
Zoning: P
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (71q 6A7-2738 lnspector Section: (7'14) 647-5853
Electrical Permit#:2Of 7O6f \\
Pin #: 94724
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
FRANK JAO
8907 WARNER AVE 108
Huntington Beach, CA 926475079
(7141 402-735s
Orangewood Foundation
Snyder Langston
17962 Cowan Ave
lrvine, cA 92614
(949) 863-9200
011'16002 51603
01 1 16002 51600
01116002 57770
Amount
166.53
22.95
3.91
Fee Type
O/T lnspection
General Plan Update
Microfilm Records
Qty
4.00
0.00
0.00
Fee
$666.12
$0.00
$0.00
qtchi:tJtii - ii ii'/2atzti I03 IIPIHE0Ari ice; iiiH ironB+: ?6 1 of 1rcii: Refi: 20170612:pti;irigtiii4i7 - i./16/zit2ti 12r35 Ffi
ronsoct isn ioioi 1666,liState Lic #: 1019188
Lic Type: B, A
Bus. Lic #: 22847
Workers' Compensation lnsurance:Carrier: Federal lnsurance Company
Policy #: 54303079
Expires: 04lO1l2O2O
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tecfr I c(l.1
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$666.1:
$666.I2
Authill?ltJ0
Building Use:
Job Type:
Nalure of Work
Planning Conditions:
lnspector
Brodowski, Teri
MID#: 2020-1571O5
Commercial
Miscellaneous
O,/T lnspection
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 20'19
Notes After-hours inspection for electricaUswitch gear wire
pully on Monday, January 20, 2020. Okay per Senior
lnspector Jose Oe Soto. Danny = lnspector. Contact: Al
Garcia 949-275-2019.
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permil issued shall bocomo invalld unless the wotk on lhe site
authonzed by such pemil is commenced wtthin360days aftet its
tssuance, ot if the work authorized on the site by such pemit is suspended
ot abandoned lor a peiod o1360 days after the tme lhe wo* is
commenced
Fee Total:
Paid to Date:
Balance Due;
$666.12
$0 00
$666.12
01r 16002 51603 $666 12
Bldgr E
Tract: NA
Address Range:
Historic: No
Phone:
Planning Approval By;
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
o't 11612020
Account#
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service Meter
FINAL l-2t-za I xJ4-\L
Notes, Remarks, Etc
OWNER AUILDER DELCAR TION
I hdcby amnn unds pdalry of p.rlory rh.l I m cxcmpl 6o,n thc ContracloE Lic€* Law lor lh. tollowi,S t.e. (Sd.70l I 5
BusinBs d Prci6sion Code): Any City or Counly which r<ut6 a panil lo consrtucl rlt6, ihprove dmolish or rcpan my
srtuduiq Fior ro i's islmcc, also r.qrirs rhc rpplicmr lor sucn p.n l to filc a sisncd sal@ftt rhat h. or sh. b licN.{ p6!&n
to th. provisioE olthc Conliaclor's Liccnscd l-3w (Chapte 9, Cond.ncing vith Sdlio. 7000 oaDivision I of th€ BuinN Md
PreLsions codc) or lhat h. or sh. is exonfl lndcfto!. md rhc b6sb aor th. allcScd .r@piion. Any violalion of s.dion 701 1 .5 by aoy
applic.nl lor o p.mit subjels th. arplicanl lo a cilil ptully of nol mor. Om 6!. hun&.d doll# (1500).
I. s o$nr of lh€ prcFny, or my €nlployB virh was6 6 then sk coDpcisarion. vill do th. trlrk &d d. $ddm b .ol
iniatlal or oitd.n tor sl. (Se.7044. Buins md PmlsioN Code The Co ractoas Li.t@ Lr* do6 nol rpply b e ow.s of
rhc po!6ry sle buil.h or inpndvs rhtu., &d sho dc au.h qo,{ hims.lf or h6.lf or lhmqh his or hd ovn .mploy.cs,
provid.d rhar such inporsncflls @ ml hlod.d o, oit6€d tu, elc It howqd, th. hildinB oi imPromdr is eld wihin on. )qt
ofcoftplerio[ t. O$nd Buiud wiu h3v. fi. t dm ofpming tlsr tEor stE did trol birld or iDprovc ln. lorqty for dE purrD$of
L 6 ownd orrhc pmpoly. m erclEiv€lycontacrils wnh licots d codradoa ro.odtud rh. pojel (Sc. ?044. Bs'n6
atrd &of6son Code: Tbc Co.tra.tort Lic..sc Law do6 nor apply ro e ownd oapropgly who builds or improv.s th6€on,
a.d who conrEct for such Foj4ls wnh a C.atncto(s) ltGcd puGuan ro $c Conbador's Li.€N tiv).
Ln crcmpt und( Secrio . B. & P.C. nrrhN rcam.
uoBrEff:caul[lsaIl9!
DECIAIAIIO!
I h6ebyarm und( poulryofpdjuryon oflhc fol,owinS deItrarioBl
I havc md $illmaimain a Cdificarcoaconsnt lo Sclf-lNure for vortos. &npdsllion, a pmrid.d aor by Sdtion 1700 ofthc
bb.r codc, fo. rh. psfomdc. olfic wort for *hich lhc p6nit G issu.d
I havc and *illmainrain {ork6' cohpcsaiion ifturan e, s r€quir.d byS.clion1700 oflh.L*b.rCode. for lhc pdromecc oa
lh€ wo.k ror which rhi. r<nil is isucd M, work6 .o,npcerion n$rmc. cdio dd policy oumb6 &.:
l)6t.: Applicml:
IICEISED.CAXItrACIAB
DlcldaaltQ!
I hmby altm und6 F.ahy oi psjlry rhar I M licqN.d uodo provision of Chapta 9 {comcncing wilh Salion ?000) of Division l
of lh. Bsins ed Pof6ioE Code, sd my lic.N is in tull lorc. ed .Itdl.
_Lic.6.Nunb.r
CATSIBUI]IIOII,IIIIIC.ACIICI
I h@by arsn undd F.drt of pijory rhnt Lhd. is a on{ruction lcndhs asdcy fo, rhc Ffor@.. of rh. wort aor which thb pa'nn b
issucd (Sc 3097. Civ. C.).
ar8r.lcaNfoEctaSaua!
I hd.tJy afEn undd pddlty of p.rjury on. of lhe followins dcldalions:
Dcmolirion P@irs-Arbdos Norili€rioE F.ddal R.8uLrions (Till. 40. Pa16)
R.qrired L€uB ol NoliEcnion
I csriay thll rh. l€dsal Esulatiore rcs dins db6tos r.ooval d. not applicable
'o
rhis prcid
\.-,,,I hrv/ad rhis +9l(diod rnn nar.lywnnall Cnyand Counry
y ed Counry lo dra upon trelarinB ro buildins c.nntucr
ADplic!trt or &etrt SEn4ure tl\c lr()L'l--trflt<(---
I
Rev. 0B-07-2015
I cdlify thar in thc p.rfomncc oilh. worl lor whkh lhis psiil i3 i3su.d, I shall not dplo, a.y Fson in any mannd
s 6 to beooe subjdt lo lhc *oi!6 @,npsalion la{s of Crlifomia, md asr thal if I should b.conc aubj*l lo $.
$0116'.o,q,mdtionpmvilioNofsalionST00otlh.llhorCodc.lslull,lonhwihcosplywlhthosprovisioN
WARNING l_ailur. to su€ 10*6 co'nposalion covsasc i! unla{tuI. dd thall subj.ci m Bployd lo diminal p53lti6 &d
civil finB up ro orc hun.lr.d rhoMd dollm (1100.000). i. addiion lo rh. cosl oa.omp.n$lion, damsd d provid.d tor lhc
sdnon 10ao ol rh. Labor Code trls.d dd afiom.y ! fc
I dJft s
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