HomeMy WebLinkAbout20169881 - PermitPermit #: 2Ol69E8l
Pin #: E3431{
Proiect Address: 2501 W Westminster Ave
Assessor'sParcel 10'l-132-25 LoI NA
Unitl
Block NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: cl
Owner
Address
Contractor
Address:
Phone:
Tenant Name: Guadalajara Tire
Zahi lssi
2501 W Westminster Ave
Santa Ana, CA 927062128
The Reynolds Group
P.O. Box 1996
Tustin, CA 92781
(714) 730-5397Phone
State Lic #; 659765
Lic Type: B, A, HAZ
Bus. Lic #: 348532
Workers' Compensation lnsurance:Carrier: Liberty Mutual
Policy #: XWS57088975
Expires 0210112020
Fee Type
TPP
Dist Pole
General Plan Update
lssuance
Notes 3-Phase power for soil remediation
B(1t,ch+f52494 ' Llt/L!/21719 ID: PZunieq
tjff icer (:TYH Trons+: 4? 1 ol 1Acct+: Ref+: 2t116?Sgl
F,:pti:0?773527 - lwl1/1ttl9 L1?7 fn
Transqct ion Totnl $264.1t7Anne Vsnl€er
The Eesnolds Group
6enernl Irlnn LJpdctte Fee
u1 1 16u02- il6rl111100-
Electr iroL
[r1116r:r0?- i16113r]00-
ll(,!,ler (:0rd
ct+: * x* x***r ***r5754
$??.95
$?41.6?
$1.64.1?
Auth * :0114S1
01 't16002 51603
01 116002 51603
01 1 16002 51600
01 116002 51603
Amount
107.11
25.77
57 .20
Fee
$107.11
$77.31
$22.95
$57.20
Qt]
'1 .00
3.00
1 .00
1 .00
0o
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
Power Poles
N/A
N/A
cEc 2016
Occupancy:
Constr Type
Code:
.J
Date
Date
DateVerduzco. Violet
101101797
Evory pemit issued shall become invalid unless lhe work o, lhe sile
authoized by such parmtt ts commencod within360 days aftet its
issuance, ot if the wo* aulhorizeal on the s e by such pemil is suspended
or abandoned for a petiod of 360 days aftet the tme the wo* is
commenced
10t1112019
Account#
$264.57
$0.00
$264.57
lnspector MID#: 2019-153880
01 1 16002 51600
01 1 16002 51603
$22.95
9241 .62
Fee Total:
Paid to Dalel
Balance Due
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAq27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueino
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
lr/eter Release
Rough /Dq//n" .1s'tY//wU-
Service lt/eter I 'at A /l,Ltu--rara,
FINAL 2llll2D Dlr^/hL+&/-14Pi/4I
Notes, Remarks, Etc.ltI
otrNt:R StilLDEk t)ut_(-AtATxrN
I hcrchy atlirm undc, pcnalry t{ !.riury rhd I d cr.nnr irom rlE Coikrcios' Li&n{ L,* ror rh. r,nlowi4 rca$n 1$c.?0:ll 5.
Blsircss afti Pnntsi{rn Crxl.): Any Ciry or Counry whih rcquncl , Fmil to con{rucr. altcr, flprorc, dcmolth or Npair ,
nodft. I'dn' ns tsrrnc.. nlso rqui(r rh. rprhmr nrskh lxmir b hlca rlncJ (.l.nEnl rhalhcor ilE is liccnyJ puNMr
lo lhc pnivhi()ns oi Ihe Conrrlcxr's l-iu.n*'l Llw ((:h,prcr 0- Commcncin! wirh Scctoi 7000 or Divrsidr I oflhc Bunncss antl
Pnrfc\\ nrCodc)orrhar h.orih. scr.mFr lh.rcion.nd rh. basn iJrllrnllcEcd c\cnrprior AnyvidarnrnofS(lion?0.ll.5btrny
lnolMnl lor . lcmnl subFls rhc {pli.ant t, a .ivrl pcnalry ol n r erc rhrn iivc nrndft,l dollds (S500).
_1, !s owmr or rh. ttutf,lly, or my cnDl.y.cs w h waScs Ns rhcn alc .urFnsli,trr. wiu do llr work a.d rlt ntut'm is nut
n d Ln or oflircd lnr slc {Sd ?044, Busincss ud Pdtsnrns CGlc: ftc CbnrFcktr s Liccn* L,w dds not ,!tly h m owf,r of
rhc pn,txdy who hikls or ihtruEs rh.en. and who Jdr skh h* h,hr.lf nr h.r*lf.r thmu8h his or hc. own cDployc.s,
IrcviJ.Jthrr\uuhimpovlrunkm,imcftloloronircnforsrLllho*cE,rhct{ildiryorinpruv.mnri.s)ltw{hroeyra
oi urnDbri,n. rlE Ortur 8triltd will harc rh. bunl$ ol provin! rhnr h. or rhc Jrl mr hrll] Dr rprovc rhc ,rotsly for thc puqr{ ol
_1, r\.wnooi rlr F)p.dy. rncklunvcly.onrrerirg eirh l,..nscd conrri.loN lo consrrurrh. on+cr (Sc( 7044, Bu\incs
arrr Edilsi'n Co!c: 'l hc Conlraulq r Liccnsc lj*,ioc\ Br rpply b in o*ncrorta't.ny whr builds or inprovcs lhcrcon.
anJ who comacB ror ruch prj.cB wnh r Conrnchrl, liccnRl ponlanl1,, thc Conln.lm s L'.cns liw)
I rmc\coipr und.r SGr A & P.C Lrlhsr!n'n
!II8{E&S:.EO!ICE!SAr!ON
DECIAXAIION
I h.r.hyal,ir undcr |j.nalr, ol lqjury onc of thc tulLws8 dccldatrns:
I h.vc !!d w l minrain a Ccn ilicatc ol Cotrsnr l,' Scllltrs{c lix RnkcF omFn\arn n, ar ttuliddl lor by Scdnn 1700 ot lhc
tjtrtr C-odc. for rh. lcrfomtu ol lh. Md( fix whi.h th. pcmil is (sued.
lhnvc an'l willnEinrain workcr\' cohpcn\rrn,n n,\trrrnrc. a\ rcqri'tJ hys.rlDn 1700.1lhc LlhorGic. t)! lhc,Lalimun.c or
rhc work fltrrhi.hrhk p.rnnr,\ nsu.n My work.s' cohp.n\rron trNurrncc (mcr iil FnLytrunrhcr &:
l.,htrlv rt^utTa-Q lsltn5'3
I c.dlli rlrnr rhc!.rf rnrNcollhc w.rk fo, whi(hrris pcrnrir is ns'cd.l shrll nor co[n,y dny Fiion ,n inymrnncr
!) !s b hcd'B !'hjcd ro rhc worlc dJnpcn\tuon laws oi (dil.n,ir, xiJ .!rcc rhir rt l drnrld hcom suhjcd i' rhc
work.$'.oml.nsarn,npri,vr!,ns.fS.crbh:lT0OofrhcljhtrGxlc,lrhrll.l"nh*(h.omolr!(hth)sIl()!is6ns
WARNINC: Failuic ro s.uE eo c^ coryr.,eliotr .ovcmsc n unhwhl. o'i shall iubi*r e .q'loy.r h dimiml lEmllas .4
civrl lincs up b oft hundrcd thousrd dolltrs ($lur,{Do), in ailJrrion lo rhc cod da u,6l.nsart,n, Jxmg.s 6 ProvidcJ tb. rh.
\er'u. ru"6,.lrh. tib.rC,{c. mrcrc.r rJdnonry s Gc,
tuVtJ-u-j
IICENIED-CONIIACIAA
PECIASAI(A
I hcFhy ailtm un,ler pcnalryolFrjtry lhd I {m li&nsd uryler I't)vhdn oi Chrflcr 9 (commftins virh Sculion 7000).tDivision l
of thc susircss aRl Ptulcsions Codc, {n my [ccns is in tull n&r a,nj cilNr.
tl Hh+ B GSq rbs
0
CqNEIBIJCUqN.LIIPINGAAEIST
I heEby .Irrn utulcr lrnllr, ol pcrj!ry trl rhrc is ! onslruction lcnlin! ascncy ror rh. lErrorlMa .r thc vtrk for vhi.h rhis Irmil is
issucJ (S.c..!09?, Civ. C.)
AITLICANLPECLABAIIO!
I h.r.6y afm undcr Fnrlly ofrcrjury orc oflhc tollowing dccllnrnrns:
Dcn,liii{rn PerditeAsh.(os Noritiu.rion F.d.ral Rc8uhtnnr (TirL 40, Pin6)
_R.quircd lrtrcr of Norifdrion
I ccflililh.r lhc lerlcralrceulari,)ns rcsadi,r8 r\hcnosrcB)val c norilJ|rl'c$1.h rhisrtEcr
_Ic{d'ryrharlluvcr.rdrhisrmlicl,.n tlsi cth lhc rbvc id;rm{ti,xr isconcll I r!'r h s,nllly wirh dl Cn, Md C.trnty
onlinrtucs rnd Strlc Laws rclrint b huilditrE conrhrclnn. ann turcbylurlntruc rcrcscnrari!.1ofrht Ciry Md C.unryh, cnlct DFrn lhe
rh)!c mntron.J tn,Pcny lnr inrPc.t
?ii"Ll^^,\ppliciinr 0r A[rnt Sirnrturt
tnnnovan /
I
DATE
Sub-Panels
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*,", rcltlln
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