HomeMy WebLinkAbout20163838 - PermitPermit #: 20{ 6383E
Pin #: 49{99
BldgUnit
Assessor'sParcel; 016-052-08 Lot: 5-12, PORS 4 & 1 Block: NA Tract; 159
Address Range: 2601-2607
Historic: No
Suite Range:
Zoning: C2
Owner:
Address:
Contractor
Address:
Gardena Group Holdings LLC
10240 Geary Ave
Santa Fe Springs, CA 90670
(562) 699-8611
Diamond Power Services
807 East Mission Road
San Marcos, CA 92069
(7601744-7191
Amount
99.22
21.25
52.98
Fee
$99.22
$21.25
$52.98
Qty
1.00
1.00
1.00Phone
Tenant Name:
Phone
State Lic #: 908341
Lic Type: C-10
Bus. Lic #: 347899
Workers' Compensation lnsurance:Carrier: Security National lnsurance Company
Policy #: SWCI'102674
Expires: 0310112017
[,,icrmond [:'r,wen 5pl
r:r1 1 l SLrtr
f'1on UpdoLe FEI' -1$l:rltltl:r-
l a,r-rtr2.
(:h edl 1!
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
TPP
A-2, B, M
VB
cEc 2016
Occupancy:
Conslr Type
Code:Notes: Temp power pole
v Date:
Date:
Dale:08t03t2017
Account#
Zuniga, Alliss
Every pemit issued shall becomo invalid unless the wotu on the site
authorizod by such pemit is commenced within180 days aftar its
issuance, ot if lhe wo* authorized on the site by such pemit is suspended
ot abandoned fot a period of180 days aftet the time the wo* is
comnenced
lnspector MID#: 20'15-119845
01116002 51600
011'16002 5'1603
$21.25
$152.2O
Fee Total:
Paid to Date;
Balance Due:
City of Santa Ana 20 civic center Plaza (M-19), Sanla Ana, cA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2603 S Main St
Fee Type
0'1 116002 5'1603 TPP
0'1 116002 51600 General Plan Update
01 116002 51603 lssuance
Bni;ch*:3961;? - 9/3/2A17 I0r llINERIoffi.e: {:TYH ir.flrs+: 12 1 uf
A(i,:t + i Reli: iul63g3ll
Rcpti:t11964436 - g,/l/2trl7 ?:7(r Pfl
Tr(lnssct ion TilLn I $173,45
tll ".i
l\4isc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
$173.45
$0.00
$173.4s
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DEI.CARATION
I n<.6, arm undd p6all, of pdjury lhat I m .rcmpl from th. Conhaclos Lic€N l-3w for thc followinB r6on (s6.703 L5
Businss and Proasion Cod.): Any Cily or County which r.qun6 a pcmit Io coNlrud. allq, inprorc, d@oli.h or t pdn M.-
slru.luc prior to hs isue.. aLso Equic lh€ aprlicdl for such pdni lo nlc a s(..rt 3rnod rhd h. o. sh. b licd.d pulMr
ro rh. pmvisioN of th. Contr.clois Liccnsoj t w (Chapl6 9. CommocinB wirh S*rio. 7000 of Div6ion I of lh. Busi.6s nnd
Pof*ioN Cod.) or fiar hc or lbc i!.r.mpr th@io6 dd rhc bari! aor lhc a1l.8.d .$nptio.. Ary viololionotsc.lion 7031 5 by any
applicant for 0 p€mn sub.jdrs lt applicafll to acivilpmhyotnot morclhan fivc hundr€d dolles {$500).
I, 6 o$ro oilhe proFnr. or ny .nploy6 * ilh walB c th.ir Flc comFnslion. will do th. sort ud th€ ffulr is m!
intdd.d or olldal aor sl. (Sa.7044. Busi6 md ProfesioB Cod. Th. Cofltr.clois l,iccN tiu &6 lor @ply ro @ oMn ol
lhc plorFty who hril& o, inFo6 th@l! &d who dc.uch sll( him.lf or h@lf or lhsugh his or hB oM mploy6,
provid€d lhal such imprcvo ls e nol hrotlcd or ofiqql lo, erc I[ ho*da. th. hiildins or nnFolml is sld wilhin o.c )Er
ofcompl.lbn. rh. O$rd Auikld vill h.w th. budrn of pmvins thd hc or shc did nor build or inpo!. $. pmpcl, lor rh€ purpos ol
I, s oqs oarhc prolgly, eqcluiv.lycontrerint *irh lic.6.d contrdoBro coisDd lh€ Folcl (Se. 7041, BEins
d PD,ission Code: Thc Conhclois Lic.nse L.rv d.6 oor apply to an owns o I propcny sho huilds or inpro!6 rhdon.
&d rho conrdds lU slch p(j.ck *ilh a ConLa.lo(s) lic4.d ptrEuei lo th.Conlraclor's LiccBc Iiw).
I @.r.mfl uda Sdtion , B. & P.C. forlhis t6on.
Drt. Orrcr:
woRxERs conr-iFNsi-roN
oEctdSalro!
I hd.by arm urds poally oaFjury onc oflh. fouowin8 dEl&.lioB:
I n.vc dd sill mrinr.in a Cslificarc of Congt lo SclllBuc for worl6 compdaario.. a povidcd fo, by s-tion 1700 of rh.
tjbr ( bde lor ln. pdfomdc. o t lh. "slt Ior which thc pmil is issu.d
K:hav. 0nd sill nainlain work6 conp.Bation iNuranc.. 6 r.quncd by Salion :1700 of lhc kbor Cod.. for lh. pdaoroc. of
iEurec. crir dd Flicynrmbd a.l
CD 6n
l.dify$d in rh. FforMc. otth. wort for which this pdmn is i$u.d. I sh.ll nol onploy dy
$ 6 10 b.cone subjEt lo the wo&6 Nrnposrion ld*s orcdtironia. and agrd rhar if I should b..om. subjrt to lh.
*orkda corp@rion lrovisions ols.d ion ll700 o I rh. rjbor cod., I sfull fonns i'h co'nply wilh lhos. pDlisions
WARNINC: !ailu,. to sui€ wort6' comp€elnra .o!@sc n unh$ful, dd 3h e mDloy6 ro nimi.al DqBltts md
rhousand dollds ($ll)(J.lr0o).
'n addiiNr to rhc..s
ult!!ts !a!
I heb, afli,m undd p.f,.lty of pdjury lhat I m lic6s.n !nd6 Fovisio! oi with Sdlion 7000) oa Divkion I
b 93f*"N
J-c""-ry
I hseby amm un,l. FaaliyorFjury rhar rhse is a.oBrrucrin lddii psfonnec. oflh€ srrk lor which tha tsn( is
issu.d (56. 1097, Civ. C ).
Lcndd s Nam€:
AITIIIANLDICTASAI,IQ!
I hdrbyrrnnuido poalry ofpdjuryon ofrn followin8 ddl,rarioNl
D.molilion Pmns-Asb6los Norilicrr ioo Falfal R.sularions OnE 40. Pfi6)
_Rcq!icd Latd otNoli6cdkn
I cdiry that lhe ledoal rcsulations rcssdi.s asbBlos ranoral trc nol opplicable lo lhis projcct
I .diay thar I Mv. Md lht .pplic.rion ud sral€ lhor lnc
ordinan.6 and Srar. ljws El,tin3 lo buildins cornNcrion,
abole mdrion.d popdly fo.
(
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER 1,1/1, \'t l)r9*rr{t")
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
It4eter Release /t
Rough I (1 c.Jo
o ()c ,^t
FINAL l/)-lv
Notes, Remarks, Etc
Communications Cable
Transformers
Service Meter lnV
oa th. Bosins ed ProLssiod Codq o my liccE. b in full forc ed eiI4l
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