HomeMy WebLinkAbout20162031 - Permit@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2lJ16203{
Pin #: 22516
Proiect Address: 1807 N Main St
Assessor's Parcel: 003-'142-23 Lot:7,9,11, 13
Unit:
Block: NA
Bldg:
Tract: MAPLE
Address Range:
Historic: No
Suite Range:
Zoning: Cl
o?
Owner.
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Wash Tank Express LLC
1807 N Main St
Santa Ana, CA 92706
(949) 683-8386
Wash Tank Express Wash
Strong, lnc
10373 Los Alamitos Blvd
Los Alamitos, CA 90720
(562) 936-14s4
01 1 16002 51603
01 1 1 6002 51 603
01116002 53601
01'116002 51600
01116002 51603
Fee Type
Light Std w/ I fixture
Add'l Fin, same pole
PIC - 650/o
General Plan Update
lssuance
Amount
23.10
0.00
0.65
20.56
51.26
Qty
7.00
7.00
161.70
1.00
't.00
Fee
$161 .70
$0.00
$1 05.1 1
$20.56
$51.26
State Lic #: 74690'l
Lic Type: B, A, HAZ
Bus. Lic #: 316067
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9094145-16
Expires: 0410112017
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Davis, Scott
Hernandez, Kathy
Misc. Receipt: 68873
Misc. Receipt: 69222
Misc. Receipt:
Total
Notes: fees pd on M-69222
Fee Total:
Paid to Date:
Balance Due:
Commercia!
Miscellaneous
Light Standards
\}
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
U
VB
cEc 2013
11t26t2016
02127120'17
Account#
Buildins Permit #: 10191063
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 1 80 days after the time the work is
commenced.
$338.63
$338.63
$0.00
lnspector MID#: 2016-128823
N/A - No Balance
t
ELECTRICAL-INSPECTOR RECORD a
APPROVALS DATE ID/SIG.COMMENTS otvNt;R BUt t,t,l:R Dr]r.cARA'r'loN
llusiness arrd I'nlltssir)n C(xle)i Any City or Crxrnty which requircs il lEnnit lo conslnrrl. nlter. irnltnrre, tlcilxrlirh or l,prrir any
!) rhe provisirns of tlE Crintrrc[tr s Licenrert [.aw {Chrnter 9. (irnrnrencing with Sectirin TlXX) of l)ivision .l 0f the Uu\inc\s nnd
flpplicrnt[orrpcrnritsuhjectsthe npplicantlracivilper)rllyollotm)relhilnfivehrtrdrr(ldollrrs{$5(x)).
-1.as
osrcrof llElr')|rrty.rtrnyemplr)rr\wilhsa8esr\lhcir{rlecr)nll8r\r[it)n.till([rtlr$1tktn(!llF{rlrlurei\[n
rhe prilfEn, wh) hrikls or imlrovei rhereon. flnd wh) {l(r( such work hinr\el[ ilr hcr\ell 0r through hi\ r'r lrer il$1r etr]pkryee\.
$le ).
_1. as owner ofthc pr)neny. inl erclu\i!el) r(ilnrrcting rvith licen\ed cr)ntrrctor\ til con\tnlct tl* nfiriccl lScc. 7(ll.l. Busint'$
ao(l who contrnclsfr)rruchnrrtir'ctrwitha(irtrlrirckr(s)liccnsc(lnursuilntl)tlBCinnrrclr)r'\l.iccnscLilw).
latr|cxcil]plundersfr1i(ln-,B,&P,(.,frrttltisreas.rn,
lrate:()$Drr
tl 0l{Kldls' C()i\ll'llNs,\I loN
Dl ( t.ARA',l l(rN
lherehyal'l'irnruntltrDenrllyr)flldiuryoneol'lhclirll)\rin8(lc(lnrrlions:h hille rml *ill trhintrin x Ccnilrille ofConsent to Self In\sre itr Nrtrkers corn;rnration. ar pnrr'iderl for h1 ScctiUrr lTlrl 0flhc
rr Code, frrrthe perfrrrrrunce rrIthe work f(tr which the pennil is issued.
tlE work frrr shich this pernlit i\ issued. My workers' coill|tn\illit)n in\urrnce crrrier ilnd F,licy nunrhtr ilre:z'-j-,tre frsil oCrrier:_
p"ti,vNu,ntrr, 1o1 Lt/ 4.5-/( z*pn",, 4-/'17
_l cenify thlt in lhe perfotrnrfr. of th. work f('r which thir pcilnit is i\\!ed. I shnll iltr cilrphy nny Jrrsn in nny nrannt'r
er as r) he(Irc suhi€ct h th€ workers' qnnlEnsation laws ofCalifrrrilin. {n(l agree lhnl if I \hilkl hecorm silhiecl !r tlts
workers'comlEnsatir)nprovi\ionrofSection.lT(xlofth€hhtr(1(le. I\hll. li)rlhwilhuilnplywithth)rnnrviri({\..
IVARNIN(i: l:nilure tr rdr. \r'rlicrs' .,rnEtr\;rtiort corr'tirgc is ilnlir$lirl. iilxl rll suhjtt an cnrpIrvcr tu crirriilrl turirllr('\ rnd
civil lln€s un to one hundred thrrusanrl rkrllnrr ($l(xl.lxx)). io r(lditir)[ l('r lx.irrn. tlanngcs il\ fn'\'irlc(l l,r lhe
Secr ir)n l(,76 of rhe Lltr)r (ixle. iNere\l rn(l riltrrrey s fee\
oau:2-.-D-17 tppne*:
DUCI,ARA'I'ION
I hcEby afffn under ttnrhy of periury thst I rnr licensel untlcr prrrt'i\irtn of ('hil)ler I (conrtrncitg sith S?dion Tlxx)) itl l )i\ i\itn l
of the Business and Professi)n\ Code. ind nry license is in full force an(l effect.
l.icense
l)ate:_
8.c -/o nst'Nu
-74610t
7--z-7-t )tirrf.r"fu.,(
i\rued (Src. .1(yr?, Civ. C.).
l.cnrlcr's Narrrc:
l.crxlcr'\ A(l(l'c\\l
APPI,ICAN'I' I'I:CI-ARA I'IoN
I lErehy alllfln un(ler p€nalty of 6riury onc of tlrc lirllr*ing tleclarar iolr:
l)enrrlition I'ernrils-Ashe\ro\ Nrtificxtion Irc(lerill ReEUlrtion\ ( l illc {(1. Prrl(r)
_Required [-elter of Notillcatirrl
-l
cenify that the federal rcgulati)ns ft8nnlin! nshes()s renrlvnlrre nol ipplicrhle h lhis pnrject.
ordinances nnd Stnle Laws rc|iling k) huildinE crtnstnrcligrl tril| herehy aulhrrize represenlatives of this Cily ond (iilrnty to enter lr|irn tlE
H:,-ilili::W ,,s,e: z-zz-/z
Site-Work
Underqround 4,1,o- ).1 J )e5a L-, @>
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rouqh
Service Meter
FINAL t-/o -/ I t /d.Jo*(r*)
Notes, Remarks, Etc.