HomeMy WebLinkAbout20170529 - PermitCity of Santa Ana 20 Civic Center Plaza (N4-19), Santa Ana, cA92702 Electrical Permit #: 2()17(J529
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 Pin #: 22364'\\
Proj ect Address: 419 E First St Unit:
Block: 1/6
Bldg: Address Range: 315-431
Tract: BLEE'S/J&F ADO Historic: No
Suite Range:
Zoning: c5Assessor'sParcel: 398-516-19 Lot: 5-9, PORS 'l -4 & '
Owner:
Address;
Phonel
Tenant Name
ROtC
11250 El Camino Real, #200
San Diego, CA 92130
(888) 888-7642
Marshall's
Fee Type
FWU
Min Fee Adj
General Plan Update
lssuance
lvlicrofilm Records
Amount
25.76
46.59
57 .20
3.91
Qty
'l.00
1.00
1.00
1.00
1.00
Fee
$25.76
$46.59
$22.95
$57.20
$3 91
REEMECHANICALINC
P.O. Box 1354
Temecula, CA 92590
(951) 296-0984Phone
State Lic #: 940700
Lic Type: C-20
Bus. Lic #: 373559
Workers' Compensation lnsurance:Carrier: Falls Lake Fire E Casualty
Policy #: FLA005446-02
Expires: O5lO1l2O2O
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
Rf Mtd Equip
Occupancy:
Constr Type
Code:
B,M
VB
cEc 2019 Electrical for roof mounted eqtlipment
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:/*
sden, Julie
Date
Date
Date 01106t2020
Account#
lvlisc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 1 01 101 000
Every pemil issued shall becohe ihvalid unless the wo* on lhe site
authoized by such permil is commonced within360 days after its
issuance or if the wo* authonzed on the site by such permit is suspended
ot abandoned for a poriod of 360 days aftet the lime lhe wo* is
$156.41
$0.00
9't 56.41
MID#: 2019-153462
01 1 16002 51600
01 1 16002 51603
01116002 57770
$'129.5s
$3.91
011'16002 51603
01116002 51603
01 1 16002 51600
011'16002 5't603
01116002 57770
Contractor:
Address:
r rbchi i aj.iTt:j:iice; a riii
llertrr
.ii (iri
(r iI'
a r ,'lrIL
I fri .
i, ti; r..tiilrrr,Jl
,rn -:ir,.L jrlri l(jt(11
rr(lllr(ilr r:.'
l. iji L. ri,il.j1i..hl
lIfln Li!u(r.hi iee
::i 1 6l-I:[J rJ r:r -
fl1- ;i t 6r:r,Jr,rur-l-
rrl tr it O,.- Lr r,r e r r r,:,
..i;/ /;;trr:rr:tr1-
$ 1t,6. {Notes
Fee Totall
Paid to Dale:
Balance Due:
lnspector
ELECTRICAL.INSPEGTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I n.rcb amrft undd poDlry oapdjury lh,l I m ermpr Eon rh. Cont.cto6 l-icm. L{e for thc lollowinr r.en {Se.7031.5
Businds and Ptufsion Code)r /\., aily or Counl, $hi.h r.qrne r p€mn to connrud. all6. impolc. donolbh or reAiii dy
stnrcru.e prior ro irs isuancc. ale r€qut6 rhe applic r for such pcmir ro file a r,8n€d stsr.md rha h. or sh. is 1i.6s.d pouumr
ro rhe pm sions ofth. conlraclois Lic€.s.d La* ((naprer 9. Comm.ncins rilh Sdion 7000 ofl)ivision:l ofrh. Business fd
Pmf6sions Codc) or llur hc or she n ercmpl rhg€iioft and th. bais for rh. alleg.rl eranprion Any violarion ofS..lion ?0:r1.5 b, an!
Applicaor fora p€.hn subjers rh. atplica to acivilpenaltyofnor nor. rhM liv. hodrcd dollm ($500)
l. 6 osr€r of thr prorEny. o! my cmrlorG \rirh Lvas6 s lh€n $E compss.lion, Nill do rhe $ork and th. ntudr b nor
inrodql or o[r.d lor s]. {S{ 7044, B6in6c ed &oa6sioN Code Th. Contadois Lic.n* La* do6 nor apDly to o orvn( of
rlrcOoFly who btrilds or ilnlro!6 tl6@n, ud {'h. do6 such $rI hi'nselfor h6s.tfor rhtutrEh hk orhd oqn anploys.
/.!ided nlat such imfrcvdnols orc ml inlodal or ofieGd lor sols I I no*6(. lhe hrildins o. iq,mwhdi is $ld wihin on. ,ar
olcodpldidc rh. o$rd Builde $i11 h.r. th€ hrda oaproving Od h. or shc did nor boild or nnprove fi€ propoly lor $. pupos oI
l. .s o\ ns of lh. rrlpsly. dn erclusircly contractins Lvirh licctrsen conrmdoG Io osrrud rh4 Foj&1 (s( 7014. Ban6
ed ftlfBi,h Cod. l he Conkacroi s l-icms€ l-as do6 nlr .mly r. ar o\rn6 ol0ropcrt $ ho builds or nnprov6 lhs6n.
and who conlmds forsuch p.oj.c1s Nith a Conrrnclo(s) licos.d pun@r ro thcCoirraciois Li.dsc lrv)
I n€r€,npl undsSdlion
WORXERS' CO'PENSATI(TN
DECTAAAIIg!
I hn b' rrtrm und* penillr o r pdjory on. of thc lollorins delamlionsl
I ha\€ dd {ill mainrain r Cedificar. of Consdfio SclfJ nsuc aor sr ies comp.nsarion. ds previd.d lor hyS<rion ]700 ofrhe
Lahor Cod., for lhe rEfonne.. ofrh. *orlt lor wfiich ih. pnnir i! isu.d.
I h.v. and Lvill mliirain $ork6 codt Ealion iNuranc€. 6 r.qur.d by S<l n :1700 of thc bbor Code, for th. pgiomancc of
rlt Nr! for \fi,ch rhir pesn is isudi Mv work6 conp.nsarion n&ran.. crid ed t licy numbd {c:n. FqQ(,,",".*-I > Lok< {)r< + Casr=lLz
LAoo 5 4Lla - oz Erpire oJ--{( -zoa
I ccni! thal in thc pdfomance ofth€ Nork for vhich this Fmn is issu.d. I shallnol onploy rny pdso. in 4., monr
$ 6 ro t iom. sbj<t to $. *ork6 comFsrion l,\* olcalilomia. rd rere thd if I should b€com. subjdl ro lh.
s..16' .onpens.rion pmvtiom of Sdlion 1700 ollh. Labor Code I nd l. lonhwilh comply Nilh lhoe pm\isio6.
\IARNING Fail!'e nr *cu( *!'kcrs cotrrtlNarnrn qxc'ilc,s unltrstul, &d shill $bic.r an Lrnpl.rcr k, dirniMl p.n.hns aod
(tril lincr up k, .nc hundred ihousxnd d.ll3^ ($100.000). tr, id(iirnnr nr rhr oa.dmp.6arion. dona8cs 6 provided lor ihc
xE:l'T:1T;l,t( [\s )( (rNIR.\( IOR
DDCTASAIIO!
I ncEbt amm ondd pmah, of pojury thrt I dn liccGcdund6 pbvision oachaprd 9 (coNnacins withSdb.7000l orD,visionl
ol rh. Busines and Prof6sioG Cod.. a my liccB. L in full forcc ed €ildr
j1 J-5^1
AXSUCANLOSCLAAATO!
I Hy amm uod.r poalty olpqjury onc ollhc tollowing d(lualiois:
Dcnmlilion P6mns-Asb6ros Notificarion F.d6al Rqul.tions (Till. 40. Pd6)
Reguted ldts of Noli6cdion
I cctiry lhil rh. Ldsal r.gulalioB reutrdin! Gbdros rdnoval ar. nor apflicobl. ro rhis pmje.l
l.difyrharlharcrcadrhirapplication d(arerhatlhcabovcinfomrari.niscord l a!i& ro .onpl! $irh all aily and Count!
.dinlncs dd Slare liss rclarinE lo building coNrrucr i.n. d
abo\c D4lionedpropcny for inspecrion purp(ls6
aurhor;. rerr.srarivc.f rhh cn, dd countyto dl6 rFn th.
Applicatrl or ,\gfll SignstrreA4A -tc Lf L,\
*,.,1-b-zd
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Rough
Service Meter
FINAL /-7 7- 2o DN /d)
Notes, Remarks, Etc.
Under Slab / Floor
Meter Release
.a &P( larlhisre6on
,1,..sccras L-'zo
\^,. /-e^'z't
ca.Ng!aucrIaNuBD!!G_&G!!(Y
I hcab, aflifln unds lEialryof!.rjury rhat rhsc is a coElBcrion lndin! ag.n y tn rh. pdlonnancc ofth. wolk lor $hicn lhk p€nnn is
issrcn (Sa 30q7. Civ C.).
I cndo \ Nme
Ldrde s Add,6s:
(:latnq (a,t(ort Sauc l.tE7
AUTHORIZATION LE'ITER
Decerrber 20.2019
To \\'honr it N4a1' Conccrn.
I. Jonathan Evancik, aulliorize Manuel Cruz to rcplesent on m1, behall'lbr. an1, busincss
license. plan check and permit services needed in regards to Marshalls # 1220 located at
.11 9 E. First Slreet. Sanra Ana. CA 92
Sincelelv
S iqnature
NOTAII.\'
A notan'public or other officer contpleting this certitlcate verifies only the
identitl'olthe individLral rvlio signed the docuntenr to which this cerriflcate is
attached. and not the tmthfirlness. accuracy. or validity olthat document.
State of Califbrnia
County of Riverside
On 14 befbre me. Heather Oliveira. notary public, personalll appcared
. who proved to n're on tl.re basis of satisf actory evidence
to be the person rvhose nane is subscribed to the within instrument and acknowledged to
me lhat he executed lhe sanre ir.r l.ris authorized capacity, and that by his signature on thc
instrument the person, or the elltity upon behalf of wl.rich tlie persor.r acted. executed tlte
instrument.
I ce'rtify under PENALTY OI.'PER.IURY under rhe lar.vs of the State olCalilbrnia thar
the fbregoing paragraph is trr"re and correct.
WITNESS nry har.rd and ofticial seal-
HEATHE
COMM
RIVERSI
L
# 2192992
B
urlZ04,!-^-,..-
2
{
DE COUNTY
NOTARY PUBLIC-CALIFOR
VY COtrv,SStOt't fXPrnrS
I
Notarl, I'ublic Signature
PR lL 21,2021
.lonatlian Evancik
P res icle nt
REFI Mccl.ranical. Inc.