HomeMy WebLinkAbout20166183 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714)- 647-5853
Electrical Permit #: 20{ 66{ E3
Pin #: 73690
Project Address: 301 E First St
Assessor'sParcel: 398-516-16 Lot: PORS 'l,2,3,4,10
Unit:
Block: 'l
Bldgi Address Range: 3Ot-307
Tract: BLEE S ADD Historic: No
Suite Range:
Zoning: C5
q
Owner:
Address:
Phone:
Tenant Name:Saints Soccer
Owner-Builder
Santa Ana Downtown Plaza
315 E First St
Santa Ana, CA 92701
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
011 16002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1.00
1 .00
1.00
Fee
$23.87
$21.25
$52.98
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensaiion lnsurance:
Carrier:
Policy #:
Expires:
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit Issued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016 Notes: Handout given/fees pd in full on M-7'1110
Date:
Date:
Date:Link, Patricia
Every pennit issued shall become invalid unless the wo* on the site
authoized by such pemit is comfienced within 180 days aftet its
issuance, ot il the wo* authoized on the sile by such pemit is suspended
or abandoned fot a peiod of 180 days aftor the time the work is
cofifienced.
06t1312018
Account#
$98.10
$98.10
$0.00
lnspector MID#: 2018-143995
N/A - No Balance
Contractor:
Address:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
lvlisc. Receipt: 71110
Misc. Receipl:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOH HECORD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ce ilings (T-Bar Rough)
Meter Release
Rou gh
Service lvleter ,/1 ?\
FINAL lnhttlV\"Nry'
k({-'k I
Notes, Remarks EIC.
6-L _t{
OWNER BU!LDER DELCAR TION
I hcrch, dllim hncr penalry ol pcrjury th0r I an crcmpr from th. Conrracro6 Liccnrc ti* fo. th. a.lloqir8 rcasn {S.c7011.5
au\incs\ atul P(r'c$ion C.d.): Any Ciry or Couory whi.h rcquirus u pcrnir t, con{ru.r. nlr.r. infrove. d.rmlish or mr)an My
srtu turc. prior ro ils i\sunftc. rlso Equncs (hc.ptlic,nr ro, such,rmfi ro 6lc 0 sieftd slalcmnl rhal lf, or she is liccnscd lunu.nl
b rhe pR,visbns or d€ Coir,acrqi l"ienscd ljw (Chalrcr 9, G,mmencinB wirh sccrioi 7(Xx) or Division ] .rrhc Busincs rnd
Pn,fcssons Codc)orrhat lEorsh. h cx.trrfl lhcrcrrunMd rhc basil ior rh. alLlcd .x.mprion. AnyvidalionotScclion 7011.5 byany
lppli.ant lor.Frmir subiL.lsrhc rtplicant ro a.rvilp.naky.rnor fr,c thln rirc hundrcd doll06 ( C500).
,M*owicr of rhc pDlicny. nr.ry cntll{,J,e\ wirh sngc\ rs thcn $b compcisarion, silldo rh. *mk r*l lh. {mrr. ( mr
or off.rud for eh I Se 7O,1,{, atrsim\s Md Profc$ions Crxtc 'l h. Cont..tof s Liccnc L.* docs nor lpply ro on oumt .i
rhc ImFny *ho liilds or ir{reks rhemtr dd who do6 such $nrk hi'nsclf o' hcmclf or rhruu8h hk or hd o*tr cmoloyccs.
nmvidcdlhor su.h impruvc'rcnh@mr inlcndcd orolttrct fo.$h ll. houcrci rhchiHinsor iqmveftm is$kl{i(hinoft }tr
or corq'lcli,n. lnc o*trcr Buildcr will htrK
'tE
hurdcn of rmvin! lhd ft or shc dil mr buitl or inpmvc 6c FmFny ior rh. puqnc of
-1.
trsowmr ofrhc pmpcny. !ncrclusivclyconrrodi.A Firh liccnkd conrNronro consrrucr Ihc rrolcr (Scc. ?04,r, Burncrs
ud PFf6\ionCod.:TheConrruc'olsl,iccnscl,awdosrtrorlpnlyro0no*ncrorpropc ywh{, boilds .r ihprov.s rhcico.,
lnd sho a,nrn rs r.r such p$icls qilh . Con'm.ro( $) liccn{d pursuanrbrheCanroctoisLicensc tiw).
I hcr.hynrlir rutr{|., r xlryof tf,rrtrrv.icolrl[ lnllNi"g (1..h'nrn)
I n vc ,ni will minrrir d Ccnirtr.ic of Consnr h S.lalntue fd sorkcH ..m!cns0r ion. $ Fmvdcd lor hy S€l ion l 7($ of rhe
Itrhor C.dc. for lhe lcrfor.sftc of rhc w.rk t.r whin lhc ,.rn1n i\ nrxcd.
lhlr rnJ sillnninlri', workcr! comrcns3rion i'Nurancc- a\ rcquncd byScdbn.lT0Oolrhc t]b.rCod.. lnrrhc pril.rnln!.c.1
rl* sork l,r *hichthi\ pcnnn i\ is$dd Myqo c .onln.nllrion in\urno cDrid dllricy trtrnlbcr rml
tuL'i,, * -",__ ",". "**\n o\ t' hcc,nrx luh]ccr h, rhc s,ilcr mrnncnslion
-ErPircs
uorkcr .onDcnsarn'n pft)visi.ns oiScdion lTsrol
hi.h rht F.rmir i nsucd.l shallNr cmployrnyp.rcn hany nrrnn.r
lass olCrlifonrir. lnd uruc thal if I shoul(l bc.onE \ub,&r k,rtu
rlE tahor (.odc.l shJl. hnhwilh conrply unh lhos lrovhior\
WARNIN(; Frilurc ro {.urc $o c.\ corp.n\dri( c.k.rtc i\ nnxslnl \hrll{,hi(i r', c oy.r t, dnnirl
.ivil lin.\ uI b onc hu rcd rhou\r dolhn (SIlXl.lXl)). in t, rhc coi of..mfrtr\di0n. d
::::'ltli4K
I hcrcby amnnutucr Icnlhy ol r.rjury lhol I am licnsn undcr povtion ol Choprs 9lo'nmmnrs wirh Scdion 7(ro) ofDivi\n,n.l
.l lhc Busincs and Pftrfcsiorr Codc. trd my lic..sc is in lull fore uld rfi.cr.
Licensc Nhhcr
Corl...1or:
CQN$IAI]CIIQNIINDINC.AIiENCI
I hcrcl,y aafi,mundcr pcndr) olFrjuryrhar lhcrc h ! consrDcrt)n kndins ascncy tx rhc rdrortuicc or$. work ror whi.h this l*nnn is
i$ucd (Scc 3097, Civ. C.)
ArfLrc NfDE!l,l8d.Ia!
I hnby,llm u.dcr pcnrlry orpcrjuryonc olfic lolloNing dccldariotrs:
rlcnFlition Pcnnils Astrsros Norifirsri.n F.dcrnl Rcsulnri.n\(-lirlc 40, PdO
-Rcquncd
lllrcr oa Nolifi cnrion
-l.crriiyrhar
rhc fcdcn'lrcgulurions rcgnlin8 $hcsro\ rcnFral!rc nor +plic$lr r, rhi\ prt,ilr
Mlkl**'lu;:'-tli"?*ffi l,,tt;i:rcthll thc x'vci bnn.tion i\comd Ilgret,..mj,ly
ioo.,rl hcrcby.urh.riz. r.Itr r.nh'ncs ol rhn Ciry
tr)k tr,rtrr(nrd I'o|.nr- ntr id\tc.ri(nr f trrr\r\
aPPti0nl o. aa.nl sisnartrrc Nla
lod Cormy ro .nr.r u[x)n rh.
+l$Jte
I
W
DATE
Under Slab / Floor
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