HomeMy WebLinkAbout20166065 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2Or66065
Pin #: 21994
l nspection Req uestsr (7 1 41 667 -27 38 l nspector Section: (7'!' 4) 647 -5853
Project Address: 1220 N Bristol St Unit:
Block: NA
Bldg;
Tract: 680
Address Range:
Historic: No
E
Assessor'sParcel: 004-113-35 Lot: 1,2,3
Owner.
Address
MARSHALL-KELLEY LLC
9662 BIXBY AVE
Garden Grove, CA 928413711
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
01'116002 51603 lssuance
Amount
23.47
21 .25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$21.25
$52.98Phone:
Tenant Name;SA Edinger St. Hispanic Church
Owner-BuilderContractor:
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Cariet'.
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016 Notes: Handout given/fees pd in full on M-71067
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie
Date:
Date:
Date:06/05/2018
Account#
Misc. Receipt: 7'1067
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issuod shall becorne invalid unless tho work on the slte
authorizod by such pennil is commenced wilhin 180 days aftet its
issuance, or if the work authoized on the site by such permil is suspended
or abandoned fot a period ofl80 days after the tirne the wod< is
comfienced
$98.10
$98.10
$0.00
lnspector MtD# 2018-143794
N/A - No Balance Fee Total:
Paid to Date:
Balance Oue
Suite Range:
Zoning: SPI
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG,, OWNER AUII-DDR DI]LCARATION
I hcrcby trlfiirn uftcr pcnolr, or pcrj!ry rhur I aD.xcnB amn rhc ContrucroF l-icEn* Las ror thc folloRirrs rc,vr rsd Toll5
Busincs lnd Polcsion Cod.): Any c y or County {hich rcquirs s Fmit ro sn{rucr. alls. improrc. dDmlhh o, rcprir rnv
{d.rn6, Eior r. hs is$dRc. also rcqutcsthcat icanr ,or slch Fnnir ro fika siSned slatcmnl rh ltor sh. h liccnscd Pusuonl
ro rh. rmvhions of rlE Conr,!.ror'r l-i..n$d I:w (ch,ptcr 9, Connmrcin3 wilh s.c'ion 7fix) ot Divnhn ] ofrhe Burin.$ and
Ptufcrsn,niC.dc)orrhnth.orshcncxcarprlh€rcnoflr!drhch€sirforrh.dlcgcdcxcnrbn.Anyvn,hrionofSccrionT0Sl.56yany
.rpphc.trrlor!tqrnir.ubJsr.rh.rnr'(,nr,.aci!,lNnrlry^fnormrcrhnni!.hund',nd.llI\r(\tro,
'\Y."*,"r,r,"r,.r.nr.nrmy.nFhJ.cswrhsa8c.rslh.r$horFnuFn.wrlld.trrqurtrdrhc{ btrmr
i'rrcdcd or ollcrod ror slc (S(.?o44. Busircss and ftofcssioni C.'dc: Thc Conract(tr s Lien* L€e do.s norlltl,lo !tr osM ol
Ihc ImIEny whot lds or in{m,ks rhcdr. drd *to do$ su.h tro himscllorhcsclforrhmushiisorhcrow!cmpbvccs.
niovidcd rhar su.h imnn,rcmnk rc fr,r inr{nldl or ofi.rud for suL ll h.wctcr. lhc hilding or inptrlrrcnl is siil sirhin om Fd
orcomnkrbn. rh. OwNr Buildcr willharc thc ttrdcn olF,vins rhd hcor shc dil mt huild oi imProw rhc pFFnt ror thc l,Uqncof
I. d\ uwrcr of thc noncdy- omcxclusivclycontacrn's wirh li(n*d .utrkr.lo$ i,' connrud rhc Proj.u lS.. TOr'1.llunnc$
d Ptr,fs\hn Codc Th.Codtr.roas Li.cnsc Law docs nor anplyn, anown.r ollr.tcrly*ho huildsor ihtrcvrs rhcrcotr.
nnd who conrB.* lor ru.i projcclr qnh a G, m.bn n li.dtrtd pur$rnl h ric Conrrackn s Li..nsc b* )
I hcrchy rl nn u d.r Ntulry olpcrjrtry.nc of rhc lotr ine &.
-l
iovc ad will msintanr n cd in.nrc ofconscnt ro Sclf.lnsurc lor sork. .otrrpctrcdion. is Provided fo. hysc.ri.n l7m orihc
trbor Codc. for lhc I,crforromc or rh. wolk ror whi.h rh. Pc.nir n irsucd
-l
hatt nnd will dainhin sortcB compcnsalion nsurancc. as Ntlircd hys(rio lT0O oithc Llbot Codc. f.r rh. Pc.rornundcof
rhc sork tor whi.h rhis rfimit is tsucd Myvorkcr' corpcnslrtrn in rtrnlr.inicr d policy numbct uc:
A[q:*,,,," ",* ",",,,,...,,,,n" ",,,.;I \lrllno' cmploy trtry pcrson intrn, Ba.n$
rcc rhor ii I sbuld lrco,E suhlccl to lhc
flhwiin onv,l, sirh rh)$ ,)rovisions
\i rs k, t.uo'D $hjtcr h rhc ! orkcr compcnsrri(in hs\ ol Calinniir. t t +
trorkc^ .o rFnldl.n pnrvfion\ oiS.dbn.l7(X) frltLrhnCl r.Ishnll n
$ RNIN(I F.ilurc ro ecurc *orkrrr .orpcil rion.o!c n8c n un[srul. rnd \hxll sohjc.r m ctrploycr lo
, nr addirio. ro rhc .oi oa.oBp.6sdn{, da.nAc.ivil lincs up to onc hundrcd rho!$nd do
:,""":''CI1Tb1'@
'l Lb<,""J-I hcrcbytrnnnundcr pcnalryorp.rjuryrhnr l,'n li..nsd u h Sdrin, T(Xn, ofDivirirr l
of rhc Busine$ and Profesions Codc. aJ ny tic.nrc in ruu loie arxlcflccr
CANSIAIIJ:IQNIE DING.AGENqI
I h.Eby aftrm undfi Fnrxy of pciury lhal lh6c is a mn(odbn lcndi.S aecncy for the I].rfottuN or rhe rcrk for *hici rhi\ Itmi n
hsucd ( sa. 1097. civ c ).
AfIIIIANLDECLAXAITON
I M,! olftrm undcr pcnallynfpedur, onc orrh. rolldwing dc.ltrorions:
Demli'io. Pcrmirs Asbcsos Nolificllion F-cdcrol Rcsrlolions ('Iirl..,l0. Parl6)
RcqunrJ Lc(cr.f Norli.dion
[#.;
ilyrhd lh.ltdcrrlrcgulaltnN toEturiins r\bc{os onovalrrc nolqrPli.rhl.io rhis Pojc.l
rhor I havc rcad rhn ApI.arbn nnd starc th0l rhc utivc infodarion i\ coftcr. I a3rc rocom!
nd Srlrc tf$ rcL'ing lo building conslruclion. ffxl hcrcl,y au
dlnvc rxtrli.ncd prepcny ftn inspccri(,nll 'Alo,ru
ADpliunl or Alrnt Si[n lu M-a* Utr
ly*irh rll Ciryand Coxnr!
ry rnd Coutrty lo cntcr uF,n rhc
:"lLills
Site-Work
Underground
Pole Bases
Liqht Slandards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilinos (T-Bar Rouoh)
Meler Release
Rouoh
Service Meter I .A
FINAL \-\t \R nftfl 4,-,
Notes, Remarks, Etc
COMMENTS
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