HomeMy WebLinkAbout20166176 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ol661 76
Pin #: 227Os
Address Range:
Historic: No
Suile Range:
Zoning: C2
qProject Address: 2000 N Bristol St
Assessor'sParcel: 399-121-24 Lot: POR 3 & POR 4
Unit:
Block: NA
Owner:
Address
Phone:
Tenant Name;
Contractor
Address;
Property Owner
2000 N. Bristol Street
Santa Ana, CA 92706
Sanliago Little League
Owner-Builder
Fee Type
01't16002 51603 FWU
01116002 51600 General Plan Update
011'16002 51603 lssuance
Amount
23.87
2't .25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$21.25
$s2.98
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit issued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Firewo*s Stand
N/A
N/A
cEc 2016
Occupancy:
Constr Type
Code:
Misc. Receipt: 71110
Misc. Receipt:
Misc. Receipt:
Total
Link, Patricia 06113t2018
Account#
lnspector MID#: 20'18-143988
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Btdg:
Tract: MABURY
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Date:
Date:
Date:
Every pennil issued shall bocome invalid unless the wo* on lhe site
authoized by such permit is commenced within 1 80 days aftot its
issuance, ot il the wotk authoized on the site by such permit is suspended
ot abandoned for a poriod 01180 days after the time the work is
commenced.
Notes: Handout given/fees pd in full on M-71110
$98.10
$98.10
$0.00
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I heeby afiro ,ndcr pcnrlry of rcrjury rhll I d denllt ftum rk ConrucloN Lic..s. bw for lh. aolloein8 rc.$n iscc.701 l .5
B!\indcs a,rl Profcsion Cdc): An, Ciry 6, cl,unry which ,cquircs n F,mir ro consd.r, ahc. inl,rclr. dcmlish or qEn !n,
sr durc. prior ro ils ksu0ncc. .lso rcquncs rh. apllicrm ror \uch rrni' ro lilc o siSmd slll€Eol lial hc or shc is liccnrd pxuxu.r
ro rhc rmvirio.s .frhe Cont,croas Liccnscd tls (Chaprer 9, Connnen.ine wirh Scclion ?0oo of Divhion 3 of rhe Busincs Bnd
Prcfcssions Codc) or fiat tuorsne k cxcmpl thcrcfrom n.d thc bdsis for rhcallcscdcxemplion. Any!nn!rio.oaSccrion 70115 hym,
amlicant for 0 pcrmir suhrccrs rhc lmlka.r roacivilp.nalryolflor mrcrhu lilc hu lrcdd.ll-s(1500).
rfu,, rLl. !, owmr orrh. pml.n!..r m, cnrrrolRs qirh $lgcs as rhcn nh compcnssrion. willdo rtr Bork !d rh€ {mrm is mr
/l# tA r"Htrcd ro, qhrs( 7044. Buqrc$and horcsions code: Thc conrrncroir t-iccn* tjs docs nor apply ro an owmi oi
tfc pn.rdny etD bril( or urpoE( rhcdn. ui wh, .lfts $Eh wrk hin$lf o. hcrclf or lhFu8i his or hq o*n chtLfcs.
provi'lcd lhal such impmvcmnrs re mr inle,@ or oficrci for eh l( ho*cti rht btiklin8 or nr96rcmnr is $rd uirhin orc )t!r
or.omphlhn. lh. oRmr Buildc will turc ltr budcn of prcvinB tnd hc or shc dil n,l lDih or inorcle rhc loFny 16r rl'. pEl[s or
-l-asowmrofrhcprcr.ny.!'ncrclusilelyconrrxcrinswirhliccn*dconraciocbconndd'riroj.d(sc.70t4.Bu;m*d t\ufN\iin Codc: Thc Conrn.ttr's Li.cnsc Lns docs nor ll)ply ro.n ow.d of!rulErry who buil& or imlrcv.r rhdr..n.
snd $no conrracrs tor slch pojccr\ enh ! Co.rrocron, liccn{d pt(rair hrh.conrhcttr s Liccnsc Lrw).
ion-. B. & P.q
I hcrcby afiirnundcr ncMlry of pcrju.y orc olrhc lolloqin8 de
IhavcnndwillnrinlrirrCcnnicdcolconsnlkrScll'ln\urclitrworkc.om!.trs0lio.,"spn)vid.dftnbyS..rim3?mofrhc
Lrhtr CL{.. li,r rhc p.dormn.c ol rhc work for whi.h rhc ,.mir is issucd.
-l
hove rnd will mainlair qutc6 conrFnsslion iNurcmc. as rcquted bySccrk n.lTfi) ofrhc ljb.r Codc. ror rhc t'trfoirn!rcc oI
rhc aork lor whichlhis!.rmit is nscd. Myworkcn ompcnsarion insuramc caricr ard F,licy nunrh.r ml
4[,];;;.ilrr',ffi Hrn"#'Ir#rrr*,*'*ffi cmploy lny pcnoD in rny
'natrnu\lk{ d hc.onf, \uhlr'.rt,rlk
workc^ conrtcnstion ,n,vhions ofSccrion -t7([ofrh. Lltn Codc.l \hall- fonh*irh connly wirh rhos tmvisions
WARNIN(: l-riurc h {rur. sorkc^ cotrp.n\rr( corc(gd i\ u lr$ful.shdll subiccl an cardoycr to qimi' l p.nahi.\ and
:*..-{/1iiJ7
lld rsl(x).(Xn). in addirion r .o{ of.oflrFnsarion. donE8cs a\ rmridcd nn rh.
I hceby arfifln undcr p.nallyolpcrjurylhal I !m liccnsd undcr Imvision olChaprcr 9lconmn.ing wnh Scrio. T0Oo) o
.f rh€ Bu\in ss and Pnnasqions Codc, nd my lic.n{ h i. tull for.c md cflsr
CONIiIBU.(:IIAIi.LEIDINCAAINI;I
IhcrbyalltmundcrD.nrhyoIpcrjuryrhnlthcrch!connructnnbndin!asd&yrorrh.FrrLnuncoltlEwo forwhichrhhpcnn n
ii\u.d (Se :1097. Civ C ).
A.8TLIIANIIECTABAIIO!
I lrtr$y ll trM..lc rlr!oip.turyoncolrhc r.ll.wnrgd..h rnns
Dcnrnirion Pcmrik A$csros Noriiicari,n Fedcral Rcsuhrion\ ('l irl.40. Prd6)
-Rcquncd
l.i'cr of Norifi carton
. lcd,l,,hL rhcrdc'rlmEd'rrtr.n\r.Br,ti'ErLh.{ \rm,.vrlir. nor,'fflrxhlc h rhnfl, iccr
4N,**, ,
"*
**
^F
anrlEd,ion and {r'c rhd ,hc sh^c 'nrn,tuii'1\ cnnn r t rF( h.n'
onliMNes r Srarc rjws rchrirE ro hui[lnrts ru.ri,,n. rnd h.r.t,y3rrhori/c rcnr.\cir r'vcso{ thit
$ovc rctrttnrd pm,rny for ins,'(tiotr
ApDli.xrl or A*erl Si*mlun
\
:'*h]'r#'"
Site-Work
U nderground
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundino / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
Rough
Service lt/eter rl ,--7t
FINAL blTt\l( r
't-x'tK
Notes, Remarks, Etc
APPROVALS
Meter Release
1+
L.ndq'i Addrc*'
-