HomeMy WebLinkAbout20166076 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Sectaon: (714) 647-5853
Electrical Permit #: 20{66076|k
Pin #: 35669
Proiect Address: 1810 N Bristol St Unit:
Block; PM
Bldg:
Tract: MABURY
Address Range: 1702.1850
Historic: No
Suite Range:
Zoning: C2Assessor'sParcel: 399-121-17 Lot: 3
Owner:
Address
P hone
Tenant Name:
Contractorl
Address:
Century Fast Foods
'10350 Santa Monica Blvd #260
Los Angeles, CA 90025
(310) 203-8404
Taco Bell
Magnum Enterprises lnc
2515 W. Woodland Dr.
Anaheim, CA 92801
(714) 828-1191
Occupancy:
Constr Type
Code:
A-2
V B, SPK
cEc 2016
5160:
51603
5160:
5160C
5160:
Notes
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1.52
FWU 23,87
General Plan Update 21.25
lssuance 52.98
Qty
13.00
58.00
3.00
1 .00
1 .00
Fee
$18.20
$88.16
$71.61
$21 .25
$52.98
Phone
State Lic #: 4365'17
Lic Type: B
Bus. Lic #: 353142
Workers' Compensation lnsurancelCarrier: Hartford Casualty lnsurance Company
Policy #: 72WEA|O4596
Expires: 0210112019
Building Use:
Job Type:
Nature of Work
Commercial
Tenanl lmprovement
TI
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 101 95425
05/06/2018
Account#
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Totat
$21.25
$230.95
$252.2O
$0.00
$2s2.20
Every permit issued shall become invalid unless the wo* on the site
authorized by such permil is commencad within 180 days after its
issuance, ot il the wotk authonzed on the site by such pomit is suspended
ot abandoned for a peiod of 180 days after the time the work is
commenced.
lnspector MID#: 2018-141216
01 1 16002 51600
01 1 16002 51603
Fee Total
Paid to Date:
Balance Due:
v
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monumenl)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouqh
Ceilings (T-Bar Rouoh)
It/eter Release
Bough
Service Meter tf,I
FINAL K/zv//l /-ffi-d )
Notes, Remarks, Etc. /
'lr '
L.
OWNER BUILDEN DELCARATION
I h.rch, lmnn undcr ,cnahr [l perjury rh l an ci.mnr fr.m tbc Co.lr&ro^ Lt.ok Liw for rhc rollowing rc!$n (S.r 70]l 5
Busiocss lnd Prda.$nln Codc)r Any Ciry oi C.unry whi.h r.qniros n pcrmn ro co.stdcl. ahcr. impmrc. &mlish or qan lny
strudure. l,ior ro ns issuamc, oho rcquncs rhc arpli.rn b. such lf,lnit ro lilc . sigred sr emnt rhor tE or she i\ liccnsd pxr$6r
ro rh. trcvhn,n! drrrb Co.tE irr's Lic.n*d tf,* (Chrprer s, Co,m i.E *ilh SNrion 7m0ofDilkinn I ofltc Busincss lnd
Pmfcsions Codc) or lhsr he or shc is cxcmpr rh.rcrmm and thc hqsis tor rhc 0ltcscd cxcnprtun. Any violarioodtSccthnT0.rl.5 byrny
aptlicanr ror ! pcmir \ul,jcch rhe stpli.a.r ro a.i!ilpcn,lry.anor morcrhdn nvc hundrcddoll-. (Ssoo).
I. * owmr or Ihc phFdy. or ny cnrrloitcs wi h srgcs rhcn bh compctrsrrion. will do ltE Bo.t lnd lhc nniie i\ dn
i ctucd or orlcrcd lnr *lc (5(.7044. Dusircss 0trd P:ofcsior Codc l hc Contrlcrof r l,iccosc L!, do.\ nor aml, b an owncr or
rhc nRrFny who builds or impmrs rh.Nn. iid Bho d{Es \uch m hims.lrorkiscltorthrcr8hhisorh.row.cnrrloycc!,
prolidcd rhtrr such imoovcmnk m nor inrcnddl or ottlrcd lbr slc I I homKr. ihc tloilding or nrymvc'mnr is srld wirhin otrc ,!t
ofconDlclion. thc Owncr tsuildcr will havc lhc burdcn olpovin8 thor lE o. shc did mr tDilt or imptr,er lnc pR,rcny ror th. purtx,s.r
Orne.:
tl()RxFtlL$ c(wIPl.rts^ rl()N
DI,CIAA TO!
I hcrchy rlTn uidcr Ntrrhyof0.rjryonc ofrhc followirB d{lardiotrr
-l
hrve aJxl will mntrlin a Ccn irrob of Consnl to Scll'lnrurc rm tr orkc6 c{mpcn$l i,)n- as pmidcd ror hy sdrion 1700 or rlr
kbor codc. lor rh. p.rr.mu(r or rhc wort for q hi.h rh. ,)emil is issucd.
-l
hlvc {nd trill nuinrrir *orkc^ co.rrcrsalioo inslramc- us rcquiedbyS..rion-1700olrhcDborCodr,Iorlhcpc,lormtrcco{
lhnFlnr n i\\uci My *orkr^ c.'npen\rtion in\ufufrr c ricr mt tr,lirt nu'nhcr m:
L
lccdity rhrr i'r rhc pcrfornu'(,,f rhc rork tur $l,ich rhi\ rurmir ir is\u.d. I drll nor.,nploy{ny I'cNon in lny m!nncr
r ns h h...nr subir' kr rhc *. cB comp.nsalion hes ol Cililnrnir. rnd l3rcc rhar it l rholld bccoar bjccr kJ rh.
workch compcnsdmn [ovhions ofSccrion 37u)of rhc Latn Codc.Ishrll, fonh*irh comrly sirh rhoy,ovnions
WARNINC: lailurc h $curc $orlcr conrpcnern,n coveEsc is nnhstul. a d \hall suh.Fcr an cmplolc, ro sinrinalFnahics dnd
clvil lnlc\ ur r,) onc hutrdrcd rhonsand dolhr lSlu)-(Ur -or.o'nncnsolnrn. drm.Bcs 0s t'rovidcd tor rhc
,hrh,a,fi'mund.nc.shrlnUr',thnrIrnl'(n..dulc't6qq.nolChoFcra'commncing*nhS(r
nr '\c Bulnc* rnd Pn,rc{,,n. c.dr. anl mJ lxrn,. tr n idllLro{.nRr
1
\v
egIUlX!l.U0lLlliJllnC,XJleL
Ihcrehyafllrnundcrlr.!h,orpcrjuryihairh.rcisaco.$.rionlc.dingog.ncyfor'hcl.rlbrmrccoflhcwork
ksucdlScc. 3097,Civ. C.)
AIEUCAIfDECI.ABAIII}!
I tEnby onhr undcr Fntrhy of pcrjury ore of th€ follo*ing dcclarllionx:
Dcmlnioo Pcdns Arh{o! Norindtion Fcd€ral Rcgul,ii.ns (Tnh40. Pd6)
_R.qxncd Lcu..of Noiifi c.rbn
As::liiyrhit I havc rcldlhn llpl i.rri(nr {rrr rl,xrrhcrh,!c i',lo'tr,rri(m r\comrr I ,gm ro mmply wirh rll Cir, rnd Counry
h.rcby luth,nc Eprc\cn'divcr ofrhis Cny Md
rboL nrc ri,tri.tll,R)tf, ! lnrnN
h01
iUK-
Sub-Panels
-1.
asowncrorrhc pmpcnr. 0h crctusivcly conrding {irh liccn€d contEctoB to on(rucl lhc pmj$r (Ss 7044. Btrsinc\s
and Pnhsim c{dc: Tnc Conr,lcroas Lkcnse Li* dci nor lpnly ro an o*ncr ofproFny *ho buildr or impmvcs rh.rcon.
and who .oma.k ror rEh tmjcds with r Conrsdo(s) li.cnsn pursMnr ro rhc C,nro.rois LicetrE tiw)
lrmcic rDl Lnds Scclio0 .B &PC nr lhn rrJr.n
tJtuleis N!m.. _
t ndc' q AdJrcq
-
I ccdiiynd rhc fcdcftlrcsuhrioos rcBnnlins hc{os rcnNvrl arc nor applic,hlc b rni\ pn+d