HomeMy WebLinkAbout20166159 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 66159
Pin #: 46319
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 1148 S Bristol St
Assessor'sParcel: 109-071-13 Lot: NA
Unit:
Block: POR I
Bldgl
Tract: WEST
Address Range: 1,t46.1200
Historic: No
Suite Range:
Zoning: Cl
E
Phone:
Tenant Name:
Contractor:
Address:
Balderas lnternational
Owner-Builder
'1150 so BRtsToL rNc
PO BOX 8768
Newport Beach, CA 926588768
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21 .25
52.98
Qry
1 .00
1 .00
1 .00
Fee
$23.87
$21.25
$52.98
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
N/A
N/A
cEc 2016 Notes: Handout given/tees pd in full on M-71110
Date:
Date:
Date:
Misc. Receipt: 71110
Misc. Receipt:
Misc. Receipt:
Total
Link, Patricia
Evory permit issued shall become invalid unless the wo* oh the site
authoized by such permit is conmenced within180 days afler its
issuance, or if the work aulhorized on the site by such pornit is suspended
or abandoned for a peiod of180 days aflet the lime the wo* is
commenced.
05/13/2018
Account#
$98.10
$98.10
$0.00
lnspector MID#: 2018-143969
N/A - No Balance Fee Total:
Paid to Dale:
Balance Due:
Owner:
Address:
Building Use:
Job Type:
Nature of Work:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type:
Code:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS O\lNER BTIILDER DEI-CARATrcN
I hcrhy amrm ,ndd Fnihy or FrFry rhar I m cxcnDr fonl rh. C.itr.r.^' Licr$ Law f.r rh. followins rc!$n (Ss.'70:11.5
Ausincss ad Proicsiotr Codc): Any Cily or Counly Rhich rcqltcs o pcnnil ro coidtucr- Bhcr, i6prove, dctulish or Rp,ii rny
srruclurc- !.ior h irs i\ruane. ako q t s rh. ryplicol for suct rEmir t, fikr siln dnddmnr rhd lror shc n liccntd Purs.nl
ro rhc,,ovisiofls oltlE Contructols Licc.pd bw (Chaprcr 9, Connncncin8 {irh Sccrn,n TIIX) ol Divhn,n 3 .rrh. Bu\inc* aod
I,rclcsions Codc) or rhlr lrc or shc is cicmpr rficEfomand rhc hasn ror rhc allcgcd cicnrflk,n Any vnndlionors(ri).70:11.5 6y rtry
^Jrxltr
u r, apr.'trir.dhj(Nrh.Jnrl'canrr,d,ivrlncnnlry.rn, 'ftr, rhi1l'v. hundrd d.,lrc rSru,,
[L)./**,^,* **^,. n,myrmrrorrcs *i,h w,scsas rhcir $h comr*.sdion. r*do rhe s.rk ani,h. n rmisfrt.d/..j
","r".4 r"' *t" 's- 7Or4. Bu\incs rd Pr.fcssion\ Code:IIc G)nta.t r Licns tiw di.s hor arply xr ifl o*ncr of
rhc nn,Fn, sh. hd)kr\ ur 'nwovs r)rron. uii srF Jer such sorr hims.lrdr hrrslfor lhou8h his or hcr ornemployccs.
,rrolidcd rhar suct impnrcnEnk @ ftn inrcutn or ofcrcd ior ut tt norcE. lhc hnildiru or im0rovcnrnt i\ sll lirhin o.c ,tar
ol comphion. rhc Owm, Builds will h!rc rhe tud.n .l nmvins lhll tr or she dil 'yn hoild or in{rovc $. pmrdy ror rh. Il0{n{ or
l. a\osncrofrhe pnipcdy. urcrcltr\ntlyconk rin!*irhli.c.s.dconta.kr\kJ.o nturr rh. tni a.r (Sc. 7Og, 8unN{s
rDd Pnfts{ir.Codc: ThcConIrkror'r Liccnsc Las d({r iur iftlyh rnoBrcr i |npcn y wh. $uild\ or irprorc. rhcrc.n.
;:: u1#+(6 **
I lrrcht rlftr undcr pcMlryofpcrjury oic otrh. ftll.si,r!
-l
l,xvc3Rtsillmrn ai',trCcnfi(rcof Con\ctrrr)rc lor workcrr.ompctr\arnnr. r\ pn'vidcd lorbySc.tiotr:17(Dol rh.
Lantr Co{., for rlE plrloinftnccollhc wo*,nr whi.h
'hc
ruinn is h{et
_lharcriJsill'nxinr!insorkcscomncDuroni'trurn.c.!\rcqutcdhySc.riMlT(x)ofrhclrhor(odc,iorrhcpcrlinnm.col
rhc work nn shichrhnp.nnir is i\\ucd My workcN .onpcnsxrion insurrnccc! cr rJ B,li.ynumb,rc:
ff[1*"rr,r, ,,* r"r*m3nccnrrhc wo,k ro, wh,chrhis p.nnn k rsucd. r sh., nnr cn.nroyuny,.son ina.ymdncr
fnlfl&/Xom ruhrd h thc ro*cr onll'ctrq,'nn hws oicllitonia. ond asrcc rhar ir! snould t8onr subi*' ro th.
wnficr ' cnmten\ar i.n nr n\ nnn\ nl Sd inn .u00 .f lhc I jlnr Gir. I .h] ll. fi,d h* irh mmnly u irh rh,{ pDvisirns.
WARNINC Ijailurc lo *curc wo.kcs'conDcnsrri,,n covcm8c is unla*lu shrll srbjccr an .'ntk,rr ft, ni iml llulras.nd
In.usaod dollrs lSlm.ixD). ir addiri,rr
Appllenl:
I hcrchr rfiirnrnnd$ pcMltyolr.rjury rhd I an liccnsd nndcr
or rhc Busirc$ and Pmfcrsions Cnlc. dd ny li..n$ is i'r lull
Chllrcr 9(c.n nrncirA wirh Sccr
COII,IIBICIIONIENDIN;3EENT
I hcmby afinm undcr Fmllyof lcrjurylh,t lhcrc is r consrudion bndinB o8cNy for lhc I'erfomrde ofrhc worl lot whi.h lhis lcmir L{
hscd (S< :1097, Civ. C ).
AISIICANLDEIIdBAIION
I ltErry a1lm ud( lcnalry ol pcrjlry onc oi ihc folk,wins dec lsarn,ns:
Dcmlitiotr Pcrmih-Asbcsros Norilication ftdcal RcRuhtions (l itlc 40. Pan6)
-Rcquircd
Lcttcr of NolifEatbtr
ccnifrrhd rhe fcdcralrclrl,ri,,ni rcE.di.C a\tino\ (nrNal arr n.r rmli.$lc h rhn oniccr
ifyrh.r I hnrcrc rhis applicdion 0rt sratc rh $c.trvc inlormdior iscorer Larc b comply wirh zll ciry and coutrrt
nM str. l-aws mldin8 h building c rcpr$cn(rrivc\ of ihis Ciryrnd Counry k, t 1d uB,n rhc
rtx)vc n{nrnn(d pn)p.nt r(n i'r\Fcrion,urlx)
,\ppliunlor,\,rrnl Sil nlurr *"ulPf6
Site-Work
Underground
Pole Bases
Lighl Standards
S pas, Pool, Fountains
Signs (monument)
Lile Safet y /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
Rough
Service lvleter
FINAL "VE 8r th 81IyNotesRemarks, Etc
Meter Release
and who conrncGlor su.h pmFcc sirh , Conrrr.ro(t li(.rs.d l]unurnr t,rhcC.ntr.roa\ l-i.cisc trs)
Lcndcis Addrc$
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