HomeMy WebLinkAbout20166182 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 201661E2
Pin #: 53513lnspection Requests: (7 14], 667-27 38 lnspector Section: (714) 647-5853
Project Address: 1442 S Bristol St Unit: Bldg: Address Range: 1420-1442
Block: POR J Tracl: WEST Historic: No
Suite Range;
Zoning: SPiAssessor'sParcel: 109-266-19 Lot: NA
ZOHRAB KASSABIAN
249 l rrH ST
Santa Monlca, CA 904022019
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
01116002 5'1603 lssuance
Amount
23.87
21 .25
52.98
Qty
1.00
't.00
'1.00
Fee
$23.87
$21.25
$52.98Phone:
Tenant Name:Valley H.S. wrestling
Orvner-BuilderContractor:
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Other
Miacellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:Notes: Handout given/fees pd in full on M-71110
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Link. Patricia
Date:
Date:
Date:06/13/20't8
Account#
Misc. Receipt: 71'l1O
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless th€ work on the site
authotized by such pemit is comnenced within 180 days after its
issuance, or if the wo* authorized on the sile by such perfiit is suspended
ot abandoned lot a period of180 days after lhe time the work is
cofimenccd.
$98.10
$98.10
$0.00
lnspector MID#: 2018-143994
N/A - No Balance
\',
Owner:
Address:
N/A
N/A
cEc 2016
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby !fiirm under nenohy of r,€iiory that I am cxcm from rhc C{ntr&lom Liens L.w fo. rhc rollosinp rcrsn {Scc.70ll.5
ax\incss ! l Pmtession Cdc): Any Ciry or Coury *hich rcquircs r tsn r ro onsro.r, alrcl intlrovc. drfl,lish or rnan any
struclurc. ,,rior ro ns ku c. rl$ rcqun$ rhc atrlkd for soch f.mi . filc r siSncd ndcftnr rhar hc or rhc t liccnscd aunumt
ro lhc tn,v(n,os .frlE Conrmd\ Li..nscd Lla (Ch!!rcr 9, CommtuinE wiri Secrio, 7000.f Divhjo.I dt rhc Bnsin.s trnd
Pmicssio.s Codc) or lhll hcorsic tcxcnpl lhcrcfrum rnd thc basn ror rhcalic8cdcxcmpliol. AnyviolllionoiScciion?0ll.5byany
4tu;c** ffi#il;ffiffiffid;il:r;,ffi il.T",
lhc pop.n, *ho blild! or idP,oe. rltNn- ad who docs $ct w* nimlclfo. hcrcllorltrol8hhn or hcr o*n enploy..a.
oflrvidcd Ihor such inpmv.mnh c tut imcnl€d or.ftcri for sk llhokrirhct iHingor iqhv.tud i! q,ld silhin onc Fr
of conplction, rh. OwEr Bu d& will havc rh. burrkn ol Imvi',B rhd h o' \hc did mr trild or i'npmvr Lhr I!6Fi, for rh pxri.s of
-l-
,s owrcr oi in. pmFdy. anr ctulusiv.ly conr,cring *irh li..n{d .oMa.roN k' con(Nd rtE Isjd (Sa 7O4J- Busncss
rnd Pn,r.ssiD Co.lc: 'l hc Conrracrols Li.ensc Lrw docs nol atlly ro 0n owncr olrropcnywho builds or impDvcs lh€Eon,
and who ontmcts tor such poj.ct eirh r ConrEdon, lic.ni.d puisu.nt r. th. Conkicrur'r Li.cns trw).
Owmr:
I hc,eby imln!nde, Fn0lryof p.rjuryonc.ilhc lollowir8 del.rar
-l
havc un will roinraifl ! Ccnificale of Consenl ro Scli.lnsurc Inr sorkqi ompctrsin,n. ss pmvi{i.d rbr l,y Serion :1700 or
'hcliborCodc.l'orlhcpcrfon,onccollhe work for{hichrhc pcnni n Gsucd
lhllcddwillrrinirinworkcriconrpcn\atn,nin\u!!trce.r\.cqut.dhtSccrion:17(l,ofrhcLtrborCod..fttrrhcFrfonnn.cof
rh. work nrshi.hrht pcn ir is i\w.d My workcr' comp.n\llion irNurane.a cr mJ F,li.ynun '.r -.
inrhcFcrfontunccofrhcqorkr(tr*hichrhi\p.rnir i\ '\\kd,I \hrll orcnlnoyrfyt rk irirtrynrtrn.r
subjd lorhc wol(cr' onDc.slion laws of Cililoini.. aM a8rcc lh irl should bccom s!bj$' lorhc
sorkcr' onlncnyrtion polisions of Sslion l70O ol lhc La&tr Co<lc- I shill. lon hwilh smnly wiln tho$ pnvhn,ns
lVARNING lrailtrrc b {curc krkc6 c.n,I{n\rrnr corcrug. i\ utrlrslnl rnd \hll \ubr.cr rn. rtnor_cr r, cirnirralfndllic\ alld
housrnd Jollrs (Sl00.0tD). ir iri{rn ro I r .f.omtcnsarion, dam8.s as [ovid.d fd thr
Dare: A
D!!Li-BdI]r2tt
I hcrbyamirn undcr penolty of p€rjury thtrl l0m lcctrrt undcr Eovhion olChaplcr 9lmmmcncin8 wilh Sstion 7Ul0) orDivisioi:l
of rh. alsiNss .nd Pmtcssions Codc. tud my li.cn* h ir tull for.. md cftc.r
Liccnse Clas Licctrsc Nuarhcr
tlte Contndor
SOISIAIJT:UONIINIINGIIiENrI
I hcEby rffirm undcr lEMhyofp€rjurylhar th€rc is ! onsrru.lion lcndins iscrcy {or lh€ pcrfororcc otthc *ork ror whi.h lhi Fmil iq
issud {Se. 1097, Civ. C ).
AITI,ICAILDECIAf,AIION
I hsr{,y afim udcr Fnalty oa lcrjuly om of rhc ,oll*inB d€Lr.l ions:
D.rcliliotr Pcrnrik-Asbcslos Nolific.lion Fcdcml Rcgnldrions (Tiilc,l0. Pad6)
Rcquircd t icr or Noifro6n
-l
ccnifyrhat ihc icdcral rcBuhrions rcE dins rslEsosrcmovrlrc nor appliclblc ro rhir tmj.cr.
uAAaIy rh,rr h,r *,,r rhtrsnnrf,ritraJ n arc rhrr rh. ah,rc iitir.Br ion is .on cr LErN ro mnlly wirh trll cir, nnd cotrory
l+di'inn.s\ nnd srore lltr\ rclarmsrn hurlJrBronnrucnnn- ad h.rcb, lurhori2c rcpE\citrrilc*(,rrhisciryMdCounryrocnrc.u,nm t
utrrc mtrlioNn pntcny fot irrsp.ctbtr
'\pplirr l.r,lsrDl Sisnrturr
Prmitemm(prin0:IN
*,"t1s\ru
Site-Work
Underground
Li ght Standards
Spas, Pool, Fountains
Signs (monument)
Llje Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Condilioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
[alls (Rough)
Ceilings (Hard & Soffit Bouoh
Ceilings (T-Bar Rouoh)
lVeter Release
Rouoh
\?-.<1
FINAL )kt\r1
Notes , Remarks, Etc.\.J
DATE
Pole Bases
Under Slab / Floor
Service lVleter
-rI ?hP
(
lLr
L.ndcr \ AdJr$