HomeMy WebLinkAbout20166530 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20166530
Pin #: 72745
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Proiect Address: 1620 E Wilshire Ave Unit:
Block: NA
Bldg:
Tract: 7538
Address Range:
Historic: No
Suite Range:
Zoning: Ml
E
Assessor'sParcel: 402-162-09 Lot: 9
Owner;
Address
Martin lnvestment Co
P.O. Box 5532
Santa Ana, CA 927350532
01 1 16002
01 't '1 6002
01 1 16002
01 1 16002
01 1 '16002
01 1 '1 6002
51603
5160:
5160:
5160:
5160C
5160:
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
Dedicated Circuit 24.79
General Plan Update 22.08
lssuance 55.04
Qty
8.00
1 .00
'10.00
4.00
1 .00
1 .00
Fee
$11.6C
$1 .58
$10.50
$99.16
$22.08
$55.04
Phone:
Tenant Name: Mobile Screen Service
L G Electric
5430 E Partridge Lane
Orange, CA 92869
17't4l493-9127Phone
State Lic #: 1020048
Lic Type: C-10
Bus. Lic #: 364042
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
TJ:,
| 6 El(
lndustrial
Miscellaneous
Elect Tl
F-2
VB
cEc 2016 Notes
benerRl
r:r t 11601r
Llertr r
rl1l l6rt:r
l, i sr(
!:ci 3 **
) Updote Fe€
1600r10[r-
1,6031100-
rr***rt--t282 Autl-, ; I
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #;
$ Hernanoez, Kathv
Datel
Date:
Date:07 t2612018
Account#
lvlisc. Receipt:
l\risc. Receipt:
l\4isc. Receipt:
Total
Every pernil issued shall become invalid unless the wo* on lhe site
aulhorized by such pe nit is commenced within 180 days after its
issuance. ot if the wod< authorized on the site by such pernlit is suspended
or abandoned for a peiod of180 days after the timo the wo* is
commenced.
$199.96
$0.00
$199.96
lnspector t{itD#' 2018-144929
01 1 16002 51600
01116002 51603
$22.O8
$177.88
Fee Total
Paid to Date:
Balance Due:
Contractor:
Address:
got.hi;45u39 - 7 /26/2t1!B
off icer - iYH lrRns+: ;,A,:l:t+: ftef+ I
Rcpt+:02342113 - 7 /24/2tt\g
Irqnsoc t ion fotal
1
Building Use:
Job Type:
Nature of Work:
Occupancy:
Conslr Type:
Code:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DF]R DELC RATION
I hcrchy aftrar undcr pcn{lry oi pcrjuy rhrr I !d .rc'nnr iro,n rhc Con(r..lor' Liccnsc Lnw fot rhc rollowing rca$n lsc..7oll 5
tsusincsr ml Prot$n,i clldc) Ary c ! or County whkh mquncs o Fnnir lo urndtucr. nx.r, inlnJv., d.mlhh ,{ EIEn iny
ntuchrc. I'ri, t, ir\ issurm..,ls. rcquiEs lhc ryflicd lor suchlrcrmir lo lilc a sisn.rl nrr.m r rhd hcor she is liccnsed I,dslrnr
ro rhc pm!isions of rhc Contrackr's Liccnrcd bw (chaprcr 9. cunxncn.in8 !irh Scctn'n 7000 of l)ivi{ion :l ol rhc Ilusincss .nd
Pn,rcssbnsqd.)orrh,lhorshciscxcmplrhcrchom0ndlhchosntulhcrllcseJcxc.Unr. nyviolnlionofSsrionT0-ll 5bynny
rmli.a.r iorrpcann subjccrslhc aprlicanrtoacivilpcnalryofn.rfrtr rhxn fivc lrndr& dollan(5500)
L rs owncr orrhc polfny. or m, cmtlorecs with strBcs rs rhcir $le conp.n\arbn, will do rhc woA,d rh. (nElE ir tur
inlcMcn or ollcrcd for ele (Ss ?044, Business and Prnfc$ion\ Cinc: Tne c(,ntrd.M! Li.ctrsc L€w docs nol aptly r. rnowncr ol
rhe pDpcn, sho huildr or iqrii,hr rhcbn. dd who &rs such wo hnnscliorhcisclforrhdughhhorhc..qncmployccs,
nnrvid!{ rhor such irprcvcmnrs am nor inrcnd./ or ofi.(d {or srlc Ii howca. rfu huiliiry or in{rolenxn! ie $ld wilhio onc }qr
or.omnhbn. ltu owrcr Buikc! will hrw Ih. ttrdco of lovins rhlr tr or df, dil mr hoiti or iq,Nt lhc Pmrny for rlf ,!qht or
-1.
u\osIcroirlrc pmpcny. ancrclu\ilcly..ntlcri'rg wirh lic.n\cd.oDnncroutr)con(rucrrhcF,jccr iSLt 7{X4. Busir'c$
rnd lh,hs\i,nCodc: Thc Co.kd.ror's Li.ctrsc Lrv des ml rnnlylo inowncr ol p(,pc y who bu ild{ or imorcus ricrcoo.
and who.otrtfrcrsiorsuchomrc.r\sirhaConrru.h(rli.fl{dpuN.trrt,rhcCotrl!!.roisl,tcn{tr*r
I {nrcrcnor unds Selion B &Pc hrrhnrn\or
Daler O*n.r
wonxeRs coltH,'ltls,riiirN
OEII.A8AIION
Ih.rbydfirnund.rpcndryolp.rjuryoncollhcn bwirgdcrLtr0tions
-lhrvca
willmi lin a Ccrr iltlr. .a Con{nr b scliln\urc |or workc^ conDc.sarion- as rrnlidc! tor hys.crion l?(x)of rM
trblri Cq!c. lor rh. tnfMMfte or th. work for *htch rhc pcrmil is hsodd
I hrvd rnd willilrinr in sork.ri com|Etrsltiotr insurancc..s rcquircd bySccrion l?0Oorrhc Llb.r Cbdc.lb! thc P.rfonurccot
rhe wo.k for which rhia p.i,nil is issucd. My *orlcrs mnU.nsll ioo insurancc c,tri.r aM Pli.y nu mbd trcl
-l
ccniiyrhor inrhcI'crrormfr.ofrhc work r.i shi.hrhis Frmil is issucd.l rhall not ctrfl,,y,nyl.nor in,trymurc!
s as ro s-.o@ srbFr t, rh. slkd( o,np.nsarion la*s of Crliidnie. and ssr. hnr ir I drukl heom suhjd ro rtt
workcr( comFn\arion florision\ .f s.cr ion ]lm of lhc tih.r (i'.1c. I shnll. n,nhq irh c. Dly w irh rhos novni.ns .
WARNINC F,ilur. r. scurc workcs compcnslri,,n cokEsc is onln*rul. dnd shlll suhiccl !n cmpk'rlr h.rnnnml Fnillts and
cilil fincs uD ro o.c hundrcd riou{ dolhs (Jl(n.fflo). in kldirn,n ki rhc c,cornn n\rrion, drmScs rs prolidcd l'o! lhc
SNri.n:to76olrhc Lann (ixlc. inl.r.{ rndarttr'f,y \ tucs
K
DES.AAA.II!]N
I h.6byarfirn ndnp€nrlryoftEjlryln l 0m lienEt under l,llision ot Ch,fl$ I (ammrcin8 with Sd b. 7000) or Diviliotr 3
of the Busiress and Proression\ Cdd., 8nd nry lkc.s. k in tull iora dd cfisl
4 26.14
!:oNsralcu{rNrENDlN!-&aDNqr
I hcrcby rtfii,nundcr p.nrlry orFrjxry thd ihcrc n r cotrsru.iion lcndins rAcncy r.r rhc p.,ntrnurcc olrhc work ror rhi.h rhi\ Fnnir N
ksucri (Sc. 319'7- Civ. C )
AIfLTANLDECI.ABAIION
l,r,rhy sninnxnd.r pttr,hy ofpcrjuryonc ot lhc tollowinB dNl0rorions:
Dcnmlirion Pcrmih Asbnos N ificrrb. Fcd6.l Rrguli! 6ni lTitlc .lo. Pin6)
-RcquiEaj
Lcrrc, ol Norifi.d'i0n
-l
arrilyrhar rtc rcddalrcFhriuns Eeardire.shcslosrcrnrrrlnrc mr apnlictrhL rorhis p$j(tt
lccnirt rhar I hNr r.nd rhs I|]plic0lbn 0.d slilc lhallhc
odi'[trt\ x&i Srnrr l-r$\rc].ritrS!, hLll,ll,g c.n(nrri,ni.
xhr. n(r irnul pn,Nny tur inr
A|,plicnnl or A*ent Sign,lom
nnn ri,nr ^.,nr..l lilrN1o..Dd!*il,rlL(_ir\ ' L(,{tri\
lx litr 7. 'rtreyahr r.\,n rhi\( iryrn(lCounr!n,. r., nl),{rrh.
Dnre
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Bouqh
Ceilings (T-Bar Rouoh)
Itrleler Release
Rouqh
Service Meter
FINAL 7-l-te J)zJDt {vr)
Notes, Remarks, Etc.
Translormers
rrore: 1 -6- rf
^pDrkanr:
Li.cn{ class
-Licen*
Nu,nbcr
t ndcrs Addrcs'
I