HomeMy WebLinkAbout20167002 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Olflnspection Requests: (714) 667-2738 lnspector Section: (714)
Electrical Permit #; 2(J167o02
647-s853 Pin #: 443,44
Project Address: 4450 Westminster Ave
Assessor'sParcel: 198-301-02
U nit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Thumbs Up Management, lnc.
18752 E 17rh Sr.
Santa Ana, CA 92705
(714) 801-1515
Two Thumbs Up Express Car wash
Owner-Builder
01 I 16002 51603
011 16002 51603
01116002 51600
01'116002 51603
Amount
24.80
0.00
22.08
55.04
Fee
$421.60
$0.00
$22.08
$5s.04
Fee Type
LightStdw/l fixture
Add'l Fin, same pole
General Plan Update
lssuance
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning conditions
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Mar
ro ki, Teri
'197811
Commercial
Miscellaneous
Light Standards
U
VB
cEc 2015 Notes:
10t1812018
1111412018
Account#
$498.72
$0.00
$498.72
S
Date
Date
Date
otnsoefMtD#. 2017-138372
01116002 51600
01'116002 51603
$22.08
$476.64
Fee Total:
Paid to Date:
Balance Due:
o
Lot:
Qty
17.00
1.00
1 .00
1 .00
1
lil
Occupancy:
Constr Type:
Code:
Planning Approval By:
Every pa.mit issued shall become invalid unless the work on the site
aulhotized by such permit is comfienced within18o days after its
issuance, ot if the wotk authorized on lhe site by such permit is suspended
or abandoned for a petiod of180 days after tho tine the wo* is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL-INSPECTOR REGORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouah)
Meter Release
Rouoh
Service Meter
FINAL q
Notes, Remarks, Etc U\I
OWNER BUILDDR DEt.(ARAIION
I hercby artr,n onds po.lry oa pajury lh.l I m .r.npr 6on fi. Contraclor' l-ic.nse LaLv fot lhc aollowi.s te$n (Ss 7011.5
ausinBs md Proa6sion Cod.) Any Cily o, County {hich r€'tuir6 a p€.mi to co6trucr all6, inp.o!t, dsnolish or rcpat My
sloct@. prior ro ns issudc.. alsJ rcqun6 rh. applicer aor such p.ml lo nl. a sign.d stdmmt rhat hc or $e is lico*d pusudl
ro rhc sovisioN ofrh. Cooradoa! Lien*d ljw (Chapl6 9. Comm.ncins *in sstion 7000 or Divisior I ofth€ tsusin€s ed
Plof*ionsCodc)orrharheo.sh.i5.rehprthaeliomandth.bNisforrheall.scdcxmption.Anyviolalionoas(lionT0ll5bytf,y
applicanl lor a panil subjdsthc applicaol lo a civilpcnallyofnol nrorc lhd fiv. hundr.d dollrs ($500).
-1,
6 owod of rh. proFny. or m! optotB with wag6 s lh.ir $1. composalion, wiu do th. tro &d$. $nat@ i5 no'
i.lad.d or ofq.d for el. {Se.?044, BuinB ed PmfBioN Cod.: Thc Conradol3 Licc@ LaN do6 oor apply to d oM.r of
Ih. r,Dp6ly *ho b!il& or improvG th@a dd Rho do6 Nch *!ri( hiesclfor h6cllor drcuBt hi. ot ba om mplo)€€.
provid.d rh srch inprorods e mr idarddl or olr6.d for elc lf. noudr. lhe bildins or inpro\mr b $ld {ithin on. )a
ofcompkiotr $. Orffi Buik s will hrv. rhc Erdo of pmving lhd h. or st. did mt hoild or inF!( di. propary for th. purpo& oa
l. 6 oM6 olrhc propsly. m qcluivcly conl,acrinr \rnh ltms€d .o'nr&ro6 ro codod ln. FDjct (Se 7044. B6i!B
ard I|okM Codc: Thc co.lnctor s Lic@. Lre do6 nor .p9ly ro d o*nd of propdly sho builds or inpov6 lhdo..
md \lho onrds for ch Foj..rs wirh s ConlBcro(s) licm.d puBuad lo th. Cont clocs Lic.e lrw).
I m cxanpt undd S{lion-, B &P.C aor$t r6on
.ua8[E&r:co!!tE!s4l!oNll[ClAaaM!
I hscby amm unds poalty olpqju.y on€ oflh. followinr dsbrarnrE:
-l
hav. dd *ill6ai.rain r Cdri6.ar. olco,Mr ro S.ll-lsur. aor rcrl(.c conrp4.rion, s provid.d for by S..lio.1700 oarh.
tabor Cod.. lor $c p6lotre.. ofrh. *orl aor Nni.h th. tonn i! isu.d
I hav.and$ill mai ,in *orke.i comp€nsalion insurance. as r.quiled bySclion llT00olrhcLrb.rcodc, aor rh€ polomance ot
rlE *orl for lvhi.h rhis l-tmn is issB.l. My worhsi ompsation iNur c€ crir dd lolicy.udbd tu.
l..nifylhat inthc pcrlormaoccorrh€Bo.k lor shich lhis p.mil is iisu.d.l shall not mplot aoy pdson in a.t Dun r
$ aq lo bdom€ subjd ro th. {ork6 comp.Nd io6 las: of Califomia. dd olrs lbai if I slbuld bron€ sbjdr ro rh.
*.r{da.onpnlqriontmvisiosofS.dionlT00oarhekborcodc,lshall,fonhwithcomplywiltthoep(vi3iori.
WARNINC: P'allur. ro sure "orkcN conrpqsatiotr covcrare is unlawful.shall subjat d enployd ro qi,ninal pflahis and
civil nncs np to onc htrndred Ihousand dollaB cosr oa conpNtion. danas€s 6 provid€d lor lhc
SNrion 1076 o i rh. tib.r (ndc, irro 6r
I h6eby ar@ unds p.nalry of pdjuiy rhar I m li.csdl und( poli.ion ofcl'apl6 I (connrtrins vith Selo. ?000) of Division l
of thc ltsin* md Prcr*io6 Cod., &ij Ey lEcn* i. in tull rorc. dd elTd.
I h@b, .ftm @dd Full, of pdjlry llln tn6c is a coldrudion k dilg .gtry for thc Frolr@c. of th. wort 6r which thit patnn 6
isu.d (Se. 1097. Civ. C.).
AIfIISANI.DECI.ASAIIA!
I tEd, rllm undd Fnony oa Fjury on. of thc follo*ing ddldarions:
D.@l'rion PmnsAsbdro. Noiincarion F.{ml R.eohlioB flnk 40, Pon6]
-Rcquircd
lsl6naNorili..don
and Counlylo ols uFn lhe
//-/f -/3
Altq-^21 9)
thl.r
L.ndo'! AddrN:
-
acddal r.gohrioB e!trdi.g 6b6tus rmold trc .or .pplicablc lo lhis prcj€cl.
red lhis application ed slal. lnalI
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