HomeMy WebLinkAbout20166013 - PermitPermit #: 2O166013
Pin #: 41716
Proiect Address: 2311 S Bristol St
Assessor'sParcel: 410431-02
Unit:
Block: NA
Bldg:
Tract: NA
Suite Range:
Zoning: C2
Contractor
Address
Nmc Santa Ana Llc
5850 CANOGA AVE 650
Woodland Hills, CA 9'13676573
Fee Type
011 16002 51603 FWU
01116002 51600 General Plan Update
011 16002 5'1603 lssuance
Amount
23.87
21.25
52.98
Fee
$23.87
$21 .25
$52.98
Qty
1 .00
1 .00
1 .00Phone
Rock of Salvation Youth Ministries
Owner-Builder
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expiresl
Building Use:
Job Type:
Nature of Work:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016
Occupancy:
Conslr Type
Code:
Date
Date
Date
Misc. Receipt: 71057
Misc. Receipl:
Misc. Receipl:
Total
Amsden. Julie
Every permit issued shell become invalid unless the wor* on the site
authorized by such pemit is commenced within 180 days aftet its
issuance, or il the wo* authoized on the site by such pemil is suspended
or abandoned tor a peiod of 180 days aftet tho time the work is
commenced.
06/04/2018
Account#
MID#: 2018-143652
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Lot NA
Address Range: 2307-2407
Hastoric: No
O\,Yner:
Address;
Tenant Name:
Phonel
Planning Conditions:
Notes: Handout given/fees pd in full on M-71057
$98.10
$98.10
$0.00
lnspector
ELECTRICAL.INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcreby aanrm undcr pcnalry of Frjury rhd I am cxcmpr fmm rfie Conrrcror' I-iccns uw tbr rh. rollowinS rcM. (Sr.7oll.5
Busincss und ft.rc*ion C.d.): Aoy Cily or conmy uhi.h Eirnnc\ d p.rnir io $nslrud. olrn. impmvc. dcnolish or E ar any
(ruc'm. prtur ro irs icsurm., also Bquircs $c applice fo. such F.mit ro lih { si8ncd storcmnl lhal lE or shc is li€ensd pur${
b rnc pmlisions ofrtE Conh(rofs Licen$d L!* (Cfiaprcr 9. Commrcin8 qirh Secrion 7m0 of Diliiion I of rh. Bulines Md
Ptuacst,ns Codc) or thal h. or shc h cxcq,l rhcrclrom aid lhc bosh fu rhc ollcscd cicrprion Any viohri,n or S&rhn 70l l 5 brun!
4rlicatrr ritr i t rdn subjturs rhc aprli.a.t ro a.ivil pcnanyotnor m.. rh3n fivc hundrcd dollis (S50o)
l,.s owm, oirhe pmpcdy. or hr€mtloyB\ wirh {!gcs as rtet $h compenqrion. sill du tlr wurt dd rh. snrluc i\ mt
in'cdcn or ofcrcd ror silc (SN 7044, Busimss sd Prolcsions Codc Tnc Conhclols Licc.sc t;'B docs Rr artly b rn ow#r o(
rhc pmpcny *lk) hdilds or nnpn,B rhcrin, Md wh. dos su.h work hnnsclior hcscll.rthmugn hh o! hcr owncmplorccs.
lrovidcd rhtr' such numrcmnll m mr inrertcd oro,lcrcd ftr sh.li howcvcr.lhc buiklin8 or impmvcDnl is sld wirhin "nc rcu
ot coq,hrion, lh. Owmr Buits will haE th. bul(hn ol pmving lhnt hc or shc dil rer txih or irymvc rh. Irepcn, fo rh tqns ol
l.r\rtrNrolrh.lmPcnv.rm.xchNirrlt..nrrJ.rtr,g$irhli.dn..,l.onnJ.nnt,co!'!rrrlr,,roitcrrscl.701J.llLAtr,r\,
md Pn'fc$i, Cod. Thc cotrhcroa s Liccnsc tis docs .ot applt
'o
e owncr ol propcny who
rfd *ho conrrncrs lor \u.h pn*cls wirhrC.dr!.r,nl\)liccnscd rursurtrr brh.O,
b
pg;LA8du0N
I hcrcby af,nnlndcr Fnalryol!.iuryonc.trhc tollo,ins dcclullions:
-l
hnrr mtl qillnui rin. Ccn illc.t. of Consc loSclf-ln$rc Lr workc^' cotrDcnsarion. !\ pn,vidcd la.hySccrnnr.lT0Odtrhc
L.'}Ir Codc. for rhc tcnorroh--c ufrhe *o* n, shi.h rhc pcnnir i\ ir\ucd
I h,vcind wrll,hrnnrin workcr{.omp.nslrio ir\umm.. .s mquncd hy Sc.t ion ITOO oi rh! Llhor Codc, nx rhc Frli,nuncc .f
lhc work r(r whih this !.rnrir is nsucd My{orkc('comn .sarion insur0tre caBicr .nd lolicy num$cr uc:
Polic, N!nhd:JxpGs:
l..nity rh, i. rhr p.rfoi,etuc.f rh. work for which rhis l,.nnir is issuod. I shrll.ol cmploy any I.rv,n in rny mrnncr
g, slo hqlm subjsl lo thc workcrs co.pcn\lrion hwsolCalifofli!, lnd.srcc rhar irI .h.uld b..otu subjor to rh.
*orksi compcnslion pnNisions of Sdioo 37U, of rhc Lstu CoJ.. I shrll. fonhwirh onlly wirh rhot Provisions..
WARNIN(;] FIlurc kJ sum qorkcn' .omp.nsarion covcr,gc is uDhwhl. und shall
:**tr,yu
u{nd dollir\ (nlm.(]ll0). iI
DIICIJMIIAN
I hcEby alfinn uMcr pcnlllyolp.riury rhar I lnr [ccni{ undcr pmvisiotrolChaplcr 9 (comnEncirs
ol rl[ Btrv cs d ltoL$i,nNCodc. n mv li.rn\c i\ i'r lull nmr x'll
t" /71[{
CAISIBUCIIQN.LENIINC.ACENCI
I h€rby !flirn !ndc, Fnahy of perj!ry fi{ o.rc L\ , 6tr{M! ion lendin8 .8c*y ror lh. IErlormmc of lhc so* for wfiich lfiis !'cmit is
issucd (Scc.1097, Cir. C.)
APIIISANIDECIAf,AIIO!
I hcaby llInn undcr ,'cnally ol,rrjur, onc of thc follou itrs d(la,ol ions
Dcnrliiotr Pcrmit$Asbc(o\ Norificrlhn Fcdnal Rc8ulari.ns (Tnb 40, PadO
Rcquircd btrn of Noliicaion
lccnilithar rh. lcdcrrl rcgul0rions rcB0rdirg 0\hcsosrcnx'val c flor lmlicrhlclo rhn rojccl
-l
ccniiyth l h,vc rcad rhk ,pdicarion und st0rc rhal lhc
ordirinccs rnd Sratc Lrws Elnrio8 ro build
ftovc r.trrnni.d p()txdt lnr
)drmply *irh allCiryond Counry
::':i"r;/;r"-
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release
Rouoh
Service It/eler \r
FINAL l/1lL]lIq,t<+/91
Notes, Remarks, Etc.
I
I
--------T------