HomeMy WebLinkAbout20166010 - PermitcitY of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2860 S Bristol St
Assessor's Parcel: 140-25143 Lot: 75
Unit:
Block: NA
Bldg:
Tract: 5653
Address Range: 2820-2872
Historic: No
Suite Range:
Zoning: Cl
Owner:
Addressl
Phone:
Tenant Name:
RED MOUNTAIN ASSET FUNO I LLC
1234 E 17TH ST
santa Ana, cA 927012621
Calvary Temple Young Marrieds
Owner-Builder
Fee Type
01 1 '16002 51603 FWU
01'116002 51600 General Plan Update
011'15002 51603 lssuance
Amount
23.87
2',t.25
52.98
Fee
$23.87
$21 .25
$52.98
Qty
1 .00
'1 .00
1 .00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2015
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
[4isc. Receipt: 71057
lvlisc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every pemit issued shall becohe invalid unless the wo* on lhe site
authoizod by such pefinit is commenced within180 days afret its
issuance, ot il the wotu authorized on the site by such permit is suspended
or abandoned for a peiod of 180 days aftet the time the wotu is
commenced.
06/04/2018
Account#
lnspector MID#: 20'18-143649
N/A - No Balance Fee Tolal:
Paid to Date:
Balance Due:
Permit #: 2Ol660lO
Pin #: 57127
q
Contractor:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Notes: Handout givenffees pd in full on M-71057
$98.10
$98.10
$0.00
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Translormers
Torqueing
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Rough
Service lvleter i
FINAL trlZftl\t
Remarks, Etc.I'r I
l_r9 - xl.a,-f Rzltl
t-v'v \.-:-=-
OWNER BUILDER DELCAXATION
I hcrchy rnrm utrdcr,'cnall, ol tcrjury lhot I m.rcmfl rmm rht Cbnracro6 Lk.ne liw f6r thc lbllosins reasfl (Scc7031.5
Busincs and Pmfcsion Codc) Any City or County shich r.quircs d rqnil ro conslruct. alr.i nntn,vc. d.mlhh or Enqt any
{fl.ruc. rh!ro ih nsuancc. als.cquircs thcap0licotrl tbr su.h pc.mi b filcr iiencd s,loftnt rhai tror shc is lic.n\cd px6uanr
ro lhc povnions or E Conra.rols Licens{ hw (Chafl 9. Connc"cins sirh sccriun ?00o ot Division I ot r,rc Ausinc$ and
IltrcssionrCdc)orrhlrh€orshchcr€m,,tlheiefronrMdlhcbasirrorrh.aucecd.xcmrrion.AnyviolarionorserirnT0ll5bruy
nmlicrnr ror a p.nnn ruhjftrsrhc snplicanrro acivilo.tralrrotnor fttrcrhan 6rc hu.drcd dolltrs(!s00).
I.r\o$ncrolrhclml,cny.ormrcnrllo)ccsvirhw.Scsrslhcirsrc.{nDctrldi.n.silld.rhcwolklndrh.sldtl{cnEn
i cnd.{ d.lTrdl for eh ISN ?01.1. Eusi.c$ lnd ltoltsions Codc:1hc Conrlctor's l-iccnr L1e do.\ mr altly ro ar osn.r.f
rh.F)Fny whl hrilds or inlmv.s rhcNn.ort rl..)d(Es$chs.* hinN.lrorhrisclrorrhft,u8hhisorhso*ncfrplorer.
Frrilcdrhlr su.h impnrrcnrmm mr inrMddl oroflafrl aff elc li tx,scrr. ric hoiHitrS or inDmrcmnr is v,ld wirhin onc re
orNnl,kii,n, lhc O,ncr Buiklcr qi]lhlw rhc budcn oflmvin8 lhd lI or \h. did mr buikt or irrpr.v. tu ln,Fny fitr $c PlrF,sol
l. ns owtur ofrhc pmpcny. !mcx.lusivcly.onlndirr8 sih licctrscd cotrtrcusro con\rucr
lrrl lrotssionCodc: Thc Conh.rofr Liccnr. Lr* drxs nor applt h !nosncr oi
dd who cotrr.dch ttr slch polc.ls sirh a Contrucio(, Iiccned ,trnuinr ro rhc
DISLAS{IIIIN
I hurchy,fiflnxnd.r l.nalrrorFrjrryonc oirhe toll.wins dcclnrations:
I hrk {rl wiu auinrain r C-cnifrltc olconscnl h Sclfinsur. f(r *ork N comp. slion. $ [ovidcd for by Ssrb. 3700 ol rh.
lihr Codc,lor th. psloi,umc ofthc work lo, which rh. pcrmn G issucd.
I hav.ihd willmlinirir wo crr .onlJjcnsation insumNc. ar rcquiRrl by Sariotr 3 7(tr.f rhc hbrr Crrlc, for lh. Fformncc of
rhl worr ror which rhn ri..mil is i\su.n. My*orkc$ com!.ns.liotr insurtr.ceca cr art noli.y trumhcr ml
-l
ccdiiyrhd inrlE pcrlonEmc of rhc work forwh(h rhr
'l.rmn
i\ i{lu.d.l slrllnor rtrlployrny l).i$n inrdrntMnd
*r r\ ro h.o f, sDhjoi n, rhc {orkcr compcn$rion h*s or Calilorni!. rnd i3B rhar ill {.o!U hc.o E subFcr ro rhc
workda .on!F \rrrn lovi\ion\ of Scdi{x -r7ulollnc lnhn Cqlc- I $rll. hnh*irh.ourt *ilh I
$AllNlNG: f1nhtrc k) $ctrrc $ork.r\ coflf.n\]ii(nr ..r.tu9. n
ciril ,incs up h o c hutrdrcd rhor\rnd dollr! lSllX).lXX)), in;:,jJilir'"
DECI.AIA]JON
I h.rb, ofatrnr undcr F.nohy ol pcrjury th.l , m liLlnei und.r pmaliiod ol ch{prd 9 {.shrEming {nh sccrion ?00o) or oivisnrn 3
ol rhc Bu\irr\s,trd PrnasnrlrCodc. {id 'nr licrf\r i\ in lullf(n.c Nkl.,fc.r
COISIBIJCIIONIII DI!C.{GIiNCI
l lrcNby rr6.in und.r ttn yorp.rjoiyrh.rrhdtilrcotrj Lri,ilcndiiErscicyrorrhclcrrortunccoirhc*orkrrruhi.hrhi\trr.riri\
is\ucd (Scc.1097. Civ C )
AfIIIIANI.DES.AAAIPN
I H,y afiim undcr Fnally of p.rjury oft oi lhc roll,wine d*laririonrl
Dcmlirkin Pclmir ArbcsrosNori,icari.n Federal Rcslldions (Tnls (). Pon6)
Rcqxncd Lencr of Norificarion
l.cniry rhd rhc Ldcrdlhauhrn)n\ rgudin8 r\h(io\rrnn,vrl rfrlicJhL k' rhi\ J,(IL!
-l
ccnifyrhal I havc rcrd rhhumlicrlion icorNl. I rlre !o comrly *,lh rllCityand Counly
ordin nccsind Slalc Lrss Elaliun,fr.\cdrrlivc\ ol rhi{ Ciry md
rh)vc nrnlioncd p('Itny lar in
\pt,li( l or,\xrtrr Si!tr ru.t b
APPROVALS
Sub-Panels
Ivleter Release
AA}Lq
Notes,
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