HomeMy WebLinkAbout20166062 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Cjvic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 3610 S Bristol St U nit:
Block: NA
Bldg:
Tract: NA
AddressRange: 3600-3798
Historic: No
Suite Range:
Zoning: C2
q
Assessor'sParcel: 4'12-131-12 Lot. NA
Owner:
Address:
MCG BRISTOL WEST LLC
PO BOX 28739
Santa Ana, CA 927998739
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21 .25
52.98
Qty
1.00
100
1.00
Fee
$23.87
$21.25
$52.98Phone:
Tenant Name:Fellou.ship of Christian Athletes
Owner-Builder
Phone
State Lic #:
Lic Type;
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #;
Expires:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:Notes: Handout given/fees pd in full on M-71057
Planning conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden. Julie
Date:
Date:
Date:05/05/2018
Account#
Misc. Receipt: 71067
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall becomo invalid unless the wotu on the site
authoized by such pemit i3 conrnenced within 180 days after its
issuance, or if the work authoized on lhe site by such pemit is suspended
ot abandoned lot a peiod of180 days aft6r tha time the wo* is
commenced.
$98.10
$98.'10
$0.00
lnspector MID#: 2018-143791
N/A - No Balance
Permit #: 20{66062
Pin #: 8'o223
Contractor:
Address:
Building Use:
Job Type:
Nature of Work:
N/A
N/A
cEc 2016
Fee Total:
Paid to Date:
Balance Due;
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILT'ER DELCARATION
I hceby lntnr undcr llcn.lly of pcrjury rnat I am cx.m fmm lhc ConlEcr.^ Li.cni. tlw rrr rh. followins Ei$n (Scc?0315
0usincs ond Prolt$ion Code): Any Cily or Colnl, shkh aqlncs a Fr.rir ro .ofl{fl.t. ahn. improrq dcmlhh or El'oir nny
srtu.rur.. Driorro irs issuncc. lho Equtca (hc snplicr.r fq ru.h Frfrir r. fiL a siBrcd stat.mnl lh,' h. o! shc t licensd puisanr
to rhc tmrnions of lhc Conroclols Licenscd tIw (Cfiaplcr 9. CommcmioB $irh Sccrior 7000.r Divhion 1 of ft ausincss trnd
ltofc$ionsCod€)orlhol heorsnc tcrcmpl rhc,ef.omaDd rhe boris ror lhc r llclcd cxcnD! ion Any viohli.nofscrion?0115 ty!o,
44k ***il*ffi;."'*ffiffi;-"*::$ffi n .*. .,
rhc pn,!.d, wk boildx or irlt)roEs lhcNn. a *ho df,! sNn n)rl him*U or h.rclf.r rhmuSh hh M hcr osn.mplorccs.
providcd rharsuch imprcrm.h m nor inrcndcd orolT.ftd for $L. l( howEr. rhc h{ildinB or nqmwmnl t sB *nhin otu tfu
ofs'nplc(ion. rhc Owncr Buillcr willttrrc Ihc burdfl oflmvinS rhot lrorshc did mr toild or impmlc rhc pmliny for th. purlD$ of
L $ ow.cr of ihc pmtcny. nn cxclusively contractins sirh liccn$d conlr4t,F ro .on{flc' ltr trt)jr{ (Scc 7044. BuiinA\
and L\nrishn Codc: Thc Conrracrois Liccis. Law docs not +rlyt, M.Rn$ orlropcnyqho huildsor improvcs rhcr.on,
and who c.macB lor such pmjccs wirh , C. r,cro(, licctrrd pursuanr ro rhc Conrrudin s Liccnsc lj$)
;:-ral
I hrrchyrlTnmtr cr pcmlryof pcrlurron olrhc f()lk)*i'rg
_lhavcald*illoEi.tainrCcnifi.rr.olA,nscnrk,Sclirln{r.for$orkcrr'conlEnsrlion.aslrovid.dfnrbySc.rionl?(Xlofrhc
lrlq Conc. a{r rhc pertormn.c of rh. w.ik f(tr whi.h rh. lcrmft it nsu.d
-lhnvc.ndwillnminhinwortcncotrqEnsationiNurumc,a\rcquircdbySccri.n]Tfi).rrhcttrrborCodc.forlhctctlotnunccofine work for whichlhhrcmil is nscn. Myworkcn conrcn\arionin rr.cc cati.r did tblky numbcr m:
fmu"nr, 'n, 'n
,* n.r*ruNc ' rhc wr ro, sh'.h rhir r..n n issucd. I shrtt mt cnDroy anr rNn ,n any mlnerrmls ro t"om <utler ro rtrc wnA.F conrr{n{rion lnws ofcalifortri.. !d agr lhll if I rhould hecom $b}rl lo llE
Ndrr.6' .onn nstn ! pmvisions ofSmliotr:l?00ollhc tjbor Codc.I shall. forlh*ilh comtly wiih rho* Ptulhioh..
WARNIN(I: Frihrc ro \cctrc worlcA .ofrfcnsnri(,r colcf!. '\ uhh$tj. r0,l shrll \rtj..r m crrDloyrr t, ri'ni'[l n ,lri.s rit]
:*.tJ
oN hrntlrcd rhou\ nd dolh (SI(X).(XX)). i'r ddii(itr ro rhc .o{ ,n con,Fn{ri,'n.
.4," '
I h.rby.lnrm unJc, Fn,hyoflf,riury rhlr I rN liensd unlcr ,lCl!$r.r 9lconn cnci0g wirh ScciNtr 7(Xx)) olDni\n,n l
of rhc Arsindss{ l Pmf.s{i.nsCodc. drd my lkcns k ir full lire.nd clfccr
icctrsc Nun$cr:
-IANIiIBI]IIIONIINI]IIC.AGENCT
I hcEl,y !r]tm undcr pcnllrynll.rjlry rhar rhcr i\ dconirucrion lcndine iBc..y tur rhc Frformincc oflhc $ork tor whirh rhis rcinir ir
i$ucd (Scc 30i)7. Civ C.).
A.IIIICAXLDECLABAIIQN
I hd$y ammundn F.n,llyofpcriury om olrhe followin8 dcclarutions:
Dcmohion Pernrih A\l,.sros Norii.aiion Fcd€rnl Rcgulrrions (Tirlc40. P!n6)
-Requircd
l.ncr of Ndtifr ion
4/#-i;iffiil;il*ffi;ilffi;;I B!,ero.onuly wnh allCil
Jh,r 'rttrriurd prtipcny for i',\prrrnnr NrJx)\cs
Applicnnl or Agcnl Sienntur:
I k6
-"
:.:':il;ila
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
LiIe Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Air Conditioners
Roof Top Equipment
Factory Wired Unil
Walls (Conduit)
Walls (Bouqh)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
l\4eter Release
Rough lr
FINAL bra ifi &J01\1
Notes, Remarks, Etc rJ
COMMENTS
Sub-Panels
Service lVleter
J0 .".".
Itr r''.^JJrr
I