HomeMy WebLinkAbout20166108 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Electrical Permit #: 2Ot66{OE
Pin #: 1!5712
l n spection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
ProjectAddress: 1100 S Center St Unit:
Block: NA
Bldg: Address Range:
Tract: SANTA ANA ACRESHistoric: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 109-081-50 Lot: POR 53
Roman Gatholic Bishop Of Orange
2811 E Villa Real Dr
Orange, CA 928671932
011 16002 51603
011 16002 51600
01 '1 16002 5'!603
Fee Type
Special Event
General Plan Update
lssuance
Qty
1.00
100
't .00
Fee
$154.26
$21.25
$52.98Phone:
Tenant Name:lmmaculate Heart of Mary
Owner-BuilderContractor
Address:gat.h+ r 442115 - 6,/0lf ice: CTYH 1r
Fcpti:02!9tr354 -
Tr0nsoct ion Totsl
Phone
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
t
Other
Miscellaneous
Special Event
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016
Notes: June 15-17/handout given
Planning Conditions
Planning Approval By: Gomez, Pedro Date
Date
Date
06/08/2018 lvlisc. Receipt:
Misc. Receipl:
Misc. Receipt:
Total
Plan Checked By
Permil lssued By sden, Julie 06/08/2018
Account#Subject to Field:
Building Permit #:
Evary pemil issued shall becohe invalid unless tha wo* on the sile
authotized by such pefinit is commenced with 1180 days after its
issuance, or if the work authorized on the site by such permit is suspended
ot abandonecl fot a period of 180 days aftet the time the wo* is
commencecl.
MID#: 2018-143'148
01 1 16002 51600
01116002 51603
$21.25
$2O7 .24
$228.49
$0.00
$228.49
Owner:
Address:
Amount
154.26
21 25
52.98
U; L[05ALEjiofl
! 41r:lg,i Atlla
Per',. ! l
.1?r:'i B 11
l
E
Ro nn Csthol i ': E iEhiiE I
Electr i':nI
r:r1 1 l6tru?- 516r:rInt,rJ-ienerql FlRn [Jpdote F i:e
r:r1 1 I 6r:r:12- l1 6r:x:t0r'r_r-
llqster Cord
(:C+ l r*ri***{**rrtil: i
t 7t:t? .11
t229.49tii::!7:rl?f.i
Building Use:
Job Type:
Nature of Work:
Fee Total:
Paid to Date:
Balance Due:
lnspector
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER I}ELCARATION
I hcrcby oilnm utrdcr ncnolry (,1Eriury lhol I @ crcnpr rmo thc an rn ron Liccnsc Los rb! rh! n'lh*in8 rctrv,n (sc.70r! 5
Busincs and ltotcsn,n Codc): Any Ct, dr county whi.h rcqurcs 0 rEnnil ro oi(ru.r, &lr.r, impovc, d.mlhh or rFnn lny
{tu.rud. pri,tr Io irs isu.m., ako rcquircs lhc !F lkatrl lor such t'cflnil to filca signdd sdc'ftnr rh.r,tor shc ( liccns.n lursanr
lo the ,rovhions oi thc Gnlrackr'\ Liccn{d trw (Ch,fl.r 9. Commming wiih Scclion ?fi) or Division :l of rhc Busi.c$ lnd
Prollsi,ns Codc)orrhar h.orshc iscxcfpr ihcrciron ond rhc b,sh lor thc nllesed ncmprn,n AnrliolarirnolSccrhnT0ll s bysny
,ppli.,nr rohFrmir subjeh lhc {!lic.nr to acivilp.nrlryofnor morclnrn fivu hu.drcd dollah ($500)
I. $ own$orrhc pmpcny. rcxclusivclyconr,elirEwirh lift.sed contnct,F lo co nstrud rhe loiccr (S(.704.{. Bu$.$
aM ft,ns\hn Codc: Thc Conrrkrn\ Lic.nsc tlw d@s nor aF ly lo nn owncr or propcn y (rb build\ or irnprores lhcrcon,
and who.odachlnrsuchprcjcdswirhrConrraclorls)liccn$dl)u6odrrorhcCtnrdolsLi.cn*L.r)
lJdcrc'nDr undn Sernn .B &PC fu' rhi{..Drotr.
lr}8trE8li-lau8lNs I(,!
D[C!Af,^]]O!
I hcrcby rifirnr utrdcr pctrrllyorperjry onc oirhc t(,llo$i',8 d(lararionsl
lhlvcu willnui nin0Cerliicurcolc.n* r h Sclt li\utu or sorkcr' comFnsar bn. !\ pDlidtd ror bysNrionlTLxJorrhc
tjtx, cod.. rrtr rh. pdldnun.c ol thc work for whi.h rhc Fnni n i\iucd
I hrrcrnd qill iinr&in $orkcricon,tcnrari(,n i'sutuN.. Ds rcquncdhySerionlTU)ofrncLaborcodc.lbrrhcp.loflnrnccol
lhc wort r'orwhichthis pe,mil is is\u.d My wurkc6'.onD.ns,'n iNuramc caricrontp.licy iunlbcr uc'
Policy Nu'rbcr:-Erpircs:
-l
ccnilyrhur rhc !.rronMn.. olrh. *ork lor shich thh rcrnil h isucd- Ishrll n r cnDn'y 0ny pcmn in lny nMn r
s a\ b h..onf, srbr{r b rlrc porkcn' comncnsal ion h*s ot Culifixnir. ,nd 4N $ar il I stFuld b.totu \ubjdr to rh.
sork6' .omp.trs,r io. povnions ol Sdion l?(]O of rhc litr r Codc. I \hall. rodhwirh q,nply w ilh rk)s Pmvisio.s
Appu@t:
UCEUSIDIANIBACIOB
IIECIdIA.IION
I h.aby aflisxndcr p.nnxyorFrjury Ihrl t a liccnsi under pmvhion oaCh:9r( 9 (.omming wilh Scclion TUIO) of Divhion l
ol lhc ausircss .nd Pmacssio.\ Cod.. trl Ey li.cnsc is in rull rom dd cllccr.
coNirf,lrqr0NrlllacA!,iENct
IhcEh,lmrnund.il*nllr,orpcrjrrylhalrhcrch!con\ldcrionlcdin!o8ctrcyforlhclicrli,nunaoarhcworkrorwhichthisFirnirn
kuc{ (Sa. :ll r97. Civ C,)
AEUgANIDECIdAAIIA!
I H'yInim uidcr pcn.lry of pnjuy onc of thc iollowitrS dccllnlionsl
tlcmlilion Permirs Ash.sros Noiaricarion Fcd$al Rcguulions (Tillc40. PEl6)
-Rcq!ird
trtrcr of No{fution
-l
enifyrhsr rhd rcdcml rlgullrions ES.dnrs ssbestos rcn]vll {c nor amlh,blc ro lhh Pml$l.
l.cnify Ihar I hr\r rcrd rhh
ordinan.cs Md SldcbwsEbli
d rhcabvr infdoufion i\.otrcd I ]gr( b.rmfly wirh rll Ciry a.d Counly
outhorizc rcnrcrnulivc\ oarhir Cnylxl Counry lo cnrcr uPor rh.
V
Lleerr(anr
,, al ntlt Yt6 x*bJ ill\
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bonding i Grounding / UFEB
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
It/eter Release
Rouqh
Service lvleter
FINAL 6 -/{-/A Jy'e{*{q,r)
Notes, Remarks, Etc.
ELECTRICAL.INSPECTOR RECORD
Site-Work
Under Slab i Floor
l. * owncr orrhc,,spcny, o. nry.tr[lorrcs wilh wascs ns lhcn sb cor\rns,ri(,.. will do lh. wolk fln tlE sltrr@ ir mr
n cukl nr oficrcd for elc ( Scc 7l)tl4- Busincss and PhL\rhnl cod.r Thc Conltactrt Liccns b* der not onrlv lo .n o*ncr ol
rhc pmFny eh, buirds or irroEs rhcFn. ai who dtrs sh so* inns.lror henellor liolsh ht or h.r owi.mployccs,
,rovidcd lhar such impmvc'EnrsN nor itrrctldi orolreftd rrtreL.ll h.wcE,lhc huildinBor impmtftnl is$ wnhinonc,u
oi cotrq,hri.n. rllc Owmr Blild.r siu h,\r rrr h{r&n of pb\in8 rh0i tb or shc dil rct huikl or ihP$k rh. Pmttry for lh. ,)ur!oE ol'
llARNNe l,oiluc h surc k c6 .o'np.n$tion (,vcrsgc is u.hwful. and shall \!bi.r m cmplorr ro qiniMl pcuhics and
civil fincs ur ro om hundrcn rhou\and d.llus (Slu).ofi)). in lddirion ro rhc cod ol.otp.n$rion, drnE8cs os providcd for rhc
sdion]0?6 otrhc ljhn c.n., idr.rc{ ind MonEy s fes.
Co elor:
Lcndci\ Add'.s
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