HomeMy WebLinkAbout20166618 - PermitqProject Address: 1220 W Hemlock Wav
Assessor's Parcel: 410411-21 Lot: NA
unit: 107
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range: 103
Zoning: C2
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), SantaAna, CA92702
lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O166618
Pin #: 18255
Owner:
Addressl
Phone:
Tenant Name:
Contractor
Address:
wtc
Owner-Builder
01 1 16002
01 't 16002
01 't 16002
01 1 16002
01 I 16002
01 I 16002
01116002
01116002
01 1 16002
01 1 16002
Karim Markarbhichi, Keystone Builders
4212 E La Palma Ave
Anaheim, CA 92807
51603
51603
51603
51603
51603
5'1603
51603
53601
51600
51603
Fes Type Amount Qty Fee
125 Volt Receptacle 1.45 67.00 $97.15
Light Fixtures 1.05 37.00 $38.85
Heat Pumps 96.90 6.00 $581.40
FWU 24.79 16.00 $396.64
Dedicated Circuit 24.79 14.00 $347.06
Serv Meter 53.28 1.00 $53.28
Time Clock 12.'lO 3.00 $36.30
Plc - 65% 0.65 1 ,551.33 $1 ,008.36
General Plan Updale 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
gol,:hi:+6ii61, - tl/9/'2ljlY I[:,.41 -(olf, :.:t . iirj irons+r 4?
Ac.t +; Refi: lr.tl
Trnnsnct, r,i I ot.01 $i,o
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Knrr llcrkrlrbhi(hir KegsLone
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Alteration
TI
B
VB
cEc 2016
Occupancy:
Constr Type
Code:Noles Tl to existing medical office including new partition
vralls, lighting and finishes
$2,636.16
$1.008.36
$1,627.80
Smith, Mark
Chavez, Dave
Date:
Dale:
Date:
11t08t2018
11t09t2018
Account#
01116002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due:
Misc. Receipt: 71335
Misc. Receipt:
Masc. Receipt:
Total
-62lz
10197280
Every permit issued shall bocome invalid unless the wo* on the site
authoized by such pennit is commenced within 180 days dfter its
issuance, ot if the $/o* authoized on the site by such permit is suspended
ot abandoned lor a period ot 180 days aftet the time the work is
commenced.
lnspector ltnlD#: 2018-145222
$22.O8
$1,605.72
ELECTRICAL.INSPECTOR RECORD /
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h@q" amrn udo p.naliy of pdjury lhar I en .r.,npl f.om ih. ContEclo(' Lic.nse tj* tur llE lollowi.g rwtr (Sc 7011.5
Alsin6s md Prolsion Codc) Any Ciry or County which rcqln6 a p6nn ro coGrtud. alr6, inprovc. d.holish or Epar y
sLaclr.. pri6r ro irs isudc.. ako rcqun6 rh. rpplicdt for luch Fml ro iile a sisn d sralonsl thol hc o, sh. G licms.n pNanl
lo rhc ForisioN of rh€ Conlracrois Li.en$d trw (Chatr.r q, Comm.n.in8 airh Sation 7000 of Division -1 oflh. Buin* ed
Pmf6sions Code) or rhal h. or sh. ir €xcmpr thr.from ed th. bsis for lh. all€scd ddplion. Any riolrtion oasdion 7011.5 by any
applicanl for a pmil subjak rhc applicant !o a civil pcnalty of not nor lhd nlc hundred douds (1500).
-1,
as oMo oarh. ,nrpenr. or dy .mplorG wnh was6 6 rh.n eh conpe.elior. will do lh. so.t ad lh. srMuc is ml
inrmded or olred for sal. {Sa.?044. Lrosins dd Pro f6ioN Code Tn. conlhdols l-icmc liv doG .or apply Io an 0*16 oa
llr pFtisry who tulds or idprcB rhdatr dd s ho do6 ech so'{ himsclf or hm.lf or lhrcush his or h6 oM @ploycB.
provid.d rhat sucn impsrEmls e. rct inrod.d or olIdld lor sl. I L nov6s. rhe huildinr or i.Fovd.dr a! $ld *ithin on. r@
olcompldion. rh. o,nd alildd will have Ih€ budo of prcvins Lhd h€ o. sh€ did .ol tuild or inFoE thc pordy lot rl'E purpos. oa
l,6 owndolrhe !rop6ly. mcrclusivcly contraclins silh licos€d.o r!(106r.codocl lh. Irojel (S4.7044. AB16
a t Prnadir Cod. Th. cotrt.crols Licms. l-r{ dos n.r ,pply lo d o\rod of prop.ny rho builds or improv$ rh6.on,
and sho contmcrs lor such roj..ls vith a Conrado(n licds€d p6Mr lo rhc Conrrocnn-s Lic.N Law).
I an€reDpl under S(t
*,",. t|n
I hcrebr amfln !nd6 p6ahy oipsjuryoncolthe i)llosins d*
-l
hav€ ad will neint.i! . Cdificar. ol Co6or to S.lalBur for wo,k.6 onDoerion, s Eovided lor by Serion l70o of rh.
Labor Cod€, tor th. pglomoc€ of th. por( lor which the p6nil is isu.d.
_l ha!. and will naintain wo*.ii conpftation iBurmc., I requtcd by Sdion 3700 otlh€ Labot Cod.. foi rhe palofln cc oa
rh. *o* lor *hich $is pdnit is isal My worlm compdslio. iNuarce cad6 rd policy nuob6 ec:
I ccnily rhat in lh€ psformuc. oflhc vorl for *hich lhi5 p.mn is irstr.d, I shall,ot anplo, aoy p€6on in any nmnd
s a b bdo,ne subjdl
'o
the wo.t6l onrpas.lion laws oi C.litonris. md qE rhal ir I should bsoftc srbja( ro lh.
$0'{6 corpr.erionprovisioN olsdion lT00 oflhc Labor Code,l shall. tonh*ilh cohply wnhrhos pioli3ioB
WARNING: Failorc lo Buc rorkos, comp€nslion covtrase is unlaNtul. dd shall subjd m anployd ro ln'nmal Dd E od
cnil fines up to onc hundr.d thoGtrd dollm ($100.000). in add(ioo lo rhc .ost doMls d fiovidal lor rh.
Serio 1076of rlE t-atirr
I hercby alfinn trnd6 rcnahyofpqruryrhd I d mdo arolirion of Chaptg 9 (m,nmmcing wilh S..lion 7000) oa Division l
ol thc lrusins ed PrcfsioNCode. ard Dy
I-i.cnseclas: Lice.se Ntr.rb€r
Drt.: conlnctor
CONiIBIJqIIAN.I,EIDTIG.AGEICI
I holny arrm !f,ds Foahy of pqjury thd lh6. is a @islrudo,lddin! agdcy for th. pafo unccofth.work lor which lhi pdnn t
i5!o.d (Sd 3097. Civ. C ).
AIIIICANI.DECI,AAAIIO!
I hsrry alfns u.dr paaly oa pdjury o,c ol thc followinS d(l-alions:
Demolilion Pmils-Albdros Norificarion Fedoal R.lulatiom Gnl. 40, P.rl6)
-R.quircd
lrlt6 of Noinca6n
I cdity rhar lhc icddal r.sulalioN resddins 6b.stos r€'nolal d. nol appli.abl. ro rhG projecl
I corilr rhar I h3vc r€ad lhis applicatnrn adslar€ that thc ahr\€ i.tr iscord.l asr to comply rvilh ,ll Cily ed Coumy
ordinancenndSr0r.I-awsElalinr to buildinsc.nnrucrioo. d iv6olthisCily d Counry lo 616 upon rh.
abolc nmrioncd pmp.ny f inspdion pn,pos
ADrrli..nl or ,^rml SiEmlure:
6t ,,n H41z*rLLA
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 Rouqh)t"5-l-x )L{td
Meter Release
Rough
Service lvleter
FINAL .-Utd#z @9
Notes, Remarks, Etc
LMdff s
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