HomeMy WebLinkAbout20166181 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2O166{81
Pin #: 71373lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Project Address: 4501 W McFadden Ave U nit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: R2
q
Assessor'sParcel: 108-131-23 Lot: NA
Owner:
Address:
GOSPEL CHURCH
4601 W MCFADOEN AVE
Santa Ana, CA 927041172
Fee Type
01116002 51603 FWU
01 1'16002 51600 General Plan Update
01 1'16002 51603 lssuance
Qty
't.00
1.00
1.00Phone:
Tenant Name:Church of the Bible
Owner-BuilderContractor
Address:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type;
Nalure of Work:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
Notesr Handout givenlfees pd in full on M-71110
Link, Patricia
Date:
Date:
Date:06l,t31201a
Account#
Misc. Receipt: 7'l'l10
Misc. Receipt:
Misc. Receipt:
Total
Every pefinit issued shall bacome invalid unless the wg* on the site
authorized by such petmit is cornmenced within180 days after its
issuance, ot if lhe wotu authoized on the site by such permit is suspended
ot abandoned fot a petiod ot180 days aftet the lime the wo* is
comfienced.
$98.10
$98.10
$0.00
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Amount
23.87
21.25
s2.98
Fee
$23.87
$21.25
$52.98
Phone:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
N/A
N/A
cEc 2016
lnspector MID#: 2018-143993
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.OWNER BUILDER DELCARATION
I hcleb, amrn u.ler Il.mh, ()l pcrjury rh l !h cicmpr from rhc ConrndoN l,iccnse tjw fi,r rhc follo*in8 rcavr. (Sc.70:ll5,
Busircss and Pblcssion Codc): Any Ciry or Couniy whi.h ,cqui(r r J)cmn b .on{fl.r, drcr. improv.. dcrmlish or r.lair dny
{tucrurc- prior b ns issuarce. alh requncs rhe applicanl rar such p.rn ! ro lilc ! \isrcd (llemnl lhar lE or shc k liccn*d pu^uanr '
ro rhc pmvisions ofrtr Conl!0.lols Liccnsd Lnw (Charrn 9. cormcncin8 wirh Sc.lion ?fi, oI Oivtion.l oflte Alsincss trnd
Pbrcsn,or Codc) or rhar hc o. shc h cicmpr rhercarom ond rhc l,rsis ror rhc lihsed cic,nprion An, viohtionorsc.rhn 7011.5 by,iy
/iittl(Jd lor.t rn uhJc.rh. rnnlranrL,J.^'lF.r\rnrni m,rrhJn I'v. hunJrddullJ\ r(<uo,
({F,:,r"1:ltt,fli^:i&T:}:.:;t;},1;::.r:,1[l,ll;lHt;t"i.il:fl:[tT*"ffil:::T1",",
lhc pmFn, who builds or irymrcs rhcmr md vho des such *.rk hinNclfor hcnclfor rhrcush his or hcr owncmnlore..
pi(,vid.d thar su.h impokftnh m @r imenla:d or olr.Ed tor elc ll h.*cEr rnc toilding or irrgmkru is skl *irhin on. Fd
ol coinrlcrk n, rh.Ow.cr BuiUd will hxw rh. bnrdcn ol'poving rhlr l- or \hc dil trn hoik or i'pmvc rhc pn,pdy f{, drc puqbr ol'
_1. $owftr.lrh. fo|frrt. amcrchrivcly..nL,.ring *irh li..n\.d c.Drkro6 b con(rud rh. pmFcl (Sa. 7041. Bunncs
d tmlcxsi,n Orde: The Conlracrols Licensc l,ow docs not apnly ro (. ownc, oap.oPcny wno builds o, impn,te\ rh.r.on.
and who conhcts for ruh pnrc.ls wirh r Co a.k(s) li.c.s.d putrxdr o lh. Cofir.ktr s Li.ctr* Law)
-lnrcrcrn
uldcrS+ron - .8 aPr'u.. lilal// u.*".wl'/ l'6
I hcEhy afirm undcr pcn.lty ol pcriury one oalhc folLwinp d(hmrions
I hrlc irnl will.rinriir r(tnll.d.ofCo..c r, Srlal \urc ftn q orkcr l' L.nllttr\{nnr. !s trolldcd
Lrtxt Codr. n, rhc pcrfonuicc olrhc lrork for trhi.hrh. Fnnn n istr.d
_lhrvcnndBillm!inrliruorkcn compcnsllion insur.ncc. rs rcquircd by Scclion:l7lro oirhc uhor G'iL. tn rh. p.rronu.cc or
rnc work tu whi.h rhisFrmil is i\s!cd. My$orkcs conrpcnsrion inrurmcc c! cr arrr Fnicy numhc.u:
cnploy dn, I.6on in any mmmt
and rlrcc rhd rrl should heonE $$jcr ro!h.
shnll. $nhsirhcom0ly wili rhos nrovisionr
WARNINC: FniluE lo scnrc $ork.r' .o'nFnsllion colcn8c ir utrhstl lnJ (nU ixbFr an . lploi$ r, ninn. l lxmlriN lnd
civil fincs up lo onc hundrcd rh.usnd do
::,""^u{oJif"l
nsrri,n,. dtrtr gd( r\ pnrid.d tur thc
I h.rby.lrirtrrnndf p.nalty of pcrjury thol I ar liccn\ol bnolCh rLr 9lcomrmncins Nirh Scclian TOOO) orDilkn'n.l
of rhe Bd\incs\an Profe\\t,nr 0'dc. dd rtli..tr* n ir lullinccdirficcr
CANIIAIJCIIANJ.IAI}ACIqENCI
I hcobyarionundfr.mltyorpcrjuryth.t rhcrc isrcotrsru.ri,n l.idinga8crcyf.r rhcpc.lornumc ofthcwork ror which lhis pcrm n
is\ucd (Scc :lo9?. Civ, C )
Lrnder'i Addresr
-
APIIICAI{fIEIIIBAIION
I ltJtly o,tim undcr rcnrlry orrcrlury onc.r'hc tullowin! dcclaraln,n\:
Dcmolitin PcnnirrAshcao\ Norili.ation rtdqal RcBUl.tionr (l illc 40, P0n6)
-Rcqrtcd
Lcrrcr oI Noriliorion
M,o*
ilirlBr rlt lc,lcfl'] rcgt!rri,n,\ rugxrJn,g r\lx(o\r.nrnrlrr trorr|nli( hlc n) rhi\ |rrc.r
rhd I h,!c rcnd rh^ lPrlicrrn,i rnd nrrcrhd rl( fi,ec inlnrnnriDn '\cond I rgR\ ro.onlllly wil[.llCiryatrd Counly
Srrr.l,rLv\ (hring t, l i i'rg.
rbove mnri,rncd pmncny lor insDccrionruryn
ApDlicanl or Agenl SiEnntur.
r\b
;::,)i;/,6
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rou gh
Service ltrleler r\
L-22-t(ll,lwtil
Notes, Remarks , Etc.IJ
COMMENTS
Transformers
FINAL
rhxr in rh. Fn.rnum of rhr eorl l(tr whi.l,
suhjr.r brh. wo*ns compcns iotr hws
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