HomeMy WebLinkAbout20166140 - PermitCity of Santa Ana
Permit Counter; (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{66140
Pin #: 78552lnspection Requests: (7'l 41 667-27 38 lnspector Section: (714) 647-5853
Project Address: 2300 N Tustin Ave
Assessor's Parcel: 396-261-36 Lot: 8
Unit:
Block: A
Suite Range:
Zoning: C5
Owner:
Address:
OORIS M NEWCOMB
25521 COMMERCENTRE DR
Lake Forest, CA 926308857
Fee Type
01116002 51603 FWU
01116002 51600 General Plan Update
011 16002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$23.87
$21.25
$52.98
Orange County Eagle Boosterg
Owner-Builder
Phone
Building Use:
Job Type:
Nature of Work
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code;
N/A
N/A
cEc 2015 Notes: Handout given/fees pd in full on M-711'10
Planning Conditions:
Link, Patricia
Date
Date
Date 06/13/2018
Account#
Misc. Receipt; 71110
Misc. Receipt:
Misc. Receipt:
Total
Every permit issuod shall becone invalid unless lhe work on the site
authotized by such pemit is commanced within 180 days aftet ils
issuance, or if lhe wo* authoized on the site by such pefinit is suspended
or abandoned fgt a petiod o1180 days aftet the time the wotu is
commenced
$98.10
$98.10
$0.00
lnspector MID#: 20'18.143949
N/A - No Balance
Bldg: Address Range:
Tract: A.B. CHAPMAN Historic: No
q
Phone:
Tenant Name:
Contractor:
Address:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:Fee Total:
Paid lo Dale:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
l. N owicr of rlr pnD.nt. rnr .rchsivcly coftaciing wirh li.cnscd conrndo^ h .onn rud rh. Itr,/.cr r Scr 7O'1J. B!{nc*
ind tnrixsbtr Codc: l-hc Conki.N's t-iccn\c l-rq do.\ nor npplt b an o*ir of pR,t dy qh,, huild\ or inrltrcs rfui$tr.
rnd *ho contacl\rir\uchpr!.cl\wirh!Co rck(oliccn\cdrur\ua k,rhcGnlrrcktr s l-iccnsc t,iw)
,.,"t!1"
I hc,cbyaffi rmindcr ranalryoiFrjuryonc of thc followinS dcclu ions:
I hlvc and willmaintli. a Ccnifrarc olConEnl lo s.lf-lnsur. ror workc.s comrcnsrion, as
trkn Codc. aor thc Frfonmmc ol lh. sork for whi.h rhc pmir L icsucd.
d lor by Sccliotr:17(xr.lllr
lhrvc,nd will nrainhin *drkcri conlP.n\rlbn irerancc. ar rcquncd hySccln,n:l?(x)ol lhc t hor Codc. turhlFrr.trtun.cot
rh. work lnrwhichrhn pcrnir i\ isued M)sortcr comrcnsalion in\urancc mri.. ul Fnicy nunrhcr !re:
work ror uhich rhn Nilnil i\ tsucd, I shrll nor cmpk'y lny p(rv,n in lny nrtrn.r
nrpcnsrr n liw\of(slifon,ia, and rgrc rhar ifl diruld h...rm suhj.{r Iorlf,
i.tr l?'I',,rrhc Lhr' (iiilc. |\hrll '^nhw h,.n,flyw hrhc{frn\AFn\
W,\llNlti(;: rrilurc b {drc sorkr^ oi,p.tr\dn covcrrlc is unlx*tu]. rtrJ \hrll suhjcct rn .tr1d.rcr
*"*V\i#1,6''
I hcrch] 3rfi,n u lc, Ilcnally or lcrjury rnrl l {nr lianen undcr rhlis
or rhc lrusinc$and Pmlcssions Codc.ord nry liccne is h tullbi.{
orChrpt$ 9 knmNrcir! wilh Sccli,in ?fi1) ofl)ivi\i{nr l
ATTUIAXI.IIEIIII.BAII!]N
I hddryuiimu cr pcnulry ofpcrjury on. ol rhc rolhwio8 dc.larari s
Demninnr P.flnn$Asbc(os Noti6c!tio. fad.rrlR.Bul io.rlTnlc 40, Pd6)
-Rcquir.d
Lcrlcr of Notificdi[
,din8 a\h$los rcmv !rc not applicuhL ro rhn pojsr
. rhir (hc rtix? nnff ri{n, ncotrc.r lrgrct,
ahrvc nrtrriomd pmrcny li, nslsrion
ruclnrn,a hcrcbrnol&,nzc
tt) \tt:
(/biu'"
Site-Work
U nderground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab i Floor
Eqding / Grounding / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilin gs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Rough
Service IVleter 1r
FINAL I '-hAl)g,,ffi lEfi
Notes Remarks Etc.V't -tv \:/)
OWNER BUII,DER T'E!,CARr{IION
I hcahy aifinn lnder I'cMlly.t pcdury lfial I m cxc'ntr fmh rhc Conr0cr.^ Li.ctr* bw ror rhe follawing rc.son (Se.?011.5
axsinc* and P,of.ssion C.d€) Ant Ciry or Counry which rcquncs r plrmir to conslrucl- altci impmve. d.nmlish or rp any
slru.turc, prior b irs isruun.., aho rcrluir.s rhc +rlicanr for slcn rEmir ro iih ! sisncd dalcftnr lh0r hc o, shc is li.cn*d pursanr
!o lhc rmvhn,ns oI th€ C,nrEclols Licensd L3w (Chopl.r 9. comnrtrin8 wnh Scctiotr ?cm of Divniotr 3 ollhc Businc$ and
PmlcsionsCodc)orrhrih.o6h.iscr.npr$crctromlndrnchoshforrtuallcscdcicnutrn.AnyliDlari.nofSerbnT0.llthylny
Itm,llcrn' lor ar.lnnr{brccrcth. spplrrnrro dnr'lf+mlryoln.rmrrhan 1tr. hdtrcdJ.ll,! '1r0orltl \lll, \oeftr orrh. rr.Itny, 'tr mrcmnloycc\ {irh tr ascs !s lhet soh compcnsdion- willdo lh. sort 0.d lhc $ule t nor
intc cd or oll.Ed ro. et {sd 7()ll4. Busin.s lnd Prclt$i,ns Codc: Thc Co.trctois t-iccnE Lrw dds rcl qdy b d oNn$ .r
rhc pmpcny *h) builds or iqrorcs rtENn. rxl who dNq skh w.rl hini.lfor hfislfor rhmugh hi\ or hc. .wn .nlployc.s,
t rcvid.d rhrr skh imprctnEnk m nor inrcnd.al or oficE-d fin sh. ll howa. rh. huildnB or inlroEmnl h sU rilhin .m )rd
dt complcrion- rhc O*nc. Buildo Nill h!rc rie t rdctr olr,!i,g thd lI or sh. dd mr truikl or iiPnM lhc r/Dlsy ror rh. td,rrE or
Li..nrc Clas:-Licenrc Numbcr:
-
Dsrc ('orlncror.
CANIIAICIIONIEIDING.AGENI;I
I hc,cb, amm nndcr lEn0lly o, ,crjury ri.r rhcrc h o con(rction lcndin8 a8ctrcy fo rhc Frfoirm"cc uf rhc work lor wNcn rhh rErnn is
hsucd(SN :1097. Civ. C.)
Lcndcr' NJm:
L,1dcr', Add'r\.
ADpli.onl or A*cnl Si*nnlun
IVleter Release