HomeMy WebLinkAbout20166064 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20{ 66064
Pin #: 776lJ7lnspection Requests: (714) 667-2738 Inspector Section: (714\ 647-5853
Project Address:Bldg Suite Range:
Zoning: R3
q
Assessor'sParcel: 404-081-01 Blockr NA f racl: 10724 Historic: No
Owner:
Address
F&SAPTLP
4O4O MACARTHUR BLVD 3OO
Newport Beach, CA 926602500
Fee Type
01 116002 51603 FWU
0'11 16002 5'1600 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
$s2.98Phone:
Tenant Name:Saints Cheerleading
Owner-BuilderContraclor
Address:
P hone
Euilding Use:
Job Type:
Nature of Work
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 20't5 Notesi Handout given/fees pd in full on M-71067
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject 1o Field:
Building Permit #:
Amsden, Julie
Misc. Receipt: 71067
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued sha becotue invalid unless the wo* on the site
authoized by such perfiit is commenced within180 days aftet its
issuanco, ot I th6 i/votk authorized on the site by such parmit is suspended
or abandonod fot a peiod of 1 80 days aftet the time lhe work is
commenced
$98.10
$98 10
$0.00
lnspector MID#: 2018-143793
N/A - No Balance Fee Total;
Paid to Date:
Balance Due:
Unit:Address Range:
Lot: 1
State Lic #:
Lic Type:
Bus. Lic #:
workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Datel
Date:
Date:06/06/2018
Account#
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DI]LCARATION
I hcrchy aliinn undcr t nnlry oi pcrjury thel I m cxcmrr rnnn rh. Conka.rotr Li.cns. hw lor rhc follosinS rcasn (5(?011.5
Bu\incs and Pnr.ssion Codc): Atry City or Counly which r.qutcs ! rmir lo con\lruct. all.r. imrmvc. {hmrirh 6r rcpun aiy
strucrurc. prior ro irs irsuancc, dth.cquircs rh. dmli.rnr fif suchpcmirro lilc a iigftd 3rorcmcnr rh.r h..r shc is licmsed purueni
ro rhc pmvnnrns oflh. Contracro.'s Liccnscn h* (Ch.prcr 9. Commncins *irh Strlion 7Om of Divhioo l.r $. 3urin.$,dd
Potcsn,n. Code) or rhal lr or sh.
^.rer{,r
rkEfroft nnd rhc hrsh tu rhc dlksci .rcqJrion. An, vi.lilionorSdionT03l.5 61 0ny
lpllicant lor a p.mit subjels rhc lpplicanl roacrvilpcnahyornor nrrcrhan nvc hundrcddollus (]!5(x)).
lflp-. .**, "r,,'" n.p"nr. or trry cnlnli,rc\ wirh ss8es rs rhcn sok conrpcnsrrion. willd{, rhc sel lnd rhc {lmrc n nor
,ircnd.J nr ,,rrcrcd n tr sh I S( 1044 Bdnnc* ,nd Pnntssnnr C{'dc Tn. Conka.ror r Li..he lr* {iocs .or amlt to 0n o$rcr of
rhc lmlrc y who huilds or imorcrcs lhcrc.. irrd who docs nrh wo& hnnsclf or hcnell or lhmu8h his or hcr own empioycF.
p.olidtd rhur such irlhm.rs m rtn inr.ndcd oro,Ic(n for qlc ll howi rhc hiHin8 or impmvcmd k $ki wirhin onc Fd
ofcomplciion. rhc Ownur Buit & sill havr ttr horddi oftmving rhd ne or.h. did rx hoild or i'qrovc rh. pmFn, for lh. purrxie or
I hcrcb, llftr undcr l.n.lryofperjuryone otrhc r'ollos ing
IhavcaJ eill roinrrin a Cen ifrar. of Conscnr ro Sclt lnsurc ior *.rke.s rcnt nsarbn, ln'!id.d ror by Sc.rion l?m ol lirc
tibor Codc. lor rh. Frfonm'Ec of rhc wolk ior which rhc Fnnil n issucd
lhalc and *illmainriin oorler'.o'.pcns{i.n insurancc. !s rcquircd bySccrion:1700ofrhc lilntr Codc. fo. rhc frlonnrncc ol
rhc sl li)r*hichrhis pc ir is isuLi My workcs'.onrp.nsnlion tNro&.crricrdd policynun$cr ecl
PolicyNun$.r: Exltr.\
ffif,."n'ry rr,a . rr'" p",i,,,,nrmc or rhc tro,t,n' trhrh rhis rc.inir is iss!c<r- I shrlr tr,r cmploy Dny peB,n
'n
nny mannf
'q,srr,hdc,,nr\xhFcrn'rhre.rkcilonlIn\Jrionl,k.fCrlifinnis,tridrgrdrldiflshouldb.corEsuhj.cllorhe
*ork.m omp.ns,ion pmvhionsofSelion l7O0ofrhc Uhor Crrdc.I shrll. rodhwilh smply wilh rhoc,mvkions..
W RNING hil'trc n, {.nr. {dhc^ con'prnsrri,nr.or.rxlc i\ unfur rrl. sid rhall ruhjccr an .nploycr to riminol n nrhics md
ro rhc cod .f.ofrp.nMrion. drmB.s !s rrovidcd for rhccivil fifc\ u! r. om l,tr rrd rhou\rn,l dollr\ (Sl(x,,(XX)). in 3{ldil
::: +{rb]14,Appliont:
lhctu5y trlllr iuilcr nrdrlrr-r, f'crluryrhd I nD li.cnetuidcr hion.rchaprcr 9 (.onnmming wilh Sarion ?(xJO) oaDirision 3
of rhc axsi'rs rnd P tsionsCod.. md 'nylicctr\c is in full fn.. fll.ftccr
(oluBlJcllaNrllDlxr.i-&G[Ncr
I h.thyttitntn rr p.ndlryorl,.rjur!rh nNc i\ r.oinrdi(nr bndiie aA.my lnr rhc |xrtofMr.c oithcwork r'.rshichrhis pcnni i\
t\ucd (sN .t097. civ c )
Lcndcis Addr€ss:
-ffi,ffi;
,idcrrlrcguLri,nn rgn i',E r\b.{o\ rcnntrrlrr. mrrmlic hlc h rhis piojccr
rcLd rhisdmli.rri.nrfrl{arcrhar rhcsh)rc inf(trmdit i\.olNr lograro.omplyEilhallCily3ndCounry
n \ '.lI nE r,' htr'Lli'rg (rr .rn,n. MJ hcr.hyrtrrhoriz. rcj,rc\cnlrrilc{ ofrh^ Ciry rnd C.u rryr
ilDr mnrioncd l,lol'cny {or insp.rlion
aitrAppli.anl or llR.trl Si8non'rc
1+
L-^/(utt&la
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Bouoh
Ceilings (T-Bar Rouoh)
lt/leter Release
Rough
Service Meter
FINAL bfL+,/lcA sb<l
INotes, Remarks, Etc.
-1.
N own( of rhc fmpcny. rnrcxcluvvclrcontrnrrirr *nh lic.trscd.o.lrrcloslo conslrud rl'€ rmjecl(Scc 7l)4t, Btr\itrc.\
anl t\Dllssbn Codc: TficContacroi s t-iccnsE l-awdocs nolrpplyro anornd ofrrcp.nysho build( orimtrovcs rhcrcon.
and who conlrrkl.r such pn,jEtswirha C:onrrocrtrG) hccn*d pusur.r lo rhc Coi ndois Licensc Law)K\0
Li.cnsc Chss: Ltun{ Nunrbcr
Dors: ( onlro(lor
AIILTANfDIiCIA8AIION
I ho!{ry !ftm undcr pen!lry ol p€rjury onc ollnc followinB d(brcrions:
Dcmolilion P$nirl^sbcsos Norilicatio. F.dcml R.euld io.c (Tillc ,10. Prn6)
-R€quind
t ner orNoiic{liotr