HomeMy WebLinkAbout20165967 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M-19), Santa Ana, CA 9?702 Electrical Permit #: 2O165967
Pin #: 7865{lnspectaon Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2800 N Main St Unit:
Block: NA
Bldg: Address Range: 2800-2890
Tract: RESUB OF SHAFEFHiStoTic: No
Suite Range:
Zoning: C2Assessor'sParcel: 111-111-11 Lot: I
Owner:
Address:
Main Place Mall
2800 N Main St
Santa Ana, CA 92705
01 1 16002 51603
01 1 16002 51600
01116002 51603
Fes Type
Special Event
General Plan Update
lssuance
Fee
$154.26
$21.25
$52.98
Circus Vargas
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrierl
Policy #:
Expires:
Building Use:
Job Typei
Nature of Work
Other
Mascellaneous
Special Event
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016 Notes Special event LUC 2018-68-CAR/Set up dates May 29 &
30/Event dates May 31-June 4/handout given
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By;
Subject to Field:
Building Permit #:
Guevara, Jerry Dalel
Dale:
Date:
05t251201A lvlisc. Receipt:
l\.4isc. Receipt:
l\.4isc. Receipt:
Total
Hernandez, Kathy o5125t2018
Account#
Every petnit tssued shall become invalid unless the work on the site
aulholized by such perrnit ts commenced wtthin180 days aftet its
issuance. or if the wo* aulhonzed on the stte by such permit is Suspended
or abandoned lor a penod 01180 days aftet the lime lhe wotu is
commenced
$228 49
$0 00
$228.49
lnspector t{itD# 2018-143572
011'16002 s1600
011 16002 51603
$21.25
$207 24
Fee Total:
Paid to Date:
Balance Due:
q
Amount
154.26
21 .25
52.98
Qty
100
100
100Phone:
Tenant Name:
Contractor:
Address:
Botch+:4397;, - 1/21/2ti19
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ELECTRICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER OELCARA'IION
I h€Eh, aftrn u.lcr Fn,lrt or p.rjury lhd I m cx.mt fn,m lhc Co radoF l,ic.nsc lxw ror rhc rolbwnrs rcln,n (Sa?O3l5
Bu.incss rfl] Prolcssion Codc)r Any Cit, or Colnry rti.h rcqutc\ . Frmit ro consldcr. slrs. imrovt, d.mlirh ' Earn any
stdcllrc. prior to ns issuurce. sl$ rcqnnca rhc amlhanr roi su.h Firnil ro 6lc 0 siSned sr emnr rhdr t or stu is li.cnkd I'usulnl
ro llE pmvisions orrtE Conkrcrols Liccnsed Law (Churrq 9. C.imn.ing sith sc.lion lujo ol Division 3 ofrhc Busin.* and
Pmfcssions Codc) or thot hc or shc n crcm/ rh.rcfon and rh. blsh ror thc allc8cd crcmplhn Anyviobrion.ts..rbn?031.5 $y iny
applicad n{ a pemn sobjers rh. amli.am ro r .ivi I ,.Mlry ol no( uore lhrn livc hundr.d dolltr. ($50O.
-1.0\oqncroiIhcpmnn!.ormy.nfk,rtuswirhw,!.sr\rhc,sncc.nwnslrion.*illd.rhcsork
Jrh.{mrurcirrn
inronlLi oroltc'cd fn srlc(SN.?o,!l, Bu\incs ind Pmlc$6ns aodc lh.Conrrrc(trst.ic..\ctrwdocstrordnl'lyl,'!no*rcr.f
rh. Dnr*ny whohuildso!inmrcsrtr@n.adwnode\strch{tdhn.s.lroihcr*lforrluoushhnorhcr.Nncn.y..s.
prolidcd rhd such inprolrmnk ft frn int.ded or oficrd f(n vL.ll tx)lc\ c.. rlE h{ill ina or impr,rcnrnr i\ $kl wirhinonc ycrr
ol.onlnhri'0. rhc Owrcr Buikier *illh{w rlt hrnLnofproving rhd h. o' \hc dll nor huild o. innn)vc rhc lmtsry lor rhc purrxN. ol
l. r\.wn.r orrhc |a.lxny. nncrclusivclyconr6clirs wirh liccn conrndo*h.on(rud rh. I'(+cr (sc. 7044. Bu\in.s
,n.wncr oipnrpcny wlD builds or nnpi{,vc\ lhcrcotr.rD(l l\i,lisi, (inlc: lhc ahtrrrx.ktr \ l-,c!n{ t-rN doc\ nor rtp
a d who .onh.rslitrru.ipn,lcclssithrConraclor(s) licc n,rh.a, rid.r'! I i..trr I lwr
lrn.r.nnr u.ri.rserion B
I hc'ahr rfi n r u .lcr NMhy ol Frlury oN ol rhc lnlk)\'ing dccl
Ihrw! qill Enn.in ! Ccrl iarorc of Conrnr ro scll lnsurc rn sorrcN .onlrnsal ion. as povidcd au 1,, sNrn,n r7u) of lhc
Lah.r C.dc. for rh. p.lfonrorc ot lhc *ort tor which rhc Fn,il i! is\ued
-lhrlclnd
uillnainhin sork ^ .onn ns[nr insurdncc. rs rcquircd 6ySc.ron.]7fi)ofrhc l-rborCodc. forlhc Pclfomnmrc of
rh. w fir$hthrhis p.flnir ir is$dl. My workcrc' conrFnsir ion in(urMcc .aricr nnd Fnicy ntrmh(r N:
I..niry rhlr ir lhclr.loir.anccollhc wort lor*hichrhis prnnir i\ irsucd.l sholl nor cmI,k,yonylc6oi in rtry nutrncr
$ $ro bccoN ohJc.l t, rhc wortc^ conlpcNdnm hwr orCilifomia. aM asrcc rhd irl should tt..nr suhjccr lo lht
workcrs co.,Fnn i.nrovisn,Dsof Sc.rn,n:l70Oof rhctitrtrC(I \lnll. [onhsirh conllrly *irh th.r |{ovisi,nN
WARNN(i: hilorc h RUrc work r conr|{nsltn,n .nvc!
civil fii.s rp ro onc huDdrcd rhousitrd dolllrs lSlm.(xXr).
Sccri(nr :1076of rhc t]brCn c.inlcrc{rtrd!rlorncy slics
ful. Md (hrll rubJcct !tr cnrtlnrr ro dnnird p.mllic\ rnd
rJ rh..os ofconEns0rnnr. dlnuse\ as ptulidcd lor thc
I hrr.by nlltr lndd tl.rlryor|crjry lhir I am liatrrn unrlc hiotrorChrpr.r9l(nnnf,n(in8*ithScclionT{XX))ol Dnisirr l
of lh. Busincsslnd Pdc$n,nscodc. drl 'nyli.ctr{ n in rull hr.c ml clic.l
-Liccn{
Numb.r:
-
calirf,lJsflaM[N],uNc4ilNcr
I hcrcbt 0,firn trndcr pcmlly otFrjuryrhal rh.re is a conntu.rirtri Ltrdin8 0Bcncy lor lhe Isturtun.c orrhc work for shich lnh Pcn,ir is
h\ucd(SL{ 1097. Civ C I
dtPLllANr.!rcLaEAIIQN
I Hry dtim undcr Dcnalr y oa p€rjury ot .r rhc tulosin8 dslnr ions:
Dcmlilion Pcrmils-Asbc(os Norificarirn Fcddral R.grl,rionr (Tirlc 4tr. Pan6)
-Rcqlncd
Lcllerof florilicdrk.
l..nify rhr ih. fudcrrl tuBUlrri(ff ashc{.s rc.x,vJl rr. Dor rj,flicrhlc t) rhit |nrlcd
!.cnilylhrl I havc rcldlhis trlplicnt rh rl( !h'vr i'nonmri.tr \cor.cl I rgrNl.dnnplfwirhrll C[yrtrd Cnu0ry
.ilmrn.cs Md Srrrc t-rwsrchirg k)(tucrion. arxl hcrcby,!{horr. Etrcscnroliycs orrhis Ci', dnd counlyto cnls ullonlL
rhnc rtrri(nrd lrt)p.ny lrr iN
,\pplicnnr or ,\rcnr SiAnnlurt
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding i Grounding / UFER <7*/b ar EDlh,t*
Transformers
Torqueino
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release
Rouqh
Service ltileter
FINAL <,/t/\t/lq s)E \t-#4
Notes, Remarks, Etc
DATE
Air Conditioners
kndd \ Addrc$.
-
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