HomeMy WebLinkAbout20166851 - PermitCiff of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section (714) 647-5853
Electrical
Proiect Address: '1412 E Borchard Ave
Assessor'sParcel: O'14442-'lO Lot: 3
Unit:
Block: NA
Bldg:
Tract: 6629
Address Range:
Historic: No
Suale Range:
Zoning: Ml
q
Owner:
Address
MARTIN INVESTMENT CO
P O BOX 15532
Santa Ana, CA 92703
Amount
1 .45
69.03
22.O4
55 04
Fee
$4.35
$69.03
$22.08
$55.04
Phone:
Tenant Name: Not Specified
Qty
3.00
1 .00
1 .00
1 .00
AMS Construction
1215 Columbia Ave.
Riverside, CA 92507
(909) 496-1212Phone
State Lic #: 992388
Lic Type: B
Bus. Lic #: 370484
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 92i1809
Expires: OGl02l2O19
Genernl Plcrn Updote Feetltl 16002- 5160ttr'100-
Electr iio I
01116002- 51603000-
llosten C(lrd
CC+: r*** n* ******321,
AllS (:onstru,-t isn
$1,
Aut h+: rli?2
Building Use:
Job Type;
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Reroof
Reroof
F-1
VB
cEc 2016
Occupancyl
Constr Type
Code:Notes
Chavez,Dave
10197626
Date:
Date:
Date:<)L 09/06/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Reroof. Hotmop. 60 squares. Handoutgiven. **'B
LICENSE CONTRACTOR PERFORMING 2 AODITIONAL
TRADES.*'
$150.50
$0.00
$150.50
Every pemil issued shall become invalid unless tho wo* on lhe site
authorizod by such permil is commenced within 180 days after its
issuance. ot if the wo* authorized on the site by such permit is suspended
ot abandoned for a period ol 180 days after the time the wo* i6
commenced,
lnspector MID#: 20'18-145946
01116002 51600
011'16002 51603
$22 08
$128.42
Fee Total:
Paid to Date:
Balance Due:
Permit #: 20{6685{
Pin #: 3{560
Contractor:
Address:
011'16002 51603
01116002 51603
01116002 51600
01 1 16002 51603
Fee Type
'125 Volt Receptacle
NIin Fee Adj
General Plan Update
lssuance
Botch+r{1775 - 9/6/2$18 I0: NGAI{C:IA
0fficer CTYH Tronsi: 74 4 af 7Ac,:t+: Ref+: 2rl166gli1
R.pti:02379213 - 9/6/21!18 2246 Pfl
Tronsoct ion TotoI $ I r 7912.5tr
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNES BUILDER DELCARATION
I hc(hy afirn undcr lcMliy of pcrjury rh l am cx.mfl riom thc Conrroclor' Licensc Llw for rnc folloti.g rc{son (Sfr.?011.5
Busincl\ a Prof.ssion Cclc): An! City or Q,unry which rcquircs a pcrdn ro ..n{rucr. ,lrcr, improvc, {kmlnh or rcprn atry
(ruciurc. lrbrro irs isuance, aho rcquncs rhe apolicanl for {.h pemir t, lilc r siEncd srarcmnl thal lEor she n liccnrd purudnr
r. rhc rrovkiont olthe Contmctols Liccnred tj* (Ch!,rlcr 9. ComnEncinE {irh sc.'ion ?tx)o of oivisiotr :l oflh. Busnr$ and
Prcfc$hos Code) or rh ncorshc h crcm0l lh.rcltr,maod rh.li,\is rdrh. llLgcd.xcmption Anyviol ionolsdriooT0ll tbyrny
lpplicrtrrfor0pcmilsubjccrrrh.,rplicdnir.acivill.ndlryornormrclhanfivchundrcddollrs(1500).
I. ns owtrn or rh. Ifolr y. or nry cmflores wilh srscs as rhcn mh compcnsdn,n, will do th. sork Jld rhc $MrN i\ tror
inrcd.n or oflcrcd nr sb (Sc 7(lt-4. B sinc*and Profesions Cod.r Thc C.nha.!r's Liccns Lawdocsnoluppl,bLnown.rof
rlEpmFny wh. builds or iqro!.s th.mn. md *tr d6 srch u)rt him*lfor h.rs.lror rhroqh hk ot h.r owncmployccs.
pft,vidcdrhal su.h inllownrns aE mr inrcndcd or otrcnd for srL lt how.rer. rhe tDildir8 o. inllmr€tum is q,ld wirhin onc ,td
ot on0Lri.n. tlE Ol mr Bui&a {ill lEvc ln. bonlcn oa l,.lins rhd hr ur sh. did mr hoild or in{'mw rhc pmFny {or rhc lxilb* or
l.^oNrcrolrh.Ir,pcny.strrc\clu{ivclyrcnlh.rn!virhli.cns.d.otrtra.llnt,dnNrrucrrhcpR,j..r(S..7(ll-r.8trqncs\
{t rhlc$iotr Cod. lhc(otrlracroisl-iccf\cl-asd.c\n larpltt),ioan( ollrotc yuho hnild\or imrrovc\ rhcrcon,
r l \rh. $nrNr\ Lr such troj..ls wirh , Conrndo( s) lrcn\c(l tDruld ro rhc G)nracr.i \ l-i..isd b*).
I ir.r.i, uitl.r Sc.ro
Drr.: _ oqm.:
WORKr.RS' COIJPENliATIi]N
DECIIIIAIION
I hcrchy otnnn !odc! pc.alryorr.rjuryoncor'h. t.lnlwn't d.clstrio.s
I halc md will tuinrrin a Ccnifi. cofC.nscntn,Sclf.lisurcli,workcs compcnsxrn,n. rs pmvnhd f(rbySccrionlT0Oolrhc
Llhn Codc- lor rhe pcrfom.cc olrhc Rork tor shkh rhc pcrnir n is\ucd
I hak rnd will fr"inidin rork$l..nltlc.srt,on rnsuraRc. rs (quircd hySccri,)o37(l).frhc tihor Codc. br thc !.rfonnmcc oI
rh. *ork for whi.hrhh p.flnrr is hsucd. My so.kss ompcnsrion i.suroNclricr a fx,lkrnumb.rdc:
, ' 6"rqlf
*^"n*l I Z/ t
Couo,
foql Zo) k Z'3t-/8
-l
ccnilylhar in lhc l}crlonlarcc ot rhc wort lorwhichrhL prrnir ii irs!.d.1shrrlnot c.rPloyany Pcrson in aiymmtur
q, as k, trsi* subi.r k, rhc wo.tcn omprnsdion laws orC0litmia. rtu lsrec rhai ir I shorld h..oN sxbtd ro Itf,
w.lkdc.onf.nqrn,npmvirionsofSc.lion]TOOoflhcL.lnCorlc.lsh!U.fonh*nhcodply*irhtho*forisiotrs..
WARNINC: tailurc h ecurc wortcn oarpctr\ali{in .okflgc is dnla*tu|, ,nd shall suhtc.r !n cmtlo}er ro dminrllicn,lr and
civil fircs un lo onc hundrc( lhousrnd dollur (Sl0o-00). i,r rJdiri.n t' rlr.os olconrnctrsorion. drro8c\ as p(,vidc rd lhc
Sccl iofl 30?6 ol lhe Litnr Codc. iorcrcsr antl ulrorty i rcds
o^",' 1-b:13 ^,,,,-^* rtCttKTPe=;IJ(IN$LrcNIIA(rcI
D}:EIAM.TIQN
I harbyaflirmund.rpcnshyorpcijuryrhar Iam lieN'd u cr lmrhion ol Chiprcr I (mmmn.inr sirh sc.rion 7m0) ol Div ition 3
of lhc ltnsirc$ aid Pmtcsions Codc, anJ nry licLn* i\ in tull fd( ird ofla\r
',."."".,"".. .],
o",", q-b-t t_
r.rcn.(\u!$.'' 11 237</
c..r*"..!r dhj+?*+_
ra! f,uculrNuiNluNciliDltr
Ihcrctyafllrnrul(lc, |xnully ol pcrjury lhd lhcrc hu.a,n{tucrior hndin8 rtcrt, iorrhc Pcr,nrnurcc otrhcsork n whichrhi\ Fnnil i(
,\sucd lSc.. l(D7, Civ. C.)
LndclsAddr.lsr
-
AIILICANLIESSAAIPN
I nmtry ofim undcr pen0lryofFrhryone otlhe followins dccldri.nr:
Dcm,liri.. Pfimtu-Ash. os Norifi.ation Fcdcrcl RcBulations (Tillc 40. Prn6)
Rcquir.d hncr ol Noili.arion
_l .cnif, rhur rhc lcdcral rcgulari.nq Egading ash.eoq rcrmvur !rc n.r rytli.lt lc lo rhis pmjctl
Llccd'ryrhdIhrlcrcudrht pplic.ronlndnarcrhorrhclhovcinfunErn h.onNl.IaSrNloconllywilhlllCilyandCounry
okimrccs ond Srlrc ljws mhrins ro buildins consrodi.n. otn teEby lurhori& Epre*nrarivd ofthis Cily and Counlylo cnrcr !Ix,n rhc
uti^c mtrr'on.d nn,nrnyfor n.n cnonpuqy'+t ,
^,,,"*,",^r.'',,,*4,LLKfP*-,i orre'
pemi,R,rh.,pr,n,,: t< Q, llq t E TH t a f< a,J le-
?.1-/ K
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Satety /Low Voltaqe
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 (Rouqh)
Ceilinos (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
Rough
Service lvleter
FINAL Q-zt-r8 Z. z-.7
Notes, Bemarks, Etc
+
Itileter Release