HomeMy WebLinkAbout20166059 - PermitProje
Assesso
lnspector
Phone
Planning C
Building Pe
Nature of W
Planning Ap
Subject to F
authorized by
Every permil
Owner:
Address
Phone:
Tenant Na
Contractor:
Address:
Building U
Job Type:
Plan Check
Permit lssu
issuance. ot il
or abancloned
commenced.
State Lic #:
Lic Type:
Bus. Lic #:
Workers'
Carrieri
Policy #:
Expires:
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714, 647-5853
Address; 3800 S Fairview St Unil:B rdg Address Range
Parcel: 4'14-271-01 Lotr NA Block: NA Tract: NA Historic: No
Permit #: 2O166059
Pin #: {5E64
Suite Rangel
Zoning: Ml
E
Calvary Chapel Of costa
3800 S Fairview St
Santa Ana, CA 92704
Calvary Chapel HS Football
Owner-Builder
pensation lnsurance:
nditions:
roval By:
By;
By:
d:
it #:
Fee Type
0'1116002 51603 FWU
01 1'16002 51600 General Plan Update
01 116002 5'1603 lssuance
Amount
23.47
21 .25
52.98
Fee
$23 87
$21 2s
$52 98
Qty
1.00
1.00
1.00
e
Other
Miscellaneous
Fireworks Stand
N/A
N/A
cEc 2016
Occupancy:
Constr Type
Code:Notes: Handout given/feea pd in full on M.71067
Amsden, Julie
Date
Date
Date 06/06/2018
Account#
shall become nvalid unless the wo* on the site
permit is commenced within180 days aftet its
wo* authonzed on the site by such pemit is suspended
a peiod of 1 80 days after tha ttne the wo* is
$98.10
$98.'10
$0.00
MID#: 2018-'143788
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
lvlisc. Receipt: 71067
l\4isc. Receipt:
lvlisc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DELCA R-ATION
I hcrchy afiiirn under !.n0hy of pcrjury rhll I am ercmpl fr,to rhc C.6rra.r.s Liccnsc tjw for rhc followins rcasn (scc 70ll 5
Bu\i.cs rrxl Prorc{rion Cnld)r An, Ciry or Cornry whkh rcquircs ! Fnnn lo con\locr. 3lrd. irptuvc. d.mlish or rcr.t lny
slructurc, prior lo ils knlancc- aho rcquncs rhc DIplicMl f(tr such pcmir ro lilc r sieftd shrctrnt rha' h. or she i\ lkcn*d po ue
ro thc povhi,ns ofrhc conhclols Licctr$d L{w (Chqrler 9. CommcncinE snh sc.rion Tuxr of D'lhion I ofltc B!sirr.* lnd
Polcssiotrs Codcl or lhll h.orshc ncieopl rh.tcfn, nnd rhc blrir ror rhc alh8cd .xcm ion Anyviol0lionoiSe'iin70ll5by!6y
lrplicunrtn!pcmislbjLrkrhcltpli.anrroacivilpcnaxyolnolnwclhotrtvchund.c.ldollar(5500)
,r I
^
L\l/6\ osns ofrhc pnncnr. or n'y crylnrc\ wirh tr rEcs as rhcir rolc .r,dpcn$rion. wru do ltE wtrk $d lhc sltrr@ $ nyYrcnkn nr oli.red for ek (s6lol4. Bd\dc\ ind Pn'r.sionr codcr Thc contacloas Liccn\c Law d{*s ior sprly ro an owftr oi
rh.l,bJt.y wlk) boildr or ii{,o6llErcn. urt wlf,r drcs such R'lt hnn{lf o, herclf.r rhmugh hir or hd own .mtloyccs,
provnbd rhsr such impmumnls n nor hrcdc{ or ofli*d 1'or slc. If. howcrci rh. buildin8 or irq'roEmot is sld wilhin ot Fr
or.onrphtion.lfu Ovner Buildcr willhlw rtc t d.n olpmvins rhr! lEordEdU mr t iLi o. irlImtt ihc Polf,iy for tr purF $ol
l. Nowncrorrh. Eo!.dy. a crclusivclyconli.clins wilh li.cnscd conrmcro^ rd conntu.r rh. p$j..r (Scc. ?o1,4. Bu\inc$
atrd P,Drc$i,n Code: Thc CoDrmcifi s Lic.nsc Ltr* ducs nor apply b dnownct olpolErty wh,r 6uilds or inpn,v.s rhcrc.D.
and who.u[EcBlorsuchpm]ccls*irhaConrEcro(s)liccnscdptrrlDdrbrhccinracror'sLiccn€tiw)
;:*0{er\
Setion-, B. & P.(
ttu ORner:
I hcrcbynfiirnr undcr ncnnllyoipcrjuryonc oaUc ro,bqins dcc
-l
hurr lnd sillnuiarxii rCeniar.rcorConseflt b Sclal,Nxm Lrqolkcrs .annpcn\0rion, !s proidcd fot bySNtio 37(XJ ofrhc
Labor Code. lo! lhe pcrlomunce of rhc worl foi shth rhc ,,crhir is issu.d.
_l hrlclodqiU nrinuin work.if.omp.n\.rion insufuNc. os rcqunL{byS$.'lion17(x).rrhclrlxtrcodc,rorlhcPc.totmonceof
rhc w.rl auwhthrhisFrnrn is issucd. M, workc6- omp.nso' ion imuamc caricr anl Flicy nrnhr dcl
f[lJ/.D,r., -,r," n-r,*tunlc rrhc$Nki,tr$htrhrhisrnnirhissucd-Ish(llnorcmrl.y'ny!.,son,ninymonrcr_ kyA t. b..unr uh].\rro rtu qorkcis'mnrr.nsJrii,n,!ws ol Califnnii.,nd agm rharirl should tEom subj.tr to rh.
workc.rmpcns,rionpmvisirtrsofSNtion37()()ofrhcL!tD.CdqIsrtl,ronhNirhomPlywilhtho$Pnvtbns
WARNINC Frilurc ro Kur. nrkcn'.ompcn\ari('. $vrhgc is unlu$tuL rnd shall \uhi..r rh cmplortr io ai ril P.mnics und
ci!il l-Lnc\ ut ro onc hundrrd rhoutnnd dnllxrs (il(n.0lD). ir ddil n kr rhc.osl o f .on'r.n\ar ion, d,truBcs !s
:::fr;l+iIt4-'
I hcnhy fftrm undd p.nahy ol pcrjuy thur I am liccnrd lndct ni0n orChnprd 9(c.nrnEncing silh
Liccn\cN!mh.r:
Co rnclor:
CONSIB!]EUONI.ENDINCJIENII
I hcrchy,filnDUMcr F..hyoinciwy lhar rhcrc h r oo(ocri,n lcodi.S agcn.y ft, th. Fdntnuncc.arhc *ork ror whrh {hh lEnnr is
hsucd (Scc 3097. Civ C )
txnd.ls Namc:
-
ATILICANIDICI,AIAIION
I horr,y arm ondo pcnrht ol pciJury om oi thc lolLsin8 dccltrol iorr
Dcmolition Pcflnirs AstEdos Norinc.riotr F.dml Rcguldions (Tirlc 40. Pan6)
-Requircd
L.(cr ol Noriak ionr,ilyth.l lhc ndcral .csularionr rcssdina ,\h.sbs ,.,B,ul dc .ur apflicablc lo rhn pmjccr
rhd I harc lcad rhis splli.li i{ni s l { d ihar dr ab\c nrl.rmdion is .orel I l8rr t, .omIl} *irh .ll Ciry .nd (bunry
Shrc Lrwsrcl in8ro buiuins nr dxl hcrrby aurhorizc rcl)rcsnlnliver
$or. trrnti,nrcd pn)Nny tur fisJr.l otr lurtx
Applicnn( or AEul signslufr
r(
0
'iaru-""
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinos (T-Bar Rouqh)
[/eter Release
Rough
Service [t/]eter /t I
FINAL @,/24//t l'ffi qn,O8,/
Notes, Remarks, Etc.\l/\:-.,.
ID/SIG.
Translormers
ol rhc Burinr$,nd Pmrasio.s Codc. and myliccrsc is ir tull ftxc!ftlcffccr
I