HomeMy WebLinkAbout20166228 - Permit@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Projec Address: 2861 S Fairview St Unit: B Brdg
Permit #: 20166228
Pin #: 28472
Address Range: 2801-2977
Historic: No
Suite Range:
Zoning: R4
q
Assessor's arcel: 931-575-92 Lot: 1
Mark Dormitorio
2861 S Fairview Street, Suite B
Santa Ana, CA 92704
(310) 753-9930
Specialty Air Heating & Coo
1518 Brookhollow, #1 1-J
Santa Ana, CA 92704
(714l.824-7915
Block: NA
Fee Type
01116002 5160: FWU
011'16002 5'160C General Plan Update
01116002 5160: lssuance
Amount
23.87
21.25
52.98
Fee
$23.87
$21 .25
$52.98
Ownerl
Address:
Phone:
Tenant Na
Contractor
Addressl
Qty
100
100
100
Phone
State Lic #:
Lic Type:
Bus. Lic #;
Workers'Co
Carrier:
Policy #:
Expires:
Building Use
Job Type:
Nature ofW
427673
c-20
33s460
pensation lnsurance:
Everest
7600017658171
0s12012019
rk
R-3
VB
cEc 2015 Notes: Direct change out of rooftop unit. (Applicant stated
unit is less than 200 lbs)
Planning nditions
Planning Ap al Byl
Plan Ch By
By:
td:
it #:
Permit lssue
Subjecl lo Fi
Building Per
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
HVAC Code:
Amsden, Julie
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit is shall become invalid unless the wo* on the site
aulhorized by s permit is commenced wilhin 180 days after ils
o6t1812018
Account#
issuance. ot if
ot abandoned
commencecl.
wotu authorized on the site by such peinit is suspended
a period of180 days aftet lhe lime lhe wo* ls
lnspector MID#: 20'18-144108
01116002 51600
01 1 16002 51603
$21.25
$76.85
Fee Total
Paid to Date:
Balance Du6
$98.10
$0.00
$98.10
Tract: 10220
B([,:h+:443430fl i re: CTYH
I [,]
ELECTRICAL-INSPECTOR RECORD
OWNF]R BUIT,DER DET,(ARATIoN
I hcrcby olllfln undcr pcnohy ol Frjury rhlr I dn.x.mfl rn,n rh. C.nt,crrtrs Li..n* l-aw r(tr ttc f6lb*ing rc,soo (S.c.70.11.5
Ausincs rnd Profcsion C.dc): A.y Ciry or Counly shich rcquncs a ncrn lo .onnrud. iltn. inrFrvc. dcnxri$ .r rcNt any
ntucturc. prio lo its isuarcc. ako mquncs lhe 0rpli.n r ror.u.h l)Cnnir t, fiL, si8kd nsrc.Eii lhli heor shc h liccn\cd plNuant
to thc ltovisions of rh. Conrr.x, s l,i.encd Lrw lchaplcr 9, Commrcir8 *ilh Scciio. 70U) of Divnion I oflh- susncss.nd
Prcicssiotrs codc) or thalhc or shc is cxcnfl rh.rcfmm and rhc bask for rhc allcscd excnq,rion. AnyviolationofScdi.,n?03l.56yrny
aff,licanl lbr a pcn.il subjcck rnc appli.anr b d.ivilpcnalryolnol morc rhun fivc nundrcd dollars ($500)
I. ds owncr of ltc pmp.ny. or my cm0lolccs wnh wi8.s as $.n sb .onD.n\d bn. uill & rhi w u41!h. iturm6 nor
idcfldcd or offcrcd ror srlc (sd 7(I,14. Bxsincss and Proic$tnN C.!cr'flrc Conl,aclols Li.cnsc tjw docs nol optlyto 0nowrcr ol
rhc Ptup.ny who hrilds or impmws rtEEo. atlll *ho des sh m* hnnsclror hfislfor rhoueh hn or h.r .en c'lrl)loyu.r.
providcd rhlr such imamEnm e nor i, cnd.d or dfiurd tor {lc. lL hosds, rh. hdilding or iq,roknur i\ wH wirh'n om tu
ofonrplclion. thc orncr Builda will h,vc rh. burd.n oI ptrNiry rh,t hc or shc dil trorttrild or iflr,,&w c ttupiy for ttr NrrFs o,
l. rsowncroirh.protirdy. rtrlcxclusivclr.otrhrcri !*nhliccn{dco rsclns n, (n,(rucrhc nrc}cci (Scc 1014. Bu{nus
a huf.sstunCodc: Thc Contrktr s Liccnsc l-rr doc\ nor anDly ro un o*ncr olF)!.ny sho hxrlds or nnlroves rhcrotr.
and who conracls Inr such rmjLrh wiih r C.nhd.rd s) lrci\cd prr\unr b rhc C(,nrrcrtr \ t-ienr L$)
-I
an*cmpt undcr Sdio
UAAtrE&II:OITTDNIAIIAN
IECITIXAIIQN
I hcEh, amrm under pcnalr, otr.rjuryom olrhc folk,wing dcclrarn'ns:
I h,!e and *ill minrain a Ccnifiore of Coa*nr ro scll-ln\urc ntr worrqt ..mp.ngr io., ,i rmlid.d lor b, sBl i{'n 3700 dt rh.
Ln6or Codc. for rhc pcrfonmmc ofrhc m* ror whi.h rhc p.,nn n h\!cd
x hav. .nd rill hainiaiD *orkcF comp€ns.r ion inuronce. N rcqnncd h, Ser ion :17{x) of thc Ltrb(, Cd.. fttr rhc pcrfdmtuc nl
*ort lorwhi.hthh p.mir is nskd My *o,kc( coflrpcneriotr insuEtrcc cinicr oxl Flicy.umbc. dc
s l.t/c \-t)633 )rt
I c.nirr rhal io rhc pcrlbrnun.c ofth. work ln qhi.h rhis lcnnn is issudd. I shsll n.r cnl,br r6y r.rv,n in rny manft,
b es to tr.oN subjer io rh€ w.rk.. co.rF.qrt'n luwsolcalinxntu, and 08Ec thd irl shruld bcconr su6jcd tu rlE
sork 6 onlpcnerionF,visions ofSsiion l7(x,olrhc L.bor ( ftIc. I shall. ..n h*ilh on{,ly qirh rhos nmvisions
WARNh'C: t;ilurc ki r.urc sorkc^ onrp(n\rrion.omrr8c i\ trtrlr*lnl. nnJ rhrll \ub !n cmployc, ro qininll pcmlrics otrd
civil finc\ up ro onc hutrd rhousnrd dollh (!100,(xrD, in ion- nJ Hg.\ r! lnivid.d I{, rhc
Dar. €I
I hcfthy rmrhundcr ncnalryorri.rjury lhal I am lieost uodcr povkion olChopts 9 (<,nmn.ing enh Sccrian 7m0) ofDivnion l
ot rhc Ausincs ond Profc$ions Codc. rnd nry li..ns h in tullrndiddcrlcr
ac)^y o6 )?
ryv
I hcrcby afitrnr undcr pc.rhyofpcrjxry lh,r rhcrc is s consrtuclion lcndins aEcncy i(tr th. p.rlormuncc olthc *ork tu whhh rhis pcrmir h
issu.d (Sr..l097.Civ C.). t
AtzugtNLOliqLA.EAlAN
I h.rchy diian undcr Fnally orl.rjuiy onc ofrhc rolloeirs dcclarotions
Dcmolirion Perons Ashcsros Nolificalion trdcral RCEUhrions (Tnlc 41. PdO
Rquircd htrcr of Norifi .arir.
-l.cni!thd
rlt.i.dcnlrc8u]driuis rcIddilg ar]r{o\ rrnmvrl rc trol fplicrhlc i' rhtF!.rr
(..niryrhd r havc lcad rhisaprrka
ordiMtrc.\ di srar. titr\ rchinE h
rhovr ncnri,nrd pn,pcny i,r iI
,\ppli(!nlorAgcnl Sigmture
DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safe ty /Low Volta
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouqh)
[/]eter Release
Rough
n
FINAL E-rt-tv [.tLd0
Ngtes, Rem arks, E(c
C4^/
I
i(nr is.orrc.t I ngL! r' (onrdy sir[,ll cry iM cntrnly
n,,","r,"t"tr^rt"..tt,r")_rr",r"[fi
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APPROVALS
Service ltileter
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