HomeMy WebLinkAbout20166179 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 20{66179
Pin #: 2a5OO
Project Address: 1900 N Grand Ave Unit Brdg AddressRange: 1850-2050.Suite Range:
Zoning: C4Assessor'sParcel: 395-161-01 Lol: POR G.L. RUSSE Block: A Tract: ROHR'S/CHAPMAN Historic: No
Owner:
Address
STERIK SANTA ANA
50 TtcE BLVO 11
Woodcliff Lake, NJ 076777658
F€e Type
01116002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$23.87
$21.25
$52.98Phone.
Tenant Name:Santa Ana Northeast Little League
Owner.BuilderContractor:
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:Notes: Handout given/fees pd in full on M-71110
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Link, Patricia
Date;
Date:
Date:06t1312018
Accou nt#
Misc. Receipt: 7'1110
Misc. Receipt:
Misc. Receipt:
Total
Every pefinit issued shall bocome invalid unless the work o, lho site
suthoized by such permit is commenced within 180 days after its
issuance, ot if the v/o* authorizod on the site by such pemit is suspended
ot abandoned fot a peiod of180 days after the time the wo* is
commenced-
$98.10
$98.10
$0.00
lnspector MID#: 2018-143991
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
q
N/A
N/A
cEc 2016
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab i Floor
Bonding / Groundinq / UFER
Translormers
Torqueing
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Bouqh
Ceilings (T-Bar Rough)
Ivleter Release
Rough
Service Meter l
FINAL z
Notes, Remarks, Etc I
OWNER BUII,DI]R DELCARA']ION
I hc,c$y rllirn und.r pcoalry (,r Frrury rhdr I an crcnrpr fm$ rhc Conhcro$ Liccnsc Llw for rie lollowin8 r.d*n (sd 70ll5
Bu\i,rcss nrd Profc$ion Codc): Any Cily or County qhi.h rqutcs o pcnni l(' condtucr- llrcr, nnptuvc. dcnolnh or rcttrir rny
ntucrr(, rrin t, irs i\suh... rl$ rquircs rh. ,prli.aht for :u.h Frrnn h fib n si8ncd iarcmnr rhar h. oi shc h licenrd plN@nl
t,' thc privkions of rhc Conrracrois Licc.rd Lae lcn{prcr 9. Connnctuii8 wirh s.crio ?olD oi Divhion 3 of lhc Bu\inc* !.d
Prufe$iors Codc) .r rhar heorrhc ircx.,rpr rhcerro atulrhchflsnrorrhcallcgcdcxcmptnnr.ADyviolllion,fs€ri,nr0.ll5byLny
rtpli.dnr lar o ltmir suhj.rr { rhc applic,trl o , civil l. olty or mr mrc
'tun
fivc hu ndEn dollaB (S50o)
/]A-*,,r ,* n-*nr. nrmycn'nr,,rrc\ ! h l ascs rs rhct $k co'np..qrion. wirr do rhi vr* uld rhc (Mrurc i\ trn
,/ f,ni.,i ", "nrcd r."qk rs( ?u,U. aulurcs(JtrJ Pn\fccsirr$ culc: Thc Co mdofs Liccnsc l ie docs lor lpply u on otrn, ol
rhc ropcny $ho builds or i,q8,ws lLE,o. rnn who d@\ such work hinNclror hcrsclror rhsugh hh or hcr own.mpLyccs.
Fn,vidcJ rhar \rch inrprovcnEnhft n.riircndcd.rof[crcd lor srh ll ho$.Rr, rh. huildirg or imFnMm n soh wilhin onc rsu
olcompbrnrn, rhc Osncr BliHcr will hat rhc burdcn ol pmvitrg rh.r hc or rhc dil rn huild or in{,)R frc pRrFn, Iu rla purlx,* of
l. dsowncrofrh ptup.dy, dncr.lusivelr..nL..rinS *irh li.cnkd .ortdcto6 lo consrrucl lfu pxllcr (Scc 71X,1.8tr(ms
anl tto,ls Codc: lhcConrlrtr\l-icctrscl.a*d{x\nor,ntlyk,3tro*ncrofB,p.nywh()buiklsorrn{rovcsrh.rco..
ind who cotrImds for such lm]ccis wirhrConhdoas) licctrscd puruanllo rh. Conr.lciois l-ic.n\c ttr*)
i"t,4\i
I h.Eby.flirm und.r p.n.lry ol pcrju.y orc o! rhc lollDwire
I hdv. dnd will min din workc.r conrc.sr' ion insuhmc. n rcquncd hy Sccriotr :17(x) ol rhc li$or Cde, lor rhc pdroi,nn( or
rhr worl loi whichrhisp.flnn is nsmn. MyworkcE .onpcisdion insur cc.aricrondFlicynumbcr m:
Rnh'J Nu 'hc' l'\
//-1.-,,r,r' , '* "".'n,n!R.
n,,hc q,rt hr qhrh,hF n.'n , tr \\uc., , .hJ,,
t/.lAu, n.-" -rn, i.,r"- (,{r,1.'.unnfl r rrs.,.r cJhrum,r ,tr,r"s\.rh.
nor .mtlo, rny pcrtotr ir.nymanrcr
ill rltrr'l,t tulnn {,hj.rr1orh.
sorken.omp.n\in,nl(,visions.rSc.rn)nlT0OofrhctihrCodc.l\hill.lirihwilh(onrply$ilhttu)\cpmli\ions
lurc lo ecurc workcn crDp.n\dion colcrrrc n uohelul. nd shall suhjNr an cmfloycr lo aimin
fl*::U Ii?jTi
I h.aht aTlirD undcr rcrallyol pcrjtrry rhal I n lirtr*lundcr pnNn ;, ol( hrfrcr 9(.onnrf,ncirg NirhSLiriotr 7(x[)).ll)iri\iir ]
ol thc Du\irc$,Dd PrcE$hnsCodc. ond nryli.cnrc h ir tullfor.c aDdciicr
caxsrBucraNrlll,ulc-dcENtr
I h€rchy afltn ullccr Fnahyorpcrjury rhd rhcr. h a L1,nitucri,,n hndi'r8,!cml hr rhc pcrfotnunce ollhc work ir shich rhi\ limii is
issucd (Scc. :1097, Civ. C.)
AIIUI.:ANLDEIIA&U]ON
I M)y aflnn utulcr p. alr y ol tErjurt onc .l lhc aollowinS dcc l,r,rnnr:
Denrrin,n Pcrmir A\he(o\ Norifi.trrtrn F.d.tul Rc[ulari,,ns (Tirl.40. Pd6)
R.quncd lf,trf .f Norifi .dion
ffir,ffi*sr
rirrrs icg dirE r\hcnos rcnrrl rrc 0or rpnli.rblc ki rh \ I,R,tc.i
/1ppli$nl or aenl SianBlure
'arut
ELECTRICAL-INSPECTOR RECORD
Communications Cable
Air Conditioners
I hrvc dri *ill minrrin , ccnilkrrc of Co.*nt ro sclf-lnsurc tur aorkd s conEns.l ion. a\ lovidql ior h, Sc.rion l7fil of rhc
ljbor Cdc- tu lhc pcrionmne ol lnd s.rk ror whi.h lhc Frmi i\ n\uc .
Cootmclo.r_
txndcrtAddre!r-
ro..nDlr *nh !ll Ciry id Coutrry
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