HomeMy WebLinkAbout20166158 - PermitCity of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2Ot 66158
Pin #: 6{6OElnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unil;
Block: NA
Bldg: Address Range:
Tract: KUFFEL & FLETCHEistoric: No
Suite Range:
Zoning: O
E
Lot: NA
Owner:
Address:
SCHOOL SANTA ANA HIGH DIST
1405 FRENCH ST
Santa Ana, CA 927012414
Feo Type
01116002 51603 FWU
011'16002 51600 General Plan Update
01 'l 16002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$21.2s
$s2.98Phone:
Tenant Name:Valley HS Soccer
Orflner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Woriers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use;
Job Type:
Nature of Work:
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016 Notes: Handout givenffees pd in full on M-7lll0
Planning conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Link, Patricia
Date
Date
Date 06/13/2018
Account#
Misc. Receipt: 71'l'lO
Misc. Receipt:
Misc. Receipt:
Total
$98.10
$98.10
$0.00
lnspector MID#: 2018-143968
N/A No Balance Fee Total:
Paid to Date:
Balance Due:
Project Address: 1801 S Greenville St
Assessor'sParcel: 408-301.01
Contractor:
Address:
Every pennit issued shal becone invalid unless the wo* on lhe site
authorizad by such pemil is commenced within 180 days aftet its
issuance, or if the wod< authoized on the site by such permit is suspendod
or dbandoned for a peiod of 180 days aftar tho time the wotu is
commenced.
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCNRATION
I herehy rrfirm lndcr lcnslry of pc,ju'] rhi I m excmrl fmm thc Conrtudo^ Lic..!. Liw lor rhc followinB rcast (Scc.7oll 5
an*ine* rnd Por.ssion C.d.)r Any ciry or G.unry whi.h rcquios o Famil lo consldct. ollE. nryoq dcm,li\h or rcFt &y
sh.rurc. Eior ro its issume, also (gutcs lhc applicant for su.h lrro l to lik a sistud d{cnEnr rhdr hc or shc il liccnscd IUNr.r
iu rh. roriqioh..rrh. Conr&bcs l-iccnscd tlw (Chrrrf 9, cofr'Rncin8 qilh Seclion r0OO of Dilnion:l ot rhc Businc$ lnd
Pmfcssiotrs Codc) or lhrr nc or shc n cxemlr thcrcfiom lnd thc hasis lor rh. allcscd dcFplio.. A.y violorioo oas.dionr0ll.5 by any
Artrcrnrf.r oFrmil.ubjccrr'hc aml'r,a L, a$rlIlcnal) nl nd m,r rhJn lr. hund..J dullds'tr<00r
l/l/\.,{"**, "' 't " 1*p.y.., my cnern}rcs w h srscs.srhcn mbconDcns.r,on. w,rd. rhe work und r. n tucism,' {nloir4 * .r"*o t"i *r. r sK ?r,44. Bdnm* ,nd [to,;$ionr codc: Thc coita.rors Li.cn{ tiw &rs nor ryply lo m o*ncr of
rhc nm*ny !h6 hr'Uc o n{mhi th.mn, sid wtr d.s rkh Mlk hinsclfor hcrulf or rhmugh tis or hcr own enpldy..s.
povidcd rhor such inDrovcmnrs N mr ilrcndcd oroffcr.n foreh ll horercL the tDiUinC o, imtrowmnr is sH wirhin ok )te
ofconuhltun, thc Owmr Bui!:lq will n!rc 6c hldctr ofroviry
'hlll
lE or \hc dil hdild or impm{ rhc,nrrdy r.rih. Futr$or
_1, a\nwncr.rrhc pop.ny. inrcrcluqivcly.ontr.ring wirh liccnsdd.onti.ros ro.on(ru.t llE prrccl lScc. ?(X4. Bt\irEs
0M PmL\si{ Cotr. Thc cotrtrlctor's t-iccnsc L,w docs nol ,mly nr an owrcr of pnpcrty who bu ildr or nnprcvcs lhdcoi,
rnd uho conrnchlor $ch pmjcckwirha G,nrracrorln licc
"'u It
I hcrcby nfinn unds,,.D.lryolp.rjuryonc olrhc lnl[,win8 dccl&lions:
lhavcrdwrllnrNainaccnifi..tcolConsctrllosclf.lnsunlorEolkcrrcor.pcn\arnnr.arpmvidDd
tf,txtr (i{lc.l{x rh. If,nnnnmcr ol rlt (ork nr*hi.h rhc pcrn,ir n n{k,l
-l
hrvc.nd willnrintoin qorkcr'compcnslrion insu.!rcc. !s rcquired ht Secrion]TrD orrh. trbor codc, ior lhc ncrtonnancc.l
lhc srrk rbrwhirhthi( p.ir r is h\ucd M y sorkc6' conrp.n{rr io n iNUntt.afiicr md fx,licy trutr$firc
P,r'.y \rniho _ F\t,i'c
fI,1".,,*, .,*,.,.,nmtr!c, * rn,( htr shtr h,h,. fci,1 r r.trc,,. r.,rJ., 1,y.dl \h.r, r vblcr r, rhc ",rlc'. .. m|cn.ninn |Jtr.,{ (,li,r'aL. rn,l JHr,tr I
*old',\n'nn,,i^1nnrnn,n.',rSc(Inn17ri,nrthcl.'h{Ifr.c.1\ltll l,'rhu'h.1
.n,ploy rny pcno ind l rnMncr
\hould hcom subJcd ro rhc
ntly wirh rho{ fl)vnionr
WARNIN(i Frilurc t, {.ur workcri.o r|.nsrridr..v.rns.i\ utrliElil. .n shrll subFlr an cmploy.r h crin,indl ,.nrhh\ and
\'ff
dollr (Sl(X).(XX)). in rd,lirnr r
[{t0
I lrrchyilijlrundcr |ttrrlty.lpc4urrlhal I Mr liccncd undcr
ol rhc au\i'rcs\ rnd P(,fc*n[\Codc. J nry li.cDr ir irl lrll
fr.r 9 (conu rn.nl8 qirhSr.rn
l,i.cnscchss:- _- l.i..n\r Nutrthc'
l)are Conldchr
IANSIf,U!:UI.}XI,INDIUG.AGENI:,I
I hcrehy amrd trndcr FnalryorFrjuryrhd rh.rc k a.on{d.ri(,n Lndin8 a8.Ry lor Ih€ pcrtbrmrcc otthc w. ror whi.h rhis pcnnil is
issucd (sN 309?. civ c ).
aITIICAII-DECI IIAIIO!
I hsd,yaffimu c!,cnally ofpcrjury om of tlE follo*ine dc.l[llions
Dtn.lnion P€rniir$Asbc{os Norificdion F.ncd R.Sxlariotrs (Tnb &, P!rl6)
Rcqnibd kno of Norifi.arbn
rh)vc i'nonn nr i\coflcd l rgrNrocomply*irh rll Ciryrid coutrt,
irc\ olrhi\ CirtrtrJ cou ryk,
ADpli(snl or Aarnt SiEnuluP
P€m lNn ne(!rinl):
>
'l[-'"
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Safety /Low Voltaqe
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 (Rouqh)
Ceilings (Hard & Soflil Bouqh
Ceilings (T-Bar Rouoh)
Ivleter Release
Rough
Service l\/eter
FINAL /--/8-rB-U/#a pa
Notes, Remarks, Etc
{
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trtrdc''. AJdrrs
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