HomeMy WebLinkAbout20167405 - PermitCity of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 201674O5
Pin #:63780 1
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ProjectAddress: 1302 E Seventeenth St
Assessor'sParcel: 400-23'l-0'l Lot: NA
Unit: C
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C4
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
01116002 51603
01 1 '16002 51603
01 1 16002 51603
0'! 1 16002 51603
01 I 16002 51603
01 1 16002 51600
01116002 51603
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.O5
FWU 24.79
Subpanel 53.28
General Plan Update 22.08
lssuance 55.04
ety
2.00
1 .00
12.O0
1 .00
1 .00
1 .00
1 .00
Fee
$2.90
$1 .s8
$12,60
$24.79
$53.28
$22.08
$55.04
P hone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
tLE F ire
11,,,
Buildang Use:
Job Type:
Nature of Work:
Planning Conditions
Commercial
Alteration
Demising Wall/Restroom
B
V B, SPK
cEc 2016 Notes: Add (1)new restroom.
Date
Date
Dale
Misc. Receipt:
Misc. Receipt:
iilisc. Receipl:
Total
, Teri
198246
Every permit issued shall become invalid unless the work on the site
authoized by such permil is commenced within180 days aftet its
issuanco, ot if the work authoized on the site by such pemit is suspended
ot abandoned for a period ol 1 80 days aftet the time lhe work is
commenced.
1111412018
Account#
lnspector
011'16002 51600
01116002 51603
$22.08
$'1 50.19
Fee Total:
Paid to Date:
Balance Due:
$172.27
$0.00
$172.27
Rohrs-Grand Associates
PO Box 9456
Minneapolis, MN 55,1409456
(949) 6734660
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type:
Code:
MID#: 20'18-147420
ELECTRICAL.INSPECTOR RECORD
APPROVALS tD/stG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
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 (Rough)-45
Ceilings (Hard & Soffit RouqM rl
ICeilings (T-Bar Rough)zl-n t\
Meter Release
Rough
Service Meter
FINAL (
Notes, Remarks, Etc
OWNER BUII,DER DET,CARATION
I hdcby amm und6 Frahy ol Fjury rhar I m .rcmfl nom th. Contra.loB l-ic.ns Lav lor lhe followhs 'cen (sd.70315
BBinBs a.d Profsion (odc): Af,y Cil, or Counry \rhich rcqut6 a Fnil lo coNlrud, alrd. improvc. ddrolish or EPait my
srruclur.. rior to hs is co also Equt6 rhe ryplicdt for such rE ni ro fi|. a s,sncd n'ld@( lhat hc or shc n lic€B.d p6uan
ro rh. FovisioG oarn. ConrEcroas l-'en!.n t,w (Cnap{d 9. Commdcins *irh Sclion ?000 olDivision I ofrh. Busins od
Prolcsions Cod.) o, thar h. o, sh. is cxmfl Un ,ioo dd lhc h6b lor rh. .ll.8.d .rmplion. Any violalio. of S.dion 70.r Lt by a.y
ltpli..nl aor 6 p6ni lobjdc lh. applicer ro acivilp.Mhyofnol morcrhan liv. huodrcd dollds ($500)
1.6 oM6 olrhe prop€ny. or myc'nployd wirh \Gsd a rhct $lc co6t Narbn. will do fi. work d th. slrucl@ is nu'
imdded or of6.d aor slc (s*.?044, Bui,6s dd PmlsioB Cod.r Tnc Coilrtclo s Lico6c L.w doe not apply lo an o\v.6 ol
lhe rropdy wno boilds or imprcv6lh€En. md sho do6 such s.!t hims.laor h.6.llot rhr.ush hi3 orna oM cmrloyeG.
poeid.d that su.h inf,ovmdrs m nor inrakH or or6.d ior sL. It lrc*q6. lhc buildi.e or iryrov.man is $ld sirhin on. ,w
ol.onpl.ro& rh€ (Nncr Blildd $iI havc rhc hid@ or previnE lhd h. or sh. di.l nor biild or inp.o\€ !h€ lIlpdy Lr $. pnrFs ol
-!.
6 otr 6 ofth. Frpdn m .rcl6iv.ly codr.crir8 wnh [c€6.d conlEclo6 lo .onslrucl lhc poj6r (Sd 7044, BBhs
r.d PDltseion Codc: l h.Conlrrcroa! Liccnsc kw do6 not apply ro d ownd olprot nywho builds or improvG thqon.
dd sho o'llracls aor such Foje.rs *ilh a Co6t6.to(r) licd.d p6mr ro rfi. conrEcioas l.ic€e Lav).
I dn e\enrplunds S{lnn,
t/t*/t
I hucbv nllnn, undur pc nhr.lpdi PIe!r!! llllll
-l
harc ard \rill nainla'n a Cenilicarc ol Colen l. Scll lNUrc lor rvorkdr (n,pc.srio . rs provided lor by sernrn :1700 o I ih.
Laix,r Code, lor thc pedonna.ce of ihc sorl for slrirh rhc pdnir t irsu.d
_l havc rnd rvill nainrain wo,I.rs comp.B.tion imu,anc., a r€quircd by Sdion 3700 of th. Lrbo. Cod. for lh. p6lol1Mc. oa
rh. *orl fo, which lhis pdnil k iqdL My wrk6r onpas.lio. iNurucc ceis ed policy .umbd dc:
l'o1'cyNunrbd: llxpncs:
I ccnirythal in lhc pc.lomaflcc oflh. wo* for n_hich lhis p@n ir isstred. I shallnor enploy aoy pson in dy franncr
$ 6 tu beomc subj(r b rhc $.d(6' conpd$r ion laM of C.lifoflria. ud alre lhat ia l should bsohc subjet io lh.
w6rkcc conpcaralionpiovniorooasdtio.l?00oathchh.,code.lshall.fonh$ith.omplysilhlhoeprovisio.s.
llALNlNC: I'ailule io Ku€ wolks' coopc,sarion covsagc is unhsrul. .nd ddl subjel or mploy€r lo omindl ,aalri6,nd
civil fin6 up to one hundr.d lholsdd dolld
Sdiion 1076 ofih. biff Codc i.rdsr d.tur
l$l in addnion tu rh. coe ofconDcflelioa. dmas6 * Fovid.d for ih.
tt
I hcEby amrn undd poEhy of p*Jury r m li..nrd ma6 povision of Ch.pls , {comm6.ins vnh Sdtion?000)oaoivision I
ol rhc Bsins dd Pror6sio6 Cod.. dd 6y licsc is in aull aorc. a.d .lT(t.
CO!$AICIIONIINDING.dCENCI
I hqlt y rllm u.dd FDI'y ot Fjury lhd lh@ ie a oNtdclion kndirg agdcy lor lh. pGhmoce oa$. sor* for $'ni.h llie Fnil b
issu.d (Sd. 1097. Civ. C.).
AITII(SNIDECLAAAIIAT
I hqlby allnn unds poalry of p.rjury on. of lh. followirg d..ldal ionsl
D.mohion Pmits-Asb6ror Noxic*ion Fcdaal R.sudions {Tid.40. Pdi6)
R.qun d L.rtd oaN6lircdion
I cdiay rhd $c fedgal r+rlrtioN r.Srding shGros roo\ al dc nor appli.able lo rhts ,nj<r
Lion dd srar. $ar rh. alrv. inlomdion n coftdr. I .E e'o complyunh all Cnyand Counly
ildi.s coGlru.lion. a.d h6.b! a hort. r.F6dtariv6 of this Cny ed Cooly lo 6rd upon Oc
Cco<+tr rf+/ra
DATE
dl?n
^J44
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LiccB.ClN, Lic.MNumh.r:
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Drt.: cortr..lor
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