HomeMy WebLinkAbout20467401 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2O4674O1F
Pin #: 55555lnspection Requests: (714) 667-2738 lnspector Section: 1714) 647-5853
Project Address: 1638 E Seventeenth St Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: C5Assessor'sParcel: 400-25'l-03 Lot: NA
Owner:
Address:
Trinidad Cisneros
1125 E Seventeenth Street, W-'17
Santa Ana, CA 92701
Fee Type Amount
01116002 51603 Demolition (includes ren 48.46
01 116002 51600 General Plan Update 22.08
0'1 116002 51603 lssuance 55.04
Qty
2.00
1.00
'1.00
Fee
$96.92
$22.08
$55.04Phone:
Tenant Name
Contractor
Address:
Owner-Builder
1/ 14 / 2it)
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
lnterior demo - n/v
Occupancy:
Constr Type
Code:
B
VB
cEc 20r6 Non-structural demo of all interior walldceilings
(complete gut of offices/restrooms) on the lst & 2nd
floors,5800sf. Letter of auth on file.
Planning Conditions: lnterior demo only
Planning Approval By:Date:
Date:
Date: 1111412018
Account#
Plan Checked By:
Permit issued By:
Subject to Field:
Building Permit #:
Amsden, Julie
10498362 01 1 16002 51600 $174.O4
$0.00
$174.04
Every permit issued shall become invalid unless the wo* on the site
authoi.ed by soch permit is commenced within180 days aftet ils
issuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 180 days afte( the tifie the wo* is
commenced.
lnspector MID#: 2O18-147302
01 1 16002 51603
$22.08
$151.96
Phone:
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Misc. Receipt:
lvlisc. Receipt:
l\,lisc. Receipt:
Total
Noles:
Fee Total:
Paid to Dale:
Balance Oue:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE rD/stG.COMMENTS OWNER BUILDER DEI,CARATION
I h6eby amrm lndd p.nilly oa psjury thrt I m .r.mfl lof, rhc Contraclon Lic..sc hN for rh. folLwirS r@. (Sd.70l L:
BGi.6s a.d Prof6sion Codc) Any Cny or Counly which r.qut6 r F mit lo coddd.t, ah6. improvc d.molish or r.!at a4y
strudu..
',rior
lo n! isudca ale rcquic lhc appli. l for such perfli[o 6lc a sis.cd nd.m.. rhar h€ or sh. is lictucd pu*dr
lo rnc rroyisioN of lh. Conradd ! Li@nsed t r (Chaprs 9. Comdcin8 qith Sdion 7000 ofDivision I ofth€ BusinN Md.
Pmf6siom Cod.) or rhar ne o. sh. is eicopt lh6eftoft dd rhe b6is for thc allesed excmprion. Any violario. ol Sdlion 70.r I .5 b, sy
Nffi;'*;ffiffi d;-ffi ilffi dffi :I#il1'",1-.,
rh. pNpsly who builds or inprevEln6oa and who do6 sch w* himsclt or h6clf or lhmlgh ht or hd ow. mplorc6,
prcvid.'l lhal sucn imporada e d inlqid orofisld foreG.If. ho$6d. $. toildine or impnvoEnr isFE*nhhoncl@
oicompletiotr lnc O$nd Buildd wi[ h,!. ih. htrd6 oaFovins rhd h. or sh. did Nr hild or nnpror. lh. popar, for ttc pupos ot
-l.6owoq
oflhc pmpsry. m dcluiv.lyconlrrrin8 silh licm.d conrmcloB to conslrud lh€ !.oje.t (Sr 7044. &Bms
Md Aof6si,n Cod.: Thc CDntraclols Licosc Law do6 not applylo u orna ofprop.ny who builds or lnprovcs lhdeon,
and who onlds for slch Eoj..rs wirfi a ComBdo(r lttr d lu6trr torhcConr6ctois LiccM L{w)
-l
m er.mfl unds Sdio
qIITABAI!)I
! hercby aflim uodtr p€nalry ol psjury one oithe lollo$iry d(ltr.lioNl
-l
hav€ and * ill mintain s Ccnificatc of Cotucnl ro S€ll-lnsurc lor uork.*' conrpensrion, 6 rftid.d aor by setidn 1700 of rhc
tabor Cod., for the p6iom ccofthcwort for which lhc paoil is issu.d.
_l haw and w,ll nainlaio wdrke6' conpeEalion iNulancc, 6 r.quted by Sed ion 3 700 ollh€ l.abor Codc- foi rh. pdfome.e ol
rh. r'ork lor which this pdir 6 isd. My worlds' comp€Nrion iEuacc @is ,nd policy numbd d.:
Poli.y Nuib6:-Expt6:
I c.nify rbd ir thc psfo,iMc. of rt. *ort lor *hi.h rhi Fdir i! isslol.I shrl nor dploy ey p.Mn in my malffi
$ 4 lo bcoh. subjcr Io lhc vork6' comp.Gar ion laws olcslilonia ud esr€c rhal il I should b..onE subjdr to
'h.worl6 comp@tion pdvisios ol Scclion 1700 ollh. Labor Code I slall. fo.rh*ith conply $ith lhoe povisioo
WARNTNC: liailurc to seur€ NorkcE compdsarior covoag€ is trnla{tul. atrd shall subj(r o,ploys h rirniml [hahi6 tud
.nil fir€s !p ro onc hudEd rbo@d dou6 (tl addnion ro rhc cosl ol conFerion. d@s6 a Fovid.d for lh.
sslion 10?6oflh€ Ljbor Code inlerBl and fiomey
I neruby ainm u.dc. pe@lty of pdjury $al I d I'csa.d und.r Fovision ofchaDtq I (connmcins * nh
ol rhe Busins d t'rofBsioB Codc. ednylicsc is in fulllorce$d€rd.
CQNIAIJEIIO!}DIDINGICTNCI
I hftby amrm undcr p.nalty olDqjury Ihar rhm is a @nnrudion lddins asocy fu rhc psfomncc of rhc vort to^vhich rhir ldnir is
isu€d (Se.1097. Civ C.).
AfIITCANLDECLAAAIIAN
I hcdry.,!nn undd poahy of p€rjury oflc of lh. louowirg deltralioNl
Dmolnion Pmirs-Asbclos Noti6dion Fd.r.l R.grlarioE (Tirl. 40. Pd6)
J Rdutr.d ldknrN.nidhr
_l coriry rhal thc tufrI r.sul,lioa cs&dins sbGros rmovrl rc nor applicabl€ to lhis pmj€n.
*.*^,
F..r-*.*,"a
na st0r.rhdihcahr\. inaonndiotr h.oddr larre b compl, wnh all Cilyand Coun'y
alhk City md Couly ro olq lpod dF
*,{Lt-//-6.lmvc Mr nrd tropoly lor
A rlicr r o.,\gut Si8n{rur.
coNtudion. lxl hd.by aurhori. rcF.srar irs o
Site-Work
U ndergrou nd
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
I. rqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilin gs (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Rough
Service Meter
FINAL a/o/t ./,-/VUl'.
Notes, Remarks, Etc
Meter Release
411
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