HomeMy WebLinkAbout20167329 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical
l nspection Requests: (7'l 41 667 -27 38 l nspector Section: (7 1 4) 647 -58 53
Proiect Address: 1945 E Seventeenth St unit: 103
Block: A
Bldg: Address Range: l93s-1975
Tract A.B. CHAPMAN Historic: No
€P
Assessor'sParcel: 396-321-2'l
Levy Affiliated Holdings
1945 E 17th St
Santa Ana, CA 92705
(310) 4s1-5s69
LA Fitness
01 1 16002
01116002
01 1 16002
01 1 16002
01 1 16002
5160:
51603
5'160:
5160t
51603
Fee Type Amount
Light Switches, Occ. Se 1.58
Dedicated Circuit 24.79
Track Light Per 100' 24.79
General Plan Update 22.08
lssuance 55.04
Qty
2.00
2.00
2.00
1.00
1 .00
Fee
$3.16
$49.58
$49.58
$22.08
$55.04
Phone.
Tenant Name;
Contractor
Address:
Triple E Electrical contracto
2535 South 3rd Ave
Arcadia, CA 91005
(626) 447-5096 1/t/2t)lg ID: NGAR(:.nnsi: 36 1 of
Ref+ I ?rll67J?9- 11/l/2fr18 11:32 At1| ,277.44
State Lic #: 410132
Lic Type: A, C-10
Bus. Lic #: 370981
Workers' Compensation lnsurance:Carier Everest National lnsurance Company
Policy #: 7600007042
Expires: 0312912019
lt rt1 Contrq(tcrr
pdute Fee
r:rfrt[-
i. tl
lfl..
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
Elect Tl
Occupancy:
Constr Type
Code:
A.3, B, E
II A, SPK
cEc 2016
rr,,.4138 Auth+: ?56"r
Planning Conditions
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Hernandez, Kathy
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authotized by such parmit is comnencecl withinl80 days aftet its
issuance, or il the work authorized on the sile by such permit is suspended
ot abandoned for a period of180 days aftet lhe lime lhe wo* is
commenced
$179.44
$0.00
$179.44
lnspector MID#: 2018-147401
011 16002 51600
01 116002 51603
$22.08
$157.36
Permit #: 2(J167329
Pin #: 13921
Lot: POR 16
Suite Range:
Zoning; C5
Owner:
Address:
Phone:
I1
I
G€nero
lJ1116ir
Elq, t;r
(111 16tl
l1n <t er
Ca+ir
$11101t2018
Account#
Notes:
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDETI DEI-CARAI'ION
I hdeb, altrfln und.r p.nahy of p.,jury lh,l I d cx.nfl 6on lhe CortEcros l-ic.ns. Law lor lhc aollowing rcN. (Ss 7011.5
Itusin6s ad Prefsion Codc): Any Cily or Couf,ty {hich r.qui6 a IFn( lo coNrud, .1t6, imprcve ddoltsh or Ep.n anv
srrucruc lru 16 ns isu&... .]so r€qun6 th. applicd ror such pdnil ro 6lc t sisn.rl nnoc $a h. or slE is lic.ccd pusel
ro rhe Fovisiom olrhc Conl.ocroii Lic..s.d Ijw (Cnapl6 9. Comm.ncins rirh scrio! 7000 of Divis'on I ofth. Busins dd
Prcrsions Code) or rhar h. or shc t cxcmpt lhq.lion ud lhc barG ld rh. allcS.J .rop{ion A.y violariohofs..lion ?011.5 bvdv
applicant aor a p.f,nil subjcclslhe applic.nlloacivilpenahyofnotmor€ln iive bundr.d dolles ($500).
-1.
es osr6 oflh. FoFny, or my cmplo)€6 wilfi war6 6 lhcn sb comPeGdion. rvill & lh. Nork ,nd rh. iru]w is ml
inrad.d or ord.d for sle (Sc.?044, B*in* od ProasioB Codc Th. Codracroa s Lic6. tls .L6 nol lpply lo e osd of
rhc popqry who buil& or inpmvB rh6En. ed s'ho do6 such *ort hinsdl o. hddf or rtousn iis or hft o*n .flrployc6,
provid.d thor such i'trpolE@s d. nor inr.nd.d ff ordld tor elc. lf, how*s, !h. tuildinB or imr.ov@r is $ld wnnh onc )@
of.ompleliotr rhe OwnB Build6 will ha* rh. htrdo ofp oving td h. or shc did nol build or ihpr.k tn€ Fopdy lor rh. prFos of
-1,
s ow.d offi. Fiopdr. m €xcluively .onlr!c1ins wilh li.6*d contacloB to cocrtucr lh. projd (56. 7044, BBinG
snd PNtcsshn Codc 'rh. Conl$clol s Lic.nsc Law do6 flot apply lo d o{ts of propeny who builds or inprols lh6o.
dd qho codracts tor such pDj€crs wilh a Coor6clo(s) licNd porsuanl lo th. conhdols Licmc Law).
laD.\.n,nr rnnc. sccrnn, .ll & r'( tur r[ s '.rnri
Dstc o$n€r
!118tr!8J..lg!il8E!S !A!
DECtdXAUt)!
I hdc6y 0iltrD u.d6 p€n.hy of pEjury onc of rh. followin8 ddlTatio6:
-l
luv. {ul will ,@i.rain r c.nifEsr. of Co66l lo Sclf-lcuc ror lotkqt e.D.neri6n, d potid.d aor by Sdion 1700 6flh.
ttbor Cod.. lor rh. p6lommc. ollhc worl for which lh. p@il ir i.lucd
I havca.d Nill mai ain *o*€.J .onp.6alion i6ua.c.. e r€qut d by Scr io. 1700 ofrh. tjbor Codq for $. pdfommcc ol
lhc mrt for rhti rhis pcrftil is is@t My mrka! conpaqiofl iNur*c c&nd .rxl poli.y nunbd 6c:
PolicyNunb.r ErPt6:
I c.aify lhal ir rhc prfonmc. oirn. work aor which ths pcrdil i rsued.Ishallnor qploy ey pden i, or rI nE
o ns kJ Ldon€ $bjsl lo lhc rcrl6' compota io. lass of Califomi., md asre lhal il I shorld b..o,n€ subj{l lo lhc
woids' .orpm,rior psvisioB orscclion 1700oarh. Labor cod., I shall. fonlwnh.ompl, rvirh thoE prcvisioc
WARNING: Failue to su. vork6' conpsEdion 6vcEC. i5 unLwtul. ed shall $bjd d anploF to oiniMl Fuhi6 md
civil n.6 up io on. hundr.d rhoMd dolld ($IOO.OOO), in addhion lo lh. cos olconp.Mrion. dosa6 a ptovia.n a.r rh.
s€crion 3076 olrhc Lahor cod., im66t md lnorncy i l€.
DEqIdaAIIO!
I hftb, amir nndd p.n.lly of p.rjuy lhat I @ lic@sd u.dd lmvision otchafld 9 (co'macin8 wilh Se.lion 7000) .r Divili.r 1
ol rhc BNinB a(i Pbf6ioN Cod., and 6y li.mc 6 i. aull aore ed er€l
L:ccDc\um'.o
."",."",".(
CONSTRUCTION I FNDIN(: ACTNCY
I fi@by ailm mdcryorlty ofp.rlu.y lhrt lh6c is a conslruclion lading agmcy for lhc pqfoms.. of th. *ork for whi.h lns pami !
issu.d (Sd. 1097, Civ C).
APPI,ICANT DI1CI,AEATION
I hd6! allmn utrds poshy ol pd.jury o.. oafi. aollowinS d€leol ions
D.nol ion PnmnsAsbctos Nolilic.lion F.d@l R.sublioG lTill.40, Parl6)
R.qrn.d L.lla of Noiificatbn
_l cqlily rh? rhc l€ddal r+rlatioN rcBadins 6b6los rdovd Ec nor .pp
_l cdily rhar I hrv< red thb applimtion dd sklc comply wilh allcnyand cou.ry
ordinancs dd Star€ l-a*s rclati.g lo buildin8
above mdtrio.cd prcp.ny tor
ppli.rnt or Agcnt Sign.tur€
V ,
I
TUE:"
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 / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lt/eter Release
Rough
Service [/eter I
FINAL 2-//r//4
^Notes, Remarks, Etc z--A/l
Drt.:_
L.oJeir Nime
-
I cnJcr s \,1.!6.-
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