HomeMy WebLinkAbout20167326 - PermitPermit #: 20167326
Pin #: 598{6
Proiect Address: 267 N Bush St Unit:
Block: 8
Bldg: Address Range:
Tract: Town of Santa Ana Historic: No
Suite Range:
Zoning: SD84
E
Lot:
DrewAtwater
267 N Bush St
Santa Ana, CA 92701
(818) 935-0205
01116002 5160:
011'16002 5160C
01116002 5160:
Fee Type Amount
Over 10-50 HP, KW or | 45.21
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
1 .00
1 .00
Fee
$45.21
$22.08
$55.04Phone
Tenant Name:Bsti:h
0lf it
A,:ct +
Rrpt+'[rnns
- 11/1/?r.l1S I03 H6ARCIAIrnnsi! 31 1 ol ?
R€f+ I 2r11673?6\6 - 1t/1/20t8 11:1(r AnIotol t2211.33
'i{ oevelopient Co
Regency-Pacific Developme
1440 Beaumont Ave #A2-30(
Beaumont, cA 92223
(951)797-5s59Phone
f(es e n
GenPnn 1
t-I1116(rl-r?
EIe.tn r c
01 1 16f-Ir 2
V isn((:i: *rr
o Updote Fee
1,500!0t:t-
L ,r r:tJ (rtflir-
*r*{** 1259
$22.0S
i1L'10 .25
$22(r.33
Auth+:t-ri1r
Building Use:
Job Type:
Nature of Work
Mired-use
Miscellaneous
EV Charger
Occupancy:
Constr Type
Code:Notes
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
\LY nernanoez, xatny
Date:
Date:
Date:111O1t2014
Account#
Every pemit issued sha becofie invalid unless the wotu on the sito
authotized by such pemit is commenced within 180 days after its
issuance, ot if lhe wo* authorized on the site by such peftnit is suspended
or abandoned fot a petiod 01180 days aflet the time the work is
commenced
lnspector MID#: 2018-147400
01116002 51600
01 116002 51603
$22.O8
$100.25
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Assessor'sParcel: 937-833-36
Owner:
Address;
Contractor:
Address:
State Lic #: 555935
Lic Type: C.36, B, A, C-10, C-8, C-27, C46
Bus. Lic #: 370979
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 1222058
Expires: 0710112019
R-2
VB
cEc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total
Paid to Date:
Balance Due:
$122.33
$0.00
s122.33
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE rD/stG.OWNER BUILDER DET,CARATTON
I hd.by smm und6 pdalry of t dury rhal I m ex.,npl lrom lhc Conlt.ctots Li€cnse L,* lor lhe following l@n (56.701 1.5
Busin6s a.d Proleio. Codr)r Any Cily or Courry shich r.quii6 a pdmn to conslrucl, alrn, inprovc &nolnh or Ep.n v
srdc(m, prior ro irs isuoc€, also rcqune rh. appli.dl for such p€nnn lo fil. E siSn d slal@ml thal hc oi sh. i! licosd pusue
Io rhc provsiod of $c Conrracloir Li..n*tr Law {Chaflr 9, Come.cin8 wilt S.dion 7000 ol Divirior I oflhc Bain* ed
ProLssions cod.) or rhar h. or sh. is ex.hfl lho.nom ed th. bsis for lh. all€scd er@plion. Any violationoasdtion 7011.5 bv anv
applicanl tor a p.mn slbjers rhc opplicanl lo a civil pmlty of.or tuoi. thm liv. hutrdEd dours ($too)
I. 6 ownd olrhc proFny. or ny .mplor6 with f,as6 6 thor $lc .omp.N.lion. vill & thc sort dd lh. slrucl@ is @l
inrsrd.d orof.r.d for ial. (Se.?044. Bsind and PrclBioc Cod.r llcco racroi s Lic@ riw doe nol applv lo a ownd oa
$. rrDFry who buil.ls or idpoc lhdol\ &d aho do6 sh w* him.claor hNl f or llmush his or nd own .mplor€6.
provided rlsr su.n improvomls e nol intsdcd or ofis.d tor elc l( howdr. tn€ buiklina or nnprovd ii $B wilhin on. )ur
ofcompl.rion, th. O{Td Blndd sill hav. ln. ho.&r olrrovinr llla hc or srE did mr blild or i.IIlrt th. Fiqdry for lh€ ,urFrs or
-1.
d oMd of rh. propdy, m crclEiv.ly conlr&li.s * irh lictr.d coilmclou lo conslrud rh. Frjtcl {Sd. 7044. Bdind
md hDf.sim Code: Thcc.hradols Li...s. Law do6 not rpplylo d o*nd ofprcP.ny who builds or improv6 lhdmi.
dd who .onrds ior slch Frjcds wnh a Conrddo(t) li.ffcd Pu6uo to lh€ conraclol s Lic.M ljv)
_l d crcmfl undd sction
iu!8trE8a.cq!4cElsaro!pEcldf,arra!
I h@by a,Im uidd paany of pqjury oG oflh. fouo*ing &.lffiriotr:
-l
lllvc aa, will mirhin a ccnifE.r. of coMl lo sclfiBu. aor erkd @mp.nsrion, s Fovidcd for bv sclio. 3700 of lh.
Llbor cod.. 16r fi. pqfomecc ollhc wort lor vhich lh. p@!n iu i$ucd
! h.vc ond will mai ain work?rt co'npdsarion ireursce, 6 rcquircd by Sdion 3?00 of thc kbor Codc. to! lh. FforlM.. of
rh. work aor whict rhb pdnir 6 is!.d My e*6 compasalion i6ufuc. ffi6 &d Policy nunbd dcl
I colifylhar in rhe pslomecs oafi. wort for *hicn lhn pdnn is issued. I shallnor dPloy tnl pcso. in.ov nMnd
e s ro beom. sbj(r lo th. q!.t6 conFHrion loqs of Colifomi!. aod ,s@ rhar if I sh.uld b.cooc slbj{l
'o
$.
*orkes comFnelion prolisioB of Sdion lT0o of th. Lat r Code.l shau. fonhsnh comply wnh lho* lrorisions
WARNINC: Failu. ro su. vork6 conpdarion covdage i! unla*Iul. and shall 3ubjer e mPlovd to oioinal F .1i3 od
civil liocs up ro o.c hudrcn thowd douc (llOO.OOo). i. addnion to lhe cosr oa codFMrion. daflas* 6 proviled for fi.
Sedion 10?6 of rh€ I ik)r ('odc, inrdcl ed anorney's rG
DECI.ASAIrcN
I h@bt rmm undr pdEhy of pdjury rnar I 4 li.eN.d ud6 pmrisio. ofchaPtd 9 Gommacins wi$ Selioo ?000) of Division 3
ol rh. BBioBs dd PofsioN Codc. dd dylicdc 6 in full forc. ed.iI6l.
C /o aq 5 q (.
coliraiJglrolil[NDlxclcDlcl
I h@h, altm undd Fnalry olpdjuiy $at rn@ i! a cod,lrucliotr lcnditrs !so., lbt rh. P6aomuc. oarh. wort lor *hich this Fnt i5
i.su.d (se 3097,Civ. C ).
AITIICANLITECI.AEAITA!
I hq.lry arm lndd poalry olp6j!ry onc oflhc fouorving daldarions:
D.molirnrn Pdils'Ash-tos Norificalion Fcddal Reubtions Onb 40. Ptn6)
-R.quncd
L.nd of Noincdion
I cdil, lhal lhc f€dqal resuldios r.ldding 6b6tos tonoval e. Nl ,pplictbL ro this pojdl
-lcqrirylhal
I hdr rad rhi! applicalion od $.relhal th. atov. inlomlion is coFtrl.I agre lo.oorplysnh.[ Cnva.d Cou v
ordin.ncG d Sarr Lls clati.! to building co61ruclion. ed h6eb, authoriz. rcpr64laliv6 o flhi ciry lnd Colnl, to dl6 ulEn thc
abo!. mmrion€d prcpo1y lor i6p..l6n puqrsd
,\IIlicr t nr \Iu l Sittrrhrr
P.mlle nrn. (prlnt):
t[/t/t%
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 (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh
Service Meter
FINAL //4/-1." ,?X (-/'2
Notes, Remarks, Etc
COMMENTS
,",", i(/\,|/g
L.ftdd r A&L6
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