HomeMy WebLinkAbout20165948 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2O165948
Pin #: 59439lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Project Address: 201W Dyer Rd Unit; A
Block: NA
Bldg:
Tract: NA
Address Range; 11140'l *
Historic: No
Suite Range:
Zoning: Ml
E
Assessor'sParcel: 932-910-78 Lot: NA
Owner:
Address
Mayer Johnson
2'14 Main St #361
El Segundo, CA 90245
Fee Type Amount
01116002 5'1603 Over 1-'10 HP, KW or K\ 22.42
01116002 51600 General Plan Update 21.25
011'16002 5'1603 lssuance 52.98
Qty
5.00
1 .00
1 .00
Fee
$1't2.10
$z',t.25
$52.98
Contractor;
Address:
Joven Lactaoen
10925 South Broadway Ave.
Los Angeles, CA 90061
(323) 7s7-3161Phone
State Lic #: 752955
Lic Type: C-36, B, C-4, C-10
Bus. Lic #: 369444
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
oener(ll t'1(n Updnte I
t]1 I 151102- 51 6tlllr:r0lt-
EIectr i,:q1
011161102- 5i6tr3[00-
V ir(l
CCi: *rirr rr **xlrg 7ltt
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
Electrical
Occupancy:
Constr Type
Code:
NoteS:
Slack;ca/
'ilcclreei,oal per occupancy notice to correct work.
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Date
Date 05t231201A
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemil issued shall becomd invalid unloss the wo* on the sile
authoized by such pemit is commanced within 180 days after its
issuance, or if lhe work autho zed on the site by such permil is suspendod
or abandoned fot a period of 180 days after the time the wotk is
commenced
$186.33
$0.00
$186.33
lnspector MID#: 2018-143534
01 1 16002 51600
01 '1 16002 51603
$21.25
$165.08
Fee Total:
Paid to Date:
Balance Due:
Phone:
Tenant Name: British Cleaners
BsL,:h+:4J916 - 1/23/21-tl
nf'f i,:e: (:TYH lrlns+ iAc.:t+: lle
RcpL+1t12269 6tt3 - "r/23/Trooso{t ion Totql
Uillioms
Aut h{
B
VB
cEc 2016
Chavez, Dave\--> a
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER B(nLDER DELCARA'NON
t hcrcbr rmim und.r Fn,hy orpcrjury rhor I am cx..rfl lmrn rhc Conrra.r.rs l-iccnsc Lr* aor rhc filllo*in8 r.tr$n (Sc.70315
Businc$ and Pmfcssion Codc): Any Cil, or Counry snich rcqutcs r Fr.rir t, .on(d.r. tl'cr. inDmvc, dcmlish nr mFn an)
iocrurc. r,ior ro irs hslatuc, !l\o rquircs rhc dptlic r rd suchFnnir to iilc !.i8md (etc'mnr lha! tf,or \hc L licctr€d putru, r
ro lhc pmvnions ol lhc Conl,acrors l,iccnscd lj* (Chaprcr 9. Co'lrmkine wi'h sc.rion 7u)0 of Dirkion 3 of rhc B!\im$ and
Pn,te$i.nsCode) orrhar h.urshd i{crcnfl rh$dfi.mDnd ih.b is rorthcallcscdcxcnrDlion Anyvidrrio.orSc.thT0:rl.5hy,ny
,tplicr.rr(rrp.rnitruhj6rqrhcapllrrnttoa.ivilpcMlryorminNrclhrnnrchufrlrcddollad(S5(n)
-l-Nosmrolrhcpmpcny.ormrcmpk,rrcswirhwrrc\!srhctv,lc.o'ni\,rtru.silldoih.sotk0ndrhc{Mrumnrtnintu'l.ldl oroft nd tu $lcIsd 7044. Busi,rcs Md kolo$bns Codc IhcConrricrol\ l.iccnsc La* docs nor lPpl!hrtro*n$ol
rhcpmDcny who hrildso! iq)mEs rhc@n. xl who des such tr{l]i l,iD\c lf or tur{lf or rhtuugh hi\ or hcr own cn,tl(,ycc\.
pnrvid.d rhrr such n pn,vc,mi( r( nDr inr.*lLd r onird nn a'lc Il k)scrr. rhr huikliDa .r inpmrctrEnr is {nd *irhin om ltr
ofcoDlPkrion. rhc O*nq Brikicr trillhtrrt rh. hdRhn ofpntrins rl.,[ h( or \lf, dil mr hxikl or inDm\r rhc pNFny for rhc purF,r of'
-1.
asowncrolihc prol.ny. rncr.lusivcly.offi.tin8 wirh h.cnscd conlmcron lo consrtud rhe prcF<r (sd..7()4.1. Busi'rcsr
0nd Pnrissbn Codc: The Conlra.lols Liccnsc l-0w dcs nor apFlylo ano*n.r orpmr.fly wh. builds o. ihr.ovcs Ihctcon-
3nd who snrEcrr fir skh lmJeck sirh a Cn d.k{s)Iic.ns.d N6u,trr k' r he Ct.t&lor's Ltcnse Law)
lrn.ren,lirJ.'S.(r(tr, .ll.\l)('l,rlltr\r.i!,r
lhrr (nrn.r
ronKfBs:g)MtlNsAltaN
lJli!:tattruax
I hc'cbrrfl n uhdrrpctrrlry.f l]crjuryoNr'fr$li,lk'singdccl.rrri({r\:
I hrlc nd will mrihuir r Ccnificdc ol Conenr b s.li lnsurc lin solkcF sr.nctr{rn,n. u\ providrdlorbys.crionlT0Ooilhc
l,ah.r Codc.lorlnc Frfonnan.cofrht work f.r which rhc pcrhir is isxcd
I havc and will mainrrin wo.kms .on{rnsdr ion nrurflEc. rs rcqtrncd h, Sd ion :l7lro of rh. ljhor C\d.. lor Ihc PcrfonMrce ol
rhd work Lr shi.h rhhr.nnir is islucd. Myworkctr mmpcns0riotr insurnrccc!tricr udpolicy numhfidc:
Pl,li.yNumhr:' tixoircs
ll.cnilirhd inrhc pcrfonMnccollhew.rk lor !'hth lh \ t'crnril ir i\!kJ,I shrlltror c itl(,,n.t P.son inanynunncr
{!slobcom{$jdx,rhcsr.^m'nptnsi'ionla*\.,Glili,n,ir. nd ngrL{ rhtl ii l should lE{.m sul,jd h r}E
worlcn comEn{rionpmvi\t,n\ofSdrnnr.lTlX)ofrh.ljlirCi..lshnlltunhwilh.omllysirhlhosorovni.ns.
'l4ARNlNcr Fdilur. b $curc vortcm caflrp.trstinn covcrn8(
!.!rl rinc\ df rn t,nc hundr.J rh.,u,nnd d.llJn {lliOrxxli. In
Sc!rrcn 1076ofrhL L'bor C.tjc idc,csl,n,l Jnorrcy.lcc\
,^,", . 5 -74- ( n,,u**,>1
rl trfl.tr\lnl xtul n lL {,h
H5*,,,'*'r*'*
Ihcrhvniltmu .rp. xlr!oltc'juyrlr lr |i..tr{d undcr f'.\i ol Chrprcr 9 (comrEncil8 *ith Sc.rbn 7tr0o) ofDivi\irr l
ol rlr Btr\in.s nl ln)lc\si(rN ('(nlc. rr n,r_ li.cn\c n h lnllior.c tl.lla.r
p, ai o, cvr,a4,,,,",,," *7;z'
5 -uLlq..,^,.",".ta
I lrruby rrfiflnu0dcr tlcnrlry.ipcrjury thit rhcrc h. oflsrrucliotr bndins rycicy ror rh. SrlonMm..lrhc work tur shict thi\ IErnrir ir
t\rcd rscc .1097, Civ. C )
I cdilyrh ihc fcdcElrc-qulations rcsardin8 shcsros rcnE\nlarc nor rpPli.$L u rhis tojccl
Acd'b rhrr I hrc rcdd rh'\ {firlnsr'.n Jrl {Jrc rh
'
h. uh,vc idniindiur i\ cotrccl. l 4B ro ompl, s irh trll Ciry rnd c.u ty
nrdi',rn.c\ rtr Srrrr Lrw\ rul,tisr)hor n! tuJ,rc\cnrI nrs olrhi\ Ciryrtrd (-ou ryni ctrrcr trJrn] rhc
rhovc nf,ntn,n.d pn,pcny rar in
,\pDlirrDr or A*cnr siEnatur.L
Prmilce nanE lptrnt,; t(OL1!L L.Ar-fYv"-
5-z-d
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Salety /Low Vollaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding i UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Itlleler Release
Rouoh
Service IVleter /,^\
FINAL L-1-11 Y4llr()l
Notes, Remarks, Etc.r\7
t
APPLICANI NECLARATION
I hd.r,y afiim u6d.r pcn,hy of p.rjury one ol ltr. following dlchralions:
Dcmlirion P.rmir Arb. os Norilicalion Fcd.ral Rcguhrions (Tilrc 40. P!n6)
-Rcquiftd
lrnc! ol Norifulion
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