HomeMy WebLinkAbout20168047 - PermitCity 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
Permit #: 2()168047
Pin #: 53685
ProjectAddress: 1251 E Dyer Rd
Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: SD63
>\
Assessor'sParcel: 411-131-34
Owner:
Addressl
Contraclor
Address:
Tenant Name:
Oavid Beal
1251 E Dyer Rd
Costa Mesa, CA 92626
(949) 331-1315
Mesa Energy System, lnc.
2 Cromwell
lrvine, CA 92618
(949) 3ss-9526
Fee Type
01116002 5360' Revision
01116002 5160C General Plan Update
Amount
222.16
22.O8
Fee
$222.16
$0.00
Qty
1.00
0.00
Phone
Stale Lic #: 611215
Lic Type: C-35, B, C-7, C-4, C-10, C-20, C-38, C-46
Bus. Lic #: '139173
Workers' Compensation lnsurance:
Carrier: American Casualty Company of Reading PA
Policy #: WC6072336019
Expires: 1010112019
Building Use:
Job Type:
Nature of Work
lndustrial Occupancy:
Revision Constr TyPe:
Revision - Rool Mounlg6 gnCode:
N/A
V B, SPK
cEc 20r5
Planning Conditions:
Buildins Permit #: 10198569
Every pemit issued shall becone invalid unless the wo* on the sile
authonzed by such permit is commenced within360 days aftet ils
issuance, or if the wod authotized on the site by such pe nit is suspended
or abandoned for a period o],360 days aftet the tifie the wotu is
commenced
$222.16
$222.16
$0.00
lnspector MID#: 2018-148095
N/A - No Balance Fee Total
Paid lo Date:
Balance Due:
Phone:
Notes: Revision to 20167556 - reduce the number of a/c units
being installed by 2
Planning Approval By: Date: Misc. Receipt: 72228
Plan Checked By: CSG Consultants Date: 03/0112019 Misc. Receipt:
Permit lssued Byi Hernandez, Kathy Date: 04/30/2019 Misc. Receipt:
Subject to Field: Account# Total
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE rD/stG.COMMENTS OWNER BUII,DER DELCARATION
I hdcb, ailnn u s poalry ot rdju.y rhd I &n.r.mpt from th. Conti.roB' Lic.ns. ttw for lh. foUovinB EMn lsc.70ll.5
Buin6s aftt Proasion cod.)r A.y Cily or County *hich rcqu6 a pdnh ro codrud, an6. inprovc, &iDolish or r.pair ov
srtudr., Fior ro irs issuuc€, also r.qut6 th. applicdt fot such p.nnil ro fiL a signcd $n.,Mr thd h. or 3h. n l.a*d psuet
ro rhc FovGioos of $c Contrrttr s l,iccn*d Law (Chapl6 s, Com..cin8 siih Sdion 70n0 of Division I ollhc asrncs dd
Pmf*ion! Cod.) or rh.t h. or sh. is .rcnfl lh6.Fdm dd th. hsis for lhc allc-s.d .rdplion A.y violation ols..1ion 70:r I 5 by my
applicanl fo. a psnn subjcrs!h. rpplicdtlo acivilp.naltyofnot morclhd fiv. nundr.d dolles {!t00)
-1.
B ownd oathc proFdy. or my cmplo)6 wilh tr'as6 6 th.n $b cDmposslion, *ill do lrt *ott ad dE sl.r€lw t ml
imarLd or otId.d for el. lS(.?044. B6ioe ed Prca6sioc Cod.r Th€ Conrndol s Lic@ ks do6 nol apply lo d osnd oa
r h€ p.lrEty who hrilds or t prov6 rh@( .rd sho do6 Mh qo* him.lf or h.*lf or lhroush hir or hd om mplov.6.
provid.d thar such ihFovcffiss. mt iil6d.d or ofqd forsb.li ho*6'6. th. biildins or imp.or@r i! $ld*nhin onc
'rof complaion. lh. Omd &nud *ill hav. rh. hnd.n oaprovi.s thi hcor sh. did mr L iU or imPmrc L\c poFry for E purpoEof
-1.
6 osE oarh. proFny, m Gxcl6iv€ly conlracl'n! $lh licncd contracroc lo .oElruct thc projc.r (s( 704'1. B6in*
md Ptrrftsim Codc: t hc Contra.l6r's Licc6. Law dod nol applr lo e os'n6 ofproFiy sho builds or improvd (hdon.
and vho oii6ds lor !u.h F.j..ls *ilh a ConlE lo(s) licsed puBM ro in. aonrEdof! Li..M l,*).
I d.rmd u.da Sdtron , B & PC lorrhirrNn
Orm.
wolll(lrRs' contPENsal l(}N
DECI.AAAIIO!
I h$cby amn. undd p.n.lty ol pojurv onc olrh€ n,lh$ins ddldarioB
I halc ed *ill maimain r ( 61ifical€ ofcolMl ro Sclflnsuc aor \orkcrc' conrpd!,rion. s Fovid.d for by S6non l70o o f th.
tibor Code lor r h. pslolfuc. of lh. wod( ior "nth lh. patnil i5 Bucd
-l
h.v. dnd *ill m.inl0i. worke( comrE6alion iGura.ce. s rdtun.d by SEI ion l70o of rh. kbot Codc. tor lhc pdfomr.. of
rh. { ork for whi.h rlir pdnrit b (su.d My worldr coftpdsrio. iNutacc cans dd lDlicy nu,nbq sc
Poli., Numbsr-ErPn6:
I cenitlhar m lh€ tqfoman €ofthcworl for whichlhispsnr t i.sx.d,I sh.ll not mFloydyFrson in oavmund
y, 6 lo b.cod. subj(r ro rh. work6 s .onposalnrn hss .fc.lifomia. ed asc lha ra l $out bcom. subj6l lo rh.
wort6 compaerion tmvisioN of Scnion 3700 of rh. Lah.r (tlde.l shrll. fonh* ith .of,ply uith lhos povEitu
WARNTNC: r:ailurc ro 6d. so ds conp€Ntion covassc is unla{ful. Md shall subjd e dtlDF lo riminal tEuli. dd
ciril 6n€s up lo onc hundrcd rhoumd dollss (1100,000). in addnio. to ol comp€nelnrn, dmses 6 pro\ idcd for thc
srii.n 1076 ofrh€,f,t-r Code 'mdd &d atomet s fs
D"1", L/-30-/7
I hftby afliirn undq tE h, of psjury lhal I dr licossl und( pror ision olchaplg I (co'nn6c ing wnh S61i,n ?000) olDirision l
ol rh. ltusinss od I'ror6si{,6 Code, md my lic4* is in full forc. and .lldr
zr-30J2
I ha!b, afm un&r p.mlly ot pcrury $al lhe i! a conshrclion ladins asdcy fo. th. Ffm.. of lh. wor* tor stkh lhis Fftn b
issu.d (s*. 1097. cir c.)
AfIIICANLDECI,AEAIIO!
I ha!ry rrm u.dd pa.hy of pojury onc ol thc follo$ing delmrions:
t).molilion Pmils-Asb6ros Notilic.tio. Fcddal R.suhtioos (Titl. 40. P3n6)
-Rcquired
lnt6 olNcri6cdhn
l.dil} rhd $. f.ddalrqulatio6 r.sddin! dkros rmo\ il d. mt appl&bl. u rhi! poiEt
I..illy rhar I h.rc,.ad this lnnltilnn srrrc (hd 1hc rh\c ie cor€t I aec lo ompt Enh dl Cily and Counly
rcF6olniv6 of lhie Cily .nd Coury lo 6ta Llor lh.
-^,,4-<f:fr
ordin.n.6 dd srar. La$ Eldina Io truildrg coartudion.
atn\€ ficnrinrd pdpdl, aor
/\pDlic.nl or Ag.trl Sig ilnrt
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 / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rough
Service Meter I
FINAL I lq11.t \g-&4 9
Notes, Remarks, Etc l' I
Air Conditioners
lrndd ! Add,6:
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