HomeMy WebLinkAbout20164629 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 tnspector Section: (714) 647-5853
Electrical Permit #: 2lJ16,4629
Pin #: 5974tr{
Proiect Address: 12125 Bristol St
Assessor'sParcel: 109-071-07 Lot: NA
Unit: 18
Block: POR I
Bldg:
Tract: WEST
Address Range:
Historic: No
Suite Range:
Zoning: C1
Owner:
Address:
Phone:
Tenant Name
Contractor
Address:
Roman Construction
P.O. Box I146
Walnut, CA 9'1788
(909) 229-2099
01 1 16002 51603
01116002 51603
01 1 16002 51603
01 't 16002 53601
01116002 53601
01't16002 s1600
01't16002 s1603
Fee Type
Low Voltage/Comm
Serv Meler
Subpanel
Plc - 650/0
Revision
General Plan Update
lssuance
Qty
1 .00
1 .00
'1 .00
191 .15
1.00
1 .00
1 .00
Fee
$32.61
$139.86
$51.29
$124.25
$213.86
$21.25
$52.98
State Lic #: 971274
Lic Type: B
Bus. Lic #; 363031
Workers' Compensalion lnsurance:Carrier: Amguard lnsurance Company
Policy #: ROWC827054
Expires: 09/15/2018
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Revision
Revision
B
VB
cEc 2016
-r2 9"
10185999
Every pemit issued shall becofie invalid unless lhe wo* on the site
authoized by such permit is commenced within 180 days aftet ils
is'uance, or if the wo* authoized on the site by such pemit is suspended
orabandoned for a peiod of 180 days aftet lhe time lhe work is
commenced.
$21 .25
$187.13slz+fr-
Notes: Revistoi:td 90'trti!12.'thstdfirtta 6oor{thp Eeivrce
meter,
$636.'t0
$213.86
$422.24
Davis, Scott
Chavez, Dave
Misc. Receipi: 70273
Misc. Receipt:
Misc. Receipt:
Total
lnspector
2\#L
lnvestor's Property Services
15707 Rockfield Blvd. Ste. 225
lrvine, CA 92618
(949) 900-6160
Flor De Mexicali Tortilleria
Amount
32.61
139.86
51 .29
0.65
213.86
2't .25
52.98
Phone:Botchi:4?t-r57 - ?/
0l{'ice: CTYH lr'
Ac,:ti I
Rcpl+:trz160t31 -
Tronstt,:t ioti ToLol
1/rL11e
ttnE+ i
Romqn (:snstrLrt:t i$l
0en€rfll Flfln lJpdnte F
r.1 I 1 16ur]?- i l6(t10(rr-l-
EIecLr' irnl
r:r1 1 16rlr-12- 5 I 6r:t3[l:ll:l-
Building Use:
Job Type:
Nature of Work:
Occupancy:
Conslr Type:
Code:
Date:
Date:
Date:
t/
t:rl
vi
116rnl2- 536rJ1t[:r0-
5(l
o't t2412014
01/30/2018
Account#
Fee Total:
Paid to Date:
Balance Dua:
01'1'16002 51600
01116002 51603
0'11'16002 5360't
MID#: 20'15-123084
ELECTRICAL.INSPECTOR RECOHD
APPROVALS DATE COMMENTS OWNER BUILI'ER DEI,CAiA'TION
I hcrcby.lfiirn undcr p.illry or !.rjury lh l orcxcflrfl,mnrhc ConkactoF Licctr{ Ltrw ior thc lollowins rcev,. {sc..70115
Blsincrs ! j Pofcsion codc): Any Ciry or G)unry whi.h dqutcs a Irrmir r. drn{rud. allcr, imProle. denhlish or qxt a.y
irturrud, ior io irs tsu."cc. aho rcquitcs thc ,ptli.MI for sucn Frmir 6 fih I siSncd slaLmnl rhd h. or sh. is liccnscCr Purud'
h rhc nmvhions ot rhc Conra.lofs Liccn*d Lrq (Ch4rdr 9, conmcncirs Nirh Sccli.n 7000 ol Divnion I ofih' Bu\i"( snd
PmrcsioD\ Codc ) or rhrr h.orshe iscxenrpr rhcicli. Md lhc I'nsis ln rhc olhsc.t cknDrion. Anyviohlnrnols.cliorT0Sl.5hvanv
nptli.anlforopcilnitsutjec(rhc,Pplic..rroa.i!ilp.nalrlornorntrc!hanlivehundrcddolla^(S5m)
-l-
ar owmr or rhc pn,tEny. or ny carPlor!.r wirh w,8cs as lhcn sb co pcis,(ion. willdo thcworkdd tlE smlm k mr
inrcndcd orofcrcd for slc (Se.?044. Busincss Md Pmicssiotrs Cdc ThcCont0ciolsLiccnrcLjwdocsnoraPplyro.now.cror
thc ForErry *b bn & or in!,ovLs ltEmn. ard w,b dms suh M,* himsclf or tcrclf or rhn,u8h his or hcr osn cnlk!)tcs.
lrovidcri rhar such inipFkmnb m mr int nd.n .t oalcEi tor elc ll hor.wr. rlE h{ilding or in'Pn,w.tnr is sld wirhin om Fe
.i.onlPlclion. rhc O]ncr Blildo wiu Mw t]. budcn ol pmviu lhll hc or sh. did ml huikt or nnpror rh. lm)pdv for rhc purli,* of
-l,
.s owner oi rte poFdr. im .xclusive,y .ont,acriru virh lien*d conracton ro onntud rtr roj.$ (SN. rol''t Bx{im(
ad PioL*bn cldc: Thc Conlacru s Li.cn\. tr* docs nor atrly lo an osn4 orpropca, who t'uilds or nnpBvcs rncrcon.
and wno conlE tslorsuthtmjcdswithtControclo(s) liccn*d pur\uanr lothcConl!,ct sLi.nrc tjw)
I ncx.r.tr undcr SNrion
UOBKEBI.q!}IITINIA.IION
DECI/3AIUN
I hcrchy alltrnuMcr penllryorperiury orc orlh. f{n[rwnr8 dccl$arions:
I hrvc md will minlair a Ccniratrc or Conscnl to Scli lns!rc lor worktrJ ompctrsolion ds pmvidcd lor by S(lion l70o or th.
tibor Codc, f6r rh. p.rforrona oflh. *ntt ror whhh rhc,,.nnil h tsucd
-l
huvc and s,llnBinr.in eorkcti conlp.i\.rion insurancc, tr\ rcquiredhyS.{rbn lT0Oollhc Lll}n Cod.. for rhc P.t{orroncc of
rhc w..k Lrwhi.hthn pcrnrit is is$cd My wor*c^ ..nD.ns!ri,nr insurlocc crdfi d.d Flicy nunhcr &:
-l
enifyrhlr in rh. n nnrnunccoflhc *ort for *hi.h rhi\ ptnnil is hsucd.l shrll n rcnrllovaov lr.6on in,ny.runcr
s, st) tr.om {hj€r ro rhc wortcrs comp.n$rion li*s olCalilnrnia, rnd tr!rcc rh ifl shouldtf,.om suhitl hltr
workcis..mr.nsariotrrrovirion\orsdcrn,nlTs)ofrhctihnGn,c.lrh,l!.innhwirhconDlywirhrln,*prevkn'ns
WAXNINC: Fail!rc ro ecum wortcrs' compensrn,. co!c88. h unhwful. lnd sh,ll .ubj.ct an cmllortt ro dninal pctrollics !t'd
civil fincs up ro orc hundr.d rhousni dollas (SIOO.0OO). an nddnion lo lhc cos of smpcns.rion. dlm8cs .r p.olid'rl r{r rhc
Sccrion 3076 ofthc Lah.r Cod., inlcrc( md atlorEr'r re.
Appliotri:>(
utExtEproNrlacrua
DECLAAAIION
I hcrch, dl,iimundo pcnalryol!.rj!ry lhat I am lic.hscd undcr provhion olChtpld 9 (commcking sirh secrion r0O0) orDivhi.n I
of thc Busircs dd Pmr.sions Codc. Md m, liccn* h in full fora a cntcr.
CONSTRUCTnN I.FNDIN(: AGDNCY
I hcEby alfin, under Itn yolDcrjurylhal lhcrc hacon{ruLrion hndins lscn.y inr rh. pdfo,mncc olrhc*orl ror shichlhisPcrmir ir
i$ucd (se 1097.civ c )
APPLICANT OECI AR-ATIoN
I hdrby dnmundcr pcnrlr, ofp.ijuryonc oflhc idlowins drhhrions:
Dcm)lirion P. nnl^sbcslos Norificarioo F.d&il RrBuln'ionr (Tirlc tl{). PdO
_R.quircd t rt.r olNorifrdion
l.cnifyrhlr lhc fcdcal resnlrtions rcEardin8 asheslos rcnx,vdlm nol {ttliclt lc ro rhi\ pmj.cl
rh!,!. r. rrrnal !olxrrtln, 'r1,.(r,,i Ir tx\.\
,\Dplirut o.,1[$r sixnxltr,u X ,,," '
r'**i,*r.* u"r, (
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab i Floor
Bondinq / Groundinq / UFER lr t)41ufi ,/U\
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Solf it Rouoh
Ceilinqs (T-Bar Rouqh)-..r'r)
It/eter Release l/t $rNtrlt
Rouqh 6
Service Meler I 2/1.1t41i lMeu)
FINAL t)t4-zoz,) Js.s>ffi)
Notes, Remarks, Etc
4
ID/SIG.
D',k L
Transformers