HomeMy WebLinkAbout20157442 - PermitProj ect Address: 1212 S Bristol St
Assesso/sParcel: 109-071-07
Unit: 18
Block: POR I
Bldg.
Tract: WEST
Address Range:
Historic: No
Suite Range:
Zoning: cl
&LL< { Eor^oo eGttil
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ157442,1.
Pin #:s7325\
Owner:
Address
Phone:
Tenant Name
Contractor:
Address:
lnvestor's Property Services
15707 Rockfield Blvd. Ste. 225
lrvine, CA 92618
(949) 900-6160
Flor De Mexicali Tortilleria
Roman Construction
P.O. Box '1146
Walnut, CA 91788
(e09) 229-2099
011'16002 51603
01116002 51603
01116002 51603
01 l 16002 51603
01116002 s1603
0'11 16002 51603
01116002 53601
01116002 51600
01116002 51603
Fee Type Amount
125 Volt Receptacle 1.35
Light Switches, Occ. Se 1 .47
Light Fixtures 0.98
Dedicated Circuit 23.09
Over 1-10 HP, KW or l( 21.69
Over 10-50 HP, KW or I 43.04
Plc - 65% 0.65
General Plan Update 20.56
lssuance 51.26
Qty
18.00
'1.00
1.00
8.00
6.00
3.00
456.89
1.00
'1.00
Fee
$24.30
$1.47
$0.98
$184.72
$130.14
$'t29.12
$296.98
$20.56
$51.26Phone
State Lic #: 971274
Lic Type: B
Bus. Lic #: 363031
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
B
VB
cEc 2013
Notes
Davis, Scott
Chavez, Oave
Date:
Date:
Dale:
'1ot1512015
08/10/2016
Account#
01116002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due
$20.56
$521.99
$839.53
$296.98
$542.s5
Evary pemit issued shall bocome invalid unless the wo& on the site
aulhoized by such pefinit is commenced within 180 days after its
issuance, ot if the work authorized on the site by such permit is suspended
ot abandoned for a peiod of 1 80 days after the time the wotk is
commenced.
lnspector MID#: 2015-123084
Lot: NA
P.ol':h$ ! 15R66 - I
olf icE: CTYH T
A,:ct i:
Rrp ti: tr1613l9l
TrsnsqcL ion Tottt
Building Use:
Job Type:
Nature of Work:
Commercial Occupancy:
Tenant lmprovement Constr TYPe:
Tl/Roof Mtd Equip/Power Apcode:
(oilraifi t:c'n5tI U(
5LI-t2 -
i.h€cl
(tn upg(l'
516r-rL[-u](
lvlisc. Receipt: 66560
Misc. Receipt:
lvlisc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE
Site-Work oUnderound
Li ht Standards
S S Pool Fountains
ID/SIG.COMMENTS O'\,!N Ei BU ILD':R DEI-CARA'I-ION
! hmby .finu u d p.Mky ol p.rju.y lhol t an dcnpr fsn rh. Contraclos LiceB. l-6\ ln lhe fr'lhtritrB l91mn (5<.7011 .5
Busins and Prol6io! Codc): An, cny o. Counly qiich rcquil6 a ponir ro .onstud. ah6. nnprorc. dc,nolilh or €pat M,
srrucruc, riorro ir. Gstrec€..lso r.qutB the npplira lor sud Fmn ro fi|. a si8tr.d slalflol thal h. or she i li.mkd puNmt
ro rh. FovisioN of rnc co racrois Licen!.d t:w (chsprc 9, conrm.ncins sirh sdion 7ux) of on isbn 1 of lhe Busi.cs and
Pof6ions Cod.)orrh.r hcorshc is €xonfl rhcr.fo and rlE basis for lh. alks.i cronprion n,\iol.rionofs&len701l5br;y
applic l fora pqmil subjtclhc alplicahr ro a.i!ilp.nallyofnot morclhan fivehtrndr.ddollas{1500)
l. s o\vncroarhcEop<.ry. or dycmployc wnh $ags as rh€ir elcompqsari.n, *illdo nE$o* utl llE slnidue h nd _
inlddql or oilcrcd foi :al. {Sc.7044, BNins and Frctdsions C.d.r ', i. ( ont.dois I icosc Lsw do6 .ol aml, Io an o( na ol '
lhc lxlr.ny $ho btrildror imrovd rhdbn tnd \lho do6 $(h solt himscllor hs*lr or lhiodUh his or her o\rn enrpltD.6.
provid.d rhd su.h impro\'aD.ils E. ml hl6&d .r oII6.d lor sL. l[ lbtraa. dE hildilts or inltIovcrcnl is snd rvirhin .n. ,@ t
olconplaion. rhcolxn6 Blitla vill ha\c Eto.&noaprori.sthallEorsh.dnlnolbuildoriDprovcrhcOnpqiylitrllEprrpos.or
l.6o\.doath. propcny. dexclusiv.ly.onrmctin8 $ith lic.nscd conrrflclosto cofrtud rh. prcjd (s(. ?Or.1, hlrns
and Alnsrion Cod.: : h. co.lr..lois L,iccnsc l,aw do6.ot apply lo.n.snd olpror.ny $ho builds or i'nl,ro\6 rhscon,
and who co ncrs ior such !ojc$\LIh. conta.Lo(s) li.6scd Du6u.trt $rhe ( onr.dois Licd* La\ )
I arncxempr trnder S<xon- .Ir & r( tulhis'€ns.
l)ol. o*nerl
vaRxE&IcarlfENla-lto!
DICIAIAUAN
I ls.hy amnn undcr p€n.ltyofpdjuryoncofllE follorinr declamlions
I halc dd rvill'nsiflain a Colilicare ofconsmr to S.lf-lmur€ aor qork6'co'np. arnrn.s pmvid.dforbySdiotrr'70ooflh.
t*bor Code. tor lnt Ddlomancc oflh. *ork lor *t(h th. p6nn b isucd
lha!...dwill'n.inrainwork.rscompeNdioniBuranc.,sBqut.nbys(liotr1700otlltl..l{'c.dc,forrlEFfonnanc.ol
rh. $ork aor which thn pmnit is issued My worl6 comFMlio. imrr arc. carie. ad F,lt, nu,nbd tuc
Ex ealT
Poli.rNn'rbdr '
-.-l cdiryrhnr in rhc pcrlorman coflhe wort lor Nhich lhis ps'nil is is$4d. I shall not onPloy anr_ peson in any 'nann$s s ro ll. o,ne sbj(l ro lhc soAsl co,npmsation la* olcaliloEio, aid rlr rh0t ia ! should ii$o,n. s,6j{( l. lhc
wol{ds comD€osatnnrsorisn,nsorSerionlT00olrlrlrb.r(idclslrll.lonhsithco'nplr$irnrho*Pmrhions..
W RNINC: [ailurc ro Burc Norkos compmslion covrssc i. nnh$nn, ind shall sul,jNl a', onplottr lo dnrin.l lwlliB ed
civil fincs up to ofl. hundled rhoNafld dollars ($l00.0CvJ). in addir mst or cmr4Nri? d!i'.Ees 3s p,orid.d aor thcu'l''inrs6r flnd 6rrom.y r 16
ZLY L ,Yr /ZL
DECIdI{IIA!
I h6.ty lrrm unds p€oahy ol pdjury rhal I an li6Ed ond.r provbion ol Ch.pt6 9 (con Bncins Nnh Sdion 7000) o{ Dn ision l
oa rh. BBin6sd PmlBsiotuCodc, od oylictu. i! ir lullforc.ttrd€rslI .oD(.,."./--
tz1+7tua,*, - 0/ta,/zr>io - "-,.*"X
COIiIaUCUON.IINDIIG.ACIM:I
I ncby .mm und( Falty of p.rjury thal lh6c b a conntudi('f, lddiiB .8ocy for lh. p6romdcc of rh. wolk aor shi(n lhis PEttrn is
tsual (se 1097, civ. c ).
l,c!dd s Name:
a-e8!,r(arluDctltalla!
I hottya,l'dnuido pc.al', of t lury on. oith. lolloNinB d6laraliohs
D€molilion lmrik-tuhctor Norifi.arion Feddal R.aulatiom 1l ille 40. I'ano)
t<turcd L.llcr of Norifi .arn,.
ily rhar rh. fcddal rclularions Egdding sbBlos reno\ al tu c nol .pl,liMblc to lhis p ojccl
lw",irrrhdln.v.rcadihis6nplicnlioaudsralelhar$cal\^cinfdnr.rn$isconNl lall.!l(, cfn,t'ly \ irI nll( ir\ afl (irtrrly
ordmdcd md Srit.tnrsr€hlrnrlo l-{
'Utr's
(onqrufl tr4. ,'^,,:i::::"::7.::xru44
Perrricnrme(prl ): L 'PeLaal E
oarhi! cirt rnd cornry ro €nt6 upor tlE
,,,"'' O/'f/'C4'
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Building
[J nder Slab / Floor 7 2, l(1 _t/4<fu$
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)tilv//th?
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
lvleter Release
Rough
Service n/eter
FINAL -2t o J)es rJoCf)
Notes, Remarks, Etc
--a
Pole Bases
Communications Cable
L..ddt Ad.lrs:
NnnryrceBdldn6
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