HomeMy WebLinkAbout20168187 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA92702
l nspection Req uests: 17 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Electricalw Permit #: 2O16A1a7
Pin #: 9E3E4
Project Address: 3636 S Main St
Assessor'sParcel: 932-910-07
Unit: D
Block: NA
Btdg:
Tract: NA
AddressRange: 3620-3640
Historic: No
Phone
Georgia R. Kloos
3636 S. Main Street Unit D
Santa Ana, CA 92707
(616) 706-16s7
Owner-Builder
Owner:
Address
Contractor
Address:
011 16002
01116002
01116002
011 16002
01116002
s1603
s1603
51603
51600
51603
Amount
1 .45
1 .58
1.05
22.O8
55.04
Qty
2.00
7.00
18.00
'1.00
1 .00
Fee
$2.90
$1 1.06
$18.90
$22.08
$55.04
F€e Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policl #:
Expires:
Esfch+:48773 - 3/13/2A19 I0r CCUIoffi.e: CTYH Trons+3 ?7 I tAccti: Ref*: 2tl16iJ li
Rcpt+1t255721,{ - 3/13/2tr19 11:r:ri:r ,
Tronsoct ion Totol $ltl9,'/r:l
Geors io R, l(loos
GPnersI Plsn UpdoLe Fee
01116002- 5160u000-
Electn icol
01116002- 5160300u-
U isq
CC+ i i**r*Ir*****4861Building Use:
Job Type:
Nature of Work:
R-2
VB
cEc 2016
Notes: auth on file
Planning Approval By: Date:
Plan Checked Bv: r Date:,,J
Permit lssued By: -l Verduzco, Violet Date: 03/13/2019
Subject to Field: Account#
Planning Conditions
Misc. Receipt:
Misc. Receipt:
l\,lisc. Receipt:
Total
01 1 16002 51600 $'109.98
$0.00
$109.98
lnspector MID#: 2018-145801
01116002 51603
$22.08
$87.90
Fee Total:
Paid to Date:
Balance Due:
Lot: NA
Suite Range:
Zoning: C4
Tenant Name:
Condominium
Alteration
Wall Opening
Occupancy:
Constr Type:
Code:
.n 1r
Aut h + : Ut:rt.l,rgt
Buildins Permit #: 1 0197576
Every pemit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within180 days aftet ils
issuance. ot if the wo* authoized on the site by such permit is suspended
ot abandoned fot a period of 1 80 days aftet the tine the work is
commenced.
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DiL(:ARATION
I hcrchy aflth utulcr pcnally,n tcrlxry rhat I m cxcmPr in,n rlt c.nta.to6 Lr.nt Lrw tx rhc ltUowins rcain (S'c 70lr:'
Blsincs rtui ProLsion Co{cl: Any Cny or Counry *h'ch tquir.s a Pcmir ki onslrull. altd, ialh,vc. demnih o' rpatr 'nv
{rucrud, tri,Jr lo irs nsuanc, aL$ rcqulrcs rhc iptlt]nt tu such lErmi nr lilc a ngnql (alcmnr rh{ lE or shc n liccnscd pusurnl
k) rhc F.vNnrr of lhc Co.karkn \ Lr.cnkd ljw ichatrcr 9, Conrmcfring *irt Stnon ?ort) ol Drvhbn r of rhe B!'nc$
'tu1
Pftrcsons Codc) o, rhar lt di sh. $ ercnDr lhcrctnm,.d rh. b.sis lnrlhc alLgrl cxcmprion AnvvnnitionolSccri't70'11'5bvrnv
rmlMnr tor ! pcmir \ubj.tc rhc lrPlitanr b !civilFcnaltyofnor mnurh,n live hutrdrcJdollais (S500)
l- al ow.cr ol rhe proncny, or my cmDlo)c$ virh wa8.\ a\ th.t $lc compcns, on. vrll !o llE work dtui rhc slnf,rm '( frn
id.nJal orolttRl tur ek {S(.r(!4. Busitus Md PrtLsions C{ c Thc Conkiur.i s Li&nt Lrw &.s nor ,plly lo an owrcr oa
rh. ptuFdy wl$ huitrls or rmpn,v.s ltrNnr $l whr nes \Eh wor* h,mscllor h.rkltor rhnrgh hi\ or h.r.wr cnPkly"s.
nnvidc'l rhd iuch ihpnrvcnr s rc nor u c cJ dr offd.rl for et. li h,mvcr, llE btrilliry or ihlrortmnt F sll wirhD oB )te
ofconDlcri& rhc Owmr Au dcr wrll haw rhe hrilcn of lbvinS lh.r lE or rh. &l mr tsru ot !r{mE rh. t)fi)lErv Iq rhc nnqt'{ of
I,a\dwn.rolrhcrmndy.rfr.rclu$vcly.onrracrirywhlicctr{d..Drrrcr*k,conrN(lrh.tbjcd(Sc.7lr44.Bnr0rc$
rd PDiesbn CL\ic: Th.Conrra.ntr \ l-ir.n\c l-dw docs Dor!!plylo rnow.crol pnl--ny Nho burlds or imrruv's rh'rco!,
dnd who c.nnar s li]r \xch pnt.ts w h a ConiE(k,(n Lccn*d ptrnurnr b rhc c..r&rr's l,'..nsc Lrq).
I
lr uE.llaxAllgN
n,nhJcr IlCnJlr] IrLtury !trr olthc li,ll.tq'ng J(lrrlon\
th{vcanlwillhrn rin d Ccnili.ar. ofcons. !o SclllnslE n, *.rk!R onrP.n:d on, .s Irrrvidcd fot bt Scdion :l?00 'f rhc
btu C{xlc, lnr lnc p.rfom.c ot thc *oA ror wh'.h Ih. !c ir i\ is!.'l
I ha!. aBl w,llmlinr{in work ra com!.ns.lion insurarcc. a! t quir.i hyScrn'n.l7l$ol rhc tihor Cod. r.rlhc Pcrlom ccot
llr ,ork fd whrh lhis lrcmir ir ir{cd. My woIkc6 clhl'cns on,nsur.n e ff.r r.d poltv.!mlt m:
l.cniiyrhar in rh. n nnrmrn.c ol rhc worl toi whi(h lhis pcrmli '\ rsEl l shrll lor .ntpbv .nv l'c6on 'n 'nvm!trmr$rsk,lr(mrruhjcdlo(hck.riconrp.nrirn'nhwrotCal'hi,nr.inJasEcrhrrflshruldttort'uhjcct(rlrE
woRcr ( con\|ENit ion pmvis'on\ ol S.clion 1r0O ol rhc Lt tr Codc. l shall n)nhw(h .omflv wir h ih,{ pftJvhbnr
WARNIN(;r rdntrrc r() {eurc wo'kcr\ compcnrlrtrin colcrr3o r\ trnla*ltl. 3trtl drxll $hl..r,rn cf,ltl('y.r b uinnnrl Ixn'ltis rnJ
c'vll tur\ up r, otrc hundr.'l (hou\xnd d.1li6lSl($.(XXl), $ rddrn, n, r,t (x( .l B'nvf,Nrrion d!nE3c\ r\ PntvBt'ri td' rhc
scdi)n:1076 orthc tjl{ cni., mcrc( d tmy'srccr'
DECLARATIoII
undcr po6n'. olch,/cr9 (lonmtuing wilh Scclbn 7(110) ofDivnn,n.rI hcr.hy dlliD undc! !.ml(yol pcrlury lhar t m l'/d\;d
.l rh. Bn{ncs MJ PsrtsionlCudc, dkl my ltcn$ is
CONSTRUCTXTN LXNDIN(: A(iENCY
IhcrcbyallirnrrnJcrl. JryoitErluryn rh.rc is . con(n'.rbn !.ntl'n8 a3ctuv fitr rh. r.rli)rmrNe ol rhc ktrk lnr whth rhs lrmir s
i\\rl rSc( l(ri)?. C'v C )
AXPIICA{LDECIABATIO!
I lEEhy r,lim under pnnky ol Frjury on ol rhc folkrwrn8 dalurn'n\l
Drmoldxr PcrmllAstl.(or Norincrron tulcral R.srhn,ns (Ttr1c40, Pd6)
_R.qumd t rrsot Notliurin,
I (cnrltrlr.r rhc tcdcr.l!cEUldirn\ ft8uJ!rB.shcsros lcnbvxl t. noriPolrci6lc b rhis phjc.r
I ceniiyrhd I h,v.r.dlhGlprli. urutslar.Ih!
o^linanccs rnd Sir. ljws rcLrin3 h buildi^3 9.n(ruclir
ltnv. rrcnrtr)rc'l p'ot dy tu insFdlrn pkt es
rrh.itxn. n,liirnr(!,n a(onc!r liSre n
nr x l ltEhiatrrln,c r.Prc\..hrrv.! or
) complyPith trllciryan{t counly
ADplic.nt or Aq.nl Sian.krre
\Z-L--orr <.,-Jo,tira"'I
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Founlains
Siqns (monument)
Lile Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouqh
Ceilinqs (T-Bar Rouqh)
Ivleter Release
Rouqh
Service Meter 1, 1
FINAL 0/z z/tZ z AHza/(:
tJnrl.r s AJJr$'