HomeMy WebLinkAbout20166895 - PermitryProject Address: 3100 W Seoerstrom Ave
Assessor'sParcel: 414-20'l-01 Lot; POR 2
U nit:
Block: NA
Bldg:
Tracl: 1013
Address Range:
Historic: No
Suite Range:
Zoning: Ml
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-?738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O166895
Pin #: 14219
City of Santa Ana
Permit Counter: (714\ 647-5800
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Aarborne Systems
3100 W Segerstrom Avenue
Santa Ana, CA 92704
(7141932-077s
S A Kehl Construction
6631 E Smokey Ave.
Orange, CA 92867
(714) 337-s004
01 1 '16002 51603
01116002 5'1603
01 1 16002 51600
011 16002 51603
Amount
24.79
48.59
22.08
55.04
Fee
$24.79
$48.59
$22.08
$s5.04
Fee Type
FWU
Min Fee Adj
General Plan Updale
lssuance
Botrhi:{6727 - llll/2018 I0r NGAFCIA
oflice: CTYH Tnonsi: 1? 2 ot ?-Acct+r Ref+: 201668?i
R(pt+:02434663 - ll/l/2918 10:02 Al1
Tronsoct ion fotol tIS4.84Phone
S A (Eh 1 ConstnuctionState Lic #: 597211
Lic Type: B, C-9
Bus. Lic #: 350238
Workers' Compensation lnsurance:Carrier: State Comp. lnsurance Fund
Policy #: 0543204
Expires: 10/01/2019
Generol Plon Updote Fea
ot116002- 51600000-
EIectr icfll
or116002- 51603000-
Viqo
CC+: ft*{r*rtr***3225
9??.08
$1?g .42
r5s4.s1
tn6
Planning Conditions: All interior work. No exterior alterations or modifications.
Building Use:
Job Type:
Nature of Work:
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
lndustrial
Alteration
Bridge Crane
10197061
Occupancy:
Constr Type
Code:
B
III B, SPK
cEc 2016
den, Julie
Every pe nit issued shall become invalid unless the wo* on the site
aulhoized by such pormit ts cofimenced withinl80 days after its
issuanco, or if lhe wo* authorized on lhe site by such permit is suspended
or abandoned for a peiod 01180 days attet the time the work is
commencod.
lnspector MID#: 2018-143520
01 1'16002 51600
01 116002 s1603
$22.08
$128.42
Fee Total:
Paid to Date:
Balance Oue:
AUth+: tt6
Notes: lnstall a new interior bridge crane. Per contract price
$150 50
$0.00
$150.50
Date
Date
Date
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Qty
1.00
1.00
1.00
't.00
Planning Approval By:
11tO112014
Account#
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS O\'VNER BUI LI'ER DELCARATION
I hdcb, amnn u.d.r p.nally of pdjury lhal I d d.q,l fmd th. ConlractoB' Lrcei{ Las aot th. lolloeiny tqen {Sa.?031.5
Bsines and Profsion Codc): Any Cily o. Counry *hi.h rcqun6 t Fnit lo conrtud. a1rd. inprorc, danolish or IqEir dy
srrucrurc, prior ro ns isrdca 6lso rcquiB fie .pplicml for srch Fmn lo filc a sisn.d dahdt rh.l he or sh. is licds.d p@dl
ro rh. p.olisioB oarhe Conlrlcloas Licen$d ttw (Ch.pt$ 9. comm.ncins Nilh S..lio. 7000 ol oivision I ollhc B*ins md
PDacsiofls Code) or rhal hc oi sh. is .rdno rnsdiom &d lh€ basis for rh. all.B.n .ranPlion. Any violarion oas.clion ?011.5 b,v anv
applicanr lor . p.flil subjec rh. applicd ro a civil poa[y oi nor mor€ rh five hundicd doll6 ($500).
l,6 oqs ofrhc Fop.nr. o.,n, mplor€ with was6 6their $le comp..srion. willdo lh. wolt ed lh. nn41m is nol
ioladcd or oflE.d aor eL (Sa 7044, Bsin6 md PrereioB Cod.: Th. Codrrcroas Lic@ k* do6 nol arplv ro d oMd of
rhepor€ny sho builds oi iq*o6 $con. od who do6 sch trlrk hin*lf or h*lf or throush ht oi hs own mplovc6,
I,ovided rhar such inpm\ onrs e rcl inl6d.d or ollaqj for e]c If. how6s. lh€ hoik ng or nnpml.rcnl is sE wniin om ,@
olcorpLlioc lh€ Ofl6 Buil&r will ha!. dE b&.kn olFovin8 rhd hc or sh. did ool hild or inprole lhc pEpdty for dc Plrpo* oa
-1,
di 0*16 orrhc pbpaly. m .iclEivcly cootractins *ilh li..n*d coil..dou lo strstru.l rh. I,oj-:l (sd 7044 BEin6
and PrDfsion Cod. Th. co.ricrols Licms. Law do6 nor apply to u oNld oaProp.ny sho builds or ioprovs ltdan.
.od $ho co.tr.cls for such FDjels *ith a Conlra.lo(, lictucd plB@r ro $. Conracrors Lic€6c L!*)
I tunere mi undd SNrion . B & Pc Lrrhr rNn
Dokr OFn.r:
WORI(ERS' CONIPENSATION
D&CLA3.63lrr
I h€r€by amrm udd.r r.daky of !6jory onc oathc aollotrins d(ldatio6:
-l
havc md *ill n,inr.in . Cslificaic ol CoBml lo S.ll-lc@ foi sltkql @nrpenslion, s Fovid.d lor by Scrion 1700 o I $.
ljbor Code. loi rhc daomdc. of lhc vort for shich Ihc p6nil E issucd.
_lhav.andwillm.intainwdrk.'conpc@tioniEurm.c,srcquir.dbySdlio..17u0ofrh.LoborCode,foriEFlollMc.oa
is i$u.d My workgr .o,npds.lion insurucc cdnd and policy numbs sc:
(\:\zoY- ZotT lo Zot
I cenirylhar in rh. pgaoman e oiln€ lvolk lor whichrhis p.mil is 6tudl I shall nor sDloy !fly pd$n i" ol nrmna
$ slo hc!,n. subjar ro rh. woltm' compctralioo la*s ofcalitumia, md.grlhal ifI should b. one subjd to th.
*orlda.omFsrionpmvisiodolScclionl?00oflh.trbrCode,lshall,tonh$ilhconply$ilhrhoslYovisioos.
WARNINC Fa,lue lo Kuc "ort6' conp€ffilion colcrdr. is unla*ful md shall sxbjtrl u dplolq lo anniMl psuhiG d
civil l'rn6 u, b on. hu.dr.d Ihousd doU6 (t100
Sdion 10T6oathel2borCodc imct md aftorey s
tun ro nE con otcompdsar'on, d.maBes 6 prolided tot 'h.
Z-r I L,Z
Lrql).!rru-(l)-[Iu(x)l!
DECI.AAAIION
I h.rby .afm und6 poaly of psjury thal t @ licc$.d udd lmvisiotr ofch!916 9 {comocing trnh S.dion 7000) of Division l
or rhe Busins ed PrcasioN Cod€. rd nr liccr ! in tull fo@ dd.fiat.
I 911ztt
SNF 1116 r\ u'zol cr \i (L\^CTi er-
Ca!fi4l]cuolttllDlNc-acE !a
I hde1r, allm undd F.,lly ot psjuy lh.l th6. b a orntucion LndinB aSocy for thc pdfoll@cc of lhc *ott lirr which rhis Fmil n
isu.d (S*.3097. Civ. C ).
ATII,ICAILIIICIAAAITAN
I hqrby .Jtrs lndr pd.lty of pdjlry onc of $c follo$i.s ddl&alhnsl
D€DoIni,n PmiB-A3b6tos Notilication t.ddal Rcsularions (Titl. 40. Pd6)
-R.quircd
trn6 of Noiicalion
-l
cErifylhal rhc fcdrar rcruhriDB r+odins sb€stos renDval -€ tror.pplicable ro lhh prorect.
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
It4eter Release
Rouoh l7'J-tg Y.tUrl)
Service Meter x
FINAL 124..IK \141,10
Notes, Remarks, Etc.\-/
Site-Work
L.nde, ! \,me _
I end.' i AddrN
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