HomeMy WebLinkAbout20165448 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2(J1654r'8
Pin #: 78475
l nspection Requestsr 17 1 41 667 -27 38 l nspector Section; (7 1 4) 647 -5853
Project Address: 3321 W Warner Ave Unit. F Bldg:
Tract 3561
AddressRange: 3301-3321
Historic: No
Suite Range:
Zoning: Mi
o?
Assessor'sParcel: 408-201-08 Lot: 38 Block: NA
SomeIs Properties Llc
314 L ST
Newport Beach, cA 926611501
(949) 6s0-6562
AFAB Machine Sop
01116002 51603
011 16002 5160:
01116002 5160C
01'1 16002 5160r'
Fee Type Amount
Demolition (includes ren 45.65
Min Fee Adj 24.99
General Plan Update 21.25
lssuance 52.98
Qty
100
1.00
1.00
1.00
Fee
$45.65
$24.99
$21.25
$52.98
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type
Code:
Notes Remove unpermitted electrical and cap back to point
ot origin. Auth on file.
Planning Conditions
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
te
Zuniga, Allissa
Date
Date ost0712018
Account#
Every permit issued shall becone invalid unless the wo* on the site
authoized by such pemit is commenced within 180 days aftet its
issuance, or if the wo* authorized on the site by such pemit is suspanded
or abandoned for a petiod of 180 days after tho time the work is
commonced.
$144.87
$0.00
$,t44.87
lnspector
$21 .25
$123.62
Fee Total
Paid to Date:
Balance Due
Owner:
Addressr
Phone:
Tenant Name:
r.('t,:h+ :4J63rl - :-i/7 / 2t-tt8
tl'l ice: ITYH TronE+! 15
i,:,:l+ i REt'+:i(r,ti! (122579?? - 1/7/znlg
lr'ansncL ior TotnI
ID r JGtirl
2r:r 16 r:; .{ 4
lur 1! Arl
5299 . 14.
i.Jfiers l.rGr,..,pt ies L1(
iilrri,:rsl Plqn Update Fee
rr i 116nt:t2- i160(tn[u-
t tecLr iEoI
r.ri 1 16tllr?- 5l6U3rlLrlt-
r*rr*x!924 Auth+:1,
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lndustrial
Alteration
Electrical
F-t
B
cEc 2016
01116002 51600
01116002 51603
MID#: 2018-142194
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER DUILDER DELCAR-ATION
I hcrchy rflirm undcr pc hy .r pcrjury ihar I am cxc'ryr rmm rhc cbnlractor' Liccn€ ti* lbr rhc lolloqing rc,$n (s...7011.5
Burinc* rnd Prorc.sion codc) Any Cily or County which rcquncs a ,mil lo ons!rucr- alrci inFovc. d.lmlish or rcFn ,ny
ercrurc. I,lhr to its hsuarcc. aho rcquircs rhc !p tanr lor slch rErmir lo filc d .isncd iarcmnr rhar tr or shc ( liccnscd NKUlnt
ro rh. I,n,liiions ot lh. Co.kr.ror's Liccnsd ljw (charr.r 9. ComnEncnrs wilh Scctiln ?mO of Diviion .) or $c ausims and
Profcssiotrs Codc) or Ihar hcorshc iscrcm lhcetionsnd Ih€ b.st for rh. alkEcd cicnoion. Anyviol,rio..lSeriotrr0ll.Sbyany
lnplkrnr nn a pcnnir slhj(hrhe lprliclnrro acivilFfulryornot n.rcrhan fiv. hundrcddollors($5(x)).
l. .s osRr rl rhc pmlEdy, or my cmplo)rcs *irh sa8cus rhcn v,h conr!.nsrr i, . will do rh( qo k d thc nBrur! is nni
n crrdcd or oticrcd for $lc ( S.r ?014. Bu\i'E$ and Piof.\irtr Cdlc Th. Contcrois l,i!_cn\c l nw docs nor plly ro an owrcr of
rh. pn,pdy trho hoilds or iq'n'rcr rhcr(n srd *ho dex \uch k)rt hnnsclfor hcrsllor rhmu8h his or hcr!{n cnr,loyccs,
pfl,vi{lcd rhd such nnlro{nrnr\ rc tror ir cNlcd n ottcRt l'or uL. Il: l$$ocr ltE hlitling or iml,R*tm.r i\ sLl siih onc }td
or comphtion. rlE O*ncr Duiiler $ill h,E rlE hrdcn of provins rhar hc o, sh. dll nor btild .. inpoK thc pn,Fny for ltE puqxxc oi
l. rso(ncrofIlr F)fc'r!. n rcx.hNnrly.ontuirE Nirh li.cn\cn l)n'lcd (Scc. r0r4. $u\inc$
alld Pinlssiotr Codc rhc Conrracrois Liccn{c Lawd(r\ nor lpflt
and *ho .unrr.rsfos!.h pmJc.ls wilhaC.nlm.lo(\) I
;',",:9/ik'It
UMr\8!.ll!\
I h.'.hy rflirm un,l.r t^-nrlryol |r{rtury oic ol rhc
-l
h!!c ard sill dai.rain, Ccnifi.rrc ofconscnr b s.lllnsuEf.r workcm ompcnerion,,\ F)vidcd forbyserion l7u)oflhc
LatatrCodc. lbrrhcpcrf{rnEEcof thc work for whkhrh. p.nnil i( hrucd.
-lhav.rndwill
rinr.in worlcs conrFnsrl ion nNUrun c. trs rcquiEd by Sd n n lTrD or rhc ljhor Codc. for Itf, pcdnrromc oI
rhc sork for shich rhhl.rmn is k\uct. My workns- comrcnstrhon inruruncccricr ud poliy.umh.r d.
-l
ccniiy rhnl in lhc pcrtonM'tc ofrhc *ork fd whkh rhi f.rmir is is{rcd. I sh0llnor cmPlo} any IEnon in dny mnncr
s, asro h6,ft {ubicr to rhc workcK compcns,lion laRs olC,li,hmin. md laree rhal ial \hould h.om subid lo tlt
worlcr.onpc.erionrovisionsolSccrbnlT0oofrhetnt r Codc.lshall- lonhwnh comrly wirh rh,e pmvhhns
WARNNG: I'rlurc ro ccuc q.rtcn .rnnn tr\nnnr r xi ri,n' l rtrrlrr.\ rtri
.nil fitrc\ n r. otrc hualr.d rl'ou\anJv,,.,, u,i.,' ,r,J "u,fa. ---",.,",JifuL v\
C0NSIAIJCIIO!.IENDIN:GAGENCI
I hcEbynrfinud.r pc. tofFrjuryth.t lhsc is!mnslruclhtr lcnding aB.ey r. h. p.rfo.nurce olthc*o.k for which rhi$ Fmn is
hsucd lsq. 3097, Civ C )
AfILUANLDECLASAIION
I Im'by !,Im undcr n trllry oincrhry dnc ofrhc f.ll.eii8 dcchhriuns:
D.@lirb6 Pf.rirs Ash.sios Nolification FcdcBl Rcsuhtions (In!e,10. Prn6)
Rcquncd krt.r of Noiiicolion
-l.cdilyrhrr
ft tidcrrl rcsrlxri'rtr {-tddnr! r\hc!o\rc trtrrlrc norinllicrblck, rhis |Jn'J..r
l.cnilyrhrr I h.vc rcrd lhisrpplicrrion mdnrrcrhd t cotr(r.I lgre ro complt wirh dllCnyand C.u.ly
odinr .csand Strlc lirvs rcL ilr8
,hovc f, r i(,mi] fi.pdny iir
.".:':)D/{'"
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundinq / UFER
Translormers
Torqueino
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilinos (T-Bar Rouqh)
Meter Release
Rouoh
Service lvleter .A
FINAL 5r149 |4.w.tw
Notes, Remarks, Etc.
Site-Work
Under Slab / Floor
Air Conditioners
I hcnby amrnundcr Fnollrofpcrjury rhlr I m lie.sj undcr Folirion.r chnpt.r 9 (om.rcins *ith Sc.rio.70m) ofDivisiun l
or Ihc Busiftss and Pmfcssions C.{e. ad m, ltcn$ is i. tull forc urr cfi*!
Liccn\c Clnss
-Li..n{c
Nun$cr
Dere (-onlriclor
II
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