HomeMy WebLinkAbout20165791 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA927o2
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Electrical Permit #: 20{65791
Pin #: 72375
City of Santa Ana
Permit Counter: (714) 647-5800
AddressRange: 2600-2830
Historic: No
Suite Range:
Zoning: R4
ryProject Address: 2620 W Segerstrom Ave
Assessor'sParcel 933-071-59 Lol:2,611,2,4,5
Unit: A
Block: NA
Bldg:
Tract: 8235/8868
Owner:
Address:
Tenant Name:
Lori Truman
2620 w. Segerctrom Ave, #A
Santa Ana, CA 92704
(714) 913-2663
Slater General lnc
8502 East Chapman Ave# 31
Orange, CA 92869
(714) 6s3-s030
01 1 16002
01 1 16002
01 1 16002
01 '1 16002
011 16002
51603
51603
5160:
5160C
5160:
Amount
1.40
1.01
21.25
52.98
Fee
$1.40
$1 .52
$1.01
$21 .25
$52.98
Fee Type
'125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Qty
1 .00
1.00
1 .00
1.00
1.00
gotch+:,f36?8 - 5!7 ! 2t"t18 It,:0ff ice: CTYH Trsrrsir :;:Acrti:. f.rf +1 :!t-lRcpli:02?5816( - 5./7 /?r:rl g 1r-rr
Fnsnsact ion Fctnl $ ig
LEOS4o
I t579
-.- 4 Atl
g, 0r:l
ALEt4
1
Phone
State Lic #: 946654
Lic Type: B
Bus. Lic #: 353370
Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company
Policy #: CST5011908
Expires: OllO'112019
5l oten 6enerol In,-
6enerol Plon Updqte Fee
0l I16t102- l l6rlr:100[-
Electr irRl
01I 16002- 5l6rl3tl0r:r-
Jll- Cherk
':!0-r
499 $ ! ll: .1.',1
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Remodet Code:
R-2
VB
cEc 20't6
Notes: Bathroom and kitchen remodel includes drywall
Zuniga, Allissa
ate:
ate:
ate: 0510712018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
D
D
Buildins Permit #: 1 0195345
Every pomit issued shall become invalid unless the wotu on the sile
authorized by such permit is commenced within 180 days aflet its
issuance, ot if lhe work authorized on the site by such pemit is suspended
or abandoned fot a period of 180 days after the tirne the wotu is
cofifienced.
01 1 16002 51600 $78.16
$0.00
$78.16
lnspector MID#: 2018-143185
01 116002 51603
$21.25
$s6.91
Phone:
Contractor:
Address:
Building Use:
Job Type:
Nature of Work:
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DIiLCARATION
I hcrcbt ltflftn undcr pcnrlry ol pcrJury lhtrl ! onr cxe.rpl Lorn rhc Conrr.cros l-icne bs fn rhc rollowirlS rcisotr (Scc.?011.5
Busirrcss aRl Profc$ion Codc): Any Ciry o! Counry $hnh rqltcs a ltmn h ..n{rucr. alrcr, imprevc. dcnnlish nr rcpat otry
\rrucrurc. prnrr{, ih issrd.c. al{, r.qun i rh. lpplicanr r.r \nch lf,nnn b fiL! siSnql s.rcrN thlt hcor sh€ i\ lircitcd Nrsuani
h rhc lft,vsn,nr oi rhc contrrctols Licc,sd tjs (Chrprcr 9, ConmEncins *irh Sccri.n ?Ux) o, Division I oflhc Eusincss ond
Pn,rcsridrs Codc) or rllll hcorshc ncxcmpl lhcrcaronand rhclnr\is for lh. slkscd.xcnlrirn Anyviolatl'nofSccthn?Oll5by0ny
appli.nnrlu!Ir.mirslhjr.rrrhc srtlicanr tu acivilpcnalryornnr fl crhan fivc hundrc! dollan (S500).
-1.
rs owncr oI lhc t,otcny. or m, cnrrlorlc\ wirh wascs as lhct ek conpcnsdli.n, will do rh. wo* md rtf, stllrluc is rcl
i,rcndcn o. ontred for eh t5( 7(x4, aosimss and ft,ac*ion\ Gxtc Thc Coftacbls Li.cnsc Li* docs nol aml, ro ai owmr or
lhc ptupcdy wh. builds or imEolcs lh.6tr. and qk) des su.h w,* himscllor hcsclfor rhn lBh hh or h.r.wncntployc.l.
rolidcd rhar such imnn*mnk .B rei inrcndcd or oiIdcrl iirr slc li howcrcr. rh. boildiu or impmvcrEnr is sold wirhin onc y.r
oacomphrion- $c OeE, Build.r *ill hrrt rtr buni.n of poving rhlr ltor $c dil n, tdu or iriprctr fic IrIEny for rlE Plrln{ ol'
I- nsowncrolthe popddr.,ncrclu\ivcly.onrding sirh li.enlcdconr k,N to con(Dcl lhc p(+cl (Ss.' 7044, Bdli'lcs
rtu ft)fNirC.dc: TheCotrrscttr s l-icctr\c l-asdocs nor ip|lyro sno*ncr orrii,t ywho build\ or mlolcs rhcrcon.
dnd who .onhcr\r.rsu.h Eolc.B with ! Contmcro.( o liensd pururnr ro thc Cont.lc'ois l,icen\c tr*).
I r'n .nrn' unds Serion . B & PC. fo' lhn rcr\"n
D . _. o*tr..
woRxFR\' ( (lMPF]\SAII()N
!ECI.AtrAII!'N
I tcrcht lfirmundcr lcnally of Frjory oft orih. rolbwing ddbrariDn\
IhDvrMdsill ai' ninrCdnifr.rcolCotrsctrruSclllNurttrsorkLJJconll4nsllion.oi prolidcdf{trhrS(rionlTO0ofrhc
I rhor CGic. li,r rhe !.rlbndncc of rh. w.rk fd which rh. p.rmir i\ irsu.rl
_l hrrc lnd willnrinrain sork.m .o'npcnsarbn insurnn... !s r.quncd hySciion l?00of lhc tihorG)de. for rl[ ri.rfntucc ol
rhc wolk larwhichrhn pcm a\ issu.d Mywork.n .o,np.ns.rion insutuncc .aricr ntu lblicynnmbcr scl
Ebuctl rvtaat*<-eeiot lqog b- /?
I ccnilyrhrlirrhc lcrloirn0nccorrhc wort lor $hichrhi\Firrir i\ i\\ued- I \hrll nor cnDby anyl.N{ hnfl, m Nr
s nrhccomsrbJc.rrorhcwo cdonlxnrarn,nlrssofcalinm,a.lud.!rccrharifIshouldh.cotrEsuh]cdt'lhc
workc'i co'nFn\ari{,npxrvili,,nsolSc.rionl70OoIth.Lill,(idc.Isl LlirnhwilhonDlywirhlhxcl)trrisions
WAINING F,ilurc ro scurc *orkcrs' comr(nsnrhn covcmsc i\ unhwrul, md rhsll subjc.r nn cmtl.F lo ri,nird r.trrltics rnd
.ivil lincs ut k' om hundrcd lhousrnd dolhn (310(oddnio. ro rh. c.{ or.omp.ns on. dlnE8cs rs lrovacd for lhc
I1 tb
DECLAAA.IIA!
I hcEby atltnr uder pcdltyolp.rjury thar I dn li(n$d und.r povision ofCholts 9 (con1ftncn{ vhh s..tion ?0(x)) ofDivhion 3
ol rh. Ausirc$ ud Pmfc$ions C.d.- aid my liccn\d ic i. ful tnre and cfldr,
qq lab iLl
t?,
!:ONiIBUSIX}N.LINIIIiAAGEN.CI
I hcEb, ailirn !ndc! Fn,hy or p.rjury d rhcrc h n con{dction lcndins sscncy for rh. pcrrommc of rhc work for $hth rhis Frnn i\
isrucd(S( 3097. Civ. C.)
AIILIIANIIIEI;I,AMIIO!
I lmby afiinn undcr pcn.lty olpcrjlry 6nc.ilhc roll,uing dc.l,di,cns:
Dc'tulirn,n P.rdirs Ash.sos Notifi.arion Fcdcrul Rcgularions (-lirlc 40. Pan6)
R.qxircd t tr.r oI Nodff,otion
-l
ccdifyrhrr rhc ndcrrlrclnhnn,s tsdl,.! r\hc{o\.Likrnlrrc nor anplicrhLr) lhi\ pmr.cr
l..nirrrhrrllulcrcM rhisipplic{lior ora(nldh rhc rhovc inlnrnLrid n.otrdr lrEL\bconDlyuirhtrllCirrrDdCoutrrt
ordinan.cs nnd Srrrc ljs\ EbhnS to if!.,{r{rudi()n. dhc'ehyrurhtri7.r.frc\rrrnri
rl.drc nEoli,)ncJ Frcpcny in
,\pplirfltrt or Agenl SiBnnl 5. 1\,r)oVlJ2C
\c\ ofrhn Cnv andCounrv'<\q'l
o.,. "'t t I
(u
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lite Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)E '')V.^,.o @)
Ceilinqs (Hard & Solfit Rouoh
Ceilinqs (T-Bar Rouqh)
ltrleter Release
Rouoh
Service lVleter
FINAL LbVn/tx1 lrilrtllY lfi-/
Notes, Remarks, Etc.
Translormers
Air Conditioners
-
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