HomeMy WebLinkAbout20166992 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA9?702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O166992
Pin #: A2912
Project Address: 3220 S Halladay St
Assessor'sParcelr 411-151-02 Lot: POR 1
Suite Range:
Zoning: M1
9?
Owner:
Address:
Contractor
Address:
Phone:
Tenant Name; Midnight Munchies
Patsy Johnson
17602 17Th Sr 102
Tustin, CA 92780
Don Gabel Construction
4171 Casa Loma Or.
Yorba Linda, CA 92886
(714) 401-8863
01 't 16002 5160:
01116002 51603
01 1 16002 5160C
01 1 '16002 5'160:
Amount
24.79
23.80
22.O8
55.04
Fee Type
Min Fee Adj
General Plan Update
lssuance
Qty
2.OO
1.00
1.00
't.00
Fee
$49.s8
$23.80
$22.08
$55.04
Phone
State Lic #: 845203
Lic Type: B
Bus. Lic #: 349623
Workers' Compensation lnsurance:carrier: STATE COMPENSATION INSURANCE FUND
Policy #: 9053485
Expires: 0412312019
1600?- 51600000-
ctr irol
1600?- 51603000-
tl
+: *****i******?l
lndustrial
Alteration
Walk in Cooler
F-2
B
cEc 2016
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirdins Permit #: 10195127
Every permit issued shall become invalid unless tha wotu on the site
authonzed by such permit is commenced withinl80 days aftet its
issuance, or if tha wofu authotized on the site by such pormit is suspended
or abandoned tor a peiod of 1 80 days aftet the time the work is
commenced.
\[,&rernanoez, xatnv
Date:
Dale:
Date:
lnspector MID#: 2017-140569
01 116002 51600
01 1'16002 51603
$22.08
$'t28.42
Bldg: Address Range:
Tract: SECCOMBE Historic: No
Unit: B
Block: NA
Botchi:46094 - 9/2F/2{.tlS I[off ice! CTYH Tr0ns+i 32Arcti: Rel+: i
RcDt+:0?390943 - 9/11/2t179 1
Tronsoct ion Totsl $:Don Gob le
Oon 6sbe! Constnu,:t ion
: LROSAI-E11ol ?
..1166?i2
I r r:r:i f.n
::s.7,1
Fre
Building Use:
Job Type:
Nature of Work:
09t2512018
Account#
Misc. Receipt:
l\risc. Receipt:
NIisc. Receipl:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
$150.50
$0.00
$150.50
ELECTRICAL-INSPECTOR RECOHD
APPROVALS DATE ID/SIG.COMMENTS OWNER DUII-T'ER DEI,CARATION
I )rrchy arfirfr uidcr Ptndry {'r Frjry rhd I rn' cx.'np' rn'a, rhc ('.nrrr 'tr' Lictr\c bw lor rhc f.llo*n{ rcien rss.?0.11.5
Buri'r\s Md Prorcssio. Cod.)r Any Ciry or ('ounry rhtrh rcquft\ J tfrnnr rn (nn{rucr. arrcr. imrrn\c. dc'?rl'rh ., Epti! any
snrrurc. priorro ns isnrsncc. rko rcauircs th. rpdi.0.t forru.h Firnil ro filc r si8ncd (lrcmnr rhlr lEor shc i\ liccn\cd pu^u,nr
ro rhe pmvisions of rhc Contarrois l-iccn*d Llw (Chaprcr 9. Conficncni8 *irh S..ti.i 70(X) ol Divhnr :l oflhc B.InEss and
Pmli\snNCod.)orrlulhcorshciscxcmplrhcrcfronrandrhcbdsisfrrrlrallcgcdcrcnution.AnyvnnatiotrotSs.'rint70.rl.tbyEny
apflic!trrli,rr!.nnisubjc.lrthc!ppliconrkr!civilI,cnallyol.orfttrcltunfi!chtrndrodd.lhr\l$51x))
l, 0s owncr or rlD rm,tny. or nry cnrllotccs wnh $ ng.r rs rh.f blc .ImNnqliotr. q'ill .lo lhc wolt lnd lhe srMh il nor
inrc dl or oficrcd ior vlc (Sa.7044. Bu{rc$ and Pml'cs{ions Codc: l he Ornhcrois l,icensc ljw docr nor amly lo,tr owrcror
rhc In,I.dy whol ilds or iqtrowl rh.tun. and who d{6 s!.! k)rl( himrclf or hc*clf or ihouSh his or hcr own c lloyccs.
lrovi'lcd rhil such impNwirrtrh m not inrc.dcd or offcEd fd rrlc lf. hoft\rr. rh. hoihing or inDmrcm h sh Nirhin "m Jm
of co.Dlrion. rhc Owncr Buildd will haw rlE bud.n of lmvi'r8 rhdr hc or sh. did nn h{ild or irr()$ rhc pmtcn, lor rh. purlr)r of
-l.r(otrncroirhclmtxf,y,.ncrclusivcly.otrr,oclir8wirhlicctrs,contrlcx,rrocon\rrucrrhcpxiccr(sc.7{x4,8u{trcs,trd Pn,fLarir Codc:1hc C..tr.roir Liccnsc Law doc\ nor rprlyr) rnowncr ofpn,pc ywho buikl\ or ir.prorcs rhcr.on-anl who onrradr,n. such trcFcls *irh r (-onrra.ro(, liccnsd puFur b rhc Conkd(tr\ t-iccn{ ltrw).
-l
!ncxcnrpt undcr Sdiotr-. B. & P.C. tulhistrn)n
Own.r:
ratsf,[&$:ljouP-t]lsAll0NlElraatrIll!
I h.rrhyJiftn,und.rnrtrrllyof pcrjuryon of rhcftilk)*iD!dcclrrnnnl
-llrvcdxlwillnmi.lrir.Cenifi.rrcol(oflsntroScll.lnsurelbrworken.omtrcnssrion.rs
pn)vidcd fitr bySc.ri.tr 170(roflhc
ht{r C.dc. f{r rh. pcrlortuNc ofrhc *ork for *hkh rhc lcnnn i( nrucd
_l hrv.rnd willmtriruin workcrs conrpcn\rrio. in\mncc- as rcquircd hy Sc.rn,n.l?(n ofrhc l-'bor Codc. ror lhctE lotnuncc.i
rtu worl l;r which rhisFmir is i\lucd M y workcr' comrr\rtin insur mc.rrid nntl |l,ln'ynuNbcr m
I ccnify rhd in rhc pcrfontukc ufrhc sork nr Rhi.h rhN r.nnir n $*ucd. I rh{ll nor cmnloy rny lEron in lny hanncr
$ a\ lo bc..m {'6Fcl ro rhc $orkc6 coo,tEn\arion hws ofcllil'oa,ir- rtrd rgrl{ rhrr if I \k,tld hc.oft rubjc.r o rh.
{orkc6 coarpcnqiion pmvtions ofScdn,n:ITOOol rhe lrhor Codc.l \hdl, f{,nhsirh con{,ly {Ih rhos prlvisions
$ARNIN(l: Frilrr kJ $cutu w.rkcrs .onDcis ri .ovd' !cr.;H;;:1"11".;# " r':1": ::rll.ivil lnrs trf r) onr hr d,.d rhotrsrlld olltrrs (\l(Xr,(Xr,), ltr
sc.ri({ 10760frhc lihtr(iic. ir crcN.fddkrr{
1'z<r(
DECI,AEAUAN
I hcEby amrm undcr !'cnohy of Frjury lhar I am lienrn uadcr rmvisionolChrprg 9(.omftminB wilh sdion 7o)0) olDivision l
or thc Busim*s and Pmr.ssions Codc. ad nry lkcn* ii in full lor.c lrn dTal
*,., 9 - z < - r < *^-**,\Ddz-E4BEe
IANSIBUCIIONIINTINCJJJINCI
I hcrcby ofirn utrd$ Ir.lhy oftErjury rhor lhm is a onslruclhn l€ndiry a8crcy ti,r rhcFrr.rdtrtuc orih. w.rk lor shich lhis pcnnn is
ksucd (Scc. 10S7, Civ. C.)
AITUCANfTECI.AIAIIO!
I try lfmn uMcr Fnahyof pcrjury onc of lh€ followinS dccldolions:
D.mliiio. Pdrons A.h.{ Norin arion F.ddnl Rceuhlnni (Tillc
'U),
PM6)
Rcquind t tr.r ot Ndificdion
I enilydal the fcdcra I rcgu lal ions ESsding 0 shcslos rcnblol a rc nolupplic$lc lo rhi\ Fojecr.
-,lcnirrlharItu\crcadrhit"nnr'*u-"""ro"rz61i),",'n\cinlo,mqrfnnh.gdrIJs's'romnrrodnorccs cnd srorc tjw. rclariM ia huik,ns c"Iv,tucr,16. md hncbyau6,ial6ra$d0rik\ "l rh^ cr
rh.vcnrnr'.'trdnn'p.nlrorh.p".r."n*r.*'( , y' /
npprronr or ngrnr siqdur I t.4 '' <,t ^ Drre:
y wirh.ll Cirylnd Cou.ry
y ald cou.'y io cnrd xpoo rlr
4'25' ,9,
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Bouoh
Ceilings (T-Bar Rough)
Itileter Release
Rough
Service ltileter
FINAL //-tr- /B J).Jtl 'r42)Notes, Bemarks, Elc.
Communications Cable
Air Conditioners Poli.y Numbcr-Extnesr
-
Lcndcis Addc$:
-
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