HomeMy WebLinkAbout20166989 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 66989
Pin #: 50098
Proiect Address: 730 S Euclid St
Assessor'sParcel: 108-563-'14 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: O
E
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
01 1 15002 5160:
01 1 't 6002 5160t
01 116002 51603
Amount
160.25
22.OA
55 04
Fee Type
Special Event
General Plan update
lssuance
Qty
100
100
1.00
Fee
$160.25
$22.O8
$55.04
St Barbara Church
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance
Carrier;
Policy #:
Expires:
r,. 1t 101:r2
rl i{ P, i shrF U
cn lrpdqtr-, F ?e
I16frifl:r0l*
: L{!-r6t:16-
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Other
Miscellaneous
Special Event
Occupancy:
Constr Type
Code:
Zuniga, Allissa
Every permit issued shall become inva d unless the wo* on the site
authoized by such permit is commonced within 180 days after its
issuance, or il tho wotk authoized on the sie by such pemit is suspended
ot abandoned fot a period oflE0 days aftet the time the wo* is
commencecl.
N/A
N/A
cEc 2016
09t25t2018
Account#
Notes: Special event Sept 28-30/LUC 2018-1o8/handout given
$237 .37
$0.00
$237 .37
Date:
Date:
Date:
Misc. Receipt:
l\4isc. Receipt:
Misc. Receipt:
Total
$22.08
$215.29
lnspector MID#: 2018-146344
01116002 51600
01116002 51603
Roman Catholic Bishop Of Orange
28ll E Villa Real
Orange, CA 928671932
Brt,:5 + r,id094 - 9/2?-,i,.'tllf r :r; iTYH Trctn:+:A,::t+: F
lrpt+:0?390774 -
Irons(l.t ion Tot(ll
ITI I I-ROSALE10f J
.r'r164999
1 t-t I 19 611
+
S23. r1l
s.l,,q1(, 7'
Planning Conditions:
Fee Total
Paid to Date:
Balance Oue:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDER DET,CARAIION
I hcrcby alfi.nr undcr,Enlll, oi pcrjury rh I am cxcnDr ri.n rh. Conhdo$ Liccns t2e r.r lhc followin8 rcomn (SN70315
Busincs* odl Prolrrsiun Codc): Ant Ciry or Counry which rcqlncs a Fmir h con{tocr. alrq, i6pmvc. dcmrish or rpln ,n}
stucr$.. prir ro iis issuaft., alb nluns ttu arpli.,fl lnr su(l pciini ro nlc a si8Rd raEmfl thor hc .r shc i\ liccnscd puruant
ro thc pmvnn,ns olr}r Conrr..rols t,iccnrd L!{ (Chn s 9. ConnENinr {irh Sccrion 70(n of Divhion I ofrhc susinc$ and
Pmrcsn,nr Codc)o,rhar hcorshc is crcnllr rlrrclroh6d rhchusis ior rhc all.scd cxcn1trn Any vi.larion ofsktion ?031 5byatr,
applic0nl loraFcmit subjek lhc lmlicanl ro !civilpcMl'yornot nFrcllEn livc hun<lrcddollutr (S51x)).
-1.
.s ourcr oi lhc pmpcrlr, or rny cnplorrs w h pnScs !\ lhcn qrc .orB-trsrriotr. will do the work ond lhc sln{1urc n nol
idcndcd or oficrcd i(n elc ( 56 70!u, Blrims\ and Prcfcsbns Codc: lnc O]nrrackr'{ Lic.nsc rrw docs n.r ,mly ro trn owtur ol
rhctn'Fny wh. build\o. imp(,!cs rh.mn, ntul wlrr &a \uch sii himsclfor hcn.lfor rhmuBh his or hcr own cmtloyccs.
providM rhr su.h nnrmvcnf,.N m nor imcnd.d d olt!ftd tu sab lt h.{ctr. rhc hoildirS or ioproRruN is soh wirhin onc Jrrr
orcunrlk'nr. rhc O,ncr Buiuer will hik rhe budco of,,rcvinr rhd tr or chc dir lxn nrild nr ifllmlr rhc pmpcny for rhc I]! po{ ol
-1.
$ owtr.. ol rh- ,tuttlny. rtrrciclusivcly.onlmLlinS wirh li(n*d .onrrack,n ro con\rdcrrhc rotcr (SN 7rH.r, Bu\i[r\\
tud Ptuf.s\bn C.dt: Thc Coitrcro"\ t-iccns. t-r$ doc\ nor rlply io ui owncr.l ltupcnywh. huildi or nnprovcs rhcrcon.
and qho co.rrrlis l'or such Drojecls * ith r Contrudo( s) li.ctrkd nurua rorheConrld.as Liccnsc ltrw).
-l
amexenrnl undc! Secrion-. B &PC lorlhtrcay,n
DlI. ()*n.rl
UOBtrEAIL.cOIIIENIAIAN
DII:IAXAIION
I hc..hr!lfinnuDdcrrD0lllolpcrulyon..lllrclollowirAd(larIiotr1
-l
havc md will roinrain o Ccrr ifrarc .l Consor ro Scll'l nsu.c r'or qorter' compcn\orion. as povidcd ld by S&'iotr ]7m .r rhc
khor C'odc. lor thc lcrforMcc of lhc work for which rhc lcrnri( is issucd.
lha!c rnd sillnEinran, *orkcrs onlPcn\rri{,n in\trrm.- rcqun.dbySccri,nr:17(X)oftltLrborC.dc.furrhcp..lonniNc.l
rhc *.rk,nr whi.h rtri\ p.nnn il nsuel.
^ly
workcrr .o'nr.i\ari,,n i'n.rrdc..nni$ dxl |)olicy truDhcr ircl
I0licyNumhcr:-
I ccdi! rhd rhc r.rtonnrmc ofrlf woik ix $hi.h rhh lrrnir is issucd. I sh.ll nol cmtloy rny p.rsn in lny nranncr
ssn,bc.onrcsubJc€lrolhc$od(€n'.onD.nsaiiotrh*solCrlifornilmdlsEclhditlshouldhc.onrsuhj.crrorlf
wo*en compctrsorion pnrisionsolSdion 37m ofrhc Lnhor CoJc.lshlll. fonh{ilh compl, trirh rlb* pr.vnion\
WARNINC Failurc to sm *ork.n onp.ns.rio .ovdrlc is unlrwrul. and shall subirl .n crnplorr! to niminllr4rulricx lnd
cilil nn.s ut ro orc hxndrcd thouirnd dollrs lslo0.fiXr, in rdditio. kr lhc co{ ofcompensorion. d.mgcs as proeidcd tu rhc
Sc.lion 1076.trhj L:bor Codc, inrcmsl ana arlormy * ltcs
Dole: Applionl:
r rr:errsr.r. corirneiron
DES,Af,AIIO!
I hcfth, sflirnondcr Fnalry.ap.rjrry rhd Lfr li.:nel undcr F.rirnrn 6rChtrpr.r 9 (onxrf,n.ir8 wirh Scdiotr 7t{)0) ofDivision 3
oi lhc Busincs lnd Pdtsions Codc. ud my liccnrc h in full iorce ud eltar
C(INSTRUCTIoN LFNDIN(; AGT\CY
I hcrchy !finm trndcr lcnllly ol p(rjury lhai lhcrc is a onsruclion kndio8 asenc, rd rhc prrrormtut.rrhr *ork lor vhi.h thk lEnnjr h
hsucd(Scc .109r.Civ C.)
L€adcls AddEsr
-
AfzugANfDEl;I,AXAlIO!
I holty anim undcr pcnallyofpcrjuryom oithc following dcclodn,ns
Dcmli'iotr P$nnF^sb.{os Noriar.ariotr Fcdcnl Rc8ularioN (Tnk 40, Pan6)
-Rcquircd
L.ttcr ol Nolilration
lcur,lrrhrr r1[ ,i,[rrl rclrld i,)n\ rrgrnlng r({{.\rctrrul ,c f ,t rt]t)li.nhlc b rhs |n it .r
lcrn'li rhd I hrvc rcxd rhi\npfliuin)n rid i cthd rtu rhrr inr(trtrdi,n, '\(oirc(l I r!ii\ k
[d[::il#%?
l hl hv lilir,e r. fi.|llliv.\.I
) conlly wirh ollCiry 6trd Colnry
rhtCity!nd Counr) h ctrrcr ur'n rhc
^,. Q(z;Jtr
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondin g/Grounding/UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouqh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service Meter /..-\
FINAL '1*27-11 \M\Y-t(,)
Notes Remarks, Etc.
COMMENTS
c{no
-
Site-Work