HomeMy WebLinkAbout20164037 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Uenter Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647-5853
Electrical Permit #: 2(J164o37
Pin #: 72969
Assessor'sParcel: 398-101-01 Lot: NA
U niti
Block: NA
Bldg:
Tract; NA
AddressRange: 1139-1207
Historic: No
Suite Range:
Zoning: O
q
Phoenix House
1207 E Fruit St
Santa Ana, CA 92701
(714) 953-9373
Phoenix House
Jenades Electrical lnc dba E
327 S Tustin St
Orange, CA 92866
(7141 74443OO
Fee Type
0'1 116002 51603 Subpanel
01 116002 51603 Min Fee Adj
0'1116002 51600 General Plan Update
01116002 51603 lssuance
Amount
51.29
19.35
21.25
52.98
Fee
$51.29
$19.35
$21 .25
$52.98
Qty
1.00
1.00
't.00
1.00
Phone
Stale Lic #: 634432
Lic Type: C-10
Bus. Lic #: 173130
Workers' Compensation lnsurancel
Carrier: Preferred Employers lnsurance company
Policy #: WKN151791
Expires: 0110112018
tot':h+;4utl44 - 9/\/2itli IDr 'r,r;r'i rel iTYH tv (rn5i; 97
,l-.t-+, Ref+: 2tr lri '.,'r 1r+:0?0tr63(r6 - 9/':/2i17 11t -1?
trrinsqr:t ir totol $144.1.
rr rde. Flectrit(rl In,: db(t Ber
lE.:tr icoi
I i 160(12- i16(r3trt(r-e|erol Flqn Upd(lte Fee
I i i6(02- 516t:r(xl0i-
riq
L, 1; x*r***rxr*xxl?[t4
Building Use:
Job Type:
Nature of Work:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Bualding Permit #:
Commercial
Miscellaneous
Subpanel
Occupancy:
Constr Type
Code:
Zuniga, Allissa
Every pefinil issued shall become invalid unless the work on the sile
aulhorized by such pefinit is cofimenced within 180 days aftat its
issuance, or if lhe wotu authoized on the site by such pemit is suspended
or abandoned for a peiod of180 days alter the time the work is
commenced.
09tost2017
Account#
$144.87
$0.00
$144.87
Date:
Date:
Date:
MID#: 2017-138419
011't6002 51600
01116002 51603
$21.25
$123.62
Fee Total:
Paid to Date:
Balance Due:
Project Address: 1207 E Fruit St
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
B
VB
cEc 2016
Notes: Remove and replace interior subpanel like for like.
Planning Conditions:
lnspector
ELECTRICAL-INSPECT R RECORD
DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Fact ory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rou gh
Service [\,4eter tt
FINAL ro\\9\r9 ./.L("tfiq)
Notes, Remarks, Etc
OWNER BUII,DER DELCARATION
I h6.11 arm undd F.aI, of pajury thal I m .rmrl fiom (he Contadou Licffi riN aor ln. follosiu l.en (56 7011.5
B6ins sd hofsio. Cod.): Any C y or Counry \vhth r.qut6 . pqrnir lo onslrucl. ah6. imptuv.. dtiolisli !, (?dn dy
srtuctuc. prior ro ils issu&cc, aLo ieqln6 rhe applican for such psrn ro filc r sis.cd srarod thai h. or sh. is licoi!.d puBu.,rl
to th. prcvGions olrhe Conr.acbr's l-icds.d l,au (Chapld 9. Comm.ncins uith Scdion 7000 ol Divisio. 3 oarhe aL\in.al add
Proa*ioG Cod.) or (har lE or she is cr.mpl th@t6n dd rh. b.sa aor rh. all+cd .rmplion. n, viohlion ofsed 6n ?01 I 5 by atry
applicanllorap.flnilsubjdslheapplicdltoacivilpmahyofnotoor€lhanfiv.hundreddollds($500).
l. a ownd oflh. pmFlt, or ry .nploy6 Nnh wa86 6 th.ir el. compGalion. sill do th. solt dd thc sh(lu. is rer
lo|a.H or ofi6.d aor el€ (Sc 7044. Bshs Md Prof€ssioN aode t h. Conhcloas LEffi lj$ do6 nol .pply ro d o$e .a
lhepmp.ny uto boilds or inprove fisqrn. ud who dG such s!r( hims.lr or h6Ell or lfircush his or hd oM .mplo}.6,
proridcdrlMt such improvondrs a. nor inrdi.d or odq.d aor sL. I[ lDwa6. thc buildiru o! implovcrHl is sld virhin onc ]@
oacongG1io( the orqr Buildd wil na( rnc bu'do! of presns rhar h. or shc drd iol build o. imFo\r dB pmFly for lhe plrpos oa
I. s ownr of th. prop6ly, m.xchsivelycontacti.B with licc.sed contmcloE ro coaslru.t th€ projd (Se.7044, a6ns
Md ProtA3nn Cod.: th.Conrracroi s Li..6se l-aw d.6 nor aDply ro an o*ne oaprop.ny*h. blilds or isprcvd thso!.
and who conlmcrs lor such projEts Eirh . C.irmclo(s) licdscd puBuel ro rt€ ConrEclois Lic.*. l-r)
-l
d dmpl und6 S<lion-
uaa6Ea!:(9!If[NSAIAX
DECIABAIIO!
I hscby amnn u.d6 FEl, oI psjury oac olihc folloBin8 d(leaiioNl
Ihav.ordwillnMintai..Ccnificai.ofCo6cntroSell-lrourcfo,wo 6 o'npaslion.6 provid€d for byScrio.I700 orrhe
L,b.r Cod.. aor rh. lEaommc. of th. wo* for which lh. pdhir i3 is!.rl
! corify rhar ,n rhc Fforhan €ofrhc sork lor $hi.h rht psnir i! issu.d. I shall nor.hpn)y an! p.uotr in rny mann6
s 6lo b$on'. bj4t lo rh€ sod(m composalion laus ol C.lilomia. and asrelhnl iiI should b..onesubj(r lo'h.
\rrk6s'comp.flsalionprovisioEols€c1ion3700oflhcLabo!Codelshflll.follhuirh.on&ly$irhrho*pmvGiotu
wARNING: Failur€ ro *urc 10116' codr..sd n n cowsc is unl.\vlul. and shall subjer e dployfilo ainin.l pcnahis and
civil fin.s up lo onc hundEd lho@nd doll6 ($100,000). in addnion ro rhe cost olconp.Nalion. dam0l* as provided tor rh€7lfraif F Ns r,naaini^l 'oR=--ffi
I h@by arm undd paalty of p.rjury lhot I m licds.d unds provision of Chaplg 9 (commacins *'nh Sdion ?000) ol Divi3io. l
of rh. arsin*e Md Prca6sioE Cod.. od ,ny licm. is in full forc d .fier. /
1')
I h@b, aff@ uda penaly of Fjury thd thq. is a @antudion kodnB agfty for lh. pafolllEc. of thc mrt tur "tich lhis p6nn b
b$€d {Sc. 3097. Civ. C.)
ATTLICANLOPCTAAAII9!
I hq.t'y aflim undq Dorahy ol psj!ry onc of lhc foll$v ina d(lardions:
Ddnolirion Pdmirs-Ash6ros Notilicarion [dd.l R.gr larions ( rnb 40. Prn6)
Rcqtrned Lcus olNorilication
I csl it rlEr rhe Ldsd rc3ulalioB csedios 6b6ros ranoval s. nol applioblc ro lhi pmjd
I c6rifythat I luveredrhisapplication mdsrai.rharrh.sbo\. infonnatiotr is cond I a8r ro comDly tr irh all Cny and ('ounry
ordnmncG dd st.'c k$s rlalin3 bui ld in8 consrd.t ion. a hd.6y aurlNrize reprsrariv6 o f rhis Cily dd Counry ro 6ra uF n rh.
aborc nEd bned pmpdly lor
,\ppliont or.\g.nl Stnrtr
APPROVALS
Communrcations Cable
I havc a.d will nairlain * ort6 conp.@tion i6uru.c, a r.quncd b, Sarion 1700 oalh. rjb.r Cod.. fo! th. pgfomanc. of
rh. (mk rorqhi+'hBptr s isu.d Vy $orld' comp.Nri.n iEdmc.cni6ud polic) numba e
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