HomeMy WebLinkAbout20166835 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2O166835
Pin #: 13617lnspectaon Requests: (714) 667-2738 lnspector Sectaonr (714) 647-5853
Proiect Address: 1702 314 N Bristol St unit: METO1
Block: PM
Bldg:
Tract MABURY
Address Range:
Historic: No
Suite Range:
Zoning: C2
E
Assessor'sParcel: 399-121-18
Owner:
Address:
Utility Location
1702314N Bristol St Unit# MET01
Santa Ana, CA 927063327
Amount
53.28
-130.40
22.O8
55.04
Qty
1.00
1.00
100
'1 00
Phone
Tenant Name:
Contractor
Address:
Los Angeles Engineering, ln
633 N. Barranca Ave.
Covina, CA 91723
Phone
State Lic #; 591176
Lic Type: A
Bus. Lic #: 17901
Workers' Compensation lnsurance:Carrier: Old Republic General lns. Corp
Policy #: A1CW37191807
Expires: 0410112019
Buildang Usel
Job Type:
Nature of Work
City
Miscellaneous
Service Meter
Occupancy:
Constr Type:
Code:
N/A
N/A
cEc 2016 Notes: for traffic signaUcity job-fee exempt
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date:
Date:
Date:09/05/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemil issued shall become invalid unless the wo* on the site
authorized by such peftnit is commenced within180 days after its
issuance, ot iflhe wo* authorized on the site by such permit is suspended
ot abandoned lot a peiod of 180 days after the tirne the wo* is
$0.00
$0.00
$0.00
lnspector
Fee Tolal
Paid to Date:
Balance Due:
Lol: 4
01 116002 5160:
01116002 51603
01 1 16002 5160C
01 1 16002 5160:
Fee Type
Serv Meter
Fee Exempt
General Plan Updale
lssuance
Fee
$53.28
$-130.40
$22.08
$55.04
MID#: 2018-145898
N/A - No Balance
ELECTRICAL.INSPECTOR RECORD
APPROVALS IDiSIG.COMMENTS OWNER AUTLDER DELCANATION
I hcrchy 0titn undcr pcnull, of Frrury lhd I am cxcnrpl lmm lhc O,nr,"cron Ltcn{ Ltr{ r.r rh. rolloring rc.son (Ss 701 1.5
Bxsinc* rtul Pn,r.ssid C.Jc)r A.y Ciry or Counry shth rcqoncs a ltmir ro .on{rucr. alrcr, nrprovc. demolkh or replt atry
srrudurc. prior h ns hsuon.c, lkorequircs rh.0F lianr for such Frmit ro filc! siSncd srarcnrnr rh heorsh. is liccnsdd tu6udr
b rhe nruvision\ ofrhe Conr!.xtr s Licer*d Ljw (Chaprcr 9. ContuncinE wirh S..rion 70tro ol Division I oflhc Businc$ und
Pmf.ssiors Codc) o. rh h. or sh. k cx.mpl th.Erron d rhcbaai\ rorrft all.E.d cxcnrrliotr Anyviolationolsccrio!70-ll5h,dy
apllic0nl ror a pcrmir subFts thc aprliclnl lo ocivilEnrllyormr rmrcrhu. fivc hundrcd dollus(S5oo,
-1.
a\ o*ncr of rhc ,,Drsty. or my cmplorccs wirh soBcs N r lDr nrlc .o,nFnsrlion- will do rh. work a rhc iflriurn
'xnidcndcd or ollcred tu sh (Sc-. 7014. Busim\s and Profcsn,ns Codc: Thc Cohrmbls Lhcnsc tjw docs nol opply ro rn o$ncr ol
lhc pn,rcrty sho burltls or inrpr.vcr rhcMn. ald sh) des suh wort hi'n\cllor h.rsclfor rhmugh his ot hc. own cmPloyccs.
polidcd rhar \urh irpmrrrcnk m ior idc L{l or oltd.i n)r slc ll ho*du, rtr huildiog or inlmrcnE h sold wirhin nnc ru
of.omplcriotr,lh Owmr Buiklcr *illhaE tlr trtrilcn ol pmvin8 rhd l.c or shc dn ml tuikl or nqmrc lhc Irepcny lor rhc llrtn{ of
l. rs oqNr nt rhc t olxny, !m cxclusncly conrid in8 w h liccn\cd .onrrrclor ro con(rud rnc pm itcr (Scc. 7(N-1, B!{nc$
atrd lbfs\h1A)dc: ]-hc Contr.trr's Liccnso Law docs trot apply ro dn owi.r ol pn,pc(y sh) huil{h or nnpmvrs rhcr.otr.
rnd *h. cotrr.lcr\ lb, strch p(,r.c( wirhxCoiknctfl\)li.cnscd ptrr\unrk, rhc Conha.kr'( t-iccn* L1w)
-l
r,r cxcmpr undcr Scrr
Date Owner:
woRl(FRac-i[]ENsATroN
DDCIIAA.II!]N
I hcrchy o,lnm undcr ncnllryolrc,uryone oflfic rollowinp dcclonlions:
-l
hrvc lrn will nEimair 0 Ccflifrc.re of Co.scnt ro Sclalnsurc lor woltcs conDcnslln'n. !s tevidcd ro. by SNl ion ST00 ol rh.
tib.. Codc. fo. $c pnlormrcc ol rhc mrt lor which rhc lmil t i$ucd.
/l h.vc and will nuinrain $orkc6 comrcn\{ion insurance. as rcquncd hy Ssr io lTlx) or rhc Lnbor Codc. ror Ihc pcriorromc of
lnc *o h,uhth lhis Dcrmil is hecd. My*olkcrs
c""t", \olc\ Rea-,b\ rc
conrFnririon nrurxncc crnicr tl p.licy
il ci
l.cnifyrh.r inrhc p.rformnc.ofrh. work for whi.hrhis p.rfri n h{r.d.l sh0lltrot cnll.yanyp.non inony nunnc'
a s ro hcconE s,hject lo lhc $o*c6 ompcnvrion hBsofCrlitomia. Md asEc rhrr ifl \hould bcco'nc stbjftr rJrlE
sorkc comlc.satn'n pmvisions ot SNrio! :l7(r, ot rhc l,hor A)dc.l stull tunhsirh.onrply *irh rh.* Pmltiotrs
wARNlNc l:ni[trc rJ sccurc $oricri conrpln\riflr srsrsc i\ ntrlJ{t|. r n L{'l+cr rrnr o)tr n, dinrimlpcnilricr nfd
civil n,cs up lo otrc hufrkcd rhru\and do
S(rio. l{)?6.lrh.lrl Cnl. inr.re{ and,"*--35-tZ
^
hlirio, k) rhc ron .r co rfcnlxrjo . 'nrgcr is prnvidcd n)r rhc
(
DECI,Af,AIA!
I h.Eby dfllrE und.r p.n,l'y or pdjury thd I an liccnsd und.r povision ol chaflc 9 (conmnc ing wilh Scdi.n 7000) of Divnion -l
of thc B$ircss and Pofc$ions Codc, and m, liccnsc h firll forc and cild.
D C ?tt1wq-5-(B ;grua
CANIIAISIOIIIEII,IINCICENIJ
I h.rb, nfiinn undd lj.nrlryoft'crjuryrhar lhcrc G 0 conirucrio. bndi.8 agcncy tu rhc !.duromc ofrhe work for shich rhk Pn'nir i\
hsucd (sr :1097. ci!. c.).
AITIICANLDECI,ASAI&!
I h@ti, alim udcr pcnalry of pcrju,y orc or rhc rollowing drlrar iooq:
Dcmliliotr Pcn ls.Asbc(os Nolificalion Fedcrol Rcsulations (mt 40, Parr6)
-Requircd
brterof Notifi arion
I.cdilirhar rh. redcrrlr.guhrn,N rc8rding ,\b.tros rcmr trl lrc nor dppli.ahl. ro rhii flojftr.
lLl.cn yrhrIhrvcrcr'lrh'.annl'cJrtr'nJJit{rcrhir,heah)vci'raornd n is .om.l. I .!rN lo conDly w irh r,l Ciry rid Cou y
urdi.r.c! iJ Srrr.liws rl:llin! h rcnrcsctrr.tivcs olrhh Ciry and C.lnrytu e er
3h.v. nrfrnnrcd Pmt^-n)] nr i,r Ll
Aplli(unl or AScnl Si8n!lrr€-5-
S6ICq
";u;
ts?<e
e 16
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Lite Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino i UFER
Transformers
Torqueing
Sub-Panels
Air Condilioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
[/eter Release /,1// //( E 1t1rx4 t 'l-
Rouqh
Service It/eter o//hr'. E ?Mr h-
FINAL ri//i/r*-i V/46-7r+/6'2-
Notes, Remarks, Etc 7-- /-
,,1
DATE
C