HomeMy WebLinkAbout20167845 - PermitCity of Santa Ana
Permit Counter: (7'14\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20167845
Pin #: 690{2
l nspection Req uests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
.r Proiect Address: 429 S Bristol St Bldg:
Tract: NA
Address Range: 429431 .
Historic: No
Suite Range: 429431
Zoning: R1
E
Assessor'sParcel: 010-111-35 Lot: NA
Unit: 1
Block: NA
Owner:
Address:
Gonzalo Gonzales
429 S. Bristol
Santa Ana, CA 92703
0'1 1 16002 5'1603
01 1 16002 51603
0'1 1 16002 51600
0'1 1 '16002 5'1603
Fee Type
FWU
Min Fee Adj
General Plan Update
lssuance
Amount
24.79
23.80
22.O8
55.04
Qty
2.OO
1.00
1 .00
1.00
Fee
$49.58
$23.80
$22.08
$55.04
Phone:
Tenant Name:
Contractor
Address:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
B
VB
cEc 2016
6err,:rol Plon Updote Fee
01116&12- 516@000-
Elertr ical
0u16002- s1603000-
ICL Check 001006
$??,rrs
tI28.42
r150.t0Building Use:
Job Type:
Nalure of Work:
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type
Code:Notes: Auth on file.
Planning Conditions
Planning Approval By Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
ows Teri 01123t2019
Account#
6102 $150.50
$0.00
$1s0.50
Every permit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within180 days after its
issuance. ot if the wo* authoized on the site by such perrnit is suspended
ot abandoned for a peiod o1180 days aflet the time the wotu is
commenced.
1
lnspector MID#: 2018-142625
01 1 16002 51600
01 1 16002 51603
$22.08
$128.42
Fee Total:
Paid to Date:
Balance Due:
Nutricion Es Salud
Owner-Builder
Phone:Eot,chi!47993 - l/24/20t9 ID: Lg6g61Etoffice: CTYH Troos+: 22 I ol 1Acct+: Refir 20167945RcptS:02506164 - l/?4/?q$ t.M pn
Tronsoct ion Totol tlio.llr
Gonzolo Gonzoles
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
To rq ue rng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service lrileter
FINAL llMln"t Vlu//r?ttua tJ,
Notes, Remarks, Etc ur
OWNER BUILDER DEITARA ION
I h€reby amrm rnd6 paalry oa pdjury lhar I @ crmfl 6_o,n rh. Co.tr.clo Lic.ns. Las for th. aollowin3 llmn (Sd?011.5
Bsin6s and Prclsion Codcl: Ant Cily o, Coutrry whi.h requtd a Ff,nn ro connrucr, ahs. inprcvc. danolnh or repst anr '
srrudu€. p,ior ro its issu c€. ale r€qut6 Ih. opDlic i for such p.mi lo filc a sisn€d slarocnr that hc o! sh. is li(ns.d plrsua
ro lh. provisioN o f lh Conlractoi s l,ic.nEd tjw (Ch,pr6 9, comnE.ci.S *ilh Scrion 7000 of Oivision I of lhc Busincs sd ,
Ptofdsions Codr) orlhat hc or shc a.rcopl rhqcfro!. dd th. bdis for lfi€ allcx.d qolplion. Any liolarhn oas.rio.70.ll 5 bv ul
apprKanr tirr a pmril sulrdr! th. opplic&( lo a cilil pcnalty of nor nore rhd livc hundred douds l$500) a
-1,
d oM€r olthc prcFny. or dy cdl'lq6 silh va-g6 6 thei! $lc conpnsalion, wiU & lhc ryorl dd lb. ttnar@ is nor
intmded or oraql for el. (56.7014, Busin* af,d Prcf6sio6 Coda Thc Conrracrois Lice6e Las do6 nor apply lo an oMcr ol
th. poryit sh. builrk or inlrov6 rhdo( ddvho dod e.h \w* hi6s.lIor hdclror rhrcu8h hi5 o.hr own mploy.e
rmvid.d rhol such isprcvErcnls e ml inlq'{H oroffsrd lor slc ll hoN-.6.1h. iDildins or imprcr@an i. sld sithin on. }a
ofcompletiorL fie otrns Build€ wil hsle the brn6 orFovins Od h. or shc did nor build or npreve fie propdy for th. pulDoe ol
_1, s owns olrhc prcp€ny. an eiclusivcly conrlacr ins \virn licmsed conrrachN to cotr(Dcr rhc lmjd (Se 7044, Bs'n6
nnd PNfsion Codcr 'rh. Corlrrctols Licms. Law do6 noi aptlyro u osnd ofpropaly wno builds or imprclB thcreo0.
and sho.dnlracrsfo.su.hFoj<lswirhaContatu'1s)licsMdputr@rrorh.Conrm.rorst-i(ceLzw)
-l
m cx.mpl undr Sccl h",-.t-
I hscby ailnn undcr pcdly o I pgjury
-lhav.andwillnaintainaCcnificarcdfcooscirloSell-lnsurcforrvorl.cconrpen3
ion,6Drorid.dforbysetionlT00ofth.
tibor Code ior thc prlomuc€ of lhc wo* for vhich thc ponn is istr€d.
_l havcdds,ill namlain work.E- conp.6arn,n insu cc.s r€qurcd by Sdr i.n 1700 orrhc Lab.r Codc. for thc pdaommcc of
lh. worl L, which rhis tnnit is issrdl. MyworkeA compoerion irourmce..ri6 md polic, numlEr a.:
PolicyNlnrb.r: !xpn6
_l.fiifytlErinrhcpslonnanceofrh.workforshichrhGp6n is issued, I .hall .or .mlloy ddy ,.6on in rnym.nnB
s 6lob..omc bjEl lo lh€ wo*el compaslion laNs ofc.lifornio. andarreth.l ial should b.comc subjdl to th.
$(*6'comp.NlionprcvisioBolsdion3T00oflheLabo!Codelshall.fonhrvilhcomplrvithlhospovisiotu
WARNINC Faihrc kr sDre \orkr6'co'.p€Nelion covcrale is unla*ful. rnd shall strhjd s onfl.)d to dinin.LFxlri6 and
ci\il fincs up ro om huidrcd thosand dollds ($
Se..li.n 1076 ofrhe ljbr ('.d. inrrar a.d
I her.6vainruidc, B alrtolFrl,tryihr Ianrli
ol rhe Businss and Pofsn.NCodc. ud mylic
provGio. olchapld 9 (com,nmcinB wilh Sstion ?000) of Di(ision l
Licsc Nuohq
CONSIBUCITONIEN'TNCJ(iINCI
I hcEby arfirm utrds p€oahy of r{rjury rhar lh6e is a conslruclion lodins alencv ror lhc pri'mdce orrhe$ork lot "tich tbis pmnil is
$su€d lSN.1097. Civ C.)
attllcaNf![cta&trl9!
I hr.by afllm unds poahy oapsJury onc ofthc follosins d(lsalions:
D.Dolilion Pdmils-Asb6los Notilicalion ljcddal R.eularions (Tnlc 40. P[16)
-Requircd
Lcnd olNotifi ..tion
-
I rdrfyrhar rh.rl6al rcEulalioN r8ardins sbcro' r.rnovale. nor spplEablc ro this Dmid
& ,^'r, tfi , *{*^ ,n6 appl'c.uon tud satc rhd rhc abolc inrom.rion t cod.n. t asrc 16 conpl, wirh .ll ci) and county
ord anc6 Md St{ratrs r r€bl'n€ ro bu 'ld'nr coGrru.lion, ed hseby adhoE. rcF.Flaliv6 o l$ir Cit, dd Cou.ly lo ol€ up.n th.
abo!. md'mnY,to-k, ior rlrfr'on purl{s
\nr (!nr m.\p r \ienrrfe r,'rc
pcmr,(mnc(p-Enq/,-$.cJc- eft) F ows
ot conp.@rio.. danr!6 a prolidcn aor rh.
)uu,
I cndd s Addrs
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