HomeMy WebLinkAbout20166367 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O166357
Pin #: 446,41
Project Address: 420 W Central Ave
Assessor'sParcel: 410-022-26 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historac: No
Suite Range:
Zoning: Ml
E
Owner:
Address
P hone:
Tenant Name:
Contractor
Address;
01116002
01't'16002
01 116002
01 1 16002
01116002
01 1 '16002
01116002
011'16002
Burtin Manufacturing
420 W Central Ave
Santa Ana, CA 92707
(714',270-1390
Therapeutic Hemp lnc
RJSJCorporationdbaRJ
6102 E Paseo Rio Verde
Anaheim, CA 92807
(7r4) 981-6s89
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Low Vollage/Comm
Control Panel
Min Fee Adj
General Plan Update
lssuance
Amount
145
158
1.05
33.88
16.14
16 13
22 0B
55.04
51603
5'1603
51603
51603
51603
51603
51600
51603
Qry
1 .00
1 .00
4.00
1 .00
1 .00
1.00
1 .00
'1.00
Fee
$1.45
$1 .58
$4.20
$33.88
$ 16.14
$16.1 3
$22.08
$55.04
State Lic #: 924192
Lic Type: B
Bus. Lic #: 369993
Workers' Compensation lnsurance:Carrier; Calitornia lns Co
Policy #: 468534001
Expires: 0410112019
0 'i(l
1:etergl I
fr1116t:tn2 -
!11e,:tr icc
ir1 116 tt2-
1,,'i soBuilding Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked
Permit lssued
Subject to Fie
Building Perm
lndustrial
Tenant lmprovement
lnterior door
Amsden, Julie
it#'t0195741
Every pemit issued shall become invalid unlessthe wo* on the site
authotized by such permit is confienced within 180 days after its
issuance, or ifthe wotk authonzed on tho site by such pemit is suspended
or abandoned fot a penod of 180 days aftet the time the work is
commenced
07111t201A
Account#
Notes lnstall door in existing demising wall to a new access
hallway and a new exterior doorway opening serving
the hallway.
$150.50
$0.00
$150.50
Occupancy:
Constr Type
Code:
M
III B, SPK
cEc 20't6
Date
Date
Date
lnspector MID#: 2018-144303
01116002 51600
0'1 '1 16002 51603
$22.08
$128.42
Fee Total:
Paid to Date:
Balance Due:
Phone:
Planning conditions:
Misc. Receipt:
lvlisc. Receipt:
iIisc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER AUIDER DDLCAR TX)N
I hcrchy urfinn uRldr lcnilry (Jl tcrrury rhlt I !m cxcnrpr fronr rhc Cditrr.ttri Liccnsc L{w lor lhc nnbwing rc.$n (SN.?0-ll 5
B!sinc\{ a'd Pmrc\sion CMc): Any Cily or Coul, $hi.h Eqoi,c( , trrmn b con(ruct. alls. nnptuvc, dcmlish ot icPrt any
sru.rur.. prio o irs hsurrce. ako requtcs rhc applicM! rorruch p.rmil to filcn sisncd sr cnrnr rhd h.orshc n liensed lrurslnr
ro rhc provi\ions of rh. Contr.kn's Li.cnscd tnu (Cluplcr 9. ConnncncirlS wirh Scdio. Ttloo oi Division I orth. ausincss.nd
Pn,rcs\nnrsCorl.)orlhrl hcorslrc is cx.nDl Ihcrcfnnrhd rh.tusi\ nr rnc.llcSed cicmplion Anyvnndn,nofSeclbnT0ll5hy!i,
applicant hro,cn l {bFcrsrh€ stpli.anr !, r.ivillcn.ltyoinor flxtrc rhan filc hundi.d dollrs (SstxD
l. tr\ owmrofthc Dtutcny. ot nrycmployccs wirh {!gc\ as rh.ir n,tr (rnNtrsili.tr. willdo d- w.rk anl rhc nnEtuc h nor
imo ctl or olt'crcd lnr slc (SN 7014, Busin.s Md Prof.ssioN C\lc: Thc Conrru.ttr \ l-icctrt ljw d)cs nol 4plr ro an ou(r of
rhcpnrlrny sho bu ilds or irqni)vc\ tlf,B)n. ond wlm d{Er flch $r'* hin,s.lf or hcrscll or rlmugh his o, hs own c ltlloyccs.
prov idcJ rhlr su.h i'ntrovc'tu s e mt idculcd ot .lTcGd hr sh ll to*$ri rhc h{iktnr8 or mFovc'nd n w'tl *ir[i'r otrc )trtr
olcoDrplcli'n. tlE Owrcr Buildcr *ill hrvc rh. hurdcn ofJtrovnB rhll h: or $c dtl n.r hlild or n\rolc rhc nmFly for rhc Plrln{ of
-l.
rso$ncrotrhctnpcnr- tr'ncrclr\ivcly(dikdcti,rS *xh li.ctrrcdco rr.irs r. L$nnrud rhc nrcrrr ( Sc. 7or4- Bu'i^-''\
md th,fcsii Codc ThcCotrtrrcrols Liccnsc Las dijcs oor amlyro "iotrnn oflroPc(y*h. huildror imfroucs rhcrcor
rnd who conrncrslor \urh pmrcc( wirh rC.nlra.ktr(s) liccnscd n!6uanr b rhc conh.cttr r Licc.sc tnw)
-l
ncxcmfl lndcr Sccrn,
Dlle
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Osn.rl
WORKERS' COMPFiiSAT(N
DECI.ABAIION
I hcrchy afiirnudcr |Enoll, of pcrjlry nnc 6rrhc rollo*ine d(ld{rions:
-lhavc "idwill mainrdn n Cdnill.Nrc of Cttr*nl to S.lllnsrcnr*o c^ co'nPctrsrtion.r( Providcd fq bt Sc.rnr l70O ol thc
Lrhor Cqic. for lfic pc.fordancc or rh. w.rk r(r Phih rhc lnmir i\ hsucd
-l
havc rnd will m, inrain wurlcrr conlr.nsrlion insunrcc- as rcqrird hy SNr im .17(X) ol lhc liho. Odc. ld rhc F*rfon.an.c oi
....,., c.at\ r
rqr'. F.u"d Mr q.rtrs. .or'nfl '''i{' iru' tr. r.rarr .'nl F li, ) 1. trI'.' tr.c-c='.-a-ia, -tu> Co+ba 5s4@/-{-/ -/1
I c.dify th.r in thc pcrLnuftc {,lrhc work ntr shi.h rhR rcnnir is irsucd. I \hrll nor tnDl(,) rny P.ru in lny nrumr
s $t, hcmn* sobjrd t,lhc s.lk.s co r|En$tion hw\ otcrlilon,ir. rnd,sft rhrr ill should bcnnm tbrlt' r. rlt
workc^'Llnnp.isridit'ovhi(,n\olscclnnrlTO0ofrhcl,!t'orCodc.l\hrll,ronhwirIconDlywithlho*In,visrns
BARNINC l'ail(. io rcuru sorkoi
cilil llncs u! h onc hun&.d rh.trsdnd
Sc.rn,.1076 oirhc l-a|,tr Gnlc, inr.r.{
,,,.:21:l -tE
.o'nncn$nnr covcmpc h unl{rtu|. md {hrll subr.r m cmploycr ro Gininel Fnaht\ otrd
dollrs ($lUr.OLrO). in lddiitin ro rhc.o{ olconD.nsation- donEr.s rs lr.vilcd for lhc
nrr,,**,@bkt<L
UCENSIDJONIIACIAA
IIDCI.ASAIION
I hrEhy aiirnrnddr pc.alryolFrjury thal I mr liensn undcr prolhio. orCh0,,rd 9(onnErcins *irh s.crk.?(xD) olDivtion l
of rhc Businc$ and PDfcsioos Cod.. r m, lkcn$ is in tull IoEc atn cffcd
b Z611Z
7-//:/6 ...,."",.. @5 Jz=lE
colsralqualuENlllc-dcllcr
I h.rcby rmrm undcr rEnllry or pcrjury rhd rh6. is s snsiru€lion lcnditrS lsen , t{tr thc P.-dntrErc. ol lh. sork r.r whkh rhn IErn l i
ksucd (Scc.3097, Civ C ).
ATTLICANLDICI,IIAITO!
I r$:i4afi under I'cnahyolDcrjlryoic ofrh. lnlbwins delmrirns:
Demlirion Pcrnirl Ash.sos Norifi.ation lidcral Rcguhr ionr (Tirlc .10. Pr6l
Rr{lrnrd LL(d of Nurili. i(
_l ccdiryrh,l I hrvc tuid lhhtrDllicrrionund nalc lh.rhn'cintnnnninr is.otrccr Iisur'..nrflywilhdllCilyudCounly
oKli.ni.c\ ad Sralc ljws rclrti.3 lo hu hrrurktrizc rcpcsnlaris ofrhn Ciryand Coutrry ro cntcr ulrtrrhc
ole morioncd popcny for in
r\pDlnrtrl r l,]rnl sirnrturr
4252_
7-tl-/8
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq i Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Rouoh sht/,t tub?/t-/r\.--
Service Meter
illtallr Amdm,lh./
Notes, Remarks, EJti
l ,.?/1^
APPROVALS
IVleter Release
FINAL
Lrnlc''. Nrmc'_
-l
ccnily that rtc fedcral r.lohrbn. nS ding ash.nos rcrmvnl orc nor lptli.nbL to
'his !ojd.
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