HomeMy WebLinkAbout20163817 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2O163817
Pin #: l99OOlnspection Requests: (7'14) 667-2738 lnspeclor Section: (714) 647-5853
Proiect Address: 2830 S Bristol St U nit:
Block: NA
Bldg:
Tract: 5653
AddressRange: 2820-2872
Historic: No
Suite Range:
Zoning: C1
il-
Assessor'sParcel: 140-251-01 Lot: 75
Owner:
Address:
Aldi lnc
12661 Aldi Place
Moreno Valley, CA 925559515
(951) 530-5750
ALDI
Fee Type
011'16002 5'1603 TPP
0'1 1 'l 6002 51600 General Plan Update
01 116002 51603 lssuance
Amount
99.22
21 .25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$99.22
$2',1.25
$52.98Phone
Tenant Name
Conlractor
Address:
National Construction Rent:
15319 Chatsworth St
Mission Hills, CA 91345
(818) 221-60s7
h+ | 3r lr42
cer (TYH
g/ )/1$17
Irflns+: 34
Relil- 8i2/2it||
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State Lic #: 687150
Lic Type: C-10, C-13, D-31
Bus. Lic #: 15658
Workers' Compensation lnsurance:Carrier: Travelers Property Casualty Company
Policy #: HC2JUB4253BB25715
Expires: 1213112017
onstruct ion Renttlr
n llpdote Fe
16Ur:tu0t-t-
l6r-rJU0u-
u(r133 /
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
TPP
M
III B, SPK
cEc 2016
Notes: auth on file
\Fr",n"no"r,
r",nv
Date:
Date:
Date:o81o2t2017
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 10191322
Every pemit issued shall becorne invalid unless the wo* on the site
authorized by such permit is commenced within 180 days aftet ils
issuance, or if the wotk authorized on lhe site by such permit is suspended
ot abandoned for a peiod of 1 80 days after the tifie the wo* is
commenced.
$173.45
$0.00
$173.45
lnspector MID#: 2016]132727
011 16002 51600
01116002 51603
$21 .25
$152.20
Fee Total:
Paid to Date:
Balance Due
Phone:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Occupancy:
Constr Type:
Code:
ELECTRICAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER DEL(ARATION
I hdclir amm und6 po.hy of prjury lhal I m .x.mp tuh tbc Co r.to6 l-icoe llw lor lhc follopins r.en (Sa 703 I 5
Buiinc anl Profdion Cod.): Any City or Counl, $hi.h r.qut6 . pann to co.stucl, alld. inrrov.. danolish or rqEn dy
slrudu.. Fior ro nr isudcc, 6Lro r.quiG rhc a,plicol tor such Fflni to 61. s si8..d slatftd rhd lE or lhc b licft.d l,o&mr
ro lh. pmvnio6 olr& Contrrcroi3 Lic.trFd L.s (Cfi.prd 9, comdcins $ilh s..rio. 7000 oaDivnio.I offi. acr* sd
Polsions Codc) or rhsl h. or sh. is .r.mpi rhdcfton &d thc bsis for thc rllcscd etdption. Any violalion olscclhn 7011.5 by any
.ppli.a for a pcmn subjcts rhc applicanrloscivilp.mlrtolnorftorerhmnr.hundr.ndo0s(ttoo)
l. 6 ownd oath. FoFnr. or my .mtlo)6 wnh ur6 6 lh.t elc comp.nsation. s ill do th. \ort ud lhc stnIlu. G not
inldxj€d or or6.d for sal. (56 7044. Buli.d ed Psf*io.s Codc 11. Contr&1ois l,iccN L,w &6 mt apply to u orM of
rhc pllFr, who hril& or iiFor6 thd@q d vho &6 such M* hims.lf or hGclfor rhrclBh his or h6 oM mployce
prcviLd rhal such inFowls m mt i.nod.d n olI6.d lor el. If. ho{6 d. rh. hildin{ or inprov@r aq $ld *nh'n on. ya
olcompkiotr lh. O*M BuiU- wil b.v. fi. hfd@ of Fovins lhd hc or shc d'd mt build or mFovc lh€ propory for rhc purro$ of
I, a omd olthc Fopcly. d qclsivcly .onlracri.8 snh Lcar.d .ontrcrou lo coKrud th. projd (Sc. 7044. B6in6
ud PFftsrinCod.: Th. Co.trrcro.s Licdi. Law d.6 not applylo oM6 ofp.opaly who buildio, imprcv6th6@n.
md who .onrB.ls for such prcjels wilh . Conlralo(s) licaE d pmmr t. rh. Codracioa3 Lic@ rlw)
I m cxcnpr undo Sdrion
o*n6:
nqaKEB!:caurursaro!utcl,A!Al[]!
I hs.by oifirm x.de pdah, olFjry on. olrhc rolbwing d(ldal ions:
I hre. ad *ill n.inr.i. . Cdrificrr. of CoMr ro S.lf-lEur. for workd comF$Iion. s Fovid.d fo. by SRlion 1700 oarn
l-bor Cod., for lbc Fforl@c o I $. volt for which lh. p6trn b isu.n
a hN. .rd wrll mrinhin "r 6 compftdri.n itumncc, s rcquiEd by S(non I7OO olth. ltbor Codc. lor lh. ,dloftdc€ of
lh. work lor which thie p6nil is is{.d. My wort6 comDaa{ioo i6urs.. 6i6 ard Flicy numbq el
Q'rL,-5
Jtt -'12i3$2G'l -/1,,,,",(?/7tft2
I cdl,rylhal in lh. pslolmncc oflh€ *ork aor which lhis Fr6n is ilsucd.l shill not mploy ey tE$. in ey ndnd
e s
'o
b.(om..ubjd ro thc *ort6' coftpoBario. la{s of Cdlifomh. od asrfr thar ifl $ould b.com. subjcr to llE
uorld' compdstion pmvGioB of Sdion l70O oath. l*or Cod.. I slEll. fonhs'Ilh comply wilh thos rorisrG
WARNINC: Failu,c lo s.q€ *0116 mmp$aliof, cov6rg. is unlasful. md shall subjd dp,oF ro riminal Fn.lli6 ed
cilil [n6 up ro onc hundr.d lhoend doll6 (5100.000). in addirio. ro th. ccr of con!.Mtiod. d.rug.s I prorid.n for rhc
Lahr Codc imGr ed ,noma \ f6
DECI,Af,AIIA!
I hicby .Ifm @dd pcnalty ol pdjury lhal I m lic.Ncd mdq FDvilion of clBplo 9 (omo.iig sith S6rirn 7000) of Division l
of tn AGbd dd Prbf6ioB Cod.. ad ny li..@ i! in lul rore d{t clfcr
COISIBUCIPNIENDINC-AGENCI
I heby rrrm md6 p.nahy o f pqju,r_ rhd rh6. n ! onntudion Lndins asacy lor lhc psfomuc. of th. {o,k for *ti.h rhn p6nn b
isstr.d (5( :1097, Civ C.)
affuc NLpEct ASar.lg!
I ha$y rltm u.dr pdaly ol pdjury onc ol rhc followinA dcltrar ions:
D.nolilion PdmiteAsb6tos Nolificalion f.ddal R.gulorions (Tnl. 40, Pd6)
R.qur€d Lclrr of Nolifi stion
I cdii, rhd rh. fdid,l r.sularioG eadrdi.g Nb6tos rmovalE. nol lpplicablc ro this pmjcd
I cglrly rhar I hav.,.ad Ihis applicarion dd st .rhai rh. abv. ,nrom,lie. 6 cor(l I !!rdlo conplys'rh all C y rnd Coum}
ordrdc6 ud Slal. Laws Elariry ro hiildiu codrucrion ad hd.6, ru$oriz EFsardiv6 of
H:.ffij/'#f E.-sh
d lL /tE
Site-Work
Underground
Pole Bases
Light Standards
S pas, Pool, Fountains
Si NS monument A
Y -'l't7 X]r:$L I
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bondin / Groundin / UFER V-1't7 >.1{-)t;.)
Transformers
Torqueing
Sub-Panels
Air Conditioners
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
/,)
Meter Release N-to-)7 ,-v.ab
IJ
Rough
Service Meter K-1-t7 \"v-ua{-1-i7 a.tafl
Notes, Remarks, Etc.av
DATE
YE/4.f roup,L l5(fl
Communications Cable
Roof Top Equipment
Ceilinqs (T-Bar Rouqh)
FINAL
It &P( f.r rhir r.i$nr