HomeMy WebLinkAbout20166579 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (I/-19), Santa Ana, C492702
lnspection Requests: (7 1 4) 667-2738 lnspector Section: (7 1 41 647-5853
Electrical Permit #: 20166579
Pin #: 27372
Project Address: 1202 W Edinqer Ave
Assessor'sParcel: 013-040-29 Lot. NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range: t50t-i533 S
BristoUl202
Historic: No
Suite Range:
Zoning: O
ry
Owner:
Address:
Contractor
Address:
Roman Catholic Bishop Of Orange
28ll E Villa Real Dr
Orange, CA 92867
(714}.850-9522
C G Systems lnc dba Califor
1470 North Hundley St
Anaheim, CA 92806
(714) 532-8882
Fee
$10.68
$62.70
$22.08
$55.04
Botchi:45141
0lf ice: ,:TYH
AccL+:
R,:pti 3 tl!3461
Tronsoct ion
- glltzulg
Trqn5i:3J
Ref+ !,1 - g/!/2n19
totol
Fee Type
0-1 HP, KW or KVA
Min Fee Adj
General Plan Update
lssuance
Amount
3.56
62.70
22.O8
55.04
Phone
State Lic #: 520990
Lic Type: B, C-61, C-7, C-10
Bus. Lic #: 32a237
Workers' Compensalion lnsurance:Carrier: Everest National lnsurance Company
Policy #: 7600014142
Expires: 0110112019
C: 6 SsEteffs Inc dbn Colilorn
/ienero I Plso Updote Fee(tl116U0?- :160tr(t(t(r-
E le{tr r csL
(r11160tr?- :r1603000-
V iso
CC+: r*rr r* r rr *r r 761i ,lLl
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Other Occupancy:
Block/Retaining wall/Fenci conslr Type:
Electric Fence/gate Code:
U
VB
cEc 2016
w
Date:
Date:
Date:08/0r/20r 8
Account#
Misc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
ernandez, Kathy
Buirdins Permit #: 10196899
Every pefinit issued shall become invalid unless the wo* on the site
authorized by such peinit is connenced wilhinl80 days after its
issuance, ot if the work authorized on the site by such permil is suspended
or abandoned fot a peiod of180 days aftet the tme tho wo* is
comfienced.
$22.08
$12A.42
$150.50
$0.00
91s0.50
lnspector MID#: 2018-144333
01116002 51600
01 1 16002 51603
Fee Total
Paid to Date:
Balance Due:
01 116002 5160:
01 1 '16002 5160:
01 1 '16002 5160C
01 1 16002 5160:
Qty
3.00
1.00
'1.00
1.00
Phone.
Tenant Name:
Notes:
APPROVALS DATE tD/stG.COMMENTS OWNER AUILDER DEI-CARATION
I hcrcby afirm undcr pcnslry or F.rjxry ihd I m.xcnu f6m rhc ContscloF Lic.n$ l:* ror ih. rouo(in8 rcrson lscc 70.11 5
Busincss nnd Prorc*b. codc): A.y City or County Nhi.h rcqltc\ a p&mir h .otrnrud, altci imPlorc. dcmnhh or rpnn rny
{fl.rum, prntr b irs issuflB. rl$ rcqutcr rh. aprlic,nr r.r skh Frmn b Iilc a siSned nd.mnr rhar heot ths n li..nsd ,)ur$ant
rL, rhe polnion\ oa rhc Conl.rclols Li.cord L{w (Ch0plcr 9. Conrmemioa snh s..tn,n 70([ oI Division ] olrhl Busi .s ,trd
Pofcssn,nsCtdc)orrhdh.orslEtcxcmplrhcrcaro$otrdlhchrsis,orlhenucgcdcxcnUlion.AnyviohtionofS.cthnT03lsbylny
.ml'.trtrr r'or rlxrmn subjcdsrhc applicaor to acivilpenalrroloor 'noic thun nvc hutrdrcddolh6(S5{x))
-1.
!s owftr of rhc llhFdy. or my emrlorEcs wnh woBcs $ rhcn $k ompcnsrn,n, will do llr rork uxl ltr \rnth i{ mr
i cnr.rr or ofi.cd f.i sl€ ISN.?044. Busimss and Pmlcssions Codq Thc C.trtucn, s Liccnsc ti* &er ml amlt lo d oqncr of
rhcnm|)( y rhot lds or irom6 rltdn. drl wh dcs such wd( iimsclf o, hctsla or thrcxgh hk or hcr own cnlk,yccs.
F)vidcd rhd soch inprcwEnts m ml iotendcd ororlcrd forsk.If. hos*c. rlf, tloiHirg ot i.{,mRftnr h$ld wilhirronc}e{
o,$,{hrbn. rlEOwncr auir+r *i narc LlE todctr of lmlins ttur hc or sh. did n.t build or iry,rorc rhe PoFny ro. tr FUIID* of
l. $.*ncr orlhc [opcny. arncrchsivcly coiiru.rins wnh licci$d contrnclor s lo conslrucr rtE roj{xr (Scc. ?044. Buiik*
!'d hofssionCodc ThcConractolsLiccnscLowdocsnolonplylo!nowi€rorDm!.nywhobuildsorimPov.crh.rcon
{nd Rho contncrs for such pn ccrs vifi a C.nrdcro(9 li..dsd ,)u6uonl lolhc Coflrracrors Lk..s. bw)
I am.rem.r undcr S(tntr .B &PC forrhirrcssn
Drr.: Om.i
rrcatr[SulquflllaflrN
DEILI.EAIION
I hcrchyr,llnnundcr |[nnlry.lpcrJUry.ic.f rhcn,lbsi t dcchmriotrr
-l
hrvc dn*illnuinrlin !Ccniticarcofcon€nr bs.lr.ln{rc ld so cn' conr|.i.rri.n. n\ povid.d lor hy Scdion]7fi) ofrhc
utxr c.dc. ror rhc pcrforntrrcc olrhc work tff shich rhc Fmir i\ issucd
I [rvc rnd willnui air $orkrr\' conp.ikrtun in\uhn.t, N rcilui,cd hy Scdi,,n .]7(x) or rtu ljtxtr C)dc.lor rh. Frtornance of
rhc trork tur $hi.hlhis |xnnir i\ iskl My*.rlt '..nrNnsrri.h irsurrtr.c caFicr ai Fnict nrmh(r m:
I ccdilyrhrr in rhe r.rro nrRc ol tlrc work lor *hich lhh Fnn is i\\u.d,I shtrll mr cmtloyanrIcrw,n in rnynurnc.
s i\lotx.oDEsub,cdlolhc*ork. smpcnqri h* orcalifonria. affl lsEc rhar irI thoukl bc.onE subjd ro'hc
soikc' ( $mpensarion pm! i{n,ns of sdiio. r?(D or rh. Iihtr clnc, I shall. fonhwirh omply wnh lhot povnnnN
NARNIN(; Frilurc r) {.trrr s.rk.r'conrp.nsiliflr.orrxg. i\ tnhtrful. tul nrll \un]ccr !n
cnil ftr\ u! t, o c hundtud rhorsrtrd dolhr ($Io).lXXr). ir rknliri,nr k' rlt.,,$ ol c.nrPcnsll
emtlnylr ro dini,al p.nllti.s aRl
nn diEy( N ,'rclidcd ror lhcIS\.,rtr,n 1076,,frhc,Lrtrtr(.ic. i crc{ ind a(nrrcy'
u,,", g l, ltb n,o,,_",,
DECI.AXAIIQN
I hcrcby otftrn undcr F.!hy ol p.rjury lhar I rm liensd undc! ,,o!nion ol Chapr.. 9 (mnurencins wilh Sdbn 7O{D) ol Divhion 3
of lh. Busincss and PmfcssionF C.dc, and ny ltcn* k in rull lor.. dcrst
caNsIal]cIlaNrENDMi-trE[Nl;r
I hcrcby rffimundcr pcNlry.rPrlu.yrhailhcrc h 0 otrsrDdion bndins a-gency nr rh. !.nnnmmc ollte *or* n, *htrh rhis lcmri! k
A{rcd (S.(. 1097. Crv ( )
a.tluqaNlDlcl/n {u1}!
I h.rc6y:'fiinn tr ndcr FonhyolF-rjrry onc orrtu rdlosing d..l*rrions
Dcfioltion PcrniFAsb.$os Norilicrrn,n Fcdcrrl RcguLrnn\ ('I'irlc 40. Pan6)
Rcqurcd Irnq ol Noliluri(n,
l.cnrly d rhc fcdcrrlrcsuhri{,nsrugadirs a\h{os r.nr)ul arc mr {!li.$lc lo lhtpm]ecr
I.cdilylh^t I h^c rc rhh aptlicalin 0nd nrre rhar lhc fi,vc inbnndir i is.otrcd I osN ro comlly wir h all Ciry ond Counr,
odinatucsandStorcLlwsrcl0tingt.huildiigcoii cri.n.d hctcbyourhoflzcrcl)r.\cnrurNc\ofrhFC,unJCoutrryk,cnrcruFnrho
itnrc rmnrnncd nmncnyl inrnccrinn pdrr'v* S t I
Apprl.M'mAs6'5km,u*: A{r-\i-^F. ^'" ?tl' I tg
p.frr*Mnc(prrn* G'+$4 l."r]- /tlsr* l-r S
Underground ( V9\(/Qt&'n)
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monumenl)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Sollit Rouqh
Ceilings (T-Bar Rouoh)
l\/eter Release
Rouoh
Service It/eter
FINAL )LI tg /,,L44 /i1
Notes, Remarks, Etc
ELECTRICAL.INSPECTOR RECORD
tz
L.nilci\ AdLl.s
-
Site-Work
Translormers