HomeMy WebLinkAbout20166656 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 ?4 Electrical Permit #: 20{ 66656
Pin #: 80672lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 1590 E St Gertrude Pl Unit:
Block: NA
Bldg:
Tract: NA
Address Range:'1560-1590
Historic: No
Suite Range:
Zoning: MlAssessor'sParcel: 403-082-02 Lot: NA
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
01 1 '16002
5160:
51603
5'160:
5160C
5160:
Fee Type Amount
Spec. R^/V Pe|100' 24.79
Control Panel 16.14
Over50-100 HP, KW or 104.95
General PIan Update 22.08
lssuance 55.04
Qty
2.OO
1.00
1.00
1.00
1.00
Fee
$49.58
$ 16. 'r4
$104.95
$22.08
$55.04
Bot,:
0lr i
Ac,: t
F(pt
Tn on
h+:{5360 -
ce: CTYH
g/14/21115 IO: LROSAI3of
2r-1166656
Ir:r:19 AII,rs\,71
Tronsi: I
Rel- 9!14,/2
5
i!1123:4383 -
goEt ion Totol
1,
Todd Construrt ion Ser.,.,i,:es Ir
Generol Plon tlpdote Fee
6! r 1600?- 51600000-
Electr icol
0r 116002- 51603000*
Itost€r Cord
CC?3 r***rrrrrr*i3497
t21 .tlir,
Occupancy:
Constr Type:
Code:
F-1
III B, SPK
cEc 20't6
t9J5.74
Auth i:0??gl3Commercial
Miscellaneous
Enclosure & Pad
Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Fieldl
Hernandez, Kathy
Date
Date
Date 08t14120',18
Account#
Misc. Receipt:
N,lisc. Receipl:
Misc. Receipt:
Total
Buildins Permit #: 101 95488
Every pefinit issued shall become invalid unless the u/ork o, the site
authotized by such pemil is commenced wilhin 180 days aftet its
issuance, ot tl the wot* authoized on the site by such pemit is suspended
or abandoned for a peiod of180 days after the time the work is
commenced.
$241 .79
$0.00
$247 .79
lnspector
01116002 51600
01116002 51603
$22.08
$22s.71
Fee Total
Paid to Date:
Balance Due
Owner: Leed Warner Llc
Address: PO Box 17777
Beverly Hills, CA 902093777
Phone:
Tenant Name: Gold Coast Baking
Conlractor: ToddConatruclionServices
Address: 172 W Monterey Ave
Pomona, CA 91768Phone: (909) 469-5242
State Lic #: 463296
Lic Type: B, C-8
Bus. Lic #: 37O27O
Workers' Compensation lnsurance:Carrier: State Compensatiion lnsurance Fund
Policy #: 9050776
Expires: O4lO1l2O19
Building Use:
Job Type:
Nature of Work:
MID#: 2017-139831
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS OI\IIER AUII,DER DELC]ARATION
I hcrchy afiliin uM$ pctrdlty of pcrjury lhar I ofl crcmpt fiom rhc Conlncro6 Liccn* tas for rhc rolLwinB rc.$n (s..7011 5
AusiDcss md Profcsion Codc)r Any Cily or Counry shich rcqutcs u pcrmn kJ .on{tu.r. ahr. imEovc. dcnrni\t ,tr rcFn rnJ -
srrucrurc. priorro irs tsuancc- ol\o rcqlir.s rhcappltad nn uch Frdir !. nl.rsiStrcd slllcmir rharhcor shc n lic.nscd r!^uanrrL
ro rhc,K,viib.s oflh. Conlrncror's Liccnscd tiR (Ch!pt.r 9, ConrnrE-'ing wirh Sc.ii 70(xr of Division I ol rhc Eusincs.nd
Pmlcsbns Codc) or lhal hcor shc hcicmpr Ocrcfromandrlrc hlsn li[ihc rllcg.d crcnqrnin Anyviol0lionolSccrionT0.)l5l,yuny
nprlics r o pcrnrir sul,jc.h rtu {tlic.n o,.ivilFn,lry.rnornb(th,niivchu.d,.rldolla,s(S5(x))
l. as owtur ot rh. Pl,Fnr. oi ny .mFlrtc.s eirh sngcs n\ thct a,k sm|rnsdio., tr ill do rh. wk and thc {mrm i\ n
inlcftlcd or olbrcn lor sh (SN ?01.1. Busincs and Prolbsrhns Codc: 1 hc C.nrs.kt s Lkctr* tr'w dcs tro' .r'tly h an owmt of
rhepol]cn, wlar huild\ or infmvcs rh.mn. d wh. dfts skh wo* h inNcll or hcr*lf o. rhmu8h hh or hcr own .fltloyccs.
ndvid.d Ihsi ru.h i tmwmnB m nor imcndld n otrcred lft\{lc.ll hosr\u, fic h{ikling or iryrmEmnl issUwirhinorc }tr
or on\.hlt n. llE Owmr Buiilcr will h.vc lhc burdcn oI pmvins lhd h. or ric d'd nor huiid or itr rotr rhe InJFiy ror lhc purlrNc ol
-1.$oNnc.olrhcflopeny.!rexclu\ivclyconrracri',ssirhli.cn{dcoitr.rr^b.o
srucrrhc lr)jccllse.' 7lH.l, Bu,i"r$
md Pn)fssi'nCodc ThcCoita.ror'sLi.cnscLnwdocstrorattlyrr)rtr.uncroln(,|rnlshobuilds.rnnfturcsrhcrcon.
rD{l $lo onrrrr\ for such projccr\ wnh a Contlcron \) licctrsd nunM t, rh. C.fir.rtr's Lr.cn* trw).
-l
amcicmtru.lcr sccrnnr-. a. & PC. forrhh rcrsotr
lYOBtrll&rl:lJI.lfl,N$rIIIoND[!L .8Alr0!
Ihrvcandwillfr.n ain wortcrs co$tctrsaliotr irNuramc. as rcquircd hySc.ln,n lTmof rhc tjb.rCodc. for rhcrclio.mrnccol
thc sork lor which iht pcrmil is isnd. My wortcrs conrrns.l ion insurarce caricr ard plicy nun$rr tr :
vaPl-16
rf
CONEIAIIIIJNIENDI!{iACENCI
I hcBhy lmrn undcr Fn,hy or p.rjury rha' rhrc ( a .onstodb. Lnding i8lmy for thc p€'ihrnrmc of rir *o* for whhh rhn ,trnil ic
ksuedlScc. 3097,Civ. C.)
APPIICANLDECI.ABA.II!]N
I tf,nby (trran undcr Dcn.h y of Dcriury onc ofrhc lolk,*inp dNlarurions:
D.Nnirion Pcrmir$Asb.slos Norific0lion Ftdcrol Rqllllions (Tnt 4), l'an6)
-Rcquncd
tf,llcr oi N.rifi calion
I ccnilyrharrhcfcdcrrlftgulrrions rcld'lirg rnrnosrcnhvdrrc mr imlarbL u rhis nroF(
I c.rliliihnr I h.!c rcndlhn trlpliolionmd llcrl{rlhcrtlvcnrlormarior iscotrccr I rarrhco DlywirhnllCiryrndCoutrl,
odituftcs Md strrc tjws rll(ir8 robuildir8 rucrtnr. and hcrchyuuhtriic'.pr.snrdnrs.f rhisCiryandCornryrocnts upotrlhc
rh^c 'ctrri,rrtl t'.t)r'rJ ,,tr '\
.\pplionl o.A[$lSi!nHltrrc
Irrnrilre Mnr. (Drinl):
x ,,,"44fe
Site-Work
Underground
Pole Bases
Lighl Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
Ivleter Release
Rough
Service lvleter I
FINAL Qlnnlttt't onr^,,;7-e)
Notes Remarks
APPROVALS DATE
Translormers
Etc.
I hcrcby rfirn undcr rc.alry ol p.rjury or ot rh. tdllo{iis dccl@rioni
-l
havc adl * ill tuinr,in a Ccdifrdl. .l C()n*.1 to sclr l nstrr. ror worlcn comrnsl ion- !s lovidcd &tr by Sccr ion l Tm af $c
lihor Codc. for th. pcrfomme ofrh. sort for whth rhc pcmn ir irsucd
I ccniry rhat nr rhc p&ronMmc ol thc qort aor which lhis F.rn is nsud- I sh3ll nor .nrloy any l.rstr in 0try
'natrne!s slo bcom subiccr to thc wortcr' coryrlslrion la*solcalifomi.. and,st. rhar irI slsuld hc.om s'hrEt l. rlE
workeN conq,.nsorion nmlirions nlS..ri.n ll?fi) ot rhc lihor Codc.l \hll. fodhwirh omply wirh tho{ pnvnior\
WARNINC: F,ilur. ro s.urc $ork 6'comlcnsariotr.overaEc r\ unlr$lirl. \h3ll \uhFr rn onrlorcr h nimin.l pcnlllics otrd
.iril fincs up lo om hundEd lhousand dollus ($loo.fixr). .aar6tr o rrrc c""r ,,t .omrrydiL'jlr dmrAc! oi Drcvidcd for lhc
s(r,on ru,6or rhc tjts, codc. mrcrcj lnd 'unrm) stu.. Zl4--------- t [ ),"*fuIY n*u-"*, t/*L/<rP{
r ('4rFi)( oNTR croR
DEII.ASAIIAN
I hcrhy arfi,m undcr pcnxlty oi p.rjury rhd I dm tuinyn xndlr pmvkio. orChipls 9(commncin3 wilh Sccrion 7(XD) orDirision l
ol rhc Dusircssand PreicsionsCodc. md hrlicensc is in lulln,rccaidcffc.r.
^&f tql
t ndcir Addr.N-