HomeMy WebLinkAbout20165607 - PermitElectrical Permit #: 20165607
Pin #: 21994
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Req uests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Proiect Address: 3394 S Bristol St
Assessor'sParcel: 412-141-22 Lot: NA
Unit: B
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: C4
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
CP Bristol SA LLC
6400 S Fiddle6 Green Cir #1820
Englewood, CO 80111
(720) 493-5100
L&LHawaiinBBQ
Vay Construction Corp
721 W Santa Anita Street
San Gabriel, CA 91776
(626) 861-8822
01116002
011 16002
01116002
011 16002
01116002
01'115002
0'1116002
01116002
5160:
5160:
5't603
5160:
5160:
5160:
5160C
5160:
Qty
15.00
3.00
37.00
1.00
'1.00
1.00
1.00
1.00
Fee
$21.75
$4.74
$38.85
$33.88
$53.28
$ 12.10
$22.08
$55.04
Fee Type Amount
125 Volt Receptacle 1.45
Liqht Switches, Occ. Se 1.58
Light Fixtures 1.05
Low Voltage/Comm 33.88
Subpanel 53.28
Time Clock 12.10
General Plan Update 22.08
lssuance 55.04
Phone
coPy
Building Use:
Job Type:
Nature of Work
Commercial
Tenant lmprovement
First Time Tl
Occupancy:
Constr Type
Code:
Notes
Planning Conditions:
Planning Approval By:
Plan Checked By;
Permit lssued By: Brodowski, Teri
Subjecl to Field:
Buildins Permit #: 10196084
Oate:
Date:
Date: 0312712019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 116002 51600
01 1 16002 51603
Fee Total
Paid to Date:
Balance Due
$241.72
$0.00
$241 .72
$22.08
$219.64Every pemit issued shall become invalid unless the wo* on the site
authorized by such pennit is commenced within180 days dftet its
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot abandoned fot a peiod of 1 80 days aftet the time lhe work is
comfienced.
lnspector MID#: 2018-'142596
State Lic #: 1015328
Lic Type: B
Bus. Lic #: 370412
Workers' Compensalion lnsurance:
Carrier: State Fund
Policy #: 9168098
Expires: 1011412019
B
V B, SPK
cEc 2016
ELECTBICAL.INSPECTOR RECOBD
APPROVALS DATE ID/SIG.COMMENTS ()\t Nt.R lt( ,tn.R l)fr.r \k\lur\
t hcrchy alirh und.r p.nally ol rrjury (hd I m crcnPr ,hnr lN ContrctoN Liensc rlw lnr th. tirll,sins '.aon (scc 70.11.5
Bxn.cs a Pro&sio! Cd.i.): Ary Ciry ot Colnry which rcqums t Pcmn b conidd nlr.r. inrpn'v. Jcmnch or tpair dv
(rudurc, Forro irs s{mc. atso rcquirs rhc amlicmi lor$.hIEmir rd lika s+nc{ srarcNnr rhxt hcor she n liccntd puruot
b rh. pNvisions ol lh. Conrracktr s LBnsc'l Lav (Chafl* 9, CommcRin3 *irh Sdctbn 1000 oi Divilion J olrhc Buriics dnd
Pru,c$ trDs Co'jc) or rh h.orshc neicnPr ihcftttom rd rhc blsn lbtrh. d uc8.d crc mPl ioo. Anv vnrlarion ol Secrbn 70ll'5 bv 8trv
applird tur r p.mir subrech lhc apphca.r ro , oivil Fn.ll, oi nor mtr th.n live hunJftd Jollds (S500)
l-a!ownctot(hcProltlly.ornycmlloltsw(hwase\asrhcts,lc(.mFNatirn.*illd)lh.*o,4irh.nndurchrti
d.nl.d o. otlihl lbr slc rSe.7O44. Busirc$ 3n,l Pn,ltsn,ni Ci,c -t h. Ornm.nx s l-un* tnw rk)cs nor aPlilv b an owncr of
rhc l^,tcdy wl$ buil'lr or iqr)hi dEB)n. x] *ho ddr nEh M* hims.ll or ltn.ll or r hou8h lns or her own cmplovcer,
pNd;J rh{ .!.h ,n'ln)wEnls m nor inr. n{ or olicGl to, elc. Il. howt{r' th. huiung or i,r'F)vcmr n sli v hin onc rr
ot com0krdn, lhc O*rcr Buin r will ha{ tht tDnjcn of t'n,vins thd ltr or drc ,li l nor build or r\x)vc ft loFdv lor llE Purlrt* or
L ir .wncr oi t h. ptup.ny. in gclusivcly dntacrD8 wnh lic.ni.J contr&tor ro onntucl rrf, nolccl lst' 7o!1. Busincs
aBl ,\I't6*n codc: I hc Conr.etx-s L(.nse L.w tjNs nor rlrly k, o*ner nt ltupcnv who $u ilds .r mPmvcs lhcrcon
and who uodrach tor ru(h p.!ic.F wirh I G,tur.n,(t li.rnrcn pusnmr ro thc conlEcntr s l-ic.n$ tjw)
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rnc\cmpi und.! Sc.tro.-, B & P.a.16rrh'\ rcrvin
IVORKER.S' CONIITENSATIoN
DEC!,ABAIION
I h.tohy alfnD undci pcndryolh_rjry otrc ol lhc lnlbwmg 'l(ld.rions:
-l
hivc .nl wrll mi.lain a Ccnrrdrc or Conscnl ro Scll ln{rrc hr wo*eE' .t,mt'!nsrtn,n. as pnrvdcd tor bv Sectk'n l?rl0
'1
rh'
utff Gxlc, torrhc !.rti,mucc olthc work tdr Phrh rhc P.m isrnrcJ.
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luvc lnn willmai rinwotkr'.on$-nsalb!in\t mc.rsrcqurc'lhySt.rionl7(loolrhcl-.txriC'!c.lorth'p'rinn'"Lcor
rh. w.!k lorwhilihrht p.i,nir is issuol. M y ,orkc6' cdmp.nsd nn in\u!aN.c,Ecr. Fnicvntrnh.rN:
lrcnivrhrt in rhe F..rlirnB nec of I hc workI *hicn rhr p.rm[ rs issucd. ! \hdllnot cnPlovlnyl.!s'n inanvmmncr
o as ro hc.{nrc iuhjc.r t' rhc workcs drmpcnsdn,n hws ol Crlihnri!. d +c lhll iil slouLl tEonf, suhFl hrhc
workcn conrFnslrion lnrvs$ns ol Sccri.n .\7(]O of rlt t$or Cotlc. t shil. tunhw h comPly wirh (ho$ lovNnrns '
WARNING F.ilurc r. $cuB worlcN q)nrp.nsdnon covcr.sc is unhsrul ed sh l subFcr rn cNPlovcr b (iniml lxmllis and
.ivn fircs up ft) onc tundrd lhousaa, noll6 (stoo,filo), ,n add n,n 6 lh. .on oi uomnch\aron. Jama8cs a\ pntvihn fi}' rtu
s..rn,n rU'6 ulrhc tihn c".i. hrcrc{ 'i rrotry'( f..\
LICEISEiD-CONIIACEIB
DECI.dBAIION
I hcEby arumx.dcr ncMlry ol Frjury rhat I m li*nsd lnder rov$aon olChaflcr t (L\Jnmncing wilh Sc.rirn lo(x)) orDivt nl
ot rhc Bnsincss ud Pnl..$mn! Co.lc. srl dy liccn{ r n! tull fde,Iri.iIel.
CONSTIUCTION LENDINC ACENCI
I hcEb, atirm und.r Fn.ly oi pctjury lhal rh.E is a 4.sld.lion tcoiirC i8cn.y fo! thc !.rfomncc of rhe hrk fot vhich rhl\ Fmn (
n\ucd (S.., l09l. Civ. C ).
Lc c:'s Nrm:
I-.n,l.r\ Adrlcs _
APPLICANT DECLARATION
I hnd,y aJtim undcr Nnah, ot Ftjury orc ol lhc Iollowins dccLranonr:
Dcnknirbn Pc.nik-Aih.(os Nolir'icdbn F.dci,l Rcguhb.s{Tnk 40 Pan6)
Rcquircd l*(( of Notif.ali,n
-l
c.diryrlr lhc fclcu I rcsoLr io.\ rcsmlina ashc(oc (.rovrl -. frrl amlicabh ro lhn PNjer
t.Tnrlyrlui I hNc mrd rhis applic.rnr,,ri sl{c lhar lhc ahrE inn malon rcomcl I lsG lo cofrPlv wilh ,ll Cirv 3nd Counlv
oRlin.fr$;d Sralc L,*i El,rin8 n' burldins cu{ddbn. !tu1 hcrcty aur hor@. r.Fcscnr,lils orrhii citv lnJ Cou.tvlo cnle! uF}n rrE
ahrv. nrn(ioNl prupeny litr in{l.crion pur!x&s.
,\rDlicsnt 0r A!cnl Siqn"lu
Pemllk nnm. 'prinl'l
Site-Work
Underground
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Lite Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundinq / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh xl
Ceilinqs (T-Bar Rouoh)I'd Lt'li I
lt/leter Release u -\7
A
Rough k.Y-
Service [Vleter
FINAL Y'21o"1"$,\l uil \
Notes, Remarks, Etc.V
Pole Bases
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l-,tn1
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