HomeMy WebLinkAbout20166605 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20166605
Pin #: 43221lnspection Requests: (714) 667-2738 lnspector Sectlon: (714) 647-5853
Proiect Address: 4717 W First St Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: NoAssessor's Parcel: 100-64'l -14 Lot: NA
Thi V Doan
1t 350 Delphinium Ave
Fountain Valley, cA 9270a171'l
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Min Fee Adj
General Plan Update
lssuance
Amount
'L45
1 .58
1.05
51.26
22.OA
55.04
Qty
8.00
4.00
4.00
1.00
1.00
100
Fee
$1'l.6C
!o.Jz
$4.20
$51 .26
$22.08
$5s.04
Phone
Contractor
Address:
Owner-Builder
Phone Bqtrh
0lf ic
F,:pti
r 4:-ii3r-r: (:TYH
LROSAL?of
r 166 6u5
'",1:r Fn
Tron
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
r_r236r:r5li.i
frsnsq,:L ion Total *
lh r U Donn
Building Use:
Job Typel
Nature of Work
Commercial
New
Storage Building
Occupancy:
Constr Type:
Code:
s-2
VB
cEc 2016
6pnerfll Fl nn tlpdate
t:rII16t10?- :16tlrl00n-
EIectr icol
r:r1116110?- 51603000-
? rso
(:C.: r xfrx*i***;r*51
*'/'l irq
-
$1?8.4?
$g2L ,91
AL,thi r 1gg546
Notes Construct new 680 sq ft ancillary storage building.
Auth on file.
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildang Permit #:
Zuniga, Allis
10197261
Date:
Date:
Date: 0A12212018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600 $150.50
$0.00
$150.50
Every pemit issued shall become invalid unless the wo* on lhe site
authoized by such permit is comnenced within 180 days after its
issuance, or if the work authorized on the site by such pemit is suspended
ot abandoned for a peiod of 1 80 days
^fter
the time tho work is
commenced.
lnspector MID#: 2018-144726
01 1 '16002 51603
$22.O8
$128.42
Fee Total
Paid to Date:
Balance Due
Suite Range:
Zoning: C2
Owner:
Address:
Tenant Name:
01116002 51603
01116002 5160:
01116002 51603
01116002 51603
01116002 5160C
01116002 5160:
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUII,DER DDLCAR"ATION
l hcr.by arfirh und.r ri.nalry or p€rjtry
'har
l an cxcnrl rmnr rhr G'nra.bn Li...sc ltr* ft, thc i{,llowins rcr$n (Sc.7o:ll 5 '
Busincs\ a Pmlasiotr Codc) Any Cny or Condy wnich rcquircs i Fiinir lo co (rucr. 0ltcr. nn,rovc. dcnlohh .r rcIl,r diy
{n,.rur.i rhrlo ils issurnc€.0lso rcquncslh. arpli.rnr ritr sDch Frnir x, file a \isncd {!rcm tlat h.nr shc is liccned pursatrl .
ro rhc lovkions.frhc C.nk.trt l-i..nrcd Lrq (Chryrcr 9. Comnkncnre with Sc.lio. ]ofti of Division I of rhc aunnc* 0nd
Pnnasn,orCodc)orthalhcorshciscrcmprrh.srtufltrndrhchshntrrhcolLscdexcmption.AnyviokrionolSeriotrr03l5Strn)
apllic,nr fir a Fmilruhjccls rhc olplicrnr ro !.ivilp.nalryoan.r norcrlD nvc huidrcrldolla( ($500)
-1.usowtrcrofthc!tu!.ny.(,nrycmrk,yccswilh*!scs0srhctslcco
lrnsnrbn. wiu do rhc work a rh.strstumhmr
inr.ftlLrl or oficrcd ntr st (S.!.Ir,l4, ausiNss dn'i Phrcs\ion\ Codc: l le ft.tacrois l,icen\c lj$ docs not atply ro !. o*ncr oI
lhcfl.ncny wlb buihls or i'nprohs rhcmn. e $lndessu.hs.'khirnsclforhcs.lforrh(,u!hhisorhcrosnchpk,yc.s,
,nJ!id.d rhnr such inpm!.mnk m nor inlcfllcd n ofid.J lor slc ,l how&u, rhc huiuirs or impmlcrEnr t sld I irhio ortr ylrt
.f.o tPlcri{,n, rhc O*ncr lruildcr rillhu( lhc budcnoff,vin! rlBr h. or \hc did tr'r hnild or inpD!. rhc pmpcny hr rhc !uqn{ ol
l..\owturofrhcpoF-ny. Iciclu\iElycofti.rilgIirhti.csdconrmkn\k,..nnrudrhcpn)jcrrlScc7O].r.Bojnc$
rkl thr'c\\bn Codc lhcContra.t.fs l-i.c,rsc l-rw(locs nor Jpt'ly n' aoowNrolprol)cny*ho 6uinkor irnpnr.s rfurcon.
atr qho.ont r\fff\ochFor..rs wir h a Conrmcro(\) liccn{cd!trnurnr krrhc (btrfurof\ l-iccn$Lw)
"\ ,g
DICLAB{IIQN
I h.rchl nllnr undq p.nilryolJdjuryonc ofrlE nJlbwng dcclarrlnrns:
_l h.ve Md sillnmidain s Ccn irf,arc .rc.nrnr ro Sclf lnsurc ior eorkcB'comFns ion.rs p,olidcdInrbyScctionl?0Oofrhc
Lahor Oie. lor rnc lcfornEmc ol rh. *ork fitr r'hich lhc pcnnii i\ nsucd
_l h.vc lnd willnrlintrir workcs co'np.nsrri(,n iisurrtuc- as rcquncd hyScctn,n l?(xjoIlhc L.hor Codc. for thc pcdnmnrnccor
rhc sork t[ *hich lhtD.rnril ir iscucn. Myw.rk.m conp.nsorion insurec. icr a.d rnty numh!, m:
Crric.r_
Pnli(v Nunt{r-Ern'rcs _
-l
ccnily rh.r in rh. I).rronmr& orrhc work for which lhh ncrmir i\ Gsucd. I slull tror cnrploynny |xson i. rny Nnnmr$ Nro hc(rr htccr ro rhc Mtrlcr cotrrpctrsrti.n liqsofCrlinrdir. mda!rucrh,r ilIshoul{t hccom suhJ.rr brh.
wo&c^ .o rpcnsarnrnpnrvi\ion!oisrcrion]Tmolihctihn(odc,lstnll.fonhqirh.onplywirhrho{pnrannr.
WARNINC l,,ilurc lo surc wu.k h conqElsarion covcmsc is unlrwtul. md sh.ll subrccl ,n cmplorr to din .!l |fmhi* and
comFn\r'i.n, doNt.Hs pmvidcd ror rh.
fM't ,
civil fircs uD ro o c hundr.d rh.usrnd dolh( (tlu)
&
Sccrion 3076o{ rhc Ijhtr Codc, ntrcrci ud
T{'{ T )
DICTABAIIQN
I h.icby,0lrm undcr rcnallyolpcrjury lhll I !m lian*lund.r flovi*ion .r Chapr$ 9 (.omftncinB wnh S<rion ?(x]) otDivi{ion.l
of lh€ Buimss and Polcssions Codc, dld my lic..+ h in full roicc und cflirl
iccn\c Numbcr.
-CONiIAISUONIE DINJi.ACENII
I h.rcby "fird undcr rEroll, of pcrury lnal lhcrc iq . co.nd.ri(,. Lnding n-!.fty ror rh. Frfolfu.c of rhc wml for *hi.h rht tsmit is
irsucd (Sa.1097. Civ C.).
l.cnifyrhrrrhc lcdcrJlrcgularionr rcB{dnl8 $hcios rcnxr!Ll arr nornrplicrbh (r rhntnlccr
I.cnrlirh l hxlc ruadrhi\ ln ion ond \rrrc r har rh. .tbvc irLrmrion is con.rr I .gre h cotryly w irh all Ciiy .nd Ci)udy
,,rltrrk.s md Srarc I-n{\ to rri'rg , h ikl ins con(ruction. 0r hclchy rnrhorizc rcprcsctrrilivcs orrhis cily,nd q,unty b cn!cr u,xr rhc
fnna r rioned pn,Fnt ftr eptl$
Site-Work
Underground
Pole Bases
Light Standards
S pas, Pool, Fountains
Signs (monument)
L!l!| Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondin / Groundin / UFER
Sub-Panels
Boof Top Equipment
Facto Wired Unit
Walls (Rough)
Ceilings (Hard & Solfit Rou qh
Ivleter Release
Rough rthelrt-1h,..w>)
Service l\ileter I I \\ (*
FINAL q-r-d21'lTkM//e-9 )
Notes, Remarks Etc.
APPBOVALS
Transformers
Torqueinq
Air Conditioners
Walls (Conduit)
Ceilinos (T-Bar Rouqh)
bnd.' , Add,cs _
APPLICANT TIFCI.ARAT(TN
I li,tby iJlimhder pcnllry oi perjury onc oflhc lollowinS dcldklion\:
Dcmolilion Pcrnils-Asb.slos Notin.alnrn Pcd.ral Rcghr ns (tirl€ 40. Pa'16)
-Req!ncd
L.rrer ol NolirE lhn
I
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