HomeMy WebLinkAbout20162804 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2ll1li.28o4
Pin #: 12276lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1979 E Seventeenth St Bldg: Address Range;
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning
E
Assessor'sParcel: 395-321-2'l Lot:
Owner:
Address:
Red Mountain Asset Fund LLC
1234 E Seventeenth St
Santa Ana, CA 92701
(714) 460-1563
Fee Type
011 16002 53601 Revision
01116002 51603 Min Fee Adj
01116002 51600 General Plan Update
Amount
213.86
-6.95
21 .25
Qty
1 .00
1 .00
0.00
Fee
$213.86
$-6.95
$0.00Phone
Tenant Name:
Contractor
Address:
Klaer Brittain lnc Dba KBI
2585 Dow AYe, Ste B
Tustin, CA 92780
(7141832-5777Phone
State Lic #: 660424
Lic Type: B
Bus. Lic #: 4481
Workers' Compensalion lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9039848
Expires: O1lO1l2O1a
Building Use:
Job Type:
Nature of Work:
lndustrial
Revision
Revision
Occupancy:
Constr Type
Code:
M
III B, SPK
cEc 2016
Notes:Revision to 20160956. New main service to building
from existing transformer. Pick up existing meter from
existing house panel. Exterior lighting from house
panel.Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Davis, Scott
Chavez, Dave.6*
Date:
Date:
Date:
o4104t2017
o812st2017
Account#
Misc. Receipt: 69331
Misc. Receipt:
Misc. Receipt:
Total
Every perfiil issued shall become invalid unlessthe work on the sita
authorized by such pennil is commenced within 180 days after ils
issuance, ot if the work authorized on the sile by such permit is suspended
or abandoned for a period of 180 days aftet the time the wo* is
commenced.
$206.91
$206.91
$0.00
MID#: 2016-130088
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
Unit:
Block: A
lnspector
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h*.1ry altm !6do peml!, ot pdjury rhd I m.rmpl &o,n rh. Conrado* Lic@ Law tor lhc lollovios r@n (Sd?oll5
Asin6s and Prcfsion Codc) Any City or Coualy which r.rlun6 a Dsnn lo cocttud. tlld, iniprc{.. dcmalish or Epon !
slruc1u.. rior ro its i$udc.. also rcqun6 thc arpli.d for suci p6rn lo fiI. . si8ned sardnar that hc or she is licoEd pum l
ro ri€ proririos ofth. aontreroas Licetucd L.w (Chaprd 9. Conm€ncioE wnh S<rio. ?000 of Divhion I ofihc Rusines 8nd
PrelBioB Codc)orrhar lE or shc b er@fl rhdeftoo &d rh. b6B for ih. all.g.d .$nption. A., \iolationols..lioo 70ll.t by lny
aprlicanr for a pdnii subjds th. rpplicanl ro acivilpo"ltyofnot noic than fivc hun&cd dollrs {5500).
I. s oqns ofrh. p'op.nr, or 6y .6plo,6 *nh $,96 &s rh.n $E .onpftilion, will do lh. ro.t d lhe nrrtr1@ t nor
inrdial or oit6.d for sL (Sc.7044. Busi.s ed Prolsiod (\d.r Tfi. Contraclois l-iccE LN do6 .o! arpl, lo m o\ nd of
rhe popdy who buil& or impovB rh@n. rd who &6 such sork hifts.lfor hmlfor rhooBh his or ha own mployc.
prcvid.d thar such impromts e not inlod.n or oltdd for $1. ll hoN6s. rh. boildiry or imFovdol i. sold within .n. )d
ofsmpldio( rhc ow.d auildd trll, n!\. fi. hrd.. ofpro\i.a $sl he or sh€ ditl ml hrild or inurore lhc D,llcly ror rh. ptrls* of
I. sownaolth. pmpdry. m cxclusivcly co.hacrins *ilh licosd conlmdoEto Nosrtocl rhc irojd (Se. 7014, ttErn6s
and PDlsbn Cod. ]'he conh.ror's Licms. Li! do6 n.r rpnly ro d otr.6 o f prop.ny who builds or nnpror 6 lhrdn.
and who conrE:ls for suchFoj.cls *nh a Conrraclo(s) li.oscd p6@r rd rh.contr.rors Li.G. tis).
I dr.xempt under S(rion .a &PC lor rlris ir':Bon
Drr€ owmr
!QAKE&::CO[IEE!!Af&!
DECI.ATAIIO!
I hdeby.fim undd r.mhy of psjury onc ot th. followin8 ddl&atio6:
lhalcudwillmainlainaCcrrificaleofCotrsorto Sclllnsurc ior work6 coo\*Nali.n. a prolid.d lor bySErionlT(,YJoilnc
L.bor Cod.. tor ltc psfomscc oflh€ $o,[ tor which lhe pmii is i$ucd
I havc and {ill mainrain *orldt corp.Barion iNum.oi s rcqoned by sdion l?00 ol lhc Labor Codc. lor rhc Ffofrhc. .f
rhc worl lor which rhb pmil ir i*u.d. M, wort@ cornp.Balion ircumc. cari€r od policy nunbs d€:
hnicyNu'nb6: Erpt.s
I cdlify rhar in thc paaomanc. ofth.*ork for vnich this Fmit is i$u.d.l shall rul dploy any po$n in tny m.nnd
$ s lo bc€om€ subjsr Io rhc porL6' comp..saiion l.s,s of Califomia. dd agc. 6ar if I 3hoold b..om€ subjal to lhc
worl6 compoelio. pmvi3ios ol sdrion 1700 olrhc L.bor code.I sh,ll, hdh*ilh comply wirhrhoFprovisioa..
WARNINC lailurc to Ku€ wort6'.oopcMlion cords. is unlrwful, md shdl sobjci an 4plord lo oininal poEk6 &d
.ivil ,in6 up to onc huodred rhoe.d doll6 ($100.000), in .ddi(ion ro rh. cosr of.o'npensalion. damascs as rrovid.d for lh€
Serion 1076 olrh.l$orCodc im*cr od rtrofty s ac.
Appu6nr:_
LICENEECqEIBACIOA
DECIJ86IIO!
I hd.t, anm unda pdalry of pdjury lhal I on licslr.d ondd Fovision otchap!6 I (coh'ndcins with S61io. ?000) of Division l
oa lhc EBin6 ed PofdioBcod., ed mylicds.tin tull lorc. dl cilrl
cadsraucrlaNi,ElDtdc_Ac&lcl
I hmby arnrm und6 p.nahy of pdjury lhd rh6. is . oisltuclion Lrding agocy for th. Ffollruc. of lt. wo* tur which lhis pdnil i3
isu.d (Sd.1017, Civ. C.)
A TUCANLOECIAMIIQ!
I holty Bfrm undB polhy olpdjury on. ofthc followins d(lualions:
D.molition P.miteA3h6los NolifiEliof, F.ddl Rcguldios Gnk!0. P.n6)
R€qun.d Lard orNotifqrion
I csl ily rhar thr f.d6al r€sular ioN rclddins s rsovil 6c nor E,pricrble ro rhb pmjd
I cd,ay rha( I havci@d this {pli.alion d slorcr infom.lion is cotrer I .sre ro comDly virh aI Cn, a.d Contrly
r.prsiariv6 oflhis cny &d counrlro dr6 lpon rh.
alaNe m.nr i.ned pruprdy fff idp..rion
ADplicrnl or ,lEenl SiEnilur.
{-"*",*fi_t1
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service lrleter
FINAL g-u-/7 ,DcltJl -q
Notes, Remarks, Etc
ELECTRICAL-INSPECTOR RECORD
oildan.6 and Sr.r.1.\6 rclaring to brildinr