HomeMy WebLinkAbout20166582 - PermitProjectAddress: 1500 E Seventeenth St
Assessor'sParcel: 400-241-01 Lot: NA
Unit:
Block: NA
Bldg:
Tract; NA
Address Range:
Historic: No
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Electrical Permit #: 2O166582
Pin #: 32825
Owner:
Address
Contractor
Address:
Tenant Name
01 116002 51603
01 116002 51603
0'1 116002 5'1603
01 1 16002 5360'1
01 1 't 6002 5'1600
01 116002 51603
First Church of Nazarene
1500 E 17TH ST
Santa Ana, CA 927058502
(303) 9564119
Racing Green Ltd
3873 BERRY DRIVE
Studio City, CA 91604
(310) 9514080
Fee Type Amount
FWU 24,79
Subpanel 53.28
Over 10-50 HP, KW or I 45.21
Ptc - 65% 0.65
General Plan Update 22.08
lssuance 55.04
Qty
2.OO
3.00
1.00
254.63
1.00
1.00
Fee
$49.58
$159.84
$45.21
$'165.51
$22.08
$55.04
Phone
State Lic #: 992206
Lic Type: B, C-10
Bus. Lic #: 359902
Workers' Compensation lnsuranceCarrier: All American
Policy #: C48817646
Expires: 06/01/2019
Botchi:45175 - A/3lzttlg tD; [_R0SALE5office: CTYII Tronsi: 7 1 0l 1Accti: Ref+: 2u13658?RcPti:023{7085 - 8/3/201S 8::i4 AH
TronEoct ion Totol l3ll,7E
Roc ins Green Ltd
6enernl Plon Updote Fee
01116002- 51600000-
Electr icol
01u600?- 51603000-
V isa
CCi: r*r***rrrrrr88{7
- $??. trg
_ $r-t9.67
$331 ,75
Auth+:r:165211
Buildang Use:
Job Type:
Nature ot Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
other occupancy:
Alteration Constr Type
Change of Use - TemPorary Code;
E
VB
cEc 2016
Pham, John
Chavez Dave9P'
10't 96763
08/03/2018
08/03/2018
Account#
Misc. Receipt: 713'11
Misc. Receipt:
Misc. Receipt:
Total
Notes: Additional electrical that was not included in permit #
20r66319,
$497.26
$'165.51
$331.75
Every permit issued shallbecofie invalid unlesslhe wo* on the site
authoized by such permit is commonced within 180 days aftet its
issuanco, or if tha wo* authoized on the site by such permit is suspended
ot abandoned fot a period of 180 days after the time the wo* is
cornfienced.
lnspector MID#: 2018-14408'l
$22.08
$309.67
Fee Total:
Paid to Date:
Balance Due:
Suite Range;
Zoning: Cl
Phone:
Date:
Date:
Date:
01 1 16002 5'1600
01 I 16002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DELCARATION
I lrrcby oinrm udcr p.nally of Frjury rhar I d etnpr rft,n rhc conrs.lon Liccnsc L!$ lor rhl nnhwing rcron (Scc ?01 1 .5
Businc\! adl Pr.fc$t,n Cdlc|r Any ciry o. County ehih rcauircs 0 rEamn lo ..nsrtu.i. ahc., inlltrovc, dcmlnh or rpln 'n,
strucrur. pri,rr ro s issu.trcc. al$ rcquncs rhc uppliclll Lrsuch Fnni[o filca siSncd slarcmnr rhll ncoi \h. is li.coscd l)ur$6nr
h thc rmlhn,ns of rhc Conkaclor's Liccnki Ljw (Chap,cr 9, Commcminr *irt S.cin,n 7o0o olDivision I oflhe Buri.c* and
Prolc$ionsCode)o!rharlEorshciscx.m0lhcrcfroilmdrhctishiorrhe.llcgedexe'ryln,n.AhyvioltrtiotrofSsli,nT0llSby.ny
lrplica r{r a p.nnn sub.jNrs rh. llplicunt lo acililpcnaltyoinor nrE th,n fivc hundrcd dollrs 1S50o).
-,.
!s o*rr of rhc pn,Fny. or my e'nplores wilt *lscs us rhct v,lL conPcnsdnnr. wnl do thc uott and rhc srdh k fr,
inr,xtcl c orcrcd lor slc (Sa 7(H4. B$incss snd Pr,rc*iohs C.dc Thc ConlEcroi s l-iccnse L,* do* .or aPply lo an ouner of
rhc pmrEny $hl hoikrs or in9rc$ thN)n. md *ho drcs such slk hinNellor hd^clr.r lhftu8h ht or hcr own cmploycts.
providcdrh.r slch imtmrnEnl\ @ mr irrcnd.d or olIc(n for ek Ii h)s.wr. rhc tniHiq or inwowrEnl t $ld wkho om tear
of cohplcrion. rhc O{rcr Blikjcr Rill havr lhc bodctr of pmviry tld hc or $c did mr tDild or imProrc thc pm,sty lor rtt purFo$ or
l. rsowh.rorrhc pmpny. rarcxclusivclyonlracrins *irh liccnscd conrri.ins ro otrsrrucl lhc Pmrcr (Sdc 7044. Busim$
rnd Pntuinn Codc: Thc Conkrcrois Li..n* Law d..s.or,nplylo !no*nc. oaproFrry who bxilds o. imJ,.orcs Iho$n.
and who.dnrmchrorsu.hrlorcchsirhaConrEcro(9li.cnsedtu U,nr lo lhc cbnlactols Lians bw).
]YABf,Ef,I-g)IITEITAIION
DECLASAIIO!
I hcreh, !flirn lndcr !.nrkrollnjuryorE ol rhc followir8 d$lrlln,ns
-l
hrvc arxl ! ill minrain o Ccdir*arc oi Consnr ro Scl trsurc for work.r' .omrcn\aftn. a\ povdcrl ior byScdn,n 3700 orrhc
ribor C.dc. for thc p.rfornune ol rhc sork for which rhc Fmir is issucd
My wor*qs .omrcnsarion insurorcc cnicr siri Fricy numh.r m
tca
t1
-lcrnifyrhar
inllr pcrrodumcorrhc wort ltr whichlnh Pcn.il is hsdcd,I shnll n.r cnploya.yl,cGotr
$ r\ t, trconx suhicr to th. po,kcK ompcnqrion l!*s oaCllitornia, nnd r8rcc rhd ifl snout tEco.rc \obitr ro llE
work. .onlpcns iotrprcvhionsofScclion]?0O.trncl,trCod.,lsrxl.fonhsith.onrflyrilhrho€Povhions
NC: l,rilurc r{r \ccu,r workcrs coNctr\dior ..vcmrc i! unh*iul
cs un ro onc hunncd rhou\rnd dollar( ($l(x),(xxD. in ddirion k)
dtr c.rploycr ti .rimi'rl llrtrxhts trl
tr$riotr. drDtr8c\ r\ pnvnlcJ tur rhc
(
Iltllr!-BJna]
I hcrclryrlijlmu cr |tnnlry.lrcluryrhrr Irnli.ctrk\lundcrprovisi.nol 9(.o f, .n! s(hSc.ri( 7(xxr).ll)trNiitrr I
of rhc llusirc$.M Prol'e$ions Codc. und nryliccisr i\ in full inr..8kl.
R llzz o5.w"t a.,t-",".,*
CONSIIICUIINIENDINGAAEIII
I hcehy nfiinnuMcr p.nalrroipeDuiyrhdr lhcrc is a con$ocrhn hnding !8cncy lor rhc rdfornun.c ollhc wort loi whhh rhi{ Frn'h is
is\u.d {S... I}97, Civ. C )
A.PIUCANLDDIIdAAUIIN
I rurh, Lninn u.do F.tr.lry ofpcrJuryone oilhc aollosirg dccluarn'ns:
Dcmol ion Pcrmirs \lE{os Norili.
'on
r{dcrulRc8ulations (lirlc,l0. Pd6)
k.qur.d Lclc' ol Norih.rri({r
l.cnr[th, rhchdcrrlrcauUri.n!Bs3rdn,xa\h.no\r.trk,vi]r mr.pnlical,lc ro rhi\ ptr+cr
_l c.nilyrhll I h:rr rcad rht aprli. ionMdnrtcthal t i.n ir..ne1. I a8c k, c.mply*irh rllCiryrnd coun!,
odinancc\rn,lsrxr.t-awsrcurinAtuhuiUirucon(rucrn))n7tr r.nr.i.ntarivcs ollhk Cilysnd (
lbotc nEnriomd pn'Fny f(r inst&rion pur|x)scs.
Applic! orAs€nlsisnslrre X
l'srikt n nr rprn,lr: l(l,.v ,c
''";/;[s
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Salety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondino / Groundinq / UFER /'1
Transformers tl,[/nA
Torqueino /lt/
Sub-Panels ?s u[ '(\
Air Conditioners I
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilinos (T-Bar Rouoh)
Meter Release
Rouoh
Service l\ileter
FINAL Pr'sn ,hL
Notes Remarks Etc
+
ID/SIG.
Communications Cable I rn-cxcnmr u.Jc' \(ro. .B &PC f,{ rhi" n'a-n
L.ndcii Na6cl
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