HomeMy WebLinkAbout20166552 - PermitAssessor'sParcel: 002-251-01 Lot: 10
Unitl
Block: NA
Bldg:
Tract 1939
Address Range:
Historic; No
Suite Range:
Zoning: R1
T
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: l.714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20166552
Pin #: 54207
City of Santa Ana
Permit Counter: (714) 647-5800
Contractor
Address:
Candance walker-Kilinsky
2944 Fernwood Dr
Santa Ana, CA 927061110
(714142s-3758
J M T Lighting & Electrical
1808 lowa St
Costa Mesa, CA 92626
(949) 887-3350
Fee Type
01116002 51603 Serv lvleter
01116002 5160C General Plan Update
01116002 5160: lssuance
Fee
$53.28
$22.08
$55.04
Qty
1.00
1.00
1.00Phone
Tenant Name:
B,qt,chi:45(176 - 7 /30/2L118oltice: ( IYH Trqns+3 113A,:cti: Ref+:
REpti:(r:ii44975 - 7/3i/2015
Tnonsoct ion TotqI
State Lic #: 904394
Lic Type: C-10
Bus. Lic #: 370131
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:
2t-t16
il3(l
T289.
I i I Liehtine { Electricnl
Genersl PIon Updot€ Fee
u1116r:102-:1600000-
Electr icol
0111600?- i1603000-
V iEq
(:C+; r iI r r* *r1*ir4793
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lnspector
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type:
Code:
Notes: handout given
\# u"rnuno"., x"tny
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
07 t3012018
Account#
01116002 51600
01 116002 s1603
$22.08
$108.32
Fee Total
Paid to Date:
Balance Due:
$130.40
$0.00
s130.4
Every pemit issued shall becofie invalid unless the wo* on the site
authoized by such permit is commenced within 180 days afiet its
issuance, ot if the wo* authorized on the site by such permit is suspended
or abandoned fot a p6iod of 1 80 days aftet the time the work is
comfienced.
Proiect Address: 2944 N Fernwood Dr
Owner;
Address:
Amount
22.O8
55.04
Phone:
AULh + !
Planning Conditions:
R.3, U
VB
cEc 20r6
MID#: 2018-'1450'l 1
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUIDER DEI,CARATION
I h-rcby affirm undcr pcnalry ot pcrjury rhat I am cxcmrr from rhc Contados Liccn\c liw f.r rh. followin! rcrsn (S 70:ll5
lrusircss dnrl Porcsi.n Codc): Any Cir, nr Colnry whi.n ,cquircs 0 lqnrir ro con(rud. drcr. inrlrovc. d.mohh L{ rcD . otry
iddure. p,ior lo irs issunmc..lh rcqnncs rhc,rplicanr ru strch Firnir ro lilc ! \igmd sllrcmnt thar h.or shc is liccn{d puruanl
ro thc pnrvGions ofuhe Cont0.r.r'\ I-i.ci\cd tjw (Chlfrcr 9. CoNrrncins *ilh Scdn,o 7mo ol Division I ol'rhc Busixl$ and
PronsionsCodc)orrhartrorshciscxcmprrh.rdrohmdrhcl'!\hrrthcalhBcdcrcflrptn,n.An!vioklionofSecrhnT03l5hrBny
npplica lor ! pcrmit suhj(ls rhc a,,plicanl lo rcivilpcmlryothor nx,torhrtr nv. hundr.ddoll{\ l55m)
-1.Nrwtrc.olrh.ln,Fdt.ornrycmplotlcswnhwases!sthcnshcoryensrion-wi,ldollEwort,lhcslulucFmr
!
inrerncd or olttEd lor slc (Sc.70.14. Busincss iM Prore*iois Conc: Thc 6nract, r l,iccnsc lrw docs no! arply ro an.wncr.l
rhc pmFny who ttuilds or inlp(rs rtccr and *lF des sf,h sork him{lf.r h-r*lfor th,uBh hh or h.r own.mpk,yc.s,
pmvidcd rhal such inl!'orcmnN !rc mr iNcfrLd .r ofibrcd fff strlc lf, hoNevcr. rh! htrildins or imrrcvcn.nr is \old wilhin ..c yr0t
ol orphlbn. th. Oa.cr Buillq will tu\r th. bxrdcn of pmving thil tr or sh{ dil mr hoild or itrYmr lh. Impcny for rrE plqnc ol
l, asowncroirhc pmDcrry,0mcxclusiv.lyconk lin!wirl lic.ns.d .unrnci,n n, ..nsru.r rhc prtrcr (Scc.7044. Bu\irr\\
rRl PniixsionCodc: Thc Cont,ctr\ l-ircnsc l.!w d{rcs mt opplyro r o\,rcr oi proFny *ho bu ilds or nnprovcs rhrcotr.,nd sho conrocls tu sucn rreicrs uirh a coDrnckrls) li.cn\cd rulsudtrr k' rhc Conracrn r l-icinr ljw)
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a cxcnrpl trndcr Sc.lion , B. & PC forrhi\ i.r{rr
Dole: O*ner:
ivoRKFRSi' C0r[rPl'NiSATrcN
D&CLASAIIAN
I hcrcby firnund.rn nnlryolp.rjuryon. of'hc following dcclarlli.ns:
-l
h.vcrnlwill m8ihrain aCcnificurcofConsnrro Sclf-lnsurc tu sorkcrt coflD.nsrnrr.0r pmvidcd for hlSccrionlT0Oolrhc
Lrkr Codc. f(trrhc pcrfornrncc o I r he sork lirrwhi.h rhc pcrn ir tsucn.
rhc work lir wlrichrht ltnnn rs issRd My w.rl.ii .onrFn\di{'n insurrn(crtricrrd Fnic} numhcr rrc
adrrr:
PolicyNumbcr:_Erptcs
I.cnirrrhar inrnc pcriormncc ol rhc u,ork forwhichrhr,. nir n ssuM.l shallmr cmtrkJy rtry p.r$. h a., nrnncr
s rx lo h.$nf, suhFr ro rh. wor[r^'comFn\ai ion hws of Califonri!, oad (3N rh i,Islnuld bc.om {hjcd rorhc
worlcs' cotrp.n\d n,o povi\n,d! or sccrnri :l7tx) ol rhc Lnlry Codc. I sttrll, fonhwirh coq:ly * ith thos lnvni.ns
WIRNINC: l:lilurc to sccurc qorkc( conrpctrs ion.ovcrasc is u hwrul Jar n, .rntrtrrl F1'rli.\ rnl
.ivil nncs up ro onc hundred rhousa dollan ($luJ.m0). i. lddirbn drnugcs rs ln,vidcd for rh.
::::?Fibr,{*
I hcrcbtrtltmund.r!.mlryolpcrlDryrhrr I m liccDed trklcr pnJvNi( .i(-hntr
oI rh.llurim$uM Pr.li\siur\ Cod.,.rlmy li.cr:c i\ in tullturccr drll..r
9 lcomnErcing wirh Sdr irn 7O(X)) of Oivirn r l
-Li!_crsc
Nunr
I hcnby rfinn u.df FtulryofFrtrry rhar rhdc h E con(ruclion
istr.d (ss.:lO9?. Civ C )
rro.cc ollhc {ork tor*hich lhh pcnn n
APTUCANLIIECIdAAIIAN
I horby !fiim undcr pctrrlly ol p.rjur, onc ol rh. r.Uowiis d.clffarion\:
Dcnmliriotr Pcnnns Asb.so\ Norin dion F{d.rilRcEullrior tTille 40. Pan6)
-Rcquicd
t rlcrof Norifictrtion
I rcni!rhrr lhxvc r.rd lhi\rpplicrrnnrrtrd rhl( rhcnhrvc i nnn{idr i\.onccr I rlrcc kJcotrvly sirh rllciry (trd cotrnry
ordihn(\ md Srrrc Irws rc[ring robuild rizc rqrcs .tn$ of rhnCny{.dCotrntytocnrcrun trthc
".,,/r/,/
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor rl I
Bonding / Groundinq / UFER \\g\\1 AM1lt1
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
lValls (Rough)
Ceilings (Hard & Soflit Rouqh
Ceilings (T-Bar Bough)
lvleter Release \\s\\q ANLOTIq I
Bough
Service ltrleter
FINAL \\a\r1
^Mclt'
I
Notes, Remarks, Etc.v
Sions (monument)
.-'-"*. (
tIn,lc.r
^J.ln-\
-l
ccnilylllal rhc lcncril rceularionr mBlrd4 i\tr{os rcnn,lsl ar. nor rrp icnhlc tr rhirtorcci
rh,!c ntr ii,,r,ltr,txdv fii in\p.cinnr
Appll$nl o. AE€nt SiAmlure
Pcm lentrn€(prinl):