HomeMy WebLinkAbout20166731 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana CA 92702 Electrical Permit #: 20{66731
Pin #: 539E2lnspection Requests: (7 1 41 667 -2738 lnspector Section: (7'14) 647-5853
Bldgl
Tract; WEST
Address Ranqe:
Historic: No
Suite Range:
Zoning: Cl
E
Assessor'sParcel'109-071-07 Lot. NA
Owner:
Address
lnvestor Property Service
26020 Acero #200
Santa Ana, CA 92704
(94s) 900-6165
01 116002 sl603
01116002 51603
01'116002 51600
01 1 't6002 51603
Fee Type
125 Volt Receptacle
Min Fee Adj
General Plan Update
lssuance
Amount
1 .45
40.03
22.O8
55.04
Qty
23.00
1.00
1 .00
'1.00
Fee
$33.3s
$40.03
$22.08
$55.04
Phone
Tenant Name:
Contractor
Address:
Lamson Bros Electric & Cor
8192 Garden Grove Blvd.
Garden Grove, cA 92844
(526) 485-2080
Sotch+145511 - g/2Ll2OlS
olf ice: aTYH Trons+: 86Acct+: Ref+:
ti.pti3u?359969 - 8/2f/zulg'fronsoct ion TotsI
Jitll3r,
Commercial
Miscellaneous
Receptacles
Occupancy:
Constr Type
Code:
B
VB
cEC 2016 Notes:
Genenol Plsn Updotp Fee
u1116002- 5160{r00tr-
E lertr icol
0111600?-:160300(r-
V isoC(:trrrrxllrr*i{r5716 Autht
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Hernandez, Kathy
Date
Date
Date o8t2112018
Accou nt#
Every pormit issued shall become invalid unlessthe wo* on the site
authorizad by such pemit is commenced within 180 days after its
issuance ot if the wo* authorized on the site by such pemit is suspended
ot abandoned for d pariod of 180 days aftet the time lhe work is
comfienced.
$150.50
$0 00
$150.50
MID#: 20'18-145468
01 1 '16002 5'1600
01 1 16002 5'1603
$22.08
$12A.42
Proiect Address: 1212 S Bristol St unit: 17-A
Block: POR I
Phone:
State Lic #j 923286
Lic Type: C-10
Bus. Lic #: 364758
Workers' Compensation lnsurance:Carrier: exempt
Policy #:
Expires:
Lo,ison Bro5 Eleclric A Coap(n:
Building Use:
Job Type:
Nature of Work:
*.
Misc. Receipt:
l\4isc. Receipt:
lvlisc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
lnspector
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER DUILI}ER DELCARATION
I hcrchy.lltm undcr pc.olly of,,erjury lhll I fln cxcnpl l'lonr rhc ConlrlcroF Liccn* Irs r.r rhc lnllowirlS rc.son (5{?0315
Busirr$ and Pdt$ion Codc): An, Ciry or Corir, *hich r.qrirc! , pcnnir r. ..n{,xcr. 0lrcr. in{'rorc. dcm,lnh or Epan 3n,
dtudur.. pri{n b ik i\{rnc., also Equirc\ rhr.ppli.in! rr \u.h n flnn ro filc i siSncd ({rctmnr rhsr hcoi sh. is liccned rursuinr
nr llE rrorhions ol thc Conlracrols Licen*d ltrw lch$rrr 9- Co nftmin8 *irh S.dnr 7lxr0 ol Divhion I orrhc Bosiners and
Pn,acsioi\ Codc) nr rhrr h..rshc hcxcnt rh.rfromanl lhc hnsis l'or rhc rllcscd cxcnrpri{,n Anrvnnnin,nofSNrk,nT0ll5$yiny
rpplicaDl lor a r.rmn suhjclr llE attlicanr lo rcivilpenoltyoinor nrxc rhrn filr hdndtddolln* (S5m)
-l-
owEr ol rh. ,n,axny. or my .mplotrs *nh*dscsrs lhci. lnc conrpc nsi in,, willdo rh.wor*a lh. srmrEc is nor
i, .ntlcd or offcrcd (tr slc (SE 704.1,llusincss md Pn,f.isi.is c(xlc: Th. Conrrodois Lk.n\c tiw docl nor 0rPly ro rn o*B of
rhc pn,rEn, who huilds or in0ovs lllcmn. and wlx dm\ such so* hins.lt or hcscli or ttuou8h hh ot hcr o*n ctnPlorccs.
nrovidcd rhar such improlcc.h m nor i cftltl or oft Nd (r srb lr, tx,rr\E, rhc boihnE or irymvcmnl h q,ld *irhi,' .nc ttJr
or.otrphtion. rhc ownc. Bnillcr will h!rc lh. tud$ of lbvin8 $d h. or shc di1 En hdill or i'nr.\t rhc tmt ny tu lnc ID,InE ol
l.,sosmr olrhc Dnpcny. anc(lusi!.lrcomrding wirh li..n\.d .oNr!.ktrs ro conslrucr rhc lrojccl (S$ 7044. Bu\inc\\
a tt fssion Codc: Thc Conraci(, r Li.ctrsc trw dds mr amly ro M.wncr oltropcnt *ho tuildi or inrpmvcs rhfi.o..
rnd who cotrrfrck lor such pmlcLls qilh tr Gnh.ror(, li.cnscd pusuotrl lo rhc Conlr!.ror r l-kcnsc Lds)
I i cftmor undc' serrctr .ll & PC rar lhnrrJ",n
Dor.r Own.r:
w(|RxERs, CIwrPENis;iidN
DECIASATAN
I hcrchy ainm !nder pcnalry ol pcrju.y o@ orrrr f.lk,wine dNlarlrn,Nl
I havc will nrinroitr o Ccniarclre.r G)n\cor t, s.li:lrur. tu sorkc( conD.nsalion.!s fmvidcd for hySccri{nr 1700 orrl'c
Labd Codc. ior lhc pclformncc of rhc w.r* for *hich lhc I).rmi is nsucd
_l hrvc ,nd *ill m i' xi', work.* comrcn$r ion rn\urumc. N rcquncd hy Sal ion :l7l orrh.ljhitr c.d.. ror rhc pc.lonnancc of
rhc sork ror whi.h rti$lcmir i\ issrL{ Myworktra comFtrsrrnrn insumncc .arirr tuxl Ini.y nunhcr rc:
!1lccn,l) rhrr in rhc ncrforrun(c orlhc worl lor which rhirFrmir ia i\sucd.l \hall nol .hploy lny pcMn inlny n nncr
$ .sh bcom subjccr t,rhe sorkcd .oor.nsai ion hws orcrliturni{.nd oSre rhar iII sblld tcco'ftshlcd ro th.
NorteN conlEnern,n Pmvtion\ of Sdrn,n :l7m.f rhc tibot Cr c.l shrll. forlhwilh onPly *ilh rroscnn,vhions
wARNtN(;: hiturc ro {curc sorkcn conltlcnsdtu corchrc is unh*lul- a shrll sthjccr an cmfblti u diminal Jrurlrics 8trd
.ivil tut\ op r) otrc hoidicd Ihousand dollrn lsl(x).o(x)). ir diiidr to rhc .lconp.n\srt,.. th'mgcs os lrnrvidcd lor rlE
Sr.rirnr.10T6orrhc I2ln L'odc. idcrcn.nd ixoaEy: icc\
/,,.,",qf 4f t E
t)t,t(l.ln\ttrrN
I hcnh! rflnmundcr r.alry of Frjury rhrr I am liansn undcr Eovision orchfrcr 9 (.onnft
of rhc Busii.ssand Pnna\si.nsCodc. atrd mylicctrr t h tull Inre anlclfccr
Sccrirn?(XX))nf Dni(i(,l
C- IO 2'""'tP'8 /-
I ncrcby arfinnundcr pennltyotpcrjuryihar rhcrc is a L\,n{ru.rion bndin! a8cRy ior t[c lcrhnr
,sucd (S.. 1097, Civ C.l
sork lirr (hEh rhi! Iicflnil is
ATIUIjINIDECLAIAIIO!
I tln]r,y,finnulld.r pcnolly oIFrjury onc oflhc folloqin8 dcchr ionr
D.mliiio. Pf.rirs Asb.slos Norificarion t{dcml RcBul ions(Tirlc.t0- Pfi6)
Rcquncd Irlr.r of Norifi .arion
. fl.cdilt
rh, rhc lidctulrc-suIrion\ rsJ'linE I\b.
1l !drrr rlrr I hr\r rcad rhr rlnl'crrLotr mr n.rc rhrr
no\ rcmoul c nor q)plic$lc io lhh rojccl
ordi'itrcc\ rnJ srrrr l-r{\ rLri ! k) huildirg .dnnn'(tr)
*c rronndion i\.omcr lrlrNbco'nflytrirh!llCiryrtrd(-lntr !
hcrc6yrtrrlr'trrcF.\. rrhrcsrnrhlCiryrndCounrybttrrc' uF,rrhL
ahnc n'cnrit 'c(!tFnctrr f.{ in\ncdniI'n4s{\
,rppticcnr or,aeenr Sl*nurure ,t ,\ "
P.rn,i,NnomE,prin,l: lL LjfAA S Nh,.l
,.,", sJ>ilgval r
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh gztl8
Service ltrleler )i_-q,'r,p^/,tq )
FINAL awn I
l I I \--..-
Notes, Remarks, Etc
APPROVALS
PolicyNrnhcr t rqrrc.,
Irndca! Addr.(
-
I
=
I