HomeMy WebLinkAbout20166075 - PermitCity of Santa Ana
Permit Counten (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{66075
Pin #: 9763Elnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Project Address: 2038 S Main St Bldg:
Tract: 517
AddressRange: 2034.2038
Historic: No
Suite Range:
Zoning: CSM
E
Lot: 5, 6, 7
Owner:
Address
Veronica M, Jimenez
53 Seton Road
lrvine, CA 92612
(949) 981-6290
0't'116002 51603
01116002 51603
01 1 16002 51600
01116002 51603
Fee Type
Subpanel
Min Fee Adj
General Plan Update
lssuance
Fee
$51.29
$21.25
$52.98
Phone:
Tenant Name:
Conlractor
Address:
Owner-Builder
Eqtchi:44174 - 6/6/2t119 I0
0ff ice: (TYH Tr(tnE;: 2Aqcti: Ref+ r 2
R,:p t i I (r?289t133 - 6/6/2'i!LB 11
lroBsoct ion Totol 12
IL
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires;
B
VB
cEc 2016
GenePol F'Ittn [Jpdnte Fee
r.rt116(102- 5160(1000-
E lectr icol
01I161102- 5t603tr0tr-
flnster,:ord
CC+: ***ilrx*rix18504 Authi:,Building Use;
Job Type;
Nalure of Work:
Commercial
Miscellaneous
Subpanel
Notes: Subpanel located inside building
Planning Conditions
Planning Approval By Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field;
Building Permit #
Amsden. Julie 06/06/20't8
Account#
Every pennit issued shall become invalid unless the wo* on the site
authorized by such permit is commenced within180 days aftet its
issuance, or if the wo* authotized on the site by such pemit is suspended
ot abandoned for a peiod of 1 80 days after the time the wotk is
comfienced
$21.2s
$'123.62
$144.87
$0.00
$,t44.87
lnspector MID#: 2018-'143804
0'1 1 16002 51600
011 16002 51603
Assessor'sParcel 015-074-17
(/?. u^*F
/ Block: I
Amount
51 .29
19.35
21 .25
52.98
Qty
1 .00
100
100
100
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
r/eron i ':o 11. -l i ene:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEN AUILDER DELCARAf ION
I hdcby arlt'n hder I].mhy of pcrjury rhlr I am cxempl from thc Contreclos Licenss Lsw lor lhe rbllo*i,s rea$n (56.7011.5
Busincss rnd Pror.ssi.n Codc) Any Cily or C.unry which rcqliEs { I.mir r. onn cr, 0l'cr. improw. d.mlish.r rctEn any
(tuclurc. prior to its issuare. al$ rcqutcs lhc rt'rlton' for su.h Frmil ro lih ! si8*d {alemnl lhot h. or shc is liccnrcd ,ursanl
lo rhc provhions orlh. Conlroctoas Liccnsd rjw {Chapr.r 9, CoDm.ncine wirh sc.lio.7000 ol Division I ofrhc Busincss ond
Pmlt$ions Cdc) or thll hc or shc h er.m0l thcrcfrom and lhc tHsi lor rhc.lLgcd cxcn{,tion. Any viohlionofSdlion?0115 byrny
onllim rn' 0pcmir {bj(.hrh. arpli,'a rn s,iuln($lryofmt mrcrh8n fivc hundreddulle\ r!500'
\Ll. as owrcr .l rhc InnFny. or m, cnflnrrcs qirh wagcs 0s lhcn $t compcnsriotr. will do rhc *ork ud ttr (nx1m is nor
inrc,n n or oflcrcd for sk (56 70.14, Brsitss atrd Prcfe$ions Codc The Conrraclois Licenss l,s &,e\ nol al,pl, ro d ower of
rhc fmrcn, wlx) buildr or inpbvG rlrmn. alld who dds soch sik hin*lf or hcrslf o, rhhuBh hh or h.r own.mployc.s,
tbvidcd rh8i strch impmtmds e [, inrcnd.n or ofrqcd tu slc. ll hov.rcr, lhc tuiktiry or iq,mrcnE n sb wnhin "nc ,Er
oi s'nFkrion. thc Owmr Buildq qill hrrc lhc budcn ol prcvin8 $el tE or shc dil ml hoild or i,ig,Dvc rhc pmpsly fd rlt ll{,Inrc ot
-1.
asowncr ofrhc pmpcny.0m ciclusivclyconrdina *irh hc..sL'd . o trtr. ror ro.on(ruc hc fmjccl (Ss. ?04.r- Aunncs
utrd PtufN\bn Cod.: Thc Cont&ror'i Li.cnsc l-trs d.cs nor lprly ro sn osn.r ofpropcny who builds or nnpiolcs docon.
$d who conrEcts Io! surh rrojccrs wirh!Conrack'{s)lkcnsed pursu!trt IothcCo racrol\ Liccnr tr*)
oLloL lra o**. Vav onr crr tt4-.--Jr* ^o =TOXf,EXSJOMPEUSAIIOI!
DDCIASAIIA!
I hcrchyatfinnundcr pcMlryotperjuryorcoilhc,bllowin8 dcchrorio.\
-l
hnvc sn*illnEn lin 0 Ccnificllc ofConscnt ro Sclll,suE ror workcr' cor.Dctrsrtion. as nmvilcd fo.byS(lFn 1700orlhc
Llbor Codc. for lhc p.rformarcc of lhc worr for which lhc pnmir is issu.d.
-l
hrvcrnd *illmi'rllin workcrs conrcnsrrion insunncc. rs rcquncdhySc.ri{)n:l7O(,oilh.l]borCod.,fnrhdlfrrornur.cor
rhc $r[ rr which rni\r.rn,ir ir isru.d Mysorkc.r ompco*rrn,n in\urumccrqicr unEnicynun,t rm
[l cci'ly rh!, in rh.Frri rrun.colthc *n n{trhichrhisp!,rnir n issucd.l shru nor cq)loy any ll.^on inanynmtur
$ 0sro b.mm \ubjdr ro rhc wor*.r' omp.n*rion laws otcrrlilornir, Md aBmc rtur irl should b.r.nr subjd h lnc
workdC onD.nsarirn tmvisions ol Scrio. ll00 of rh. I ibi Codc. I shrll. fonhsirh onDly wilh ttbs pmvnions..
$ARNINC: l-lilurc ro scurc work.r( c.n,pctrsuri{nr corcruec i\ unhwtuL and \hrll \ubFct ra.mrk,rtr b di'ninrll,-tulric\ ntrd
cilil finc\ un lo onc hundrcd rhouslld dolhr (llOo.OG)). in oddirion lo lhc con or.ompcn\rrion. dnnrsc\ a\ pn'ridcd r(x rh.
sNlion:1076olrhc bhor,Codc, in'.r.{ ond aunmy s fer .
-",,o,iiiihC- :;,M.eI ucENsED(ox.raafl)B
DLqA.EAIION
I hcftby rmin und.r printry of p.rjury rh,r I m li.cnsed rtulcr pbvistun olChlpld 9(...mncin8 *nhsccthn 7Cr00) olDivkiofl -l
o, rh! Bdsinc$and Proacsst,n\ C{dc. lnd nrliccnE h in lull lbrcea.{lctLcr.
CONSIBIJEIII)NI.DNDIIG.AGENI:I
I h.rcb, alfirm undcr FrulryofFdury rhln lhsr is 0 consrruction kndios a-rcfty for rhc p.rrorMce ofrhc *orl fo! which lhis pcrmil i
nsucd (SN .109?. Civ C.).
APIIICANLIECI.ABAIION
I h.n6y airm und.r pcndlry of pcrjury on. or tnc following declelrions:
Dcmlirion Pcrnih-Asbcaros Nori,icarion Fcdcol Rquldions (Till€ ts). Pd6)
_R.quied L,ns of Notfra'nrn
-l
ccd if, rhd lhc icdcml r.Blhtn r Eg..din8 NsiEsros rcmvd arc mr npplic0bL ro lhG pmFr.
[4!f'1i4, rh r harc Eod rhh applic.rion and srorc rfiIr rhe ft,vc intonnsxotr n conccr I a8re ro omprt wirh .ll ciry and c.uory
ordinanccs and Stotc Llws Ebtiry ro b!ildinB cotrsrdcrion. and hcrcby ouhori^ rc!rcscnrorilcs ofrhk Cn, and Counry lo cmd !p{nrhc
rl$!c trrnrioncd l)n)p.dy ft, inspc.lion purpo$
Applicntrr or lll.Dr siaml ure
n"-,r* -**,rnr,. \a,lor\tQ \I *,\46€L ^,, oLlotltg
Site-Work
Underground
Pole Bases
Light Standards
S pas, Pool, Fountarns
Signs (monument)
Lite Salet y /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
To rquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Ivleter Release
Rough Q,/tQ/rh,'Vr^-6> \
Service It/eler U-
FINAL tb/// rB (orn6A
Notes, Remarks, Etc v
=f;F7v
I
I
=