HomeMy WebLinkAbout20169935 - PermitPermit #: 20169935
Pin #: 46359
Project Address: 727 N Minter St
Assessor's Parcel: 398-301-02 Lot: 6, POR 3
Unil:
Block: E
Bldg: Address Range: 727-729
Tract: FRUIT...SANTA ANttlistoric: Yes
Suite Range:
Zoning: SD84
Roman Catholic Bishop Of Orange
281I E VILLA REAL DR
Orange, CA 924671932
(562) 688-7080
CM Amusements
Qty
1 .00
1.00
1 .00
Fee
$166.53
$22.95
$57.20Phone:
Tenant Name
Contractor
Address:
Jack's Electric
5706 Pennswood Avenue
Lakewood, CA 90712
(s62) 868-160sPhone
Other
Miscellaneous
Special Event
Occupancy:
Constr Type
Code:
N/A
N/A
cEc 2016
Planning Conditions
Planning Approval By Oate:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:1"o"n''u"u
Every pemil issued shall become invalid unlessthe work on the site
authorized by such pemit is commencec! within360 days atler its
issuanco, ot if tho work authoized on the site by such permil is suspended
ot abandoned fot a peiod ot360 days after the time the wo* is
commenced.
$246.68
$0.00
9246.68
lnspector MID#: 2019-154844
01 't 16002 51600
01 1 't6002 51603 $223.73
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Electrical
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 <\f
Owner:
Address:
Fee Type
01 1'16002 51603 Special Event
01116002 51600 General Plan Updale
01116002 51603 lssuance
Amount
166.53
22.95
57 .20
Stale Lic #: 591173
Lic Type: C-10
Bus. Lic #: 344853
Workers' Compensation lnsurance:Carrier: exempt
Policy #:
Expires:
EqLrh*:5255? - l0/l,/2t71? lDl
tlf I ire; CTYH Tr(tns+: 10?
Ac,:L i: Ref+: ?Bli.pt+ru2779165 Lit/ L6/2Ltl9 I
TrqnEc':t ion ToLol l,,
(r(lr 'q El,ectr i ,:
GenerRl Flon Updqte Iee
ul116nrtz- 516110000-
f le,:Ir'rt-ol
rr1116(nr2 - 516tJ3nurl-
t(:L (he':k lrtll?99
Building Use:
Job Typel
Nature of Work:
Notes: Carnival from 10/18/2019 thru 10/20/201g/Ha ndout
given. LUC 20'19-97-CAR
10t1612019
Account#
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DEI,CATATION
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dtuclurc. lnor nr s isnrlh.'c. aho rqur.r thc ,mlilMr n* su.h pcmir n, ik x (ilncrl slarcnEnl rh.r lr or sh. s l(cnqd puruanr
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rttlrclnlntrapcmrirsuhjc.Bthc,Pnhcanin,rcivilocrulryornornu.lhuniiv.hunJrcdJolld!l$50o)
l. ,s o*kr.ilhe nn,IEdy. or ny.mployc.s w(h w.!cs rs rhcr v,l. .ofrl.nsltion. will do rh. *rk flt rh. slntlN t nor
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rh. I,lp.dy who ho ds or inr0nlws rh.rdrn. arxl wh) J(*( rkh u)* himscll or hc^.lt or rhnrth hh or hcr o*n .nllovccs.
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lyo86E85:COrlfENlArrAX
UE!:IIISAIION
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I h,v. a,*l w,ll mamrrin I Ccnni..rc .l Con{nr t' Scll l,Nut lar w tkcr' !{mrn\rton. !s Jhvidc'l fitr 6yS.crRJn.lTtro rl th.
trhtr Gilc,16r rh. ptr,or.mcc otrhc wo t)rsl hrheFm s,strcd
-l
hnvc .n<l wrll mht{in workcr' .oryEn!.rion insurafrc, !s rcqurcl by Sd on 1?0O of I hc I jlxtr Co]., lor lhc lcdnmaNc of
rh. wor* torwhf,hrhi! pcmrr i\ trnhl. My workcs .omtcnsllion iuura^_. .Micr a{ F,lry nthh.i m:
cnlnloy lny Ilcson in any nrnrcr
\h)ul'l h.conr suhjcct lorlE
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WARNIN(;: IrIltrrc t' {curc *orlrcn (omlin\rrM c"vcrrtc rs unhwrnl. an,l "l l {rh]cd rrr cndorcr k, dmlEl Fnrlric anl
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Scrlotr :1076 nl rlk Lihtr clilc
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I hcrchy arrrnr rnl$ p.naltyot Frjury rhar I am ldn\tl unlcr provsbntlChaprcr 9(.onrmn.ine wilh SariJn Tuxl) orDivnnn 1
ol th. Busmcssud Pruic$n,.sG)d., lul my lEcosc s in lull tuN.rrl cffcct
O.
CANEIA!]SIqNIEIUIICI(iINSI
I hcEby alltrm undcr n€Mlryof ,.4ury rhrl r[m * !Nn(ru(rbn Enrn8l8.my lor lhc pedolr11m. of rhc wolk ttr eh'ch rtur Fml s
nsu.d (s4 1097, civ c.).
Irr,lr' \ JJF*
AETIICAIIIIEII.ASAIIAN
I hNhy afm utulcr pcnahy or pc.jury onc ofthc li,U,,wrns J.cld,r()nsl
D.n itNn Pcrnnl$Ashedo! Noriticahon Ftdcral Rc8uUrinr ('I L40,Pd6)
\ rtd'n! Nh.rr.\,.trI)vrltr'c norxptli(al,lc r, rhrs I'r)j(r
ktr,rirl{rt rlrrrh..nrtrc lnor I x!r..n,srnnlr_ w hrllC yrtrJ(in,nry
,v.s dlrhL\ C y rndCornryhcnro trFn,rhc
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Founlains
Siqns (monument)
LiIe Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER )plr(14 r'-Y/,nV4et tzry)
Transformers U
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service It/eler
FINAL rpl l9ltor Ch+nw JfD
Notes, Remarks, Etc.I ut
\
--^
Lrnjq . N!tu
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