HomeMy WebLinkAbout20173604 - Permitcity of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Electrical
Permat Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2(J173fl,o,4
Pin #: 38213
Project Address: 100 S Main St Unil:
Block: 'l
Bldg. Address Range: tOO-1tO
TTact PALMER'S ADO Historic: Yes
Suite Range: ;J
Zoning: SD72Assessor'sParcel 398-278-04 Lot: 1,2
Owner:
Address:
Santa Ana HS Cross Country
624 S Sullivan St #C2
Avalon, CA 90704
(714) 605-6512
Santa Ana HS Cross Country
Fee Type
01116002 5160: FWU
01116002 5160C General Plan Update
01116002 51603 lssuance
01'116002 5777C Microfilm Records
Qty
1.00
1.00
1.00
0.00
Phone
Tenant Name:
Contractor
Address:
KC Electric
,1,140 Charlemagne Ave.
Long Beach, CA 90808
(714) 699-0106Phone
State Lic #; 699521
Lic Typer C-10
Bus. Lic #: 3914
Workers' Compensalion lnsurance
Carrier; Exempt
Policy #:
Expires:
Building Use
Job Type:
Nature of Work
Other
Miscellaneous
Fireworks Stand
Occupancy:
Constr Type:
Code:
N/A
N/A
cEc 2019 Notes: Hand out given/All fees paid on M-75635
Planning Conditaons
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Alli M Date
Oate
Date 0612212021
AccountB
l\risc. Receipl: 75635
Misc. Receipl:
Misc. Receipl:
Total
Every pefinil $sued shall become nvalid unless the wo* on the srte
authgized by such permit is commenced withn 360 days altot ils
issuence. or il the wotk authoized on the sile by such permit is suspended
or abantuned lo. a period ot360 days aftet the tino the woi< ts
commgr,cecl
$109.80
s109.80
$0.00
lnspeclor MID#: 202'1-166978
N/A - No Balance Fee Total
Paid to Dale:
Balance Due:
Amount
26.71
23.79
59.30
4.05
Fee
$26.71
$23.79
s59.30
$0.00
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER EUILDER DE-O{NATION
I h.r.t!, rltrn uds pctdry of Fiiuty dra I e crmpl EDo th. Co,lrrl6 tirM Ll* lor llE foltt*ina .u&, (54.7011.,
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rrftr@. Fir ro arr nrir,N. rL. i.qoiB lll .pdi.In lor.ah Fmn lo fiL r tLEd rld.mr dlt lE or rt i' lcrcn F$d
ro rh. Forition of rtE Comr&lor'! Liencd Uw (Ct , .r 9, ComftinS sith Sali'n 70@ or Diviiioo .l of tlE B$d{ od
Ptutusb.! C.d.)or rhd lE .tE n d.n+ tnftnlm.d tlt b.rn for tlt .ll.8!d .rnorir tuy vbLritn ofsarion r0lLt by.ny
.!drd for.Fmir $bFrrrlt .pfltrn lo.civalpcohyorDr nmth.rfiE lIdlddolLrsllr@).
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$ o*E olrlt FoFn!.6 my.i?loye. wnh *.t.! s rtEn $k 6nF$dhn. *'lI & tll wl !n Ut dtErr b Dl
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tlr nNlqry vlD l!i,& q i,E!B dEE !.d lto dG dr x,t trinErd iclf - rhstl' hir a lE oo.4bFa
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olonpi:ria dE otxffi Buib wil hw llE hldsr ol FIMS drl L tr !& dn ln| biu d irFos dE FlFry 6r tlE F Poiot
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.n
'ffiii.Cod.iTt
C..rErd r Lt.D* L.r &.r ml.pplylo dosH olptuFly,ho b{il& q ir4reEr rlEEn.
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I !ncr.mpr un].r Sdrx,n
D.l.: _ OwE:wor(rtr41-(rMPr\srrirN-
DECIJAAIIIB
I lElny r,n ud., FElry or Frry oE ol rlr ft'llorhS &(L,ttb6l
-l
hrrc !d will mindn r C.rria.arc of ConE.l ro S.ltlBuE ro. mrtdl .omF6rrion. s ptDvi(H fol by S.dbn l70O of rE
utor Clde fn tlr Frf|,rlrre of tE 6t fr ,tin r. pctur n i*e.d.
,l hrw r.d *ill Mirlin *ort6t corqEn rion i$unr.. B ,qurEd by ser6n 37m ofth. f.hr Cd.. for lh. Fcf,]lrm of
rh. mrk for vhah rhis Fdir ir idrn My workdi onrFM'i'n iniurm. cuir.,n Fni.y nunbd u.:
-l
dir, rhd a, r Fforllre of dr mrl for *ht[ rht pshn n ilii.d. I 'lD[ Dr .trpby ..y Ftr[ ir o, mc
F s ro h.sc nlbilr b tl. 6rar'@n!.diE br. olcrllf.mi. .,n.aE lh.l irl 'toold bc<ic rAF !o dE
srl6 @r{.ndi,n povnirN of S.<lbtr 37m ol0r ljtEr C.d.. l {rll fonh*ilh 6.rlr sirh d.r pDviriou..
.N'l 683 up b m lalnEd rlBMlnY:iwTtr
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d.n3d ! Drovitc{t a. dEi. .ddnon !o rlE d ol o.Frlia.
I hcEhy allinn ukl.r linrlry ulFrjtrrr rhd I !'n liltn{l undci I 'v nion ol(1unr6 9(co.rmfring *irh sdion ?m)) oloivirnn l
o i*^_&q 2L
I tcb, .tIm !iil6 ,qdry of Fiu.y lnd !hd. ir . o.rrEtirn Elnng ltdt for [E Ffre or th. tqt b. *tih thir Fnr b
ir$..r (sa. lo9r. civ. c.l.
AEJGAUTDIgIISAIXId
I Hry atrm ud.. D.nltly ot p..jury oc of 0E followin3 d.cLnl ionr:
D.mlirbr P.r,!irl^t!.r.! taoriaErhtr Rn6i R.t{Lrbnr Onb aO, Iln6)
R.aui,!d tdla ol t{dirtltir
_l 6ilf,
'ha.rts
ftd.El EauhbN E adirg ut ror Emvrl E ml rtpL.bh b rhit poid\-
I carify lhd I lrE dd lti! .p?lt rbn r.d rc otr dE .hoE inldr ir ir(arEl ItEro@@ly,ah.[Cly.rlCdrry
onl'un..s rn'l Srrr.ljw\rcLi'nS ro ho ion. r,n EEhy ruthrn. EF.*notiwr nfrhi. Ciry.d Counly ro.nt6 upon lL
ah'vc nEtrriord poF.ny lnr
Applicul or Ardt SkDruE tk aQl ta
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Vollaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino / Groundino / UFEB
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduil)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouoh
Ceilinqs (T-Bar Rouqh)
ltrleter Release
Rouqh
Service Meter
FINAL l,/" l^'/,r{ 4t,
Notes Remarks Etc
ID/SIG.
of rlE Bul,Bt Dd PEfdbB Co&. d iy li.te it i! tuI for .!d .fal.
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