HomeMy WebLinkAbout20166561 - PermitCity of Santa Ana
Permit Counler: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66551
Pin #: 18929
Proiect Address: 3701 W McFadden Ave
Assessor'sParcel: 144-291-11 Lot: NA
Unit: EE
Block: NA
Bldg:
Tract; NA
Address Range:
Historic: No
Suite Range:
Zoning: SP2
E
Phone:
Tenant Name:
Contractor:
Address:
Mid-Valley Montague Ptshp
12100 Wilshire Blvd #1200
Los Angeles, CA 900257122
Owner-Builder
Amount
53.28
20.10
22.O8
55.04
Qty
'1 .00
1 .00
1 .00
1 .00
Fee
$53.28
$20.10
$22.08
$5s.04
,22,fi8
$ 12S, {2
t 15r.r, t0
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Caffier:
Policy #:
Expires:
Botchi:,t5095 - 7/31/2tJtg i0n t-E0SALE5f1
I
ni d-Valleu llontssue Ptshp
off ice: CTYH Trnns+: 44Acct+! Refi: 2r:rl
Rcpti:02345633 - 7 /3! /2(.tl-e 2t4
Tronsoct ion Totol t l5t
Generdl Plan Updote Fep
r1111600?- 516000(10-
Electr icol
(r1116002- 516tr300(r-
ICL Chack 1278
1o
6656
? Pt1
. :rl
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
Meter Reset
\Sr",n"no"r, ^utn,
Date:
Date:
Dale:
Occupancy:
Constr Type:
Code:
B, F-2, S-2
V B, SPK
cEc 2016 Notes: auth on file
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every pennit issued shall bocome invalid unless the work on the sile
authorized by such permit is comfienced within 180 days aftet its
issuance, ot if the wo* aulhorized on lhe sito by such permtt is suspended
or abandoned lot a peiod of 1 80 days after the lime the wotu is
commencecl.
07t31t2014
Account#
$150.50
$0.00
$150.50
lnspector MID#: 20'18-1,45046
01 1 16002 51600
01 1 16002 51603
$22.08
$128.42
Fee Total
Paid to Date:
Balance Due
Owner:
Address:01't'16002 51603
011'16002 5160:
01116002 5160C
01116002 51603
Fee Type
Re-Set Mlr
Min Fee Adj
General Plan Update
lssuance
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrc6, lmfln uMcr penalty ()l lcriury lhal I dn crcmB for llr Conl,0doN Lkcn$ l,w aor lhr followiry rcasn (ss.'?011.5
Bu\incs ani Pofc$ioo Cod.): Any Cny or Counry whth rcquircs u pcrmir ro coi{rucr. !hcr, iFprow, d.mo}Gh or rcnrn ony
slruclur.,,,in to irs hsu&c..8tso rcquircs rhc rp/i.dnr nrsuch Fnn[ t' firca si8ncd sorcmnl th.l hcor shc h liccnscd pusunnt
o rhc pmvli.ns of rhc Conrrrcrors Liceord Liq (Chaflcr 9- Co.mErcin-q wirt Sccrn,n ?(x)O ot Divhion I ofrhc Busin.s rnd
Ptufcssidns Cod.) 6, rhdr lf, or shc B erc$pr thcefronrnd rhe harn fu rhr,llcEcdcxcmfltJn Any vn,hrkrnorsdrio.703l.5 br rny
rlplicant ror ! p.rmit suhjNt rho appli..nrto,.ivilr.d,hyot( norc rhM fiv. hundr.d dollrs ($5oo)
I. rs osi.r of rhc pn,IEdt, .r my .rfloy.es wirh wrg.s !s rhcn $b ..nl.nsir ion. will do rlr woA fil ih. srulm h nol
irrcndcd or ofic,cd rbr $lc (Sa.7044- gusinc$ and Pmlcsiotr! Codc The Conrrlols l,ten{ ljw dcr nol amly ro dn .wner or
rh. ttuFny who boildlor irpioq rhcN[ od *ho des suh ud* himsclfor hcr$lfo. thmu8h hh or hcr owncmplott.r,
pmvnlcd rhar \uch in,Frvc.rnB src ior inrcndcd or oilcr.d f(n {b ll howcwr, rh. huikl ing .r inpmrcnrN k $ld wiririn om }w
al s,trtLlion. lh. Owns Bui!.r will harc tlE hinhn or E.ving rhni h. or shc dil nol buiH or impmrc lhe Impcny lor rhc p!ry,{ of
-1.
rs.{ncrol rhc tDpeny. ancrclusivclyconrracrins wirh lirenscd conrrcror ro connrud rhc pn,Jccr lscc ?o14. Bu$N$
a Pilf$sin C.dc lhcConlrdcttr s Li.cnsc Lrs docs nur rflrlyro nn owrcr of prorny who buildsor tnpn,vcs rhcr.oi.
rnJ who.onrra.hntrsuchpnF(wirl,trCotrrDcb(nlircn\cdIu6urnrbrhcContd.ttr\l-k.n\cLrq)
I rfrcrcnr0 ttu|., Sorri,
u*" aa|43
DICLABAIIA!
I hf.bt afl lrnr undcr lcnrlrt of l{rjory or of Ihc f('lk)*nrt drrlrrrion\:
I hi\r rfti $illtuinrdnaCcdiil.atcofC.tr*nru Sdlf lnsrrc t(r {orkds'.rDp.nsarion. $ fovidcd l'orbyScdnu l70Ool rhe
Uho, Codc. for rhc lsforromc olrhc *.rk fitr *hich lhc pcrnril is hslcd
I hrvc riJ sillnhi'nrnr w.rko a .otrrt{r\dn insurrnru, as toqrn.d htSccrrr lTOrolrhc Laior (idc.lbrrhc pcnnn,umrol
rhc *orklnr qh,.hrhn p.i,nn rs is$cd Nlylorkcn .oDrrcn\di(n i'rsurnDcc .aricr ind |Dlicy numhcr oc
-lccnifyrh,l
inlhc pcrio!ronccoalhc work nnuhich thir i.nnil i\ nsucd.I shall n rdmploy rnyllcrsn in dnyn'anncr
s !( t, bcconr sobjd t,
'hc
worksi c.nrr. \arbn hws orcflUlnrnir. tud r!rc. rhar if I rhould h..om shjcct l{' the
worlc( comFns ion pmvisions of SLrrtun 37mof rhc Lah,CDdc.l shsll.lonhwirhconrply sir[rhosc prcv&bns
WARN'NC Frilurc to $curc mrkcF co'npcn\arion colcrnsc is unuwlnl md \hrll *rhjc.r en cfifk,ycr ro dimirilpcnallics ttrd
civil rnr\ !p k, onc huJrcJ rhousiDd Jol[^ (]ll{x).rxxD. in l(liri,rhc c.i ofcotrlP.n\rrn{ dr u'!c( rs t)
Sc.rion Jl)?6olrhc Lrhtr Codc. i c.cd r.d trrtmcy s lccs
u^",7'31 .R
AECIdSADAN
I hcEby amrmundc. rcnahy ot pcrjury rh.r I ah lienst undcr r,{,vhion ofChnplcr 9 (d,n'n*nci.g wir
of th. Busirc$alld PmfcssionsCodc. and nryliccns is in tull loN 0dcffNr
toNiirxutt[]xLElDlNc-ac[lcr
I hceht allirm und.r Fnalrrofpojury rhol th.rc is d..n{nr.rioi kndirS rScncy lu lhc pcni.nroN. olrhc sqk tbr shich rhi\ Fnnn n
hsudd(Scc:l097.Civ C)
L.rdcl! Nontr
-
ATILICANI.IECLIM.IIO!
I h.n*ry amm xndo F.al(, or Frjury o.c .r rhc follo{ing dccldar it r:
D.nnirion Pcrmih Aibesros NorifEarion tueral Rcsul.rions (Tirlc40, Pan6)
_Requted l,rler of flrifi carir
l.rdilirhrr rhc lcd.Blrcgulnrir) \ r!:trdi'rS r\hcno\ rfln.Mlr.c nort'mlnrbk r) rIn 0R)1..r
-l
ccnnirhar I tuvc rctul lhh 0lrlication lnd (olc I rlDvc irlnm idr is.on.cl I a8rccrocomrl ) NirhrLlt-ir\ rnd (i{n \
, xnil(,i y(, fl .' ri{rrh.odiMnccr s Srorctiwsrchin8 rol,uildir8
!h.vc nEnrioncd por.dy 16r insp..r
Apnliunl or Acenl SEn.lrr
S HDRAY
?-3t'18
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Condilioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sollit Rouoh
Ceilings (T-Bar Bouqh)
1f .t- t(J),ti'W w
I
Rough
Service [t/leter ,
FINAL Q-1 -19 -l) "(,{"'tl )vNotesRemarksEtc.
APPHOVALS DATE
[/]eter Release