HomeMy WebLinkAbout20172930 - Permit@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 2IJ172930
Pin #: 70433
Proiect Address: 1327 E St Gertrude P!Unit.
Block: NA
Bldg
Tract: 726
Address Range:
Historic: No
Suite Range:
Zoning: MlLol NA
Contractor
Address:
East Saint Gertrude 1327 LLC
35,45 Long Beach Bl
Long Beach, cA 90807
(562) 264-5078
Bud & Bloom Oc dba Farmacy Santa A
Fathom and Form LLC
1218 E Washington Blvd
Los Angeles, CA 90021
(323) 806-7,t49
01 116002 5160:
0'1 1 16002 5160C
01 1 16002 5160:
011't6002 5777(
Amount
80.95
23.79
59 30
4.05
Fee
$80 95
$23 79
$59 30
$4 05
Fee Type
Signs & Neon
General Plan Update
lssuance
N,licrofilm Records
Qty
1.00
100
100
1.00
Phone
State Lic #: '1071897
Lic Type: B
Bus. Lic #: 3773/5
Workers' Compensalion lnsurance:
' Carrier: SIRIUS AMERICA INSURANCE COMPANY
Polic-y #: WC7l952
Expires: O4,lO5l2O22
6en.:rq1 Pl
011l6Lrt2-
11i ,:rof i 1r
r:r I I l6r:I:12-
EIectn icql
r:r1ll6tr02-
& Do.;uien
Building Use
Job Type:
Nature of Work
Planning Conditions
lndustrial
Signs
Signs-illuminated
Occupancy
Constr Type
Codel
N/A
N/A
cEc 2019
Noles
;
lnstall(1) wall sign & (1) illuminated, double-sided
blade sign for "Farmacy, Santa Ana", bond included on
101106120.
$168 09
$0 00
$168.09
Date
Date
Date
051o6t2021
051o6t2021
Account#
Misc. Receipt:
Misc. Receipl:
Misc. Receiplr
Total
Every pemit issued shall become hvahd unless the work oo lhe sle
authonzod by such peftni ts cornmencec! wthn 360 days after tts
tssuance. ot if the work aulhonzed on lhe sJle by such permi ts suspenclad
or abandoned lor a penod of 360 days after lhe trno the work 6
cofimenced.
lnspector
0'11'16002 51600
01116002 51603
01116002 57770
$23.79
$140.25
$4.05
Assessor'sParcel: 014-331-15
Ownerl
Addressl
Phone:
Tenant Name:
Botch+:5?tr8(r
trf a ice: (:TYH
Rcpra:tr328?79t
Tronso,:t | 6n T1
ri21
thon ond Foci! l.l
Planning Approval By
Plan Checked By: Zuniga, Allissa
Permit lssued By: Zuniga, Allissa
Subject to Fieldl
Buitdins Permit #: 101 1 061 20 Fee Total
Paid to Date:
Balance Oue:
MtD# 2021-164807
ELECTRICAL.INSPECTOH RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDER DALCARATION
I hcEby afinn unJcr 0.tu)ry or IErJury lha I {n cx.rIpr lmm tlE Co EcloF Lic.ns Llw lo. rh. followinS rcosn (Se.7011.5
liusincs and Profc$ion Codc): Any Cily or G,unly whth rcqritus a Fnir io 6.stdct. ,1r€. i,pmE. &mlht or Eur r,
rrtuduE, Fi,r h, irs iriu ... .ls mquiE3 rtE drtlad fo. ruch rEmir ro lik o srsmn sllrernr rhd tb or JE k lic..s.d puMr
ro rhc Flvni,nr ol rlr Co.tr&roir l-kns.n tl* (Chspr..9, comrci,8 *ith Sdlion 7000 ol Division I 6f rhc Buliftsr sd
rnnc*hnr Codcr or rtur h. or sh. n crcn:pl rhscfrom. rhc borh for th. allcscd cicqrion. anyviokrbnols.1'lhn?0315byrny
lltliclnr thr 0 pcrnir xubj.ctsrhc !rulicarr ro!.ivilp.mhyoftur mEthan riv. hundEddolLrs($5(]l)).
l. .r osmr of thc Imt*ny. or ny cnploye! sirn *ascs &r ihcn sb .on{Endion. will .lo th etrk !n dE sruiE n n
inrcnd.n or .flcrcd lor eL ( Se ?Oa,l. Busims &d P,or.$ionr C!d. Ttr C.nrrElols Li.uk Llw dEi mlrpply ro o ownd df
rh. t'n,Jldy wtn hiiklt ff inrmr rhNn. a.n *ho des ut w* hirelf or h.r*lf or rhmuSh ht or h.r oun criploy..t.
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rnd *txl otudrfor ruch ,r.Fh *irh r c.fldon3) lt..$n puBd ro th. co rErois LirM ti*)
I rmcrcnfl !ri.r ^Lr$n .B &PC forlhisrcaen
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!lit;LAB6.rt0N
I hcrcny r! l,rn undc. JEn.lry oi Frury or of rlE follo* hg &lhnriotr3
_lnrE r,!d will minrri, r C.niid.of CoM lo S.lf'lIlG fG hrl6 onp.ni,rir. s Ford.d forbySdbn l?mof dE
L.Ei CeL, fd rlE ,Etu ol rtE wi ld vhth itE Fmr it isEd
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e r! ro bG.d rubjer ro rL *dt6 o.ttrra.,n hw! orcrrromia .,, .!r fic if I slFuld bt{c elbi.l 16 r!. .
$rt6 conFnsrbn Frvni,n! or sdion r7m or rlE LIbr Cod.. I {dL onhyith onply rnh rlt. Fovibnr .
lYAnNlNc F.iluE ro €E utrtcr onYtrsrbn subFr .n cnpbF ro aiEul FEli.i rrl
.nil 68 up ro oE hundEi thoustn doll6 (tl .f onrf,erion. d.mtci { potncd ror rh.
sd F. .1076 of rlE D&n Codc. hre! .!n dlor,
- LlcEdrpllNrxtcpB
DECTISAIIO!
I h.Eb, rltsi ud.r Foly of Fi,y ihx I e limr.d u,n r F!6i,. of ChrPd 9 (otrmEx3 *nh Sc.tb! 7m) of Divi'ion :l
of
'rE
BuriGr .rn Prof6si'.s Cod.. rn n, ltcns ir in tull ao@ ld .nd.'*Eq*-;
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r{&n(S<.}tl97.Crt C)
AIEISIINfDECIJBAIIO!
I hdtrt drm und.r IEEIy of F Fry oE of llE touowir! {k Lralions:
D.mlilioo Pcrmih-Ao.nor Ndif(.lion tucdl R.Suldi,nr (Tirk.lo. Pd6)
_.Rcquiftd txtrd of tidifnlnn
I cdl'y rhar rh. fcdcEl rc8ul{ions ,v!lrre mr rpplrJt'h b rhn po rr
l..n'fyrhrr llu\c rcrd rhn rpp
oRnnJ\\ rnd srrrc u!: Br
lh)vc rEntbmd nmncny l'or
/tplli.onr o. /ta$r SiaNru
is c.n.ci. I agr ro ellr'ly *nh r[ City md Counry
EFcnlalncr ofrhn Ciryrnd Cou y10,..16uFnrh' -. r/o/-"-
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding i UFEB
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Rough
Service [t4eter
FINAL 5 \qlLl .l {'tnakA a, tl. Ao'.rr.I
Notes, Remarks, Etc.
lrhl(,'\ Ad'lr$
I