HomeMy WebLinkAbout20137024 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738
Electrical permit #: 20,137024
lnspector's Section: (7 14) 647-5853 n
t Project Address: 2520 S Birch St
Assessor's Parcel: 410-022-01 Lot: NA
Suite:
Block: NA
Bldg:
Tract: NA
Address Range: ZS20-2S30
Historic: No
Suite Range:
Zoning: M1
Owner:
Address:
Phone:
Tenant Name
Contractor:
Address:
George Gemayel
2530 S Birch
Santa Ana, CA 92707
(7141 545-7777
Abel Food Seruice
J T K Construction
26309 Sweet Gum Ct
Murrieta, CA 92563
(s51) 6s6-5158
Qty
2.00
2.00
1.00
Fee
$56.80
$19.80
$34.00
$1 10.60
$0.00
$1 10.60
Phone
State Lic #: 576988
Lic Type: B
Bus. Lic #: 318221
Workers' Compensation lnsurance:Carrier: State Comp lns Fund
Policy #: 1643544
Expires: 08/01 12007
Bo b '::h * : 3t-t0? u6/29/lt7 ID : RI1AFFEY
0ff ice: CTYH Innns*: 109 I c'f'1Acct*: Ref*: 2013702+
Rcpti:1101511737 6/?8/2[Lr7 3:54 F 11
Trgnsqrrbion Totgl $1l[t.6t1PHB (:ontrnctor
J T K (:onsbrucbion
Electr i cnl
C:h ecll
Notes: Per notice to correct.
Fee Total:
Paid to Date:
Balance Due:
I 1t-tt-t
$1lfi.6utl10,6tl
Building Use:
Job Type:
Nature of Work:
Planning Gonditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
lndustria!
Tenant lmprovement
TI
Verduzco,
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
s-1
II.N SPK
cEc 2004
06t28t2007
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #.
This permit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permi| or if the work authorized by this
permit is suspended or abandoned at any time after the wo* is commenced for a peiod of 1 80 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Fee Type
Subpane!
1-10 HP, KW or KVA
lssuance
Amount
28.40
9.90
34.00
Account #: 01 1-01-5913 lnspector MID#: 2007-75596
ELECTRICAL-I NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS ow-Builds D*hntion
I hacby rffirm undcr pculty of pajury that I m mpt fom thc Contndon' Licile hw for thc following r*on (te.7031.5 Buinor
md Proferion Codc): Any City or Couty which rcquircs a pcmit to oEtrucl, rltc(, improvq dcmlilh or rcpair uy rtructwg prioi to iu
issune, rlso rcqubo thc rpplimt for luch pcmit o filc e rigncd rtatcmt th.t hc or shc is licffid punufit to ths prcvitiou of.h.
Contrrctor's LieEcd Lrw (Chrpt6 9, Commcncing with S@tion 7000 ofDivirion 3 ofthc Buinqr rnd Profer3io[ Codc) or thrt hc o]
shc ir ucmpt thuc&om urd thc brir for tlp rllcgod remption .Aay violrtion of S6rioa 7031.5 by uy rpplimt for r pmit rubjocE thc
Epplient !o r civil pcmlty ofnot morc thrn fivc hundrcd dollrn (t500).
_I, I oms of th€ proporty, or my cmployq with sg6 u thcir rclo @mpcutioq will do the mrk ud thc ttruduc b mt in&ndcd
or oficrcd for rlc ( Sc.7O44, Buiur ud ProfBlioro Codc: Thc Contnctor'r Liffi lrw ds rct.pply to u omc of thc proporty
who builds or improw thaoq ud who doe lwh worh hinlclf or hwlf or through hir or ha om omploya, providod lht lwh
improvcmcnts ec not intcndcd or ofrcrcd for nlo. I{ howcvcr, rhc builditrg or improrcmcnt it told within onc yu of omplaion, thc
Omq-Buildcr will hrvc thc burdcn ofproving thrt hc or shc not build or improw for thc purposc ofuld.
_1, s oms of thc propcty, rm *lurivcly @rtnctinS with li@Mcd @ntncto[ to 6[truct thc projst ( Sc. 70{4, Buioos rod
Prcfsion Codc: Thc Contnctor'r LiccNc Lw doo mt epply o u ow of propaty who buildr or improB tls@n , md who
@ntEctt for tuch projct! with r Contnctor(r) licocd purunt !o thc Contncor'i Liem [rw.).
_I am exempt undcr Scction B. & P.C. for this rcEson.
Date:
@
I hcrcby rfiirm unds pculty of pajury orc of ths following dchntioru:
_I havc rnd will miilrh s Cortifiqt! of CoE6t to Sclf-Iruurc for wrko' mmpsution, u providod for by Sslion 3700 of thc
Lrbor Codc, for thc pqformrncc oftho work for which thc pffmit ir isucd.
I havc end maintain workers' compensEtion Es requircd by Section 3700 of thc Labor the perforrnancc of the
work this pcrmit is issued.insurance csrrier and policy
Policy cr o?J>
(This section not bc completed permit is for Onc hundred dollars or
_l certify that in thc pcrformancc of the work for which this permit
became subjcct to thc workcru ' compensation hws of Californig and
ls not peruon in any msnner so 8s to
ifr subjcct to the workcrs'
provisiom of Section 3700 of the tabor Provisions..
e^07
Failure to secure workcrs'and shall subjact an employcr to criminalpenalties and civil
compcnsEtioq darnages as provided for the Section 3076 of
the [.abor Codc, intcrcst and attorncy's fecs.
I hereby affirm pcnalty of pcrjury that am 9 with Section 7000) of Division 3 of
the Business my liccruc is in full forcc and 6Numbcr
Date:
I hercby affirm undar ponslty of perjury that there is a
issued (Sec. 3097, Civ. C.).
Lcndcr's Name:
aSency pcrformsncc of thc work for which this pcrmit ic
Lendcr's Address:
APPLICAI\IT'S DECLARATION
Demolition Permits-Asbestos Notification FederalRegulatioru (Title 40, Part 6)
_ Required Lettcr of Notifrcation
_l ccrtify that the fodcralregulstions regarding asbestos removslare not applicablc to this project.
_ I ccrti$that I have rcsd this above information is conect I agrec to with all City and County
and County to cntcr upon the
above mcntioned
Applicant or agent
Permittee name
state
and hereby authorizc rcprescntativcs
G--- F^b
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm lDampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sotfit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL ?e-'/'21 I?JL':,r)uzd='?fJ
Notes, Remarks, Etc.I A-.n
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