HomeMy WebLinkAbout20167456 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2lJ167456
Pin #: 93376lnspection Requests: (714\ 667-2738 lnspector Sectionr 1714\ 647-5853
Bldg:
Tract: 3070
Address Range:
Historic: No
Suite Range:
Zoning: R1
ry
Assessor'sParcel: 109{13-10
Owner:
Address
Martin & Guadalupe Quiroz
1511W. Wilshire Ave.
Santa Ana, CA 927043733
(714) 6s1-7529
01116002 51603
01116002 51600
01 1 16002 sl603
Foe Type
Serv Meter
General Plan Update
lssuance
Amount
53.28
22 08
55.04
Qty
1 .00
'1 .00
1 .00
Fee
$53.28
$22.08
$55.04Phone:
Tenant Name
Contractor
Address:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Single Family Dwelling
Miscellaneous
Service Meter Upgrade
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Notes: Service meter upgrade. Handout given
Owner-Builder form on file.
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Fieldi
Building Permit #:
Chavez, Dave
Date
Date
Date 11t2',1t2014
Account#
Misc. Receapt:
Misc. Receipt:
l\,lisc. Receipt:
Total
Every pemit issued shall become invalid unless the wo* on lhe sile
authorized by such permit is cofimenced wilhin 180 days aftet its
issuance, or if the wotu aulhoized on the site by such pomit is suspended
or abandoned fot a period of 180 days aftet the tifie the wo* is
commonced
$130.40
$0.00
$130.40
lnspector MID#: 2018-147856
01 1 '16002 51600
01 1 16002 51603
$22.08
$108.32
Proiect Address: 151 1 W Wilshire Ave
Lot: 50
Unit:
Block: NA
Phone;
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6en
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llo:
/21l2019 ID: C(
rn s;3 37 1Reli: 2r1167
11/21l?(rl8 11!5
$ 131i..(
! Qu ir.0;
pdote Fee
DutlU*
ll.
53?6 Auttri rur
Building Use:
Job Type:
Nature of Work:
Fee Total:
Paid to Date:
Balance Due:
E CTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Li ght Standards
Spas, Pool , Fountains
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Facto Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilin gs (T-Bar Rough)
Meter Release /t/'l
I
Rough
Service lvleter r,I /-- \
FINAL v &tlsilm -4FVr 2/hbtr )
Notes, Remarks Etc.
OWNER BUILDOR DELCARATION
I hc.by amm undd p.nally ol pdjury lhar I m .rmri norr rh. Conlr.cloR' Li..ns. k* aor rh. followinB rffin {S( 701 I 5
B6in6s dd Proldion Cod.): Any Ciy or Counly Nhicn rcqune a p6mn lo consrrucr. alrq. improve dsmlish o qan my
s'tu.te., prior ro ir! issudc.. aLo ,equt6 rh. applicdr lor such Fmit ro file a sisn.d sraldol rlBl he or stu b li..ns.d purx@l
b lh.,rovisions ofrhc Conta.tori Licnlcd Lsw (Chorier I, Com.ncinS wnh Sdion 70(S ofDivisio.I otth. Buin6s Md
Pmf€siofls Cod.) or rhar h. or sh. b .rmfl rhGc6o6 ud thc bast tor rhc sll.sqi cxoplio.. Any violalion of Sdion 70.1 I 5 by 6.y
applicdl lor a Fmil subjdls thc applicMl to a cil il p.n.hy oa nor oo.. rho fiv. hundr.d doU& ($500).
l, 6 .wnc of rh. popdry, or ny enployG wilh {as6 s rhcn sok comp€nsarion, *ill d. thc rvoi( dd th. srrucr@ is Nr
iotodql or olTd.d for sale (Sa.7044. Bsin6 md Proa6sio6 Codc Th. Conlnctor's Lic@ Law doc ,or rpply ro m ow.d oa
lh.pmpcly *no 6ril& or inl!ro!6thsoa and who &6such qo hinE.lfor hGllorth,oush his orho oq.n c6ploy6.
provdcd rh.r such inlprovddrs & nol hrodcd or ofiE.d aor sL. Il howdd, rhe hrildins or impmw is $ld {irhin onc }a
ofcompkrion. th.OMn Buildd willlEv.lhc hrk orp.oviry thd hc or sh. dil nor build or inprov. $. popdy for th€ pupoE or
l. a o*nd of th. pn)!dy, m.rclosiv.ly conra.rinB vith licmcn contracroBro Nnsrru.t th. projet (5(.7044, B6D6
and Pn,isbn Codc: Tt. ConrBcloas Licms L.w doe nor,pply ro d 0\$6 ofpiopdy *ho builds or inpro!61hd6..
md who conrtus ror such rrcjds wnh a Contrado(s) licos€d puuu.r lo thcConr.acrois l-iceNc liw).
l
t-
PECI4AAIIA!
I hftby alfim un.ld p.nrlty ofFlu.y on. onh. foUowirs dcledioBl
I hav. ori will fiaintain a C.nificr. oaco.gr ro SdHNu. lor ert.B 6nrp.nqri6n, 6 Fovid.d ror by Sdrion 1700 of rh.
t bor Codc, aor fic pofoill@c of tc *!.L lor *hich thc p€ it is Lsu.d.
_l hav. and will mai ain sorl.( comFcation i6uan e, a cquircd 6, sdr io6 1700 oarh. tibor Code, lor th. pdaol:l@c of
lh. vork for tr'hict lhis Fmil i3 isd. My workdr minpd3liion i6r6c. @id &d poli.y numbd &.:
I cdit rh.t in rh. pdforman.. ofrhe wolk lor shich this p€onn is issued.I shall nor @ploy any pcen in any mdnft
e 6 lo b€con subjd to th. q ort6l omp€Nrio. lass oicalifomir. md a{ra $d il I should b.{oni. subla:l lo lh.
s orkeJ comlEetion provisions oascl ion l?00 ofrhe L,bor Code I s\,11. lodh$nh co,nply *irh thoE pmvisioN..
WARNINC fiailurc ro Bxrc qor[.6 compdsar n .ov€rag€ is unlawfll. ud shall subjdr d onpbys to di]ninrl pdrhi6 &d
civil fin.s up to on hun&cd thoHnd doll6 {1100,000). in lddnon b lhe c.s oaconp.Nrion. d,nale a provid.d ror rhc
Serion 1076 oflb. tiboi cod€, inr.r.st ed diorney ! f6
z_
DICI,AAAIION
I hmby amm undd Foahy of Fjxry lhat I ar lic.nsat undr Fovbionoachalld9l.onnna.ing wnh sdion 70110) olDivision l
of lhc Busi!6s md PoaaioN Cod., ai my lic@ n i. tull lorcc d .l'<t.
Liccc CUs:-Lic.B. Nudb6
Drl.: Co ncrorl
cqNtr&lcra!-LENlac.ac$cr
I hd.by .mm undd Fnally of psjury lhai lhs. ie a otr(tuciion lmdi.E a8mcy for lh. pgfof,mcc ol th. pork for which lhis p6nit G
isucd (Sd.1097. Civ C ).
A}IIICANLDECI.AIAUA!
I hq:by aIIEn und6 Fmlly ol Fjury onc of lh. following d(lanlioN:
D.molilio. P.mirs-AsbdG Norifi.ariod Fc{nal R.suLrions (l ille 40. Pan6)
-R.quiftd
L.ttE of Ndi6calbn
-l
.diry rha $c tu ral rgubtions rcga.dins Bbelos rooval d. nol arplicoblc ro lhis projdr.
-l
crlify lhnl I b.rc r6d thi! .pplicori.n ad star. thlt 0t. .bov. infomalio, i! @rar I agE lo omlly wirh all Cily Dd Co!m,
orJineceed Sr.r. hwsFlfldEr. bd 'ldii! .oanr(liotrr4tk'.b aurnoru.'.r'6ordN6otrncC ) ed counryrn drd Jp.n llE
'b"r. Mr,oncd Drcldl, Jor ,6oe!,/"t,.mso / ' ]
*,,*"",^" ,i"^.,*.:iff [:#i4_ o,", . l]-21't?
pmrren.n.(pnnox. CrurA.\-n7 Qu,ti
*
- -
Pole Bases
Signs (monument)
Under Slab / Floor
B & P.C. io.lhs r.aon.( tlu' (o-c-
I-eideisAdd6s: