HomeMy WebLinkAbout20170179 - Permit (2)Assessor'sParcel: 013-05341 Lot; NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702
PermitCounter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2(J17lJ179
Pin #: E4781\
Owner:
Address
Contractor
Address;
Cypress Florver LLC/David Kalili
16722 Hale Avenue
lrvine, CA 92606
(949) 678-1135
Owner-Builder
0'1 1 16002
01 1 16002
01 1 16002
0'1 1 16002
01 1 16002
Amount
0.15
38.16
22.95
57.20
3.91
51603
51603
51600
51603
57770
ty
1 .00
1.00
'1.00
1.00
Fee
$'161.25
$38.16
$22.95
$57.20
$3.91
Fee Type
Res Rewire
Low Voltage/Res
General Plan Update
lssuance
Microfllm Records
a
075.00
Botchi:5z??Z - L1/L2/2|)L9 IDt I
0ff icpl CIYH Trnnsi: 6Ac,:t+: Refi: 2l:rl
ftcptir028(t6033 - tf/L2/20tq 4t.
TronEoct ion Totql t?68
Planning Conditions: No change in floor plan
Euilding Use:
iob Type:
Nature of Work
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2016
Teri
,,1102213
Date;
Date:
Date:11t1212019
Account#
0'l 'l 16002 51600
011 't6002 51603
01116002 57770
$22.95
$256.61
$3.91
Fee Total:
Paid to Date:
Balance Due
$283.47
$0.00
$283.47
Every permil issued shall become invalic! unless the work on tho site
authorized by such pomil is commenced within360 days aftet its
issuance, ot if the wo* authoized on the site by such petmit is suspended
or abandonecl fot a peiod ot 360 days after lhe time the work is
commenced.
lnspector MID#: 2019-155803
Proiect Address: 1 136 S Flower St
Phone:
Tenant Name:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Wolkers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Rewire sfd & hard wire smoke alarms.
Single Family Dwelling
Alteration
Remodel/Rewire
Notes:
Misc. Receipl:
Misc. Receipt:
Misc. Receipl:
Total
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bonding / Grounding / UFER
Transformers
To rqueing
Air Conditioners
Roof Top Equipment
Factory Wrred Unit
alls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough //?/zo f/-le1 dLt
Service lvleter //
FINAL 3/z/zo,z:.Mr" ) )
Notes Remar(sl rtC 2'\-) - Ea7
OWNER BUIt,D}:R DEI,CARATION
, haeby .rm utuid paahy ol pnjury lhar I an .r.npt ftom rh. conr.dou Lic.N rj$ lo. lte follo\vin8 r.e. (SR.70l L5
Busin6s trd Proasion Code): Any City or County {hich r.rtuir6 a Frnil ro conslrud. alts, improle dmolnh or rqnn my
{tu.lurc, pior kr iri isstr&.c, also rcqunG rht apphcant forsu.hEnlil ro 6lc a sisncd srrrdd rhar he or shc ts licos.d p6ua
ro rhc prolisions ollhc Contracrois l.icc.sd I{w (Ch.prd 9. (omnrcncins Nih S(tion 7(100 oiDivision I olrhc Busins and
PrcLsionsCod.)or lal h. orsh. L.r.mtr rhaltom &d rh€ ba\is aor rhc allcg.d c*mprion Anyriolarionolsdion70ll tb,a.,
applic. aor r p€mi' subjeclstne applicantto.civilpcnahyoanoimo.cthmfivcnundrcddolltrs($500).
L s o$ nd o I rh. potcny, or m, .mpLrc *ih r ar6 d lhcir elc cofrpe$alio.. (ill do $. (ork and thc slndm is our
intgd.d or ofcr.d for sL (Se 7044, Busins md Prcf6ioB ( od.: 111. ('ontadors l-i.m. bw doB f,ot .!tly ro .n own6 of
rhe pmpdy wl$ hd& or inptuvG rh@n. dd $ ho do6 such m* hinrs.lf or hd.ltor rhbu8h bi or ha oM.,nploy.6,
provided rhal su.n i'npreErcnls dc nor inr6{ll,J orofield lor $le I[ ho!v6,o.lh€ buildirs or i'nprevofll is sold wilhi. o.. )Er
ofcompklion. th. oNn6 Buildd will hav. th. hur&n of prelins fi{ h. or shc did f,ol build or nnpmv. lh. ,op6ry ao! th. purpos of
I 6own6 olrfu Fropdy. m ercl6iEly.o
F^rresion Cod€: l hc Conrrrcrois Licosc
nkrdingNirh licss&l ..ntadoh ro .ocrtud rh. rojdt (S( 7o4,r. BEin6
l,a\r do6 not apply to o orva6 olprop€ny *ho builG or impo.s lhq@n,
onhdo(s) li.@d pu6td' ro rh. conka.tois LicN l,w)
i
I hscby amnn undo poalryof
DECI]IAAIIO!
lhc followirr d{larartnr
I havc dd sill maintain a C€niaEolc of(oMnt b SeltuBrrc aor qortgs co,trp.Garion.6 Fovided lor by Sdlion 1700 oflhc
Labo. Cod.. for lhc pafom&ce oalh. wor* lor which ln. pdmit i! isu.d.
lhartand*illosinlain*ork6s.oop.nsdlioninsuEnc€.sr.qutcdbyS*ion1700ofth€Lab.rCod€,forlhcpdlomeccof
rh. worL for*hich rlis Fmn is isucd. Mywo a conpasation insur cc.dicr drd policy numbn sc:
I ..iify rhar in the laa.nnancc oarhc rork lor whi.h lhis psnrir is issued, I shallnor mploy any p6on in dny mannd
$ 6 lo b€.on'€ srbjst to lhe workm' composation laws of cnlifomia. ind arr that il I snouu becomc subj.d lo lhe
*ortsJ comDeretion Drovisios ofScclion 1700olih€ Labor (bdc.lshall.lonhNith comply wilh lhos proyisions
WARNING: Failor. ro suc $orkds .o,np6$rion .ovdasc is uila*ful. Md shall subjd d mplo)6 ro siminal lcEni6 dd
.0o0). i. .ddiiion r. rh. con of.omt a.rion, dm.86 6 a,oridcd for thc
I hr'.bl dm"n undcr pflalty olpdiurythnt I dn undcr Fovision ofChaptr 9 (cornmcnciq $irh S.dion 7000!ofOivision:l
of rh.Businsand Pmf6io6Codc, ed $y li.ff€ is in iullloremd€frsr
COIiIBUCIIOT-LII0BC-ACEICY
I hd.5, srtrm uid6 F..alr, of Fjuy ihd rhd. n a coisrucrion lc.dins ,so., lor rh. Faomu.. oarh. mrt for which rhb Fsir ir
iso.d (ss.3097. civ. c.)
AEELICA'NL.A&CIAIAIIQ!
I hdt'y amm undd paalty oaptrjul on. of lh. foll.Ning dddal ions
Dcnolirion Pdirs'Asb6los Norificarion Fcd@l Rcsularioas ( I irlc 40. Pan6)
R.qriol tJllr da Norin dido
e ledqal r€-lulalioN qdin3 asbesos renNv0l .re nor spplicablc to lllis pmjqi
iti I lhc abovc infomdi.n is cord I a-!r* lo codply snh all Ciry !.d Coury
iotr and hdeby aurhoriz. repr6dlaliv6 olthis Cny md Cotrntyto ml6 upon th.
'- D*-4" f6p5r,,",", u ,\2-Fr
APPROVALS DATE
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