HomeMy WebLinkAbout20170517 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ17lJ517
Pin #: 6471!\1
Assessor'sParcel: 109-521-11 Lot: 10
Unit:
Block: NA
Bldg:
Tract: 3355
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Conlractor
Address:
Amount
55.37
22.95
57 .20
3.91
Fee
$55.37
$22.95
$57.20
$3.91Tenant Name:
Virgilio Garcia
1328 S Shelley St
Santa Ana, CA 9270436'18
(714) 465-0092
lon Electric lnc
1830 E Miraloma Ave Ste E
Placentia, CA 92870
(714) 993-9469
Fee Type
01'116002 51603 Serv Meter
01'1 16002 5'1600 General Plan Update
011 16002 51603 lssuance
011 16002 57770 Microfilm Records
Qty
1 .00
1 .00
'1 .00
1 .00
Phone
Bqtchi:53689 - l/2/282A I0: PZunitl,1officel CTYH Trqns+: 6 I of 1Acct+: Refi: 2017r-1517
ficpt+:02855937 - ,/2/2tt2l! 12:(1 Pll
Transact ion Totsl $ 139.13
State Lic #: 951482
Lic Type: C-10
Bus. Lic #: 371524
Workers' Compensation lnsurance:Carrier: ACCREDITED SURETY AND CASUALTY COMPANY
Policy #: 1ATCA15000219
Expires: Ogl01l2O2O
Generol Plnn Updote Fee
tll116002- 5l60Dr]0r1-
E lectr icol
trl l 161102- 51603000-
ll icrof il A DocuBenis
trl I 16r.i$2- 5777r:r000-
Vis0
CC+ : *x****rr*x**[tgr]9
$?').9i
$112. ""i7
$3. ?1
$139.113
AuUh+:04635G
Ion Electr ic Inc
tNc
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Fieldi
Building Permit #
Single Family Dwelling
Miscellaneous
Service meter
Occupancy:
Constr Type
Code:Notes; Service meter handout given
Date:
Date:
Date:
lvlisc. Receipt:
[.4isc. Receipt:
l\,4isc. Receipt:
Total
, Julie
Every pemit issued shall bocomo invalid unless lhe wo.k on the sile
aulhonzed by such pemit is connenced within360 days after its
issuance, or if the wo* authorized on the site by such pemit is susponded
or abandoned fot a period of 360 days after lhe tlme the work is
commehced
01to212020
Account#
$139.43
$0.00
$139.43
lnspector MID#: 20'19-153966
01 116002 51600
01 116002 51603
o1116002 57770
$22.95
$112.57
$3.91
Fee Totall
Paid to Date:
Balance Due:
Project Address: 1328 S Shellev St
Phoner
R-3, U
VB
cEc 2019
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hs€by afiinn und6 pftalr, of p.rjury lhal I on c&dpt lmm rh. ContactoB l,ic..* ti* aor rne folloq'ios r.e. (sd 70ll t
Rusin6s dd Profdsion Cod€): Any Cily or Coonty qhich rcqut6 . Idnit ro .oBrrud. al6, inprov. dmolilh or E an 8nv
srtu.ru.. prior to irs issuan.e, 6bo requts lh. apPlicant for such Fmil ro 6le a siSned slalool l1Bl h. or shc b licd.d p6u l
to rh€ proris$ns olthc ( ontoclor's l,ic.n$d lr* (Cn.pb 9. aom'nmcins Nilh S(tion 7000 oi Dilision I ofth. BusinN md
Parldtuns Cod.) or lhsr lE or sh€ is .rc6fl ths.ftom and th€ b6is lor thc allcged .lmPlion. Any riolalion of sdrion ?011.5 bv anv
applicanr lor ap€mn subjds rh. tpplicantroacililpcnaltyordormor.th.nfiv.fiundEddoll&s($500)
I. s orvncr of rhc D.op.ny, or m, anplolB siln sas6 6 rh€n $k .6mpdelion, wiU do rh. *od( dd th. slnElr b ml
inrqt(jcd or o,rcr.d for sL (5(.70.14. Busio* &d Aoa6sioE Cod.: Thc Contacrofs Li.as l,s do6 .ol arllv b e orrt ol
lh. popcny who tailds or inpm!6 thqsc dd who do6 such $o* hinsclf or hNlf or thmush his o' hd own.nplovc6.
prorided rhai such ims.vc@ls d. mt n dddl o, orsld fo. elc. Il, ho*&'6. thc hildins or r1prclaml is sld rvihin on. ,{
of.onpkrFn. rhr O*tra auid6 $ill ha\ c lhc hdo ofrrorin! that ht or she did ml tlild ot inlrove lh. pmpdv lor UE Ftrpo* ot
l. s 6wn6 oarh. Drordy. m €xclusivcly coflta.lins wilh licfls.tl Q relo6 to coasrud lhe IFj(l (sd ?04'l B6ins
and PFf6sir Codc: Thc Conlmcrois Liccns. tis dos nor apply ro an ownd olprop.ny who builds or inprove rtr@n
and $ho .onlmds for suct pojds vih a Co.l,rclo(s) licmrcd pu6udr ro rh. conu.dois Lic@ L!s)
I ancrempt undd Sarion A &PC lirrhi rmn
WORXERS' CO]IIPENSATION
DTCIIAAIIO!
I hudy ailrm under torlryofpsjuryo..oarhc follo{ing dEl(.tions
I havc and will minroin a Cdificarc of Co6.nr ro s.lf-lNu,. fo! $ork6 conpcslion. 6 FoYid€! lor bt sarion 1700 oflhc
LoLBr Code tur th. Pnaortu.. o f thc qorl fo! lvhich thc pdir i3 isludl
l/l ha'. aid will mainlain qorktB compc.sario. insuranc.. s r€qutcd by Sd io. lTol] of rhe Libor Cod.. lbr lh. pslort@.c of
rhc sork aor rhich lhis p.mn is issued. My wo!k6 conpos.lion iosurdcc trid 4d policy oumb{ e.:
.^-,..At<,<d,klgE l c'l<ut I
por,rr r.,umu i{ I 4-r CZ1} } paLlg \e qt l@
I cdifyrhal in rh. pdformancc oflhe so loi shichrhisPsmn is issued.lshdll nor mplovanvp$n in a.r,na.ns
s s ro he.omc subj6l lo lhc {ort6' conp€neriof, lar s olcalilooia, dd agra lhat if I sbuld b.(o'n subjd lo lhc
s.iGl comp€Mtion p,orisioc olsdn,n I700 of th. L,bor Coda I shall. fonhNnn conDly wilh rho* pmvisioN
WARNINC: r_dilur. ro sMe $0*6' comllns.r n Nvdtsc is onlsslul. tnd shall subjdl M E.plolt ro qmiral psulliB flnd
civil lin6 trp r. onc hund.ed thousud ddll4 (ll0o.0o0). in trddnion lo rhc con of comP€Ntion. ddas6 s p.ovid.{ nr rhe
Sdion.1076 ofrh. titu aode. inlq6l dd
2
LICENSED CONTIIAC-IOR
PTI:IA8AIIO!
I hd.!y .mnn und6 p6ahy oa Fjury rtd Ln li.qs.d undd pbrilion oachaplE 9 (&nmdcinS wnh Sdion ,000) of Division ll
oa rh. Busin6 Md Prcf*ioB Cod.. &d tuy licffi i. in tull fod and.rdl
Clo q5lq
",," / ,tz ,/zo <-
OA lzct tv1<-
I hseb, amrm under Fnahy oapdjury rhd lh6€ n ! conslflclion k dins asdcy tor the ariomance olllE \ro'1 tu $hich rlis lmii is
i$!cd (Sr.1097. Civ. C.)
Lmds s Nan.:
I cnds s ddr6s:
AIIf,ICANLDEC!,A8AIIA!
I no.t, afDn und6 p.flalty of pojury on. of th. aollo$in8 dclrations:
D.molition Pmirs tubGlos Nolificalion Fcd6al R.Culdioft (Tnl. 40. Psl6)
R.qun.d Lrrb ol Nolificaion
I cdriry $at lh. Lddal rcsulario.u Esardina sb6to! @oval d. nor qlplicsblc to lhi! t oj.ct
VI c6,i rhrr I ha,. rqd lhis apghc En od srar. rhd rh. .bor. iifom.rion s .onel I egr* lo cooply wilh aI Cny and Coulv
ordinan.B ed sldc l,$s
abore 'n6xoncd
propdty
lo building codndion. md hseby aulhonzt rqrs.nlatir6 oflhis Cily ud Cotrntyto al6 up(ln ihc
/z/zo
Site-Work
Underground
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bonding / Grounding / UFER -\1"w )J(_.tho
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service [\4eter \,vlI,l
FINAL l -22-71 \'r!'z{CI
Notes Remarks Etc
L-L -'l
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