HomeMy WebLinkAbout20270605 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702 Electrical Permit #: 2027fJ605
Pin #: 26777 !Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 940 W Eiohteenth St
Assessor'sParcel: 399-053-1'l Lol 6
Unit:
Blockr NA
Bldgl
Tract: 9451
Address Rangel
Historicr No
Suite Range:
Zoning: Rl
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
01 1 16002
01 1 16002
01 1 16002
01 1 16002
0'1 1 16002
51603
51603
51600
51603
57770
Noles
Owner-Builder
Fee Type Amount
125 Volt Receptacle 1.5'l
Light Switches, Occ. Se 1.64
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
4.00
100
1.00
1.00
1.00
Fee
$6 04
$1.64
$22.95
$57.20
$3.91
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
g6trh+:EJ9t3 - t/ t5/l.O?tt J0: CCUEt.t.At
oftice: CTYH Tr0ns+l 16 2 cil 2Acct+: Ref+r 2[2706tt5
ncpt+:02866tr51 - 1/151?U20 3;?I Pll
Tronscct ion Totsl $6?6.5?
Fi ieoberto F'ere;
6errerRl Flnn Ljpdqte Fee
t:r 1 1 I 6ll(2 - 51 6txlrillll-l-
Elettr icol
[1] 16t102- 5161]3t:lrll.l-
lli rrof i l6 & Do,:unents
r1 I 1 l. 6r:flr7- 17 77 t)t1tlt1'
U isn
Legaliz<{d@t DniqffigEnla[*.
964.g8
$3,91
$t19 6,\g
Authi:16?131
Occupancy
Constr Type
Code
R-3, U
VB
cEc 2019
Building Usel
Job Typel
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Date
Date
Date"'--/01t15t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Da
Buirdins Permit #: 102102832
Every petmit issued shall become invalic! unlesslhe work on the site
aulhorized by such peimit is conmencec! wlhin 360 days aftet its
issuance, or il the wotk authotized on the site by such permtt 6 suspended
orabandoned for a peiod of 360 days after the hme the wo* is
commenced
$91 .74
$0 00
$91 .74
lnspector MtD# 2020-157130
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22 95
$64.88
$3 91
Fee Total:
Paid to Date:
Balance Due
Rigoberto Perez
940 W. Eighteenth Street
Santa Ana, CA 92706
(714) 206-0016
Single Family Dwelling
Alteration
N/V - Drywall
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h€r€ly sfinn undr p.nalry oip.rury llEl I en .xcopr 6!,n rh. Codra.toB Lic.B. tiw for lhc lollowing IEdn (Sd 70ll 5
Busi.6s and Profsioi Cod.)r /sy Ciry or Cou.ly which r.qut6 . pdrl to co6tNcl, Ellq. improvc ddotish or rean any
strlcru.e prior lo irs i$u cc. also requn6 rhc appli@r lor such ,6nir lo fllc a siso.d $.l@e th8l h. or sh. i! licffi.d p@anl
lo lhE provi.sioN ol $. Corfiactoas Li.m.d llw (Chapr6 9, ConD..cin8 *ith Seiiob 7000 of Division 3 of lh. Bsins Md
Pof*sion codc) o. thar hc or sh. i! a.mpr thddron md th. b6is for lhc .ll€scd flmprion. A.y violarion olserion 701 I .5 by ey
appli.ant lorapm subjcrsrhc applicad $ . ci! il p.mlry 6f not morc lhm fiv. huf,dr.d dollds (1500).
A?* ",". "4r,"
p.p"ny,
"r
6y cnplolr6 wirh s6s6 d rh.n $k onpcBdlon. w l do n $od(adt nnEl6s mt
inlsd.d or otta.d aor slc (Sd ?044. BGin< ed Proa6io6 CorLr Tn. (.onkctois Licre L5w do6 ool apply Io e o*na oa
rhe pmpdy who builds or nnprclellE@c oid s'ho dG sucfi e& himsclr or h@lr or rkough his or hd om mdoy6.
providcd rhar !u.h imFovffits @ mr hradol or orad aor ek Ii ho*d6. ti. hliBin3 o. impror6*d il $B *thin on. ,ur
of corplcrior th. Ornq B!il,:b will harc lh. hrdq ofFovins rha h. o, ,tc did rcr hild o. inFo!. l!. poFy for $. purpos of
l. s 0*16 oarh. propdy, m cxclcivcly conhcling wnh liccN.d conrmcros ro oNrru.l the poj.cl (56. 7044, BBne
ad ftoftssion Codc: Tne Conlraclor'3 Liccnse Lrw do6 nol !!Dly lo e own6 ofptupGly who boil& or inproc rha@n,
and who contrels lor .uch projcd! qirh a coirado(, licd!.d prEwl b th. conrra.rors Licdc tiw).
_l &n exmpl ud6 Sdtion_. B. &
D,n". - /-t(- 2-0 o*mr:/-
DECI,ASdIIA!
I h*by afid undd p.nally of Fjuy oi. ofthc loUowaie deldltioa:
I havc erd will ,naidoin a Cdificalc ol Comctrl ro Sela-lmurc for wo,k6t onDdelion. a Fovid.d for by serion 1700 ofrh.
tibor Code, aor thc pafonnmcc o I lhc work fo! which th. pnir is issu.d
I harc and will nai.tlin workcrs .o pcnsarion insur.n.e, a rcquircd by S(tion 1700 oflh€ LaborCodc,lorl& prrom&c. of
rhc *oik for $hich (his pmit is ilsucd My worlm conlPl'Mlion imxmce cri6 ud policy nunber &e:
[L4^ro,,nn t" r* *^^anc€ orrhc wolt for \vhich rhG ,,qn is B!cd.I shall.or @plo,eyF6oninmymm6
s d lo bcon suq..r ro rhc wod(6 @nFE.lion las ofcrlifomi& ed a8r rtol il I stDuld b€onc subjd lo th.
wort6'coDp.tralionprcaisiosorse.lion3T00ofthcLatorCodelslEll.fonhvilhcomplyv{hthoepovaioB
WARNING: r2ilurc lo su. \eork6' comp..slioa cove.aa. is unhsrul ed $all tubjal d 6ploF lo aihinal lotlrie ed
.i!il a6cs up ro one hundr.d rnoue dollm ($100.0001. in addit lhe cosl of co,npcNrion,
S-rio.1076 ofrhcLaborCodc, intd6r md attor.ey s a6.a/-/l-ao Y-e
DECIdtrAIIOT
I h@by afm n.d.r p.naiy of Fjury thal I e lic.trs.d und6 Ftrvlrion ofchafld 9 (conf,d.ite *ith Sdion 7000) of oivition l
of lh. Bcins md PDlNioG Cod., .nd ny lic.M b in tull fore &d cll*1.
g)NTIAUCUAIUENDINCICETCI
I h*by amm undd Fnaly ofpdjuly rhar lh@ i. a coiirocliod l6din8 almcy aor fi. p6fom{c€ ollh. wrt tor shich lhis pqnh is
iesucd (Str. 1097, Civ. C ).
AIfI,rcATLDECI,ABAII()T
I badrt afEn undE pEally of p€rjory onc oa rhc follopins deldal ions:
Denolnion Pdnns^sbdlos Norificdion I'cdqal Rcaxl,lioN ( lill€ 40, hn6)
Requted If,llr of Notificalro
I cqriry rhar th€ far..al GsulalioN rlodidB eh6!o. @oval s. not ,pplicablc to this pmjet
(z?,t iry that I have rad Iht apphcarion od starcrhal lh. lhdve infomation is coE€d.I alre to comply Lvilh all C yand County
o.dinancd ed Sbr. ti*s rclarin8 ro blildi.g ion. ud h6cby aulhoizc iv6 of6i! Cily &d Couly 1o ata upon tlE
o.t t / -A'-Zd
ob.ve mdlion€d pDp€ny ior mspdlion
Appli.anI o.Ag tSign,,",.y-,L 4rcoscAro c [*,,t--
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Mety'r -/FINAL // t-{/:aX Ft {aruO
Notes, Rerhark6, Etc
Rev.0B-07'2014)
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