HomeMy WebLinkAbout20170516 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2lJ17()51fi
Permat Counter: (714], 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Pin #: 731 1\t
Project Address: 2126 N Linwood Ave Bldg:
Tract: 5690
Address Range:
Historic: NoAssessor'sParcel: 396-071-18 Lot: 36
Owner:
Address
Rodrigo Chavez
2126 N LINWOOD AVE
Santa Ana, CA 927057135
(71417',t4-9619
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount Qty
55.37 1.00
22.95 1.00
51 20 j00
3 91 1.00
Fee
$5s.37
$22.95
$s7.20
$3.91Tenant Name
Contractor
Address:
lon Eleclric lnc
'1830 E Miraloma Ave Ste E
Placentia, CA 92870
(7r4) 993-9469
./?r:r?r-r
?817
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T
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I
Phone
Stale Lic #: 951442
Lic Type: C-10
Bus. Lic #: 371524
Workers' Compensation lnsurance:
Carrier: ACCREDITED SURETY AND CASUALTY COMPANY
Policy #: 1ATCA16000219
Expires: OglOll2O2O
tNc
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service meter
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2019
Planning conditions
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
sden. Julie 011o2t2020
Account#
Every permit issued shall become invalid unless lhe v/ork on the sle
authorized by such permit is commencecl within360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandonod for a period 01360 days attet the lime lhe work is
commenced
$139.43
$0.00
$139.43
lnspector MID#: 2020-156818
01116002 51600
011 16002 51603
01116002 57770
$22.95
$1 12.57
$3.91
Fee Total:
Paid to Date:
Balance Due
Unit:
Block: NA
Suite Range
Zoning: Rl
Phone
011'16002 51603
01116002 51600
01 'l 16002 51603
01116002 57770
nr-t- i
'I lrlfrr'lr_r I I t 6r:rr.
ti 1e,:'tr i
irl I l Lrll
- $?2.95
- $11?,57
$3.91
$ 139. 43
Auth+;l:u:1971:lG
1 /.ri 1irlir
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Notes: Service meter handout given.
Planning Approval By:Oate:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
DATE rD/stG.COMMENTS (}1! N ER AU I LDER DEL('AR 'IION
I h6.by a,Im unds pdahy ol pojury lhal I m etmpl fmo rhe Contradou Licd* Iiw tor rh. follovinl r.M. (Sd 701 I 5
Busins and Prof6sion Cod.): Any Cily or Cou.ly $hich equi,B a Fnil lo <oEhrl. slld nnProc, dftolish or r.Pat mv
slru.r@, rior Io irs isuaocc. also Equn6 rh. appli..nl lor srch p€mi kJ 61. a siSn d stat rol lhal h. or she t licm.d puN&r
to rh. proris,oos ofth. codrraclois Lic.nsed t,aw (Chafl- 9, Commcrcins silh seri.n 7000 ofDivision I oarh. Ru(in^t md
Prcf.sioN Cod.) o. rh.l he or she t dcmfl rhd.lion md th. b6is for tlE alle-lcd €ronption. Any violationoasectirn ?011.5 bv an)
applicanlforapmrilsubj*hrh.0pplicanlloacivilp€nallyorlornorerhmfilchundrcddolles($500)
t. 6 ow6 ollhc prepeny. oi ry e,nPloye rilh s ass 6 rhcn sh comp.flsation. vill do rh. qorl trd lh€ drudu. b mr
inloded o! of.rcd lor sl. (Sc.?044. Dusin6s dd PiotusnJns ( odc I h. Conlraclor's Licw t w do6 nol applv b d o"rr ol
rhcpspeny who toil& or ilwoG lhq@n, Md who drE such \ oli hinlcla or h6ell or limush his or hd own .mPlov.6.
p'ovid.d rhar strch inproldndrs N nol inl (H o,.ITsed fbr eL ll ho16q, rh€ buildins or iftproltmdn iseld wilhhorc )@
oicompl€lion, lhe Osnd Buildd "ill h.v€ tic hrkn ol pBvins lh, hc or sh. dil trol hiB or idpro\! th. FbPdv ao. 6e porl.e of
l. s oMo oflh. prop.nr. n cxclusivcly co.rracrinr *nh licots.d conlrrcto6 kr oisrtud th€ Fojd (SE 7044, Bains
and Poiision Cod. 'rn€Contador'3 Li..ns.l-oq do6 nor apDlyto an oNdd ofprop.ny$ho builds or nnpro vs lh6(n.
and $ho co.rids aor such Drojds wilh a Conttulo(3) li.m.d prrsusl lo lhcContador's Licdsc t w).
I @ cxdfl undd S..lion , B & P(-. forrhs 'Bs.n
wotu(Exs'coMPENsa tIoN
DEEI,AEAIP!
I hdcby alfim undd porry ofp6ju.y oE oflh. followiiS dclmtioBl
I har. dd*ill minrain a Ccnili.al. ofcoMt to s.lf-lmur.lor w 6 conp.Nalion. s Fovid.d h, bySdion 1?00 ollh.
L2bor Codc, for rnc pcfoffie oI thc Bo,l lo. which fi. P@nn is isu.d.
Ylh c and wrll nm'nk'. u 0116 comFMr ror iNurancc. s r.quiEd by S.clion l?00 of th. tabor Codc. aor th. pafor@.. of
the wolk lor Nhich lhis pmit i3 if,$.d. My vork6 coopeelioi iNu@c. cei6 dd poli.y tunbs ei
las"tl\co-
'*,."futo 3/r1ziTtLn
I cenifyrhd inrh.pdanroan.cofrhe $ork foruhich th'rpcfrir k lssucd.l snsllnol @ployanypdsn i.anvmoncr
vr 6 ro bdoftc subjd b lh. so*61 cofrF€rerion l.ws of ( 0liaomia. and asrce rhar if I should bccomc sbjd ro lhe
vork6 co,npmsrtion prcvisiolsorse.rion lTooofrhe kbor Codt.I stdll.fndh$nh comply Lvithlh.Epmvisio6
*ARNING Failur. ro sue so!ke6' compcdsrnJn .ovenrc is unla\elul. dd sh,ll subjar an mplorcr lo dininal pduhi6 dd
civil fin€s up ro onc hundrcd rhousand dolltrs (S|O0,00O), in addnion loth€co( of conpcNtion d.maB6 a poidrtl ro! rh'
Sedion l0?( orrh.l aLr(od.. inlE6l and
LICENIELCONIIAqTAB
DECIaAAIIO!
I hort y .flirm undr pcnalty ol pdjury lh.t I an licos.d undd prolisDn oachapl6 9 (conmdci.s *ith s{tion ?000) ol Division :l
ot lh. BuinBs dd Pot6sioBCod..od nylicmei. in tull fotcc dEficl
q, q e,7-
CONSTRUCTION LONDING ACEN(]Y
I hq€hy amrm undd Fnallyofpeiurylhal rh6€ is e connru.rio. Lndi.8 asqcy ror thcFaom ce ollnc sort l6i \rhi.h rhis pqnril is
ksocd (S(.1097. Civ. C.)
AT8IICATLDECI.ABAIION
I hddy arm und6 paalty of prju., oN ofrh. follo*its dccl{at io6:
Deoolilion Pmirs-Asb€tos Norifi.arion Fcddal R.gulolio.s (Tille 40. Pan6)
R.qund Lc d oiNotifi cario.
-l
cdri lhal rhe ledoal Flulari.N Eaedm3 6b6los rdo'ald. nor tpplrclbl. ro lh's frcJd
)al (cn,6 rhd I h,r. rc.d rhts rpplmnnn ed nal.lhar rh..lir. infomalion iscotr&:l.I sgd ro condv wnh.llcnvtnd aountv
ordinanc6 and Stsr€ lr\s Elarins lo huildins connrudion. 4l hdtbratrlnorize iv€ olthis Cii, and Cou.tyro ota trIx)n
abvc nEnioned [openy ntr .=:z
id 14 ilo<.L
,,,. lhl*a
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor lt It ,,SA
Bonding / Grounding / UFER t r5r/0/0 !wnhk 6W
Transformers
Torqueinq
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Rouqh)
lvleter Release
.hl"^-t ^/z
Rouqh rurlv v wqr N6'
Service Meter FIWT? (w1nb/e w.
FINAL tLTVritt ,ly-t/bA &t
Notes, Remarks, Etc.
APPROVALS
Air Conditioners
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