HomeMy WebLinkAbout20170159 - Permit (3)City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspectaon Requests: (714).667-2738 lnspector Section: (7'14) 647-5853
Permit#: 2017O159
Pin #: 2714d(
Proiect Address: 1506 N Eastwood Ave
Assessor'sParcelr 398-071-29 Lot: 9
Unit:
Block: NA
Bldg:
Tract; 9519
Address Range:
Historic: No
Suite Rangei
Zoning: Rl
Owner:
Address
Contractor:
Address:
Adachi Jeffrey
1506 N Eastwood Ave
Santa Ana, CA 927012624
(949) 289-6179
Freedom Forever
43445 Business Park Dr, #1'
Temecula, CA 92590
(951) 445-5645
Fee Type
011'16002 5160C General Plan Update
01 '1 16002 5777C Microfilm Records
Amount
22.95
3.91
Qty
0.00
0.00
Fee
$0.00
$0.00
Tenant Name:
Phone
State Lic #: 1029644
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workgrs' Compensation lnsurance:
Carrier: Redryood Fire and Casualty lnsurance Company
Policy #: FRWCI13471
Expires: O1lO1l2O21
Building Use
Job Type.
Nature of Work
Planning Conditaons:
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
\tx
Date
Date
Date
Smith, Mark
Hernandez, Kathy
11112t2019
o't t09t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Notes. lnstall nevv roof mounted solar PV system. ALL SOLAR
PV FEES PAID ON'10110217g/auth on file
$0.00
$0.00
$0.00
Buirdins Permit #: 101102179
Every permit issued shall become invalid unless the work on the site
authorized by such pamit is commenced within360 days aftet ils
issuance, ot if the wotk aulhoized on tho site by such pemit is suspended
or abandoned fot a peiod of360 days after the time the wo* is
commenced.
lnspector MID#: 2019-155745
Fee Total
Paid to Date:
Balance oue:
Phone:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject lo Field:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DEI,CANATION
I hsety a,Itrm und6 paahy of p.rjury Ihal I M ncmpt fmm Ihc Conmdo6 Li.d* Lrw aor rh. follo$in8 r.Mn (Sd 701 I s
Busin6s dd Proraion Cod.): Any Cny or Counry \hi.n relund . tnnir ro co.srucl. ah6. nnpmve doolish oL r.p6n y
sn'.nft. prior ro irs isrec.. also r.quiG ifi. applicanr for sNh Fmir to lilc a sisn.d starod rhd h. or sh. i! li.dEdl pumsr
ro rhc Fo!is!o6 orrh. Contr.cror's l-i.en*d t * {Chaprd 9. Cdm,r.ncing Nilh Sedion ?000 oi Ditision I ofth. Busind od
Proa.si.'ns Cod.) or thar h.orshe is.rmpt rhaelromand rhc b6sis aor lh€all.sedcr€mplion. Any violalio. ofsdtion 70.1I 5brany
applicsnl lor a pmil subjNlslhe applicant to acivilpcnahyolnol mor€lhan fiv. hu.dr.d dolltrs ($500).
L as o$nn of rlE prcr.ny, or my mployG wiih waSB s nrcir el. comp€nsar ion. will do rht *ort ad thc sltod@ is .or
inlo cd orolld.d lorelc(Sa 7044. A6ins and Pretsions Cdq I'heCodradors Li.tuc L!\v &6 not ipply lo e ownd of
rh. proF.dy Nho buildB or i,nr,o\6 $eon. dd $no d.6 su.h rvort hims€llor n6daor rhrcush his orid oM €hployG,
,mvid.d thar such inFovddrs ft nor imdrld, or or6.d ft)r sk ll ho*6 6. $. f(ildiry or im[,or.1cl is $ld vhhin nn. )sr
ofcompkion. lhc Osr6 Build6 Nill hatr lh. tu(k' of p.orins lhd h. or sh. dxj m' build ot inqm\. fit Flpcly aor lh€ p{rros of
I, s o$.r oflh. p6trty, d d.lusiv.ly .onta.rinf, $ nh li..Nd .oitacrou
'o
coNtrud
'h. F!r< lse. 70.1,1, Bunn<
and l\tasion Cod€r Thc aontra.rois Lic€me Las do6 not applylo mowns orproFny rvho builds or improva th.ron,
and {ho contacts ror n'ch rrciel' vith a Co.rE(o4s) li.chs.d puuud lo nE Conlractors Licm* Lav)
lrrDcxcn,|1 trn(1.' Sdntr I & I'(' l.' (hisre8on.
Drte orn.r:
\roRl(FLs.coMPENSA-idii
DECI.AAAI!g!
I h@6y amm und6 pen,lryofpajuryon.ofrhe aollo$inr. deldarioB:
I hav. od *ill mainrain . C.nificar. ofco's6i ro S.ltunsurc aor qork6 compstsdion. s pmvid.d lor by Sclion 1700 ofrh.
Labor Cod., lor rh. pdfot@.. oarn *ort aor which rn Fnnn is isu.d.
\2fi-N. and Nill mainlrin wortm comFnsaio. i.sudnc., d r.qut d by S*rion -1700 offic l:60r Cod.. for th. psfomoc. or
lh€ wo,k ior which lnh pmir is isu.d. My workft comp.nsarion insurdce cario ad po,icy nlmbd ml
"*
Poh.y N,,nb-, eggS:Q\q,eo a- *** (, (' I lr
\
I cdiry rhar i. rhc pahr@c. of th. $!rl for whth rhB Fnir 's
irsu.d. I sh.ll nor 6ploy my pEMi in dy nd(6
$ 6 to be.om subjel to th. *ortd' comFNriotr hB olc.liaomir ad asrE $ar ifl should h.on'. rubjer ro lh.
BorI6 @npos(ion povirioN ofsetio. l?00 of lh. tibor Cod.. I shdl, fonhqiih comply rith lhos povisioa..
WAIrNINC faihrc ro rcurc work€rs compcnsalion co\salc s unlaqful, dd sh.ll subj.d an @ploytr to diminal psa[is and
civil finesuptoon.hu red thousand doll6 ($100,000). in addnion totheco$ oacompensalion. donoses N ltrovided forlhc
r,"",t/a/11-6 v <a^<s-\J'.v\ frpi+
{I!!!NIL(I)I]&1CIoB
!.DeLr!8![O!
I hd.by ortrD und6 pcnah, of pdjury thst I m lic€a$d und6 pro\ ision orchapl6I (co6'nd.ins $irh s-rio.7000) ofDivision l
ol rhcB6insdd Proasiors Cod.. ed my lic.N. is in tull torc. ad eiIEr
ri.."* cl"*, lL :\Q l.(e\. \, 'nbn' \C\'LqL'!\H ,( ,-=.o'." Grdct
I h@by arm !nd- p.nah, of pajury thrr rh6. ii a coNrrucrion kfldif,8 as6cy for lhc Ffolrmcc of rt. worl lor whi.h lhir F,nn i
isucd (s6. 3097. civ c.)
A.EIIICANLDECIAAAIIQN
I lEd,t ailinn unde! penalty olperur) onc oflt.lolloNins dsluations:
o.molirnnPenil. Asb6r.s Noti6..'io. I'cddal Rcluldions(Titl.40. P 16)
Rrqtrred L.nLr of Norii. i.n
]jnri rhd ! h. f.dcral l+ulaoo6 r.se drnB abGros rmo\ trl e. nol appl'.abkro rha proJfr
Vi cdrry rhal I ha\. @d rhB appli(ar'o. ad srar.lhr rh. ahv. i.aomirion is.oncl.I ngrd ro complywilhsll Cilyand Counly
odi',ancsandSrare La\$ daxn! n, luildi ! consrrucrion. tudh.Rhy.ur icprBmrarivs oflhis Cil!'nnd Counlyto mrs upon rhe
abov€ mstion€d pBp.ny lor inspcclion pupos6.
ApprienrorAs€trrsisnoru.e: \l,a*:
p"^i,*."."tp;"r ts:t-N-]A e6p-oR t t"
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service hileter / /FINAL , /t1/loS-iz<alrLtl ,{
Notes, Rematks, dtc
Pole Bases
s..!$n 1016 ol(lrc l:htraodc. i, c,.n3ndarnmcv slds
ro
l-cn{ld s Ad&6:
------f-----