HomeMy WebLinkAbout20163810 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 civic center Plaza (M-19), santa Ana, cA 92702 Electrical Permit #: 20{638{O
Pin #: 397OGlnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1022 W Nineteenth St Unit:
Block: NA
Bldg:
Tract: 1306
Address Range;
Historic: No
Suile Range:
Zoning: Rl
ry
Assesso/sParcel: 399-063-06 Lot: POR 45 & POR 4l
Owner:
Address
Oon Matt Bailey
1022 W 1grh St
Santa Ana, CA 927063520
l4't5l 260-8277
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Update
0'l 1 16002 5'1603 lssuance
Amount
51 .29
21 .25
52.98
Qty
1.00
1.00
1.00
Fes
$51 29
$21.25
$52.98Phone
Tenant Name:
Contractor:
Address:
Classic Construclion Servic
49 Main Street #58
Huntlngton Beach, CA 9264
(7r4) 356-6985Phone
State Lic #: 840965
Lic Type: B
Bus. Lic #: 356102
Workers' Compensation lnsurance:Carrier: Exempt
Polic-y #i
Expires:
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Lloss rc Lons!ruit aon Services
uenerot rron up00[e
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. i,,Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Mlscellaneous
Service meter
Occupancyl
Constr Type
Code:
t.\.; i rr* *. rr r r*rr / !)lY AUEN;; UU::'J--ibNotes. Handout given.
Planning Conditions:
Planning Approval By Dale
Date:
Dalel
Plan Checked By
Permat lssued B , Julie o8t01t2017
Account#
Building Permit #0192885 $125.52
$0.00
3 t 25.52
Every pemit issued shall become invalid unloss the work on the sile
authonzed by such pemit is commenced within180 days aflet its
issuance, or il the wo* duthonzed on the site by such painit is susponded
ot abendoned fot a peiod of 1 80 days 4flet the time the work is
cofimenced
lnspector MID#: 2017-135936
01116002 51600
01 116002 51603
$z1 .25
$104.27
Fee Total:
Paid lo Datei
Balance Due:
R-3
VB
cEc 2016
Subject to Field
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL.INSPECTOR RECORD
APPROVALS rD/srG.COMMENTS OWNER AUILDER DEI,(ARATION
I lEct' .rm u.& p6.fty orFrr, !i I o ddtrF tDh tlE (offioR Lt* b* lor dE folbvir* lKn (Sa Toll J
&!ina and PmaBion Co<b)r Ary Cty or Couiy sti.h Eqund r pqni lo .on!tucr. .Id. improvc &Elnh or rqat dy
,M@ FU'o hr iw...!r r.quiBtb.+ltd for Bh Foi lo 6L. risEd triqrEr $rlEn{Eitlic@.d Frur
to rlE Fovniob of tlr Comr*ld! Ltd!.d Lrw (Cl'.Fs 9. C.tu*iry wnh S.crior 7000 oI Diviron I of rlE &!',B dd
PmrdioB Co<L) o.lh.r tr tr rE n qolF !hq.f,.n ad 0e bdir to, rhc.lLScd 6@Fioi Anyvrt lio. or scrirJor I t ti.ni
.rpli..,, for. Fni $bt$ llr @lic!, lo . cirrl Frh, of bt mErhd lil. huftn d rbUE (t50o)
l. s ow ofllE Fopdry, or my atphyG rnt *.86 e ln.n ik omFErhn, *iI & llE f,vt td dr rru1E i! ml
nftld d ofd.d br ilc (sc 7oatl. &ri6 -d Pl!t<rn6 Co& Irr Cortutr r t!t@ t^' .16 d .pd, ro s o\E of
rh. FnFry vho hritt or inFD6 rha{i. rrd sho dc uh uqt li@ll or hG*lr or thftush hi. d hq om mDhy6.
Fovirdi fi.I sh EFov.Efi E Dl idorLd s ol&!d tur sL l[ howa6. llE hl dirv d imFml t $ld *ino o( yd
olollcb., tlt (}iG &ild. *in h.E 0E hrtbt ofFovla tlri l! d dE {nd 6r boild d int oE dr Flpary tr tlE FrFe o,
l. aorEotrh.FiFiy, md(luiwlyodr-rB snh ltacd coddoEto otu EFlFISG ?os, &rlr
!d A$n6in Cod.: Thc (.olllcror't Li.or. Lr* &B ml lrply ro 6 orE of FoFry *ho tuitb or iftFord rn6ar.
Md sho onl.eir for luch F!Fr! rirh. Co trro(r ltasd p{EE lo rh. Codr*lm r Ltoe L.w).
I m.rdF trndr sd'on
D.r.: , Orrn:
woR (.rsi coMPENaAllon
D&CIA8AIIO!
I ha.lrv imm oidd FEty oaFluy om oltb. follou'hg d-lrdiE
I htv. a1 sill minl.i. ! CqliaErl. of CoBor rd S.lf- lEu. tor world .otrrFBllion. r F.vid.{ tor by Sclion l7O0 of lh.
lrhd C.aa fd rh. Ffll'rrc o I rh. *dt 6r $ti'h rb. F6n a edt
I hlrc .nd will nlint.in worl6 comp.$alion iBumtr., 8 r.qun d by Sal ior 1700 ot lh. l.bor (od., for lh. Ffodi@. oa
rhc *vl rtr whth thit Frlil ir iri.d My $(t6 otrrposion iffi ffir 'd polty mnbs t.
Poli.t Nunbd: Erpc
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'h. Froffi orrrr mrl ftr *hEh rh! Fsit B &al I cEI er dqr,y ey F$n r uy MF
b ts ro t@om ubd ro rtE qrt6' ooFE rn hu! orcdifmn..d.rG $r ift dbuld b6on sttif,r 16 rh.
ert6' @mFBllion psvirioN of Setion 1700 otrh. t$or Code I d[ll. fonhqirh cooply virh rho* provilioB
\tARNlNCr F.ilurc ro cEc m*6'.onFMn,n mvn{. i! u.h*tuI, od ilull subrcfl x .D9lo}q lo nimiEl Frhis &d
tnil lin6 up lo om ho.dr.d tlmusrd &U6 (tloo.om). i. r/dnio. b tn. cost of omFuliotr dur.e6 d pr.vil.d lor rh.
\drn 10760trh.l,}rY
fu-,. rvluti-l
DTCLAR TION
I @, .IIm n.dq F.rll, of Fiury ild I m lcqu.d rn& FDri.bn oachrgla 9 (N.ffiii{ wilh Sation 7m0) of Dn aion 1
ot dE 6ui!B !n Prefdia Co&. -d oy lro& il i. tull 6N rd.llcr
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AfILISAILDECIJAAIIO!
I hody !trm unda p6.l', of Fjury oru of llE aollowing d(l,rdionr
D.mhbn Pmir.Aih6roi Ndifrcaio. F.&..1 R.SuhioN (Tnk t0. Par6)
R.tund td16or&nifrdnn
-l
.dit Ini 0E liddrl r.gu|.lbc tgd6s Btidc rdnd e Bn qrl..bh lo ln! F$rdr
I cdify rhd I t6r 'ai lht eplk.iio. rd 31.t. thr $c !h*r inrotuion i .orc1 I !{E lo corply wnh all Cn, .nd coudv
nli{m6 Dd Srd. ls ELila ro hlui.3 co'drcri,( dn hEttr rdhort. r.FE6ir*6 o, ti! Cn} .nd Counry lo dnd upon tl!
ih'v. md nncd pNp.ny nn mFlnr pu,Fx6
app6o orAr6t sisr.tlE2-u
\P.mirF m.rprhr): c'P t o4nlry
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communicatrons Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER x rlrl ,,|
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment x
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough \
Ceilings (T-Bar Rough)I
,l
Meter Release $lrt14 Llv \tl
Rough i
Service Meter tlfi \
FINAL It tls 5.'i),b
Notes, Remarks, Etc.
DATEI
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qqllI&](;ItlllrElDllclGENly
I h.!br .,Im u,!& Frly of Frur--- ll'i rhd. i' . o!*lrIbn ladn! .gdy tor rlE Ffotu olrll.wt h, x,ith $b Fhr !
is.d {sa. 109?. ci c.).
L.nd6 r NM.