HomeMy WebLinkAbout20166027 - Permit (2)City of Santa Ana
Permat Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20166027
Pin #: 65200
Proiect Address: 2038 S Main St /^ unh,d
-t't-'
-''/-
Assessor's Parcel: 015474-17 Lot: 5,6, Bloc(.'l
Bldg:
Tract: 517
AddressRange: 2034-2038
Historic: No
E
Owner:
Address:
Phone
011't6002
01 1 16002
01116002
01116002
01 1 16002
01116002
51603
51603
51603
51603
51600
s1603
Veronica M, Jimenez
53 Seton Rd.
lrvine, CA 92612
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
Min Fee Adj 54.70
General Plan Update 21.25
lssuance 52.98
Qty
2.00
2.00
10.00
1.00
1.00
1.00
Fee
$2.80
$3.04
$10.10
$54.70
$21 .25
$52.98
State Lic #:
Lic Type:
Bus. Lic #l
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
trfI icer (:TYH lrons+r g2,i':ct+: Rsf'+: 2(t16rI.l:pt+:02294499 - 5/3tr/2(r1g ?: Jg
I rqnsqct ion TotqI i2S9-
8.,rtch+:4,1039 - 1/3i/2ttt9 It
teron ico 11- J irene:
Commercial
Miscellaneous
Fixtures
B
VB
cEc 2016
Occupancy:
Constr Type
Code:Notes Fixture change outs. Owner-Builder Iorm on lile.
Building Use:
Job Type:
Naiure of Work:
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave 05/30/20r8
Account#
lvlisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
Every permit issued shall become ihvalid unless the wo* on the site
authoizod by such pemit is commenced within 180 days after its
issuance, ot if the wo* authoized on the site by such permit is suspendod
or abandoned for a peiod of 180 days after tha tifie the wo* is
commenced
$144.87
$0.00
$144.87
lnspector MtD# 2018-143678
$21 .2s
$123.62
Fee Totall
Paid to Date
Balance Due
Suite Range;
Zoning: CSM
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
Date.
Date:
Date:
.<ZO
01116002 51600
01116002 51603
ELECTRICAL-INSPECTOR RECOHD
APPROVALS DATE COMMENTS OWNER BTIILDER DELCAl.ATIoN
I hcrcby rrfinn und.r pcnalry o{ r.rjury rnd t a'n crcnrnr frou rhc Co rtr.hc Liccn{ tiw for rhc l'ollowins rcav'n (Scc7)11.5
Busincs lnd Prolcssion C.dc) Any Cily or Con y whi.h mqun$ r Fnnn t) .otr{rucr, rlrcr, nnn()vc, dcn1olhh .r reNn ,tr!
{d.rxr., pri{, b ir\ is\trNc, also,cqlirc\ rh. rypliclnl lor such rEnnir ro fiLa sisncn slaremnl rhir lEo.shc t li.cnscd pu.sanl
to thc povnions of rfu Conr..brr Li.cns.d b* (Chrpt$ 9. Comtuncins wirh s.crx,n 7o0o of Dirhn,n I ol rh. Businc* ,nd
Pmtc$ ids Codel or thrl h. or sh. cicnu rhcrcfn,mrndrh. bfis f(tr rh. dllcg.d crcnDrion AnyvnndionolSerirn7011.5hyan,
rppliclnl lor r pcrmil suhjsislhc aprlicrnlto 0 civil Nnrlry or mr nDrc rh fivc hundrcd dou!6($5m)
I. $ o*&r or rh. pnrpcny. .r ny .mpk,rrcs sirh wl8cs !s lhct n,k co u.n\at bn. will do rlf sork dn rh. {turxh i\ ft
inrendsl or oflcrcd for sole ( Sa.?Ol4. Businc$ and Prolcssions Cod. Th. Contictois Lisnsc trw drcs nol ,Fply lo 0n owmr of
rhc pniDcdy who buildr or infmrc\ rh.ft.. arn who dms mh solt hin\elfor h.r*Uor rhmogh his or ter o*n entloyccs.
Ptuvnhd rhi such nnprohmnh cnolinrendcioroffcr.'lforsa.llhowcvcrrhcttritli.8orinlrr.vcnrrkhUwirhi'ro'Fyrir
olco,r|]lcri.n. Ih. OwNr auiftr *ill h!rc lh. budcn ol ImvnB ild h. or shc did ml huild or tq,mvc lhc ptrrlfty for lhc puq-e ot
-1.
asowncrolrh. n oFn). omexclusivcly contrucri.S wirh li.cn$d.ontra.rosro.onso. hc ptuFd (Scc. rO{-{. Bun.c\s
and Pn,rcs\bn Codc: ThcConrDckn s l.iccnsc Las docs rol!,rplylo !now.croll]rotEnywho buildsor imfiorc\ rhcrB,n.
and uho .onlra.h f.r su.h pojccrs wirh a conrlck,ns) ltcn\cd rrFdnnr b rhc G)nracrtr r Lic.nsc Law)
litrr.irtrrfrr uMfsccrioi .ll &PC ntrrhnr.r$n
,,," sf ."of 16 "**"x
I hcrchynflirnutrdcrI.tr lryof pcr.Jury.itrof rh.folli)*ingd.clrr irnrl
I l[vc mdsill mainlai'r r Cen ifiQr. of Conrnr ro Scltlnsurc for sortc^ .omrn\!iion. s\ pmvidcd ior hy56--rioi.l7(X)olrhc
trtxr(-l c,lorlhc perrom0nccolthcwork r'or which rhc ncnnil is kslcd.
Ihrvcrtrdwill rinrrirwurkcrJ..nr!.n\rrnDi'rsrrrm..arrcqutudhySednn,:17(X)ofrhcbhnC{ c, for rlr Frror.rd.c of
rhc $ork hr $hichrhistcrnir is issrcd. Myworkcn .. lncneri.n
'nrurntud
.min ,,x] nic, nnnrh.r tuc:
l..nify rhxr in rh. F.rformsnla ofrtu $ork I{r whth lhis tcnnir n i\{'.d. I shxll nor c,nploy lny p(ron in rny n,Mmr
so s t, bcconr suhlcd ro rhc sorkch c. p.trsiton laqs ol Calif{niin. d a8to. rhat if I \hould tr.o r b,cd r. rh
workcrs.on{cnsdhp()vniotrsoisc.ri(flTmofrh.lihrcodc,ldhll.fonhwirh.o'ntlywirhrh.{rrovisr.trs.
.";,.#618 nrr,,-.,,X
I hcrcbyitlirnuMcr pcnrlryof p.!trryrlid I im li.c vJr cr i(,n ofChnprn 9l.o'nnEncing wirh
of rh. Busi,rs rnd PR,rcsn,ns Codc. rnd mylic.n\c i\ ir lullbrcc a cllc.r
qANSIBI,]CTIoXJiUDING.ACINqI
I hcrcby om.inund.r Fnohyorpcrjury rhd rturc is, snsrtuciion hnding.Ecfty for rh. p.rforMc orrh. work lor which rhis lrrmn i\
hru.d ls.c 1097. civ c )
APTLIgANIDECIAXAIION
I h.ftby dli!6 undcr F ihy.lr.rjoryonc olrhc lollo*irsdcclororn,ns
Dennhn,n Pcrnnts-Ashc(os Nolificornr FL{crul Rc[uhrn N (Tirlc40, Pnn6)
Rcqrncd l.nrrol Mnii.ari)r
l.cnililhrl rh. tcdfilicguhii.ns toEnnliig *L$os r.nbvrlrrc ioi 3t,Ili.ahl. ti, rlri\ pnr]ccl
l.c ilirh l hrtc r.dd rhi\ rpflkd nr dd (dcrhrr rhcah'!c infonturi(,n i\.oftcrr l rlrLrk'(,nnlysirhnllCityind Counry
ordi0rk.{n'klSrar.lrwsrul,r'.gr.buiklnrE.on{tucrn,0.!ft1h.r.hyalifiri.(rcnrc\. rri!r{ofrhi\CirtudG,unryt,cnrNutitrtrlr
,)l-
ahovc nFnrioncd propcny ior insp(r
Applir,nl or Aserl Sknr!tre r+
Pemh*nnme rpdnr, { V NICA iI\ztEAI
L6_hBE;-
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Frre 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 & Soflit Rouoh
Ceilings (T-Bar Rouoh)
Rough A/0//q tf5:l,vx.{q).,
Service l\rleter \_:.../'
FINAL /b/(//B --peh %?./a)7tNotesRemarks, Etc.\:--/
*)
ID/SIG.
Meter Release
WARNINC hilulc lo sur workcr' empcnsltion corcn8c is utrhwtul- ond nEll \ul,r.r an cnDloler to sininll ,lorltts and
cilil ,lncs ur lo orc huftlrcd lhousnd dollar ($lm.00o). in rddiriotr to lh. co( ol comp.trgln'n. damscs as pmridcd fo. rhc