HomeMy WebLinkAbout20166648 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 66648
Pin #: {960{ i
Project Address: 1426 S Cypress Ave
Assessor'sParcel: 014-032-08 Lot: l4
Unit;
Block: NA
Bldg:
Tract: 245
AddressRange: 1426-1428
Historic: No
Suite Range:
Zoning: R2
Owner:
Address
Phone:
Tenant Name:
Contraclor
Address:
GILBERT GUTIERREZ
1121 S ROSS ST
Santa Ana, CA 927071219
Owner-Builder
Fee Type
01116002 51603 Serv Meter
01'116002 51600 General Plan Update
01116002 51603 lssuance
Amount
53.28
22.08
55.04
Qty
1.00
1.00
1.00
P hone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
8(ltih+ t 450fl i.er ,
RcpLi: tr:ri
Traosort i
s/1sl?i1glronsi: 146
Rel+:- g/1J/201t
IoLol
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Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Notes Service meter upgrade. Handout given.
Owner-Builder form on file.
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permil lssued By;
Subject to Field:
Building Permit #:
Duplex
Misc6llaneous
Service Meter Upgrade
Date:
Date;
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave L.
Every permit issued shall become invalid unless tha wo* on the site
aulhoized by such permit is confienced within 180 days after its
issuance, or if the wotu aulhoized on the site by such pemit is suspended
ot abandoned for a poiod ot 180 days 1ftet the time the work is
commenced.
08/13/2018
Account#
$130.40
$0.00
$130.40
lnspector MID#: 2O18-145347
0'1116002 51600
01116002 51603
$22.08
$108.32
Fee
$53.28
$22.08
$55.04
I
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOB RECORD
APPROVALS DATE ID/SIG.OWNER BU!LDER DELCANATloN
I h.oby ailrm u.dr ll.nrl,y of tEijury th,r I d.x.qrr fiom rhc C6nrebh Lic.n{ bw nr rlE rolhwlr8 rc.$n (S.c.7o]l.J
Ausiness ad Profcssiotr Codc): Atry City or CoMly whi.h r.quncs tr Fnril lo corsldct. alla. tn rcvc. dcmlish or rcpan an,
rmcrurc- dorro ns hsuarc.olsr rcquires rfic.,rplicanr for sucnI'c mir ro lile ! sisncd strtcmnt rtdr hcorshc i! liccnsd rxrsanr
b rhc provhions ol thc Cont0cto. s Liens.d La* (Chrrr.r s, Comncncing wnh Scdion 7m0 ol Divtion 3 ollhe Busincss and
Pmfc$ions Codc) or lh hc or shc is cxcmtl thcrclrom Md lhc b.sis lor rhc lllcrcd cxcrylion AnyviolalionofScctirn?0315by!n,
trpplicant for apcmir suhjcck rhe ltplicanr lo!civilpcnahyofnor morcthan firc hundr.ddoll6\ (5500).
ff t. u. "**, or',* IFr,"ny. r m, cry)loyRs wr h wtrE.s ss rhct wlc smp.trsu$otr. *'rl do rts wtr* ud rhc srnrtuc h mr
ini. l.rl oroficr.d tuqlc (Sd.7044. Burimssand L'roit{st,ns Gdc Tfic Conra.rol q l-ic..$ tie d{)cs nor apply ro rtr owRr of
rh. pm0cny who hoilds or impmws rnmn. rrrl wls dm Mh m* himrcllor hcrel{or lhrcu3h tis or hcr owr cmplo}rcs.
ptuvid.d rhar such impmrtmnk m tur imend.d o.ofirrd lor slc Il h.sw. ttr t{iklinS or inporcrnm h $B uirhin nnc ,e{
orcomplc'i,G rhc Owrcr Blildcr wiU h,k rhc hunj€n otl,lvin8 rhd hc o! nE dij mr hild or in!ftk rhd ptuFnt ror thc puqDs ar
-1,
0s owncr or r hc pm|Enr. :n cxclu\ivcly .onrrNrir'8 wirh li.cn{d cotrrNtos Io consrrucr thc I,.jsl (Scc 7044 Btrsims
Dnd fl.fcsbn Codc: Thc Conrruckx r l-icensc lis docs nor lptly ro an o$ocr ofpmpcny who buikl\ or inprcvcs rhcrco.,
ond who .oma.hLrsurhrojccuwnhsco.h.ro(O li..n{d punua rorh.conrrdoisLiccns ttrw).
I rrrrrmpr trnd.r Sccri(tri . A & PC f{xrhi\rcrn)n
o*"' B- 13- 2u ri< u**,,
DECI.A.EAIIQ!
I h.rchyrlTnDUdddN lryof t).rjury.m.f rhclnlk,wi'r!dc.lrfuridr\
lhrlcird*ilLmrnii',rCcnificarcorCon{nin,sclflnsurclors.'lcncompctr\rrtr,n.r.pmv'lodnrbys..ii.nSToiJolllN
l,ah.rC{xlc- forlhc pc.&.!nrncc.f rheqn* t)r $ntuh rhcrcnnl n nrucd
Ihavc d rill mainrrin *orl.ra .on{rnsrr bn nrsuratuc. rqun d hy S&r ion lT0O or rhc b6or C.dc. lor lne priormnce of
rhc wo* for whichrhilNrm[ is issucd. Mysorkd{ (,mltnqdi inrur f,u .aricnrn ,olicy nunrbcr m:
,lu(,.nt, tnur tn r* * o,roncc orrnc work I'or which,his pc,mir F nsucd, I shsrr noi €npk,ynny p.(on o a., mMnc,
$ ,s r. bcom suhic.r b rhc *o*cB mmpcnsriuh hss dr C,lir.mia. nrd aBm th.l if I slmuld k om suhrccl ro ltr
wo cs con{.nsari,trtimvisionsolSccrionlT0Oof$ctitncodc.lsFall.fonhwilhconrtly{ilhlhoctmvirions..
WARNINC: failurc h *.urc workc^ om|{trsri,rn .ov.r.Fc
(nrl in.' ut1 r. ur hutrJrcJ rhou.bnd d.llar. rllrx).rio,. rn r
S$rion 1076 olrhc bhn Coic. intcrcs aM llkrrcy s Lcs
h unliNlul. rl nl'll {,6t..r rD ycr kr di nnrl Fmhi.s md
ior. Jrnll{rr r\ tfuviliL1t lnr rhr
^*,1E:'13 - ZoJl3
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IICEMII].IONI8ACISA
IECIdBAIION
I hcchy lffi.n lndcr FMlry ot r.rjurr rhst I am lie.in !.dcr prcvnion o, Chrfl$ 9 (smmfting Bilh sdion 7{XxJ) ofDivisiotr l
of lh. Busircs end PDfcsrions Codc, and my liccnse n in tull foc ard cilccr.
CqNiIEUI]IIqNIENDING.AGINq
I h.mby rtrm undcr Fnntry of ,.rru.y rha( rh.rc Lr d.onrrucrio. lcnding r8.my for tlE Frlo1mncc of rhc mrt for whi:h rhG Fnir is
isslcd (Ss.1097. Ci!. C.).
aftucANfDEctAtdllo!
I hcrehy dnm undcr pcnolry otperjuryonc of rhc followinS dcclnrutions:
D.fr)lnbn P.rmirr Asb.nos Norifkalio. F.d.nl RcCul io.s {Tirl. rl0. Prn6)
Rcquncd bncr of Noif.dhn
-l(cnif)
rh{ rhr icticrdl rcgularFn' rsddrtre d'tE{o. rcrN\rlm nor lnflkdblc ro rhr nmiyr
A/.c(,nt thd I nrw rcut thn lpplilrrnn and dJ,. Lhtrr ,h. att,vc inromri.n n comcr. I 4m to comply *irh rll city ond counry
onli' n.ds,n{l S(rr lnws r.l lirt ro huinlnB.otr{n,.ri(r,. rl fu'rh,ru rctrc\.mrrivcs ofrhF Ciry.rd Coutrr, lo cnrcr upotr lhc
oh.\c mnrioncn nnFdy Inr in\nccri.nturp\c\/'
n,Orr.r r"r n**rt**r"*Dl 244 v o*" j p171%fi
n"-,u* ,,.",rn,,, D( G, /oez,t C--,./r trtt ,/ c,' v
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab i Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Cerlinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
lvleter Release
Rough
Service lvleter 2 IfFINALK/zf/r4 --ffi,1
Notes, Remarks, Etc
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COMMENTS
Cnricr:
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