HomeMy WebLinkAbout20166748 - Permit (2)City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1232 S Hesoerian St Unit:
Block: NA
Bldg:
fract:3244
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 109421-'14 Lot: 18
Maria H Avalos
1232 S Hesperian St
Santa Ana, CA 927043407
(714) 54s-4564
Fee Type
01 116002 51603 Serv ft4eter
01116002 51600 General Plan Update
01 116002 51603 lssuance
Amount
53.28
22.O8
55.04
Qty
1 .00
1.00
1.00
Fee
$s3.28
$22.08
$55.04P hone
Tenant Name
Contractor
Address:
Owner-Builder
Borchi:4i552 - S/23/2{rtS I0: NGAFCIAoffice: CTYH lPonsi: 21 1 of iAcct+: Refi: 2016674S
R.pti30236(186S - 8/73/2018 1r.r!55 All
Troosoct ion Totol t 13ll, 4llState Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrierl
Policy #:
Expires:
Genertrl FIon UPdote Fe€
01116U02- s1600000-
Electr acol
0l1l6tl02- 51603@rl-
llosber [.ard
CC+: rr**r*rrrl}I0802
_ t?2.08
t1tr8.32
i130.40
Authi !0u5{07
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service Meter Upgrade
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes: Service meter upgrade. Handout given
Owner-Builder form on file.
Chavez, Dave
Date
Date
Date oal23t201a
Account#aL-
Every petmil issued shall become invalid unless the wo* on the site
authotzed by such pemil is commenced within 180 days after its
issuance, or ifthe wo* authorized on the site by such pemit is suspended
ot abandonod fot a petiod of 180 days aftet lhe time the work is
commenced.
$130.40
$0.00
$130.40
lnspector MID#: 20'18-145607
011 't6002 51600
01116002 51603
$22.08
$108.32
Fee Total:
Paid to Date:
Balance Due
Permit #: 2lJ16,6744
Pin #: 581{4
Owner:
Address:
Phone:
Ilor i q H Avolos
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Planning Conditions:
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILT'ER DELCARAI'ION
I h.eb, anirr u.dfi ,cnally of lc4ury lhat I dD crcmpl lion rh. ConrracroF l-k.nsc Lrw r{tr $c lollowing rcaen (SN.?0.11.5
Busincss and Prcac$iotr Codc) An, Ciry or Counly which rcqlircs ! ll$mil ro .oislrucr, nltcr. imptovc. d.mlhh ot tpan any
ntudrE. prior ro ir isruskd, ds r0itun6 rhc aptli.nd tJr qu.h pcrnnl ro filc r si8mn stlrcnrnl rhsr he or shc h li.en$d pu*udr
lo thc rovhions ofltE Conlra.lols l,iccnsed tr* (Chlpler 9. Cohm.ncins {irh sccrion 700iJ of Divhk,n 3 of lhc Bosinc$ and
Pefcssionr Gdc) or thar rs or shd h.xcnrr lh.rcrro,n and rhc basis i{n rhc ullcsed cxcuDrion. An, violuii.n ors.clhn 7011.5 $y any
ippli.ad for a pcmit subjcch rhc !tpli.anl ro acivilpcnallyornor mft rhan iiv. hundrddollarc (SsUJ).
-l-
ar owncr oa rfic pop(n!. or my cnpl.ys\ snh wa!c\ as rhct s,l. .onwn$tion. sill do rhe *o* lnd rh. {nfm n rcr
idcndcd oroilcrcdforsrlc(S(Ttr44.Busi.csmdPofcsio.sCodcThcConhcroisl.iccnscLlwd..snolaPpllloan *ncrol
rhc tolrny sls hoil& or iqx,rd rltmn, and who dd skh $oa hinsclf or h. cll.r lhrough his or hcr ow. cnfloyc.s.
pr.vidcd rhar su.h nnprornEnts arc ml intcndcd orollcrci lirrsule.Ill hoscrci rhc buildir8 or nworcmnl Gsold *irhin.nc Fr
.r.otr\,Lrir. rhc o*rcr Build.r will hirc lhc tonlcn of rrovin8 lhd hc or shc did nol t[ild or nryrnlc rhe pmFdy for lrr puqDc of
l. rsowmrolrh. protcny. nrcxclusivclycontadins sirh liccn*d conr racr.6 h .o nsr d.r rh. lrojd (Sc. ?044.11u\im\\
lnil PmaLssnn Codc Thc Conlncroi s l-iccosc l-r* {l€s N srrDlr b an own$ or [op. y sho builds or i',IrJv.. rhcrcon.
rnd who $nrB.B fd \xch polc.ts wirh a contrncbn 0 lftnscd onnunt lortc contu.tn\ l-k.trs. hw).
4 ed4=
I}EII,ASAIION
I hcrcby.fitmundcr pcnalryotpe{uyonc of rhc folk,$ins dcchrarions:
-lhlvcandwillnminroinaCcnificrr.ofconscnrrosclaln\refoieorkc(conr|Ensarion.ustrcvidcdfffbySc.rionlT0oolth.Lator Codc. Ior rhc p..folnErc of lhc aort ,or qhich rh€ pcmil n h\rd
-l
htrve ud will tuinrain work.il ..'np.nsntn'n insurd.c, rs rcquncn hy Scct i$ :17$ .l rhc Lihor Cod.. r{, thc Pcrfonurcc ol
rhc *ork ntr*hichrhhFrmir is issuod My workcs .o.rpctrs0lion insur.nccca cr and policynufiberdc
Poli.yNln$c'
-rixpir.s
I cdnily rh.r in rhc lf,rronmncc olrhc work hr which lhis pcrmil is hsucd. I \h ll nor.n'd.y riy tcsof irr rny nranncr
s rs ro b.oax sul,jccl l0lhc works! .-nDcn\dnn, hss olCalinrnia. Dd lcN rhd ifl nx,uld hlco.E sul,Fr h rh.
sorkem compcnsrli{nrDmvi\n'nrofSc.riofl:171X)ofrhcli'htr(inlc.lshall,ln hsith.omtly*irhrhoEprovi\nn,s
W RNIN(;: F hrc ro r.ue worlcr collrl)cfl$rbn covcr.-qc t unlawful. rnd sh ll \ubJccr r cNrlrrcr ro dninal P(fllii:s rnd
.ivil nfts ut b onc hundrcd lhousrtrd Jollan ($l0o.O0rr). in rddiri{nr ro rhd.on or.o.rl)cn{riotr. drmr8c( !\ [ovidrd ror rhd:::4Dyfry::,x,w
DICIAAAI,IIJN
I hcrcbytrlftrd undcr p..ulryorl)crjury lhar I s,n licnscn undcr Eovision ofChaptcr 9 (co6nteins *nh Scclion 7uJ0) olDivhion l
of lhc Busircs. md Pmfc$ioos Codc, a,ld ny li.cot k i, tull aore rd effccr
(:(TNSTRU(]TIoN LFNDNC AGENCY
I h.ftby arfirnu.d.r !.naltyofpcrjury thot lh.rc h. $nslrudiotr hadins aEcncy tu rhc Perotiun.c ol rhc work a.r whirh rhi\ Pcfr'n is
hsucd (Scc. :1C97. Ci! C )
AEELICANI.DEII.ABAIIA!
I hot.ryafimhder Fnull, orF.rjury.rc orlh. followin8 dcclr ionsl
Dcmlition Permih Asbcstos Nolificatio. Fcdcrrl RrEuhrbhs (Tnk 40. Pan6)
-Rcquircd
t ncrof NorilEalion
-l
ccnify rhll rhc red.ral dgularions rcsrdins asb.sros rcmov{l uc noi 0ppliclbk ro rhn pDjccr
llk(k ,hn t t "" n^d ,nis
'Dplictrrio.
.nd sr c rhar rhc ntnvc inro,rurion h corc.r I lsre ro ..qly with 'u city and counry
ordinaftes rnd Srare liws rlarin8 lo bu1ldi.8 connrucrn[ md hcrcby dur rcp'c{nrxrivc\ ofrhr\ Ciryand (butrrv r. crrcr trFrn lh.
^,.,.r[*f lril.*:ilil:"vlwq1/
Pemi,Fntrme,prin,): u- 1t14AKtA Jl t4UAt ar->
Site-Work
Underqround
Pole Bases
Lighl Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER (Mu4 >7)
Transformers
Torqueinq
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
It/eter Release t(n ,n,{qrz '7a)
\\
Rough
Service IVleter u <7D rtT \&.1frqd ?>>)
FINAL ul)o I r( 'i .Y{v )
Notes, Remarks, Etc.fr v\
-'
ELECTRICAL-INSPECTOR BECORD
Sub-Panels
trtrd.iq Addr.rc
-
I
I
tt
It-
llAtfiTu