HomeMy WebLinkAbout20166677 - Permit (2)City of Santa Ana
Permat Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927O2
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ166,677
Pin #: 14668
Unit;
Block: NA
Bldg:
Tract: 3915
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParceli 109-822-09 Lot: 88
Owner:
Address:
Wayne Clapp
280'l W Willits St
Santa Ana, CA 927041556
(7',t41 54?-7426
A Wiring Man
1924 Rolling Hills Dr.
Santa Ana, CA 92704
(714) 990-8r92
01116002 5160:
01'116002 5160C
011 16002 51603
Fee Type Amount
Over 10-50 HP KW or | 45 21
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
1 .00
1 .00
Fee
$45.21
$22.O8
$55.04Phone
Tenant Name:
Phone
State Lic #: 679171
Lic Type: B, C-10
Bus. Lic #: 370299
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
A U ir ins non
Geoerol Ploo Llpdute Fee
01116002- 51600000-
El ectr icol
01116002- 51603000-
llosten CoPd
CC+ r *tr*r**r***r8?95
Noles: lnstall new mechanical equipment
_ 122.08
t100,25
irsn. s:i
Auth+:1tt0g4PBuilding Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Generator
Zuniga, Allissa
Memo
Occupancy:
Constr Type
Code:
R-3
VB
cEc 20r6
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
08t1512018
Accou nt#
$122.33
$0.00
$122.33
Every pemit issued shall become invalid unless the wo* on the site
authonzed by such permit is commenced within180 days after ils
issuance, ot if the wo* authotized on lhe site by such pomit is suspended
ot abandoned for a peiod of180 days after the time the work ts
cofimenced
lnspector MID#: 2018-145429
01 '1 16002 51600
01 1 '16002 51603
$22.08
$100.25
Project Address: 2801 W Willits St
Contractor:
Address:
Botchi:+5391 - 8/15,/2r:rt8 I0r LR0SALr.50ffice: CIYH Trons+: 37 ? of -lAccti: Ret+? 2t|L66,i7'l
Rcpti:023!i5{23 - g/15/2019 3:11 p|.l
froneoct ion Totol t3gr:r.83
Fee Total
Paid to Date:
Balance Due:
APPROVALS DATE OWNER AUILDER DELCARATruN
I hcrehy aiirm lnicr I'eMlr, ol lcriury lhal I am crcmpl fmm rhc Contudon l-iccnrc Law for thc lollolins Es,n (Sdc 70-l I 5
atrsincs ml Pi.fcssion Codc): Any Cny or Couniy shi.h rcqoncs Fmir kr mn{ru(t. alr(, ifrprorc, dcnxnish or Eprn M,
nfldurc. pritr r. ns kuan.c. rho rcquircs rhc aprli.ad r.r sxch Fnnlr ro fiL a sigtrcd ndcmnr lhal h. or sh. n kcnscd ,)unuMt
r. rhc lrolirbn\ oI rhc Conr6ckr's Liccnscd l-a* (Chaptc! 9, Commcrcins wirh Sccrn,n 700{).f Divirion:l orlhc Busincs dd
PmlcrsnrsCod.)o.lharhcorihcisrrcmptlhcnrromaftlrhcbdchrorrhcall.g.dcrcnrplion.Anyriol.lbtrolSdion70.115byan,
applicinr for.Frmir subJslslhc !p!,ic0nl lo acivil pcnohyofnor nbrcthm iivc huodrcd doll.n ($5(n).
L as osnrr of rh. poFny, or hy cmpbyc.s sirh wrE r as rhrir ek ..n{rnsr ion. will do OE wrt .flj th. sB1@ h nol
inrcndcd or olitrcd for slc lsc 7044- Ausincs dd Pmlcsrbns C.nc Thc Contrrols Li.cns tiw docs nor anply r. an o*ncr ol
lh.lmNnl who hilds or i'qnohs rlson. rnd wh. dms s.h M him\.ll or hcr*lf.r rhtuugh hk or hfi own cmployccs,
ln,vidcd rhrl such impmremnts @ nol inrcnded or oftcied ltr eh. Ii horcv.r. lh. huildiry or impmrcmnr is sU eirhin onc r&
oi con{,lction, dc Owftr Buiklc, will haw rh. trnlcn of poving rhd lt or $c did nor buikl or inpoE thc pmFny for thc puqx'sc oi
_1, a\owmrof rItr lroFny. r cxclusivclycommcrin8 wirh liccnscd conrarlos x, cotrrflct rhe ImFcr (Scc. ?04- au\irE$
a hots{,n Codc: Thc Conlracld s l-iccnsc L!, docs nor appl! lo m owncr ofpmFrry *ho bxilds or in,nrcv.q rh.r&r,
and who.\ ra.h ror such p$j{h *nh a Conr6.kdn licei\cil ru(umr b rhc G,nracrors Licc.sc tjw)
I rncrc rt, trrd.r Sc.li,rl
D.ler Ovm.:
}I)BtrEBSI:AIISEITIAIIQN
DECIAtrAUAN
, hcrcby rflirnrundcr pcralryofFiuryom ofth. following ddlnra(i.ns
I ntrw
"nd
will ruinrain ! Ccnilic,rc olcon*nr l' Sclflnsurc ior workcB co'nljcnslrio.. ar lrolidcd ror bysc.rion 3?00 ol rh.
L xtr Grtc. for lhc Frfonnancc olrhc *ork ror which rhc Ennil is hsud.
lhalctrnd will mainlain workrs. .omp.trsarion insurd.., ar rcqutcd bySc.nonlT(nofrhc Lihor Codc. for the ncrlornuncc ol
rhc work lorwhi.hlhis p.rmir is Gturl. M, wor*cr' ..n\rnkt io. insuru.c .rnim dxl Flicy N mb.r m
I ccnii!rh.r inrhc,.rLirniNc ol rhc vork lorw rhrhisr.rnil is issucd. I nrill rorcmploysnypcrsn inrtrym0nncr
s 6 to tEconE sublcd lo lhc *o cs comtcnsar ion kws of Calirorni& otrd UB lhal if I shoub h{to'rc slhlc.r ro rhc
wolkcG'compcns0rio.prclkionsofSdiotr3TmofrhctjborCodc.Ish.ll.fonhwilhconplywithlha$Imvkioos.
.Nil lnr\ trJr ti ,tri. htrndrcrl tltr)!\rid
\..iL n)r. "1., htrtitrl rhlt{
^,.,. s/rrltr
,tr lo diminal lEmlli.s rnd
.m8es .s ,mvllcd for lhe
IIEILABAIIA!
IhcthyiftmundcrFnrhyofpcrjuryrhxrIrnliccncdundqnmvisi.nofChrprcr9lconrnrnci.E*irhScdion70OO)ofDirino:l
el)e
CANIIAI]I.:I()NIENDINCICENCI
I hcrby rlliiin undc! Fn,h,ofncrjrq rhsr rhsc i\ a con(ructi()n lcnding r8cncy li)r rhc I.rfornlai...frhr work ibr whi.h rhis !.rnrir h
ksucd {Scc. 3097, Civ. C )
AEELICANLDES.AAAIIIIN
I rri$y amnn undcr I. alry or p.rjury .nc or rhc lbllowin! dchrur ion\:
Demlition Pc.nrirs-Asb€sros Nolificdion Fedcral RcBulllions (Tnlc 40. Pan6)
Rcquircd L,!terol fioriararbi
l.cnilvth rhclcdc(lrc8Ul irrN
-l
ccnilyrhnr I hlvc lcld rhn rnpl
ordin.nccs nd Slarc La$srcliriqto
orcd lrgreb.oNnly wirh rllCirr-r Counrt
.hovc nr iotrcd pmf.ny lnr
.\pplirinl or,\!rnl Sixn"lu
A.-,, t e\<-t L-Y
-:':'::ry[;"
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lVleter Release
Rough
/')
FINAL
^t>l
ft1 ixr.ol '7vl-t I urlNotes, Remarks, Etc
ELECTRICAL.INSPECTOR RECORD
ID/SIG..cOM[{ENTS
Service l\ileter
or rhc rrusimss and Frcrcsions codc. ad my riccns is in fun forc andj]}:cr.
I