HomeMy WebLinkAbout20166495 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2O166495 llr
l nspection Req uests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 Pin #: 75665
Project Address: 922 W Camile St Bldg:
Tract: 253
Suite Range:
Zoning: R2Assessor'sParcel: O1O-121-2O Lot: 20
Owner:
Address
Mario Gomez
922 W Camile St
Santa Ana, CA 927033902
(714) 856-1680
Amount
53.28
22.O8
55.04
Qty
1.00
1.00
Fee
$53.28
$22.08
$55.04Phone:
Tenant Name:
Contractor
Address:
Owner.Builder
Phone
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Irons+: 39
Rel+:- ? /23/2tttfJl33(1238 -rt ion Totol
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1116002.
i Iectr i,rc
u I I l60112.
Viso
lon Updote tee
5l60rl00tl-
Occupancy:
Constr Type
Code:
L 6|.lJu0[-
Building Use:
Job Type:
Nalure of Work
Single Family Dlvelling
Miscellaneous
Service meter
Notes Handout given.AuLhi:r-l
Planning conditions:
Date;
Date;
Date;, Julie 07 t2312014
Account#Subject to Field
Building Permit #$130.40
$0.00
$130.40
Every pemit issued shall become invalid unless the wotk on the site
authorized by such permit is commenced withih 1 80 days atter its
issuance, ot il lhe wotk authoized on the site by such permit is suspended
ot abandoned fot a period of180 days aftet the time lhe wo* is
commenced.
lnspector
01 't 16002 51600
0'1 1 16002 51603
$22.08
$108.32
Fee Total:
Paid to Date:
Balance Due:
Unit:
Block: B
Address Range:
Historic: No
Fee Type
011'16002 5'1603 Serv Meter
01116002 51600 General Plan Update
01'116002 51603 lssuance 1
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
flor i0 Gorn!:
Planning Approval By:
Plan Checked By:
R.3, U
VB
cEc 2016
Misc. Receipl:
Misc. Receipt:
Misc. Receipl:
Total
Permil lssued By:
MID#: 2018-144836
ELECTRICAL-INSPECTOB RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Lioht Standards )
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)I
Ivleter Release /,/zt,/,zq /".1K)-i.t////
Rough t/
Service lvleler
FINAL /://2//a )
Notes, Remarks, Etc.tl /,/ H/"
OWNER BUII,DET DELCAI',{TION
I hcrcby amd under pcnrlry of Frjury lhar I dn cx.mpr Itum lhc Conlrlcnd Lncnsc L.w ntr lnc nrbwing @e,n (s& 70.11.5
Ansinc$ and P..fcsion Codc): An, Ciry or Counry which rcqutcs { IErn ro .ondrud, ahd, impti,w, d.'mhh or rcp8n any
\hcrurc, prior lo ns nsud.c. al\o rcqutG rhc a,,plicrir ror such f,dn ro nh r si8n.d slll.mtrl th0l h. or shc is lianscd p!^uM,
!o rhc provisions ot rhc Conrrcctolr Liccnred tjw (Chaprcr 9- Con'ncmio! *irh scction ?0o0 or Division 3 oflh€ Busineri and
Pn,ic*ioosCodc).rrhllheor\h.hcx.rrprrh.rcitudlndrh.tu\iqrorficollcScdcxcn{,tn'n.AnyviolarionolS6rionT0ll5hydny
applicrnrroraFrmirsubiccrsrhc.pplicanrioacirilp.nalryornormrcth,nfivchundEldolllnlS5lD)
6l-1, N osnr or rhc F,rrny, .r my dntldr.cs wn h wrs.r ,\ rhcn {rc omp.trqriotr. will do llE Bort and fic nBlE n mr
inlcndcd or oflaEd r.r slc (S(.7o44, Busi.cas und ftotsnff Codc: lhe C.nrrerois Licensc Llw docs nor trlply lo,tr own*or
rhc pNp€ny who hui8\ or iqrows rhe@n- and *h. d@s such rod. him{lf.r h.*.lt.r (h$u8h his ot hcr owncmployc€r.
pmvidcd rhrl su.h i'np$rcmn* orc mt imcndcd o. oltarcd fd srL ll howcw. lhc tdikling or i.q'mv€rNnl h $ld {irhin onc }rr
of.o.{,Lrir. rlr O*ftr Aui[cr will h.w rhc budcn ofFovin8 rhd h. or shc di].in hild or irymrc rhe pop€n] lor tlt I[{ne of
I. as.wtrn ol rh. pft,p.nt,,ncxclusivclycontrdinS wnh licctr*d conr..lo6lo connnd rhc rrcjer iScc.7044, Bunm$
,d Pmfssion C.dcr Thc Conr,acror s Liccnsc Llw docs n l ll]nlr ro an o*ncr or tn,p.n y *ho huilds or imp vcs rhctco.,
rnd *ho .onta.h r.i su.h t.ojccb wnh o co.rtu ro(9liccnsdpmur ro rhc Conrodors Li.cnE lj4
l:mr\rnnr unrr
/*"t lv,It
Sc.ri{)n . .B &PC lnrrhi
'/ e etlz2-
I hcrchy ifiirn utrdcr trDnllyolNrjuyotrc ol rhc IolknvirE dc.l.rari.ns
-lhlveudpillnnrinroinaCcniaEarcoiConsnrroSclflnsu.cforworicFcompcnsdrtun.,rpmvidcdrorbySalion3T0ooflhct2hr Codc. fo. lh. p.rlormnc. of rhc work for whth rh. pcnn is nsued.
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hrvc und willnuinruin sorkeN.o,nFn\ali,)n iNur$ce- as rcquircd bt sccrnnr]?m.l rhc blror C dc.lor lhc pctionDN.ol
rhc sor( l'orwhich lhnFln,il is i\$<l M,+orlrn conrcnsarior inntrrmc crtricr plict nxnrh.r nc:
/r,(L l.cniry,har
'n
rhc [!€rrommc ulrh. tr.rk ror sh'.h thh r.nnir h issucd.Ishallnol cmrloy rtry per$n in dy nrnn.r
s tr\ ro iccom \ubjd ro rhc worlcF' ."n'n€n\a! ion laws ol Californh- ,nd lse rhar il I shoxld h..om subjd to lhc
sortcrs ompcnsln'n tnvi\iors ol Sarion l7(ro ot rh. Latxtr Co!e. l shlll- fonh{irh .oq)ry wirh rhos ,novkions
WARNIN(;: Friltrre t' scur sorkc^'.o'np.trs ri.n rorrrrle i\ unlr$ful. rtrd \hdll subl..r arr cnrpkilc t,' {in,inxlp.mhii r
civil iinrs up ti otrc hundrcd rhor\rnd olh^ (SI0O.(XX)). ir rd{lili(m k,hc.f\ ol.r rtrns ri({ rlxtrr!.\ x\ t,()v (t.(l tu' rl'd
Srrn'n 1076 ofrhc llhorCutc- inrcrc( rnd rrkrmr'\ tuc\
t+arl+)/c e
I hcrchynmrm utrdcr Fo.llyofpcrjury lh l am liftnxn undcr Fi)vhion ol Chaprcr 9 (d,(ftn.i.! *irh sdion ?{xx)) .f Oivisior 3
or !h. Busi.css and Pmfcssions Codc. {t 'nyli.ctrs h in tulliorcc endcflar
Lcndcls AddEss:
-
AITLICANI.DEI;IINAUO!
I lrt$y atrm undcr penrlry of p.{!ry 6 c drth. rolk,wing dc.luurt,ns
lxnmlirion PcrmirsAsh.sros Norificorion rc'icml RcBularhns (Tirlc4. P r6)
-Requncd
tlrrcr or NoilEorion
I (cdifyrhlr(hcfudctulrcgulrrii,N rgrtrdi ! r\If,!o\rr r,qlrrtf,InfDli(.hkn)rhi\fri!.I
,61..iirr 1 l ld,c rrld rhF rttnl'r '.tr kl {.rc
, rLlir,, (1.,'n,l s'rrc Lru\ (Lrii! r. hdilJi'rt !.trnru
rh)vu tr,ctrrn'ncd l]n,pcny i,tr i,,\p!.ri.n prrIn,{\
lhd rhc ihnc inlnflNrion i\corccr I iarehcoDplywirhrllcntrnd c.umy
dd h$cbyaur,ntrnc rcprescnlalivcs olr
n,Orr"r^o, n ont"rf tr* {fO t4 D
t"*tr." ""* tp;,,rt, /1ry'r-l
fih Cit, lrd Cornryro...o W.nrL
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Sub-Panels
:o-,lfr
Policy Numb.r-ErpiEs:
-
Licc nsc C hss:-Lic.nrc Nuf,b.r:
-
Drl.:- Conlmclor
-
qTNiIIIUGIIONIENIINIi3GEIII
I hcEby dlfm und.r Fnahy oa p.iury lh[l rhm is . oiirudi,tr kndins lscEy {or lhc pcrtorlr@c oi rhc work ror whi.h Ihh lrmir ii
hslcd (Scc. 3097, Civ C )
If,Mcr s N.m:
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