HomeMy WebLinkAbout20166326 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit#: 20{66326
Pin #: 449o2lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit:
Block: NA
BIdg:
f 'act 4022
Address Range:
Historic: No
Suite Range:
Zoning: R l
q
Assessor'sParcel: 408-094-30
Owner:
Address
Agustin M Clemente
2546 W Camden Place
Santa Ana, CA 92704
(7141277-7422
Fee Type
01116002 51603 Serv Meter
01'116002 5'1600 General Plan Update
01116002 51603 lssuance
Amount
53.28
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$53 28
$22.08
$55.04
:: :,]
Phone
Tenant Name Bdtchi:44593 - 7 /3/']i.119 It
0ff ice: CTYH TrClnsi: 94Accti: PEti: 1i
Rcpti:(t?318377 - ? / _1/2{"119 ?1
Tronsoct ion Totol $1
Contraclor
Address:
Complete Solar Solution of I
1850 Gateway Dr
San Mateo, CA 94404
(650) 241-148rPhone (:Bnpl€te Solor SolLrtr.li iit'(r, I
State Lic #: 961988
Lic Type: C.10, C46
Bus. Lic #: 352614
Workers' Compensation lnsurance:Carrier: American Home lnsurance
Policy #: WCO47O18O42
Expires: O7lO1l2O19
General Plan Updute Fee
0111600?- 516((rotttr-
El ectr icql
01116002- 5160300Cr-
ICL Check rll2829
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service meter
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2015 Notes: Handout given
Planning Conditions:
l\4isc. Receipt:
l\4isc. Receipt:
N.4isc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Amsden, Julie 071o3t2014
Account#
Buildins Permit #: 1 0196934
Every pemit issued shall become invalid unless the work ol, lhe sife
authoized by such permit is cornmenced within180 days aftor its
issuanco, ot if the wotu authorized on lhe sito by such petnit is suspended
or abandonod for a peiod o1180 days after the timo the wotk is
commencod.
$'r 30.40
$0.00
$130.40
lnspector
01'116002 5'1600
01 116002 51603
$22.08
$108.32
Proiect Address: 2546 W Camden Pl
Lot: 7
t22.08
$ lr.is,32
tSsl .40
Planning Approval By:Date.
Date.
Datel
Fee Total:
Paid to Date:
Balance Due:
MID#: 2018-144448
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTSAPPROVALS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
,,tg,ib 4,r^*,og2)' Bondinq / Groundinq i UFEB
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soflit Rouqh
Ceilinqs (T-Bar Rouoh)z-G,Ivleter Release D,tb,rb
Rouqh W&.,,Service lVleter ./8, t 50. 19',b ./s?24
Notes, Remarks, Etc
OWNER BUII,OIiR DELCARAI'ION
I hcrcby rr'.tr'n u.dcr ri.nuhy ot pc.lury rhlr I am .rcmpr tom lhc Conlta.r.d Liccnsc Llw lor lhc n,bwiry rcu\on (S'c'70r1'5
Busin.ss urd Pntrcssnrn Codc)r Any Ciry or cou.ry which rcqlircs . lfrn lo connruci. ,hcr. imlrovc d'nslish 'r rcI'ii onv
slfl.rxrc. prhrro its hs!,ncc, &l,o rcqutcslhc applicsm roi suc[ lcrnn h 6h u sistrd slakmnr lhar tror shc h liccn*d punuanl
ro rhc pr,{sn,ns or lh. Cofll.!€kn\ I-ic.ns.d tiw (Chal)lcr 9. Cofrncncir8 wirh sc.rion 7u)0 of Divhid.I oflh' Busincs ind
Pror.\sions Codc)orlhar h.orshc is.xcryr lhercfmmand rhc b,sn for rlrsll.Ecd.rcnlliotr Anv!id,rio.olScdi'n?0ll'5bvrnv
lPtlicanr {or a Fnir suhi.ds lhc aprlicanr to , civil Fn0lry of nor 'erc rhs rivc hlnlEd douds ( $500)
I. .s owncr oI the Dmrtny, or my cnDLysc\ wirh w,gcq N rhcir $ic cotrq*n\arion, s ill d, ll* *o* and llE (trr@ k m'
i' . dl or oflcrcd rnr sl. 136.?(}14. Eosinc$ dnd P$fc$iors Codc: Tht Conlnclor'r Licn\c Ldw docs .oi oltlv b M owmr ol
rhcpopcd, *hot ius o. inDrcrs rnchn. nnd who des s!.n $* him\.lr or hcrcla or rhhuCh hh or hc, own
'mplovccs.ptuvidcd thrt $(h nnltr amnh arc mr inrcndcd or ollcrcd tl,r sal. I I howoq rhc t{iktirE .r inlpovcr in'ldwihironcJU
;f..q,lcriotr. thc (^rncr Blilld *ill hirc rhc budcn ofFovi'rB rhit hc or lic dii ft hild or invrevc rhc pRrr.ny for llE I1u{ns of
-1.
as.wncr or rlE pn,l,cny. am.x.lusivcly..ntmrinS wi(h licenscdconr,cMslo.onxrru.lrh. pmlccl (Scc ?o44 Busmss
and Pmt6sb. O)dc: Thc C.nka.roas Li.ensc Llu de\ nor applyro an owncr or nrorcrtv who huilds or impoves rheron'
and who conrn k f.r such ImJccls sirhn Conh.iinlt li.cnscd Prhutrtrr to rhc ConrEcl(' \ Lic.nsc hw)
I rn cx.mplu .r S..ri(
D.r.: - O{rcr.
wonxrns' coNtPntirlrrol
!ECI.A8AtrO!
I hcreby ullirm rndcr pcnalry ofpcrjuryonc.r'h. i(nl.*ine dcclararionsr
l havclnd*ill mi"r'in rCcdilic cofCon\corbsclrlnsnrclnrsqkc^.omPctrsrrion ss Pmvid.dforbvSccrionlT{n'rrh'
tjb.i C.dc. ior tlr pslormncc orrhc wort lor vhich rhc plmir h isslcd
Ihuvcrnd*irln,inr,inNotkcrscon,Fnrrrk insuDmc.$ rcqtr n.rl b! SGl ion :l7m ot rhc Ltho, Co& nn lhc pcrfr'ronc"r
mtlctrsalion in\urrtc cMicr Md lolicy nrn$er (c:
1/.-\-tq
-lccniryihtrr
inlhc pcrfornEno.r$c worl lbr*iichrhi\ p.rnrii is nsucd.l \hallnor ctrlPlovnnvFr$n in rnv.unncr
soNrok+onEs!tj.{lx,th.wo.rscompcnsalbnldw\.lC,lilornii.lnd4r.cth.tifIsholld}f,r.msubitrrorh'
*orkcs ompcns.lion p&vi\n,ns olSccrhn 1700 orrhc tjh)r Codc., dull. fonhwiih con{'lv sirh rn.$ flovisions
WARNTN(i, Failu* k, *curc workcA onll)(.\.rion covcrrSc is unhwful. rnd \hrll suhF_r .n cnrplorcr t, dnniml Pctruhi\ rnd
civil nncs ut k, o.c hundred rhou\.nd dollrs ($l0l).ooo), in ddiliotr ro llt co{ ol .onDcnsarion- drm,ges rs !rcvidcd n' rhc
:::"jtiHb"$lctr
IicEbyrmrdundciP.mhyoipcrjuryrharI nli.rntu.dundcr!n'!hionotChaPtcr9lco rmminf *irh Seclion 70fi)) of l)ivtnrn l
oi rhc Ausincs Md PioLssionsCode. ad ny liccn* t in tull
,-"-,--,q
C(TNSTRUCTION Ll'NDIN(i A(;EN(:Y
I hcEhy trrfirm undcr pcnah, oiFrjnrr lhr lhcrc h o consrdclbn lcndin8 asency r rhc pcrli,,nurcc or rhc work lor vhkh rhis Frtrrit is
nsucd(s( :ror?, civ c.)
AflLllalfllEcLA84rlQN
I hclrby altm lnder D.nnl(y of perjury otu of rhu foltowin8 dccllr!{ions:
D.mlrnr Pc rs AstEs.. Nolificaliotr Fcdcral R.lxlarhns (Tillc40. PM6)
-R.iutcd
t l.rorNdilic iotr
-l
ccniry rhnr $c Ldcnl rcsul n,ns r8ddirs lsb$lor tcnn,var nrc mt {plicabL r. rhn 0rojd
I ccdily rh l l l c rcid lhn rtlli.rrnn ndd { rc rh rhc rliM inli,i,nrri,,n i\ c.rc.i I i!r$tuc.nrllysirhrll Ciry dCoutrry
ordi,ancc\ md Sllre Ltrwsrclditr3l,i blildiiC .on{rcriotr
bovc rctrrio.cd lropcny lnr
FINAL
tJnJd q AJdEs:
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