HomeMy WebLinkAbout20166323 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CAg?70?
lnspection Requests: (714\ 667-2738 lnspector Section: (714], 647-5853
Electrical Permit #: 2Ot 66323
Pin #: 13921
Project Address: 2108 N Freeman St
Assessor'sParcel: 001-182-34 Lot: 20
Unit:
Block: NA
Bldg:
Tract: 30'12
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Contractor
Address:
Mada Oregel
2'108 N Freeman St
Santa Ana, CA 92706
(714) 836-9101
Alps A/C & Heating lnc
1000 E Howell Avenue, Unit
Anaheim, CA 92805
(714) 633-8892
Fee Type
01'116002 51603 FWU
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
24.79
22.O8
55.04
Fee
$24.79
$22.08
$55.04
Qty
1.00
1.00
1.00Phone
Tenant Name:Botch+:44593 - 7 /3/2t1l90ff i.e: CTYH Trnn.-tr 91Acct+: REt'+ i
Rcpti:t12318360 - 7 !11?ttlg
fronsoct ion Totol
IO; L
?ti14
$313,
Phone
Alps A/C { Heqtins In,:
6ener(1 Plcn Updqte Fr-.e
01 1 l6r:r(r2- l160firtrf"r-Electr i ro 1
011I60(2- 516u3t:fl:rtr-
ICL Che.k r:15737S
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Single Family Dwelling
Miscellaneous
NC
Date:
Date:
Date:
l\risc. Receipl:
Misc. Receipl:
N,lisc. Receipt:
Total
en, Julie
\
Subject to Field:
Building Permit #:
Every permil issued shall becofie invalid unless the wo.k on the site
authoized by such permit is conmenced within180 days aftet its
issuance, ot if the wo* authoized on lhe site by such pennit is suspended
ot abandoned lor a peiod of1E0 days after lhe time the wo* is
commenced.
07 to312018
Account#
$101.91
$0.00
$101 .91
lnspector MID#: 2018-144442
01 1 '16002 51600
01 116002 51603
$22.08
$79.83
l22.tl8
t7?.83
t.113, 73
State Lic #: 567953
Lic Type: C-2O
Bus. Lic #: 0177939
workers' Compensation lnsurance:
Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY
Policy #: FLA00731700
Expires: 1011912018
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes: Directchange-out
Fee Total:
Paid to Date:
Balance Oue:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service lvleter It
FINAL 9lllr/4tt q 01 t)
Notes, Remarks, Etc.
OWNER AUII,DER DELCAR.ATloN
I hcrchy lffiln undd peulry of p.ijury rhd I m ci. lPr f,ort rlt ConteroB l-i.cne bw fo. rh. followinS rc0en (Sc.?0ll 5
ausnrss Md Pr,fcsion Cdl.)r An, Cny oi County which Eqnim a ,.mrir ro .onerud. allci inprovc. dcmlish.r Epdi .try
srrucrurc. rior to ils issu0mc. olh rcquncs thc Errltant lor such Frmir ro lilc a si8rcd nalcmnr rhlt hc o, shc is li.cn*d pu!$anr
io rhc povnbns oa rh. C.nrtucrois Liccnsd law (Ch!flcr 9, Condcncing wnh S.cdrn ?fiD oi Divhion 3 oflhc Blsinc$ ond
Pmic$ionsCodc)orrhdh.orshchcxcmprrh.rcfrom0ndlhcb,s[rorrhc,llc8cdcxcnpliotr.AnyviohliotrofSeti,nT0Sl5hrsny
oppliclnl for a pcnnil suhF sthc arplicanr lo scivilrnallyolnot rrcrethatr fivc hundrcddollEs($500).
-1,
as ostr.. ol lh. pmt ny. o. my cmllorNs with w.8cs $ rhct $k smpctrsalion. *ill do rhc wok $d lL srcrm i\ mr
iorcftH or olicrcd for elc (S( 70r,a, Busin ss ond Pr.r'cssions Codc: Ihe Co"hi{n s Liccn* t:w tktr mt ard, ro !tr osntr ol
rhc ropcny who bdilds ur irfmrc\ rh.mn. uil wlm d*s sNh qo* hinNlf or hcr$lf o! rhmuBh his or hcr o*n.n{iloy..s.
Fovidcd rhnr such itnprornrnh m ior i .dlcd or oflctd for slc lt hNr*r. rli huikling or inqro\um is soh wirhitr orE )u
of con{,hlion. lh. Owmr Buildcr will hrw ltE budcn ol pmving rhd tr or shc dil mr &i[ or inyrorc ltc Impdy nn rtc tn,Fi* .f
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nnqeflrpl uxlcr Sccr
Oln?r:
}IaBTE&I11:I,IIIINSAIII}B
D&SLAAAIIO!
I hcrl,y rni'r unJcr |Inxlry ol p.rjrt onc of rtu lnlk)tri'rE d..hmrion\
-lhavcandvilltuinuin!Cenific,reofCon\c
roSclllnsorclor$orkcE.\,mFnsrion.rapovid.drorhySccrhn:l70Ootrh.
ukr Cde. for lhc I'.rformncc ol lhc eort aor whi.h lhc ncrmil t hslcd.
-!d-'""ridwill hn rin sortc6' c.nrNnsarnr nr\rran.c..s toqntcd bf Sccr k,. l7(x ).1 rh. Lrhor (nJ.- tnr rhc Frfom!tue ot
pcirnn k ksucn. My *orkcrc' .onrc.salioo insurarc! cntr and F,lty nu'lher 6c)-Ft&/LS lAkr-ao n* /o c
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ccniryrhlt inlhc pcrlarmlnccofrhe work,i,! whichrhh pclnir h issucd.l shall nor cmrl{,y rny p.rv,n in rnynrnmr
s) rs b tf,(om \ubj.\r tu rh. wof*ds .omtcnsdn,r hws orc.lirorni,, and.BEc rhd if I should bc.onf, sunrErr h rh.
qorkcN'coq)cns{ionpn,vkionsolS(tionlT00olrhctrtF.codc.lrhall.lonhwirhcnnplywirhrhoepn,vttnE.
WAXNINC: t'ailurc to surc workcrs'compcnsalion covcmBc n unhwful- ud shtrll sthii an ctr9btti k, dimiml Fndrics ,nd
civil fitrcs !p k, orc hnndrcd lhousa dollais (Slm,(no). in rddilion ro rhc cod ofcompcn\arioi. dnmg.s 0s Providcd lbr rhc';::u/;/bdc. intcrc( md atlorrcy s lccc
8 ,rppti.,nr, -Z-r !( FNSrn (oNT&l('ToR
DECI,I.BAIION
I hcr.by firftrndcr rcnrhtofpcrrrrr rh.r I am li(n*d und.r pRrvhion.fChnflur 9 (coNrErEirlg with S(rbn ?0U, ol Divnion.]
ol Ihc BusircssaM Prnissnnxo)de. und nyliucnsc n io aull torcu anlcffcrr
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CONITIAICI&TIEIDIIG.AGINC.Y
I hcrcby lrtum undcr rEnohy.a ncrjlrr rhnr rherc n !.on(rudion lcndinB aacfty rrtr
'h.
p.dormnc. ofrha wo.k for whkhthis pcrmn n
i$ucd (Sc 1097. Civ. C.)
A.TIIIIAXIIJIIIA.BAII9!
I h.rchy Umundcr lxn{ll, olDrrjuyonc olthc f{,llowin8 dcclfolnrns:
D.mlirion Pcirnit$Asb.{.s Notifi .ation Fedcr0l RcEUirrbfl ( (1 irlc.l0. Prn6)
-RcqDtcdt
$olNoriarclrion
lcrdifyrhar rhcLdcrrlrcguhri,'n\ rcAuding r\hcdo\ novrlar. n.rrtrnli.$lc n) rhi\ !tuj(r
I.cnrfyrld I h,vc tundihis rrfli.0tiotrold st.tc rlhr thc trhrlc intonndiotr n.oFccl lo8rel
ordinrk.1.trdSrdcl-awsftlalinShbuitnrg.on(ru.rn,n.r l hrrcby rxrhorir rercscnl$ivcs ol'
rhok nriri,,n.d pn)F-nl lnr i
Appli..nl or Agent SiSnaluE
P t+(,Ct-->^-tc,{9.
o comrly wirh all Ciry and Counly
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osovrcrolrhc rmr.ny. !ncictu\nrlyconrftlri.B wirh liccnscd connldn\ r{, con{rucrrhc pr+.r (sN. 7(}:r4. Bx\irc$
dnd t".russbn Code: Thc c..tr.ttr ! Li..nsc Ldw docs nor npply b a..sndr orptupcny wl$ builds or nnprovc\ lncrcon,
and who co.tmcls for such nm]ccls sirfi a Conlock'n s) lienscd pusuotrl lo rhc ConIrrcr(tr s l.iccns tjs)
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