HomeMy WebLinkAbout20166343 - Permit (2)IrCity of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M'-19), Sa'nta Ana, CA927O2
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2f)16(i343
Pin #: 15712
Project Address: 1201 S King St
Assessor'sParcel: 407-034-01 Lot: 108
Bldgl
Tract; 3423
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Carlos & Gloria lzguierdo
1201 S King St
Santa Ana, CA 927043121
Owner-Builder
01116002 51603
01116002 5160C
01116002 51603
Amount
53.28
22.O8
55.04
Fee Type
Serv lvleter
General Plan Update
lssuance
Qty
1 .00
100
100
Fee
$53.28
$22.08
$55.04
Bot,:h+:{4691 - 7 /9 /2t7lg
off ice: CTYH Trnns+: ?A,:ct+: Rpf+:
Rcpt+ 3 E?321!:r37 - l/9/2lt19
Tr(lnsscU ion Totql
2rJ1/16.t
sr ,i? AIt
$l.J(r.4r-r
Phone
(:or l0r
Generql f'll l li![r0?-
E I E,:t !' i r:ti
r-r1l 16r:102-
Cosh
(:honeE
ilrr ir l:rgrr ierdrr
tnn UpdoLe Fee
i 1 6rl r,fl:[:r:t..
t.
i!6trf,ttLu-J-
Building Use:
Job Typel
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued 8y:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter
\N Hernandez, Kalhy
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016
Notesr handout given
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
07 togt2018
Account#
$130.40
$0.00
$130.40
lnspector MID#: 2018-144495
011 16002 51600
01 1 16002 51603
$22.08
$'r 08.32
Fee Total
Paid to Date:
Balance Due:
Unit:
Block: NA
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Every pemil issued shall becone invalid unless lhe work on lhe site
authotized by such pennil is commenced wilhin 180 days after its
issuanca, or if the wotu aulhorized on the site by such pemil is suspended
ot abandoned lot a period of180 days after the time the wo* is
commenced.
ELECTRICAL-INSPECTOR RECORD
COMMENTSAPPROVALSDATEtD/stG.
Underoround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bondlnq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soflit Rouqh
Ceilinqs (T-Bar Rouqh)
Rouqh z")Service lvleter nil lt\w(vFINAL
Notes, Remarks, Etc I_t
\
OWNER AU[DER DEI,CARATION
I hcrchy allirm under p.Drlly ol pcrjury rhtrr t m cxcmPI lmm rhe Cohtncro6 Ltctr* l-,N ror lhc hlnrwins r'asotr lsc''70lll5
lldsinc* add Pioicssiotr C.ncrr Any Cny ot Counl, ehich nlutcs a penlir ro ..nsh,cr- ah6. imFrovc dcnmhh 'r RIrn rtrv
nrucrue. lrior ro ils itsurm.. ,ls rcquncs rh. arPli.snt for su.h Fr.ri! ro tlk n siarcd slnrohnr thot hc o, rhc is liccnrcd Pur$anr
b lh. ptuvisions ofrtE Conrtlcktr s Liccnsd Law (Chafl.r g Commcrcins sirh Scdn'n .70(x) ol Division 3 ol rh' Ru'in's 'nd
Pmfc\ldN Codc) or lh0r hc.r\hc i( crcnDl thcrcftod add rh. hasis lorrheau.Ccdcxcmplion Anv vi.l,lionofSc.rk'n?0ll'5 $von,
,pt'licafll for tr p.rmir \rbjdrsrhc amlicurro acivilFnahyofnol moErlkn 6vc hund,cd dolhs ( $sOO.
l, I oqNr ol rhc lr)r.ny. or my cmployceF wirh siScs .s lhcir s,lc .onltns ion. willdo rh. "tA oi rh. xrtutm k 'hrinrc .{ orolTcdl ror slc lSs.7IX4. Bu{ncss afld Pmlcssions Codc: Tic Contacr.r's Lkcns Lrw der ior tJ,rlv ro o*'trof
rhc F)rfry who blilds or iq,mvcs r,rcNn- and *h. dds Mh qorl hims.lfor lrtrcllot rhooBh hh o. hcr owncopl'yc's'
t,ro,i lcd rt !r ru.h imrmtrmok m mr i{cndcd n oiarcd ior sk li h.stts. rh. hdiklir8 or inl'mkmnt is $ll q'irhh onc ,u
;rco'ry)lcrion. rlE Ow;r suirls will hrw lhc hr&n.t rrcvin8 rhd tru +c dil d n{ild or inpmuc lhc Pr,lcnr aor rhc l)lrlnE of
-l-
0s.*m,orrh. pmrcny. amcxclosiv.l!.onoacrin8 with licc n\.d .o.tr0cl oF t, ondfl.r the Pmjccr (Sc. ?04'1.l,u{ncs
a th,fL*shn aodc:'l hc Cnnrn ntr s Liceos.ljw do.s.or llply lo roo*n.r ofrrcIlcrlv *ho huilds or im,,olca rhcrotr'
lnd sho.Dmachlorsuchpn,Jc.(vi$aConia.ro(sllicch\ddPusunrrorhccoM&toisl-iansctis)
_l mcrc'npi u.,lq Sal {U ;-Da.4vg .
lt()RxIr\. r'(r\tPuNs^11()N
Drc! 3aua!
I hcr.$yrlr;'nrndcrFnrh!or|rcrjuryo corthcrollo*irsd..l,mootrs
-l
hrvc !dwill tuinroin s CeniiEar. or Con* loSclf.lnsot rt, *orkcs otrDcnsrion, as Pmvid.d f(t bv SNtion r7u) 'r rh'
tibor Code for lhc p.rrommcc oflh€ wo* t r which !h. Fnrir is Gsmd
-t
h!!€ ,nd sill nrinlrir *orkc^ comp..sarion insunncc. c rcquircd by Serion l7u) of th€ l3txtr Codc for lhe polormMce of
rhc sork lo which rhis pcrnir i3 i3su.d. My wo m @opcnsarion insurrtre .ricr .td ,olicv nlnb€r nE:
l.cnilil[{r ir rl'( pcrlnnMD..oflhc wort for whichrhis Fnnir ir i\\ucd.l shrll mr cinPh,lanvll(sotr i'r '0vnxnt'v, !\ r{i l*..^.oft {ftjccr ro lhc vork.rs conEn\ariotr las(oicrlironria. nlisrcc rhxr irl should s.( rcsrbjs..ilorltr
wortcr{ coiltctrsdlior pmvnn n\ orsc.lio.lT0Oolrhc Lt}$r a)dc.l shall, r{nrhsirh condv wirh rh.s F)rnnrns
WAININC] Fsilun lo scutc wor*e6 cunFtrsflrn,n cov€rasc h unlawtul. and shdl subjcct !n cnpl'rtt lo cnnitsl Fn'kies 'ndcivil fincs un ro oft hundrcn rhousund dollars (SIOO.Oi)O). in dddition to lhe.d{ ul.oq,cnsario.. d,nE8cs os flovid'd ror lhc
st\tln]076ollhcht{lcndc.inlch{xndl.rmy'lcq}::;Eryv-T;;:'K ,4 ;Q,F,fi,
, I..IGNSELCONIf,ACIIJB '
DECLAAAIIQN
I h.rcby amrm undcr F.alry ot pcrjuy lnd I sn liftnrt undcr l,otsionofchortcr 9 (.\JtumDcin8lirh Sdi'n 7000) orl)ivtion:l
of rnc Blsincss lnd PDfc$ions Codc. od my ltcns i\ in tull for.c afli cfie.
Conlr.clor:
CONSTNIK:TIoN LIiNDN(; A(;ENCY
I hcEby 0{irm lRlcr Fndlr} of pcdury lnll rhdc h a onsrflctirn lc.dinB a8crcv ror $c p.rrornErcc Df rhc wotk tor whth rhi\ Fmir k
i$u.i (Scc. 109'7, Civ C )
lrnd.''\ AJdrc$
AIPIICANLDLCLIMfION
I trrh, i,Itrf, undrr p.nlllynfFrlury om ofrhc rbllo*ing dftladions
lxnFlirion l'cflnirs AslEslos Norifirarnin Fcderal RcEularions (Tnb40. Pm6)
_R.rtnncd tl(crol Norill.rrion
lccnifyrhri rhr fcdckl rc8ul{li,,trs frs&h8 nsbc(osrcnro\rlnr. .riDpli.x6l. b rhir |nol.cr
--trqlilirh l hrvc rcrdrhi\ rppli.rrionmd{\(cihxrrh.ih,vc rt(i)nnrli(r noncd ltgrNhconrdywnhillClrvrnd(i)utrv
;rrinrrcN;id srdc tnss rlrrits i. bnildtr! connn].ri.n. r h.rhy.nrho.i/rrrPrc\.tkriEsofrhnCirvMrrcotrr]rrr rcrul}rtlt
.'l'{uIJi.,rJr',1f'l!',rtr',|ci',inN'P^li\/l.,...|..--
\DDrnanror\Hen,\{Ann,um. f--$Lur 4//",11 , "'1'"/ ' 1."
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