HomeMy WebLinkAbout20166358 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana,'iA927J2 Electrical Permit #: 20{65358
Pin #: 8665{lnspection Requests: (714) 667-?738 lnspector Section: (714) 647-5853
U nil:
Block: NA
Bldg: Address Range;
Tract MATTHEWS' ADD Historic: No
Suite Range:
Zoning: R2
E
Assessor'sParcel: 008-082-22 Lot: '15
Owner:
Address
Alex B Valdez
7O7 E Chestnut
Orange, CA 92867
(714) 637-6788
Fee Type
01116002 51603 Serv Meter
011'16002 5160C General Plan Update
01116002 51603 lssuance
Qty
1.00
1.00
1.00
Fee
$53.28
$22.08
$55 04Phone
Tenant Name;
Contraclor
Address:
Owner-Builder Botchi!{4719 - 7/lid/2tJ!8 ID: I.R0SALES0ffice: CTYH Trons+: 5.,, I ot IAcct+: Ref+r 211166359
Rceti:02322?26 - 7./10./?019 1:39 Pn
Tronsoct ion Totol l l Jrl,4tl
Alex I VoldezState Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
6et,ep61 Plon Updote Fe"
01116002- 51600000-
ElcctP icol
0111600:l- 51603m0-
Vl30
CC+ ? r**r*rrrr***0481
s22,08
| 108.31
tI30.40
Auth4 | 010204
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type
Code:
Notas: handout given
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
andez, Kathy
Date:
Date:
Date:
Every permit issued shall become invalid unless tho wo* on the site
euthoized by such pemit is commenced within 1 80 days Efter its
issuance, or il the wotu authoizad on the site by such pemit is suspended
ot abandoned fot a peiod of180 days afrer the time the wotu is
commenced.
$130.40
$0.00
$130.40
lnspector MID#: 2018-144538
01 1 16002 51600
01116002 51603
$22.08
$108.32
Fee Total
Paid to Date:
Balance Due:
Project Address: 1211 W Santa Ana Blvd
Amount
53.28
22.08
55.04
Phone:
R.3, U
VB
cEc 2016
07t1012018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL.INSPECTOF RECORD
DATE ID/SIG.COMMENTSAPPEOVALS
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Bool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilinos (T-Bar Rouqh)
lLtrf rltll -lu7a4 9W-ao.z%f r@Ivleter Release Tlrtlts
e"qeb 412'2' fce
Rouoh
Service lVleter
"9 {t-r7t&1FINALb/,<l|t\
Notes, Remarks, Etc
()lYNtiR lllrtLt)t.:R lrl,il,(1R,t l loN
I hcicby atnirn undcr pcaalry (r rcriury lhal I m .icfrpt fsm lhc Coortrck's Lkcnsc L!{ ror thc lollo'ins rcasn (S( 70'l l 5
Busincss dnd Prolesion C.dc): Any Cily ot Counry which rcquir\ a Fmnl to .onsrto.r' ons. imllrovc, d''mlth or rclrn 8nv
{nEturc. prirr lo ik issu.n.c, lho r.qun$ rhc ,lllicrnl fu cu.fi pemir b lilc ! \ised qr cmnt Ihal la or stu is liccn{d Nrua
lo lh. pmlisions.' lhc coDrlactor.s l-ienscd Ljs tchill$ 9. co6n.n.nlB Bilh seclio. 70ot} ol Divisioo ]] ollIE ltUlincs\ dnd
Prclcsions Cod.) ot lh.t hcorsh. ncrc.rpr rhcrcfromlnd rhc btr\h r.rrhcollcacd.r.nnion Anvvidorio'olSNlionT0ll5bvn'v
arplic{nr fd{ll.mil subjccIs lhc 4pl,crnl lo rcivil Pcnrllyortrol !no.c rnm liv. hundrcd dolld*($5ur)
L as ow.cr of lhc lln,lfny. or my cmnloyccs *irh *agcs !s rhct $k .ulFns.rion- ,iU do rh. work and lh' sME h fr'
intnd.d or offdcd rd q1c {3a 7{}r4. susirrcss atrd Pnfc$tun\ Gdd Tlt Conrr{ck \ Liccnsc Lov docs .oi rpPl, lo !0 owncr of
Ihc potedy wtx) ttrilds or iinoB rncmn. and wb {nB {.h
"ork
himicll or hcrcltor rh,onghhis.r hcr o*n emplores'
,ro'idcd th .u.h impbrcrftnIs e mr inrcrdcd oroffcErd fo. $lc lll bwcv.r. rhc tlildinr or nr{mlcnEnl t $ld *i(hir one ,e!r
of con$hlion. llE Ot.( auiu.r sill hlvc rtc hordcn o, ProlinB rtd lr or shc dil nor build or irnpow rnc lstxiv fo. rh' purlr'$ of
-l..sowncrol
rhc pmt)cny. sncx.lxsilcly..nkrcrins sirh liccn\.tl conlndon u.on(rucllh. trcjcd (s( ?044- B!'i'r{(
,nd Pn)fc$irCodc: fhcContuctor'sLicctr\cL!*doc\iorrttrlytorno*ncroltrfl)Ilcrlv*hol,uildsori,npnrcsrhcr'on.
.nd who conka.rs ror sucn rnjccrs wnh . G, nckln s) liccn{d Pr\u.trr lo rhe Conk,.rtr s LNnt ljw)
I d .xcmrr utrdcr Sccrnrn-,
I herchy afirm undcr p€nllrydrPc.ruryorc ofrhc folbwinC ddl.mlions
-l
hrrc ud will nuinluin u Ccdiarorc oa Cotrsnr h scl nsurciorwortcG. nr.solion. a\ rolidcdlorbvSccrionl?(xrofrhc
Llbor Cod., ror lhc tsformmcd .{ rhc vork ior which rbc p(mir h issucd
-l hdvc and will mainldin workcn compcns n,n in.urrncc. as rcqlted hy SNtion lT0Oofrhc tjbor Codc- foi Ihc !'rfonuncc of
rh. *ork i whichlhisp*mir is Gsucd. Mywo.kcN smpcnsltinn insntuk. c{nicr a8l p.lkv nunrhc! m:
WARNING: F. lurc ro ccurc sorrcn .urcnnrlii,n.o\crr!c i{ trnhqiul. nid \hill suhicci m onnkiv'r lo ciniml |tnrhics Md
.ivil fincs xp ro oN hunnrcd rhoxsrnd dollrrs (Sl(X),(Xl(
Sc.rnnr 1076.fthc Lrtxr Grle. i crc(ari! Dr'f,y \ lit\
conr.nsdrion, namus$ rs !rcrntd for rhc
I hcrchyalfiflnundcr pcnrlryofPctjurylnd I th li.!n{n u.dcrytolisi.n olchlPter 9 (crn'rn.i.8
ol !h. Ausi.cs and l']olcsrbns Codc. and my li.dn* is in tull (.N llxl .lTNr
C(INSTRI](I'I'IoN LENI}INC A(:FNCY
lhctohyrfirnrundcrpcnahr.rp.rjuryrhlheEir,.on{ruclhtrlcndincr!cm}lorliepcinnmmcolthcs'rklorwhichlhisp'rn'ili!
issucd (Scc lm7, Civ. C).
AITLLCANLDICLAEAIIOX
I hs.ty lJfmr undcr pcmlry orFrjuryotrc oirnc f(nhwiD! Jcclaroli,ns
Dcnnnirion Pcnnirs Ast*slos Norificartun F.dcral Rcsullrii,r\ (lillc'{). Pin6)
Itc(rirc(l I.(crol N.rill. lit
t cdrfyihll lhc lcJcrtr]rc!ul ri.n\ rcSrrding r\tt{tr rcnmvrlrr. nor r|Dlic.hlc t, rhi' Frlc.i
l.cnllvthrr Ilr\c rctl1l,i\ r0|l'.3rtrnr rnl{on i\..rcct.l!!rert..mplywirh!llCiry
ordinrNcs rnd s1rr0l r{\ rcldirE r, huil
nlx)v. rNi, rd |xin 'r) for irst'ccr
/\pDliunl nr A*(nl Si{ t ,.&r 0rAo /2
Policy Numl,cr:-Erdres
-
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ccniti rhdr in rhc tcr{ortun.. ofrh. work lor which rhh Frmil is tstcd. I sh,ll.ol emplov anv rcBon in a'vrdrot
$ .s b tEom slblcci b lhc rorkcd ompenrd i.n lovs of Crlifodia and aBrcc thlt il I should tEom sui'd h ltr
workss comrcn\arion nrovisions ofsecln,n lTmoflhc Lltnr Cod. l rhdl. fonh*nh.umrlv wilh Iho* p&ri*iotrs"
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