HomeMy WebLinkAbout20166425 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa AnalCA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 2fJ16,fi,425
Pin #: 67367
ProjectAddress: 1604 N Towner St Bldg:
Tract 1448
Address Range:
Historic: No
q
Assessor'sParcel: 405-312-27 Lot: 3
Owner:
Address:
Jennifer Rouyer
'1604 N Towner St
Santa Ana, CA 92706
011 16002 5160:
01 116002 5160C
01116002 5160:
Fee Type
Serv Meter
General Plan Update
lssuance
Amount
53.28
22.08
55.04
Qty
1 .00
1 .00
1 .00
Fee
$53.28
$22.O8
$55.04
Tenant Name:
Contractor
Address:
Professional Solution Servi(
1350 Senora Drive
Corona, CA 92882
l7 14\ 3s7 -1257
Botchir{.(841 - 7/17/2t1fg ID: I.R0SALES0ffice: CTYH Trnns+! I I of IAccti: Rpfi: 2r:r166,t25
Bcpt+:02326238 - 7lt7!21118 8132
^nfronsoct ion Totol t 1.ir-r.4tlState Lic #: 967036
Lic Type: C-10
Bus. Lic #: 37OO21
Workers' Compensation lnsurance:Carrier: Hartford
Policy #: 72WECZQ5994
Expires: O7l2Ol2O1A
Profess ionql Solut ion Senvire,..
Generol Plon Update Fee
01116002- 51600000-
Electr icol
01 1 16002- 51603(r(r(r-
V iso
CC+: r****r**rrrr58? 1
t22.08
t 10s. 32
t130.10
Auth+:0(rtt56G
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Medical Gas Systems
Service Meter
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes: Hand out given
Planning Conditions;
zuniga, Allissa
Date
Date
Date 07117 t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$130.40
$0.00
$130.40
lnspector MID#: 20'18-'144680
01 1 16002 51600
01116002 51603
$22.08
$108.32
Fee Total
Paid lo Date:
Balance Due
Unit:
Block: NA
Suite Range:
Zoning: Rl
Phone:
Phone:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #l
(
Every permit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced wtthin180 days aftet its
issuance, ot if the work authoized on lhe site by such pormit is suspended
or abancloned for a poiod of 1 80 days aftet the time the work is
commonced.
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.co MENTS OWNER BUILD!]R DELCARATION
I hcrcby rrfinn under Fnalry ('r Frjlry rhal I am crcq)r trom lhc Cinl6cron Liensc hw lbr rhc iollowin8 rc&sn l Scc.7o.r l 5
Busirc$ 8rd Prolcssion Codc) Atry City or Couniy whih rcqutc\ u Fmir ro .o.sflcr, alrd. in rov.. &rhlish .r Et{tr Jny
irdcrurc- nrir lo ils hsumcc. also ,cquiEs lhc amlicitrl for su.h Fcflnil to ,i[ . sismd slltemnt lhul tE or sn is liccnsd puruanl
to lhc pmvisiotrs of rh. Conlraclols Liccnscd tj* (Ch.rrer 9, Commn.in8 wnh S..rio. 70([ of oivkio. I oa rhc Busin.s ond
ltofc$ions Codc) or lhol tE or shc hcrcnrfl thercfrom rnd th. b{sh hr thc ollc8cd cxcmnlion. AnyvioltrlionoiScclionT0.ll.5byony
rpplicanr nn ! p.mn stbidr rne amlicu' ro ! civil n nally ol nol morc lhan filc hundrcd dolld\ (5500).
-1.
.s oqm! ol lhc pmpcn!, or my cnrfloyes wirh wagcs * lh.n rr. .owrnsdion. will do Ewort:ut rft slMlurc is mt
i'ncrLd oro,Icrcd I $le ( 56 70i4. lrusnEss and Prcltsions Code ThcConlr{c1ois Liccnsc Ljwdocsool!ppl}loanoemrof
rhc lmlEny wtu boildr or hl,ft\ rh.m[ n wtr) df,\ $rh m)rt himr.lf or hcn.lt.r rhrcngh hh .r h.r own cmrl]ryfts.
pk,vidcd rnd such itrq,n,tmnh m xn inbndcd or oliiEn for slc lt ln*.Nr, rllc hoilding or inpNwEnl G s,U viitin one ru
nternrrkri,n- ll.. Owncr Builds willh0vc lhe hurd€o ofprcvinS lhlr hc o! shc dil rDt toikl or irprolc lhc pmpcny for lhc puqD* of
l. ,s .*tur or rh. ,ol.ny, afl .x.lurircly .onrr4ring $irh lietrrd c(nnrut,6 ro qNln,cr rhc Fojccr (S( 71x4, Br\i,'c\\
lBl holtsiotr Codc rhcConrracrolsLicctrsc Lrw{brs nor 0ttlyro 0troeicr.ffropcnrwho huildror nrynvcs rhc.con,
utrd who .omrad\ nn su.h flojc.h wirh a ConrBcro(r liccn\cd pusuur h rh€ Conr.urols Li.cn{ uw).
I @ .icnpr undo Sccr
rgttrIiltsraMEdsa:IllN
IECIdSAIIA!
I hcdbyriin r undf fctuliyorp.r.Jury.i..frh. trlk)*inr dcclarations
lhrlc ddsrll Mtr ni'riC.dili(rrcofCon{rnk,Sclfl,\rrcli,sorkr(.1nnnctr\dn[.ns pn,vnlcd ri,r hySccrdr:]7U)ol ihc
l]txrCodr, ntrrhc ptrloilunccofrhc *ork for $hichrhc psrnil i\ issucd
I hrvclnn willnrinrrin *ork.rs .onrNnsnton insunm.. rcquind hy Sr.i ion l7{D of rh. I rftr C,d.. fttr Ih. |frbnrrncd of
rhc sork lor whi(h rhis!drn,ir i\ it\udl Myworks .o?xNdi"n i.$i,m..n*r ud poricr numb.r dc6t/)v+{/trt,,)€(q 7* 2.2-
lccnilvrhrt in rhe pcdornunccin ih. !cr\ {or shichlhh pcirnil t tsucd.l +nl1 nor cn,tl.y !'ry p.6on in anynrnrcr
ii rs ru tE.o'ft \ubjc.r b rhr *.rlcri $nFNarn hw\ of Crlitunir arJ rgfu rhar 1f I \buld bc(nrr subid t) rtr
*olkc^ .om!.ns ion rtuvisia s .f S..r ion l Tm of rhc Inktr C.dc. l \hrll. n,n hsirh (nnfly w irh rho$ pnrvision...
T ARNINC: Ijlilurc ro scurc workcF'
civil fincs !p lo om huturcd rhousand
Smr i.n ]0?6 ol rhc I drr CRlc inrcrc(
n unhwtul d sholl suhjcc' on cmplorcr Io aiminal p.nahis ond
.osl oi.orEnslion. damBcs as rrovilcd for th.--'l,**.]-lt -t{
I hcrcby {fi]nn undcr lfMllyoftcrjury rh{l I am li.cn$d undcr Inov tunorCh,p'cr9(comrmncinS with SNlio. ?000) ot Divhionl
dl lhc Businc$ and Alfc$bns Code. and nry lkcn* h ifl tull nEc ordcllccl
4oz e'7 l;(- to
)
q)NSIAICIIONIENDIMICENII
I teEby .ffirm uds Fmhy ol ,ciury rhal lhm h a oisltuction lcnding 0gcrcy ior lhc Frformrcc oi lhc work for qhict lhis Frmn is
i*sr.d (S.c. 1097, Civ. C ).
ATTUCINIDEgIdEA;D T
I lrnby dfllrnund.r p.nrlry.fpcijxry on. ofrhc folbuing dcchrrrn,[r
lxntlnion P$nrirs A\h.(os Norirr.dini !_.dcral Rcsulation\ ('litle.{}. F.ln6)
Rcqtrncd Lrrrf .f Nrrili.dk[
-l
ccnityl thcfLncro|rcsula|ions re8rdins lst cnos rcnmhl trrc no' l.tricrhlc r()lhh pr+d.
I ccnifyrhj lhdd tord r {rrcr)[ rhciliivc ini,rm i,,r i\ cor.cr Ir!(ar..o dysirhrll(-'iyandCotr0ry
onh r (\and srxrc lf,*sr.hr c.n{rucrnn,.unlh.rchyrurlxtrl/r'rprcsctrrinuof rhn(iryr dCl nyt)cnr.ruNidr
nti)lc nEnrbncd i'ro!.ny nn -0 -&Appli(!nl or ltA0l SiIn{hr
t,rmrilN nnnr ( prinl): :/tZ,4 W\q
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER 1 '1,U, .4 wrD
To rquerng
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solf it Rouoh
Ceilings (T-Bar Rouqh)
Meter Release llltllx V,t L{,0
Rough
Service lrleter 7 lrlt€'/rqn)
FINAL 1t ''\lts.,44rl,A
Notes, Remarks Etc.
APPROVALS
Transformers
Sub-Panels
Air Conditioners