HomeMy WebLinkAbout20166545 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66545
Pin #: 607{5
City of Santa Ana
Permit Counter: (714], 647-5800
Proiect Address: 922 N West St
Assessor'sParcel: t98-023-15 Lot: 67
Unit:
Block: NA
Bldg:
Tract: 1830
Address Range:
Hisloric: No
Suite Range:
Zoning: Rl
E
Owner:
Address
Stuart Goluh
922 N West St
Santa Ana, CA 927031638
01116002 5160:
01116002 5160C
01116002 5160:
Fee Type
Serv Meter
General Plan Update
lssuance
Amount
53.28
22.08
55.04
GenePol Plon ljpdot€ Fee
01116002- 516000fl)-
Electn icol
01116002- 51603(E0-
ICL Ch€ck !129
Qty
'1 .00
1 .00
1 .00
Fee
$53.28
$22.O8
$55.04
t22.N
t los .32
t289.40
Phone
Tenant Name:
Contractor
Address:
Stellar Electric Service
5751 Roosevelt Ave
South Gate, CA 90280
(714) 721-5389
Botchi:45077 - 7/30/2i18 tD: CCUEI.I-ARotfice: CTYH Tronsit t6 I of ?Accti: Rsf+: 20166949
Rcpti:023{{329 - 7 /3O/?Ol8 ?r1O hnTronsoctifll Totol i289. {0
Steltor Electn ic Serv ice
Phone
State Lic #: 905664
Lic Type: C-10
Bus. Lic #: 3701'17
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires;
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016
Notesr handout given
rofi"
Date:
Date:
Date:07130t2018
Account#
rnandez, Kathy
Every pemit issued shall become invalid unless the wotl< on the sile
authorized by such pemit is commenced within 180 days atter its
issuence, ot if the wotk authoized on the sile by such permit is suspended
or abandoned fot a period of180 days aftet the lime the wo* is
commenced.
$130.40
$0.00
s130.40
lnspector MID#: 2018-144979
01 1 16002 51600
01 1 16002 51603
$22.08
$108.32
Fee Total
Paid to Dale:
Balance Due:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL-INSPECTOB RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (Bonument)
s/t+lt,//</44(.9)
Life Safety /Low Voltaqe
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor -a
Bondinq / Groundinq / UFER -?-E-tg z 'C*..?,
Translormers
Torqueino
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Ivleter Release (88'rb 4<7(z))9QL tudlz"'\-::='-
Rough >|
Service lvleler 8-4,6 z 7€{"-'7 )\Lzez NdT*<
N
4
rks Etc.
FINAL
')
OWNER BI]ILDER DELCARATION
I h.rcby,ffirn utulcr p.nlhy ol FrJury lhal I im.xcmpl tonr lhc G)orractoB Li.i* Lrw f rh. follotinS rc!{,n (Sc.?l}:ll5
Busir.ss , Prntssi()n C{nc): Any Ciry or Counry whi(h rqrn$ a Fnnir r. ..nstrud. allcr. imp,orc. dcmolish r rcnrn ,ny
srfl.rur!. riorro irs tsuancc. iko rcqun ! rh. amlicsnr for ru.h Frnri ro filc tr si8rcd (alcmnl rhd heor sh. is li..n{rl Pursu0trl
ro rhc pmlisn,ni or rh. Conlracrols t,iccnrcd L,! (Chlt'lcr 9. Conn(tins wirh st.rion ?fix) ol Division 3 ollhc Businc$ lnd
Pmtc*ion s Codc ) or rhlr hcor\hc is cr.npr rhcrcrft,m and rhcbrsi\ fDr rhc rlk8cd cxcmptior Any vn,ldi,iofSecrionT0ll.5 bt 0try
aprlic.trr roh |trnrir nrbiccl( lhc arpli.ant lo ocivilpcnalryornor Dorcrhan fi!c hundrcddollrs l$5u)).
I.N owmrordL oFny. o. nry cnlplolt s wirn wd8cs 0s rhcir hlc compcn{rion, will &, rhc worr dd rhc slMrc is nol
i crulcd oroficrcd lor {lc (Se.7044. Busine$ lnd Pofcsions Codc Thc Conrtucrois Li.cn$ ttrR docs nol aDDly Io an o*ncrol
r h. pF Cny whr builds or inprolcs thed)n. nnd qk, dos ikh w,& hirnsclf or hcncll.r lhn,uAh ik or hcr oan cn[loyccs.
[ovidc.l lhul su.h impovcmnk e ret inrcR]cd or ollcrcd lor $k ll h.wcw. rh. hoildiu or iryoveNnl G sold withh .nc ,.d
or.onDhri,n. rh. Ow.cr Buiklq wil n0vc lhc hudco nftmvins rhal hc or shf did to, build or imJ,ovc llt prulcny ior Ihc plrlnrc ol
_1. !s oq,ncr of rhc ropcny. D.rclosivcl! conta.ri.E anh li.cnsd .ookrcroB ro oNn'. hc prcFr lS.. 7044. Buiie.r
.rld Aor$s,n Codc Th. ('onl ructol s Liccnsc La, docs n.r trml, l,) an .s.f or top.ny who hlilds or iml,rorcs rhcEon.
lnd sno conrrrr lbr such Edir* wirh d G,nr.i.t,i 0 liccn*d tu^u r ro lnc Conrra.lois L,i.ensc l-,w)
-l
mc{cnu unn.r S..ri,nt ,R &l)( ttrlNrcNnr
1rc4trli&i:rl.IllfENs ]IoN
DI.ELAB{IIA!
I h.rchyrlltrur(lcrn nrlryoltrrjuryoncolrhcn)ll,,qi,r!lcclrrri(trN
I hnh aql will ,tuinrai. a Cunific.rc of Conscnr ro Scll ln\!rc i, workcn ompcn{rion, aa provid.d rorbyScctio.3T(x)oarhc
ljbor Codc. lor rhc Frfortu.. dfthr ro* fur *hich rhr p.nnir is hslcd
I hrv.nnd willtrDidnin wortcrs comlEnsatiotr insulrncc. r\ requiBl by Sd.rion 17fi).trhc LttNr Codc, for thc Plarortukc of
rhc wo* aor *hich rhis p.nnil is issult Myworkcn srnp.nslrion insuranc€ cuici rxl poli.y numh$:m
I ccnilyrl in rhc pcrlhmun.lolrhc work t)r whi.h rhi\ Itnnir r issucd.l shallnot cnr/oyr y pcr$n innnynr ncr
$ !sb hc.1,nr \uhjccr t, rhc workcn .ompctreli.n l.ss olc.lilornia. !!d larcc 'hd
iil should hc...tr suhatl ro lh.
*.rkss.ortcn\xrionrmvi(ionsolScclionlT{x)ofrhctjhtrO)dc.l\hdl.n,rh*irh.onrllywirhrln,*trevisions
WARNING: I'dihtrc lo scurc sortcr .\,mprn\!rn,n o!.rrsc i\ uilrsixl. ttrd sh.ll nrht dl rrr cnrllo)cr ro sinihJ lxtrrltA md
civil nnc\ up b o.c hundrcd rhous{nd dollan (Sl(D.mO). in dirion b r
sc.rnnr:l076ol rhc Lrhtr (ixlc. irrcrc( rn{l rrtm.r_ \ li.s
IIECIdX{IION
I hcrcbyamrmundcr p.nlllyoap€rjlrylhar I 0m lien{rr undcr Fovi\i.n orChapicr 9 (commlEirr8 tith Scrb.7000) orDNki.n 3
of rhe Busiftr. md Poldsions Code. and my l'Ecn* k i,r tull nmc aRl cltar
CAISIBIJIIIgN"LENIIINC3CENII
I hcrcby 0illfl. u crpcrullyofFrjuryrh,rhdcilr.Diiru.ri.nLndinsagcn.yforrhcpctfornun.corrhcworklorFhichlhisp.miri\
Nsrd (Scc 1097. Civ C.)
lccd,lir)rr rhciid.rrlrc.!urarions rcBrdir-! .sh.sor rcnFvrl m nor rprlicnblc t) rl,i\ lln)ic.i
Icd.lirhdIhx*r.rlrhk.,rnlicrrionandn{rcrhrlrhcxlx,!ditrfdirriinrn.onc.r I nEtc n, conrlly *irh llCirlnndCourry
ordiniDccs rM shrc liwr rclding ro hlildin8 conntucrior nnd hc.rhy rurlMft rct'rcsctritivcs ol'r[i\ Ciry ud Counryh.rict nfr rhc
ft.v. nrnrnnf,d ptutLdt Lr
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Sub-Panels
lxnd.ai AdJr.* _
AIPIICANI.DDIIdSAIIQN
I hir6y,fiinn undcr lcnrlry ofFrju.y ore of rhc fdlosi.B d(l[dio.ri
Drmlirion Pomik.Asb.stos Nolific0l ion ltd€ral Rcslklbns ('rnt40, Pd6)
-Rcquircd
t llcrol'Nolificsli'n
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