HomeMy WebLinkAbout20165664 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{65664
Pin #: 4lJ745lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1023 N Freeman St Unit;
Block: A
Bldg:
Tract: 1000
Address Range:
Historic: No
Suite Range:
Zoning: R'l
E
Assessor'sParcel: 405-282-07 Lot: POR 16
Owner:
Address
Jey Samuel
,023 N Freeman St
Santa Ana, CA 927032317
(7141749-3646
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Update
01'116002 51603 lssuance
Amount
51.29
2't.25
52.98
aty
1.00
1.00
1.00
Fee
$51.29
$z',t.25
$52.98Phone
Tenant Name
Contractor:
Address:
Sasquatch Electric
2602 Rising Star Drive
Diamond Bar, CA 91765
(7141 423-6440
Botrh+:43354 - 4/ lg/?t:tB0ll ice: (TYH TfflnEi; -r9Acct+3 Eef +:
Rcpt+!t:t2234r-9r- - { r I "./?i1!Tnons(lct ion Totol
I0r J6L|DIil0I of ?
: n l 35664I:"a !,ti
+
State Lic #: i006620
Lic Type: C-10
Bus. Lac #: 363061
Workers' Compensalion lnsurance
Carrier: Exempt
Policy #:
Expires:
Sasqu0tch El ect r ir
Generfll Plon Updnt.e Feir
Ut 1 1 6n0!- 5160r-ltlrjr:r-Ele(tricnl
81116(102- 5l6rl3D00-
ICL Che,:I t ?:(l
$
$ 1tr4. ??
Single Family Dwelling
Miscellaneous
Service Meter upgrade
Occupancy:
Constr Type
Code:
R-3
N/A
cEc 2016
Noles: Service meter upgrade. Handout given
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez. Dave
'<7:L.04t't812018
Account#
Mlsc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pormit issued shall becomo invalid unless the work on tho site
authoized by such peftnit is commenced within 180 days aftet its
issuance, or f the wg* authorized on the site by such pomit is suspended
ot abandoned for a penod of 180 days after the time the work is
commenced.
$21.2s
$104.27
$'125.52
$0.00
$125.52
lnspector MID#: 2018-142800
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due:
Phone:
Building Use:
Job Type:
Nature of Work:
Date:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNIlR BUILDER DELCARATION
I hcrcby olfirm lndcr pcntrll, or pcrjury thst I m cx.npr aho the Conkacrod Lidn* ljr 16r rh. f.Uowins rclsn (sc 1l:1 l 5
axsinc* lrxl Pmfcssk,n Code) Any City or Counry whkh ruquncs , Fnnir ro onstud. arr.., impror, d.molhh or Epan ,ny
*rudm. prkrr b irs nsuricc, dko.cqlircsltc uppliconl to such,En.il to illc o siSmd sldc,rcnl rhar hco.shc is licc.scd pu uMl
i0lhc p rlGions oI tlE Conrraclols Licctrscd Ljw (chdrrfi 9. Comncming ukh s.cri.n 7@O of Divirion:l otrh. Bu\ihcss aid
Pnrlcsions codc)orrhi hcorshc ndcmfl rh.,clrom ond thc basis for rhc alhBcd .xcmprio. AnyvioltrrionofS(rion70ll.5byany
applic0nlior. pc.ril subiccls rhc rrpli.anr r. r.irilpxnahyolnor horcthan liyc hundrcd dolhrs(i5ul).
L ns owncr ofih. pnFny, or nrycnul{,Fcs *ilh vnSes os lhcn sb.omp.trs!1i.tr. will do rh. wtrk a*ldc rnxxurc N mi
inrendct or oflrcd nx eb {se.7lx,t. Busimss lnd Prcfc$ions Codc: Th. Conrra.rol \ l,iccn* Law d.cs not lpnly h !n owmr oi
rhc pn,p.d, uth t{ild\ or improv.\ rhcmn. lnd who dtus smh *oA hnnsclfor hrnclf.r rhhugh hk or hcr own erntloyccr.
pmvidcrl r hor su(h iinpmvcnrns ft ton inkndcd q oiIcEn for $h Il hoqcrcr. rhc hiklinB o. nryn,vcm.l h $h wirh'n o'k irr
olcomphriotr. rlE Own$ Buildcr wil!htrE rhc hrdcnotlmviu rhd h. dr shc did mr h{iU or iqmk lnc 0oFny lor rhc purFc of
l.,\duturorrhc pnrpcnr. ! ciclu\ivcly contdir8 wirh li.cn€d conhtuN
'o
co.{d.r rrE proj.d (Se 7014, 8ulift$
r.x, ItDlssion codc: Thc Co.ria.h r Lic.nsc liwdoc! io! aprlyk, onowncr olr0pcrtywho buildsornqmvc! thcrcon,
rnd sho s,nrrocls lbr such pnJcds wirh a Conka.l.r (s) liftn$d pohuni ii,rhcContrctr\ Ltcnr L!w)
I rrcxc rU undcr Scc.oi B & l'C hrlhir rcr\otr.
D.l.: - Omer:
wonxr*si:iruprr,rs,lrrirr,r
DEclrIBA.IIg!
I hcr.hy.rfir ond.r F.olr, ofpcrj!ryorEoflts follo*in8 delr.rions:
I havc md w ill roinkin a Ccnificale ol Consctrr b Scli.lnslE ror workds ohpcns,rion.!s proviil.d fd bySc.rhn 3700 orrhc
tjbo, (]odc. for rhc lcdormincc ofrh. wolk ao. which rhc p.rmir n h\md
-l hav. and *illnrinrai. wo&cr{ conp€nxsrion insu!!trcc. as rcqltcd by Sccrion 1700ofrhc tihor Ctdc, ror rh. pcrfornuc. or
lh. work lirr lhich rhis pcmil ii is\kd. My *orkcn comDcnetion insuratra cffiicr and polky numbcr m:
PolicyNumbcr-L
y'l.cniry rhd in rh. pcrromh... orrhc wo aor * hich rhh Frnir is issucd- I shatl n.r cmrtoy lny rcnon inrnym.nncr
so !s lo bccrrR subjccl
'o
lhc wo.lcs' .o.!.nsarn,n hws of Cllionn, and asrc thut if l rho ld hccom subjccr lo rhc
sorkqs q)flrFnsutionBrvki.nsolSNtion37mufrh.IjtnrCr..Islull,fo.rhsirhonplywirhrhorpovnion\
WARNIN(;: F.ilurc ro \ccurc sorlcr @mpcn$rior corrirc ir unl0winl. rtrl rhrll suhjccr r. ctrlltloycr h diminal pcrkrra\ nnd
.i\'l ln,o\ np ro onc hu r.J rhou\a JolL'\ lsl(xr.{xN))cos ofcoqrc.salio.. damrBcs.s tnvid.d ror ihc
S..ri(n 1076.frhr Lrhtr(1n1.. iJ rr.n rnl rno"rv \?/tt//0 n,,,*,,r
LICEII,IEILIONIBA T'f,
DECLAAAfIO!
I lErcby artrnr undd pcnally.flErjury rhd I an li.cnscd u.dcr nolnion olChaflcr 9 (oftmncins,nh S(lio. 7000) or Divnioo l
oi lh. BusirE$ Md Pbre$io6\ C6d.. u.d my licc.\c n in flll foe und eilcct.
c/o /oo(a[1_a)
/, r/f "-*..x:E
CONiIXI&IA IENDIN!i.A{,iENII
I hcEby rmn.ln{lcr pcnahy ol,rrjur! th,t lhcrc is a conitu.ri)n bndins aacncy ror rh. r.rformsncc ofrhc wor* foi *hich rhn Fmn n
ksucd (Sc. 1097, Civ. C )
AIIIICANII'ECLTBATO]!
I tmby rftim undcr pcnnhy orFrjuryonc ot'hc fdlowins drclaBtbns:
D.mliriro P€rmirs Ashe(os Norificarion ltdersl RcBulations (Tirlc 40, Pd6)
Rcqutcd Lxfl cr.f Norilicltn8
I ccn iry rhar rh. lcdcral rcsulol ions EB.rdina ashc{os rc,tuvrl d. nur applic$lc rd rhh pbjrcr
l.cdiryrh l hrlc rcrd rhr\ rnfliclriotr lnd srardh rhcnhovc inlo flri n comcl I r8re ro conlp], wirh all Cir y rnd Coud,
ordiMn.cs rtul Srarc l,aws rclarilg ro b!
6ovc nEntioncd pmt ny tu insrcction
ADDll.anlor \!enl sirnolum Y
.onslruction. ud hceby Nlhornx Eprcscnl ivcs of lhis Cilt ,nd Counly ro cnrd utbn rh.
Penni,annnr (r,.inr): * iSrZl n a-;e- k-^,",, //tlB
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountalns
Signs (monument)
Life Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondi ng/Grounding/UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
Rough
Service lvleter I
FINAL 7/t/rf .'r.Nt)D
Notes Bemarks, Etc.
ID/SIG,
Walls (Rouqh)
Meter Belease
I
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