HomeMy WebLinkAbout20166135 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Electrical Permit #: 2O166{35
Pin #: 57946
City of Santa Ana
Permit Counter: (714) 647-5800
erProiect Address: 1416 W Hall Ave
Assessor'sParcel: 140-234-02 Lot: 56
Unit:
Block: NA
Bldg:
Tract: 5952
Suite Range
Zoning; R1
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
Francisco D & Laura Delgado
1416 W Hall Ave
Santa Ana, CA 927045731
(71415744755
Owner-Builder
01 1 16002
01 1 16002
01 116002
01116002
011 16002
01116002
51603
51603
51603
51603
51600
51603
Qty
45.00
10.00
14.00
1.00
1.00
1.00
Fee
$63.00
$15.20
$14.14
$51.29
$21 .2s
$s2.98
Fee Type Amount
'f 25 Volt Receplacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
Serv Meter 51 .29
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #:
Lic Type;
Bus. Lic #:
WorkeB' Compensation lnsurance
Carrier:
Policy #:
Expires:
iriiiie: t:t'Ytt Trqns+r 36 I
;.;i+, RPr+r 2tll61'}:
i'iriirozzc:+cr - 6/ 12/2{rrs 114r c
?ioiioltl on rotot s2l7 ' lit
FrqrciEcc U & L(uro Deleqdo
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016
6enerol PItrn UPdote Fee
n1116002- 51600(r(fl:r-
Electr ic(tI
r:rl 116(r(12- 516r-t30(tt-
\/is(t
Notes Auth+rr:r:ii
Building Use
Job Type:
Naiure of Work
Planning Conditions;
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Patio Cover
Electrical
Chavez, Dave
10195574
Date
Date
L,' Dale9 06112t2018
Account#
Misc. Receipt:
l\4isc. Receipt:
l\4isc. Receipt:
Total
$217.86
$0.00
$217.86
Every pemit issued shall becomo invalid unless the uvork of, the site
authotized by such pefinit is commenced within 180 days after its
issuanca, or if the wo* authonzed on the site by such pormit is suspended
or abandoned for a period of 180 days after lhe time the wo* is
commenced
lnspector MID#: 20'18-143932
011 '16002 51600
01116002 51603
$21 .25
$196.61
Fee Total:
Paid to Date:
Balance Due:
Address Range:
Historic: No
Electrical,{:AiAtbtrt bft}lrt' r n'itis
ELECTBICAL.INSPECTOR RECORD
ID/SIG,COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
S pas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
eilings (Hard & Soffit RouohC
Ceilings (T-Bar Rouqh)
Ivleler Release
Rough
FINAL /-27'/g ,Jr'ddA (-sY
Notes Remarks, Etc
-,
OlvN8R BUILDER D!]LCATIATIoN
I here$y ofinn undcr pcn ly of llcrjury thot I er .xcnpr rmm rhr Conlm.loft Lic.ns tjw for lhc lollowing rcason (Scc.7()l L5
Bu\incs lrd Prof€$ion Codc): Any Cit, or Counly whicfi rcqun s 0 llymil ro oNlrud. ahs- nn0mvc. dcd'lth or rcrrt 3n,
sDclurc,,rbr r. irs ksnmc. fio rcqutcsrhc amlicsnr f such tcmir ro lilc 3 \igncd $rcmnr rhd hc o. rh. i\ lianrd pu u..l
ro rh. pnvhirs or rhc Corr,actr \ LiLtiscd ljs (Chaflc.9. &mtrncing wirh Sccrion 7000 of Divhio.I otrh. Busin.s rnd
Pofcssions Cod.) or rh,r tEorsh. iscxchrfl lhcr.fromand rh. ba\h for thc kg.d cxcmpiio.. A.yviohrio.ofssrklnT0ll.5byany
nllliclDl lor a p$mn suhjmts rhc arpli.ant ro a civil p.nax y or nor mrc lhn 6!c hundrcd dolhrs (3500)
[$*,1 owmr or r hc piopcfl y, 6r
'ny
. iployss wirh wl8cs as rhcn sk cooDcnsar ion. Nill d, rhc {qL and rh. {Brm L nn
or orlcrcd l'or $lc (Ss 7044. ltusinc$ and ProfcsioN Codcr'I'h. Conro.kr\ Liens. tiw docs not q,ply h m owmr oi
rh. pn,rdy $ho hoilrts or inprovcs dcrctr ud *ho doc\ {ch slk hinscllo! ncrclfor rhrolgh hir or tcr o*n cnpl{,rces.
prorilcd rhd su.h i.{,ovcft.tr m rn i.kndcd orotfcrct lo.$lc.li ho*srr rtc hliuins nr improvcmor n$kl *irhinor Fr
or dnlFh'ion. lhc Owncr Buitlcr *ill havc llr hurftn ot pmvinB lld h. or sh. dil frn hild or irlpr.v. tnc pmFny ror rtr puq$* ot
l. ds owkr or rh. Ir,pdy, a.r .x.lurilcly .ont&ring sirh liccnrcd conraLI.6 h .$n{ocr rh. pmF{r (s.. 704.,1. Busncss
n&l Eol6sbn Conc thcConrracroist,iccn\cLrwdocsnor{!rlyto!now.croflrop.ny*hobuildsorimrrovcsthcrcon.
nnd who conlEcr! ror such pmj.ds sith r co.t,.rod r) |pur\umr r) ihc aiikr.ror's LiccNr liw)
:::.-;'ir;"il ( o**,
I I'crrht rlli'r undcr rcnrlrtollltrjuy otrc olrhc ldn)*irE
-l
have ud sillminrainr (lnificarcof Cons ro Scll'lnsure for wortcrs com!€nsarion,as rovijed ror bySccrioo l7(x) ofrhc
Llbor Codc. lor rhc fsloirMrEc of rhc wolt for qhich lhc ,.nnn k issucd
-l
hrvc ud *illmrinrrin wolkcrs comnen\a'io insurarcc.6 rcquncdtrScclionlT(DoirhcljtDrCodc.forltcpcrfomDnccoa
rlt work lorqhich rhhErmil is hsEd MysorkEl cotrrp.trsltn'tr itrsurimc clricr andynicynunrhcr m:
I ccnirr rhrr in rhc pcrfortuoc. orrhc *ork f.r which rhn pcrnrir n i$u.d. I sttrll nor cnploy rny pcron in any nMnfi
s) .s h b.oft rubjd h lh. work B ompcnslhn hRs ofcrlif.nri.. Md.pmc thd if I lhould t .oft srhtrr torlr
Nolkcn conFnsnrion pmvhions olS.dion l70o of$c bbr Crodc,I shall.lonbwith conrply with rho* provisions
llARNlN(; Itihrd t, {.urc trorkc .o trtr\dnii url,wlll. md shlll subjccr atr cnrtloyc, ro rnnin Fmhics Md
.nil r c\ trp i' om hnnnr.,l rhoretr.l doll n (1llx).lxxr)drnr8cs rs [ovidcd lor rh.
:::::::;''//':tr;
inrdrc{ rid rnorE-^r'\ lic\
I h.rchy rr',tm lnder nenrlry ol perju,y rhar I !m liccnsd undcr nmvision oiChdtrs 9
of lhc Busircs aM koacssnnr Codc. ! nryliccnscisininllnrmd.,ltcl.'nn ing sirh Sccri,'n 7O(x)) ofDi\ nnr:l
D c: Co rrclor:
AfILrcANLDSCI,lTaAtrON
I hor!, unim lndcr !€nllry of p€rjury one oI lhe followinS dcclmlions:
Demlition Pcrn ls'AstEstos Norification rcdcral Rc8ularions (Tirlc 40. Pd6l
-RcquiBd
Lcrro of Noliltdioi
I c ifyrhd ihd f.dcril rcSuln.or! togrdna i\h.{o\ rctrk,rnl rrr .ur aptli(rblc rD rlis prcjEr
F*;;:l*:*m;ll;
rh)rc nrnri{rnrJ lrn,pcny f,tr in\p.cr
Appliu.r or Aqcnr SiAnsture
r"-i,* non* rp.i,rr, |-
W
IAPPROVALSDATE
Under Slab / Floor
Service lvleler
CABEIASCUON.I.INDI!{,;.AGENCI
I hcmby 0ftrm und.r pcmlty of rcrjury that lhcr. t o conslruclioi lcnding rBcncy for lhc pcrlommc of lhe worl for which rhl\ Frmi ir
is!.d (S(. 1097. Civ. C.).
Lcndcr'.lamc
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Lrndc' \ Addrcs
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