HomeMy WebLinkAbout20166192 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ol 66192
Pin #: 41G44
City of Santa Ana
Permit Counter: (714) 647-5800
Assessor'sParcel: 400-17249 Lotr 49
Unit:
Block: NA
Bldg:
Tract: 9207
Address Range:
Historic: No
Suite Range:
Zoning: R4
q
Contractor
Address;
Fernando Cinco
'1137 N Cabrillo Park Drive
Santa Ana, CA 92701
(71417474351
Associated Heating & Air
'1320 N Hancock St, Unit B
Anaheim, CA 92807
(7',t41 777.8833
Fee Typs
01 't 16002 51603 FWU
0'1116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21 .25
52.98
Fee
$23.87
$21 .25
$52.98
Tenant Name:aMl?"tJ
R
1lt cl I
Updfli
irILr[I]
State Lic #: 508210
Lic Type: C-36, C-20
Bus. Lic #: 163181
Workers' Compensation lnsurance:Carrier: National Liability and Fire lnsurance Company
Policy #: V9WC89673
Expires: O2lO1l2O19
,Jr-ruu -
r:r3 ?44t1
Planning Conditions:
Plan Checked By:
Permit lssued By;
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
HVAC
R.3, U
VB
cEc 2016
Notes: Directchange-out
Date
Date
Date
iIisc. Receipt:
l\4isc. Receipt:
l\4isc. Receipt:
Total
Amsden, Julie
Every permit issued shall becoma invalid unlass the wo* on the site
authorized by such permit is commencad within 1 80 days aftet its
issudnce, or if the wo* authonzod on tho site by such pemit is suspended
ot abandonecl lot a peiod of 180 days after the time the wo* is
comhenced.
0611312018
Account#
$98.10
$0.00
$98.10
lnspector MID#: 2018-144011
01 1 16002 51600
01116002 51603
$21.25
$76.8s
Fee Total:
Paid to Date:
Balance Due:
Proiect Address: 1137 N Cabrillo Park Dr
Owner:
Address:
Phone:
Qty
1 .00
1 .00
1 .00
Estiht r 4a29:0ffirer ilYH
FlcPtir (tl294r-t
Trqnso,:t ion
Phone:0trns & Arl
liPnerql l-'i
[11r 60t"!:-Ele':tr r,-a.:
U1116t-rtr?-IIL Che,:lr
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Occupancy:
Constr Type:
Code:
ELECTRICAL-INSPECTOH RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Bouqh)
Ceilings (Hard & Soflit Rouoh
Ceilinos (T-Bar Rouoh)
l\4eter Release
Rough
Service fvleter /L
FINAL ,a)
Notes, Remarks, Etc
oWNI'R BUILDER DEI,CARATION
I hcrchy onnn undcr pcmlty ol pcrjury rh0l I onr cxcnrpr nom rhc o)ntr0clorr Liccn* l,w lor lhe tnlk,sing rc8{t (Src 70.11 5
Bu\incs ond ltofc$ion Cde): Any Ciry or Counry which r.luncs r rcnnir h con{flcr, olrq. inrrrcrc. dcnnrkh 'tr t]]Jt rn,
crrucro.r. prnrh irs isru.c.rkdrcquncsrhclpplicrnrfuuchFrmirrolilcEsilncdrnrcrnrrh.rtBorshci\li.cn{dpunuinr
ro rhc Dovisions o, thc (btrxodols Liccnscd Lrs (Cha cr 9. Commcncin8 with Sccrn,n 7()O of Dilision:l otrhc au\nrs rnd
Pn,fcsn,n\ Codc)or rhar hcorshc iscicmpr thcrcliomlnd rh. hlsh fu rhe alhgcd.x.topri(,n An!vtnrlionofSR.'riDl03l.5byany
appli.rnr rofu Fmir $hjNr rhc ripli.nnt k, r .rvn pcnaX, of nor m{ rhan fiv. hundrcd dolldG (S5U)).
-1,
N osncrofthcropcny.ormysnrplorcs silh uascsasrhcnsohdrmp(nsrn,n. willd. rh. sorl and $.ndE nn
i, cnldl .i ofiucd trr sl. (se.?ltl4, a$itu* md PrDfcsio s cdL: Th. c.nra.rofs Lien$ tiq does nor q'Irly ro on owner ol
rhcpmFny rtn builds o. in]IDvcs rhc@n. dd who doe\ \&h Mrl himscl{or h.^.lt.rrhmu3h his or h.. own cmfloycN.
lmvidcd lh,r slch intmwrnhmmridc .d oroficEd lorslc.li howcrcr. rhc hiuinB o, irmmwmnl is su wirhin .ic y:d
of..npLriod rle Osrcr alikllr will htrE rrr btrrdcn of prulins rhd hc or rhr dil Nl boild or iqn.vc lh. fmFiy for rhc l[rrx,s of
L dsowftrorrh. ph!.ny, un.rclusivclycontacrirg wirh I i.cn{cd co tuacror k, consld.r ttE lmjcd rse.7Lr44. Busincs
and fiDlssion Codc: Thc Conrracrols l-iccnsc l-.{ des nor lprrly ro !no*ncr orpron nywh. huildr.r inpn,vcs rh.rcon.
and who &nth.B for such ptu1..!r *irh , Conb,cr.r(a) lk.n\cd Nrsuan( i) lh{ Conlrd.loi( Lkcns l-le)
I r crr rl u d(r Sr.rn)
ORner
W(TRKERS' CoI!IPFNSATTON
DECLAIAIIIIN
I hcrcby afltmundcr p.n,hrolFrjury onc olrhc followin8 d(l,nrions:
I havc rxl will minrain , Ccnifi.dc of Con{.r ro S.ll ln\uh fttr Mrkcs ompcns ion.as pmvided lorbySsrionl7U)olIhc
l,txr Codc. tor rhe Frfomncc of rhe wo* ror whkh ihe pmir is is\ucd
IZI'havc and will mrimdin workn conEnsolion insurrmc. rs RquiEd hy SNI ion ITOO of rhe L.hor adc- for rtu pcrfi,mncc of
th. mrt aorwhichlhk Frn l is issrt MyworkdC $ft,Ifnslion insurlnccqntr rd,'.licy numbcr ac
ogliorrll U ^b; l,71rc at, Co
w o o.r',.,, o4orltl
-l
cnitylhul in llE pcrr'oflrorccof lhc e.rk l'or whichlhis pcmil is issucn.l shll noic )pl.yinytcndtr ir rnymDncr
er astu tE..'m snbrcrb
'h.
wo&ds .ompcnsdion lawi orcalitorni.. aM lBrcc rh ifI should hcr.m sunjcr hrh.
workcN onD.nsdt'n pmlkioN ofS.ciion l7lx)ofrh. bt iC.dc.I ihrll. lonhwilh conl,)ly wirh thos pmvnions..
WARNIN(; Iirilutu n) s.curc *1 e^ con,pcNrriotr rovrtugc i\ unlr*ful. rnd \h ll \uhjr.r rn c'nt,k,ycr t, diriDdl tEnnllic\ rtrd
civil finr\u!tiotrchundrcdrhouslnddolhn(Sl{X}.(XX)r.i',rddirionhrhrco{otcorttr\dn{,dr.r8c!a\pn,ridc(l lnrrhc
Sccrion l076.frhc l-rtxn G'dr. inrcrc{ rfrl a(orncl s lt.s
UCDISEDJQNIXAqIqB
DECIABAIION
I hcEby ainm undcr IEMlty of F€rjury lhlt I an licen*n undcr pmvision of Chrplq 9 {.onfteins virh Serio. 7000) of Division :1
.l rhc Busi.c* aod Poacsbns Codc. lnd ny lic.ns n in fuu forcc and cff.d.
-Liccnse
Number:6o8;zto
6 I 7lr ts c""^a*, fss,><.-t+<A EJ#{,1 -
CANEIBIJ!.UANUIIIIING]IC.ENII
Ihcrehyamrmrncrp.nrhtofp.rjuryrhdrhcrci\r.1,nntucri{n!Lndi'r!rlctu}forrhcnrlnnn ccollhcw.rk turshirhrhi\rarn,ir i\
issued (Scc.3097. Civ. (:.)
t trdci\ Nrm:
Af]LII;ANL.DEI;LAMIIQ!
I ltmby ljnnundci |tmhy oftErjury onc.irh. folk winS dc.lfrrlons
Octulirnrn Pcrmik Ast{sror Norificarnnr FcderulR.g larions (Tirl.40, Pd6)
I ccdirynd rh.lad.rtrl rceulJrions rcgtrdinS rstu{.s rcnDv,ltrrc nol al)l)lic{blc lo rhis D(+cr
_l.cnifyrhri lhrc r.trd rhi\ lpplicrtnn, rd ( r.rtur rhc rh\c inlanuri,,n is.onccr lrgret,.onlllt*irhrllCiryrtrdCortrry
$orc nrnlioftd prop.ny ior insF.lion
AIrDli.!nt or l*ul Sig.alrrcl
P€mire rme (!rir'): 1?d '-la ( li)o'lr
^,.,
6/r>f t8
748/fltZ?:29
6lrZJ tt _ noo,-*,
Lcn.lc, \ Addrcs:
-
Air Conditioners