HomeMy WebLinkAbout20166221 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 9270?
lnspection Requests: (7 1 41 667-2738 lnspector Section: (71 4) 647-5853
Electrical Permit #: 20166221
Pin #: 52417
Proiect Address: 1416 N Concord St
Assessor'sParcel: 400-251-24 Lot: 16
Unit:
Block: NA
Bldg:
T.acl 2843
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address
Contractor:
Address:
MARGARITA M GUERRERO
340 N NEWPORT BLVD 7238
Orange, CA 928696575
Lazuran Electric and Consti
315 N. Parker
Orange, CA 92868
(714) 403-5878
Amount
21 .25
52.98
Generol PIon Updote FeQ
011161102- 51600000-
EIe,:tr icol
011160(12- 51603000-
Cosh
Visa
cc+ : r***r*ir**r18 1(r3
Qty
1.00
1.00
1.00
Fee
$51.29
$21.25
$52.98
Tenant Name:
Stale Lic #: '1016675
Lic Type: B, C-10
Bus. Lic #: 369750
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Botchi:443{g - 6/ta/2i18 ID: C(UELt.Ati0ffice! (:TYH Tn0ns+: 1(r9 2 cil iAcct+t Ref+: 2(1166?21
tirpti:fl2?97574 - 6/1S/2(118 1:13 Pll
Tronsact ion Totol t352,l-i2
6?l .2
i lt-t4 . i.
t2:i7 .0n
$12i.'";?
Auth+:[91] l{,
Planning Conditions
Planning Approval By
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Notes Service meter upgrade - 200 amp same
locatiorvhandout provided
Date
Date
DateLink. Palricia
Every permit issued shall becofie invalid unlesslhe wo* on the site
authorized by such pemit is cofimenced within 180 days aftet ils
issuance, orilthe wo* aulhorized on lhe sile by such permit is suspended
orabdndonedfota peiod ol 180 days after tho time the work is
commenced.
06/18/2018
Account#
$125.52
$0.00
$125.52
lnspector MID#: 2018-144106
01116002 51600
01116002 51603
$2'1.25
$104.27
Fee Total:
Paid to Date:
Balance Due:
Phone:
Fee Type
011'16002 51603 Serv Meter
01116002 51600 General Plan Update
01 1'16002 51603 lssuance
Phone:
Lnzur(l[ EIectr iE nnd Construct
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy;
Constr Type:
Code:
R-3, U
VB
cEc 2016
NIisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
ELECTRICAL-INSPECTOR HECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUII,DER DEI-CARATION
I hcrcby aflifln under pcnllr, ol pcrj!ry rh,r I dr.idn{r ar,d rh. (t hcbN Liccns ti* for rhc rolh*in8 rcavrn lsccTo:ll5
Businc\s u"d Prutcssid C'od.): Any Cny .r Counry wlri(h r.qui$ r Fymir n' connrucr allcr. improlc. rtmlih or r.P n riy
{d.rurc, priolr. ir i$u!mc, oko r.qut.s rh..|/ica lor suchFflnir ro filea sisied {dctunr rhrr hcor \hc h li.cnted pu6u r
ro rhc F)vnnnN of rhc Coo'.Er{n\ Lidnscd lnw (Chrprcr 9. cunlmn.rg wirn Scctin ?dx) of Divnn :l of rh. Businc* ,nd
Pturc$i(,ns Codcl or rh,r h.o.sh. kcrcmpl thcrcfo otrd lhc hasis lnr rhc alleEcd ricmprn,n Any vnnariotrolScdion 70315 by rny
*lplicntrrlb,aFrmiisubjcchrh.applicurxracivilFntrlryolnormorcrhn fivchtrndrcddollah($500)
L as o*Mr of rhc phtEdy. or my carplores with 'r!cs 0s Ihcn sb .ompensar ion. will do rhc qdk ! th. slEclurc is nol
inlcndcd o. ofrlrcd tbr slc (Sa.7044. Busiess and Protcs\ions cdc Th. cnnklcror's l-kcnsc l,s doci not.r,rly r, ,. oPnn of
rh. DFp.dy wtu huilds or i.Illos rh.rcn, 'rd who d(s skh h* hinsclfot hcr*lfor rhou8h his or hcr dwn cnlloyecs.
p(,v idcd rhr! sNh nnEorcnrnls N ml intcfrk or ofiut1l hr sL lf. ho*evcr. rtr hildi.E or inpii,E.Enr is mkl rilhin .m )tu
ofconr0lcrion, rtr Osrcr Buiti( will harc rhc hu&n of prcvins rhir h. or \h. did nor bnih or nryoE fie polmy fDr lhe lluqns ol
-1,
tr\o*mrof rhc pm!.dy. a cr.lusivclycontNir[*ilhli.cnscd.onrn.l{nsl()con(ru.rrhcpn,J.ar(S.c7()4]t.Bu{nc$
trM PmfL\su Codc: l hc G)nraclois Liccn{ Lnw docs noi rpply h rn osn.r orpo!.ay wh() builds or inrprorcs rh.rcon.
und wlo $nrn.r\trslch pmrrch wirlr C.nri.td\) li.cn\cd lurunnr torhcCo racnn \ t.iccnr Lrs)
__t
c) / a z.rat'l 4*{Da'tl!an8!!$(1lM[Nl]r]I0l
l2l:tl.d-BArlltr
I hcr.hy alrim undcr pcnally ofpcrjuryonc.flhc loln,*ios dcchr0rior\
I hrvc .r{ will minrlin a Ccnifi.atc ol CoNcnt to Scll lnsurc for sorkcn conpcnerion.N Imvidcd for bySc.rion:1700 ofrhc
btrtr c.dc. for rh. Fdormncc oflhc work lor pnich thc pelmit h h\ued
Ihi{( *illnrn ain*orl.rarotrln. \arnnr in\urricc. "s rcqnncd hyScdion.lT(X)olrhc l!h.rO)dc. ntrrhr Frfornrn.c ol
rhc *ork lor whichrtir lcmir i\ i\\ucd My work${ .onp.nldrn insumn(.1ricr rnd plicy unrh.rd.:
Rnicy Nun$.r:-Expncs: -
I $niryrhxr inrhc pcnbrnmrccofrhc work lbrwhichrhis pcimir is hsued.l shallnor. 1ploy.ny Pcfon inlnyflranncr
n) s b hcoaE $hjcct to rtE workcr c!flrpcnslrion laws oi Cllirornid, md a8rc thd ir I should trcom slbFr h
'h.wolkns conrros.tion lmvhions ofSccrion:l?Of,oflhc Lak, c(xlc,I chall. rodhwith conrdy wilh lho{ pEri\ins
WARNINC: I;trilurc h *.urc warkcs .onrp..s.ii.n .orctusc is utrlawrul- and \hall \uticc! an.'ryloyci ro dinrin0l [Enrhics ild
co{ ol conrn isrnii drnhlc\ d\ p(,vnlcd tur rhc
inrc.crr 3M 3rnnfty \ icc.
httro'/1I
IIECI,Af,AIIOB
t hcrby afilrn undc. p.n0lry of pcrjury lhal I am liansd under povirion of Cbafl.r I (smminS wnh Sdion '7000) oi Divkion l
or the Bu*ircss and Pmr€ssions C.dc. .rd my licc.sc is in 6ill foe and eil(l
t Ot d6?{
GA * c,,r*d", LiZ+t b$ED;E,, t f*"lt*hd.fi.-
IONSIBu(:IIONIINDINC-&AINCI
I lf,rcby.fflrn ukLr |roalr, oipcrjury lhlr rhcrc h r $n$rucri,n hndins agctuy f(tr rhc nQloflMrcc olih. work fitr (lri.h rhn Frmir is
issucd 1Sc. 1097. Civ. C.)
AIIIICANLDECIAf,AIIQX
I H,yailm!.d( p.nNlry of pcrjury onc of
'he
lollowing d(ltralions:
Dcmlirbn Pcrn ls-Asb.sros Notificlrion Fcderal Rceuldrions (Tirlc,lo. Pd6)
Rcquircd Lltcr oi NolifEotion
! c. ifrrhd rh. f.d.rdlrcgul 6trsrsrdlng ashcnosrctrs\rl{c nor rpnlicnblc h rhi\ pn,i(r
I ccdilyrhd I l c rcal tii\lpnliqrion ael {arcrhar rhc rtxrc inlnnn.rdr i\..rNr IllgNhcomply{irhrllCirtnndCoutrry
odinrmcsaM St ctawsrcl iry to bu iuins consrrucr ion. dhc rhorir rcpr.scoralivcs oilhis Cily!0d C
hxc
'mnri('ncd
pmncnyl{n iist crn pxrlr,*s
pliunl or Arcnl Sitn,tun:*r" G,
Ttau ,d Lt zr,( ot''
^f;E
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Air Conditioners
Boof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
lVleter Release
Rouoh
Service Ir/eter
FINAL 6bs/td -..-X<rl l
Notes, Remarks, Etc.
Transformers
Cdicr
civil lincs rp ro onc hundrc{ rhoustrd dollns (lrltD.oo0l. in {ldition l{)
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