HomeMy WebLinkAbout20168157 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
gfl Electrical Permit*:1t20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Sectionr (7 1 41 647 -5853 Pin #:
168157
31111
Proiect Address: 1026 W River Ln
AssessofsParcel: 001-232-02 Lot: 13
Unit:
Block: NA
Bldg:
Tract 1160
Address Range:
Historic: No
Suite Range:
Zoning: R l
Contractor:
Address:
01 1 16002
01 1 16002
0'1 1 16002
01116002
01 1 16002
01 1 16002
0'1 1 16002
5160:
5160:
5160:
5'160:
5160:
5160t
5160:
Qty
13.00
2.00
400
1.00
1.00
1 .00
1 .00
Fee
$20.54
$2.10
$99.16
$36.72
$32.30
$22.08
$55.04
Phone
Leticia & Rafael Bucio
1026 W River Ln
Santa Ana, CA 927061524
(714) 886-0135
Phone
Stale Lic #: 863484
Lic Type: B
Bus Lic #: 347779
Workers' Compensation lnsurance:Carrier: State Compensation lns. Fund
Policy #: 9100843
Expires: 0512812019
Planning Conditions:
Single Family Dwelling
Alteration
lnterior remodel
Zuniga, Allissa
10199069
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes:
Date
Date
Date
Misc. Receipt;
Misc. Receipt;
Misc. Receipt:
Total
o31o712019
Account#
$22.O8
$245.86
$267.94
$0.00
$267.94
Every pemit issued shall becone invalid unless lhe wo* on the site
aulhorized by such pemil is comnenced within 180 days after its
issuance, ot if lhe work authorized on the sile by such permil is suspended
or abandoned fot a period of180 days after the tirne the wo* is
cofimenced
lnspector MID#: 2019-149'193
01116002 51600
01 1 16002 51603
Fee Total
Paid to Date:
Balance Due:
Owner;
Address:
Tenant Name:
J A O Construction
335 N. Clinton St.
Orange, CA 92867
17'l4l744-1874
Fee Type Amount
Light Switches, Occ. Se 1.58
Light Fixlures 1.05
Dedicated Circuit 24.79
Low Voltage/Res . 36.72
Low Voltage/Res 32.30
General Plan Update 22.08
lssuance 55.04
+,:t ?.t |.-, - 3/7/1.rjl9 l0: LRflSAI_|
r'r I aTvll Frnn-ci: 35 3 rrf ': REf+: 2r:l139 t:7:,_,i:q:"qg: - 3/?./2t-tl9 2115 1,fr
nct tcn Totol t I r l5,i.5i
0srrrn i0nI r' ,lst rr.J,:t ion
8r
nf
ft,
TT
.lr
'1:r; tJp dnte Fee- 516l:lninn-
l6fr.lIur-
r*+rr.},7797
1245,8C
Aut h+ r llg51aIDBuilding Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
APPROVALS DATE tDbtGl COMMENTS
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life S afety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough .bul/4 flnfilil-/r?
Service Meter
FINAL r./z/7/7 PzO//6/42 '- /r)q'
Notes, Remarks, Elc
O$NER AUILDER DELCAR"ATION
I hr.6y aflirm u.dr !.nrlry oarajury rhd I m .\cmpl 6om thc ContradoE Licoe Lss lor rhc lollosrs r.en (S.c.70lll.5
BBin6s and Prof6ion Codc) Any Cirv or Colnry which rcqutd , D6hn 1o consrtocr, iltd. ida,o1r, dGnoltsfi or qEt dy
struclu., pr6r lo its isu ... al$ r.!ut6 rhc arplicd aor such pdmi ro fiI. a $s..d $rodr rhar hc or d!. ie li.Nd p6uur
lo lh€ rmrisnrN oflhc Cooiraclors t,iccrscd ti* (Ch.Dla 9, ConD.ncin8 sith Sdio. 7000 of Divieion I ofthc BNincs ud
Prcf6sions Codc)orrhrr h. or sh. t d.nfl th6cliom dd rhc bsis for rtu allq.d qflf,lion. Aoy violsrionolsctn. T0l I 5 by any
Epplicanr ror a ptmit subjcG lh. applicsl to a civil p.nahy of,or norc rhm liv. hun&.d dollds { l50o).
l. s ownd of th. proFny. or mt .mplorG wnh $rsd &s rh.n $L .ompdi.rion. $ill do lh. *od dd lh. stM@ i! nor
ioladcd or ordcd to! sl.lSE 7044. 86ind ed Pmlsions ( od.: Tfi. ft,nlraclois Licd. tiN do6 nol arply to !n oun6 ol
rhc proFdy *ho hilri! or injpm6 rhdon, ad shn &6 such *!rI hNs.lf or hhcllnr rhrough his or ha oNn.npLy6.
provid.d thar such inlprovdEls e d nnad.d or ofidEd for eL ll hos6d. $. h'ildiae or inlFlv.tml is FH wirhin "n. )6
ofcomplclion. th. (}*16 au d6 wiU hov. th. htrdo oaFovins rh, h. or sh. did mt hiild or in .o\. fi. popcly for th. pntPo$ of
I, d o* ncr oflh€ pFpqly. m clclusivcly conlreiins rvilh licd$d conlractoE to consho lh€ rroj.d (S€c 7044. BBrnB
Md Pl\ft3sion cod.: Th. ( ont,crocs Li..ns. b* do6 nor aprly r. d oqnd olpr.rd, *ho builds or nnpro!6 rh6Nn.
and rho conrracrs tor such Fojc.rs trith a ConrFcio(s) licdMd pusunr ro th.Contraclois Li.s.lr*1
I &' crc'npr und- S€crion ll &PC lorrhurmon.
ORn.r
uaBK[8S:(AMtEXlArIO!
IIECIASAIIO!
I horby rlli"n trnd6 toalry.l pdJury.ic ofrhc foll(Nin! d(lararil,ns
I hav. tud Nill hainrain , Cdli6$r. olcoent lo Sclf'lBur. for son(6i .ontpssaion. a povid lor by S<rion 1700 of th.
L.bor Cod.. lbr lhc psfomanc. o I lhc worl lor *nich thc pann t issucd.
I hav. a.d will mainl.in worl6 .omp.6.tion iaura., a r.quir.d b, Sdlio..1700 oflhc L.bor (bd.. for th. p6aomm. of
lhc Mrl for which lhis ps,nit is is.d My worl6 onpasliion iau&c. c&nd rnd policy numb.r E.:
c*i. 5i7.r/2,',.,'z;z
?ae a'/ t
I ccnifylhat in lh€ Ffomancc ollhc worl lor vhich lht pnnit is issucd. I shau not onployany p.Eon in any du.6s a o b.6m. suqal
'o
rh. woltcs snFMion I!* olcrlilo ia, edaerfrrhd ial shruld t.om.subjer torlE
wolkds.omp.roarionprolilioBofS.dio.1700of(h.LdnrC6dqIsh.rlfonhwnh.onplywithrhoepolkioB.
WARNIN(:: Fa'lure r(, sccurc \orkql comp€nerion coverage is unli\ful. and shal! n'hjecr M enpl.)er ro Eimnal F.rhi6 and
.nil nn.s up t, one hund'cd rhdusand dollds ($l of conp@rion, droag6 a prolid.d aor rhc
s-ri.n 1076 .l rh. LalnI Cod.. inr66r dd dtufty
7.2-z 4
undB provision o lcfiapl6 9 (commcins Nilh Sdtion 7000 ) ol DNision 3
of rhc lrNin6s md ltof6sionsCode.
/
t - / -'
I h.Eby afrm udda pdahy o f pajury rhar
issu.d (S(.1097, Civ. C.)
is a consrrucr ion lodin! rlmcy r.r rhc tdfotumc. of rh. r ork for \nich rhis p6nn i!
AIIUCANLDECIAIAIIQ!
I hdlby .ftm unda parhy olp6j6y or. of rh. lollovins dcldarions:
D.fulnion Pmirs'Asb6rd Nolificdion F.dral Rcsul.rions ('lill.40. Pe16)
. RqtutcdtrldofNorifi.nion
I cgliay rhar rh. a.ddal r.guld io.s ESarding 6b-!os r.froval d. not .ppli.ahl. ro rhis pojftr
I.diryrhdlha..r.adrhisamlicarionddsrarcrharrhcatsrcrnfom,arioniscord I asrc r. comply wnh all C y and Counry
ordn[n(sn d Srn(c I a\5 rc]arin! t, htr,l ,n!h6cbyaurhonze rcr,r6orariv6 ofthir Cny ud Counryro dtd upon rhc
itxn e mcnlioneJ prop€ny
Applionl or s€nt Signr .7 7-tr
ELECTRICAL-INSPECTOR RECORD
,-0,,*,,ZZ?Z2
I hcEhy amrn, undcr poaltyof pcrluly thal
ny lictr i. in tull for. sd.lTal.
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