HomeMy WebLinkAbout20165762 - Permit (2)Permit #: 2lJ16'5762
Pin #: 37764
Project Address: 1421 S Arapaho Dr Unit:
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 109-663-'15
Jose Ledesma
1421 S Arapaho Dr
Santa Ana, CA 927042412
Fee Type
011 16002 51603 Light Switches, Occ. Se
01116002 51600 General Plan Update
01'1 16002 51603 lssuance
Amount
1.52
21 .25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$1.s2
$21 .25
$52.98
Tenant Name:
Contractor:
Address:BoUrhi:43561 - i,'
0ff' ,ce: (:TYH Tr
Rcpt+: u1?546?-r -
Fronsoct ion Tc'tol
t / itil
FPhone
State Lic #: 334090
Lic Type: B
Bus. Lic #: 348030
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9.158762
Expires: 0'l/01/2019
Super Builder'.
Generfll Plon Updnt
01 1 1 6002- 51 lr:[_tIr.fl,]
Ele,:
,:r1 1 t
ICI.
tr itn I
5160 Srlir:r6rltr2-
(:he':k
Building Use:
Job Type
Nature of Work
Single Family Dwelling
Miscellaneous
Switch
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Notes: Contractor must and will be doing (2) unrelated
trades
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Date
Date
Date o5l01t20'18
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Building Permit #: 1 019631 1
Every pemit issued shall becofie invalid unless the work on lhe site
aulhonzed by such pemil is commenced wilhin 180 days aftat its
issuance, ot if lhe work authorized on the site by such permit is suspended
or abandoned fot a penod of180 days aftet the time the wo* is
cornfienced
$75.75
$0.00
$75.75
lnspector MID#: 2018-143089
$21.25
$54.s0
Fee Total;
Paid to Date:
Balance Due:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Lot: 102
Bldg:
Tract: 3855
Owner:
Address:
Super Builders
7467 Crawford Pl
Chino Hills, CA 91709
(9sl ) 259-0079
Phone:
10: l-Fi05ALEI 0f 4
:,r-,1 i5 ?.(?
I r, i r'+ Al1
$ H"rnuno"r, x"tny
01 116002 s1600
01 116002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DELCARATION
I hcr.by affirm undcr pcnalry of rcrxr, rhc' I am cxc'npl lmn lhc ConrEctor Ltcnrc tiv for tht folh*ins rclen (5(?011.5
Busincss ind Pmrc*ion Codc): Atry Cny or Colnry $hich rcquircs a pcrmir r, q,nsmd. olrf, iop&vc, dcmlnh n rIEtr trny
strcturc, I,ior lo irs isiuMcc. lko Equircs rh. upolhanr for slchFdn ro fih, qigicd sdr.ftnr rhal h.or shc is liccnscd ru^urnr
b rhc pmvnions ol rhe Conhcrois t-ic€nsed l,aw (Chontcr 9. Commcrciry wilh Scction 7fix) of Divhion :l ofrhc Busines rnd
Poicssions Cod.) or rh.r hc or {hc i{.r.nnr rhcrcfrofi tud thc hlsn lor rhc rlkscd excnprion Anyviolari,nofS(li].70115 byan,
amliranl t'or ! lcrmn subjcls thc ipplicanr lo 0.ivilpcnnlryornor mrc thr. fivc hn.drcddolles($500)
l..s owmr.lrhc pmp.ny, or trryc 1lbyoi wirh w,!cs !s rhcir {,lc .onwi\!r idn. willdo rlr wtrk und rrr iflcM k !x
inlc.d.n or otlcrcd fd slc (Sd.7o4.1. Busincs and Piorcsiois Code Th. Conro.ttr s t.ien{ La* d..s nor rptly ro M owncr oi
rhc rnlrny qho tDilds or iromrcs th.mn..nd who d6 such *od{ hinsclror hcr*lfor lhmugh hh or h$ own.mllo}ecs.
p..viJcdrhdt such inpiDrmnk m mr Lncnded or olTcrcd fo, sh lt h.uvci rhc huildinB or im{,mrcmnr is hLl *irh'nonc rr
ofcorphnn. th. O*nd Buiklg sill havc rhc bonlcn of Fovin8 th.r nc or shc dil frn huilt or ilnprow rhc pmFny for thc ptrqi,y or
-1.asowtrc.ofthcpotrty.nncxctrivclr.ontrr.ririgwirhlicriscd.ontr.r.rstu.otr{fl.rrh.Frjc.i(scc.?(,44.Bunrcssind l\ofssbn Codc Thc A,nracror \ I iccnsc l-aw dcs mr olply to an o*ncr of proncrry wh. nuiks or impro\ cs lhcrmn.
rM qho co.trmls tur such prcjccrs I [h d Conrmcb( n kcnkd prrsurnr ro rhc Conbrcroar Liccnsc bs).
Ln'cx.'npr udei s&lion
!ll4tr0&t:l;!J!lfjNta.Il0!
DEgrradIIAN
I hcrcbyaltn und.rt nrhyofFruryoN ofrhc inhwirg d(.-lurarirnr
lhrvctn uill uiflniiaCcnrlkrtrotco{nrr'Scllltr\urcturrork.^.otrrp.\nrion-r\p(rlidcdf(trhySc.ri(8l7mofrlr
Lntxtr Gxlc. ntr rhc pcrforroDcc ofrltc w.rli for trhich rhc rcnnn k nsucn
I lmv. rnd willmrinrrin workcra conD.nr.rioo insuratuc. sr rcquird hySc.rhn.lTU)ofth. tlkrCodc. for rhc tsn mnccot
lho work for whi.h rhis p&mir is nsxcd. Myw.rkcr! conDrnsrrion insuBn.e .mifi rnd I li.ynumbtr rcl
PolicyNumh.r Expnc\
\{ARNINC: l:rilurc lo ecurc workcs conrpcnslrion ..rttu8c is ntrlnurnl. in,l nrll sr$r.cr rn cnlllolcr ro criminnl Fnalric\ !ftt
ciril nncs up ro onc hundrcd rhousand dollor ($lm.m0). in 0dditnn ro thc co(ml.nslion. d!ru8cs as providcd ior rhc
hc l,oh.r Codc, inrcrcn ind atrormy s tccs.
tl
I hcrby aflir'nrndcr pcnllryoffFrury rh lnmliccn{drndcrpovi\ionofchaprd9lconmci.ingsirhS..rion7fi,$)ofDivisi:1
ot rhc Bu\ircssand Pro r'es io ns Codc. !toImyliccn* h infull lorcolldcllcd.
I hcrchy afinn undcr lxnllryofp.rjury rhar rhcrc is tr cotrsrucrion n8cNylorrhcpc onnrncc olihc wor[ lorshichrhi\ rcnnir is
is{cd (Sc. l0i)7. Civ C I
AIILICANLI)IiCIABATA!
I lE hy llinn trndcr penalry orpcrjlry one orrhe n,lhwins decllnrions:
I)c'mlirn,n Pcnnir+Ashcnos Norificrrin ledcrul Re-qukbns (TilL.,0. l,rn6)
_Rcqtrncd l-crrc! ol Norifi carion
I cc rlyrhd rlr. fddcfulnluhrnrN fttrrdntF rstrio\ rc x)Hlarc norrpplicrblc b rhisrn)rl.r
rlrc fi)rc inhnlari ncom.l I rare r().onlnll *irh xll ciry rtr (ini
irc!olrhisCi!yJndCounr,k, r rcr tr
f^r,Lv^
,"," sf.\tG,
Site-Work
Underground
Pole Bases
Light Standards
S pas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipmenl
Factory Wired Unit
alls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Bqqsh
Service lVleter I I
FINAL U s//B UC3P
Notes, Remarks, Etc
I crniry lhtri in rhc pcrfo!run.c orrhe work lor which rhn ncnnil t i\\u.d. I \hrll nor cmplo, an, ptno. in rnt
'nahncrqr N r, trdotrr subicr o rhc workcr coq'rtrs n,n hw\ ot Crlirorni,. ud dlrc rh,r ir l sl$uld tronr suhF.l k, lhc
*olkcr.orqu!.rnnpirrvisioNoiSc.rionlTmofrh.tjhrGdc,ls&nl,fonhNnb..mrlyrthrho*pfl)visions
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