HomeMy WebLinkAbout20167345 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20167345
Pin #: 65722lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 1125 S Lowell St Unit:
Block: NA
Btdg:
Tract: 953
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcelr 013-063-10 Lot: 10
Owner:
Address:
Miguel Cruz
1125 S Lowell St
Santa Ana, CA 927071105
(7',t4].4174751
01 1 16002
01 I 16002
01 't '16002
0'1 1 16002
01 1 16002
0'1 1 't6002
5160:
51603
51603
51603
5'1 60C
5160:
Fee Type
Addn/Res
FWU
Dedicated Circuit
Serv lvleter
General Plan Update
lssuance
Amount
o.14
24.79
24.79
53.28
22.O8
55.04
Qty
493.00
3.00
2.00
'1 .00
'1 .00
1 .00
Fee
$69.02
$74.37
$49.58
$s3.28
$22.08
$s5.04
Phone:
Tenant Name:
Phone 8ot,
off i
Acct
Rrpt
h+
':e
t16771 - 11/5/2018 ID: CCUI CTYH Tnons+: 3 ? |
Ref+: 2l:l1673
12436641 - 1115/2018 g:44 Al
ct ion Totol $1r 58?.
rF
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Ir an s0
R-3
VB
cEc 2016
Building Use:
Job Type;
Nature of Work
Single Family Dwelling
Addition
Addn/Patio Cover
Occupancy:
Constr Type:
Code:
Notes: auth on file/handout given
Planning Approval By:
Plan Checked By:
Permit lssued Byl
Subject to Field:
Building Permit #:
1$ Hernandez, Kathy
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
10196919 $323.37
$0.00
$323.37
Every pemit issued shall become invalid unless the wo* on the site
authoized by such peinit is commenced within 180 days afte. its
issuance, ot if lhe work authorized on the site by such permit is suspended
or abandoned for a penod of 180 days aftet the time the work is
commenced
lnspector MID#: 2018-144061
011 16002 51600
011 16002 51603
$22.O8
$301.29
Fee Total
Paid to Date:
Balance Due:
Contractor:
Address:
Owner-Builder
tl ieuel Cru:
Generol Flnn [.lp dote Fee
011 16trcr2- 51600r1t10-
Electr ical
Q1116tr(r2- 51603r:100-
ICL lhe,:k 2371
lx
|l
',
Planning Conditions:
11t05120'lA
Account#
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /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 (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
"ffi.4/Rough z/7v//,1 '
/1M?4Service lvleter zJt//4
FINAL dLl La hai*-/0>
Notes, Remarks, Etc
OWNER BUILDER DELCARATION
, h.reby aIItrm und( pcn lty ol pojury td I an .r@pl 6on lhe Conlttcro Lic.hs. ti* for rh. follownt3 r€Mn (SE 70] I 5
Busi.6s and Prof*ion Cod.)r Any City or Counly shich r.quts . psn lo co.!lod. ah6. i.rProvc. dimollh or r.tair ey
srtucu.. F6r ro its isumc€. rLeo retut6 lhc arplical lot such pdnit io 61. i si8n.{ slotdEl lhat h. or $. b lic.N.d Pwanl- ro llE povi.iotu ol6c ConlEctor s Liccnsed t w (Chapts 9. Cond.ncing snh Sdtion ?000 ofDirision.l oflh. BusinN dd
Prcf.sioDs Codc) o! thar hc or shc is cicnpr rh6.6om ed fi. bsis for th. all.r.d $.opiion Any violdion of Sction 70115 by an,
appli.ml lor a ptri subj*rs Ihc applicor ro . civil p@lly of nol morc llm fiv. hunit.d dollds ($500).
f r. * o* n.t otrr'" p-na), nr my mplo)€6 tr h lasd s lheir sole comp.Ntion. uilldo lh. wort and rh.3ln&1uc is nol
rk€d or o r6.d for slc ( Sa 701,1, Bulodr dd PmfNions Code ]1E conl.iclois Li.ftc L.s d!6 not @ply to e oMd of
rh. Fopdry *h. toil& or impov6 lhddn, tnd s'ho &E such Md Mreclaor h.elaor rlmush his or td o*n .nlplovB.
provided rhar !u.h inFolan srcnol inldrd.d oro,Tdd roreh,ll ho\rdc,lhtr buildins or in!,ovdar i. sld wnhin ooc )@
of conpkio( th€ o,^nd Builda wil t rc 0E b&ko ofpmvirg lhd fic or she dd ml build or imFo!€ lh€ p,opsly lo, rlt plrFoe of
-1.6o\rd
olthc pmpaly, m exclsiv.lyconlBclins {ilh licd*d con[adou to connrud lh. Foj*r {s6. 7044. Bsins
md PrDlisin Cod€: I h. Contrcrof s Licetuc lrw do6 not aptly ro ovnq of plopg1y who builds or inprov6 lh66o.
snd who conr€ds for su.h rrojet with a Co
*l n crcnpr u.d6 Sdr
o"" /t. €: a elE
I hcrehy nlfimr undcr prnnliy.l rEtu4 o.eot
_I h,!c dd $ ill maimain a Cen ilicat€ of lo s.lr lriurc lor NorkeB ConD.nlarnn, d Folid.d ror byS(lion3700orrhe
Labo! Co!c. for rh€ pdforl@( ollh€ *ork lor
"'nich
the p.nn is issued
-l
hav. dnd sill .r.inr.in workec cornpsalion iNrancc, B rdpn.d by S..1ion :1700 ol lhc libor Codc, aor thc psfomru.c of
rh. wor{ aor which rhis pdnil is isu€d. My worl*- comDeerio. iBrmce cdi6 ad policy nunb.r a.:
Policy Numbd:-Erpir6:
-l
cenifyrllal in rhc A{loIn c€ ol lhc Nolk for which lhis pmil is i$ued. I shall .or mploy any DEsoo in aoy mend
so I Io bdomc sxbld lo the wort6 .ldp.Nrion laM ol ctliromit, ed asr thdt 'l I should b..omc subjsi lo lh.
workdt comp.Bation pror6n,6 oasdrio. I700 of thc hllor Code I shau. nrnhtr nh comply wnh Ihos ptovisioc .
\d RNINC: l_ailurc ro BUc *o*m' compcrs.lion dnployY ro oimiml tEnahi6 ed
ion. d@,gd a providcd lor rhccivil lincs up ro o.. hundr.d thoxsand doll6 ($l !4din6i ro rh. con or
Sdrion 10?6.frhc l-alnr C.n.. i.id6r ed anomev
1/ -, - 2,",1 F
I ha.b, amnn undd Fnally of p.iury lhal I
or th. Busi.* ed Pmf6ioc Codc.0d
vnh Sari,. ?0O0) of D'visnrn l
y lic.N is in full iorc. and cfih-r
CAIiIAIJCIAITEdDIIG.AGEICI
I hmby amd undd p.nahy o f Fju.y thot thae is ! onnrudk'n Lddjos aBdcy aor rhe pslo,rmcc ol lhc *oil fot which rhis Fmil ie
hu.d (S(.109?, Civ C.).
AIIUCAUI.DECL6NAIIAd
I hady atrnn undr p€nalty of Frju.y o.. oarhc aollowing <L.lerlions:
D.molirion Pmn$Asbc$os Nolificarion F.dda! Rcgulalion! (rnE 40. Pal6)
-Rqoircd
LdldolNotifi edon
I cdify rhd rh. faldrl r€gularions r.audiog Bb6ros rsovdd..or applic.blc lo lnis prujrl
nnation iscodcn.I lgre lo conply wilh allCnyand Qrunly
horiz. lerxc$ralivd oalhis Cny and Counq ro srd trpon lh.
abovc nmrioneil pmp.ny for
\t,t,li(rtrr o' \r{r Si*nir on" /r - €. Zot f,.
Per iie., r€(prnrt):