HomeMy WebLinkAbout20167453 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, C492702 Electrical
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Bldg;
Itacl: 226
Address Range:
Historic: No
E
Lot: 6
t Cristobal & Silvia cruz
928 S Oak St
Santa Ana, CA 927015031
(714) 604-5129
Fee Type
011'16002 5160: Serv Meter
01116002 5'160C General Plan Update
01116002 5'160: lssuance
Amount
53.28
22.O8
55.04
Fee
$s3.28
$22.08
$55.04Phone:
Tenant Name:
Contraclor
Address:
Owner-Builder
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
!t 1 15tr0?ilettric
1111300?
!I6tt'lt(rtr-l
:16tr30(r0"
Ir*+rrr*86:{(t
Single Family Dwelling
Miscellaneous
Service Meter
R-3, U
VB
cEc 20't6
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
$ternanoez, xatny
Date
Date
Date 11t20t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless lhe work on the sile
authotizod by such peftnit is commenced within 180 days after its
issuance, ot it the wotk authorized on the site by such permit is suspended
ot abandoned fot a peiod of180 deys aftet the time the wotu is
commenced.
$22 08
$108.32
$130.40
$0.00
$130.40
lnspector I\IlD#:2018-'t47831
Fee Total
Paid to Date:
Balance Due:
Permit #: 20167453
Pin #: 64526
Project Address: 928 S Oak St
Assessor'sParcel: O11-OA2-12
Unit:
Block: O
Suite Range:
Zoning; R'l
Owner:
Address:
Qty
1.00
't.00
1.00
Phone:
11.r,i.hi : 4 .?.J 1 6 - I I /?r:r,. :ir_'r1 g I l-r ; l..l?oliAl,E[)lf i,-e! irYH rr.gn"-+r J7 1 r,f 1A:.:t+ | Ref+l . tl$'l4tj.l
ti{Ft+i0?41.7-l5fi - 1i.,i?trltt{rt.p r: 11, 1,nrTrc::::+ :n Totql $t .rt]-,it'
Ari:f -; r ar.-I1
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:Notes: handout given
011 16002 51600
011 16002 51603
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DI]t,CARAI'ION
I hdcby amm und6 paally of p.iury that I m cxcmpl fror. thc Contraclom Liccns ljw aor lh€ followins r@. (:_!. 701 1 5
Businds ad Prol6sio. Code): Any Cil, or Cou y whi.h r.qun6 0 Fmil kr coNltuc1, alro. i6Pb!( ddnolbh or rS t &y
$runuq rior ro irs i$oec.. also !.nrir6lhc @plicel for such pqmil lo 6L a sisn.d stdmot $d h€ or stc b lic@c{ pri@r
Io thc FmvisioG oldc Conltlcrd s LietrFd La* (chaprd 9. Comncn ins wilh s6rion 70oo oaDirision I oflh. Bsinds'dd
PrcLsions Cod.) or rhat hc or sh€ ie cxmpr lhdcEom rnd lhc b6i6 aor th. allcB.d .rmplion Anyvioldionofs-1ion?011.5 by any
spplicdi ior a !.mir subjels rhe applicom ro , civil p.mlty o af,ol nEr€ lhe fiv. hu.dtol dollds ($500).
L as o\$d o llne FoFny. o! my dnployG rilh was6 I rhct slc .ompoerion. siu do lh. soft ejd thc .rin lr is ml
intsdal or ordcd fo! elc (58.70,14. Busins dd Pmf6ioG Cod.: TtE Conlrsclors Licos. lrw do6 nor tPPly to u oMr of
thc ptupdly *ho btril& or impmvBlh@n. ud vno do6 such Mrl hins.lf or hdscllor threuth his or hd om mploy6.
prcvided thal such imprevdmt e nor inlo{H or oficcd for $L. If, howdr, lb. hlilding or intpremol is Fld wilhin .n. )d
ofcompLrion. tlE O*'ns Bui!:ld *jll h.ve th€ hldo !f Foving td h. or sic did d boild or imFov. fi. pmpsiy for th. BITE of
I. 6 owncr oflh€ p.op6ly, d .r.lcilely conli.crinB qnn Icm.d conlracto6 to co6ttucl ih. Fdd (56 7044. BBme
and Prla*ion codc Th.Conlrscloi. Licds€ L.w do6 nol apply ro d ownd of ptopedy who builds or inprcrcs lhdmn.
and Nho conlEcls lor such Fojcls wirh a CodBdoi, lic@d pusul lo thc conln.lols Licm t w).I
I m cxenlpt und6 S(l 5r\", e.
D9CIdEAIIAN
I hs.by ,mro und* p.nalt, olpsjury onc ol th. follo*ins d4lsr.tio6:
-l
hav. ed will moinl.in a Ccnificar. of Cotuol ro S.1.6u,et.r$ork6r compehsrion,6 prolid.d aor b, S..lion 1700 ofth€
llbor Cod.. aor (hc pdfommc. o f Ih. Noli for stich th. pmil is sud.
-l
hav. a.d will maimain wortcrs comp.Nlion iBurancc, a r.quiEd br Sd tun 1700 oil h. I rbor Codc. tot th. pdlomEncc ol
ihc sor I for rhicn $is !.nnil is isucd My workers comDd$rbn idsumce cari6 md policy numb.r d.:
Policy Nurhs
-Erpircs
I ccnifylhst in the pBlormamc of lhc work lor Nhi.hlhis pemn is issued. I shall not snploy3.,Pmon inanym ns
$ a ro b€onr subj<r ro rh. No*e compderion hNs ofcolilomii dd asd rhat il I should b.comc subjxl lo tb.
*0116 conp@tion pmvGios of Sdioo lT00ollhc llbor Codc,l shatl. aonh\lnh comlly *ilh lhos prortioB.
WARNINCT l:ailure lo sur. *!&od .onp@^rion .ov.rasc is unlawful. and slFU subj(r M dploy.r lo oiminal F.hB e!
civil fin6 up lo onc hu.dr.d tho6dd dolld ($loo.Lto). in .ddnion ro the coe ol cosr.Nrion. d{Ms.s 6 Povidcd ror rh.
sdrion 1076 of rh. kbor Cod.. inrs6l ud anonEy's fG
c.. C/uz
DTCIAEAIrcN
I heriy .ttm ondd part, oI pdjury $al I dn li6s.d undq F.Gio. ofchapld 9 (com,trocins wilh Sdrio. 1000) of Division l
ol lh. BsinB ud ProfBios Cod., md my lic.N ie in tull fo,cc a.d .lrtl
Licec. CIB:-Licsc N@b..:
-
CONSTRUCTION LFNDINC ACTNCY
I lEreby amro dd6 Fnrlry oa p6lu.y thd 016. is a cotrnEcli.D Lndios agdcy aor ih. psfom&cc of 6c *ort for $ hkh lhis Fnil it
isu.d (S( 1097.Cir. C ).
ATIIICAILDEC'JNAI]ON
! bdlrry arm undd p6ahy oa pqjury oo. ol th€ lollowing ddL(al ionsl
Dcnoliion PmneAsb€rd Nolifi.otion F.dd6l R.suldions ('I itlc 40, Prn6)
R.qun.d L.lrd of No{ificdion
-l
cen iry lhal thc ledqal lcsularionr orardins a66bs ra.ov.l de nol applicabl. to lhis proj.cl
-l
csrify thar I hare rkd lhi applicarion and statc nd fi. abo\ c inlomalion n coftd I arre ro .omply wnh all Cil y ad Cotr rt
ordina.c6 and SIarc lrws r.lar'.g ro blilding .oBhclion. od hd.by oulhorn€ rqtrdc ariv6ofrhisCity d Cou.ly lo drd ul.d th.
Cyr.lZ D.,.
abo!.n6'ioncduopdy tor inspdn,nnurp.s .
Ap!,ionroraEq,shn*u... X SiLkl
Pcmile Mnctpn ):
Site-Work
Underground
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
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Rough I
Service Meter l/,tha rl)L,trtt )
W't'[rq\W-k.tu I
Notes, Remarks, Etc.
FINAL
Cv vL
Lendeir N.m.
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L{ndd .
^dd6
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