HomeMy WebLinkAbout20165466 - Permit (2)Bldg;
Tract: 3902
Address Range;
Historic: No
Suite Range:
Zoning: R1
EProiect Address: 1909 E Buffalo Ave
Assessor'sParcel: 396-04'l-03 Lot: 48
Unit:
Block: NA
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853
Electrical Permit #: 20{ 65466
Pin #: 25727
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
MARK SMITH
1909 E BUFFALO AVE
Santa Ana, CA 927057605
(714) 843-1119
All-Pro Remodeling
706 N Tustin St
Orange, CA 92866
(7141284-1314
01 1 16002
01116002
01'1 16002
011 16002
01116002
51603
51603
51603
51600
51603
Fee
$5.60
$6.08
$17.17
$21.25
$52.98
IDr il6Aft(
lot
2( 16:i466
3: r"r3 FII
s52r .36
Fee Type Amount
125 Volt Receptacle 1 .40
Light Switches, Occ. Se 1.52
Light Fixtures '1.01
General Plan Update 2'1.25
lssuance 52.98
Qty
4.00
4.00
17.00
1 .00
1 .00
Phone
State Lic #; 574598
Lic Type: B
Bus. Lic #: 172445
Workers' Compensation lnsurance:Carrier: Security Nat'l
Policy #: SWCi179182
Expires: 01/01/20'19
Bqtch+:45645 - 5/8/2[ 1S
off ice3 CTYH Tr(lBE+i 7llAcct+: Ref+:
Rcpt+:02?i9952 - 1/gl2tt19
Tronsoct i0n fot(l1
A11-Pro Refiodel ine
6enerol Plon Ljpdote Fee
r11116002- Sl6rlrlBnu-
Electr icolrlll 16002- 516r:rsr:t0tr-
iCL (:heck r:ll:I0(rU1(rg?1Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Single Family Dwelling
Patio cover
Outlets/Switches/Fixtures
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016
Notes: Electricalfor patio cover
Amsden, Julie
Buildins Permit #: 1 0195938
Every pemit issued shall become invalid unless the wod< on the site
authorized by such pemit is commenced within 180 days aftor its
issuance. or if the wod< authoized on the site by such permit is suspended
ot abandoned for a pedod of 180 days after the time lhe wo* is
commenced.
MID#: 2018-142245
Date:
Date:
Date: 05/08/20'18
Account#
iilisc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
01 1 16002 51600
01 r 16002 51603
$21.25
$81.83
Fee Total:
Paid to Date:
Balance Due
$103.08
$0.00
$103.08
Plan Checked By:
Permil lssued By:
Subject to Field:
lnspector
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
lrileter Release
Rouqh </'4fiK <r71 0114+^
Service lt/eter
FINAL N/La/"r :\ BI
Notes, Remarks, Etc
ELECTRICAL.INSPECTOR RECORD
o\tNtiR tlt|tDUR D!:r.( AR,\'r'roN
I hcrcby atlirm undcr Fn,hy oi lcrjury lh l am cien{'r from rhc G,nrd.r{ l-i.ensc tjw lor rhc followin8 rco$n (S€7Oll5
Busnrs aM Pnrlcsiotr Cndc): Any Ciry or Counly which rcquires r F-rmir tu .onsfl.r, ,lrd. inltnvc. dcnDlish or rclln cny
{dcru,c- r.ior ro ir\ issurcc. ilso r.qniftsrhc appli.Mr r{tr su.h F-hrir b ilc a stncd statcnEtrr ltlltror\hc i{ lic.n$d puNmr
to thc prcvisions of rhc Conlrrckn s Liccnsed Llu ((hrllcr e. Coin&tu'ns wirh sc.rion 7{xx).f Divnio.:] oi rh. Ar\ine{ nnd
,'DfcssionsCotlc).rrhsrlrdsh. hcnnDr rhcicfroNand rh. hnsis f.r thcnllc8cdcxcmpli.n. Anyviohrio.oIS.di,'n70ll.5bylny
rfplicrnr rorar.mi suhjNr rh. rpnli.anr roacivilpcnrlrynlnol nDrclh ivc hlinrcd dollu\ (S5m)
-l-osopncrorlhcpmpcny.ormyenrphyas$ilhwlsesaslhcirslccomFnsnrt'n.willdorh.work
dlhc{tur@isEn
inrcndcd or oalcrcd for {lc (Sm.70.14. Bu.incs Md E'of.*nrn{ Codcr 'I hc (lflro.ior's Li..tr$ L3w docs nor upply b tr. ow.cr ol
rhc Impcny wlr, $lilds o! irlrrows rtENn. and whr dfts such u.d iinNclf or lrf*lf or rhroqh hix or hcr o*tr cmploycc\, "pr.vidcd rhar su.h nnphvcrEntsNmr intcnd.n or oficBl for sh.It hoEwr rh. hildiog or irymkft.r h $U enhi.orc Fv
ol coq,lerion- rtr Ourcr Blild€r wiil hzk rh. h!.d.n or pUvins lhd rr or shc rlil fr, build or inlpnvc lhe nnrEly fttr rhc l}nrrn$ or
l-Js.sncrolrhcpn,Fny.rn.x.lxsiv.ly.ontra.inrgwirhliccns0d.otrtr.trsri.onnrucrlhcpm.Jcd(Sc.7(}l4.Bx\i"cn
r hrissrtrCorlc ThcConllacxn st-icenscl-awdoc\noropplybkr.NrtrofprolcrtyQhohuildsotin9rov.\rh.rcon.
and *ho.o mcrs fr \u.h lr..r\ wirh a C.nrncbn n li.cn$d ru6ulnr lo lhc ('.nrrrcttr's l-iccn* t2* )
_l xn,.xcnlpr undcr Seiion B & P( f.rrhhrcr$n
Dolcr Orn.r:
wonxins' cot"ip .rs,trrox
DEII,ATAIION
I hcrcbyofi,nutrdcrDcndlyofp€riurynrcof rhcfoll,,*inPdccl alion\:
I hnvc xl will nDinrain o Ccrl ifi(slc of Con\cnr lo Sclalnsurc li, worldr' .uD.netion. ns Fovidcd fo! ny Sd ioo l7m of
'hcLnbor Code. r.r rhc p.rromtrcc oilhc Eort lor ehich lhc lrirn is nsucd
I hrvc dtrd sillnrirlrir workcri conncnsali{,n nNurlncc- as rcquircd by SNrt lTlDollhc&botCodc.tultepotu@.cof
rhc work lor *hi.h lhh ncrmil is nqcd MyworkcE coDpctrsation insura..c .nifi ,d lolicy nun$cr rc:
,^,*, S<cu.z.f 2 ,,t/4r= -_.s/
fia-c- 11 -?q/62-/ /-/?
_lccnifyrh r inrhc lcrt i,un...flhcworkforwhi.h lhN!.nnir n tsucn.I \hrllnol Eopk,yanyp.mn nt ymrtrrcr
$ rs ro b€onE subirl h lh. wortcF' co nurc nsol ion las\ ol Calif{mif,. and ism rhd irl srbuld lf,com subic' r{, rlt
workc^'co.rrpctrsllionpmvnionsnrsccrinn.lT00ofrhelrtnr(od..l\hrll,rodhwthcoml,lywnhttu$Imvist'.i
f7( b€E
salsrBltcuolrENDlNc-aclNct
I tf,rcby .lftrm utrdc! IEnshy of 0c4ury rhrr rhce is a con(rudio. lcndine 4cncy fo. rhc ltcrforrom ol rhe *ork r(r whih rhk IEmi n
isrucd (sc lo97.civ. c )
A.TIUCANLDECL$AIIO!
I M,, afllhn undcr Fnnhyof Fcrjury om otthc folhwins dcclmlions:
Ocmlnion Prnrnr Ast {os Nolilicdlion Fcnml Rcgulnrions (Tillc40. P!n6)
-Rcquired
kucr oa N.rifrdion
-l
c.nifyrhnrihc ltJcralrcguhrionrrcg3.ding *irno\ !.nr,vdl dc tror{ppli($lc lo lhG nror$t
-l
cc'1ity rhnr I hav. eid rhk ap,,lkatn,n rM $arc lhar $c $ovc informl ion n cntu.r I agtd ro comnly wilh rll Cny a.d Counr,
ordinumcsandSrstcljwsebtingrohuildingconsr ction. md hcrcby aurhoria rcI],csorar i!.\ of rhis Cir y md Cou rlocntquponrhc
oh.vc mnrinNn mncny fnr insr(riinnrqn{\
^Doti"*'", ^e-ts.^"t * ,//?- *r., f'916.
ZZ€J-2-*
I{ARNING: Failu( ro s!r. *orkcN compcnsrlion stcmgc is unldwt!]. and shrll suhid arr dnplorr ro diminll Pciahics and
civil fincs !f ro onc filndrcd rh.usaftl dollrs ($llD,txD), in addnion to nE cost olconpcn\alion. dtmgcs 0s trovidcd for rhc
Scction 3076 otrhc L{hor Code. im.Es and omy\ les.
',*, i:i -/ i - o,,o-,, //a'
uirEusEDl.])lrtAcMB
DECI.ABAIION
I hcrcbynmrm undcr pcnityolF jurr rhai I dd li..n*l und6 ptuvision olCh$E 9(commncins wilh S.crion Tulo) ofDivision 3
ot rh. Busnrss6nd Proic$ions Code. ud nryliccn* n ir lull force ond ctrccr.
72
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Dir. Conlhrlo.:
lxn'h''\ A'lJ(-.