HomeMy WebLinkAbout20165844 - Permit (2)@ City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2(11658,44
Pin #: 47775!lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 \
Project Address: 412 E Camile St Unit:
Block: NA
Bldg:
flad 2657
Address Range:
Historic: No
Suite Range;
Zoning: RlAssessor'sParcel: 404-053-03 Lot: 9
Alfonso C &Amalia Cervantes
412 E Camile St
Santa Ana, CA 927015905
(714) 904-4796
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Update
011 16002 51603 lssuance
Amount
21 .25
52.98
Qty
1 .00
'1 .00
1 .00
Fee
$51.29
$21 .25
$52.98Phone:
Tenant Name:
Contractor
Addreqs:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service meter
R-3, U
VB
cEc 20r5 Notes: Handout given.
Planning Conditions
Planning Approval By Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By:Amsden , Julie
Subject to Field:
Building Permit #;$21.2s
$104.27
$'12s.52
$0.00
$125.52
Every permit issuod shall becorne invalid unless the wo* on the site
authorized by such pemil is commenced within 180 days aftet its
issuance, ot if the wo* authotized on the site by such pemit is suspended
or abandoned tot a peiod of180 days after the time the wo* is
commenced.
lnspector MtD#. 2018-143294
01116002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
Phone:
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Occupancy:
Constr Type:
Code:
05/10/2018
Account#
ELECTRICAL.INSPECTOR RECOBD
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I hcrchy aiirm rndcr pcnrlly {,f p.rury rhar Lh €rcrnpr fom rh. G,nrEdon l-ic.ns. us (tr rhc follo*ing rca{,n (S..70.11 5
Busincs .trd Prob$n Cclri Any Ciry or County which R+n.s r !.nnn tu .onnru( rlr.r. impn,r. denmli$ or rcp ,try
stru.lurc. prior lo ns kuarcc. als requtcs thc lprlic.nl lorsu.h IErn l h filc r si8rcd nalcmnl lhil h.or shc i\ liccn*d l[suonr
ro rhc lioliin)N .f rlr C.nro.ror's tj.cn*d lnw (Chnprdr 9. Connr..ing *irh S.cnon ?ofl) of Divhion:1 olrhc Busirc';\ snd
I'mfc$ions Codc) or rhrl hcorshc hcxcNnl rhcrcfrom rnd rhchrsis ior rhclllc3cdcxcnt rion. Any viohtion olSccrin?0l1 5 hy rtry
aPllicrir ior r pcmrir sui,i(r\ '!c applicanr ro ocivill)enalryof mlmrc'nan filc htndr.rldouosrs50o)
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rs owncr of thc proFny. or my cnDloyccs with aoScs os rhcn $k .rmlE.sr nrn. s ill do lhc wori and lhc (nt1uE n iol
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rhc pnt]cny sho trildr or improvcs rhcmn, .nl who docs {,ch e *hi scllorhcFcllorthmuBhhisorhc!owncmployccr.
pn,vid.d rhar such impoeeft s ft nor inr..dd r olTcEi t, slc lL ho*ckr. rtE bui[i+ or ir{r.RnrN i{ sold withir' nnc JeJr
oi.onplcrirn, rhc o{Rr Builds willhavc tlE htrdcn of Eovins rh,r lror shc dil mr hoild o, ifl{nrc lhc pFpsly for rrt put${ nl
-n'a- e e
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0 Pmftssi Codc:rhcCo.hr.lofsLicc,r$l-n*docrnorrpplybnn.wroolproncnyphohDildsornnpr.vcilhcr.on.
and who onrmcls rb. such !.oFls wirh r ConrEcro(rr lncDsL\l punuanr ro rhc Conrra.rois Liccn* L!*)
^drpr hdcrs*rion_. B. & Pp(y G>€.>
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-lhavcudwillmrinrainrCcnificlrcofConsnr!oSclllnsurclorworkqlcomri.aerion.&srllidcdlorpysc.lrn'l7{n.rrh.Lllnr Codc. ,or lhc p.rformrc oflh. *o* for which rhc pcrmir h hsuct.
I h,vc and will dainruin wortcra.ompcnsalion insuruncc, as rquirl{ hy Secrion l?oo oflh. t bor Codc, for rhc pcrltrnufrr oL
thc work for whi.h {nn p.mjl is isuoj My *orlcB comF.sln,n i.suBre cnicr nnd polky nu'nh.r ac
Policy Numh.r:JrnA-P Q-
-..,1Llcciltyihd m rhc Fdormncc orrhr woA r.r qhrh rhis p&nir is i\sucd,I sh.ll mr cmtloy.ny tersn itr !try nunmr
s s lo bcom subiEl k, lhe wntsi conrFnsar t,n hws of Califorria- and a8rcc lh{r il I \tFuld bc('m subjd ro trE
workcn.rnFnsarionphrisi.nsorSc.ri,n3700orrhcl$orCodc,I\hall,r.nhwiihomplywirhrl$sprovisions..
W RNIN(;] Failurc ro scurc workfiJ con[cDsdion .ovcECc is unhstul. 0nd shall subjd dr c'nplo]cr lo .ri'ni'rtrl !.itrhi.s and
civil fincsxpt,on hundmd rhouknil dotliGlll0O.0OO), in dddnion tu rhc.o{ of.ompcnsrlion. damgcs al F,vid.d ntr rhc
SccriN 3076 of rh. If,bor Codc. i.rcrcn a.d ormy\ f.cs.";:.1" (;-, /s' "
^*,,, M'' r rcYis"n conrnlcnx
nf,r'r AR^ n{}N
I hcrcby,finm undc, pcnalry ofF jury rhar I am liensd udcr pmvision olChaprq 9(..m'mfting with Sdioo ?(xD) ofDivhion 3
ot lhc Busircss md Pnfc$ions Codc, ad nry liccnsc t in tull forcc .rn cftct
I:ANiIAJ]EIIAIi.IENDING.AGI,II.I
I hcrcby aflnm undcr pc.alry olFrjrry rhar rhca n a con(rudion lcndins lscry a.r rh. n&romDn.c.l lhc work for whichlln pcmir t
i$ucd (Sa.llr97, Civ. C.)
AI]LICANI.DECIdM.IIQ!
I ho$y 0mrnr undd pcnalryofp.rjury onc orlhc followi.C d&bfariors:
Dcmlirion Pc.mirs A\tEsros Norificati.n Feddal Resllarions (Tirlc40, Pan6)
-Rcqlied
txn.r of Nnifiorion
rcSuhrbns rc8rdins dsb.n.sr.rov luc n.rnpplic$lc b rhistr.J.ct.
a_-his,I,Flicarhnr nrrc rhar rhc .trrc inr.nn ion nc.dccr ! .BG ro conlP wnn all Ciry atul Cdu.'y
odin n.crrklsrlicLawsElirinstobuildiracon{rucltrn.r.dh.lcbyrurh.riT..eJnlscnrorivcsolrhnCnrandCou
{b.vc nrDtiorcd nroFny ror iispccln,n
^DD,nr
l or,\s.nl Six rh'rr O
APPROVALS DATE tD/stG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fi re Alarm / Dampers
Communications Cable
Building
Under Slab i Floor
Bondinq / Groundinq / UFER //-26 4p //lz)
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
[/]eter Release
Bough -.1-
Service lVeter //-28./E ,///'-21
FINAL ,%.-h4',)
Notes, Remarks , Etc/l ' '
D1/9 c a
Crfticri
Liccisc Clff\
-Licctr\.
Numh(r:
t!le: Contruclor:
I