HomeMy WebLinkAbout20265901 - Permit (2)Cify 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
Proiect Address: 1219 W Cubbon St Unit:
Block: NA
Bldg:
Tract:543
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
AssessodsParcel: 010-271-13 Lot: 11
Owneri
Address:
Jose Tony Martinez Soto
1219 W Cubbon St
Santa Ana, CA 927034923
17141 206-3141
Fee Type Amount
01116002 51603 Demolition (includes ren 45.65
01116002 5'1600 General Plan Update 21.25
01116002 5'1603 lssuance 52.98
Qty
1.00
1.00
1.00
Fee
$45.65
$21.25
$52.98Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone
offices CTYH Tronsi: 1? 3 n{'Acct+: Refi: 2(r?659t-rt
Fret+:(12317S99 , 7/3/2t19 tr1? AnTnnnsoctiofl'lotql i'/17,I1,
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Jose Tons llsnt inez .qoto
6enerol Flon t ed[te Fee
01 1 r 6fl t:rz- it 60c[:rtr0-
El ectr icq I
01 1 t6r]0?- 51603(L1t:t-
Cqsh
Chtrn9e
,!,
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
N/V
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
$gu[t. ur.i($4:i.4L)
Notes:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allis
10296483
"v 05t17t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become hvalid unless the wo* on the sile
authorized by such pemit is commenced within 180 days after its
issuance, or ifthe work authorized on the site by such pemit is suspended
or abandoned fot a peiod of 180 days after the time the work is
commenced.
$1 19.88
$0 00
$119.88
lnspector
01 1 16002 51600
01 1 16002 51603
$2't.25
$98.63
Fee Total:
Paid to Date:
Balance Due:
Permit #: 20265901
Pin #: 26553
Planning Conditions:
Date:
Date:
Date:
MID#: 2018-143430
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby afln uMcrptnaltyofpcquryrhllIrmexcmprtonrlhcConrraur(trit-i.cisclf,wforrhclollow,igrc.it,tr',S(iorl\
lrusincs a.d Proicssion Codc): Any Cily or CouDry *hich rcquircr ! pcnnir b ..ns'x.i. ahcr. inrprcrq dcnmlkh.r rcinn iw.
strucrurc- nrior to ns isuoncc- aho rcquncs rhc rpplicur lor ruch p.nnn r. fiLn sigmd r,l.mnl th.l hcor shc h liccn*d puNrnl
lo lhc Frovtiotrs ofrh. Cotrtracrors Liccnsd Law (Chaprcr 9. Conmcmins wirh Section 7{Xro of Dieision I or th. susincss a.d
Pmfe$ions Codc ) or thar hcorshe is excmpr rhcrcrloh dnd rhch(sis i,r thc,llcgcd cxcmption Any vi.htionofsccthn?01r.5 $y lny
aptli.anr ror a pcnnn subjc.ts thc rppli.!.t ro a.ivilpcnulrtol.ol mrcthfln lilc hu rcd dolh's (S5U)
_t, as .wn$ntrhc lr.Fdy. oi.rycnrrl.y.cs Nirh sxgcs,\ lhcir $lc.omp.trqtiotr. will do lhc work lnd rhc sn8ue is nor
i oxlcd oroflcr.d for s.lc (Sc.7Lq4. Busirrss,.d Pmf.*ions Codc Thc Connnctols Liccnse Lia does nor aDply b ai ower of
llEpopcny wno huilds or impmrcs rhcNn- !n.l who docs such v)rt himseltor heselror rhrt,ugh his or h.r ow.ctrDlorccs.
prorid.d rhi su.h imporcrmnh m not i6lcnd.d or oficrcd for srlc ll howcvcr. rhc tiuildirB or ii{'rorcmnr is sold wirhin onc rtr
ol'coryErion- rhc Owncr lluildcr will halc rh. burlcn ofFovinB rhd hc or rhc did nor buih or inu.r lhc tm!€ny for the purpos of
I. asosrcr.Irhc fot,cnr..mcxclNivcly coolmctirig silh lic.trredon acro6lo o.slrucr rhe pnjccr (Scc 701.4. Btr\i"r\\
and Poiisshn Codc:'lhc Conlracrors Llccnse I.a* docs nor lprlyk, u osncr or F,p.ny wh,, huildsor i'nprcvcs llrrcon.
nnd *ho conrrac( rd su.htn,ic.rswirhrConr.r.kn(s) liLrn\cd pusudtrr b rhc Conrrrors Li.cnsc Ltrwl.
;-.oLL d/ / /V u-'/1
l2r.L!"!-U!ItlD
I hcrcby rmnn undq pcnal'y of lc.jury onc ofrht rdlowins dccluxrionsl
_l harc and will nBinrlir E cenilrale ot G,nrnr ro self lnsur for w6r*.N ..ntcnsarion, as povidcd ior bys(lion 3?00otrhc
Labor Codc. lor thc rnbmurc€ of lhc work for *hich rhc Ilcmit h is\ued
lhavca.dwill,n{int,i.workcrl.onrrEnslliotrinsuhhcc.{srequncdbySalion3T00oflhcbh.rCod.,rorrh.pcraoamnccof
lhe work ror whth lhh p.rnir is nsucn. My wortcn comp.trsalion insurnnce caricr ad Flic, tunber @:
Policy Nun,hcr: [xDirc!
l.crlify thdr in Ihc trcrlornun.c.irhc No.k ln! whi.h lhh !.nnil i\ isucJ. I \hrll tror .nl!)1.) rtry Pctron i. rfy nunncr
v, An, hcconrc srhj..r r, rhd w.rkcN'.. rFnsario lrwsofcdlibai( itrd lsrccrhd il l should bcBnE suhrcd t,rhc
workcN'.1nnpctr\rriorpn,visi(,d\.fSc.riotr:lT00.flh.tnhorCodc.lshalllonh\rirhconrtnywilhrhorlnrvhi.n\
WARNING l,aihr.lo Burc sorkcrs compcNalion is unhslul. ml \hrll nrbic.r rd cnlr.ycr Io di inrl pctrJhts rnd
civil fincs ut' to onc hundrcd thousand dolhn (in rddiion n) rh..oi ofco rl,cisnrioi. drnhScs n\
scdnn r16.r)hc Lrrr,ndc
o"eOy' / ra // a >d a:
l]IrL !]!!A!
I herehr!flirm under p€ndlryofpcrjuryrlur I rn liccnul undfi tovisi ofChaplcr 9lcommncinE wirh Sccrid 7txx)).fDivision ]
oi lhc Busincss md Profcssi{,Ds Codc. tw! ny licci* i\ in fullfdccaidcfla.r
qAN.TIBUCUANTENDINGAGENCI
I hcmby,nnmundn p.nalryol rcrjury lhol lhcrc hsoNrru.tiotr lcndirsiscmy tu rhc p.rnn'mkd.rrhc work for Pnich lhn Pcrmil h
issucd(Scc 3097. Civ C )
AIILICTINLIIEILIEAIIoN
I hcd)y rltnnr undcr pcrrlly olporj!ry onc orlhc rorl.wing d.cl"rarn,ns
Dc.mliiotr Pc nih sbc{.s Norificatiotr l,cdcrul RcEuldiors (lirlc 4f). Prn6)
RcqDnL'd tx(.r of Norli.ition
-lccnifrdrit
lhc fedcralrcsnlalionrrcgrdinga\hcnos..nx)!rlIc nor rfpli.ihlct, rhis l)nilccr
lccnilirhrr I hrv. rcad rhn d mrc rhnihc rhovc i .rNrriotr kcoircd lrgrsrocorlnlr*irh]llCiryaidCou ry
o(liDrn.c\Jtr{lSrrr.l- *\ rul ri,,g ildiiscoi(ru.rn{ aiJ hcrchy ur)x*iz. lttrcscrlalncs,Ilrlllris Ciry rtrd Cou ryt)otrrcrtrfi,trrr
alDvc mcnti.rcd nrone.ry for i L
tk-zL.
0 a
Site-Work
Underground
Pole Bases
Liqht Slandards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar RouOh)
Meter Release
Rouoh
Service N/eter I/o,/Tr/ tFINAL X, -ffi4 ,/)
Notes, Remarks, Eid I
txtrdci\ Addro$
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Transformers