HomeMy WebLinkAbout20165975 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Aila, CAI27O2 Electrical
Permit Counteri (714) 647-5800 lnspection Requests: (714) 667-2738 lns'pector Section: (714) 647-5853
Project Address: 2028 N Greenleaf St Unit:
Block: NA
Address Range:
Historic: No
q
Assessor'sParcel: OO2-Oa1-22 Lot: 6&POR7
Owner:
Address:
Charles Lake
2028 Greenleaf Street
Santa Ana, CA 92706
(714l972-2339
0'1 1 16002 5160:
01 1 '16002 5'160C
01 1 16002 5160:
Fee Type
Serv lvleter
General Plan Update
lssuance
Amount
51.29
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$51.29
$21.25
$52.98Phone
Contractor
Address:
Owner-Builder
Phone
Slate Lic #:
Lic Type;
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires;
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy;
Constr Type:
Code:
R-3
VB
cEc 2013 Notes: Electrical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user
Date:
Date:
Date;05t25t20'18
Account#
Evory permit issued shall become invalid unless the work on the site
authoized by such pormit is comnanced within180 days after its
issuanca, or if the wotu authoized on the site by such pemil is suspendod
or abandoned for a peiod ot180 days aftet the tifie the wo* is
commenced.
$125.52
$125.52
$0.00
lnspector MID#: 2018-143590
N/A No Balance
Permit #: 20{65975
Pin #: 245OO
Bldg:
Tract 813
Suite Range:
Zoning: R1
Tenant Name:
V
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNDN AUIDER DET,CABATTON
I hcrcby rfllrm undcr pcnahy ol pcrjury rhur t m crcn{,r fro'n rhe Cont,.ro^ Liccn* bw fo! llE follo*ins eN)n (se 70.ll 5
Busincs and ltofc$ion Cod.): Any Ciry or Counry *hich r.qnncs a tr.mir to con(rucr. llrcr, ioprovc. dcmlish or rcpan any
ndcluc. ritr ,{, irs i\\!r@. ,l$ rcqutcs thc rprlica for such Fiinil h nh ! siBtud dncmnr rh,t hc or sh. k li.etrrcd puNurni
ro rhc pmvnions of rhc Co ractois l-icc.{d law (Chaprcr 9. Conncn.lng wirh Scclion ?000 ol Divhi,n.l orrhc Bu\inc$ and
ProfcsionsCodc)orrhat hcorshe isexcdpr rh.rcrrondnd rh.t{sir ror rhc alLScd crc'nptin Anyli.lntion.fsccriotrT0ll.5l,yany
omliconr for a t rmir suhjdB rh. iptlicanl to a civil F.altr ol ml frm lhatr file hundred dou' (S5{x))
l.asowcrolrlrnrorcnv.ornrycnrn,yc.\*irh*as.sa\lh.irv,lcconr.tr\nlinr.willdolhcForkudlhcnmrurui\frn
inrc cd or oficrcd ttr qL l So 704,1. Aunmss rnd Pmlcssi.rs Codc: l hc Conrrlcl{r'\ l-i.cn\c kw doc\ n.r aml, h !tr .s'rr nl
lhc tmrrcny Nho builds or ifin orcs ihcrn. d$hodessuch*r)rlhim{lrorh.rsclf.rthft)rghhi\orhcro+ncntrn,yers.
,n,rid.drhrrsd.himpn)vc'mtrrsmfrrLcnd.doro(.y.dluslrllhd$c\!r.rhcii,iliirAori'noft,vcnrnri\q,ldwirhnr.ncrn
olconUtri{,n- rhc Owm! Iluiklcr wilLhak rlk burdc. offn,vii8 ihar lf or shc dil nor ttrikl or iq)mvc rhc nn,tcny ror rtr PUqx,$of
l. xsowmr ofrhr pml,.ny. rdcrclu\Ncl, contm.lins {irh liccnscd conrrrkml. con\ltocr rhc tn'rNt (Sc..7U11, Au\im\r
ond }\nlBrirD Codc: 'I hc Conlracrols L,iccisc l-aB docr norrpplyro unowncr of otlcn y wh. bulld\ or imfro\ti rhfi.otr.
a.d who .unk .hfor such lrojcchwnh0 conrncron 9 ltctrsd purluanr brhcconh.tn \ Li.cnsc Law).
I lmc$md u.dq Serion . B & PC r.r rhs rc0scn
Dlle Oener:
woRr(r'es' ()[!PgNsliroN
I2ECLIBAIIa!
I hcdb, nfln undd r.n,hyofpcrjuryonc oflhc followins dccltrr.lion\:
Ihrvc ld will minrrin a Ccniiicrtc ol Conscnr h Sclf.nsurc hr aorkcN conpu\rriotr. ,s lnrvid.d lor hy S(li,,n :17{X) .f rh.
tf,bor Codc. ao, rhc r.rfonn tuof rh. sork lor*hich rhc p.anir is is{cd
-l
htrr otrd sillm.intoi. *.Ikc6 c.mprnsnn,n in\urrncd. a\ rcquiftdbyScclionll00oath.lihorC.dc,ibrrhcpcrlonmmcol
rhc work n, whichthis pennii i\ nskd Myworkr^ co rpcd\ nnr insurancccmicr r p.licy nums.rdc
Policy Nunrbcr:-Erp
I ccnilyinar nr rhcr.rfohBRcofrhe work for shich rhk Firnil is i\$cd.l shalltror cDPloyrtr! l[rso! in lny manncr
s' sroh$om{h]cdr(,rh.scrlc Lannpcnsrnrn hwsor( rlir,nni.. md l8ncrh0r ifIshould h.c t $br.trbrhc
workc.s onDcnsrrion trovi{i,,ns ofSc.ri(,n lT(x)ofrhc tih.r cldc.l sturll.lonhsirh con,!ly oirhrho$ fiovilions
WARNING: Frilurc ro $curc woikcr'onrltnn ion covcrnsc is urh*rul strd \hdrl ubiccr 0tr cfldoltt t, omin.l Fnnhics rnd
.i!il finc\ up kr om hundrcd rhous0nd dollan (Sltx).000). in uddirion r. rhd co{ orcomPcnsotiotr. domaEcs u\ lmridcd ror rhc
SNrbn.1076 of$. tjh, Colc. i.tcrcsrond afiorrcr\,tcs
IICENSED.CONISACIQf,
DECI,ASAIION
I h.reby {lfirm xnd.r p.nNlty of p.rjury I hat I n liensn undcr I,DlnionofChaptd 9 (smmNin8 wilh Sarion 70Oo) olDivision l
of the Busircs\ aftd Pro{c$ionr C.d., rd my lrcnsc is in tull for( .xl cft(|.
l,icenrc Numh.ri
AI2LICANLDEII.AM:UA!
I h@by armr lnds pemlly oi pcrjnry onc of rhc rollowine d(Lral ions:
D.mlilir. Pdmirs-Asb.{os Notincation Fcdcral Rrsllrions ll nt 40. Pd6)
Rcqn ind lltr.. of NdifHtion
I ccnilylhrr nr td.rrlrcsrLrn,i\ rcSnil S n\ltro! 'r tr,vrlrt. n.r q'l,li.rhl. ()rhn n()r!.1
-l
ccrr i{y rhor l havc had rhis amli. ion rntl sdt. lhal th. 0}[vc infornulion is .o@r l ,sie ro co rdy wilh all Ciry a.d C.uily
ordinames and srlre Liw\ Ebri.g lo buidinS .onstru.iion. uLl hcrchy aurhoizc rctretunuriv.s ofrhn cilymd colnryxr.n'.r ug'n tlr
oliolc mnrioncd prepeny for inspccr ion nu 4sss
Applicant or Asenl Sknnlurc:
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundinq / UFER 1\vo\r*/4,/41 tl/
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)I
lVeter Release 1\qg ,t-t-a'/t tic)
Rough
Service lvleter
FINAL -1Ur\(9 /,u4.fl,)
Notes, Remarks, Etc.
Under Slab / Floor
COISIBICUAN!ENDINS.AGENCI
, hcrchylmrnundcr lEnuhyoarcdlryrh (h@ h n cdnnftrion lcnding a8cmy lor llE pc,fomr. or rhc *or* lor which rlis lEdir n
hsu.d (Se. l{1s7. Civ. C.)
tind.r'( Nim: _
t ndn s Addrcs:
:
I
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