HomeMy WebLinkAbout20167319 - Permit (2)Proiect Address: 1137 S Flower St
Assessor'sParcel: 013-091-'13 Lot: 19
Unit:
Block: B
Bldg:
Tract.320
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Contractor:
Address:
P hone
Tenant Name:
Thomas & Stephanie Butler
1137 S Flower St
Santa Ana, CA 927071101
(714l.953-7476
CLB Electric Corporation
18406 Alburtis Avenue
Artesia, CA 90701
(562) 449-8663
01116002 51603
01116002 51603
011 16002 51603
01116002 s1600
011 16002 5't603
Fee Type
'125 Volt Receptacle
Dedicated Circuit
Serv l\.4eler
General Plan Update
lssuance
gsl Eh+
0[f rie
Rcpti: i
Tr on sc
Amount Qty
1 .45 15.00
24.79 5.00
53.28 1.00
22.08 1 .00
55.04 1.00
1.,/1,, li-lir l;
,.rrl! ,l i i
i'let : l I-1 .,
I t,, i.: rill,, ,]l
Phone
State Lic #: 951378
Lic Type: C.10
Bus. Lic #r 347195
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
rr ToLGI
c ,: Jrpcrot i(}n
cii-r [Jpdote Fee
i 1 6,- -t0 ir(t -
::.1,:r50ir(-
ll -
{ren e
tl11l1
0111,
(.oEh
I hfln:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Electrical
Chavez, Dave
Y
R-3
VB
cEc 2016
't1to1t2018
Account#
0't116002 51600
01116002 51603
$22.08
$254.O2
Date:
Date:
Date:
[Iisc. Receipl:
Misc. Receipt:
Misc. Receapt:
Total
Notes: Service meter upgrade, outlets, dedicated circuits
Handout given.
$276.'r 0
$0.00
$276.10
d,
Every permit issued shall become invalid unless the wotu on the site
authorized by such permit is comfienced wilhin 180 days after its
6suance, ot if the wotk authorized on the site by such pemit is suspended
or abandoned fota peiod of 180 days aftet the time the wo* is
comfienced.
Permit #: 20167319
Pin #: 99435
Fee
$21 .7s
$123.95
$53.28
$22.08
$s5.04
.ui
.l-t'.
.lt'
Occupancy:
Constr Type:
Code:
Fee Total:
Paid to Date:
Balance Due:
lnspector MID#: 20'18-147399
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNf, R BUILDER DELCARATION
I h6ehy !flir6 u.dr Fn,lry of pdjury thol I m .xcmpl nonr lh. (.onkicto6' Liccns lr* for ih. lollovinB rwn (s4.70]1.5
Busines and Prolsiotr Codc): Any City or Cou y whtrh rcqur6 a poni( ro consrrucr. ah6. 'mprorc. doolnh or rcpat ey
srrucrue prsrlo irs issuecc, alro r.qdiB rh. ,ppli.d lor tuchFf,nirto fil.s sEncdndsn rlharh.orifi.b1rc6s.{ puEuad
to th. pmvisioN ofrhe Conrracroa3 Li@n3.d liw (Chapt6 9. Cosmdcins \rith Sslion 7000 otDilisio. :l oflh. ausina md
Prorcsions Cod.) or lhal h! or sh. B crsF fis.from dd lh. basis aor thc all.r€d cr€mplio. A.y violario.ofsdion?0115 byaoy
amlic&r for a pcmil subjsB Ln applic l to o civil pdahy o a nol mor. th& liv. ht.drcd doll$ ($500)
-1,
6 osn€r oflh€ prep.ny. or my anployc shh \r+6 4 $en $le o'np€Ml ioo. will do lh. sor{ a.d th. nnrclu€ 6 nol
iddddl orolId.d a.r el. (Sa.7L'44, Busings d l\oisions Code Thc conttccloi s Licr.N kw doe not apply lo d ownd of
thept$psry rvho hrilds or itrwov6lh@l! ed who do6 su.h $ott hin*ll or fifi.llor rhoush hG or hd oM €nlPloy6.
prcvidcd rhat luch inForgMG tu mr i ardqi or oirded lor s61.. Il how66. lh€ htildi,s or ir+iovmdr is st wnhitr on. )€r
oacompLlion. lhe OM6 Build< MU h.v. dr hi'j6 or prorins $a he or st. did mt build o! impo. th. Iropely aoi 0. prpos of
l!aa&8Illa!88!raf!9x
oEcta&lIll)tr
I h6€by amrm und6 p€nahyoapdluryorcoarhc aollowin8 dsl&.tio$:
-l
ha\caadwnlMi rjn a Cfiin.ate of co6d lo S.lalNurc lor $o.k6a .onrp€.!ario., a3 provid.d lor by Salio, 1700 of rh.
hbor Cod.. lor lhe pglolrMc. of rh. *!r( for which lh. pahn ! iss!€d.
-l h,!. &d will ,nai.tai. worksr co'npcGatioa insuronce. s r€quncd hy sdr ion :r 700 oarh. kbor Cod€- io, rhc poiom&.. ol
rh. sork aor which rhis pmit is isucd. My wdrkeB compsMlion i6ur4.. .mia &d polic, numbs 6e:
)lI cErify rhar inrh. pglormanc.olrhc wort ior whichlhis p.mir is issu.d. I shallnor cmployany F6on in any muod'$ 6 ro b.ron $bjer ro rh. woll6' onposlion la$ of Califomia. ud a{c rhar il I should lEom. subjal lo lh.
wolt6 comre.erion provisioG ofSe.lion 1700oflhc l,bor Codc I shall. aonhwitb comPly wnh tho$ provisionr.
WARNINCT Failurc lo suc Lvo*6 Nmp@rion .ovdas. is unlasful. d shall suhj(r & dplors ro nin nal Pdahi6 and
cilil nn€s up ro onc hutujred rhousdd doll6 (S100.0o0), in lddiion lo lhe co$ of cooFMlior
sdi.n 10,6 ollhc tibor ( b'le rnrd6l dL,anornE r16
d7snNdatuthc
""...- t//i, t/ t s
PICLiliuX}n
/-*I hcr€try aflim und6 p.lahy ol pdjdry rhar I m licdts l und6 provision ot ChaplE
oa rhc Busin6 and lrclsiore Codc. dd dy lrcds. is in full lorce and cfidr
in8 snh Sdnrn 7000) of Division l
C-lu,Q<r31d
tt/o/ /1! ".*."..2i ')-? /1<Z77
CONiIaUcIItllENUriCrIC[NcI
I n€Eb, affmn ul'ds p.na]ty of psjury thal lhs. ir a connruclion lading a86cy for lh. Ffot]mcc oi lb. srl for shich tnis panit ir
issu.d (Se. 1097. Ci!. C.)
A'ILICANLDICI.A8AIIO!
I hody alrm unds pdahy of tajury o.coarh. aollo*ing ddledions
D.molilion PmtriG-Asb6tos Nolificarion F.d@l R.gll,lio (Tnh40. Pan6)
-Requt.d
lrldof Notifi dioo
-l
c6lit 0lar rhc fcddal rclulatioB rcgardins 6b6tos @ovd tre nol arpl@ble to lhis pmi4t
Q4 .ditl thst fiN.pd $is applicsrion dd srar€ rhar $c abovc nfondion s codd. I a8re ro onply s'llh all Cxy md county
ordin.rcG sd Sr.t. Laws Elarins ro buildins coisltu.rio( e9-!4.b, alrhou. rcprMr.r 'v6 or lhE Cty ud Counry ro and lpon fi€
rb.ve nHrion.d grop€ny lor iNr(lion pqrc6
!.\ftlic. r o. Agt lSiE ilr.r ),(.
a?C* 1/tka
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 t/.u-tg _)--6lnQ )
Transformers
Torqueing
Air Conditioners
Roof Top Equrpment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lvleter Release /t-7n-/8 ..Ua!olor v0
Rough //-?n-16 ,D.(,J-o ,:.ca
Service [t/eter /L7,o-lr..U.G4af 'ro
FINAL /-8 - /?/Jc (*P--ry\
Notes, Remarks, Etc.
-+
COMMENTS
Sub-Panels
l. s owM orlh. Fopsry. m dd*ivcly .oouaclirg {ih lica*n co.lr.cioB ro codttucr rhc prcj.d (S*. 7044. B{siB
and hlt sir codc: Th. co.lrrdols LiclM kw do6 ror apply lo u ownd of propdy who bnilde ot inprcvd lhd@.,
and who odrracls for such prDjds wnh a Co.lEclo(s) lica*d p6u. rc th. Conlrrcld.s Lic.e bw).
lmcxmot mdq S6lon .a &PC forrhsr6"n.
Drt€: Orn.r:
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