HomeMy WebLinkAbout20170363 - Permitcity of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA\27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 20{ 70363
Pin #: 7E651N
ProjectAddress: 1106 N Lyon St
Assessor'sParcel: 400-285-'16 Lot: 76
Bldg:
Tract: 2648
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Addressl
Contractor
Address:
Phone
Tenant Name:
Jose Becerra
1106 N. Lyon St.
Santa Ana, CA 92701
(9491 279-8227
2 Kings Electric
'1525 S. Ghester Ave
Compton, CA 90221
(714) 2s0-2'r9s
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Qty
1.00
1.00
1.00
1.00
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee
$s5.37
$22.95
$57.20
$3.91
Amount
55.37
22.95
57.20
Phone
State Lic #: 959820
Lic Type: C-10
Bus. Lic #; 374569
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:
6eneral Plnn [Jpdote Fee
rll I 160112- 5 16r:rtl:r[(r-
Electr' ical
fr11l6Utr2- E 1 6r:1 st:rr:rrr-
l'licrof i 1m & Docurents
(r11160(12- 5777flrr[r:r-
(:oEh
Notes:servicSlfll8{*i upgrade. Handout given
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 20r6
$??.95
$11?.57
$3,71
$?str. r:rfi($4.17'
Planning Conditions
Planniog Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter
Date:
Date:
Date:
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Evory permit issued shall become invalid unless lhe wolk on lhe site
authoized by such permit iscommenced wthln 360 days aftet its
issuanco, or if the work authoized on the site by such pemit is suspended
or abandoned lota pe od of 360 days aflet the time the work is
$139.43
$0.00
$139.43
lnspector tttllD#: 20'19-156405
01 't 16002 51600
01116002 51603
01116002 57770
$22.95
$112.57
$3.91
Fee Total
Paid to Date:
Balance Due:
Unil:
Block: NA
Bntchi:53373 - 12/ ll/ 2t-119 I0: HGARCIAoflice: CTYH lrRnE+: 76 1 of :A,:cLi: Rel+: 2i170363
Rcpti:(t?832153 - !2/ lfi/zit|q 11r42 Al!
Transoct ion Totnl t241.43
2 ( ineB Electr ic
Building Use:
Job Type:
Nature of Work:
12t1012019
Account#
ELECTRICAL.INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar RouOh)
[\,4eter Release
Rouqh
Service fvleter ln^ ^W4//lFINAL2/.,/4/ A
Notes, Remarks, Etc 77 ,1,
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OWNER BTIILDER DELCANATDN
I hd.by amm unda pmahy of pdjury lhal t m crcmpt lrom lhc Conlr..ro6' Licn* trw fo! lhe folloNiry r.e. (sd 7011.5
aBin$s d Prolsstun Cod€): A.y Cily or Counly $hich rcquns s Femn ro connruc( alt6, improrc, dnolish or repan .ny
erucru,e piorro its issuece, ale rcqut6 th. alplicMl nn such p€m t lo fi1. . sitned slahd rhd he or sh. is lic€trecd puNant
ro rhc provisions of lhc Co ,ador\ Lic.ft.d trN (Chapr.r 9, coflncn inS vilh Salion 7000 of Divtion I of lh. Susines dd
Prcfsioos Cod€l or rh,l h. or she ir .rcnfl rhd.nom ei thc b6is fo! Ihc all€sed €r@prion Any eiolationotScclion?011.5 n! any
aptli.adforapennsubjcbth€applicantloacivilpuallyofnornor.rhanfiv.nuf,dr.ddollac($500).
l. as ornr olrhe proFny, or my .nlPlore Niln w.S6 s lh€n eE compdsatlon, \ill do rh. work &d thc struclr. 6 nol
inroddl or or(.d for sl. (5-.7044. BBins ad Prolssions Cod€r Thc Contradoas Lic€M kw do6 nol apply lo d oMn of
rhe p{opoly $no buil& or imprcre ths@( &d who dc su$ srrt hitrclf or hcelf or lhrcush ht o, hd o$. dnplor.e.
pror id.d rh.r soch imOD\ oMa 6. ml inta(6 or or6ql lor el. ll hore6q. rhc t ildi4 ot inpNroEi is eld snhin on. )d
ofcompktion. th. Gvn6 auidq vill navc $. bu.d6 ofprovi.s rha h. or sh. did not tuild or imForc tic Flpsly tor rh. Ftrpor of
I. as own6 ot lhc prolaly, m.xclusivclyconractin! wnh ficds.d contado6 ro consrtucl lhe proje.t (Sd 7044, R61nN
dd Irohsion Codr: rh.Comra.rois LicoscL.*doe ot arpl,io d owns oaprot.dt *ho l)uildsor improvcs1h66..
and \vho .onrBb for such pojrrs rvirfi a Cont cro(, li.@rcd pxuu.nr ro rh. Contraclois l.ic@ b$
I an cxempl undo S(tion
}OAKEAlC9IITENSAIIO!
D!'CIAEAUA!
I hrcby.fiirD unds porhyofpdjuryon. ofrh. aollo*in8 dalrdioN:
wARNtN(;: Failur. h sure solk6J comPsaion co\crase is u.la*iol. and sholl subid a! onployq io d'nindl P6rhi6..d
ro onc hundred lhousand dollm lll of comp.netion, daragcs e proridid aor th.
lo
t)1.( t,.\RAtt0\
I h6.t'y sfiin. und6 p..alty o lFjury lhal I e li.ds.d undn polision of Chaptd 9 (coonocide vnh sd ion 7000) of Dilision l
oa rh. Busine sd Pm tNioN Cod.. ed dy li.@ is in tu ll forc. dd.rct
-cto
***,
'<-colsraucl]aN.tElotlc-acllcr
I h.Eby aiii,n undd pcnahy of lsjury that lhdc is a @nslruclion lddinS as.ncy tor ihc pqlom6n . of rh. $ork lor shich this Ffln b
issucd (Scc 309?, Civ C.)
AITI,rcAILDECIASAIIAN
I hd*ry dfrm uid6 F.ally ofpnjury onc oalhc follovin8 d€clt iont:
tLmolilion PmitsAsbelos Norification Fdfrl R.erlalions (In840. Pe16)
R.!un€d L.rtf ol Nolificaio.
,,cfiiryrharrh.rdld.lrcgulsrio.srcsfldinrdbsrosrernovald€norappticahlerorhis/oj€cl
*#*r*t I lEvc rcad rhs rprlicalion &d 3rar. rhd rh..bo1c infomalion Ls cord I aEE t Nnply sith 3ll City and Counl,
rarc Ii\rs rcl ins lo h'ildinr .'n{ru,,'o( m,l hn.b}.urh.I/c r$r6d!dtr6 olrh(. )
abd!. Bdrio..d propdy for impElion
,\t,t,licxtrr or \Bdr Sisni{tr,t
*
1
4aa
Md Cortrly to dl6 upon thc
n-lpltt
Pole Bases
Air Conditioners
-l
havc dd *ill minrdin a C.niatral. ofcorodl lo Scll-lNur€ lor Mrt6' comp.mdtion. B Flvid.d for by Sdlion 1700 of thc
lrbor Codc. for lhc polomdc oalt wort aor whicfi rt p6nn ie issutd.
I ha!. ed sill Dlinrdn work6 cohFEllion iNa.c., s r.quircd by Seti.n 1700 oflhc Llbor Cod., tu thc F omM.. oa
rh. *orl for wh(h lhi p.mn i! Bud I\r' worl6 comp.ctt'oh Eutuc. ffi6 ed polb numbo m,*" - Z{r"^Qt-.UPolryNrmb6: Etp B a
I .dit $ar ii rhc Frloll@c. of lhc wor* for which lhis Pdnh is bsu.d. I shall ml mploy uy psen in eny de6
$ s to beoD. subjdl ro th. m*6' @dp6B6tion b$ olc.lifomie md egE lnd ifl 3hould bdonc $bj.cl to ltE
workd' comp<cslion Fovieios otsEdo. 3?00 of$c Lrbo. Cod., I sb!I. forlhp h onply eilh lhoe pEvi.ioE .
,***.-*at_19
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