HomeMy WebLinkAbout20161025 - PermitCity of Santa Ana
Permit Counte. (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical
lnspection Requests: (7141667-2798 lnspector Section: (714) 647-5853 (J
Permit #: 2lJ161o25
Pin #: 11378
Project Address: 4821 W Acapulco Ave U nit:
Block: NA
Bldg:
Tract: 2905
Address Range:
Historic: No
Suite Range:
Zoning: AlAssessor'sParcel: 108-401-18 Lot: '16
Owner:
Address
Lawrence N & Roshni Dike
4821 W Acapulco Ave
Santa Ana, CA 927041103
(714) 833-3787
011't6002 51603
01'116002 51603
01116002 51600
01116002 51603
Fee Type
'1 25 Volt Receptacle
0-1 HP, KW or KVA
General Plan Update
lssuance
Amount
tJc
20.56
51 .26
Qty
1.00
1.00
1.00
1.00
Fee
$1.3s
$3.33
$20.56
$51.26
Phone
Tenant Name:
Conlractor
Addressl
B H Kruper Const
7002 Reseda Blvd
Reseda, CA 91335
(818) 343-0016Phone
State Lic #: 42U44
Lic Type: B
Bus. Lic #: 349209
Workers' Compensation lnsurance:
Carrier: Progressive United
Policy #: NAl0,1490202
Expires: O1l1Ol20'17
Building Use:
' Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Water Heater
R-3, U
VB
cEc 2013 Notes: lnstall tankless water heater outside
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Alliss v 07122t2016
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within180 days aflet ils
issuance, or if the wo* authotized on the site by such pormit is suspehded
ot abandoned lor a peiod of180 days afler the time tho work is
commenced.
$76.50
$0.00
$76.50
lnspector MID#: 2016-130223
01 1 16002 51600
01 1 16002 51603
$20.56
$55.94
Fee Total:
Paid to Date:
Balance Due:
8,strh+:349?rr -
0lf icer (:TIH
Rcp t i: lit15?534S
Trflrsn,:t ion l ol
Occupancy:
Constr Type:
Code:
6enerol F 1(ln updat
nl1160112- 516tllr:fllr:r
E1ectr icol
t:I11160l]?- 516r:rSLtrJU
U isn
H I{ruper tEn
+:i.I
Date:
Date:
Date:
ELECTRICAL.INSPEGTOR RECORD
APPROVALS DATE COMMENTS owNER tll]lt,DEtt Dt),(' R l',tON
t hscby amm unda psulry ol pajury thd I d .tcdpl toni rh. Co.tidon Li.6* L.\! tornE aolk\rinr r..s)n (Sd?011.5
ausin6s and Proaesion Cod.): Atry City or Counly \e,ricn r.luiB a lani h ooslrl,cl. all6, i'npo\c, & !nhl' or rTatr oy
slructu€. prior ro ils i3sum.. also r.(lun6 thc .pplkd for s(h prmi h nb 3 siA.&l sr.randt thd lp or shr t licoMn Nmstn
to !h. prolisioN ofrh. Conrlocrols Liccn*d Lsw (Ch.fld 9. ('oflnncncina Lrith Scclion ?(()0 ol DivGion .1 ol rh. Irusin.s ed
Pm[Nions Cod.) or rh.t tE or shc it .lcmDt thocFom and th. hdis for rh. dllcrcn .$nprbn Anr rnn ionotS&1i(inr01l.5 by,n,
aDplic! tua!.mi$bjdslh. applicrn! ro rcivilp.n,ltrofnor morctlrn fif. honded dolli.s(i500)
Ls ownd oflh. propeny. orny€mployeB \ith \r0s6 as then snc.ouFcnsttion, \ill do ilEN.i[
^trd
rlf, sIn(rrc is nol
n dd.d or ord.d for ek (Se.7o4,r. BBind dd Pl oacnJB ('od. Tn. ( onlridoas I ico* I trs d.s nol +d\ ro in o\nr or
rhc pr.Idy Nho 6uil& d inFov6 rh66n, a.d $lD dG su.h $ot{ nihscll or lE s.ll o' rh olgh his or hs or n crt,l.y.6.
Fovidcd rhal su.h imprevoE.ns u. ml intsl(ld o, oa[d.{ ro. $1. l( ho\.ed. rlt hildir8 or intn\ etrEnl is snd \rillir onc yw
ofcompl.lien, fic (xrd Buildd wil nav. fi. hlnLn.frrolints tlut n. or slE did nol hild or irqrorc thc pnrEly nn rnclltrF,eof
l. N owns oi ilE propoly. am.rchFn€lrconrradins Nirh liccnscd.oira.rosb..nsnnd itulnliNl (scc 7(r'1.1. llL'snrc$
and ftraesi)n Codc: Th. Conta.d. Lic.ns. LaN d.6 nor il)plt o in osncr olrrolrn! \ho huilds or nnf'.\6 rlEdn.
and reho connacbforsuchprcjc.GwirhaConrrncknlrlisensedfunnirhrhc(!ira.ror'sr-ic.ns.l-a\).
I atr.r.Dpl unds Sdtiotr
!9BEEA!:gJ!t!EllAl!!,)!
D}:IIA!AUA!
I hcrcby amxn trndE poallyoapgjuryoncolthe follo$ir8 dNlffations
IhareMd$illinain(aina(difi.d.ol(irsdrroS.lahBr.lo.\ok(scon\Eosalior-asltrovnkdfoihyS..iidr:1700ofth.
t-ahor Codo for rh. pdfonndc. o f rhc $rt lor \$ich rh. tcf,i k i$oed.
I have rnd $ill maimain \rorkm .onDd*arn'f, nEtrr...e. as r qrrtc'l t\ SElion l?u) o r lhc lnlu C.d., nn rhc l)d ntrnrdc. oa
lh. work lor shichlhi.ponrn is isu.d Mt$o 6 conrlEsrlion imu, ancc cui.r ud Fnicy nun,br ,.:,,,.,",94,6^,
,,in\\utr.c, - cllzxtb -lS
I c.niayrhar in rh. perlonnimc ofrhe \ork for \hich rhis r{rmil is issuql- I shnll nor onph\ dnv AR'n ln rn\ nr.nNl
s 6 lo b..o'n€ srbl(t to rh€ tro*61 conDcnsal n,n h\ s ol C.liron,i.- and +,c. ntu ir I slm uld txNne nrl,rccl k' lhe
\ro*6 comp.nsrion r,o!isions olSfftion:1700 olth.l.txrr Cod..lslull.lonh$irll.fnrpl\ sirI rll.s 0r.\isi(nF
wARNtNC: Fail$. nr uu!c $or[.N'cdhlrnsarnJn (o1oa!€ is (nla\lul.( ro onninrl |tmlri: md
cilil find op ro on. hundrn lhotrsnd doll.B l$l00,olr0). nr .ddinlr kr lhc
,,^,". *-72-14 no,_,,,
IIEOJSAII(!!
I h.Ehy ailm u.dq p.nalty of pdjury lhal I an licdsd und€r nrouision ofCnaprd I ((n,ndti.r \ilh sdlion ,ul(]) oi l)ivtion l
of lh. Busins d ProasioN Cod.. ed my lica* is in ftll lorcc .nd .rsl
r.i..ns.(.r.$ L*- 1{plt,i
I h@by aflinn dndo Fn.lly of psjlry
'hd
thc. is . considdion k dinS .Sqcy fo' thc po lon'nnc. ol rhe $n( nr i.hrhi.Fmi b
tsu.d(sd 1097, civ c.).
,u,f I t( \\ r rn.( r. \R \ r l(r\
I ho$y aflinn undd Fnrlly ofpcrjuryonc ofthe fouoving d(la,elions:
D.molilion Pdmits-Asbdlos Norifi cdlion f'.dcal R.sultrrions ( liil€.40. Pano)
R.quircd L.ud of Norifr otion
ulrriensqdningsb.ios'on)1rl c.oritiDlic.l)l.lolhisf'.lecr
rh,\c i',linn'diinr trc.fcd I !,t{k,rf r rlr \ rhrlll l\i Jlootrlr
ir\ ^
(l{'rrn[j r,.fr( trlrnr rlE,i/. 'qr's.n1irns ofrhis (
Apllicnnl orAB. t SlB .t
Site-Work
Underground
Pole Bases
Light Standards
S pas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service N,4eter
FINAL r- ts-/0 )1.r4.)6)
Notes, Remarks, Etc ------v
tD/stG.
Under Slab / Floor
fi\
D/u/z,rc
P€rnrite nnnre (pn r): '
tf z/ ur
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