HomeMy WebLinkAbout20170527 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit#:2lJ17fJ527
Pin #: 4eost{
Project Address: 1102 N Bewley St
Assessor'sParcel: 198-101-09 Lot:
Unit 3
Block: NA
Address Range:
l-listorici No
Suite Range:
Zoning: R2
Owner:
Address
Tenant Name:
Amount
100.70
57 .20
3.9'l
Fee
$100.70
$22.95
$57.20
$3.91
Casa Urbana
'1102 N Bewley St, #3
Santa Ana, CA 92703
(310) s29-3900
Airwest Air Conditioning & I
1886 Santa Cruz Street
Anaheam, CA 92805
17141978-7877
Fee Type
011'16002 51603 Air Conditioner
01116002 51600 General Plan Update
01116002 51603 lssuance
01116002 57770 Microfilm Records
Qty
1 .00
1 .00
1 .00
100
Phone
iciririiTll - t/3/2fi24ii icer iTiii irr.rrr:l: 1t4,-ctir li€f+r:pi.i;tiii7si? - ii3/2Ct2{l
ronsnci i0n TotsI
rv ici Dlel,:irn
iruest Air Conditionine i
IDr (:(:tJt-- t.l.. Aft
2 oi' -l
rU 17 r:rli? 7
4.1/ Ptli7i3.6'
:rn{rqi i.i rtn LJpLir,ri.c Fee
i i i6'jrii1- il6Ufrlj|]U-
i e'.ir i{(ti
ii id'rni". :.i 16tl.!r:fl1r]-
r e,;tr cqi
i i irj'irrr- 51$0iti00-
.L t.ire cir Lii 3i75
$ 157.9r1
$ 7r-13 . 61
9
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Condominium
Miscellaneous
Furnace & a/c
R-2
VB
cEc 20'19
Occupancy:
Constr Type
Code:
Amsden, Julie
Building Permit #:
Every permit $sued shall become invalid unless the work on the site
authonzed by such permit is comnenced within360 days altet its
issuance, or if the wo* authoized on lhe site by such permit is suspended
ot abandoned fot a period of360 days after the time the wo* is
commencod
011o312020
Account#
Notes: Change out furnace in attic & 1st time installation of
alc
$184.76
$0.00
$184.76
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 2020-'156890
01 1 16002 51600
01 116002 51603
01116002 57770
Fee Total:
Paid lo Dale:
Balance Due:
Bldg: 2
Trccl 1022
Contractor.
Address:
Phone:
State Lic #: 733715
Lic Type: C-20
Bus. Lic #: 177348
Workers' Compensation lnsurance:
Carrier: Oak River lns Co
Policy #: A1WC034008
Expires: 1111412020
$22.9s
$157.90
$3.91
ELECTRICAL.INSPEGTOR RECORD
ID/SIG COMMENTSAPPROVALSDATE
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rough
Service Meter
L"*91FINALI2ADtl""oo
Notes, Remarks, Etc I
I h6."r( ,6nn u.dr Fnally ot p6jur,v lnal , on crflpl f.om lh. Conlra.ro6 Li.ds. LaN ior lh. follovirs laeo (Sd.701 1 .5
Busi.es snd Prof6sion (ode): Any Cily o. Counly shich r€quns . lrnnt ro conslrucl. alt6. improvc d.nolish or re!6n ay
srruclLtrc, prior to s isuanc.. aho r.qut6 rh. aNlicmr for such Frrn to file a sisacd slalmd! rh.l he or sn. is lics.d tmuel
to rhe povhions of lhe Conrra.rois t,ic.nsed tn* (Chafld r, Comm.n.inS \rnh Sdion ?000 oi Division :l oflh. Busi.4 dd
Itolesions Code)orrhd h.orsh.i5 crcdfl rh6.fro,n Md rhe bsis lorlhcall.scd€x@plion nyliolarionofsdionT0ll5byany
applica roraptrnsubt{krh.,pplicanlroacivilpenallyofnotnr.ethanfivehundreddollds($t00)
L N ownq ofrn. prcpcny. or my eoploy6 {irh wag6 a rheir $l. .o,npNlion. sill do thc rvort od lh. slru.rd. b nol
intodel oron6.d for el. (56 7()44. Busins ed Proasions Cod€ lhc Contraclois Ltd* t$ &6 not aPPly io m orvnd of
ilrrmpdly who bnil& or implo!6thseo. d $ho do6 such \wrk hids.lf or hds.lf or Ihrotrsh his o! hd own mploy6,
!trovid.drhar such irym\ dnars se nol inlad.d or onqsl aor slc. Ii no\ 6's. rhc blildin! or tr4rovdndr ir $h wnhi. on. yat
orcomderirn, t Osad Buildd will h,v. ih. hir&r ofprovin8 lhd nc or sfic did ml build or ihpror. rh. ln)pd, tur rhe p!4!s oa
L ac o*nd ofrh. F.p.ny. m€rclusn€lyconlradin-! $ilh liceBcd co'nta.h* ro .otuitud rh. Fojd (S4. ?014. B6ins
aad Pmlsion Cod€: 'rhe Conrracrort Li.c.s. La* doc.or applylo n owr6 oaprop<ny sho builds or inpro!6 rh&s..
and $ho conaads for $.h prcjets N naCo mclo(s) licoscd l'ursua torhc cont.dor's Licns. Low).
I dn.rc,npi undftSdrion .B &l'C lor rhisreen
Dllr: OFm.
loB(EStt(2ruErsa-M!
rrE(ta8drlo!
I h&.by,fiinn unds p.nalryof pcjulyoneof rlE lollowin8 dclaralions:
I hav. ddNiiltuim,i. ac.nili.ar. ofco,s roS.lfinsur.aortrorlss.oopo6aion.a pmvil.d aor bySdion 1700 ofth€
Labor Codc. lor thc Flolr@.c oa rh. rvork aor \ehi.h rh. pnnit ii istral.
I haveand willn.intain sorkqi co ,p€nsalion insuraoce. ar r.qun d 6ySdion 17(JoollhcLabotCodc forrhepfiLmMcc6f
rhe \ork fo, $hich lhis psnir is isu€d. My *'0116' .oftp<sai iod iBur.ncc cMid adlElicynu.,hs dc:
dll RluE < .4aS zo.
',,,,,,'.", A/t z,az+6a ,\fi.\,1ry'"
I .cnifyrha( ii rh. peiormrnc€ ofih. worl for \rhich lhh prmit is issucd- I shall n.l dploy any pd$n in any manrcr
e 6 to b€om€ suqat to rh€ *ork* NmFerion lars oac.lilomi.. dd .srE rhal il I should b.{o'i€ sub(r
'o 'h.{0116 comp€Nrion pmvisrd oas..rion I700.frh. hbor Cod( I sh.ll. f.nh\ ilh onrply wilh rho* p@virions
WARNING: Failui. ro sr. Norks comp€nerion co\en8e is urlaw
-.-
.hall srbjer M dploF lo aiminal FEhi6 dd
osr of.onFnelion. &hag6 6 provid.n tor lh€cnil fii.s up ro d e htrndr.d rhousond dollars (Sl0o.trLU). in
6n 1076ollh. titn (h&. inrB6r and allonry\ fe6.
/ '3 - 2-.)
I hmby amm unds r6ah, of pdj!ry rhar I u licmsl undd Folisio. ofChaplr9lconmdci.g trnh Sd,ion 7000) ofDnision 1
of lhe Busins and Prol6io6 Codc, and oy licd* is in aull lorc. dd .rer
r,.e*c(ris e-20
r", /:J-2a
( (rNslRU( fl()N t,uNDtN(; ,\(;t.tN( l
I nftby srm u.dr Fflahy of pojury lhlt thsc b a @Bltuclion ldding ago., lor Ih. pdfommcc oflhc wort h, \'hich rhi. pqoi b
isuct (Sc 1097. Civ. C.).
AXSI=ICAILIECIABAIIO!
I hdrry 8rm uid6 Fnally of psjury onc of lh€ follo*in8 d(lMliotu:
D€mohion Pmil'Asb6los Notiicatio. Fcddal R.guLliom (Till.40. P0n6)
-R.quiEd
Ld&roaNoli6cdion
I ctn ily ihsl rh€ ledEal rcsulari.m resddins sb6ttu rdno\ ai arc nor .pplic.lic lo rhis pnje.l
p.-",*,rhar rh€ above infnmrrion ts..ftol I alra Io comply vilt all Cily and Counly
cli.n. md hs€by aurhorn. Ern6drni!6 o f this cily ed County to dl6 upon lh.
alrnc $$rii]nei p'opcny ror rs
,\Dpli(trtrr or Asqr Sisnrqrc
Pcrr ilN n.nc (nrinl ):
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