HomeMy WebLinkAbout20170663 - PermitCity of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, c492702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{70663
Pin #: 813dQ
Assessor'sParcel: 931-775-10 Lot: 2-5
Unit; E
Block: NA
Bldg:
Tract: 10580
Address Ranger 1002-1098
Historic: No
Suite Range:
Zoning: R4
Amount
25.76
57 .20
3.9'l
Fee
$25.76
$22.95
$57.20
$3.91
Phone
Tenant Name:
Kimberly Alba
1004 Cabrillo Park Drive Unit #E
Santa Ana, CA 92701
(714) 8s6-6793
Fee Type
01'1 16002 51603 FWU
011 16002 51600 General Plan Update
011 ,l6002 51603 lssuance
011 16002 57770 Nlicrofilm Records
Qty
1.00
1.00
1.00
1.00
1
Y Irnn
t-r?r_l
A ir (:ond i
IO! C(:UELt.AI
7 Fn
Phone
State Lic #: 936041
Lic Type; C-20
Bus. Lic #: 374929
Workers' Compensalion lnsurance
Carrier: Exempt
Policy #:
Expires:
Ficpt, ! 0298(19:;3 -- 1/
TrrinE(rct ion Tot,fl1
Fof nel Rivn,
ftcfoel 's Appl icrncps
2ll L
6Prieral Flon UFdotet]1I16irt?- 5l6t:rt'lit t-
E I ectr icol
t"rI 116[l]?- 516|]3t, 1u-
lli rrol i I iri & Dorrrhent
l-11 I I 6tl[?- 5777r:fl]r:ri-
Planning Conditions
Condominium
Alteration
A,/C Change out
Graham, Jeffery
Chavez, Da
R-1
VB
cEc 2019 Notes
{-:i:-1 : *r xi r i}r+r ra*i
Change out A/C like for like.
Date
Date
Date"ttg'?'01t23t2020
Account#
01123t2020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless ,he work on lhe site
authorized by such pemit is commenced within 360 days aftet its
issuance, ot if the work aulhorized oh the site by such pemil is susponded
orabandoned fora petiod ol 360 days after the timo the wotk is
commenced.
lnspector MID#: 2020-157312
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22.95
$82.96
$3.91
Fee Total:
Paid to Date:
Balance Oue
$109.82
$0.00
$109.82
Proiect Address: 1004 N Cabrillo Park Dr
Owner:
Address:
Rafael's Appliances Air Con
9375 Joshua Road
Oak Hills, CA 92344
(909) 457-s332
Contractor:
Address:
s9,2.96
,3.9 r
Building Use:
Job Type:
I'lqture ol Work:
Occupancy:
Constr Type:
Code:
*62s.71
Auth+:713i.|73
Planning Approval By;
Plan Checked By:
Permit lssued Byl
Subject to Field:
Building Permit #:
APPROVALS DATE ID/SIG.COMMENTS O'\INER BTJILDER DIJL('AITA'iION
I hB.b, amrn undcr p..ally ot porury rhal I d .rcmpl toD rhc Co.rhcros Lic@ rjN lor lhc aollos'ins rcen (sd?oll5
Bsin6s a.d Profdion Cod.): Any cn, or counry $hich i.qun6 a p6mit io connrucl. ahd, improv., d.molish or la.n my
srru!fuc, pnor ro ils isomc.. also,equir6lhe applicd lor such pmil lo,ilea sis..{il.iord rhar h.ot sh. is li.os€d pmuul
to the provisnrns ol E ConrBcrois l-i..nscd Lrw (Chaptd 9, ( onnncncine with Sdlion 7000 of Division I oalhc Bxsins ed
Proac.sbns Codc) or lhar he or sh. is cxcr thdcfrom and lhc b6is lor lh. auesed eremflion A.t, violalion olscction 7031.5 b)dny
spplicanl io! a p.nnil subj.cls lhc applicol kr aciviltetulyolnot morctnm 6!c hundred dollals ($500).
l- 6 o$nd ofrh. pmp€ny. o ny .mploy6 with Nas6 5 lhct $1. conpoi,rion, $ill do th. $ ort dd lhe snr1u. is nol
imo.lai or ofid.d aor elc (Sa ?044, ltusiflB sd ltof.ssioB Codc Th. Contrdoas Licdsc tnw do6 nol apply lo u otr n( ol
rh.poFdy $hr h0il& or hprDv6 rhaon. md who dG such M,! himscll o, i.self or ltmu{h his or nd o$n mploy.B.
providcd thar such imtfrv66ls e nol nlod.d or oflit d lor sL ll ho\r6 6. th. bui!.tinA or itn roroftd is eld siriin on. ,w
oa.onpldion, fie ovn6 B lds willh.vc ttc hrdoolprerins lha hcorsh.dAnor t ld o. inFovc thc propsty for rhc purF s ol
l. asown.r orrh. !pdy, dn.rcldsiv.lycontadin8 rvirh licdsd conlmclos lo cors'rud lh. pmjat (s{. ?044. Bcins
and PNlsionCod.:'l hc Conlr.croas L,iccnsc Law do6 nor applylo @ o$.na olp.op.ny wno builds o! improvcs lhd.on,
a.d $ho cont.ads lor such Foj68 tr nh a conta.io(s) li.Nd puBumr to th€ Coalrsckni l.i.o* t:v)
I d.€rc'npr urd€r S{lion .B &PC forrhisr6on
\\otiktaRs ( (rr\ll't,t\s.\I ()N
DIt( l, RAIl()N
I herebyafin'huidnp.n.nyolpdluryon.ofthelollo$ingdcclar ions
I hav. tud tr ill maimain . csilicar. ofconsd ro Sclf-lnsure aor \!rk6' cohpotsaion. a Flvida.l to! by Sdnrfl 1700 o I lhe
Labor Qrdc. lor lhr psromdce or rh. \.rk aor $ hich lh. tmni b isued.
I hs\. a.d s ill mrint.in workm conrp€Balion iNuraoce. 6 rcqut d by sfrion 1?0o oaln. bbot Code. lor lh. pqf.md.. oa
ff:.,_:;TEKT+comFnsarion iB ran.e.mid {d rFlicynumbs c:
Erpn s i
*".,,rr *a *,r'" p..r"*c. orrh. trork ro, $hich rhb rEnnn is isucd. I shall nor @ploy rny pden
'n
a.ynun6
s\s ro be("mc subJd ro th. mrla comroq'on bqs.fcahlom... md.ererhd rl I should b.(om€ $bjd ro rh.
worhd comp.Hlion Fovisions olsc.l io. l?00 of rhc rriDr cod( r dsll. fonhwilh onply wirh rhos prosioN..
NARNING: Frilre ro s.c!r. worh$' conr-EDsarion covms. is unlasful. ,nd shall subi..r .n erplorn Io si'ninal Ftuhi6 and
cilil fines up 1o.6. hundrL{ rhorsmd dolltus lSl00.0L{)). in additbn k] lhc coslol .omtcnerion. deases as pmvid.n ior lh.
inl6.sr ,nd arloflrc! s lcs i
I hereby ailnn und€r psaltyofpsrurylhal I d ltss.d undd flolGion o Chafls ! (com'n.nrins rnh str'ion 7000) flDilision l
oa rhc BusinB and Prcfsions Codc. od dy Ucose is in lull rorc. dd clld
-'1
..-\
L,censccrns, ! l+ L2
,,," .tlas la"N
Lll."*-fa
I hftby afrrm ond6 p.nahy ol pdjlry lhal rhqe is a onsrrucrion L.dioe agmcy for thc pdfomancc ollhc vort for s'hkh rhis Fsn i!
issucd (s(. 1097, civ. c )
AITIICANLDECIA8AIII)!
I hEd1v afim u.dr pdahr oapdju! onc oflhc followin8 d(ltrfllions
D.toohion Pcmns-Asb6r6 Norin.arion F.dml Reluldions (Inl..l0. PM6)
R!qrncd l rrrcr .l N.lilidi(r
I.difyrh.rrhelcdoalreSul.lions.cs dins dbcstos ronovali'c nor amli.ablc lo nris pmrd
R!**,rhnr lhn\.read rhis amli.rnon mdnar.rha( rhcrli\r irlonn.ri.n iscorccl I a!rel{,rd rtly\'irhall('lt} ind ( ounrJ
ndSlarc Ia\sr.Lrin! b buildiis.onsnudion. d adlmrirret *mdtr6.f rhis ( it E;!bo\. mflrioncd pn,priy for ircpdn n
Appli.nnl or ,\Ecnl SieMl re k
I,crn,irfttrr,rrtlnn): ,ltL Q f; f i (zi
4 *3
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
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
[,4eter Release
Rough
Service N,4eter
FINAL '21t3/220 t ZzflUU
Notes, Remarks, Eti
-+
ELECTRICAL.INSPECTOR RECORD
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