HomeMy WebLinkAbout20170607 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Permit #: 2fJ170,6fJ7
Pin #: 2879$
Project Address: 1257 N Cabrillo Park Dr Unit:
Block: NA
Bldg;
Tract: 9207
Address Range:
Hisloric: No
Suite Range:
Zoning: R4Assessor'sParcel 400-172-15 Lot 15
Owner
Address:
Mark Edwards
1257 N Cabrillo Park Dr
Santa Ana, CA 92701
(714) 699-'1487
01 1 16002 5160:
01 1 16002 5160C
01 1 16002 5160:'
01116002 5777C
Fee Type
General Plan Update
lssuance
Microfilm Records
Amount
25.76
,, oq
57 .20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$25.76
$22.95
$57.20
$3.91Tenant Name:
Contractor
Address.
Empire Plumbing Heating &
8349 Katella Avenue
Slanton, CA 90680
(7r4) 8r6-5r29
Ut
Phone
t
State Lic #: 794154
Lic Type: C-36, C-10, C42, C-zO
Bus. Lic #r 163353
Workers' Compensation lnsurance:Carrier: Falls Lake
Policy #: FLA00208602
Expires: 1Ol15l2O2O
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
FWU
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2019 Notes: directchangeout
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #;
McCann, l\4elanie Date:
Date:
Date:
o'116t2020 lVisc. Receipt:
l\4isc. Receipt:
Misc. Receipt:
Total
Her nandez, Kathy 01116t2020
Account#
Every pemit issued shall become invalid unless the wo* on the site
authorized by such pemit is commenced within360 days after tts
lssuance, or if the work authorized on lhe sle by such pemit is suspended
or abandoned fot a peiod of 360 days after lhe time the wotu is
commenced
lnspector t{|D#. 2020-157139
01 '1 16002 5'1600
01 1 '16002 51603
01116002 57770
$22 95
$82 96
$3.91
Fee Total
Paid to Date:
Balance Due:
$109.82
$0.00
$109.82
Phone:
YH Tncrn
ii(pt+ i tr2966?71
Trnnsart isn Toto
irrp ir'e Plu,!bine Hectlirre & Ait
!t_l
Lll r-r] l]l
6enerfl1 t lqn Updote Fee
ir1 1 1 6i](12- ii1 6{rlr(r-1{r-Electricql
tr1 1 1d002- :i16(l-"1(r(rir-
il i ,:rol'i 1fi & DoEUnents
ll1116lrtr2- 5777r-rIr:rir-
I(:L ChP,:k t[?398
ELECTRICAL-INSPECTOR RECORD
OIVNI]R I}UILDER Dt'L('ARA I IO]\
I h$cby amm undd pmlty of Frjury ihar I tun .rcmpt tom lhc Conlmcto6 Licse Liw ro! rhe followins rc&n (Sd 703 1 .5
Brin6s d Proasion Codc): Any Ciry or Cou y whi.h r.!un6 a p-nn ro @nsrtu.r, ax6, imprcva dmolbh or Epar my
sm$E , rior ro i's isudc., rls. rotund rhc ,pplicer for such Fmit to lil€ a sisn.d sralmar lh n. or 3hc t licoa.d p6uer
b lne prolisioN ofth€ Contractor's Liccn*d Law (Cnaplcr 9. Com.n ins wilh Sclion 7000 olDivision I ofthc BGinN dd
ProfNioro Codc) or ltat h€ or sh€ is €rcmpr ths.iom ed th. baris for dc allcgcd cr@Fio. Any violalion of Sdion ?011.5 b, aoy
rpplicdforaFmnsubjdlsth..ppli.antloacivilpcnahyolnolmor.thafivchuodtddoll6($500).
L s o$nr oalhc FoFny, or n, mplotE wilh waSB s $cn $le omp€Nlion, willdo d. *ort a.d dc arudw ts rct
inrddql or olt rcd for 3al. (sd 7044, B6ins dd Prcfdiotr Cod.: Tlc Contracrois Licds lis (t)6 nor aprly ro e oMr of
lhc pmrdy who builds or improv6 tho€i, md Nho do6 such wrl hitu.lf ortficlaor lhbugn his or h{ oM.nployc,
providcd thar such iiproffits ft mr sr6d.d or o,nrai for $1. Il how.c. lh. &ildin8 or nnproml is eld wnhin on. yq
orodrpldion. rh. OM6 Buildd will have ih. bud6 oaFoving fid h. tr sh. dil mt build or improlr fi. p,lpdry for lhe puroe of
I, s omd olrtc prcpaly. m dclusively conrractins with lic.Nd coiradoB lo coNrtucr thc projd (Se 7044. BNhN
and PDfssion Coder Tbc Cont.clors Lic€nsc Law do6 rol apply lo d orvna ol propany wno buildr or inpmvd lh6on,
6nd rho .onlncrs fol such prctds wnh ! Conh.ro(3) liced pursMt Io lh. Co ractols I-ic.M t3w).
I an.i.mpt u.d( Serio. ,S &Pc.lorlhisr.en
vaarEBs:loMrEN$rla!
DEC!A!{!IO!
I hcrebr .ilinn undd !.nally ot Ddiury one ol tte followina ddlsaliore
I ba!. dd *ill @inuin a Ctnincar. olconsr lo s.lfJsu. aor so 6 ompdsarion, 6 povidcd tor by Sdxon l70O of thc
Lrb.i Cod., for lh. poaor:ffice of rn *ort aor {hicn the pqnit ie isucd.
{trlf anrr wrrr mainrain po*c comp€nsalion iEura.c€. d ,equted by S€lion 1700 of rh. kbo. Code for lhc psfom c.of
/,,,^ll:
is i$ucd. Mys,ork6 conrposar 'on
insurdc. .di.r dd policy numbs acl
?r *,a,b2-o€1A'--- t9 2o 2,-,
I cdifr rhal in rhc pdaonMncc of rh. sork lor shichrhis pcrmil is isu.d.l shallnol mploydy p@. i. a., rn@s
s 6 to bccomc subjsl lo lhc $ort6' comFNl ion laws ol Caliiomia dd tsre lhd it I should be.omc subiel to lhe
vork6.onpdsationpsvisionsofS.ctionl70oollhrtiborCod€,Islxll.aonhwithcomplywithlhosproyi3io6.
WARNINC r_ailr. ro so.c {.rt6 .ompdBdion ovd.s. ir unlawtul. ud shall subjal a oployg to dminal rouli* &l
.ivil fin.s up io onc hundrcd thoused dollm ($100,000), in addilion to rhc cosr ol compeBation. doasca d pDvid.d for In.
Setion 1076 oith. tibor Code ima6t &d drom.y s t6
I
DECI4SAIO!
I hcby aflirm ufld6 Fnahy ol psjuy rfial I m li€s.d undd provbion olchapta I (.om@che whh Sdion 7000) ot Divi.ion l
ol thc Asin6 ed ProfdioN Codc, od my licw t in tull fo,e alri .fre!.
a to '> q./ t€y'
/. i4- ZD.:c> 6on1.""1o.
I hmby a,lim ud6 p€oahy ot pqjury rhar rh6. s a connruclion kdins
issu€n (Sa 3097, Civ. C.)
pdlom c€ oflh. work lor which this Fmn b
6III.ICANLDICIA8AIIO!
I narry afm nnd6 poally oipajury onc of thc following daldaliotu:
Dcholirion Pmis-Asbcros Noliicalion F.ddal R.gularions (Tiilc 40, Pdr6)
Rmuircd Lll6 of Noilicrtion
I .dify rh.r rh. loldal r.sulalioc Esedins 6b6ros rmoval uc nor a,plicable h lhi. pojer
tld,.diry riar I halr rcad rhis applicarion d rhar rhc
"bov.
inlomarion n cor.d.I asc ro compl, wthallCnytrd couo(y
o'ii'rncs anl Srrre linr s rrlrrii! u buildiig or1 hdcbt aullFriz rep.6€i'la1iu6 of thii Ciry dd Counry ro ald upo. $.
abovc ncnrioncd prcFry for inspdion purpos6./- tl z"
APPROVALS tD/stG.COMMENTS
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 / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
Meter Release
Rough
Service [\4eter , iFINAL -,y/t>/ x l.P/,/21 6/
Notes, Remarks, Etc.
Rev.0B-07'2015
P.rhne nrn.(prtn():J
DATE
Drrq owner
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