HomeMy WebLinkAbout20170771 - 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 #: 2O17O771
Pin #: 59O7O\,1
Proiect Address: 830 N Freeman St
Assessor'sParcel: 405-18l-21 Lot: 17, POR 16
Unit:
Blockr NA
Bldg:
Tract 731
Address Range:
Historic: No
Owner:
Addressl
Contractor
Address:
Tenant Name:
Virginia Bernal
830 FREEMAN ST
Santa Ana, CA 927032314
(714) 878-5099
ZP Electric lnc
2318 S Maddock Street
Santa Ana, CA 92704
(7141 4924s66
Amount
55.37
22.95
57 .20
3.91
Fee
$55.37
$22.95
$57.20
$3.91
Qry
1.00
1.00
1.00
100
Phone
State Lic #: 1044537
Lic Type: C-10
Bus. Lic #: 373572
Workers' Compensation lnsurance:Carrier: Norguard lns Co
Policy #: 2PWC198277
Expires: 0110112021
gctchi:54335 - 2/11/ztt2tt J0: qmorale';1
0llicei CTYH Trons+: 17 I of 1Acct+: R€fi: 201711771
Fcptir028917/tB - 2/1L/2(t2at 9zt$ An
Transoct ion Totol ,139.43
Single Family Dwelling
Miscellaneous
Service Meter
Generql Plnn Updqte Fee
011 1611112- 516011008-
EIectr icnl
U1 1 16tltl2- 5 161:13l-.ltrtl-
fl icrof il,i & Docufients
0 I 1 I 6r.1rl2- 5777r'l00rl-
V ieR
Upgrad60g dutlgitatr.Ix(166?
Building Use:
Job Type:
Nature of Work
Planning Conditions
Plannang Approval By:
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #:
Occupancy;
Constr Type:
Code:
R-3
VB
cEc 20'19
Notes
Date
Date
Date
l\4isc. Receipt:
Misc. Receipt:
tvlisc. Receipt:
Total
Zuniga, Allissa
Every permil issued shall become invalid unless the wo.k on lhe sile
authorlzed by such permit is commenced wilhin360 days after its
issuance, or il the work authorized on tha site by such peinit is suspended
ot abandoned for a penod of 360 days attet lhe time the wo* ts
cofifienced.
ozt1112020
Account#
$22.95
$1 12.57
$3.91
$139.43
$0.00
$139.43
lnspector MID#: 2020-157679
01 1 16002 51600
01 116002 51603
01116002 57770
Fee Total
Paid to Date:
Balance Due
Suite Range:
Zoning: Rl
Phone:
01 1 16002 5160:
0'1 1 16002 5160C
01 1 16002 51603
01116002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
lvlicrofilm Records
ZF EIectr ic InL-
aa1 .:Li
l.l l.< | LI/
13,?1
31ts9.43
Authi: r1f,74$6
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS O\lrNER BU'LDER DELCARATION
I hdcby .inm mdd p..rlly oa pnjury thar I .xcmpl froo rhc ConradoB Uc.@ lj* aor rfi. tollo*i,s r@n (5(.703 L5
BusinBs and Profsion Codc): Any City or Couiny whi.h r.qut6 3 Frnit lo conslrucr. ah6. inrprcve d.oolish or rq6n ey
$tudrq p@r ro tu islo c., atso r.quir6 $. opp[c l for such ,qhi to fr|. a s8.cd 3laldd rhal hc or 3hc is lic.G.d l,6uarlI
ro the,,Dlisiotr oa$. Conlr.ctors Licms.d tiw (Chapts 9. Conmdcins wilh Sdrion 7000 oaDivisio. I ofthc BNinBs md
Proasions Codc) or Ihar hc or shc is cxflpr lhtr€from ud rhc ba.is for rh. all.g.d dmFion. Any violalion of S$lion 701 L5 by any
applicanr tor a p.f,nir subjearh. trpplicdr to flcivilpcnahyolnol horc lh& fiv. hu.dr.d dolltrs ($500).
-I,
* ow.o of rh. prop.ny. or ny mplorG wilh waB6 6 lhcir Flc compssl io., vill do t. wor k ed tn. itu]r b noi
inrdd€d or olldcd lor sl. (Sd 7014, Busins ed Prcfsio6 Code Thc Conrador't Lictu. bw d.6 nol tpply io o oMd of
rh. pnrpdy who trilds oi inDrov6 rh6n, ud who do6 su.h *!rl hiru.lf or h6df or dftrBh his .. ha om.oploy€,
providql thar such inpmlMts @mr imoded orollq.d fore&.1[ how,l& tlildlrs 6r iryroGMr isehwnhinoncy4
of@mpldiotr $e Od6 Buildd rvill h6v. rhc htrd6 oapovinS fid h. or stE did mt hild or inFow lh. Fnpqty tur $. F4o* oa
I, s oMs ollh. propdy. am dclGiv.ly contraclins wiih I'c.6.d coiradoB to coNtud ln Foj..t {S€. ,044. InEinB
d PDiisk n Cod.: Thc Contrscroas Licctuc tlv do6 nor apply lo s owns of propgly sho build! or idprov6 thd6h,
and *ho com6c1. for such prcjdts wilh . Conlrmto(s) lic€.scd pu6Mr ro lh. Conra.bls Lic@ Law)
I dncsnpt undcr Scctbn .B &fC rorthisreason
Dr(e: Osnerl
]{qBXE&l-lO!IE,!lA!.qN
DSCI.AtrATO!
I h6cby amm undd tnrlry o f pdlury o.c of rhc aollowin8 ddleatioN
4 I h.ve ed will minlnn a Ccnincar. ofcoBdl to S.lfiBur. lor sorl6 comFflsalion, 6 p.ovidcd for by Sclioo 1700 oilhc
tibor Cod.. for ln€ pqfomdc. oilh€ so for slticn lh. p$nn is isucd
I har. and will mainr.in workm corp.Narion irourmc€. 6 Equir.d by S€clion 1700 oarh. Labor Codc, for thc pqfomuc€ of
"-", r{}c 17y
V0t/,)( l9R2 Y;
I cslily rhal in rh. pcrlt @ncc of th. *ork for wnich lhii Fm is Gucd.I shallrcl drloy dy !a$n in&ymdd
s d ro be.odc subjd lo ih. soit6' .omFMion laws of Calitomia d asElhar if I slDuld b..6n subjdt bdE
wort6.ompcnsolionprcvisionsolS.clionl?00oflh.LiborCod.,Ithall,fodh{ihcomplrwirhlfioEprovisio6
WARNINC raihre to wur€ worr.ts comreNrion oldrs€ is unlawful. ud shall subjd e @plord to didinal psahid fid
civil fincs up ro one hu.dr.{l rhousMd dollds ($100.000), in addilion to lhc co$ or.oilp.6ari.n. dma86 a provid.t ior rh€
sdio. .1076 orrheLabrC_odc, inldN dd
DECI.AMIION
I h@by lrrm undq Falty of psjury lhar I m licalr.d @dd !rcvLion oachapta 9 (comnocrns wilh S<lio. 7000) of Divisio! l
of thr Busins ed PDf*ioB Cod.. &d my ld.e i. in tull for. ad.lTer.
F qLl _63 7
. L T1 L
caN$auCIlQIILExDINclcElcY
I hftby alfim undo pgElty of r.rjuy thal rh6c ir a conntucrion lddinS r86cy tor $. pgfotuc of th. wotk io. \tich thb p6nn at
issu.d (Sd lo)7, Civ. C.).
Gf,dd's Addr6:
-
AITU(ANLOECIJA.&IION
I isdryammund6 !.nahy otpsjury one ofin hlowinS d.cldstio6:
D.molirion Pdmils-Asb6tos Notilicarion F.doal Rcsulariom (Titlc 40. Pan6)
R.quir.d t ud ofNolilicarion
/fcdrry
rhd th. fedaal r.ruldEN r.srd'ns shcros lm\ al s. nor tpphcsble lo rhs pIDJd.
lzl cali$ rhd I hde r@d lh6 lppl'ol'on ad {rr.rhd rl& abov. iDfomation is corccl.l asrd ro,}mrly virh tll Cilyed Coury
ordidancB ed Sute Lass ELrina ro buildinx co hcr.b, aurh.rt.rcpMtaliv6 of this Cny dd Counlylo dt6 upon thc
abov. ncnrion.d piop€ny aor i
Appli.nnl or AEcnl Signntu o^.,-o-):Ll::fui2O
tra c+Q
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER ,-tt-2,Dsr,a ra,
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Meter Release 2.-'H -2,
Rough 1t-t L-?-
Service Meter
2 +l-2)
Notes, Remarks, Etc.
Rev. OB-07-2015
Site-Work
FINAL
on"z.-Q)=JJ- --Q.A.Qo