HomeMy WebLinkAbout20166266 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66266
Pin #: 73451
Project Address: 2409 N Soruce St
Assessor'sParcel 001-064-04 Lol. 127
Unit:
Block: NA
Bldg:
Tract: 1608
Address Range:
Historic: No
Suite Range:
Zoning: R1
q
Owner:
Address:
Phone:
Tenant Name:
Thelma Grigg
2409 N Spruce Street
Santa Ana, CA 92706
(714) 599.4641
Owner-Builder
01116002 5160:
011'16002 5160:
011'16002 5160(
01116002 5160:
Fee Type
'125 Volt Receptacle
Dedicated Circuit
General Plan Update
lssuance
Amount
1 .40
23.87
21 .25
52.98
Fee
$2.80
$23.87
$21.25
$52.98
Qty
2.00
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
PIan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 20't 3
Notes: Electrical
Date:
Date:
Date:
lVisc. Receipt:
l\,lisc. Receipt:
lvlisc. Receipt:
Total
web user
Evary pernit i$ued shall become invalid unless the wo* on the sito
authotized by such pemit is commencod within 180 days aftet its
issuance, or if the wo* authoized on the site by such permit is suspendod
ot abandoned fot a penod of 1 80 days after the time the wotu is
commenced
o6122t2018
Account#
$100.90
$100.90
$0.00
lnspector MtD#. 2018-144232
Fee Total
Paid lo Date:
Balance Due:
Contractor:
Address:
Single Family Dwelling
Miscellaneous
Electrical
N/A - No Balance
ELECTRICAL-INSPECTOR RECORD
COMMENTSDATEID/SIG.APPROVALS
Unde round
Pole Bases
Li ht Standards
S FountainsasPool
S NS monument
Life Saf /Low Volla
Fire Alarm i Dam ers
Communications Cable
Buildin
Under Slab / Floor
/ Groundin / UFERBondin
Translormers
uelnTo
Sub-Panels
Air Conditioners
menlRool To ulE
Facto Wired Unit
Walls Conduit
hWallsRo
Ceilin Hard & Soffit Rou h
Ceilin hST-Bar Rou
Meter Release
t2Rouh
Service lvleter
FINAL
Notes, Remarks Etc
lhcrcby!fllrfrundctpcn.lry(r,'.rjurylholld.xcmprnomlhcConlmcroFl-ic'nsLrwibrlh'folLwin!rcasnlsc(70115
Busincs Md Pofcsion Codc): ADy Cily o. Counry whEh dquircs a Pqmir lo otrsrtuct. tlrcr' iq'rolc ddrmlnh or frl[lr rny
slruciuE'pliolbirsn$,ncc.okorequircslhcopPlicanlf.rsu.hFrmillofikasisnedslol.mnllhhtorshcisli.c.scd,)u6ulol
blhaPmrkio.solthcconra.i(rtLiccnscdllwlchqrlerg'commcnci.r*ilhscclion?o0oolDivi\hn]]oflhcBusi.c$0trd
p,Dics;io.q codc) o! rhat tEo. shc nc&n!fl rhcrcfrom and rhcb{sis lorrhc,lc8cdcxcmptn,n. An, viotarionofscctiodT0lr.5 hy !try
arrpli.,nr rorapcmn suhjds lfic upllicrnr ro 0civilp€nahyofrcl nnr. rh fivc hlndrd dollars ($500)'
l. as ownrofrhctmFny. or my cnllorte\ wnhwaScs!s lhcn \.k onrrEnsnrion. will do rh. wolk !'d rlE d tuN i\ fr
i,'r""Lt - .neea r"i *i tie.7oi4. Blsituss aid Prcltsions c{,lc Ttc co'rEdors Liccn* l-ss docs
'oi 'prlv ro !n owncr or
lfic pmrcny wh. builds or inpmvcs rhepn turl sho dms sEh m& himself or hcscli or rhDUBh hh ot hct orn cmnk']vccs'
-"*a"a tr,* *.r. 'nmtmlL d mr orcndcd or ofic(n for ek lt hoec$r (ht hnildirA '! itr{xdcmN is vnd {irhir onc ,i{
;rcoryhrntr ltr O*mr Burbs *'llhtrw rhc hrden olPmvin8 lhar hc or shc dU mr build or inlPnrt rh' pmlEry for rtE purF*of
l. as owner dr rhc nBpcrlt- ,m .rclusilely coordins eilh liccn*d conlracro^ ro 'on(ru'r
rh' rmjed rs*' 7(}'4 Ausi"c$
u,a p*ro..hCoa",ir,"cnnrtElo,'sLiccnsctjsdocsnoralllvroanown.rofpn'pc,whoI'uil'lsornnProrc\rlErcon'
ind $ho onrBch for such Pbjcc wirh s C.nrmclonI licen{d luNunr ro thc codracft, s Li'cn$ l'w)'
()$\Itk BL ,tn,.l{ l)l ] ( \ll,\'l ll)\
_l anrcxcmfl !nd.r sc.r
Policy Numtc.
-
Liccnse Chs: '---Li..nsc Nuhb'r
-
r\sucd (Scc :1097, civ. C.l
Erlires:
-
Ij}BtrEIILIjIJMPJNTAITON
DECI.ASAtrON
I h€tby afnrn lndcr F.aIy of p.d!ry on. of lhc followinS adrrtrrion\:
Ihlvea'dwillminloin0c.niflcllcafc6n$nrlos.lf-lnsurclorsorkgionlp.nsolion,aiFovidcdforhysdion]7mo(ll8
rib.r de- for rhc pclolmne or rhc woi( for which rhc ,).nnit is isru.d.
-l
hNc snd pill mri.rlin *orkcts conp.ralion insuEftc. s\ rcquiEd bv Sccl iotr STm o, rh' tibo' Cod' for lnc !'r"rmlE or
rl* sork ror whth thn p.mir is hsu€d My *orlcR conF.sdrion insuGEc fftr and Plkv nuhhcr el
-l
ccdityrhur inlhe p.rlornBnceofrhc work iot *hichrh^ F,r i\ h\xcd l\hnllnL cmflovanv p'rhn 'n'ny mrnn'r
-tr,ht-"*{hjc.il"rh.*"*cr'olnFru'onlotr.nr(nl'ntrn.onJ+nrrh. IlI 'h'uld h'c'm {hJc ('rhc
workcrs' cotrltnsaiion pmlhions of Sccl ion .r7m ol rtu L,h, Codc. I \hnll rodhwirh oq'lv wilh rho$ Povisbn\
WARNTNC: Friturc ro ssc wo*cB compctrsr.on ovcm8e i\ u.h$iul. aid shall \ubjccl 'n cn!not!! tr rin nrl Fnrlrts 0nd
civil fitrcs uI ro onc hurdrcd rhousand dollrrs (sl00.O0O). in rddtion nr rhc.on ofcor$nsarion ddnhS's 0s Frvil'd lor rh'
sccrioo 3076 of th. tjbor C{xL. intcrcsl snd ,tormv s fes
D e- Appll@(:uc.rsrn ct-mrmrrtrn
-
DEIIdf,AII!]!
Ihcrcbylmrnund€rpcnalryofp.rjuryrhdlddliNnsnwlgrtvisionofChaplcr9(c'mm'cinswilhSdbn?000)orDivision
ot rh. Busines and Prcfcsiots Codc. !d my licenrc is in full fod dd cffc.r
IONII3UCNANIINDINj.ECEN.CI
I hcreby dfti,n undcr pcnatry.lpcdnry rhd rh.o is;onntudion lcndira {cncy fn rhc pcrfonrHNc ofrhc sorl tor vhi.h lhi\ pcrn r is
APPI !(IANT DECLARAT!(TN
I lrEhy a,fim undcr pctralr, orlcrjury one oilhc lollosins dc.ladions:
Denolirion Pcflnirs A\bc{os Norifi.dlion r{dc!01 Regulnlions I rnk 40. Pln6)
Rcquncd lxtrd or Notificlrio.
-tonirylh
lhe lcd.raltesularioi\ 6g0rdins osl,.sros rcmval.rc n.r 0tPlic lcturlirrmjccr
-IccnilylharlhrvcrcadrhisQplicalionandsr,retharlhc0tnvcinrdnElioris'orcl'l4,eki'onflysnhsllCitvandCounivoai""il",i"a srae r"*, *r"riii io huildins .ondrudiotr ed hcrcby.urhorire rep,.senhrivcs ofuhk ciryaod counr, ro cnr$ upon rhc
abvc mnriored DDp.ny ror i,spcdion purposs.
Applicanl trr AEetrl Sianctur.
Site-Work
(
Gndcls Add6ss: