HomeMy WebLinkAbout20166300 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{66300
lnspection Requestsr (,714) 667-2738 lnspector Section: (714) 647-5853 Pin #: 13921
\t n
Proj ect Address:. 1418 E Fifteenth St Unit:
Block: NA
Bldg:
Tract: 1573
Address Range:
Historic: No
Suite Range;
Zoning: RlAssessor'sParcel 400-232-03 Lot: l7
Owner:
Address
Georgina Ruch
1418 E 1sth St
Santa Ana, CA 92701
(714) 675.1953
Fee Type
01116002 51603 Air Conditioner
01'1 16002 51600 General Plan Update
011 16002 51603 lssuance
Qty
2.O0
1.00
1.00
Fee
$186.56
$21.25
$52.98Phone
Tenant Name
Contractor
Address:
Empire Plumbing Heating &
8349 Katella Avenue
Stanton, CA 90680
(714) 816-5129Phone
nenc I PIun Upds te
I 1 60r:r?* 51.4trt(til:r -
R-3, U
VB
cEc 2016
516t:r3l:lr:tl-t-
tir:r175Single Family D\rvelling
Miscellaneous
A,/C & Comp
Notes
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Fregoso, Vince 06t27t2014 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
\d&rnandez, Kathy 06127 t2ma
Account#
Every permit issued shall become invalid unless the work on the site
authoized by such pormit is commenced within 1E0 days aftet its
issuanco, or il the wotk authoized on lhe site by such permit is suspended
or abandoned lor a petiod of 180 days after the time the wo* is
commonced.
$260.79
$0.00
$260.79
lnspector MID#: 2018-144330
$21 25
$239 54
Fee Total:
Paid to Date:
Balance Due:
Amount
93.28
21 .25
52.98
State Lic #: 794154
Lic Type: C-36, C-10, C42, C-20
Bus. Lic #: 163353
Workers' Compensation lnsurance:
Carrier: Falls Lake
Policy #: FLA00208601
Expires: 1011512018
Eotchi:41508 - 6./?7./
ofl ire: (:TYH Trrn:Acrti:
Rcpti;tit?3045"qi - I
TronEo,:l ion Totol
Erip i ne PIufih i ns Heo I
IOI LROSALES?of3
? r:r 1 6,5 3 r:[]
I I :46 AII
t?1s.34
ri
Building Use:
Job Type:
Nature of Work:
Occupancy:
Conslr Type:
Code:
Dalel
Date:
Date:
01116002 51600
011'16002 51603
ELECTRICAL-INSPECTOR RECORD
I hcrcby ofltm lnder neialry (,f pcrju.y rhir I .r cxcnll'l lronr lhc Contmdom Liccns Li* for rh. folk'wirg tnv,n (s.c.7011.5
Bxrin.s ad Pror.srion Cod.)r Ant ciry or Coumt which rcqutcs tr pcrnrit ro conrrtucr. alrci inlfovc. &mlish or rluir any
strudurc, Irirr b ns nsu0Nc, .ko r.iuiEs lte {'plicanl fo! such Irrdii ro tilc u shnd sarcmd rhar hc or shc h licenscd ll6n,nr
tu rh. pmvhions ordr conrmclols Liccnsed L{p (Chiprer 9. Conmencin! *irh Sdri.n 7fix) or Division I oi lhc Busincs an&
PofcsionsCodc)orrhath€orshchcicdprrhtrcft,dr.drh.bnsirr.rrhc,llc8cdcxcm,tli,n.AnyliolarionofsccrionT0.ll5by.ny
aptlicd.r f.rs pcnnir rubjcch 'h. lppliclln roacivilpcmllyofnor mrcrh.n lirc hundrcddolld\($500)
I.,sowncrofthcnroFny.ornrycmllorrssirhwr-qcsasrhcirsrcc.dpcns,iion.willdorhcwo Bln thc sldl!rc is n.i
inrcnicd orofiercd for srh ISE 1X4, a!ri@s\ Md Prordssio.s cdc Th. Conr[lot \ LiccnE llw dd: nor lPply ro dnowncr ot
rhc DturEdy sho trurlds or inrnvcs rh@)n. rnd wlx, d,B stch wo& hnns.lfor hcrslfor rhouAh ht or het ovn cmPl.)ccs.
poeid.d rhrr such inrlr.wnt m mt inrddcd or ottrcd for eh. lt ho*evc( rh. bxildinS or iryrowmnt is $U wirhin om )tr
ot corylcr ion. rlE Ow.cr Buius *ill hnk rh. bo.dd of l]rrvibg thd tr o. shc dil mr build or in{ot lhe rm[rny ror itr purl[s ol
WARNINC: Frilurc h scrrc work r( .on!*n$rn'n . r*+c
ciril llncs !p r,, onc hundrcit rhouratrd dolhr\ (Sl(x).U)o). nr
b'.L7. t6
(Ir\'NFR xI n DrR l|I..I (,^R^ IIi)N
wful. arl shlll \dbiii m dntloler to rin nal rEmhts and
ro rhc.o orcurpcn$ n,n. d0roBcs.s provilcd lor rh.
l)lt( t,.\R \rr()j\
d 9 (.oDnEncin8 wilh S$rbn 7ffX, olDivisn r l
)g Y ti'/
rltr p..forirn.. olrhc \.rk nr*[i.h lhi\ I).i,nir is
vxLrrc nor xf!li.ihL l,, rhn pror.cr
vcilfonndi.nisc.rc.' l.Braroconr/ysnhrllCir!andc.ufuy
aurh(trizc rcprc* rrri\t\ olrhirCilyoi(nudyt,cnrruB)nrh.
I.uso$rcrofthclropcny.rmcxclurivclyconrrnctinSeirhlic.n\.d.ont.rosro.trsrrudlhcpmrcdlscc7()4r.Buri,tc)s
aBl tk,fcsi,n C.rlc ThcContr.kr'sLiccnscLrwdoesmr.DDlylosnown.rofpn,Dcnyahobtrild{otinTrovc\ihcreon.
a wh{ contrrcls l'or \uch pn'jrk wiih n Coitactln n li.0scJ pDruilll n) rhc Conrrlcroi\ l-i.{nr trw)
I arexcmfl utrdcr Sslt)
lroaK[aLc!.lM$Nsarll,tli
DECLA.E{IION
I hcrchy uin"runder r.mhyotl)crjuryom olrhe &,uowios dc.ld,ri{ \
-l
hlve !d will minllin a Ccnificarc or Conrni ro S.lr- lnsum ror work.tr ompcnsBrion, 6 rh,vidcd lot by Scclion 3?00 oI lhc
tihor Conc. for thc l).rforrome ol thc *ork aor shich rhc pcrnir ir issucd
_lhatcand *illmainrdin sorkc^ .o D.nsarion nNkrtr.c. as rcquncd byScdion:l'7lx)orrhc Lnboi cod., for lhc pcriornEnce of
rhc {ort a{tr wiich rhn pernir ir irsu.d Myworkua tu'ry.nerion i.surcftr crricr and Flicy nun$.r tc:
I.cnil'-vrhdirrhcpcrlonmn.corihuwo tur*hirhrhi\|t,nrir is rnrd.I shrllnor cnDloy rnyPL^on inrny N nrr
q) r\ t, hc.onf, ltrhF.r rJ rh. r1trkcr .omNtrsirion l0ws olCrlilhrnir. ind lgN rhrr if I :h)uld bcNnc suh]ccl lo rlr
workcr\ con,!.i\rrn,nIovhfiisofSc.rio.]7U)olrhchhorCodc.llhrll.fonh*iih.ordytrirhrh.-_F)vhions
I hctubyafllnhxMcr Fnallyof pcrjurylh,l I !'n
ol rhc ausinclsakl Pntlc$i()ns Codc,0nd my/ rs U >1
.L1.t6 &
I hcrcby rmulndcr p.nrlryorpcrjLry rhlr rh.rc n r.omru.riotr lcnd
ATTIIgANLIIESAAAIION
I lrnhy amm und$ p.trrlly olpcrjuryonc ollhc lnlk,winr dcchrarn,n\
Dcmolirion I'cro,irs Ashc{os Norlll.dioo r.dcrnl R.!uhions (Tirlc 40. Prn6r
R.qonL\i t..(ri ol Norili.rlion
lccnnyrhil rhc,cncrrlrcEULrnnNrqrni',gr\bt
l.cnifyrhal lhrvercndthisrptlicrli{,nnl\lrrcrhar
udi'rtrccr tr sfurc l-rN\ rclftftlo huiliir! conJn(
rlxr. m.nri,,nd pmlfny fir i'Btc.r
APPROVALS DATE ID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Volta
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Torqueino
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Solfit Rouqh
Ceilinqs (T-Bar Rouqh)
It/eter Release
Rouoh
Service Meter
FINAL <lot )Cd lo,
Notes, Remarks, Etc I I
[tI
q\-.,rrr^-./ '
^,,,6t-z-l't€
COMMENTS
Transformers
Air Conditioners
issucd (Scc. .309?. Civ. C.)
t ndr'r Nxn.
-
Appllcani or ?lgerl SiBndluE:.-.<_
Pemire namc,rrinr, -\\
I
tt
I