HomeMy WebLinkAbout20167440 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1401 N West St U nit;
Block: NA
Bldg:
Tract: 3387
Address Range:
Historic: NoAssessor'sParcel: 198-043-03 Lot: 32
Owner:
Address
Gene Pilgrim
1401 N West St
Santa Ana, CA 927031343
(7'.t41ss4-7592
01 't 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type
125 Volt Receptacle
Dedicated Circuit
General Plan Update
lssuance
Amount
1 .45
24.79
22.O8
55.04
Qty
'1.00
1.00
1.00
1.00
Feo
$1 .45
$24.79
$22.08
$55.04
Phone
Tenant Name:
Contractor
Address:
Safe Step Walk-in Tub Coml
15262 Pipeline Lane
Huntington Beach, CA 9264
(7 14l. 373-8545
1/lr.r'rr:rIr'
(n..+ ! I t-t2
.i.i, i :i, ri !-r
Phone
ub (:trlnr
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Walk-in tub
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes: Replace existing tub with a walk-in tub.
Planning Conditions:
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permil lssued By
Subject to Field:
Building Permit #
, Julie 11119t2014
Account#
Ewry permit issued shall become invalid unless the work on tho site
authoized by such permit is commenced within 180 days aftet its
issuance, or il the wo* authoized on the site by such pemit is suspended
ot abandoned fot a peiod of 180 days aftet the time the work is
comfienced.
$ 103.36
$o.oo
$103.36
MID#: 2018-147785
01 1 16002 s1600
01 116002 51603
$22.08
$81.28
Fee Total:
Paid to Date:
Balance Due:
Permit #: 2()16744()
Pin #: 50997
Suite Range:
Zoning: R1
tl
State Lic #: 983603
Lic Type: B
Bus. Lic #r 365881
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9002477
Expires: 0110112019
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ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNIiR BUILDER DETIARATION
I h.r.by .fiirm undd pcnally oa psjlry lhal I m cx€n ion rhc Conrradon Lic.ns. t e for thc lollowins rari. (S.. 7o:l I 5
Dusin6s ud Profdsion Cod.): Any Cir, or Colnt, which r.q s a pqrnit lo conslruct. ah6. inprov., danolish or r4at My
srtuctd., pdor ro ns isumce, also requir6 thc applic4l lor such p€mil to riL a sig..d slrGnc lh.t h€ or srE is lics.d p6ugl
ro rh. rolisrod of$. Conlraclors Lic.ned kw (Chagd 9. Comm€ncitrs Nith SElio. 7000 of oilision I ofthe ttusios &d
Profsions Cod.) or lh.l h. o, shc is cx.mpt lhq.fron ad thc bsis lor rh. rllcs.d crmp(ion Any violationofselion 70115 byany
applicant for a p€mn subj{rs lnc arplic&t lo , cilil poan, of nor morc rh& fivc hund.€d dollrs (5500)
-1,
6 ownd of th. Imp€rly. or ny employt6 Bilh *Es6 a their sole comr.tration, $ ill do lhc wort and llE slodm is nor
inr d.d orolls.d fo, *lc (Se.7044. Buli.e ed Pof6io.s Cod.] TtE Conl6c16f3 t,iclG liw doc nor sPpl,lo mow!€t ol
nr. polHy \fio hdil&or inlpror'Blhq6n. dd wbo do6uctso.L hiosclloi hd*lfor mush his ot hd own .dPloy6,
Drovidcd rhal such ioFoisds mnoi hrad.d or ofidur for sk.Ii hoqBq,llE buildins.r nnpoldMr is $ld vhhio o.. )ar
ofconpldion, lhe O*rq Auil,l6 vill hlvc lbt budn oaFoviig lha h. or sh. did M hlild or inprcv. lh. FlrEry to. lh. purpoF of
l. s owrer ofrte prop.ny, d€xcluriv.lyconracring *irh li.cB.d corlEdoElo comlrud th€ rroj{l (sd 7044. B6ins
dd PmaBirn cod. Th. Conlr&lor's LiccDsc l-atr do6 rcl apply Io & ownd olprcpdy trho builds or imptovd rhdon.
and *ho conlEds lor such Fojc.ts$ith a Conhdo(s) lic6.d pu6uMl lo thc Conh.rois Lictu. tiq)
la c\.n'Dr undd S(hon .8 & P(' l,r,h's,.8'{r
D.le: O*nei:
uoBtrt;luau8;Nsa.MN![c!aaar!a!
I hs.by arlrm und6 pgrahy ol pdjury onc ollh. follo\ ins ddldariod:
-l
hav€ ud vill
'Minrai!
, Cdilicare of coNd ro s.lalNur. ror rvorksr con,pcn3trion, 6 providcd aor by Sclion :l?00 o r lhe
Lab.r Codc. for lfie ,sfomdc. olthc wo.k foi sdi.h th. ,@ir ir irsu.J.
-l
ha!. dd wiu mai.rain work.rs .omp.Nsliod iBurec., s r.qutcd by Sdl io. 1700 ofrh. tjbor Codc for lhc pdfor@c. oa
th. Mrl lor whicb $ir pdnn is isu.d. My work6! compcnetior insumcc cdnd a8l policy nunb< a.:
5\"^.,k .("J
'1,/t ttlct'/7
l1
I cenilrthar i! rtc p€.loroamc oflhc wort lor *hichlhis pdnrn is isued. lsnallnot flployanyF$. i6eymmnd
$ s to h.cod. subjdr 16 th. wo!k6' comp.nalion lavs ofcolifomiq od ase rhat il I should b<om. subj6l ro thc
woikcc.onpcBarionlrovilioNofScdionlT00oflh.tibor(tdc.lshall.hnhwithcomplywirhlhosprcvistud
WARNINC: I,ailurc lo wurc wort6 conDasalion .or6sc i. lnla{lul, ud shall subj*l tr mplotq lo dininal FEhi6 and
cilil lind lP io oo. hundrcd thoMd doUd (5100.000). i. addnion ro lh. cosl ol€omFtualiotr. <!an ees a provid€d lor lh.
serio. 1076 of(he Lator Code inrd6:l sd.tonry'! 16 z4
l,rcr.Nsl{) (oN I tl,\( l()ll
DICLIts|fla!
I hs€by amm u.dE F@lry 6l p6ju.y lhd I m lic6$d und6 Fovision otchaplg I (.omedcing {nh Selion ?000) of Dirilio. l
ol th. Busins md PmfsioG Cod.. and my lic@ i! in aull forcc ad .Iral
?7Sbos
I
COISIAUCUONIENDIIGICIICI
I hd.by ,mrm ondd p.nahy of p.rjury lhal lhqc is a on$ruclion lddins asocy aor tnc psfomaflcc oflhc work fot which this p<mil G
issucd (sd.1097. civ. c.).
AfII,ICANLDEq.AAAIION
I hsd'yafmundn pdahy olpcjuiy on of th. fouowiq ddlualions:
I)emlirion P6mits-Asb6ros Noritc{iod F.d6.l R.SuldioN (Tirl. 40. P616)
-R.quircd
L.tr6 or Noti6caion
I .dl iay rhd lhc acdo nl r.!ul.lio6 lesudins db€slos rsnolal re nol applirable ro this prored
I cdlilyrhd Ih,!emd lhisapplicslion d slat€ rhat lhc abo!€ infodar i.n G coud. I ssrE to conDly { ith ,ll Cny ed Counly
hss r cl,tins ro hlildios coNtruclioo. and hr.by aurhoinc
p.ny for imlarion purpos6.
'22;4
D/-/r.16 la, 1.,. r
eF6@r iv6 ofrhi! Cny rnd Co6ly lo olB
'por
dE
//t t/t4// tr/'a--
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 / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Nileter Release
Rouqh
Service Meter
FINAL tL'tl-/fi ?czl
Notes, Remarks, Etc.
APPROVALS
I Y
I rlde' \ Addr6s: _
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