HomeMy WebLinkAbout20165589 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Electrical Permit #: 20{65589
Pin #: E{{94lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
U nil:
Block: NA
Btdg:
f .act 4402
Address Range:
Historic: No
Suite Range:
Zoning: Ri
q
Assessor'sParcel: 408-351-02 Lot: 2
Owner:
Address
George Moua
1918 W Glenwood Place
Santa Ana, CA 92704
Amount
23.87
51 .29
21 .25
52.98
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$23.87
$s1.29
$21.25
$s2.98
P hone
Contractor:
Address:
Treeium lnc
5352 Laurel Canyon Blvd, #:
Valley Village, CA 91607
(8ss) 833-8733Phone
Botch+:.(3161 - 1/9/2Ol$ JD: (:(:UELLAIi
0ffice: CTYH Trnns+! 12 2 ot 4Acct+: Ref+: 2 131599
R(pt+:02226651 - 1/9/2t118 9:Ol Atl
Trdnsoct ion Totsl t943.39
State Lic #: 617144
Lic Type: C-36, B, C45
Bus. Lic #: U5372
Workers' Compensalion lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9100432
Expires: 06/0112018
Treeiur Inc
Generql Plon t pdote Fee
01116002- 51600000-
Electr i coI
01116002- 51603000-
I(:L Check 046033
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016 Notes: handout given
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Mar, Escariet Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tolal
Hernandez, Kathy 04t09t2018
Account#
Every pemit issued shall becomo invalid unless the wo* on the site
authorized by such pernit is cofinenced within 180 days after its
lssuahce, or if the wo* authoizod on tha site by such peinit is suspended
ot abandoned for a peiod of180 days aftor the time the work is
commenced
$149.39
$0.00
$149_39
lnspector
01 116002 51600
01116002 51603
$21.25
$128.14
Project Address: 1918 W Glenwood Pl
Tenant Name:
Fee Type
01 't 16002 51603 FWU
01 1 16002 5'1603 Serv lvleter
01116002 51600 General Plan Update
01116002 51603 lssuance
$12S.14
$94 3. :9
$;
Date:
Date:
Date:
04/09/2018
Fee Total;
Paid to Date;
Balance Due:
MID#: 2017-135700
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DT]I,CARATION
I hcrchy ifllim undM p.mlry ol t'.riury dnl I m.rcnp! rft,n rhc Conradon Liccns Lou rbr lhc hllo*ing rcayrn (s( 70-11.5
Busincst rtrd Proicssiotr Cdc) Any Cily or County uhi.h rcsuncs a p.rmir ro dJn\r .'. alrcr. i'Iprovc, d.nrlish or EPtn 0.t
{ru.rurc. pri(n ro ils issuore, oho rcqdnc\ ih. aprrltlir lq ruch rEnnir ro fil.a ri8trcd sarcmd rhal hcorsh. n liccnsed ruFurnr
ro rhc trevirion\ .rlh. Conlr&ioas Liccned tjw (Chrprcr 9, Commcrcins wirh Sccrion 7(m of Dienion I oflhc Busnrs otrd
Pmicsions Codc) or thnl hcorrhc hcxcmpl rhctirono lhe bnsn ior thc lll.gcdcrc.$bn Any!t arionofs(lion7031 5hya.y
erli.r ru a pcnnir sul,jftc rhc tDli.,nr r. a.ivill,cnalrlornor drcrh,n livc hundrcd dolltrs($50t|)
_1. !s owmr of rhc I)IorEdy. (n ny cmtbttcs wnh wasc\ i! r hct $h comn nsrn,n. will do rtr eo mnth. srnr]lmt nor
inrcndsl .r off.rcd f.i sh (se 7(xt, BusiRss dnd ft.i.ssi.ns Cod.: Th. Conlrcdois l,iccns ljw dcs nor anpiy rJ d owncr or
rhepmF,y who hilds or nq'mrs rhcMr ard sho des su.h qork himscllor hcrsllo. rhtrro8h hi( 6r hcr dsn.n'ployecs.
provacd rhor $ch imlotrmnrs arc mr inlcnd.d tr ofiNd rbr slc It howEr. lhc buiklhs or inlmttunl is v,u wirhrn ,,ft ,tt
ol snlshlbn. rlEOwncr Buil:rs eill hrvc llE burdcn or provin8 rhd tr.r shc did nor btrild or in{rcrc rh. pDFny for thc lurrneof
_1.Nowncrotrhcrrop€ny,aorcx.lusivdlycoor,,.ringwirhli.!{dc.trkr.toFtomnslrucllhcnroj.rl(S(7{x.r.Busrm$
.od Aofclsion cod. Thccontrror'sLiccnsctiwdocsnoraptlyrortroqDcrollll,pcnywhohuildsornnprovcsrhcaon.
lnd sho contmcls l'or such projcts wnh a Conr,!cr.r19 liccnsd puFuunr ro rbc Cont&'.is Ltcn* Lrwl.
-l
omerchtl ondc. 56r A & IC r{rrhis rcr{)n.
Ivaartrf,lraMtliNi]!1]N
DECI,AX6.IIQN
I hcrcby nfln'n und$ Dcnihy ol pcrjury orc ol lhc loilowirs dcchrlrt,n\
-l
hr\c oft will minl0in a Ccr liiEarc oi Con*ni to Scl nrurc fu porkca $mpcnsa'ion,!s In,lidcd r.r byScrnni 37(10 olrhc
tib.r Codc. for rhc ,crfmdn.c .r rhc work for which rlE Fmn is ksucd
Ihrvcrndeillf,rinrait*.rkcr{.omFn.rrio.i'Nuraft..rrcqundbySccrionl?00ofrh.l,oborConc.forrtcFtlo.nbn..ol
rhc *ork f(trwhichrhh pcmir is issu.r! Myworkm c.np.n$rioi in\urituc .onicr ord Nlicy nu l,o uc:
-l
ccnilyrhd ir rhc rcrlormrNc ofrhc Nolk rbr which rhn Fnnil t issucd.l \hrll nor cmploy rny Pri<,n h afl, minncr
$ r\ h lrcom \ubtcct lo rh. *ork^' .onlTnsnt tun hw\ of Cnllfomir. nd d8(r rhd ifI stuuld bccotrE suhid rorlr
workcr{ comp(nsarn,d prcli\inr or Sdrirtr l7m of rhc Lahtr Cod.. I shrll. lonhwirh mry,ly wilh lhos prcvi\ion\
WARNINC Failurc io *curc workcn compcnsolion covcmse is unhtrtul. ad shrll srbjccr rn cnployci ro oi,niNl Fn.his lnd
civrl fincs up b onc hundrcd rhousind dollam (SlO(r,(rO0). nr.ddiliotr ro lhe cosl ofcofrFnsarion. d,.Egcs as [ovidcd hr lhc
."wliTs
I h.rchy rffirflr lndq pcnllryoircrjurr rhar I rm li.anwl !ndc! EorttunofCh.prcr 9 (.ommNitrB wiih Sdion ?0m) oiDivi\i{,n l
ol lhc Bu\iNs ond ProlcsiorN Codc. md nry licctrrc h ir lull lorcc orxrcrt cr
f+!r1 ,..'.""'",(t9
CONEIAT&IIONI.ENDIN(;}GINCI
I hc(by ntnrm u.df Fndlyorp.rjuryth,t rhcrc is a.onirucrion hndins o8cmy forlhe pe,fommc oflh. *o* ld rhhh rhis Fnnil is
nsucd(Scc 3097, Civ. C.,
AIILIIANLDECI,ABAII!]N
I tmt') lim undcr ,'.nulry o,pcrjury orc oIrhe folb*in! dmlrari(inr:
Dcmlnbn PcinnsArhcsros Nolification Fcdcrul Rc8ulrlions (l'nt 40. Pan6)
Rcqutcd klrcr ol Notiliculion
ifyttut I havcrcadlhisapDlicolionond{trlclhrr lhc atnvc inrirmorion iscorccr Irardro.o rrlywirhrliCil
s md srar. Lrqsrcltllinsro huilding
rh)vc,mnrt *d pml.dt f(r ms
Appllconi or AaenI SlatuluE:
Prmile. mm. ( prinl ):
"x*rucrion. r hcrchyrrln r rclrc{nurivc\ of
;)l{T_LB
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor />\
Bonding / Grounding / UFER +-26-tf [.U(r0
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solf it Rouoh
Ceilinos (T-Bar Rouoh)z1
Meter Release +-27-ry W-W:10)
Rouoh
Service I\/eter +-z-b-l l v.u/Fo
FINAL l2-11-r\"q.)L$o
Notes, Remarks, Etc U
Transformers
l.dilirhJrrh.lidcirlroguhriotr\r.grJi',Sn\Grno\..fkrrlnr.n.rat)tl(rhl.r,rh\ftr+.r
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