HomeMy WebLinkAbout20166134 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2758 lnspector Section: (714) 647-5853
Permit #: 2l)1fi,6134
Pin #: 41576
Project Address:2003 N V ctoria Dr Unit:
Block: NA
Bldg: Address Range:
Tract: ORANGE GROVE Historic: Yes
Suite Range:
Zoningr R1
E
Assessor'sParcel: 002-151-14 Lotr NA
Owner.
Address:01 1 16002
01 1 16002
0'1 't 16002
01 1 '16002
01 1 16002
51603
51603
51603
5'1600
51603
Fee Type Amount
Light Fixtures 1.0'1
Time Clock 11.65
Over 1-10 HP. KW or K\ 22 42
General Plan Update 21.25
lssuance 52.98
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$'l.01
$11.65
$22.42
$21.25
$52.98
Phone
Tenant Name:
Contractor
Address:
Alan Smith Pools
227 West Carlton Avenue
Orange, CA 92867
(714) 448-0537Phone
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ir:r.)'ur:lr:r .
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Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
Notes
Planning Conditions:
Planning Approval By Date:
Date:
Date:
lvlisc. Receipt:
lvlisc. Receipl:
NIisc. Receipt:
Total
Plan Checked
Permit lssued
Subject to Fie
B
Amsden, Julie o6t12t201A
Account#td
Building Permit #:
Every permit issuod shall becorne invalid unless the wo* on the site
authodzed by such permit is commencad within180 days affer its
issuanca, or if the wo* aulhotized on the sile by such permit is suspended
or abdndoned fot a period 01180 days aftet the time tho work is
commenced
$21.25
$88.06
$109.31
$0 00
$109.31
lnspector MID#: 2018-143933
01't16002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due:
Carolyn Greenberge
2003 N Victoria Drive
Santa Ana, CA 92706
(510) s01-8799
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State Lic #: 571196
Lic Type: C.53, C-27, C-51
Bus. Lic #: 1O7
Workers' Compensation lnsurance:Carrier: Arch lns Co
Policy #: 2AWC12545400
Expires: O1lO1l2O,19
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Single Family Dwelling
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N/A
N/A
cEc 2016
APPROVALS DATE COMMENTS oWN}:R BI'IIJ}EN DEII:AR^rll)N
I hcrehy {fiirn undcr pcnalry ol pcrjury lnd I m crcnpr lmrn lhc Conr,rros l,rense Las lor rhc f{rhwing m$n (s(7011.5
Busin*s ind Profc*b. Cod.)r Any Cny or Counry *hrh Eqri6 a p&mir ro .oNrud. alrq, improvc. dcmohh or Enln rny
nrudurc. prix io ils Gsuancc. lho rcquncs thc {dkdtrr for such lErnrir ro lilc a siBn d srarcmnt thlr hcor rhc h lien$d pu.uanr.
(o Ih. pmvhionr 6f rh. Contr.ror's Li.cn*d Lr* (Chtrprcr 9. Conmcking wnh Sc.ri.n 700{) ol Division I ollhc Businc$ 0nd ,
Pmnssiotrs Cod.) or rhar hc or sh. is cxcmfl rhcrcrrom.nd rhc bdsit for rhc,llc8cd cxcq)lion. Atry violarion otSccrion 70:l I 5 h, un,
applicanl for ! rermir subjccrsrhc apllicanr lo acivilr€nlltyofnor mrclhon fivc hhdrcd dollaF ($500)
-1.
as owrcr ot rh. poFny. or nry cnDloyccs wilh wia.r rs rhcn $t oml,tnelio.. lill do rhe work en llt srrudE n nor
i'nctrdcd or orTcrcd lor sle I Sc 7{}44. Busin.s snd It fcs\bns Cdc Thr Conrador's Li.cn* tiw d.cs nor ,tdy ro .n owns ol
thc nmJEny Rlx, hoilds or itrqnoEs rm.. anl who dm skh ui* hinrcll or hcGclf or rhmu8h his or her own cmplorcc\.
pa'vidcdrhnr such iq,mvcmnc@mri cn& ororcrcd forsalc.It howcq. rhc truildins or iqmvcmnt issU*iiinorc Fd
of coryldi'n. thc Owncr Buiklcr will haE thc Urtdcn olJrovin8 rhar h. or shc dil nol huiH .r nq,mvc lh. ,.mlsiy 1., rhc prqrs of
-l-
rs owrcr of Ihc pro!.ny. rn cr.tu\nrly conlnd in[ wirh liNnscd conractns t, .on{ruc' rhc prei.r (Scc 7(}:14. Bn\incs
0d Pr.tss$ Codc Thc ConIr.cror's l-i.cnsc Law docs nor +tly h oqn.rofproFnyrhobuildsorirnpmvcslhcrcon.
and qho conrmcrsnnslchrroicrs*irh a Conhdo(, liccnsql puslonr ro rh. Con,rncttr\ Licenrcris)
-l
trnrcxcml lndcr Scction
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hlvc ud will roinrrin ! Ccnificarc of Con\cnr ro Sclf ln{rc inr *orker' omprnsrion. u\ [nvided ro. by sdtion :t7tD or th.
tihor codc. Ior rhc &rforroncc ofrhc "ort for which thc fsn h nsucd.
_l hovc ana will mainrain w.rkcG co'npcnurn,n in\urrrcc, as .cquircd l,y Sccr ion -l7m of rh. tjbd Codc. ld Ihc pslonumc of
rhc work lnrwhichlhis pcrn'ir is tslcd Mysorkcll mry,.tr\alion insurumc.!d.r ril p.licy nu'nb.rff.Aur iN\N(-fi F,/ L I;
vAW1L9.1' 100 4 I'lrq
I ccniirrhd in rhc Frfortun.e or rhc ,.rl ror shi.h rii pcrfri! is (\ucd,I shru.or cnUiiyr.yrccnn inrnyrnannc,
R, 0s lo lrro'rc suhh.r b rhc wolknl omncn\dlnnr h*s or Cnlitomi!. lnd aarce rh[l if I sh,uld hconr sutirt h rrt
lorkc6 onD(Norn r [oviriotrt ol Sccr ion ]r0o ol th! btt, Codc, I shll, lonhrith comfly w irh lho€ pmvi\nnN
WARNINC Foilurc l. arlrc Mrrkcs omrcnsalion c.vcn-so n unh*tu|. md shsll subler an .nployr ro cimi.0l pcNllts lnd
.ivil finc\ trr ro orc hlndrcd rhousand dolla^ (!lG).0001, in lddirion ro rh. .osr or.o p.n\srion. dnm8.s !s providcd for thc
S..ri0n 1076olrh.lrlxrCod.. inr$c! rtrd onf,y s ri.ra/rz/t{
OEII/8AIII}N
I hcrcbyam undcr pcnahyof,rrjury lhll I am liccnEn urds pmvisisn otchaprs 9(commncing silh Sccrion70{D) ofDiv(ion l
.f rhc Busift* rnd Ptuf.sio.s Code. Md fry liccn* t in fuu fom and clfccr.
clol all c5)LL I 51tt 1L
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APILIIANLIIEIIAAA.IION
I Lrt{)y,]Im rodcr ptnahy ofpcrjury ok or rhc fouo*ins decharn i\:
l)cmlilk,n Pcimils-Aslrsro\ Nolificstion FcdcalR.Eulari,)n\ ('lirlc40. Pd6)
_R.qutcd Lcrrcr oa Nniff,:ian
_l.cniryrhor,hr hdcrDl .sulrrh'r! rg&J'n! r!h.nu.,., \sls'. nrrq'nlrrhl. !n rhi\ pmr!
adl (niryrhr IhNc rcrd rhtatpli. '.ndrlssrcrhrrrh.rbovcinnrnDlirniscorccl I a8N lo compl, wilh all ciry !
.rdhokc! lnd Srtrrc trsc EhtrnS ro hu rldmB .onqrud nn. atn h.rcby.urh.nr rcprcsdorN.r ofthF
atsvc mnhonct rr,Fn, f.r in.F<Dl!!,@x ./
tcptr*r o, r,,e*rsrt*un 42'1L-4- - D.
P.nt e*tuon"q, 7A t64€ *<.eP ct o
l'x
Underground zlalt4,.Outr1/
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER fl ,9 7lz 4l(.(/t lfr/ $/t,/tc 3d(*
Transformers \:/
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
Meter Releaseb\ gL rb rLAsrtfl-{4 t.b1rb €#4
Rouqh ,/0/c.,?IJL6\
Service lVleter
FINAL '6/27/p,r\6r
Notes, Remarks, Etc
ELECTRiCAL-INSPECToR REcoRD
tD/stG.
B &PC lorihirrc,\on
.ttaar!85t(autlNsarsN
DES2TAAIIQN
I turcby rr'ltn undd p.nrlrt oipcdury oit orrhc n,lL'trinB dccla,alion\:
COUSAIJCIION.LENDINCICDN:I
I hcrcby rffrm und.r Fnahy of Friury thd ihd. k s onnrudirn bndi.E lBcmy for $. pc.formm. of lh. sork aor which lhi{ Fmir i*
isslcd (S.c. 109?. Civ. C ).
Lcndcis Nlmc
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