HomeMy WebLinkAbout20171116 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853 ffi2
Permit #: 20171116
Pin #: 99213
Proiect Address: 1541 E Sixth St Unit:
Block; NA
Bldg:
Tract: '1790
Address Range:
Historic: No
Suite Range:
Zoning: R'lAssessor'sParcel: 398-053-13
Owner:
Address:
Mario Carrasco
1541 E 6th Street
Santa Ana, CA 9270'l
(714) 719-s850
01116002 5160:
01116002 5160C
01 I '16002 5'160:
01116002 5777C
Amount
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$55.37
$22.95
$57.20
$3.91
Phone:
Tenant Name:
Contractor
Address:
Phone
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019 Notes: Electrical
Plannang Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user
Date:
Date:
Date:051't7t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pernit issued shall become invalid unless the work on the sle
authorized by such permit is commenced within360 days aftet ils
issuance, or if lhe wo* authoized on the site by such pemit is suspended
or abandoned for a period c1360 days aftet the lime the wotu is
cofimenced
$139.43
$139.43
$0.00
lnspector MID#: 2020-158932
N/A - No Balance
N/A - No Balance
Fee Total
Paid to Date:
Balance Due:
Lot: 1
Owner-Builder
Fee Type
Serv Meter
General Plan Update
lssuance
Microtilm Records
Building Use:
Job Type:
Nature of Work:
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino / Groundinq / UFER ;e'zo ).V,$L\
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)\
lvleter Release 6-lE-Zt y-u-110)
v
Rough N
Service lvleter L-z-zt V,liI{"I
fl.lllfiruFINAL6-!l-7/
Notes, Remarks, Etc.U
owNrrR BUtl,D!:R lrtll,c"rxrtTloN
I h.rcby arfrn, und.r p.ialry of p.rJury (hri I dtr.r.n,rt ftun rh. Co,kroN Li.M bw tor E followiry Fietr (S..?031.5
Busincs ard Prolassnrn C.dc): Any Ciry or Cdnry *hrch rcqlt$ 3 pqmir h @nslru.1" .lls, impr.rc. dcmlish or rcpatr y
srru.rurc, rior lo ns nsu0rc.. .ho Equrs rh. |lpl.sr lu su.h Fmu b nk . si8rcd srd.aEnt rhd lE o. $. 6 I'c.'Le! pusani
b th. Frvisiois .f rlI C.nk&ro1s l-iccnsd lrv (Chafler 9. Cohh. ing *hh Sectio. T(xx) oI Divishn I ol rh. B$h.$ rnd
Ptuf.siom CuL) or rlDr tt or rlt i. erdhpr rhcrtf.ofl rnd rlr bllil lDr dE rIeB.{ .r.tuption. Any vbLrbnofS.clbD 7011.5 byd}
npplicnmrordp.nnnsubjebrh..ppli.dnrtoaciy,lp.Mhyormrmr.thanlrv.hundEndollo^($5m).
-1,
as o*Rr of rh. pnrl,.nr. .' y.'nrlo),ccs wnh wagcs !i rhcn snh !,nFnsdion, *illd. rh. *nk iid rlt !turm t mr
iDr.nlal or oll.r.d f( sL (S&.7D1-1. Buri*$ rnd PtuIcssiois Cod. Th. Contrdor'r l-a.n€ k! &Es nor rpply ro !tr owEr of
th. pDpeny vlD hoildr or iqroE! ihrE4 rrd vlx, de. sxh m.k him.lf or ltrs.lt ur rhmrrh hn or h* orn .npk le!,
p,orided
'har
such impnv.mnh c na intdcd r o,rcEn Ior slc It ho*.wr dE brildin3 or itrpnr*rd n dd *ithin ot ,E
ofcorplcri,q E ()wEr BuilLr uill UE rh. brn'ln of pmviry rhd h. or slE did d bui! or iryruE ll. p$pdy ,oi th. purF* of
_1,,\owneronhe poFny. neiclusir.lyconricl'n! *trh I'ccn$d.odrat,\k).on$ucr rh. proFcr (Sr.7lll.1. Bulms
a kndir Codc 'l hr Ci,ntrcror'3 l-'c.trs. l-as J,f,\ nor rmly b an owDs of proptny wh. huilds or impo!.s rhcrsn.
rnd who .ohhck ntr surh p(,r.crs wnh r G,mBct(s) liccn*d pu^u&r r) rh. O,nbrckr's Li.M t2w)
_l r€rnrpr uxrer Ssrio
]!!8TE8S:.qAM[ISTAIqN
DECIABAIIQN
I h.r.b, tflirm ondcr p.n Iy oI pdjury onc ol rh. lirllo*ine dccLr.rioB:
-l
hav. otd wjll nBinlli, . Ctnri.at. ofcoN.nr ro S.lf-ltrsuE for sorkda dmp.Mio". ar pDvi!.d fo, ny S.ctiotr 1700 of th.
l2tu Codc, Ior rhc ,'dfdr'lsc oI rh. worl fta vln.h rh. ,.rflir B iss$d.
I hak aM will nnnt0n work.6' .onwnsrtron msurstr... a! Equir.d lry Sdrion ,7m of rhc Ljhor Cod., for rlE FramEr. o,
rll voi* for wlich rhi! I.rn L isud. My *dkds oryrdion iNursc mi.dl policy numb.r @
Policy Nrmb.r:_Erpn s:
I ccnify rhrr in rhc p.'forn!rc. oI rlr wo lor *hi.h $n p$hjr ir k!cd, I shdl m. .n{)lry My per$r h uy mnEr
e e ro b.com $bjcd ro rhc mdch conp..s.rion hwx or C.rrromi:. and l3Ec lhd if I should t c.r lubj4l to tlE
$u aJ one.nslrD.pNlrioNofSenon 3700ofrh. kbor Cod..I slrll, fdh*nh llnplypift lhos povirioN.
WAININC: Frnurc i. *.6. *orl.^ cdnp..sdio. s!.tu8. is uhl.will, .nd sh8ll subicr an .nplo,?r ro dimiBl FMhi5 &d
Livil lin.s u! ro otr.l'un&.d rhousd dollaG (5100,(,r), in addirbn ro rh. coi of.on(ErBrrion. d.nqa.s s Dsvid.{ tor rlr
SstioD 3076 oarhc lrtDr Codc, imcFi rnd ariorrc,i lirs
UqENED.COMEAqAB
ODIIdf,AIION
I t6by dffun u*Lr p.Mhy of trrjury (hrr Ln [ans] unds D.lvilion of Chaprd I (ollwNin8 wnh Sat.n 7000) of DivnFn 3
oI rhc BL\incss rnd Pmr.sirns Cod.. ui ny lic.rE k in aull fo@ d .lfcd.
Cl,*,-LiEns. Nlhb{l
CONSARUCTION LENDING A{.;ENCY
I heEby rl6rm und.r Fnahy of pcrjury rhd rhcE is r con(Mlon bndin8 ag.xy ror rhe
'l.rIdhmc
or th. *or* lbr phich rht pcmn k
is5!.d (S.c. 1097,Cir. C.).
APPI-ICANT DECI"ARATION
I hs$y l6im undcr n Dah y of lcqury onc ol rh. follvmA &Tlddh.r:
Dcmtirion Pcrndh-Ash.nos NoLficetbn F.dcrel R.8ulations Gnk.t0. Pd6)
-RcqurcJ
btrcr of |]lniicdio.
I cdily rhar rhc ladcril rc8uiaii.n. eted,n3 sb.s!{ armval& mr appltabl. b rht pmjcct
-l
cdrry tlBI I lDw r$d rlus amlrcariotr urr salc rlDlhc utrvc irlormrion n corur I asr ro conply rnt B[ Cny ad County
ordh.nccs .rd Srarc hrs rcLrir3 16 t{,ldin8 cotr@.iioc ,n h.rcby rurbrnc rcF.stutivcs of rhir Cny .rd County t. .do upon thc
abvc 'Errion.d pmp.ny Ir insp..rion pu.Fei
Apl,li..rnr o, tsmr sirrurun.
IIIIIIIII
ELECTRICAL-INSPECTOR RECORD
Bev. 08-07-2015
Lnds r Add'r$
Drr.