HomeMy WebLinkAbout20166292 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2lJ16,6.292
Pin #: 23335lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2409 N Forest Ave
Assessor's Parcel: 001-063-04 Lot: 147
Unit:
Block: NA
Bldg:
Tract: 1608
Suite Range:
Zoning: Rl
Owner:
Address
FRANK MARTINEZ
2409 N FOREST AV
Santa Ana, cA 92706
(503) 5104426
Fee Type
01116002 51603 FWU
01 116002 51600 General Plan Update
01 1'16002 51603 lssuance
Amount
23.47
21 .25
52.98
Qty
1.00
100
100
Fee
$2s.87
$21.25
$52.98Phone
Tenant Name:
gotch+:4{{66 _ 6/2i/Z|dtg I0r CCUEI
office: CTYH Trons+: ls,t I o{Acctir Bef+: 21116,{2r.
Rcott:02303395 - 6/2512019 132tt Pll
Tronsoct ion Totol t589.97
l._AFl
GM Remodeling & Roofing I
434 S Broadway
Santa Ana, CA 92701
(s03) 5104426Phone
State Lic #: 103322'l
Lic Type; B
Bus. Lic #: 369227
Workers' Compensation lnsurance:
Carrier: Accredited Surety & Casualty
Policy #: 1WTCCA1701235156
Expires: 0411612019
6l'l Rerodelins & Roofins Inc
Generol Plon Updote Fe€
01116002- t1600000-
Ele.tr i coI
0111600?- sl6tr3000-
Viso
CC+ 3 ***r*rrrrlir?248
,
$
9T
Auth +:013? 1
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
FWU
Occupancy:
Constr Type
Code:
Notes: FWU for vent fan
Planning Conditions:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
, Julie 05/25/2018
Account#
Every pefinit issued shall bocomo invalid unless the work on the sile
aulhoized by such pefinit is commenced within 180 days aftor its
issuance, or if the wotu authorized on the sita by such pe nit is suspended
ot abandoned for a peiod of 180 days after the time the wo* is
commenced
$21 .25
$76.85
$98.10
$0.00
$98.10
lnspector MID#: 2018-144295
Fee Total:
Paid to Date:
Balance Due;
l
Address Range:
Historic: No
ry
Contractor:
Address:
Date;
Date:
Date:
R-3, U
VB
cEc 2016
Planning Approval By:
01 r 16002 51600
01 1 16002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Slandards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Bouqh)
Ceilinqs (Hard & Soflit Rouoh
Ceilinqs (T-Bar Rouqh)
Rouqh
Service [/eter
H/[/k (t\61F|NAL tlfri>
Notes, Remarks, Etc
o\\'NIiR trt tl,lrl,R Ll,:1,( .\R \ I 11)\
I hcrch, lrfin uhdcr pcnolly {)t pcrjnry rh,( I .m cxcnPt lmm lnc c.nrrcloN Liccn( Liw lot thc folhsi'4 Msotr (Sec.70.ll.5
Buri..s and Profcsion C.dc): Any Cily or Counry ufith rcquncs a pcnnil ro connrucl. allc.. imnrovc d.mlnh or rplt anv
idcrurc. ri,l ro ils h\!!h... rlso rcquncs rhc lpllic!.r for \xch Frnit lo filc n riencd s{rcm.r thsr he or shc is liccn{d Pu^uin!
ro rhc ptovirion\ or dE CofllEclof! Li.o.sd ljw (ChaPIcr 9. Condcn.inS wilh Stcrion ?uD of Divhion.! .rrh' aurnrr nd
ProL$n,nscodc)orlnarlEor\h.iscxcmptrh.rclrcnandrhcbasislorlhcaltscdcxcnPrion.Anrviolarionofscctiotr?O3l5bvinv1
,pplicanrlbrararmirsnbic.hthc.mlicaorroacirilFnallrornolmorelhainvchundrcddolhd(5500).
I. as owncr of thc ItrolEnr. or my c,nPloles uilh wa8.s ar rhir $h cnmncnsar ion. will d. lh. 'ok ard rlt imtur is nor
inlcndcn orolltcdfors0lc(SerO44.Brsincsn.dB'ofc$ionsC.dcrThccontd.rolsLicenEliwdo.!notofdvror'o8 $or
rhc pmr.n, who hilds or nnF)vcs trson. ond wtn dB sh fr,* hntrsclf or ncr*lf or lhmu8h his or h.r own cmplovccs-
providcd lhal such iqnowmnk oc mr inlcndcn ot ofercd loi {L li horcver. rhc btrilding or ii{,rotmnr ir sld within om J@
;r co'nddi,r. rhc owncr Buildcr sill htrk rh. ttrtrd.n or omvins rhd tE or \hc dil *n hoih ot nryok rt* pmFnv n)r rhc Nrr$* of
L nsowns.lrhc poFdy. ncxclusilc,yconrrucring wnh lic.trrcd conrllctnro onslrucr llE lroicr (Scc 7Ol4. Bu\i'cqt
lnd Pmfdrix Cod.: Thc Conlrlcroas l-iccn\c Lrw does nol t,,Ply ro anowncr of,noFnv wh. builds or improlB rhuon.
a.d wno conrrlck r.r such tmjrcts wilh a ContDcro(9 ln.n*d I'uNsnr ro rhc Conrrbis Liccne Li*).
I exc'npr unddS6lion-, B. & P.C lorlhirEasn
]UlErEItE(OllrENlArlllN
DICIAIAIIQN
I hcrchy ainm undcr pcnaxyol|Erjuyonc orlh. r.lk,$irA d€lamrions:
-l
hrlc and wiu minhin a CenilEarc orcotrelll ro Sclf-lnurc for work 6 conlenslrion .s lmlidcd lor b, Sdion l'7{norlhc
tib.r Codc. lor rhc !c,fo@c ol thc work for which lh. p.rmil is hsucd
I halc nnd srllm.inrrin *nrkcr\'comPcnsati.n insu!!ncc. as r.quncd hySecrion:17fl)of
rhc work forwiichrhis pcmit is issucd My workcrs .otrtFns.riotr insurancccrdicr *n p.li':
rhc t{hor C.dc, ,q rhc pcrlbrm&mc of
&H.l 4oP'v@tut
l.cnilyrhal inihc pcrfornuNcolrhc work ior shichthi\ Pciinit is issuctt l fiill nor cnrployrn,!.4otr itr 0nvnEtrtut
$ ^ b s.cu!f, subjNr ro rhc workr( coqrnsar iotr liws of Cllirdni,, md !8rcc rhtrr il I shou ld lEconrc subjfti r. thc
*ork.6 co'nFns.rion pnlnioB ors..xon 37(xr ollhe Lltxn C.dc,I shrll. thnhsirhonDly airh rho{ Povhiotrs.
IVARNING: hilurc r. *.urc workcr' conpensdri.n .ovcrasc is unhwfxl ,nd shall suhjccr an .mll.vtr to criarindl r.mtics 0rd
ci(il lirN\ up lo onc hundrcd rhous(nd dollan l$lu).un), in h Ih. cos ofconlrcnsarn,i. d mgcs r\ nrovilcd tir lhc
:::WI;:ffi n,,,,
DICI.AIAIX]N
I hcrcby ilfirn undd l.nrlrr of tcriu.y rhnr I m li.ctrs.d und.t pmvisb. of Chqtrct 9 (comtun in8 qnh Sclhn 7000) of Division 3
ot rhc Busine$ and Ptur.sn,ff Codc. a mr liccn\c is in tull lnre ond cflc.r.
z-?-l
u""6 .*,^^* fu.
COM:IBUSIIQNIDNDINIiSGEIII
I hcEt y affirfr xndd Fnalry ol Frjury rh,r dcru n a connruclion lcndinS oscncv lor rlt !frrornuncc ol rhc *ork lo! which rhi\ Fmir ir
ksucd(56. :109?. Civ. C.).
bndcrsNomc
-
lftLICANfIl[lI4lBAI]AN
I trR't y aiim undcr Pctrrlly ol P.tjury oN ofrhc lnllowirg dcchrari{,ns
rlc'noliri.n Pcnnirs Asl,c{os Norifi.dion ,rcdcr!l RcEUl ionllTillc r0.l'jan6)
-RequiEn
L.ltd of Ndifgli-
I cenify thar rlE f.dcEl r.Buhlions Eseding rsb. os Emvrl oE n r ,lplic{blc ro ltis pmjccr.
-l
arlil, rhlt I havc rcad this lprlicarion !d stal. lhor lhc sbtc inrdrfrlhtr is cotr*r' I aSrs lo omplv sirh aI Cnv lnd Counrv
odinutuc.;.d Sl{lc Llws Ehlhg lo buildin! consrruclion. !d h.i.by t!fiori* Eltc*.ldiws of this Cilv ,rd Counlv b cnld lFn Itt
rt{*. nrtrrtri rtlf'of.d, nr frApplic!nr or,\Hdl SiAtriltr t o.|P -r"r"Dl4oe&4a_
ID/SIG.
Under Slab / Floor
Sub-Panels
Ivleter Release
Lo t4aao-
I