HomeMy WebLinkAbout20167194 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), SAnta Ana, CA92702 Electrical Permit #: 20167194
Pin #: 8O97Olnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
ProjectAddress: 1113 N Sheffield St Unit:
Block: NA
Bldg:
fradt246/
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel:'100-456-33 Lot: 62
Owner:
Address
Rosina Figueroa
1113 N Sheffield St
Santa Ana, CA 927031124
(714) 826-1345
01116002
01116002
011 16002
01'1 16002
011 16002
5'1603
51603
51603
51600
5't603
Fee Type Amount
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
Air Conditioner 96.90
General Plan Update 22.08
lssuance 55.04
Qty
L00
1 .00
1 .00
1 .00
1 .00
Fee
$1 .s8
$1.05
$96.90
$22.08
$55.04
Phone
Tenant Name
Contractor:
Address:
EZ Energy Solutions
15013 Califa Street
Van Nuys, CA 91411
(844) 396-7448Phone
Furnace located in attic
Euilding Use:
Job Type:
Nalure of Work
Single Family Dwelling
Miscellaneous
Furnace & A/C
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes:
Planning Conditions:
Planning Approval By:Date
Date
Date
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
sden, Julie 'lol17t201a
Account#
Every pemit issued shall become invalid unless the wo* on the site
authoized by such pemil is commenced within 1 80 days after its
issuance, gt if the work authorized on the site by such permit is suspended
ot abandoned for a peiod of 1 80 days after the time the wo* is
comnenced-
$22.08
$154.57
$176.65
$0.00
$176.65
lnspector MID#: 20'18-146988
01 1'16002 51600
01 1'16002 51603
State Lic #: 1011522
Lic Type: B
Bus. Lic #: 366130
Workers' Compensalion lnsurance:Carrier: Travelo/B Property Casualty Company of America
Policy #: U86G553643
Expires: 1211412018
li'l
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DIiLCARATION
I hcr.by amnn u.d6 lmalr, ol pdlury rhd I @ .rnpl Eom rh. Con rclor l Lic.ns. Lrw for Oe aollowin! r.@n tS( 701 1 ,5
Busin6s md Prcf6sion Codc): Any Cily or Cou y which r.qun6 a p6nn ro connflct. altd, improv., ddnolish or Epan e,
.rru(uq rior to ns isudcc- atro requne thc applicdr aor such p.mlt ro frlc . sisrcd statffil thal lE or slE i5 licoed pwatu
10 thc provisions ol thc (o.lrocloas t-ic.o*d Lsq (Cb0pl6 e, Com,ncncin8 vith S€lio. 700{ of Division 3 ollfic tsusin€s 3nd
Polsio,s Crod.) or thal h. o. sh. b er.mpl thdcEon dd rh. b.sB aor rhc rll+cd.ronprion An, viol.lion of sdio. 70.r I s bym,
applicml lor a pmit subjds thc applicant to . civil p..alty of bor mor. rhM fiv. hundrd dollrs (5500).
l. a o$M oathe propery, or ft, .mp1or6 sio {as6 ar rnen $k ooopdsrion, \ill do rh. wol{ dd $. effiu. n mr
ialmdel or oiIs.d lor sl. (Sc.7044, Ausins sd PslaioB Cod.: The Conrrociors Li.sc Las do4 n l ap?ly lo an os no of
rh. t,spdy sho buil& or iqrovB $mn. dd who d.6 such \w* hnns.lfor hm.lf.r thrortsh his or hd om.mploycB.
providcd lhat suci improvodls e mr intdxl€d or ofis.d for ek If, howa6. $. boildiu or iDpov€tml is sld wnhin onc )6
ol'conl9leio., rhe Osid Builda sill havc lnc hldo or prerirs rhd h. or shc dd not hild or inqrovc Uc p{psly ao. lh. purFe ol
_1. sowncrofifi€ prcp€ny. o erchEivelycoDlracriry with lic€ns.d conrrsclos to cotrnucl lhc plljd {S€. 7044, B6in6
ad Plllisbn Codc: Thc Cdnlracrols Li.ensc Li* do6 nor applyro.nowna ofpropolt who build! or improlrs rhdon,
and *no co @ts for such pmjels*nh. Contncto(s) lic.r*d pruuMl to lh. ConlE€lor's Lic.N tiv)
_l dn.rcmp u.do Sclion_. B. & P C tulhnr@n
]uoaSEElcotlfENsAIIoN
DECLARATION
I h6cby ailm undd poah, oapgjory on. oath. fouowing d(l rdoB:
I havc dxl will ndntain a ccnincal. of CoBal ro s.lf-lcur. tbr sorkeB onlD.n$rio.,6 prc,vidcd for byS6tion I700 oarhc
tihor cod., aor rh. pdfofl@cc o I rh. {o lor*hi.h rh. p6iil i{ isu.d.
_l hayc and will mainlain *!*(( comp€Balion iNura"ce as rcqunedbySdionl?00otlh.l,ahorCod.,rorlhcpdfoodc.of
t
_l.dliirbal in rhc pqfontuncc oI rh. work lo, which this ,.mril is isucd.l shallnor dploy any pdsrn ir .rr rndB
e a ro heom subjdt lo tic Mrtd' compdsion Lws of Caliaomir. Md .96
'hd
if I shouid bc(om. subiel to th€
wo*a' .onp6Mtio. povi5ioa of Sclion l70o ofrh. tlbor Cod., I shall. aodhwith c.mply wilh rnok prolisioB..
WARNINC lailurc to su. Mrk6s co,npensdion co!*8c L\ unlawful. dd shall an Gnploya ki oimmal pooh6 md
.nil fi * up ro onr nu.dr.d tbousdil dollm (310o.0o0). i. .ddnio6 ro rh.p.Mliotr dm.U6 a provid.n tor thc
// t//r inld6r ad lnorrert 16
/o
DECI.AIAIIO!
I h6.by arm unds p.nalty oapdjury rhar I e lie.sqj undq Fovilion olchafle 9 {@dnocins {ih Serion 7000) of Dilision l
ol rhc Busin* &d Ptuf*iotu Codc. ard sy licds. b in tull lorcs ud cfid.
B o tr?z
CAdiIATqUA!I.I DI!G.AG.E!(I
I h€rcb, afiirm u.ds ,enalr, o f pojury rhd lhe. is d connDclion ldding alcocy for rhc psfodr&cc oarh. sor! f.r $hich db pdmir is
issu.d (Str. 30q7. C'! C ).
ATTIICANfDICTAAAIIA!
I hs+,y amm uodcr p.nalty olpsiuryonc.lthc followina d(lsalions:
D.molilion l,aDils-Asb6los Nolifi.arion f,cdeal tusularions (Tnl.,l0, P.n6)
-Requn.'l
l.etle. of NolinRlion
-l
etliry lhal the ledcral resularioN resdditrs Bbesros Kno\ al d. not applic.blc to lhis projcr
-l.nifr
rhal I hale rqd rnis.ppli.arion ed iatcrh.r fonn.rioniscoEd Ia8rerocoorplyNnhaUCityandCount!
o inanc6 ad Starc l,Ns nLrins ro buildins coNt rurhorit r.pr66 0riv6 of rhis City md County to 616 up.n thc
aborc nmrio.cd pmpdr lor inspdrion
Applic t orAgeni signdurt
Pe.nite nrm€ (prinl ):.*
t r,/t z
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
f,oof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
lQeilings (Hard & Soffit Rough
Ceilings (T-Bar Rouqh)
I\rleter Release
Rough
Service Meter
FINAL l.r z-rl tt z1
Notes, Remarks Etc
is isu€d. My*ort.rs' com!.Nlion i6urdc. ca s ud policy numbs &l
N,b-, UB (65:{3L'1 3 Ep,,*?
/o/t t/n Co.(n.lor:'1 i
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