HomeMy WebLinkAbout20467514 - PermitCity of Santa Ana
Permit Counter: (7'l'4\ 647-5800
20 Civic Center Plaza (I/-19), Santa Ana, C492702 Electrical Permit #: 204(i7514
Pin #: s667$Jlnspection Requests: 1714\ 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 1535 S Standard Ave Unit:
Block: NA
Bldg:
Tract: 5085
Address Range:
Historic: NoAssessor'sParcel: 014-321.13 Lot: 17
Owner:
Address 011
011
011
011
011
16002
16002
16002
16002
'16002
51603
51603
51603
51600
51603
Fee Type Amount
Demolition (includes rer 48.46
lnvestigation 96.78
Penalty 243.16
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
r.00
1.00
1.00
Fee
$48.46
$96.78
$243.16
$22.O8
$55.04
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone
Eqtchi:47132off ice: CTYH
A.ct+:
Rrpti:02451?
Transact ion
- 11/28l?018 r0: C
Tronsis 53 ;Refi: 2046t - lt/28/201s 1:5:otql lltllSlate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation Insurance
Carrier:
Policy #:
Expires:
Gensral Plon lJpdflte Fee
01116002- 51600000-
Electr iEol
01116002- 516031100-
Viso
CC+: *rrIr***rrrt7058 Auth+:
Building Use:
Job Type:
Nature of Work
Commercial
Miscellaneous
N^y' - Demo
B
VB
cEc 2016
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Escamilla, lvlanny Date
Date
Date
f l2at201a Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Chavez Dave>,4
10498511 $465.52
$0.00
$465.52
Every pemil issued shall become invalid unless the wo* on the site
authonzed by such pemit is commenced within 180 days aftet its
issuance, or iftho wo* authonzed on the site by such permit is suspended
or abandoned lor a petiod of 180 days after the time the wo* is
commenced.
lnspector MID#: 2018-145991
01'1 '16002 5'1600
01'1'16002 51603
$22.O8
$443.44
Suiie Range:
Zoning: Ml
Maria L Penaloza
1535 S Standard Ave
Santa Ana, CA 927O72OO9
(7',t41543-320',1
llor io L Panolozo
Notes: Remove unpermitted electrical and cap back to point
of origin.
Occupancy:
Constr Type:
Code:
1112812018
Account#
Fee Total:
Paid to Date:
Balance Due;
ELECTRICAL.INSPECTOR RECORD
APPROVALS tD/stG.COMMENTS OWNI]R BUILDER DII'ARA'IION
I hdcby ,m. unds p.nalry olpdjury that I m €rcmpr fron th! contrdots Lica$ lr* aor lh. follo\ing r.eo (56.7(}]15
Bosinds .nd Profsion Codc)r A.y Ciry or Coudy *hich r.!un6 a pafri o .oNruct, ah6, improve donolish or qan &r
slructuc. prior to ns isuance al$ r.qun6 rh..pplic t ao. such pdmil ro fiI. a si8..d slalndt lhar h. or slE is liccBcd p6ud
ro Oe provisions oflh. Co.lra.lol! Licen.cd Lav (Chal,td 9, Conhcncins *itb Sorion 700() of Dilision I olfi. BNin6 Md
Pmltsions Cod.) or th6r lE or sh. is dcmr,t rn@Eoo dd rhc bdis loi lh. lllAcd danFion. Any viold ion of Scclion 703 L5 by a.y
applica aor a pmil subjds thc rpplicet ro.civilp.naltyolnol,nor.thd fi!. hund,.d dollus (5500).
I m€rcmpl undd S6lioi-.
\_.1,LlvLg - ty cr'!
DECIASAIIA!
I htr€by aflinn unds p.nahy of psjury on. ofthc followinr dclsalioc:
I hsv€ ud vill mainrah a Ccnificoic otconmi to Sclf-lmurc lor {olkdi conrpen3dion, ar pmvid.d aor by Sdion l?00 o I Ihc
Lator Code fo. fi. pdfommce o lth. *!rl lor N'hich th. pdmn is is$€d.
I have ond \vill mainlain \wrkcrs' conpeNat ion insurMcc. d requircd by Sslion 1700 or lhe tjbor Cod.. for rh. Ffonnmc. oa
lhc *ork tor whicn lfiis p€mil is isd. My worksr onrpensation insurlncc cris ed policy.ombs &e:
_l .fiify rhri in rhe pdaoman .of $. $ort lor whi.h rhh ponit is issueJ. I shallnol mploy any r,6on in dy mdnd
$ srob.co,n subjet to th€ Norkqs conp.Nalio.latrs ofcalifomia, andaxErhol ifl snouu h€on'e subje o lh€
$oll€s' compaetion provisioN ol Sd ion I700 of th. Labor Code I shall. lonhNith comply Nnh rho* prclisiom .
WARNIN(;: Failurc ro mrc Nork6' conrpNrion ..vras. k unl.\rtu|. dd shall subj(t tr oployrlo oiftrnnl !.rElli6 and
.ivil lin.s ut ro one hundr.d rho8ed dolld (Sl00.0Lr0). in addntun ro th. co( olcompdsatioa. dan.8cs d providcd for lh.
S$lDn 1076oflh€ Labor Code int66r d,6ornel'! i€6.'\\-"v-\(
DECIAIAIION
I h*by amnn undr poulry o I prjury thar I m licasl udd provision ol Chap6 9 (comaci.e wirn Sdiof, 7000) of Division l
ol th. BusinN and Pmfdsios Cod€. dd ny licdsc is in tull lorcc ed cr6t.
rr- "t - [Y TTiT
colflBucltolJ,l;ll)tlc.dlilNcr
I hftb, artrD und.r lxn l(y ol pdju.y thd rhcc is r coNttu.lio. l.trdi.g a8ocy for lhc patortMc. ol lhc ro* for * hi.h lhi! ldnil ir
issucd (S(. 1097. Civ. C ).
artttca[Ll}}]cLA8Arl0!
I hq.tyatftnunds p.nallyolpdjury on offic followin8 dcclaatioosl
D.molirion P@il!-Asb6tos Notificalion F.dc6l R.gul.tio6 (Tirle 40. Pan6)
R.quir.d lrtt6oaNoli6oion
-l
.dify rhal $€ feds.l rcsulslions r.ssdins 6b6los Eno\ al r€ nol applicable lo rhis prcJc.r
-I
cdify thd I h,ve .ad thi! spplicdion rnd *ar. rnd rn abov. i.aomation is conat I agre ro coDply Bnh all City 6.d Counly
ordiNn.s ed Shlc LaM Elding ro buildine codtuction. a.d hd.by aurhorizc rcpremtariv6 oflhis Cirydd Counryro.dq upon rh.
trl)o\. nlrnri,nr.d lrxir&-'n] nr hspcdi.n
I U.\r-7Y-17
(rf K^[ -
Applic.nl or Agcnl Sign.lurc
n"..U* "".u,r*r*
Site-Work
Unde round
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter A
FINAL s-\0-t7 X,WI'I
Notes, Remarks Etc
-)
DATE
I. a owneroathe poFny. oi m, emplorc rnh $asc at rhcir elcconlpostiotr. lilldo Ih. {orl udft ntud. a 6r
inldd.d or otr6.d for slc {56.7044, Busins ud PrcfBsioG c.d.: 'rh. contE.lol! Licas I {s do6 ool aa4,ly ro d oMs of
rhepDpsly who hril& or inprorB rhoaq and s ho {to6 su.h sd. hnns.lf or hs*If or lhmush hG ot hq os! rmployc6.
provd.d rh.r such im!rcvorda m f,ol int6t d or oflird lor eL ll how6s. rh. hildins o! impro!@nr is sld rithrn onc ,a
ofcon 'Elion. thc O*rs Build6 will hav€ lh. hirdd olFDvitrS lhal hc or shc dil ml hild or iftprorc lh. propqly tur Oc lJurp()e oa
l,6ovnsoflhc Fopsly. M sclusivcly.onrradins *nh lictucd coir6do6to codd.i th. Foj..l (56. 7044. B6in6
an{ I,roisir. cod.: Th. Conrractor's Licme L8v do6 nor applyro m o*nd ofFopdywho buil& or inrprov6 rhd6..
and qho conlEds lor .h rxoj.crs with r Conttlclorls) lic€.Ed puBudr ro th. Conrrdors Lictu. t w)
Lnd.irAdde:_