HomeMy WebLinkAbout20167519 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{67519
Pin #: 76636{{lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 522 E Santa Clara Ave U nitr
Block: NA
Bldg:
Tract: DERICOT
Address Range:
Historic: No
Suite Range;
Zoning: RlAssessor'sParcel; 003-132-10
Pablo A Ruiz
522 E Santa Clara Ave
Santa Ana, CA 927052959
(7141 585-7020
01'1
011
011
011
011
16002
16002
16002
16002
16002
s1603
51603
51603
51600
51603
Fee Type
Addn/Res
Low Voltage/Res
General Plan Update
lssuance
Amount
o.14
24.79
36.72
22.O8
55.04
Qty
200.00
2.00
1.00
1.00
1.00
Fee
$28 00
$49.58
$36.72
$22.08
$55 04
Contractor
Address:
go
0li
[ict
Tr
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Addn
R-3, U
VB
cEc 2016
Notes New addition to existing SFD with 1 bathroom, 1
bedroom and 90 sq ft. addition to existing porch.
Planning Conditions:
Planning Approval B Date
Date
Date
Plan Checked
Permit lssued
B
Amsden, Julie 1112912018
Account#Subject to Field:
Buildins Permit #: 1 0197867
Every pemit issued shall becone invalid unless the wo* on lhe site
authorized by such pemit is commenced within 180 days after its
issuance, ot if lhe wo* authoized on the site by such permit is suspended
or abandoned for a period of180 days after the time the work is
comnenced.
$191.42
$0 00
$191 .42
lnspector MID#: 2018-145490
0'1116002 5'1600
01 1 16002 51603
$22.08
$'169 34
Lot: POR 9
Owner:
Address:
Phone:
Tenant Name:
Owner-Builder
Phone:
t/29t?fr|t I
r.nns+! 7
Eeli:
tt/19 ttil]l!
itrit€ FeP
lLIlll:rr
lr-[j1.1*
t x* / ;j27
ben
u1:
Eis
OI:
VrE
C1Occupancy;
Constr Type:
Code:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Dale:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNOR BUILDER DET,CARATION
I hd.b) a mrm unda poalr) o t pnrury lhar , h ci empr Eom lh. Conti.lo( Lic.ns. lrw fo, $c following r.@n lsep 70.t 1 5
Busih6s ard Profsion Codc) Anr Ci) or Counry *hich r.q!ir6 a pdnn lo connod, rnd, improk, &inolish or r€par dy
nrudue rim ro i's sumcc, .lso rcqurB rhc applicot for such Fmit to file a sisncd slalmol lhat h. or sic h liclNcd pucuarl
'o
rhc prorisioN uf rh. Conlrrcloir Lic.n*d L.v (Cnrg6 9, Comnmciq w n Sarion 7000 of Divisiofl I orrh. Busind ed
ProI6ions Cod.) rrhlr hcorshc is rr.mpr lhoelron and the tq!6lor rhe.llcgal cxmprion AnyyiolalionofSe.tionT0ll.5btey
applta for.p.flnr subJdtsrh. applrcmrro a.n,ln.nrlr) ofnor,nc(rhe fi\. hd.dr.d doll6 I ttuo)
Wl4'*^""""rn*n").o,m]emplo)6whua86srhctrelcc"mrornn.\,lrd.rh.sorlr.drhcstudr6mr
Inrad.d.ioriq.dlorel.lS(T0,r4.BNrn6sddltof6sio6Codcl1leCont.ctocsLi..N.kwdo6no(rpplytoeownsof
rh. pmDdy *ho bdil& nr nn!ro\6 rh@n. a(t sts &s wh {o fiims.lt or h€sellor rhrouAh his or hd oM cmploy6,
rrnvd.d rharsu(h mpmrods m nor mrsd€d n o lTd.d lor s.l€. la ho\Bo, lh€ tuildios or nqrovddt G $U wnhid on.,a
orrohpldiotr 'h.r\16 B{ib6 willha\. Ln hmk6 of prcvi.g thn h. or sh. dil mr build or imFov. th€ Ftrpc1y for llE purFFof
I. a oMc oarh. Fopcry. m .rcllsiv.ly .otuadin8 wnh lic@cn .onr.doB ro .rErtucr rh. pmj6r (S(. ?044. B6io6
ud ltolerion Codc: Thc Conradors Liccnsc Law do6 not apply to own6 olPro!..ry Nho buildr or iilrovd lndon,
rnd who.ontradsao.suchpmjec*nhdCo.lr.cto(rltftalptuuMrlorh.Conrracroistic6sLap)le 2l//- 291i """".
a-
IECIA8AIION
I h6cby artrm unda Fnrlry or p€jury o.. ofrh. follo*iq d(L6rioB
I havc ed will msinrain e Cd ificat. of Cosdl ro S.lalnsure for erke6' afi,.nsalion, 6 D.ovid.d for by S(l io. I700 oflll.
bbor Cod., loi lh. Flome.c of lh. work lor whi.h rh. pdnir is issu.rl
I haveand willmoinlainNor[€ri compmsalion insumn.e, s rcquirc{ bySclion 3?00oflh€ l,aborCodc, aor rh. pafomd.. of
lhe work for Nhich this p6nil is is€d. My workeru' compesal ion i6ur c.cMi6d poli{ynumbs ec
wor*ss' conpeelion pn'vi.iotr of Sdion .t700 oaln. Labor Cod., I shall. aoRhwnh compl, rvilh rhoE provhions.
WARNINC: failurc lo suc Norkm compo$ion corsasc is unlarvful. and shall subj(t & drld).t lo dihina]
civil fincs up lo onc hun&cd rhoMd doUm ($100,000), in addilion ro rhc of .ompc6arion. danrse a
SEliofl 1076 oflh. Labor Code n a6l and allomey s f6 c..
L( t,tNsaD (1)N llra( toR
DECI,ASAITOtr
I hdeby arEn und6 p6.lty ot Fjury that I m li6s.d u.da !6vision of Chrpl6 9 (omm6cin3 pilh Section 7000) of Divisiot l
of rh. B6in6 dd PmfNio6 Cod.. 3rd m, licarc i! i. lull aor.. &t .rdr
CANSAUCIJONIENDINCIGENCI
I h@byarm undd pdahyofFjuryrh ti@is a codrudi.n Lndin8 18 cy torli€ p€fom c.otlh.vo fot which lhi. dtil is
isual (Sc.30e?, civ. cl.
A.SILICANLPICIASAIIO!
I nd$y atrm rnder pdahy oapajlry on. ollh. following ddldarions:
Dmohion Pa6ns-A3b6ros Norilicalion F.d6.l Rcsulalions (lillc 40. Pant)
Rquiicd Lard of Noi6..ron
-l
cErify rhal rhe t nsal rqularions rqsdin3 6b6ros rchofal e no' applic.blc ro rhis ,or<r
I cenilirhai lhrrcre.d lhir aplrlic o nudsrarerhatlhcaborcinfonnarionscntrd I agrero romply \rirh all( ir, ind (iunry
o.doan.6 and Stale Laws rclalin-! ro buildinB cosrrucrio hscbr.trrhor izc reprBcdariv6 ollfiis City Md Coumyo dre ulon(he
above moi ioned popd! fo. iEpcdion
/\ppli.rnl or AEenl SiEn{ltrrr
Pcrn'ile n{nr(prinll:
/1-29-/y
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bondin g/Grounding/UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Qeilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough Atqi'q )
Service Meter ( !r
I
FINAL tE3 t1 [satu&t ,\
Notes, Remarks, Etc
Communications Cable
l ltq
Numb€. Iiptes
-
rhai in rh. psladancc ollh€ work lor shichthispcmir is issued,l lhallnot @!loy any pde. in aoy,nmd
, ", /y'7-7-'c
L.nd.r.Ad,n6
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