HomeMy WebLinkAbout20167344 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit#:20167344
Pin #: 18712lnspection Requests: (714\ 667-2738 lnspector Sectionr (714) 647-5853
Proiect Address: 1015 W Sherwood Ln Unit:
Block: NA
Bldg:
Tract 1939
Address Range:
Historic: No
Suite Rangel
Zoning: Rl
E
Assessor'sParcel: 002-241-05 Lotr 18
Owner:
Address
Maribel
1015 Sherwood Ln
Santa Ana, CA 92706
17141357-0219
01 1 '16002 51603
01 116002 5160C
01 116002 5160:
Fee Type
Serv Meter
General Plan Update
lssuance
Amount
22.O8
55.04
Qty
'1.00
1.00
1.00
Fec
$53.28
$22.08
$55.04
Tenant Name:
Contractorl
Address:
Campbell Electric
17741 Sampson Lane
Huntington Beach, CA 9264
(7',t41 396-2740
State Lic #: 302863
Lic Type: C-10
Bus. Lic #: 338310
Workers' Compensation lnsurance:Caffier: PreferrodEmployorslnsuranceCompany
Policy #: WKNI'1433316
Expires: 01/0'l/2019
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2013 Notesr Electrical
Planning Conditions:
web user
K\-z-
Date
Date
Date 11t04t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Totat
Every pamit issued shall become invalid unless the work on the site
authodzed by such permit is comnenced within180 days aflet its
issuance, or il the work authoized on lhe site by such pormit is suspended
ot abandoned lor a penod of 180 days after the time the work is
commenced.
$130.40
$130.40
$0.00
lnspector MID#: 2018-147429
N/A - No Balance Fee Total
Paid to Date:
Balance Due
Phone:
Phone:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER AU!I-DER DEL'AR"ATION
t hd.by ami,n undd pddr, oI lcjurr thal I m.x.mpl Gom the Contraclo6 t,ic6se La\v forlhc lollosi.s rcen (St 70.115
AEin6s ud Prol*ion Cod€): Any City or Cou.ty shich rcqutrB 6 !€nir ro .odird.r. ahc. imtro\e &nolish or Epan dy
srru.rrc, rior ro ils i$uincc, ,!o rcqlt6 rh. rppli.d Lr luch Frmii ro file a siBn.d slaimdt rhar hc or sh. G li(oscd pumanr
ro rhc Eorisions ofthc Conlracrois Licdscd l-aw (Chapts 9, Conmcncins \nh S.crion 7000 oaDililion I ofrh. A$itr* and
PFasilns Cod.) or lhar h. or snc is .r.nB lh6.6om and lh. b65lr for lh. alle8.d .xmplion Any viohltun olstrth! 7031.5 hy ary
arplicanl for 0 r.mil subjrlslh. applicani toscivilpenahyotnol morclhd fi!. hundred dollas (S50ol
D.r. oind:
woRl{ltRs' co[MNsarloN
DI.CIA.BAUON
I hdlby affifln undq pcnalty ofr,Ejury onc olrhc nnhwiq d(ldarioa:
I hav. ,rd will mainraifl 0 Ccnificarc ol CoMnl 10 Sela-lBUre lor \vork6 smFrelion, e lYor idcd lor by sEl ion I700 oalh.
Lahor cod., fo.rhe p<fomanceoilhc *o for $nich lhc p6sil is iseEd
I hale rnd *ill dainlain \rcrl6 ..rp.Nation nBumn... ai r.qui,.n by S(lion :1700 oarlrc lib.r C.dc. lor rhc psromdce or
rhe (orl aor s hi.h lhc p.nnn i! isu.d My \r..tm' omp@rion idsrranc. ceid ud policy nuflb.r e
I ccdiltlh.i in th. pdlonnance olln. wort lor which illh pcflnil is issrcd. I shall nor.mploy.nv !.&n in any flannd
$ trs ro b..onE subr<r kr rhe Norrdr coq)€ns.rion la\ s orc.lifotuia, and a!& rll.l ii I shotrlJ b€.o'ne s'bid Io ll'c
\ ort6' colnrErer'on previsioB or s..1io. .r 700 or rh. Lrlar Codc I sh,ll. lotrh\rnh .omplr $ilh rhos prcvisions .
WARNINCT !..ihtr! lo su'c Nork6' co'np6s5t$n .ov€ms. n nnbwfu| and shall subjor an mplotd lo aiminal pcaaliiB and
civil lincs ur ro onc hund!.d thousdd d.lltrs (t100.000). in addnion lo rh. cosr ol.ohp.nsrion, d.maB6 6 provid.d to. th.
Sdiotr 1076otrh€ Labor Code inr66l dd anomcy\ rc.
LICETSID.COIIIACIOA
DECIdBAITON
I hd.by.rrft unda p.nahyotpajurylhal I am lic.r*d und6 Fovision orChapls I (codndcing $ sdion 7000) of Di!iei.. :l
6i the ausine md Ptuf*i.ns cod.. md nr licd. ir in irll aorcc ard cft(l.
CAT$AUCIAN]ENDOG
I ho.by sfiirm und6 Foshy ol pdjury rlr.l lhft is . conshKlion Endins agocy aor rh. pdaomMc. of th. $trk for which $is p6mit i,
iso.d(se 1097. ci!. c ).
llcuc tloeg.daarox
I hd$y anim undd pdahyofprrjory on.ofln. aollowi.! dsl.ratio.s
lk'rolitioo Psrir*Asb6ros Nolin.ltion Feddrl R+uldioft {Tnb 40. Pan6)
Rquncd l-crle of Nolificarion
I cdify rhar the Ld60lrcsularrcns ressdin! $bs(os r.mo\ al r. n.t afirli.ablc ro rhb tojd
l.6lifyddl16.r.adrhisarplicalionmdsl0lcrhdlh.0hovcinfonndioniscorrEl l!-!ralocodplyrvthlll(ny.ndcouly
oidi@..6 dd state Laws rloling ro 6|ildrS .onstruction. md fi€reby .ulholizc rcpl 6fltariv.s o I lhb Cny and Counrt ro drc upon rh.
abolc n€nr io..<l ,rop6ry for insp.crnrn purposB.
Applicr r or Asc rSirnrrtr'c
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter ),lFINAL .<&9,)1 _]_TV
Notes, Remarks, Etc
ID/SIG.
///o7/tt
L s ow.d oflh. polEnl, or my .nrployc trnn w.86 s lh.ir el. eonp.nsalion. *ill do lh€ rvo* ad lh. shr.lE. i! ml
intddcd or ollq.d tor sl€ (Sa.704,1. BBind ud ProlsioN Cod€ Tn. Conr6cror'. Li.@ tl$ do6 nor apply to an oM6 of
rh.prbFly Nho tiiil& or irD06 thsmn. i sho do€ s!.h so* himsclf or h.Mlf or lhmugh his or hd own cmplorc6.
provid.d rhlr su.h nnprorffirs tu. nor inr6d.d or orast roi ele. I[ ho$da. th. blildin3 or imF'ovftnl is sE Nnhin on. ]@
ofconpldion. lh. (}md Buildg will harc rhc burdm of proviry tha h. or shc drd nor hoild or iBpmv. th. pmpoly lor thc pulos. ol
l. aosro oarhc p'op(ly, an .r clNi v.ly conk.cr i,s $irh li.ds.d.o 6dou lo conshcl ilE rmjtrt (S( 70{4. BGind
d E!tosim Codc: Th. Contraclois Licosc Lalv dos nol flpplyto an ownr olrop.ny vho boilds or nn0rct.s lh.ron.
and wl'o coirr!ft h. sch poj.1s win a Gfl6do(, licm.d pursuer ro rh. cortucrois Licnc L!w).
I mcr.tupt u.dcr Sftrion - -
-
, B. & P.C. foi rha r@n.
L'cc.s Nunh.r