HomeMy WebLinkAbout20167487 - PermitCify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Electrical Permit #: 2fJ167 447
Permit Counter: (714) 647-5100 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 (:,f Pin #: 45388
Proiect Address: 2522 1/2 W Stanford St Unit:
Block: BAssessor'sParcel: 408-052-07 Lotr 7
Bldg:
Tract; 506
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Maria S. Rodriguez
2522 W Stanford Street
Santa Ana, CA 92704
(7141 605-9217
Owner-Builder
0't '1 16002
01116002
01 1 16002
01 1 16002
01 I 16002
01 1 16002
01 1 16002
5160:
5160:
5160:
5160:
5160:
5160C
5160:
Amount
1.45
1 .58
1 .05
36.72
53.28
22.O8
55.04
Fee
$1 1.6C
$7 90
$6.30
$36.72
$53.28
$22.08
$55.04
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
Low Voltage/Res
Serv lMeter
General Plan Update
lssuance
Qty
8.00
5.00
6.00
'1.00
1 .00
1 .00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
'l r'd
tl0-
L r:r6:'
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Fieid:
Buiiding Permit #:
Occupancy;
Constr Type
Code;
R-3
VB
cEc 2016
Notes: auth on file/handout given
\,t
Date:
Date:
Date:11t27 t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every pernit issued shall become invalid unless the wo* on the site
authodzed by such pe nit is commenced within180 days aftet its
issuance, or if the wo* authodzed on the site by such permit is suspended
or abandoned fot a period of 1 80 days after the time the work is
commenced.
$'192.92
$0.00
$192.92
lnspector ]t/lD#: 2018-145908
01116002 51600
01fi600251603
$22.O8
$170.84
Fee Total
Paid to Date:
Balance Due:
Contractor:
Address:
' ) t /'){11i..
rI.,'tii"t
Lle,.:
Ligte t i,re
l1url-
Single Family Dwelling
New
2nd Dwelling Unit
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BI-IILDER DALCARATION
I ndeby alfim und6 pqahy ol rrjury thar I d chfl tom rh. Co.lr.cloB' Licens. Lr* aorlh. aollowirg r.en (Sec.7oll.t
Buiin6s dd Prol6sioo Cod€): Any City or Cou.ry shich r.qun6 a !6sir to coNrru.t, alr6, improv.. dmolish or rclan uy
srtucrue. lrior ro irs isrm.., also rcqrirG $e .ppli.d lor such !m( ro lilc . siBn d slaldflt lhar hc or slE B li.@d t$umi
ro th. Fovi.io* ol rh. conrr.croas Lic€ns.d tlN (chapr6 9. Conm.ocins *ith Sdion ?oOJ ol Division I oarh. Buin s 6d
Prol€ssions Codc) or rhal h. or shc is cicmpr rhd.iiom d rhc basis for lh. all.scd dopr'on. A.tvioladoools.clio!7031.5byany
appli.dr fo, a p@ir subj.crs lh. lpplicdl ro ! civil pdalty of nor noie thm 6!. hun&ed dolles (1500).
l, 6 ownr ofrh. FoFnr, o ny plolc qith sag6 6 thcn soL compsts ion. Nill do rhc rvo.t dd $. $u1@ is @l
iotod€d or orold tor sk (Sa 7044. Busin6s d t\ofsioN Cod. T1E cont.clol s Li.m tj$ d.6 .or alplt to u oM6 oa
thc poFly who toil& or iqrov6llE@n. aid *ho doe srcn rclt hinsclf or h.elr or rhtuust hir oi hd ow. dplor.6.
prorid.d thor such inpturmdls d. nor imadc{ or olrqdl io! slc ll 6 d. thc builditrs or nnp.orcm.nr t end *ithin onc rs
olc.npldion, rh. (\n$ Bu,ldd sillhavc $. tff.kn ofpoving rhd hcor did nor build or ilrrpNve tnc pmpqly ior thc puros ot
_I. a ow.d oarh. Fopoly, @ dclGi!€ly codrcli.S vhh lica.d 06 ro onsrucr rk rojc.l (s( 7014, BBin6
d frctusirn Codc: ThcConrr,.ror'3 Liccns.l-aw do6 nol opplyro d orFopqry who huilds or inprovcs rhtrNn.
and $ho .onlmds lor su.h pmtds wnh a cb racro(9li.m.d b lh. Conlracn, s Liccnse
I an cx.mpl undn Satil-2? ^t?
I hs.hy amm und6 Doaky oi D6iury onc ol lhc follovina d(laalions:
_l havc a.d s,ill mai.rain a Cqrificar. ol Co6an b S€lllcur. liJr s.lld3
Labor Code aor thc psfomuc€ o I lhe rvo* for snich the pmil b (sucd.
I hav. and $ill haintain work.ri .onpmarion i.sran.., d rcqoned by s{lion l?00 olrn Labor Code. lor thc pdfoftMce ol
lh. Mr! for *ni.h rhis ptmit i! ics.d My EorlGr .omr.trario. iGurmcc cmi6 od policy numbq e€
I ccnrry lhat ia lh€ pEfolr@cc o I the vort for which this D€.mit is
e a to bdom. $bjdt ro rh. sod6' ompddion Lws oacaliao6i0,
$0r{6' compc@rion piolisioN oasmtion 1700 of rhc lrbo. Cod., I
I shall nol dploy mt pdsn in ..y nmn6
r*re fid it I should b..om subj(t lo lh.
fonhsnh comDlv wilh lhor movisioB..
WARNINC: railure ro suE wo,k€6'compcnsalion cov@re is unlas
civil lin6 up to on. hundrcd lholsd dolla ($100.000). ia addnion
l. ild shall suhj.r & onplolq
lhc cosl ol c!,hr.Mr io..
S(lion 10?6 olrhc Llbor Cod€, inr6d Md rnohey'
,",", l[-2? - l9
^,,u*,,
DECI.dAAIIAN
I h@by amnn u.dr pdalry o f Flury rhd I M li.olel und6 Forilion ol
of the RusinBt dPrcksnNCod.. dn,yliccNe is in fullforcc dc
Conrr..ror:
CAIiIAUqUANIENDIIG.AGEMI
I hrcby arfm uidd paulty of Fjuy rhat lhd. b a oisrudion lddins asfty for $c pdfollM.c ol lh. wo.k lor $tich this p6nn n
issucd (36. 1097, Civ. C.)
AXII.].qANLDICT6AAIIO!
I hdqanm und6 p.nalty of pdjury on. of lhcfollowins d(lmlions:
ttmolition Psmits-kb6ros Norificalioo F€dcral Rerulalions (Tirle40. Pe16)
-R.quircd
L€ltd olNolification
I .dify thar lh. Ldsal rcrllrliore egddrog rcnnrl .nor q,fL'uhl.1o rl,ist'.Jc.r
-l
.sti&lhal I hav€ r€.d this appli..tion md slale lh. abve infof,mrion is coEd I a8re lo comply wnh allCnyand C.unty
ordinancB and Siare La$srclatin8to buildin8 reprBcnrative ofrhis City dd Counlyto o16 upotr lhc
ahov. mdrionc.i popdly for
Appli.anl or Ag.nl signrlurc:
€C;r o(-t
r l-Z + -'t8
Site-Work /A
Underground XQ/).tl
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
t4 tR1 w^>)
Air Condilioners Y
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh),
I\4eter Release AteL /c'.-
Rough Lo b tY ri l^tu*,/-1 /at)
Service I\,4eter /
FINAL aMw,
Notes, Remarks, Etc v-7
COMMENTS
Sub-Panels
I 7/g/d