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20166654 - Permit
Proiect Address: 1743W Marcella Ln Assessor'sParcel: 101-052-20 Lot 59 Unit: Block: NA Bldg: Tract 2887 Address Range: Historic: No Suite Range: Zoning: Rl City of Santa Ana Permit Counter: (714) 647-5800 a 20 Civic Center Plaza (M-19), Santa Ana, CA92702 lnspection Requests: (7 1 4) 667-27 38 lnspector Section: (7 1 41 647-5853 Permit #: 20{66654 Pin #: 50772 Owner: Address Romulo Liamado '1743 Marcella Ln Santa Ana, CA 927061329 (949) 330-0182 Citywide Electric dba City Fi 8820 8rh St Rancho Cucamonga, CA 91 (909) 999-5331 01 1 16002 5160: 01116002 5160t 0'1 1 16002 5160: Amount 53.28 22.O8 55.04 Fee $53.28 $22.08 $55.04 Fee Type Serv lvleter General Plan Update lssuance Qty 1 .00 1 .00 '1 .00 Tenant Name: B(lt{h+r4536i - 8/141201S ID: NGAftOffire; CiYH Tr(lns+: 3 I rtArct+: Ref+: ?01666ii Rrpt+ r 0?3:i,t 308 - 8/11/2818 8:16 An Tronsoct ion Totol $289,4llState Lic #: 972398 Lic Type: C-10 Bus. Lic #: 370266 Workers' Compensation lnsurance:Carrier: Hartford Fire lnsurance Company Policy #: 72WECKU1767 Expires: 0311312019 Citlruide Electri,: dbo Citv Fir Gener(1 PIon [.lpdqte Fee ttl116002- 11600(rt0- Electr i,:tt1 r:11116002- :,1603U0(r- 11(Eter cord(C+rri**rlr*rr*r*(r1 I I $ $ 6Building Use: Job Type; Nature ol Work Planning conditions Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permil #: Single Family Dwelling Miscellaneous Service Meter Occupancy: Constr Type: Code: R-3, U VB cEc 20't6 Date Date Date Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Hernandez, Kathy Every pernit issued shall become invalid unless the work on the ste authotized by such permit is commenced within180 days aftet ils issuance, or if the wo* authotized on lhe sile by such permit is suspended ot abandoned lor a penod of 180 days aftet the time the wo* is commenced lnspector MID#: 20'18-'145353 o8t1412018 Account# 01 1 16002 51600 01 I 16002 51603 $22.08 $108.32 Fee Total Paid to Date: Balance Due: $130.40 $0.00 $130.40 Electrical q Phone: Conlractor: Address: Phone: LI Noles: handout given/auth on file ELECTRICAL-INSPECTOR RECORD OIINER BUILDAR DELCARATION I h.rcby rflirnr trndcr ocfulry ot rErjury rhnr I i crenfl lm'. rh. ConrracroF Ltcn{ tjw t{n rhc rolhsing rcr$n (scc7r ausir.ss Md Prof.ssbn Cod.): Any Ciry o! Coutrty shi.h r.qrncs r tl.nnn Io .onslrud. alrcr, im[ovc. d.nmlhh nr rcI!{r {tucru'c. prtuk' il! isunnce. alw' rcquircs rh. alIli.lnl tu such lEnnil k, lih tr \igtrcd dirc'Enr rhxr hcor \hc is licctr€d fl61 Io lhc povhiotrs of lhc Cotrractois Liccnrcd L.w (Cha/.r 9, ConrnENine wirh Scction ?(x)0 of Divhion :l ollhc Businc$ a' Pmn$hncCodcrorrharlrorshchcxcrrDllficrefro'n.ndlhch$nnrlhcilkcdcrcmrrion.AnyriollrionofseriohT0.ll5by appli.rnr lir.!p.nnils!bjElrrhc applica ro acivilpcnallyol nor mrcrhan fivc htrndrcddnllar(l5m) -1, us owncrof'hcponcnt.{rmrcnrnloyecs wirhwoScsasrhcn sohcompcnsrbn. ailldo ltE worl rxl lhc nDh is ml i.r.nicd or oficrcd for ele (S( 704.r, Businc\r and tlole$ions Codc: Thc Contrdctr\ Li..n* lls d.cs frn q'/y ro 0n owner ot thc trcpcdy wh. huilds or irymKs rhtm.. and who docs sch sork himscllor h.sclfor lhnu3h hic.r hcr own cmplorces, prorided rhnr such inrpro!!runk ft noi inrcndcd or offe(n lor slc lt howcq, rhc huitli.g or irflrctmnr k st] *nhin ',nc )Qr ol'..tr!)tliotr dc Owrcr Bliklcr wil hur tlrc tord.n ol pr.vinB lhd h. or stc di, mr l[ild or innnE 6e popcny f.r rhj l,uqBE ol -1.rsowtrcrollh.pror8ny.!mcrclu\ivclyconlruringwithliccnscdc.trrrsdoaloconnn nr proJ..r (Scc 704.,1, Bu\irtc$ ldI'bf.\siiCodclh.ContnrofsL(crscLiwdocsnorrpplthan.wicrol|)(,rcdytrhohuilds..nnprorairi.rcon. lnd sho conrr& s for surh poiccr\ wirhaConrrrio(n liccnscd rur\urnr ro rhc L-otrtactn \ Lic.isc lrw). _l addcnpr undcr Secrio It0atrEBs-1;lllttENsa:Il1ltr DICI,I3AIIA! I hcahy rffiirn utrdcr Jl.nrlrt ofpcrruryoncofrtu nnbwing dc.lurrion\ _lharrandsillnuiirain!CcnifEarcorconsdnrt,Scllln{rctorsorkcr'co'np.nr nrn,rc ttulidcd nn byScctn lTLxJoilhc lihor Codc. to, rhc,,crformncc oflie wort lor uhich rhc rcrn l t hsucd. Ihrlr nd { ill niintJn aork.ra .omrcnsatn insuranc., !s r.qrncd hyS.lrii l7mof rhc Lrbor Codc. lor thc p{nbrnunccoi rhc *ork turwhi.h rhi\ pcnnir is hiucd My work&f .umlrn$ri,,n in\xrn c..rricr d Flict trtrmhcr rc Poli.yNomb ExpiEs: I ccnify rhrr in thc,Bfoirntrtre ofrhc sork li,r qhrh rhR r.nni is i*ncd. ! shrll nol cnrloy (ny n!r(,n in atry n'rincr R, r\t'hcco'm sutjccrh rhcaorkc dnntr. rxrtnrirwsolCrlif nii. rtulrgturhirilI slhuld hc.otrf, i,hjcd rorhc w.rkc.i compcn\rrion prclniotrs ofSc.ri, l7(Xlolrhr tf,hr (ixlc,I \hrll. r.nhsnh ompl! $nh rho* Imvni.trs WARNINC: I:r lurc b {curc $orkcri conT.nsrri{in covcrrlc i\ unir*1i'|. rnd shrll srbjrd rr c rdrr"( t, dimir.l J[orlrc\ rnl cilil liDc\ up b onc hun.lrr{l rhou\rid doll*s (1lm,ffXr. in rddirn)n t) rh. c.{ ,'f .ont,cr\nnon. drnrAcs rs Dr)rnl.,l l,trrhc Scc.on :1076orrhc,rtxtrCodr. nt$c{ ud onEy'\ fccs DECIABAII!]N I hcrc$ynlfirmuMcr l,cnalt] o, Frjury lhat I am liccnsn undcr pmvision oachafler 9 (commncins,irh S.triJn T(xD) orDirGion l of rh. atrsift* and Pmf..sn,.s Codc, ind my liccnc h in tull lirm. &n cflact. LicenseClass- D"i...f-14*\: c*,*d.. /." /* CO IiIBuqUONIENDINC.AGENqI I hcrct'y lllim uklcr pcnalry ol pcrjury rhar rhcr. i! ( conslruction hndins oscmy n, rhc pc.r.r.ramc otrhc work ior whthrhh r^-nnir is rsucd lsc. 1097,Civ C.) AIII]CANLDEI;IAAAIION I H,y Ininn undcr I,cnrhyof pcrFry onc oarhe tollo*ins dalsalions: Dcmolitun Pernits.Ash.sros Notilicarbn ftderul Rcgulstions (Tillc 40. Pd6) -Rcquircd t llcrof Norifrotirn -l ccnilyrh0r rhc lcdcnl lc8ulations rcssdins AstEsros rcnDv0l$c norlpplioblc ro rhis tr.Jlcr Iccnifrrh l hrlc rcrd rhi\applicarid rtul err.rhdrhcrtI)vc inaormdnnr i\.drc(r IrprNr,co.rfly!irhallCilyandCouniy .rdinricd\nndSrdr.Ijw\rl ii!robuildirg.onsrndnnrd hcrby rurh riz. rqn$c ivc\.fthisCiryrndCounryro.nrst,r)ith. Aprli(! or Alcnr siEn!rurc APPFOVALS DATE COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Solf it Rouqh Ceilings (T-Bar Rough) It/eter Release Rough I --r Service Meter q tutff />tN\) FINAL )7util Notes Remarks Etc. -t Ftro.sle4 Ld"dLL *,",o8-ttl+-t3 ID/SIG. ,,,", ,, - tt+-\8 rbvc ntrnrn,ncd nr)pcny nr i',\pc.ri{,n turpo\cs