HomeMy WebLinkAbout20166990 - PermitCiW of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{ 66990*
Pin #: 32532
Project Address: 1925 S Orange Ave
Assessor'sParcel: 403-173-10 Lot: POR 2
Unit:
Blockt G
Btdg:
Tract; 284
Address Range:
Historicr No
Suite Range:
Zoning: Rl
Contractor
Address
Caboraca lnvestments lnc
190 W 3rd St
Santa Ana, CA 92701
(714) 393-8001
01116002 5160:
01 '1 '!6002 5160C
01116002 5160:
Amount
o.14
22.O8
55.04
Fee Type
Res Rewire
General Plan Update
lssuance
Qty
797 .OO
1.00
1.00
Fee
$1 1 1.5€
$22.08
$55.04Phone
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
/ 2|r /'lt1l;J
roBE+: ?3
- 9121/2tir8
t-ll
l,Jtql
LfierrL.- Il
urrdgte lee
r:rtrtrl.ll-l -
rJr:r[r[r-
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Reroof
Rewire
\*Hernandez, Kathy
R-3
VB
cEc 2016 Notes:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$188 70
$0.00
$188.70
Every perrnit issued shall become invalid unless tho work on the site
authoized by such permit is commenced within180 days aftet ils
issuance, ot if the wo* authoized on the site by such permit is suspended
ot abandoned fot a peiod ot180 days aftet tho time tho work is
commenced
lnspector MID#: 2018-146345
011 16002 51600
011 16002 51603
$22.08
$166.62
Fee Total
Paid to Date:
Balance Due
Owner:
Address:
Tenant Name:
Owner-Builder
.,-pti: I
f(lnsu
-rbrtr
irener (t I
Lrl I io0r,r,
[-Iectr t,
u I I 160(r:ItL (h c,
09125t2018
Account#
Occupancy:
Constr Type:
Code:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARAT'ION
I h.rchy ,rfiro undo FnNlry ol pcriury lhar I an.rcmpl f$n rh. Conrrto6 Ltcn$ lj* tor lhc lnuowing e{*n lscc Tonl 5
Bxsnr\\ akl Pii'rcsion Co{c) Any Cily or County qhi.h rllunc! ! Fmil r. condrucl- .lr{, improvc. dcnmlkh or tPtn rny
strucrurc. prior ro ns tsu0ne, also Equncs thc appliclnl lor such [Ermn lo fiLa ri8n.d sarcnf,nr {d h.ot shc n lictnscd ,rursmt
r. rhc rovisi{'ns orrh. Conrra.t, s Li.cn*d ljw (Chipr.r 9, com rminS wirh Sccriotr ?dI) oi Division:l ofrh. Busi'1c* rnd
Pmlcssiotrs Codc)orthrl h.or sh. h cxcnrpl rhercfionond rhchosh ior lhc rllegcd crcnDrbn. Aryvi,,l.lidiors(lko70ll 5by$y
+tlicrnr tor a p.mir subjc.G rI[ trptlicad ro acivilpc.rnyordor trr,.rhM livc hu rcd dolla^ ($5UO)
_1. us o*rcr ol rhc pr.Fny. or nry c lphtrc\ *nh wagcr r\ rhcn {,tu smp.nsalion, will do ltE wolk and lhc irtura n nor
i .frLJ or ofrcdd f.r slc (Sd 7(X4, Busik$ atrd Pmf.$i,n* Codd: Tlc Co.tiadoi\ Liccnsc li* dtrs.or aptly lo nnowmr of
rhcpFltcny wlr builds or inDrers rnc@n- and who d.Es u.h $. hi'nsclr or hcr{lr o. rhtuu8h his or hc. own cryloycc{.
pn,lidcd rh r ru.h inpr,Eftnr\ rrc nor id.d.{ or olicild tr $k. Il hJw.va. rhs huildi.3 or iryn,wnrnr is v,U wirhinoE Jar
ofco.rkri'n. rhc Owmr Buitdr villhrw tlr budcn of FJV'r! rhar h.d rhc dd mr hulrd or in{'mvc rhc Impcrly nn lhc !u'FN ol
t.
I
downcr uf rhc pft ,Pcnt. nrrcr.lusivclycoN ru.r rh. I)'{,iccriscc 7(!-,1. Bu\irrc\s
Pnrlir\i Codc: lhcCotrrrrlor\ l,i.cn\c l-,wd.cs J, who buildsor improvcs lhcrcon.
Prur.t wirh r conta(tr(
B
Tlriq
7
lhrvc dd will tuinrrin n Ccn ili.arc ofConrcnr r,Sclal,htrrc tu qorkc^ ciDrt'ctrsrlnr, rs f)vidcd l'orbrSNrn,n:l7U).frh.
L xtr ('Glc. ti,lhc rqntrmncc ofrhd *orl lor whkh rhc r.rmir i\ issucd
I hav. rnd willnrintrin qorkcrl conDos3iion insurch-c.0s rcqutcn by Sd t,n :l7m oi rlt titxtr Codc. for rhc pcrionunce of
rhc wo,k for which tht pcrmir is nsed. My workss comp.trs0l ion iNu!0rcc c icr and Flicy ounhj m:
I.cdrfyrhnrhrhcrcrloflniNcolrhcNorklirwhlchrhirJrrtrrir is l\{,cl. I shxll tror .mnl.! rtry n.ho in.rfmrrncr
n, nrn)hccom \uhl.crh rl( s.rkc's c.n,pcr\ ri.nhu\of(rlil,rtrix. tr igto\ rrd il I durl(l rf,.onrc n,hi.t b rhc
so,[.^ .onlncn\rri{mpn,!nioi].l Sc.ri( 17(x)of rhc Lrlrtr I sharl.fo hwiihcornly,nhrnoenrolhion\
*:ylt*'[
*orlc^ onFnsition co 1.y.. to diflinal!.n!ltics !nd
dnmScs rs rovAcd for lnc
ff nuo,,*.,
l hcrcby ifiirnu cr pcnlhy.llcrjurylhrrI anr lienql u nrrn!i ! qnh Sc.ridr 7(xXJ)ol l)i\i\iqr.l
CQNEIBU(: )IiIE!DI!!iAAE!(I
I ncrc$y glfifln nftlcr pcnllryol'rrjurylhar rhcrc n,F,ndru.lion b.dinE rsdn.y tor rhc l.rrormancc olrhcworkfor whthrhis Isn n
issucd (Scc.109?, Civ. C.)
AIIIICANLDLELAXAIION
I lmt'ydfirnnndo pctrtrhy oifcrjry oN olth. follo*ins dc.l0r.lionr
DcdDlirn,n Pcrnrir* sh.sos Norilicrlir Ircdcnl RcEnhrirfs iTillc]0. I'fi6)
Rcqtrtcd t1trcr.f Nsnll..ti({r
I ccdilyrh rhc fcdcmlrcauhlnnN
--l.crrilyrhnr
I lu'vc .crd rhnrtfli.rr on coft.r I n!'.ct,(rnrtl!sir 'lx:e[inordi Ncs!n Srarc lisa rclnrintr,6uild
Jh^( trrnrioncd troNny lhr in\nc i
Applionr trr AAenr \iAnnlure K T
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFEB
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Rool Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walis (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
lvleter Release
Rouoh
Service ltileter
FINAL flabM t vu
Notes, Remarks, Etc.t Ul
I hcrchy rlltn utrd.r Fnahyorrcrtrry uN.frhc tr'llo*ire
of rhc Busincs and PmfcsiorECodc. ad nyliccnsc n m fulllbrcc fltcid.
l-i.c's. ( lx\\ I r..n\. Nuf$cr
l)arc (onlrucii'r
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