HomeMy WebLinkAbout20166925 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa An., CA927A2 Electrical Permit #: 20{66925
Pin #: 80672\lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 \
ProjectAddress: 12261/2 S Rosewood Ave Unit:
Block: F
Bldg:
Tract: 603
Address Ranger
Historic: NoAssessor'sParcel: 013-023-18 Lol: 7
Epifanio & Maria Ramos
1226 S Rosewood Ave
Santa Ana, CA 927071022
(7141644-'1567
01116002
01 1 16002
01 'l 16002
01 1 16002
0'1 1 16002
51603
5160:
5'160:
5160C
5160:
Fee Type
125 Volt Receptacle
Light Fixtures
Serv Meter
General Plan Update
lssuance
Qty
15.00
12.OO
1 .00
1 .00
1 .00
Fee
$21.75
$12.60
$53.28
$22.08
$55.04Tenant Name
Contractor
Address
GreenTek Construction, lnc
2730 S Harbor Blvd, Suite L
Santa Ana, cA 92704
(714) 486-3815
State Lic #: 1029253
Lic Type: B
Bus. Lic #: 367547
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 9220803-17
Expires: 1110112019
17 / 21118
ons+l 76
kel+:
I / 17 t2tt1t
!lrU,:t rOn
Lipdote F
50r:t00tl-
ilJlrlr:r0-
.{r**7986
Irr
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2016
Aulh+
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
10196379
Date
Date
Date 09117 t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemil issued shall becofie invalid unless the tvor* o, lhe s/te
authotizod by such permil is commonced within 180 days afler its
issuance, ot if the work authoized on the site by such parmit is suspended
or abandoned fot a period of 180 days after the lime the work is
cofimenced.
$164.75
$0.00
$164.75
lnspector MID#: 2018-142981
01'116002 5'1600
01 1 '16002 5'1603
$22.08
$142.67
Suite Range:
Zoning; Rl
Owner:
Address:
Phone:
Amount
1 .45
1.05
53.28
22.O8
55.04
Phone:
Hand out given.
Single Family OrYelling
Addition
2nd Dwelling Unit, ADU
s,
Notes:
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DIiLCARATloN
I hcrcby atfirm undcr !.nal,y of pcrjury lhll I ur excnrpl lio'n lhc C.nl,rk,n LenR bw r{r rhc r.ll.wing rcrstr (S.c 70ll ll
Busincas and P,ofcsi,n Codc)r Ant Ciry or Counry shich Eqrncl d l,]rmir b coniru.r. alrcr. nnprovc. demolhh or (Fir xn,'
(rlcrurc. Frior h rrs issuircc, al$ rc{utcs rhc &t'llicrN f.r su.h p.irnit ro filea ri3trcd sr,r.,mnr rhr hcorlhc is lion{d Nrunnr_
tu rhc tr.vi(,r .rrh. Conr..ttr's lj.cnrd Ijs (Chrprci 9, connncming wir[ Scctbn 7u)0 of Division:] oi rhc Busi',cs and
Prcfc*io0sCodc)orrhdthcorshchcxcmplrhcrcio,ndrlrhrrnlbrrhcollcs.dcxenurion.Anyliolalionofsdri.nT0ll.5byuy
!n!licrnr ior ! pcmrn subjcch lhc aplliconr ro 0civiltcnohyofnor nnrc rhln lirc hurdreddolhr l$5(xl)
l. n\ ownr or rhc lmFny. or ry cnlbrlcs wirh w08cs r{ rlrir \.L onpcnsd n'n- riu do lhe work lBl rhc ifl.tur lr mi
inlcntn.rollcrcdlorslc(Sa?O&,Businc$atrdProicrsn'nsCdc:T}cConraci{tr.I-tcn*lrwdmsmt0prlylo oq'ncrof
rlrptuF y who hxild\ or inpmvcs rh.Nn. a who dm\ such sork him\.lfor hcsclfo!thmugh his or hcr o*n crnpktycts.
pmvidcd rhal such imporcrcnh m mr intcndcd o, ofcrcd lor $L lt now$s. thc huiuing or i,rwotftni i\ r,U qirhi. om Ftr
o, con{rhlbn. thc Owmr Suilrcr will haN rhc budcn of pmvitrS rhrl h. or lhc dil rer buiu or in{mvc rhc l,ody f., rlr anrrsc ol
-1.
is owrcr olrhc pnpcny. amq.lusirclyconr,aclinr ril[ ]icc.scn coikrcr* k,..n(tu.rrh. fmtccr lscc. T(}lrl- Bu\if,cs
ai Pnra!\in (-1 cr Thc Cotrt..ror'lLi..trsc l-.wdoc\ ior rtrrlyr' rnosncr oi|rop.rryrvho huildso, tnpn,lcsrhcft.n.
and Rho conrra.rslor \uchpr+ch wirhaCo0hcro(r) li.c!\cnpurunr k,rhcC.ntu.ttr's l-i..nr tj$)
I amcrenmr under Secri.
luJa&:&l:!:!]!lr[NsAllQ!
DECIllf,^IIAN
I hcrchyamr undcr rcnlryol r)djury ok orrh. iull.si,re d(hturionrl
-lhoveofrlwillnrdlin0CcnificaleolConscorroScltlNurclor*orlc6.oopcns,lnnr,dstmvidcdf(tr$yScclion]TmorrhcLho! Codr, iitr lhc !.rfornurcc oilhc work for which thc !.mir h nsucd
rl'. rork 1,tr \rhi.I rhn F]n'ir i\ n\u(l Nl!$,trkdi $i\rioi m\ufun.c.ificr iRlp.li.y nunrIE Oc
P"r*yN,.b",g3.Z6D:i_L
I ccnify rh,r in th. prrfoinurc ofrh. r'ork for whi.h rhi\ prnnir r\ isnrcd. I drllaor entploy nn) p.^on in nny mrincr
v) N ro ticNrnc suijd ro nr sorkcrs co'npctrvrrior h*s ol Cdlihrnir. rnd +rco rh r ifl dmuld h..o.tr subicd lo rhc
*orkc6 compcnqrion pmltnrN ofSc.ri,r:l7lI)ofrhc l;'h, Gxld.l shrll. Lnhwiih.onllly wirh lho* ttovi\n,n\
wARNIN(;T l'aihtrc b scurc lorkcr
civil firs up
'o.trc
hundrcd lhnus!trd
Sccri,'n .llr76 of rh. lrnr Ade. i crcd
,.'", E/4{1s,
co'.pcn\dn,n covcrngc i\ unhsful. rnd \ndl suhl.cr M.nr oltrlo.
,,,,,q.,xxrl. ir l'Llilirion k' rhc.o{ ofconrtL \rrn . dtrtrhgc\
II(:IiLSIJL(!)NIBAIN)tsDll^Brlllg!
I hcrcb, xffirm undcr Fn,lry or ldjury lhar I n r liccnk{ unddr pn,ri.nrn of Chll)lq 9 lconmncins sirh Sccri.n 7Om) ol Diviri.tr I
of lhc Busnr$ lnd Pofc$ioor Codc. ad my ltcnsc t in lull n&r uxi cfid.r
-loz.rz gl
L/t? t rD
qoNElxjJgu0xJ.[NDluli-&o[Nrl
I hcrchy lffirmrndcr Fn,lry orFrjury rhd rhcrc s a.on{d.ti,r lcnrlir8 r8cncy tur rtE Frntrronr orrhc work ror *hkh rhi( Finrir is
hstcd lsa.1r7. Civ C.)t ndca\ N.mc:
-
Lcndcls Addrcs!:
-
AIPJ,ICAILIIEILA8{I]ON
I hsrt y !fim lnncr pcnrh y.t p.rjury oft ofuh. rolk,wn'g d.cl&tr'ionr
llcmririon Pcfl,ils.As$csros Nolificalion Fcdcral Rcs!l,tion\ (Tirl.{1, Prn6)
-Requtcd
Lrrrcr ol Noiiff,nrion
-lenilyrhdIhnrcrcldrhnonpli.alianrnddlrcrhdrhc!h)!ei',nnn,i{
iscoEc.r.Irlrccto.onrdywirh.llCnyudO'unly
oRlinrrcc\nnd Slllc Lresrcl ing in! conntu.rnn,. rRl h.r.hl rdlnrnc 'rrc{finir* oftlr( Ciry0d (nunry n] cfrcr uFn, rh.
ah,!c Nnrioncd lmp.ny ior ir t1rz[r,\pDliu rr nriAorl SiAn r rlL..,k-4Art
Site-Work
Underground
Pole Bases
Light Slandards
S pas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)Ll/ {/,}-1'
Walls (Rouqh)..'' f 4,pe"ft/
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service It/eter
FINAL /r-/r'/c D.5tt/ a),
Notes, Bemarks, Etc
I.crliry rhar rhc rcd.rl aSulnli.ns rc8ding asbcslos rcmv0l rrc .ol 0t'd ic! blc to lhn p8)jNr