HomeMy WebLinkAbout20167022 - PermitCity of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (7'l 41 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20167022
Pin #: 6.2280
Project Address: 2729 N Lyon St
Assessor'sParcel: 390-183-0'l Lot: 15
Unit:
Block: NA
Bldgi
Tract: 4890
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Contractor
Address:
Toms & Sons Electric lnc
25609 Date St
San Bernardino, CA 92404
13231707-5747
Amount
53.28
22.O8
55.04
t5)Qty
1.00
'1.00
1.00
Fee
$53.28
$22.08
$55.04
,\0
o(Phone
Tenant Name:\o
State Lic #: 1030913
Lic Type: C-10
Bus. Lic #: 370682
Workers' Compensation lnsurance:Carrier: Southern lnsurance Company
Policy #: QWCl006603
Expires: 11lO8l2O1A
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Single Family Dwelling
Miscellaneous
Service Meter
Hernandez, Kathy
R-3, U
VB
cEc 20't6 Notes: handout given
l,,4isc. Receipt:
l\.4isc. Receipt:
Misc. Receipt:
Total
0912712018
Account#
Every pennil issued shall bocome invalid unless the wotu on the site
authorized by such peftnit is commenced within 180 days after its
issuance. or it the wor* authorized on lhe site by such peinit is suspended
ot abandoned for a period o1180 days aftor the time the wotu is
cofimenced.
lnspector
01 1 16002 51600
01 116002 51603
$22.08
$108.32
Fee Total
Paid to Date:
Balance Due:
Lucille Ciambriello
2729 N Lyon St
Santa Ana, CA 927056849
(310) 625-73rt4
Fee Type
01116002 51603 Serv Meter
0'11 16002 5'160C General Plan Update
01'116002 51603 lssuance
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Phone:
6exerql Plen UpdaLE
':'1 1!6n02* :t6lU0r:r0-
$2?. r:r8
j 1 6tr: r,I:rr-1 -
rJ[ 1r:rd
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
$130.40
$0.00
$'t 30.40
MID#: 2018-146458
t ELECTRICAL.INSPECTOB RECORD
APPROVALS DATE tD/@"COMMENTS OWNER BUILDER DEL('ARATION
I hcreby rffirm u.d.r r.nDhy ol t riry Ihor I n cxcmpr ircm ihc Conrrlon Liens ltrw nn rnc ftnl,wine rc.sn IS!3r0.115
Businc$ nnd Pr.lcssion Codc): Any Ciry or Counr) whicn requns a lrrmir rd conllru.r. ,hd. inDrov.. &mlist or qroir lnlr
srrudurc. Friorro irs hsuarce. lko rcqlnc\ rne ,pplicanr lor \!ch ,Ermir ro fiL a \igmd {rr.mnr lhd lr or shc h liccnsed Nsl.
ro rh. t .visn,ns olrhc Conkrdols Lic.trscd tnq (CMprcr 9. Connncncirs *ilh Scction TiOO ol Divi\n).I ol rlE Busitrcs and
PmfcssioN Codc ) or lh.r h.or sh. iscxcnrfl Ihcrcflonr md lhc bffis lorth. lllescdddmprion Any violtrionofScdion 70lll.5 hyany
{Dlicant for o Il.nnit suhj(ls rhc lprlicrnr b a civ il lrnalry of nor nhd rhnn fivc hundrcd dollm (rSsu)).
I. .s o*mr of rhc FrctEny. or my cmDlolas wilh wlScs us lhcn sb conq*nsdn'i. *ill dt rh( wrrt .id rh. nGlw i\ n,
inrcnh or oficE{ 16r solc ( 56 7(}11. Busincs and lliorc*ionr C.dc Th. conr.crol s Lient Lls doc\ nor appl! r. {n owncr of
rlE nNpdy qb builds or iqrorcs rh.rmn, llxl who docs itch $.,l [nnscll or hcr*lf or lhrough his or her osn cn loy.cs.
provid.d thar su.h nnrtuwnrnts $e ml htcftlei .. oltacl fo, e! lt ho*clu, rtr buiklins .r hPlNmd t eld $irhin oR y.rr
ofc.rylc'hn, rlrc Owner Blitbr willhrv. rhr hrdcn .r roving thd lt or shc dt nor build or improlc rhc pmFiy ro. r puqrscof
l. No*ncroirhcF,!cny. ancr.lrsir.ly.otrh .hr8 Rilh licc scd cotrrNl,'F t, cotrntu.i r)rlr)i&11Scc 7044,llu{nc\\
d PrulcssiDCi)dc ThcConrrncttr \ l-iccn\.1-r{ (1,,c\ norrpplyti r o*n.r of Prorcn y $ho huildi or in,PRxtr rhcr..tr.
rid *ho .onrrrr fG $ch fnilcch Lvirha Conti.ro(r) li.cnscd ln6uonr ro rhc Contrctn \ Lt.it Latr)
I Jmck'n.r undcr S(h.tr . A. & P.C lor thn rcJ."n
Dsrc: Orne.:
woRxERl' conlPEnia^ rx)N
DES.A"BAIIO!
I lErcby rffirtuutrdcr FnJhy.rp.9uryom uilhc rollo$in8 d.cltudn!N:
-!
hf,rc !trd $illmrinrtri', trCdnili.nrc.fC.nscrrrr Scll ltrnrc for workcr' .ompcn\dn,n, as rov .d li)rb) S(lion l7(Xrolrh.
lisitr Codc,,o hc p.rtunnrtr.cofrhcuort lorNhi.hthc N nir is hnrcd
F htrvc rrl will nriftir workcs compcnsrrion insunrncc. .\ rcquircd hy sr.r n]7fi).rrhctjhorc'odc.rorrhcpcrrornwtr.or
thc work f(trwhi.hrhis pcrm,l is isucrl. Mywo.kcs conrl^-trsrrion insuraNd crnicr d P.ll.y trtrtr$.r arc
fu>l\rt t, T"*t
odc \006
IccnillIhorinrhcD.rfonu..otrltaorkftrshi.hthtp.nniri\ir{i.i.Ishrllnoirn,tnoyn,I)lisrrirtnyDmncr
err\k)tr..r{rbjccrk,rhcsorkcri.onlP-trsinnrl!\rolCrliinnir.xndi€to.rhdnl\h'(l(,hc(.nE\ubFcrroihr
N.rkc's.onll,ctrs nrUrvi\ion\olS.cri, .l7lx)olih.L,lxrO..lshrlltudhw[hconrflyBiihrhoscpNisnnN
llARNlN(; Fnihrc ro {curc sorkcF corpcnuri covcmgc i\ rn l. nid rlrll suh..l atr cmplorcr h 6i rinrl |fi.hti.rkl
.ivrl ftr\ up k,.nc hundrc(l lho!\rDd {lol1l (tl(r).(rx)r. ir rJ,lir 't2 dlrrogd\ 1\ pnviJcd tur lhc
Yi:.IHlt"- l;;
I h.rchy !it'nundcr peMlrrofocrjury rh,r I rf, lion$d und.r ttutirion ofChaplqI (qnnnE'rins *irh sccriru TOoOr oiDivi\ion:l
or lhc Busircssnel Pn .ssionsCoric. el my liccns. n in tullro$!d.lLcr
c-tb /oao?t3
,^" ?:21:!{x &
I hcrh, !0id undfi p.n,lry or Frjury thd lhcrc is. consl diotr lcndirs oscmy for !tu p$lorn.mc of rlrc work forqhi.hrhh l*mir n
tsucd (Scc.1097. Civ. C.)
lxndcis Addrcss:
-
Afrtlct![IrEg.AaAr]ltN
I IEL$y rrmn uMcr pcnrlry of perrury orc orlhc loUouins dccl@rion\:
Dcnolirn,n Pcrfrns Aslrsos Noliicrtion Ftdcrrl RCEUhliotrs (lillc,l0. Prn6)
R.qut d llrr..of Noifimlhn
-l
ccnifyrhlr thc fencElrcpln(ion\ Rg0rdinS,ib.slos onolalarc not {'rlicrtlc lo rht ptr+c'.
l c. 'fy rhr I hrlr RrJ rhr .rmhc. ion and {arc r h rhc lhovc i.li).inari{,i i1 .(ml. l agrc lo omPly wirh rll Ciry ind Condy
.r'l'nJn..\r 'lsr rlrq\rrLr'n!hhu'ldrn/hn{ructntra{hcrchveultn'vc'rn'c*nrortrr\.rrhFC vlndC^unrvhcnrfl uFrrrr
ffi,;::#":szfu Aa rh. ?-"?,P
,"-u* *.",o*,,,4-ett.i8 Casl 4cS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough Tl'u/i$6'\(Y
7
FINAL (tolotltS lVata E1e;ilt*
Notes Remarks Etc.
---..-\
Service ltrleter
tf,nd.l( Nam
-
I
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