HomeMy WebLinkAbout20167012 - PermitPermit #: 2lJ167lJ12
Pin #: 50{70
Unit:
Block: NA
Bldg:
Tract: 4890
Address Range:
Hisloric: No
Suite Range:
Zoning: Rl
q
Assessor'sParcelr 390-183-01 Lot: '15
Louis A & Lucille Ciambriello
2729 N Lyon St
Santa Ana, CA 927056849
(7 1 41 785-8424
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1'16002
51603
51603
51603
51603
51600
51603
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures '1.05
FWU 24.79
General Plan Update 22.08
lssuance 55.04
Qty
2.00
4.00
4.00
2.OO
1.00
1.00
Fee
$2.90
$6 32
$4.20
$49.58
$22.08
$55.04
Phone
Tenant Name
Contractor
Address:
Empire Construction
18401 Burbank Blvd. #210
Tarzana, CA 9'1356
(871) 353-6595Phone Bot,:hi: 46139 - 9 127 12t1lP.
filf ice: iTYH Trons+: J/
[.1'l;;orrrro** - r,rli'riir
Tronsoct lon Totql
State Lic #: 1034226
Lic Type: B
Bus. Lic #: 370671
Workers' Compensation lnsuranceCarrier; State Fund
Policy #: 9227514
Expires: 03/08/2019
Ertp ire ( ort5truct I on
,:enenol l'
0l t 160f.r? -
E lectP ii's
u I 116011'l
ICL Check
n Updste Fee
i!60tr:r0[-
16030r.10-
ir(r00001293
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Remodel Bathrooms
Occupancyl
Constr Type
Code:
R.3, U
VB
cEC 2016
Planning Conditions: No change in floor plan.
Planning Approval By:Date
Date
Date
lvlisc. Receipt:
Misc. Receipt:
l\,4isc. Recerpt:
Total
Plan Checked By
Permit lssued By:
Subjecl lo Fieldl
Building Permit #:
efl 0912712018
Account#
197848 $ 140.1 2
$0 00
$140.12
Every pemil issued shall become ihvalid unless the wo* on lhe site
authorized by such peftnit is commenced within180 days after ls
$suance. ot if the wo* authorized on the site by 6uch pemit is suspended
or abandonecl for a peiod of180 days after lhe time the wo* is
conmenced.
lnspector MID#: 2018-146458
Fee Total:
Paid to Dater
Balance Due:
City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2729 N Lyon St
Owner:
Address:
Notes Remove & replace fixtures.
$22.O8
$1 18.04
01 1 16002 51600
01 116002 51603
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Solfit Rouqh
Ceilings (T-Bar Rough)
Rough ltlt ltfi ti\k7
Servrce Meter I'/
FINAL t/9vh 1\*4
Noteq, Remarks, Etc
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l. ns o*,ri of rl.i, lr)liny. or ny cnDl.ye\ wilh wrsc\ os rhcn sb cnmFn$rnnr, *ill tL rh. uork ud rhe srBlur c is nor
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rhc ptrr.ny $tr huilh .r i'qr {,vc\ lhcG)n. nnd (lD m\ \uch ruk hinr(clf or hc^cll ot th.ough ht or hu own cnPk,}ccs.
!tuvid.d rhrr urch i'nfl orcmtrls m not inrcal&l or olicEn ft sob lrl ho* c,ri rh hrildi'rt or i':{mrontrl h $U wirhin onc lur
oico'nphri.n, theOencr Auiucr will htrlc rh. hurdM ol povin! rlllr hcor\hcd d toildor inlnovc lhc pRJptny fd tlx N4n{of
l.a\owncrulrhcltropcilr.0mcxctrivcly.onrrmlirssilhlicctrrcdcofkr.ktr!h.on{ru.lrhcpreiccl(Ss.' 7044,Bu\nrt(
nl lilssion clnh 'rhc Coirhdoi s l-iccnsc L w doc\ tror l|ply ro rn os ncr ol lropcny who bu iU \ or nnprcvcs lhcrc.r
md wh. &nnt .rs lrtr such lIoj.rrs with o Conlmcl.n r) liccn*n nursuml lo rhc C. kacttr-\ Licctrsc litr r
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I'ES.AAAU}N
I hcruht nflnm tridcr $nrkyoll[rjuryonc olrh$ nn[)wir8 (lcrldrnrnnF
I hdrc rnd will uinain workcrs-conrEtrsnrhn insumrcc.0s rcquired hySecrion.lTmofrhc L$ol(tdc. forlhcPcrinnEmcol
rhc uorklor shi.hlhh pcrn l is i$Nd. Myworkss .otrfcnsllion insurln(c cxricr and Fri.y nunrbcr trc:
l.cnitrrhrr inrhc p.rfonmmcolrhc work lor wli.n rhis Nirnt is issucd.l +xllnor c pbyntrt pcra. in rnynntrmr
v, mtob.om suhJ.rl h l hc *r,rlcF .onr. srri{D hq\ol Cnlifunil,.trtl.grcc ll ifI should trconr suhjcd brhc
wortcn con{cnsirion prcvhnrnr ofSari.n.lT(O ollh. ljhtr C.dc. r \h,ll. ttnhBirh conrply Birh lhosc |)rovi\ii,ns
WARNING: Flihrc ro snrc w.rk.rs co.rrcnsarion ovmCc i1unhwtul, Md shall sthjNr !n e'4lorci ro dimtu0l i'cni[ics ond
c'vil fincr un ro nnc hdndrcd
'houqn{dolle/(Slm.Uoo).
in lddiln lo thc cosl of coBpcni i.n, dsnDS.s as [ovidcd tor rhc
shnon lr)76.lrhr tf,hor cnd.. mrcrcq\na /omv. tcc' ,- ---2
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DESJBA:IION
I hcebyamrm undcr ncnalry ur r.rjury th,l I am lirNd undcr pmvkion olCh!flo 9(co.rftncinC wnh sdlion ?OO0) ofDilnion:l
of lhe BusiEss and Pmfe$ions C.d., and fry liccns ii ir auu rorL!,nd.ffccl.
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nsucd (Scc 3m7. Ci! C.)
cotr{n(riilr L ir! rgr .y lor rhc tc'turirrr.c olltu \.rl ktr trhi.h (h \ l{Innr i\
APPLICANT DECLARATION
I hcR.lry utim hdcr F.trlr, orFrjury onc ofrhc rallowine d.clardn'.s
Dcnnxion Pc nil*Asbcslos Noli{icoln'n Fcdcral Rc8ulationr ('lillc40. PJna,
R.{tuncd kncr of florifi.dion
xr.clo.r rrnv uirhxlll irvrnil(i{ v
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orJiuhy\{A,ak rj$tmL DA n'hurldrn8 conjrucri.n. and hcrch) aurh,nb rer{i.nrsr
dhn€ mnri{lkJ D,oh-n\ nr ht "-'--a .-)
Appri(snr dr As.y'sluru( *E1---
*"-u*\(n*,, p,,1klg She.cho.,
ELECTRICAL-INSPECTOR RECORD
Pole Bases
It/eter Release
-.*L;d-3
OWNER BUIT,DDR DELCARNfl ON
I hcdby sffird undcr p${lry of p.rlury rhd I m cr.,nFr fio'n rh. Clr rrcro l-iccnsc Law for rhc l'olloeiog rcN,n ('ic. 70.11 5
Btrsirlcs ,nd Pnnassn Codc) Any Cny.r Coutrry which rcqnncs tr lcflnil ro con{tocr. alrcr, impr.v.. ilcnn ish '{ rcnir; otr)
srrucrurc. prio,ro ns hsulncc- aho equnc\ rhc arpliclnr tu. such ocrnrir k,lilc tr signcd dd.mm th0l hcor shc k li.cn{', nufudnr ,-
t, d.Ircvisnnr olrlt Contlc'ols Licenscd Law (Ch.prcr 9. Conrmncins *ilh Scclion 7O0O of Divkion :l orrhc aunncss 0nd
Prcti$ions Codc ) or lh hor shc kcxcnrtlth.rcfmmrnd rhc b.sh lor rhc lllcscd .icnrplioi Anyvi.lii.nofScclion7031.5b!rny
an!licanri(n r p.t!nir su$jccrs rhc arpli$nr k, trcivilpcn!lrlnlnor nndrnan nvc hutrdr.ddolhm(1S500).
I arcx. rtr undn sccrio.-.lr &PC turlhisrcrnii
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havc anl wiu minr{in o C.nificdc or Coi*nr t, sclH nsuru rttr uorkcrr (nrrcnsar ion. as pmvided ror by s..rion 1700 ol rlrc
hbor Codc, ld rh. psfommc ofrhc $ork for,hth lne pcrnrir is issocrl
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