HomeMy WebLinkAbout20165915 - PermitAssessor'sParcel: 405-283-28 Lol: 42
Unit:
Block: NA
Bldg:
Tract: 354
Address Range:
Historic: No
Suite Range:
Zoning: Rl
1
City of Santa Ana
Permit Counter: (714) 6i7-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O1659{5
Pin #: l6{61
Owner:
Address
Contractor:
Address:
Maria G Martinez
1002 W Washington Ave
Santa Ana, CA 927063709
(714) 679-8336
A-CO Temporary Power
P O Box 16843
North Hollywood, CA 91615
(8r8) 255-3560
Fee Type
01 116002 51603 TPP
01116002 51600 General Plan Update
0'1 116002 51603 lssuance
Amount
99.22
21 .2s
52.98
Fee
$99.22
$21.25
$52.98
Qty
1 .00
1.00
1 .00
Tenant Name:
Eotch+:43884 - 1/2!/2nlg I0: JGLII
0ff ice: CTYH Tnqne+: 86ri,::qti: Refi: 2tjl6:.?:)
k.pti:02268134 - 5/21/2018 l:47 i:
Tronsoct ion Totol t173, /r:lState Lic #: 777790
Lic Type: C-'10
Bus. Lic #: 194832
Workers' Compensation lnsurance:Carrier: Midwest Employers Casualty Company
Policy #: BNUWC0142652
Expires: 0110112019
-(:0 Teopordrg Po$er
Generol Plqn ljpdote Fee
rrl116002- 51600000-
E leitn i(ol
ttl116002- 51603000-
V i3n
CCi: **rrr*Itrrr*8709 Authir164r:r,/
Building Use:
Job Type:
Nature of Work
Planning conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Owelling
Miscellaneous
TPP
Notes
\ttr
Date:
Date:
Date:ost21t2018
Account#
Hernandez, Kathy
Buildins Permit #: 1 0195294
Every pefinit issued shall become invalid unless the wo* on the site
authorized by such perrnit is comnenced within180 days aftet its
issuahce, ot il the wo* authodzed on the site by such pemit is suspended
ot abandoned for a peiod of 1 80 days after the time the work is
comfienced.
lnspector MID#: 2018-140805
01 116002 51600
01116002 51603
$21 .25
$152.20
Fee Total:
Paid to Date:
Balance Due:
$173 45
$0.00
$173.45
Project Address: 1002 W Washington Ave
Phone:
Phone:
Occupancy:
Constr Type;
Code:
N/A
N/A
cEc 2016
Misc. Receipti
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL.INSPECTOR RECORD
OWNER DUII,DER DET,CANAAION
Ihcrct'ya irn !nd( pcnalry or pcrjrry ihd I an crcnfl rm (hc Conraclon Liccnsc l.a* r'or thc i,llosint ic,$n (s(7orl.5
Bu\ircss dnil Pntc\siotr Colc) Atry Cily or Counry which rcquncs r rEmil ro .\,nnru( rci imptovc, dcrn ish or rcn!tr 41I,.
slrudurc, orlo ns hsu0ncc. aho,cquncs rhc apdicanr t, such pcnnirro fihdligncd {atmd lhrl lEor shc is liccn\cd I,uFEnr
k, rhc pmlhbnr ofrtf, coftacror's Licctr*d ti* (choflcr 9. &nnnrcncing wi,t S.crii 7(xx) of Divkion I of rhc Businc$ ond
Prot$hns Codc) or thlt hc or shc is cicnpr lhcnfronand rh. h3\i\ hr rhe allcS.d crcryli.n. AnyliolarionoiSccriun 70.11.5 hy rny
appli.rrrnapcmnsubjd.hlhcamli.arlo,civilDcnahyornolnNrclhlnfivchundeddoU s(!5ff)
l, .s owNr of Ihc Imreny. or flry cnphyes ,irh wascs !s rhci, s,l. comp.nsdr ion. will do lhc ptrk oDd thc sltururc ir nnr
inrcnded or .flercd nn ek (SE 7044. Brsincss and Ptuf.ssions Codc] Thc Conra.lot \ Liccns b* d*\ nor 0nfly ro an ow.cr ol
rhc nmpcny vho builds or inDrcws ihcrmn. Md *ho dms seh w.rk hnnsclf or her*lf o, rhouAh ht 6t h.r own cmlloy.cs,
prcvidnl rhar such i.rrn*mnr e n, intcnldl n oficrn nn et lf. houvcr lh: huildin8 or it{rorc'ft.t is eld wilhinom }lu
olmndclh.. rlE Owncr Euiucr $illhave rlE hr6eo of pmvins lhi hc oi sh. did to buih or itrr,orc lhc,,mtEny for rhc purlb{ or
_1. asosncrofrh. Fopcdy. rm.r.lusiv.ly.ontrfri,r8 wirh liccn$d .o.r racrou h.onsrtoc h. p6j.cr (s(.7(14,1. Busnc$
nnd Prtrlc$inr Code Thc CotrlEt,, s LiccNe Llw d@s nor lpply t' dn owncr of p()rcrly who builds ot improv$ rhercon.
rnd who conrhcr{foi ruch F.F.rs wirhaCo.r cto(s)Ii.cnscd Funurnt ro rh. Confactt\ Lien\c Lau).
-l
n cxcnrtl!trd.r sccli,'
llslc Ovmr:wonriqs coMPENliarloN
D[C]rlXAUt N
I hercby lafirn ondcr p.ulry or Fj!ry on. .r rhc rollosin8 d8l,r ons:
-l
havc uxl willminraina Ccnificarc of Con{nr ro Sclf-lnrurc for workctr conrtEtrsrtioo. rs F,vided nnblSccrior 3700ol'hc
Ltrtbr codc. for rh. p.rfo,r1ffic olthc qo* tbr qhich tlE pcn r n issocd
lhr\cindxillmiinliinworkrri.o'nncnsrri(ri'nuBi.c.r\r.qui'cdhyScdtr.lTlroolrhclrhorC,dc,n)rrknrforh,rcol
rh. s.rt ti)!*hichrhn Frmir i\ t\kd Nly workcd .onf{ n\dir i'Nunnccc{nicr r rnicynun,S.rdc
Policy Nu'nbcr:-Expircr:
-
l.cnil,vl h rlr l.rf.i,rutrccofrhc workLr {hichrhis pcir}il i\ ir\ucd.l shrllnor crtpk,y! y ltsun in anynrn.ncr
sd Nr) hcconE suh]cd lolhc so*c6 conpcn\rrion las\ oi Crlin,6ia. aftlaCtcrh iil dx'uldt conrc s!l,i{r hrll
wo crr con{EnsrlionfmvntunrolScclion.lTll)otrnclnhnGnlc.l\hrll.ronhirith..mPly*irhlnorlroliliuN
WARNIN(i Failur. io sur. wrkctr .onwtrsdtnr .o{asc is Dtrhwfi'|. rnd \hrll \uhj.cr nn cnrrlors ro sinrinal l)cnahts lnd
.'r'l linc\ | kr f . hutrd'cd rlrou\rtrd dollnrr rSl([).lxxr)iri,nr ti rho co{ orr.tr,tr \rri. . drtrnscs l]r)vnbd tlr rhc
4Lllly-^W,P
C/D 7 1O
o^. 4ZT/h
IjANSIf,IIqUAN.LENDIICAGEIC.I
I hceby trfirn und.r lErllty of pcrjury lhal rhcrc h ! aosltucrjon lc.dins ag.ncy ror Ih. l)crfornuncc ofthc wo.k lbr which rhh Fmir h
krucd tsft.lo97. civ. c ).
AfILIqANIDECI,AAAIIO!
I brchynfinn undcr pcnol', ol lcrjury onc of rhc lolloainsddl Brionsl
o.n irion Pcrnn$Ast c(os Nor irrcoriotr lrcdcralRc[ul.liotrs (l illc 40, P,nO
R.quncd hlrcr of Nolm.alion
_l ccnilyrhd rh. Icd.ral ftpl,rioh\ ft!,rdnre asb.{.s rcnn,r0lorc mr omlicrhle lo rhi phie.r
I.cdifyrh lh vcrcadrh*dtlplrari a sIilcrhrrlhc l$vc irh ! io isconcrr lrgrmro.onflyNir[nllCiryxtrJCounr,
n.dinri&\ rid Srrt L'qs nllrirs r' bu
r6ok nEnri.ncd nmFny ntr
Appli(!nl or Aa.nt Si|lmluft:
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
Meter Release =d-A
7.uL,
Rouqh -L ,/.K/r^
Service ltrleter / l<6 */H
FINAL ,/2 Z/lC tfr /\ 6-a1t *x
Notes, Remarks, Etc.
conshrcrion. and hcrcby aultrtri2c 'cpr.s.nrarivcs
of
:::'18';7)"6-
Pole Bases
I hcEhy alnnr lMlcr pculry or Frjury rh ! I anr liQntd u dcr tovsi()n ol (:hi/cr 9 (cotr,tuftn,8 *nh s..rir,n 70,$r ol Olvisio l
ol rhc BusircsrtrM Profcsions Co(lc- rnd my liccn\c i\ in lnllfo.{r cfla.l
tJn,tc, \ Jlr$
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