HomeMy WebLinkAbout20165876 - PermitCiff of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20{65E76
Pin #: 5{518lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address : 1439 S Olive St Unit:
Block: 23
Bldg:
Tract: 352
Suite Range;
Zoning: Rl
q
Assessor'sParcel: 013.122-10 Lotr 15
Owner:
Address:
Victor & Carmen Madrigal
1439 S Olive St
Santa Ana, CA 927071520
(7141437-'.t74'.1
Fse TyPe
01116002 51603 Serv l\,leter
011 16002 51600 General Plan Update
01'116002 51603 lssuance
Amount
51.29
2'l .25
52.98
Qty
1.00
1.00
1.00
Fee
$s1.29
$21 .2s
$52.98Phone
Tenant Name
Contractor
Address:
Effect Energy lnc
29,142 Via Napoli
Laguna Niguel, CA 92677
(3101972-8277 GOPYPhone
Building Use:
Job Type:
Nature of Work
Single Family Owelling
Miscellaneous
Service meter
Occupancy:
Constr Type
Code:Notes: Handoul given
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Amsden, Julie
Subject to Field:
Buildins Permit #: 1 0196449
Date:
Date:
Dale: O5l15l2O1A
Account#
l\,lisc. Receipt:
lvlisc. Receipt:
l\,tisc. Receipt:
Total
01 1 16002 51600 $21.25
$1O4.27
$125.52
$0.00
$ 125.52
Every pemit issued shall become invalid unless the wotu on the site
authoized by such peinit is comrnenced within 180 days aftet ils
issuance, ot il the work authoized on the sile by such pomit is suspended
ot abandoned fot a petiod of 180 days aftet the tine the wo* is
comfienced.
lnspector MID#: 2018-143371
01 '1 16002 51603
Fee Total:
Paid to Date:
Balance Due
Address Range:
Historic: No
State Lic #: 1014270
Lic Type: C-10
Bus. Lic #: 365751
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
R.3, U
VB
cEc 2016
ELECTBICAL.INSPECTOR RECORD
OWNEX BTIILDER DEI,CARATION
I h*cb, af,irn undcr Fnalr, o, p.rjury lhd I m crcnfl rron rhc ConkkloN Li..ns taw |or thc f.Uowin8 rcas,n (Scc 70ll 5
Busincss $d Pror.\son Cod.): Any Cily or Couoly *hich r.quncs 0 pcnnil ro onslrud, oller. nn ro!c- &hdli\h or tl,t tro,
srruclurc, prior to irs issu.mc. aho rcqutcs lhcapplicant lor suchFnnn ro flc! sisncd d,re'rnr rrllrhcor\hc h IiNn{d IdF,{r
to rhc pmvisions or rhc coolDcrors Liccn*d ti* (Ch,flcr 9. conrmkin8 wiln S.ction 70@ of Division :l of rh. Bu\incs rnd
Pmfc$io.s Codc) or rhar trorsnc iscxcnpr rhcrelromandrhc hasn fo. rhc allcged cr.mprion Anyvioldrt,nofScclionT0ll.Sbylny
appli.a.r ro..pfmn subjNt rhc aprlic0nrto,civilp.n,lryornor'Rtrcrh fiv. hundrcd dollds ($50o)
-1,
as owncr oilhe pmpcny. or mycmployccs with B,scs as lhcn {nc co'np..\dt,n- willd. rh. wolk ond lnc sltrturc s nol
inrci&i or oltcEd li)r slc (Sr 7{}14, Busin.s snd Pmacssi.ns C.d.: Thc Conr|.ttr\ Liccns tis des nor lpply ro !no*ncr ol
rhc lnpcny *n. hoil.ls or inrtDc rhc@n. srxl who docs trh vort hifrscl{or h.rs.lfor rhrculh hh or hcr own c,nployccs,
pri,vid.d rhrr slch inprov.mnh oE tror ir cryled .r oltiNi lor sb. li h'w$s. ttr huilding or ir[tro!.ftnr iq v,ld wirhir .rc ]Er
of.o'rflLri,.. rh. Ownd Buibcr will hrrc rhc burd.n of pmvi.g lhr h. or sh. did tror huild or inq,mlr thc l]I)tEny for rh€ luqn{ ot
l. N.wn.rorlhc ptur.ny. n.x.lusivclycotdcringwth|i...\cJ.ofta.n"sroc.nsrucrrlEt)mjcclIS(.7044-Bu\inc\s
..d Lblssir Codc: Thc C.nlrrlois Li.cnsc hw docs not opnly lo M owncr ofnrcFny *h() b!ilds or inptuvcs rhcrcon.
rnd who conttuB fd such Ftulc.* wirh a cunh.kfG) licc.\cd pu$urm 11) lhc G)trrd.tols Licctrs Llwl
I r r\Ltr,Ir tndcr Sc.r
llaa6E8ll:!)lll[NssrloN
DEEIdAATA!
I hc.c$y rrTt.lrndcr lcdnlry.fpcrlurt otrc ofrlr follosnrt dc.lu.rio.s:
l hNr ard aillnBifurir 0Ccnifi.ircolConscrr h Scllln\urc lir \orkcradnnrcn n,n. xs provi{tcd lbr iy S&r ioi :l7m of rhc
ljh(r Cod.. f{rrhc p.rfornhi.. ofrhd rorl tar which rhc lcn rr n l\\ut{l
-lhrvc,ndwillnrinrainwork.s
compcns ion insur.rcc. $ lcquircdbySNrion:17{rotrhcliborCode.r rhc Pctloirnmcc ol
thc *ork ld*nich$n |.irnil is nsucd. My workcs co'npctrsrtion n$uancc caricr and Fnicy nu'nttr rrc
-l
ccnilylhat in rhc pc ornnnccoflhc+'orklorwhichlhisncrmiri\isucd.Ishrllno'cnpk,rrnlBrsoninanrrlinncr
n) s n, bcmm \trbjcd ro rh. workd\ .o'np.r\ ion hws or crlir,)m . Md aSrc rh$ ir l should bc(m \ubjcd h rh.
so crs (nnp..sarn,n!rt,visionsorSc.riofllTlDofrhrLdbrC.dc,Ishall,fonhairhconrtlyairhrhotnrovi\i,)is
WARNINC F'0iluro ro *curc *ortcr conpcnsarion svcrasc is unla*tu|. ond shall bJ€.r an .'nplDttr lo ni.rinal p.n.lrts a
civil fincs u! lo o.c hundrcd lholsnd dollar ($luo.oolr), ir addirion ro rhc.oi or..nFnerion. d0m8cs rs fiovntn tnt rhc
S(rion 1076 olrh.lilfl Codc inrncd and dt,ft!\ fes
D.le: {rDlienl:
r I(txNsFn cI)NlTtc_IoR
DES.AAAIION
I hcrby,mrnunder p.Mlry or p.rjury $ar I !m lian*d u.d.r povisionofChiptcr 9 (ommrcins Birh S€dion Tmol.lDivhion 3
oI rhc Busincssdnd PmLssi.rrCodc, rnd my lkensc is in tullfo.c!ndclLcr
Ltcn$ Nunb.r:
Controclor:
CONIiIA!]CIqIIIIDIXC.AGINS
I herhy alfirm undc. rEoahyorrcrjxry rhd rbcc is u conntucri,n Lndins,scmy ld rh. pcrfonmncc oflh. rork tu shichthk p.dir n
hsucd (Scc 1097.Civ. C ).
A.TTT.ICANfDECI,IM.III}N
I h.r.b, amnn u nder pcnally of pcrjlr, om of thc aollouin8 dcclanlions
D.mlkion P..miB-Asb.sos Notificalion rcdcml Rcsuhlhns (1 itlc 40. Pan6)
-Ralircd
t rlcrof Noliarlrion
I.cnifyrhrrrho frd.r lrcsuldlioN eSording Nh.nos rctu)vrllc n.rapplic$lc kr l[istn,rc.l
I ccnify rld I lDvc rcnd rhh olplicnrion lnd (ore rhlrrhc abole inlorrorion i\ codr.r. I rEd t, cdmply wirl lllCily!trd Coury
ordi.rRcs,nd sturc Liws rlarirS to buildin8 coflsrocthn, mn hcEby iudoriz rre\e0rarilds of'hn Ciry 3nd cou.lyio cnlq ul'on ltE
ahvc nrnrn'ncd prop..ry fu iNp.crionpuirsr
Appli(rnl or A8enl SiaElure
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor I t
Bondino / Groundino / UFER (//4ru
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)lr
b 7,L \q ,ua.<D
I
Rough
Service lVleler
FINAL ,2Wri
Notes, Remarks, Etc
s
lvleter Release