HomeMy WebLinkAbout20166985 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana,'CAg2102 Electrical
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2O166985
Pin #: 22271
Proiect Address: 2705 W California St Unit:
Block: NA
Bldg:
Tract: 2511
Address Range:
Historic: No
Suile Range:
Zoning: Rl
ry
Assessor'sParcel 408-042-08 Lot: 43
Ownerl
Address
Lucia Marchan
2705 W. California St
Santa Ana, CA 92704
(7',t41299-5971
01 '116002 516.13
01 1 't6002 5160C
01 '1 16002 5160:
Fee Type
Serv Meter
General Plan Update
lssuance
Amount
53.28
22.O4
55.04
Qty
1.00
1.00
1.00
Fee
$53.28
$22.08
$55 04Phone
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Electrical
Occupancy:
Constr Type:
Codei
R-3
VB
cEc 2013 Notes Electracal
Planning conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user 09t24t20't8
Acccunt#
Every permit issued shall becorne invahd unless the wo* on lhe site
authotizec! by such pormit is commonced withinlB0 days eftet ts
issuance. or if the wo* aulhoized on the site by such petmil is suspended
ot abandoned for a petiod of180 days aftet tl]F. time lhe ^o* is
commenced
$130.40
$130.40
$0.00
lnspector MID#: 20'18-146-1,25
N/A - IJo Balance Fee Total
Paid to Date:
Balance Due:
Date:
Date:
Date:
'Misc. Receiptl
Misc. Receipt:
Misc. Receipt:
Total
DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs 0nonqnent)/a{E ( 17 )t?4 a( 4D lxhr\
L i le Safety)E-ow Vo lta ge I
Fire Alarm / Dampers
Communications Cable
Building
Bondinq / Groundino / UFER IL I lLt r,q
Transformers
Torqueing
Sub-Panels I
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soflit Flouqh
Ceilings (T-Bar Rough)
Ivleter Release ro \(l t4 .,'41 @ hLloWU@b !-r"11
Rough ,l ,ni ft'l
Service lvleter A
FINAL a-7-lY N.\W1(,\
Notes, Remarks, Etc
I
I
OWNER BUILDOR DELCARATION
I hcrcby anrfl u.dd ,.nrlry of pcrjury lhar I m cxcnpi fom rh. Conkrlors Licensc l.aq for rhc following rcN,n (sN 70J l 5
Businc$ arxl Proicshn Codc): An, Ciry o, Counr, which rcqtircs I pennir b .dnir!.r, rkc., improvc. dcnrlGh or EPat my
slrucrurc. rirb ns i\su ... rko tuquirc\ lhc appli.MI tu \u.h Frmir ro ik. si8rcd satnrcnl th.l lEor shc n liccnscd, rursuunr
lo lhc prcvisions ofltr Conhcrols Liccnrcd Liw (Chaprcr 9. Conrnrrcins wirh Sccrhi 7{xx) or Divkiotr.l o{ lhc Busincs flid
lmtu$hns Code) or rhrl hcorshc ncrcopr lhcrcfromllld lhchs\i\ tt rhc rll.gcd cx.n/iotr. Any riolnti.n olSslion 7o:l I 5bylny
dprlicanr lara pcrnir rul,jf( rh. aptlicdd tu acivilFnahyor6.r frtrcrh0n fiv! hundE'd dollan {$500)
-1.
rs owncr ol rhc pioFnr. or my cntloyecs ,irh sagc\ !\ lhcir $lc conrP3n\rrion, sill do rhc work drxl rhe {Mrc ( nor '
inrcndcd or oftcrcd for sld ( Sr 7(}il]l, Bulift\s and fi,fcssions G'dc: Th cln mcrin \ l-iccDs. t.aw di{* ior rtlny r. !. owNr .l
rlE Im[.ny who huilds or inDrcvcs rhcturnr. od who &ts such s.rk hirnsclror hccclfor rhmuah his or h.r o\n cnrPloyccs.
polidcd rhar {i.h inltlm{mm orc nol irlcnL\l or oftEn for sb. l,: ho!$rr. rbc huikling or idpm{fttrr i $U wilhin .rf, ,t,tr
otcomplclim.rh€OwncrBuildq*illh,verhehu.nott'(,vinslhdhcorshcdidnorbuillu'inrprovcrhcnftJFiyforlhcpulrseol
L xsosioofrhc ptupdd!, rnur.lusivcly.onrrNrin8 wirh liccnrd conrrldor t, onntud rh. fnic.r (se. 7044, Businc$
Pnltssion Codc: lhc Conlracir'r l-ic.trsc l,a* docs nor rprly ro nn osrcr olpropcny who $uilds or nnprolcs ih.rcoi.
*ho .onra.kr.r cuch pn&ch wilhtrConlracr(s)li.cnqcd pursu.nt k,rhcConrructols ljccn* lju)
lrnrcrrarlu .' Sccri,rn .B &l)( turr[i{rc.<rr
lhlc Orner:
]lABtrE8E.lOUfIi SrIIl()!
DIII^AAIIUN
I hcrchy xrfirn undrr lrmhyorprruryonc olrh.foll(,win! do.h[nN
lhrvc tu *ill uinrinrCtnili.drcolConscdroSclf.l,rtrrcf(tr$.rtc^ comEtrsari(n,. rs nmvntuJ fd hySNriotr.l7ll()ol lhc
hhor Codc. ntrlhcDcrloraumc ofrhc turk itr wlrich rh.Irrmir i\ i$u.d
rhc trork lar whth rhis lcnnir is anrcn My tr.rkch .onl,]ctr\ i in{ru,Ec.3tricra rnliry iun,h.r dc:
Carrcr
Ertn.s:
-l
.cnily rhlr in rhc pcrr'orencc ofrhc w.rk fn which rhis pcnnir il issrrcd. I shall nol cnrploy.n, Pcts.n in rny rrnnrr
$ is ro b..onf, subi.rt ro rhc wo*c6 comp€n\ot ion hw\ of Califonri.. Md agrcc rhal if I sbuld h..onE subFll ro lh!
workcn conrEtrsrlion povisionsofScdnnr:lTtroollhc ljtin Codc.lshall, ronhunh.omdy tnh rln,* [ovisions
WARNINC: Friture lo {.ud workcn co lrnr i.n .ovcngc is xnhsfr!|. d shrll subr.cl !" cnlllLycr ro oininnl Fnrxi$ and
civil finc\ up ro one hhdrd rhoulsnd dolldc ($100,0fi)). io addirnn b rhc c.s olconqrcnetion. damscs r\ rroYidcd rd rhe
Sccrion 1076 olrhc l-Ihr C.dc. iircrc{ dnd,norNr\ t.cr
Dor.r - applldnt:
LICEIIEILCONIf,ACrcA
Dg:Irlf,AIIO!
I h.nbyrltlrm undcr FnallyolFrjlrylhal I 0m liensd unds 0mvhion otChaprs9 (onmncing wirh Scciion 7(x)0l otDivision l
.f rhe Brsinc$ md Pnfc*ioos Codc. lrd mv lkcn\. is in rull rore dd cflcr.
l-i.ctr\c (-ln\!
raNsraltcurNrENuNclc[ltr
I hcreby !fltn !frlcr Fnalty of pcrjlry rhar rbcE ir a co.rflcrhn knding oecmy for lhc pcrfonmncc oirhc work for Rhi.hrhis Fmn Lt
issncd (s.c.lm7. Civ C.,.
L{ndrr'\ Nrm
AIIIIIANfDII;LIaAIIO!
I ILE$y afinm undcr lenalry o, lErjury onc ofrhc aollosnr8 dcclararions:
Dcndirn Pc'nirl^sbcslos Noli6c ion ltdcral Rceulllions ( lirlc 10. Pan6)
l{crtrirrd txrc' rl Norili.rrior
l..nilyrhd rhc lcdcril rgulitioDs (e:din8 r\bc{.srcn}trtllrc trot onrli.iblclo lhis pmrccr
_l.enlfrrhdlluvcrcadrhisrpplicrrion d irr. rhar rhc ah,vc iiformarn isconccr lrBrNlocomDlrwilhillCiryridCounry
ordi'uncc\ md Siarc liws rcl,ring tr huildirg .on(d.tnnr, and h.i.h, aurhorD. rcfcscd0iivcs ol lhh Ciry ond Counrrro c d op.i thc
$ovc nE tu.cd lmp.ny for insr.crion pllpors
ApDlicnnl or getrl silnntrrc
ELECTRICAL.INSPECTOR RECORD
APPROVALS
1V /,1-a{0
Under Slab / Floor
,1
uL
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lrndcas Addr.{
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