HomeMy WebLinkAbout20166649 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 41 667-27 38 Inspector Section: (7 14) 647-5853
Electrical Permit #: 2O166649
Pin #: 4O38O
Project Address: 1428 S Cypress Ave
Assessor'sParcel; 014-032-08 Lot: 14
Unit:
Block: NA
Bldg:
ftacl 245
AddressRange: 1426-1428
Historic: No
Suite Range:
Zoning: R2
E
Owner:
Address:
Phone.
Tenant Name:
Contractor
Address:
GILBERT GUTIERREZ
112r S ROSS ST
Santa Ana, cA 927071219
Fee Type
01'116002 51603 Serv l\4eter
01116002 51600 General Plan Update
011 16002 5'1603 lssuance
Amount
53.28
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$53.28
$22.08
$55.04
Or.yner-Builder
P hone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Bot.h +:
0ff ice:
Rcpt+: fr
Trqngnc
i- 8/13/2018
Tronsi:146
Ref+:63 - S/13/201S
Toto 1
4:3 +:
tt{ln
6ILSERT,JUTTEi{ITEZ
2lll
4:U
i26|
6enerol h'1qn Updote Fee
ru116002- i1600000-
Electr,rol
r:r l l16rlfl?- 51603000-
llosLen .rlrd
CCi: *rxrrr*rrrrI396J Aul
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #:
Duplex
Miscellaneous
Service Meter Upgrade
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes: Service meter upgrade. Handout given
Owner-Builder form on file.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pennit issued shall bacone invalid unlessthe wod on the site
authoized by such permit is commenced within 180 days aftet its
issuance, or il the work authodzed on the site by such pemit is suspended
ot abandoned fot a peiod of 180 days after the tine the wo < is
commenced.
oan3t201a
Account#
$130.40
$0.00
s130.40
lnspector MID#: 2018-145348
0'1116002 51600
01116002 51603
$22.08
$108.32
Fee Total:
Paid to Date:
Balance Due:
IL
Date:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDEN DELCARATION
I hercby aihrm undcr p€Mlry r'f pcrjury rhlr I !d cxcrrpr iiom rhc Ornrrado6 l.icensc L2w f.r rhc rollowinS rcarn (Scc?Oll5
Busincss and Protcssion Codc) Any Ciry or C.! y whi.h 4qunc\ a Fmir ro con(n.r, rl'd. i'ntmrc, dcmlisn or rclon any
{tucrorc, prior b ih nsuonc.. ,ls rcgukl
'hc ryplicur for {ch pcrmit ro lil. 3 sigRd sr cmnl lhll hc or she h li.enEd puNanl
ro rhc pmvisions ol lh. Cont@d.is Liccn$d Liw (Cnaprcr 9. ComncncinC *irh skrbn 7o0o .r oivision I of lhc Bulitrcss and
Prufc$ions Cc\dr) o. rhd h. or shc n cx.n{'r lterclron a.d rrE b{sh lor lhc alk8ed cxcmption AnyriohrionDrse'hn?0r1.5 by,ny
apllicanr ior s Fmir rutrccrs !h. 'tplictr.r t, a .i!il pcnalrt of nor mr rhan nv. hundrcd dolldr (S5m).
4"*"* "t r* 1,"pny. or my cmrloyes wirn wascs !s rh.r hk compcNatFn. qlrl do rhc *ork ard rh. {Mm is mr
inrcd.n or oficE'd for sh (Se ?Or4, B!\iN* lnd Pmfd\ions Code Thc Conr6cttr r Licc.r. b* {io.s nor apply lo !n o*rcr ol
rh. pmJ.ry who b{ilds or inpmws
'h.]Nn.
torl wrb dc such wlk hi'rsclf or he^clf or lhreush his or hcr o*n cnrloy..s.
Drovidcd rhor$.h impmEmnrs m en inlcndoroocrcd fo.sh ll h.scvr. rhc i,iHinr or ihtohmd hsold withinonc Fo
ofcoq,lc'bn.th. owncr auil(ln wil n0!. rtE bodcn of,,mvinB lhor hc or snc dii ml teih or iqnot 6c pmFny ror il! purlbr or
-1.asowncrorrl[prcpcny.amcxclurilclycorraclinswnhliccn*dconrracn$r.consrdcirhcpn,j*r(scc704.1,Busirasand Pblia\k. Codc: Th.Con[r.rofs Li.cn\c Luw docs nor{tlyr. atrowmrofrrcp. ywhohuilds.rinrFovcsrhcrcon,
and who .oolra.k for uch projccr\wirhoCont0chns) liccnrcd pursu,nr tiihdContr.rtrh l-i.cnsr ljw).
I lmcremDt Lndcr Sccrion .B &P.C!a
DEIIAMII!}N
I hcrcby oflnnundcr p.trdlyol lcrjury om olrhc lollorins dahrutionr
_l h0vc ad *ill minhin a C.difrdc or C.nrrr b sclf lnsurc aor suk .r .o.F(nsarb.. is pmridcd lor hy Scclbn .17(xr or rhc
libo. Codc, Lr rhc pslonurcc .l lhc *ork ritr *hici rh. Pcmir h h\ucd
I lrvc rnd vlll minraii wo.kcrJ .omFns ion insuramc, !s rcqun d byScrliotr 3700ol'lhc l-lbor C c. i(rrh. ldfornumc or
rhc workforvhkh rhisFrnrn is issu.n. Myworkd{ conD.nsriion insurrmc cdris ond Flicy nun$cr m:
/j/cnrly lhd rn rhc nnrorNncc,,trhc *orl xtr trh'ch rhn Frnril i\ ii\!cd.l \hrll ior cmpbr.ny p.non rn rny monncr
v, ^ b b.com subjNr ro rhc wo*.rs .onu.ns0rio laws or C,lit,ni,. lnd a!rc lhat ifI should bccom subicr 16rh
sork.B cdry,cislrionnmlisi,n( ofS*lnrn l7mof rhc tjtrtr Codc.I shall. fonh*irh comply wirh rhos nmvisi(,ns
WARNING: Frilur. k, \c.urc w{rkcrs .onDcDsilnnr covcr,lc is u.laslul. and shall \uhjccl !n cnrnk'rcr h 6i'niDil pcmhics.nd
civil ,in.{ up b onc hrn,lrcd ih.usrnd d.1lr6 (Sloo.fi{)), r dddiriotr to rhc con olcomFnsaridr. da'nr!.s trs f'ovdcd lor rhc
Sc.rtnr 1076ofrhc LltxtrCl)',c. irrcrc(od dkrrcy s lccs
Llllixuiu_rcrlx cra-B
DIillzLBILlQN
I hcrh, alfinn und., rcoahr .f p.rjury rh r l 6m liensd undcr FDlision ol Ch.FIcr 9 (commmins *irh Ssrion 7(xD) or Dilkion .l
of lnc Busims lnd Pntsnrns Codc. and nry licc"sc is in tull iorce ald €afecr.
Con(roclor
C(TNSTRUCT'IoN LFNDING AGIiNCI
I hcrcby.lltrnr lndcr lEnalryol Frjury drlr rhqc isr conslmlhn lcndins aBcky for rhd p.rrornBr. olth. work rhr which lhis pcmi n
issucd (Sc.. :1097. Civ. C.)
AIILICANLD!:IIABAIIAN
I irrb!,Rion hdcr p€nrhyofpcrjuryonc df(hc loUown'8 dccldariotrs:
Ixmolirion Pcrmirs'Ash.sros Notincorion FcdcolRcsllorions (Tirle 40, Pan6)
-Rcquircd
txllcr or NotifE{tion
l..nifyihar ihd f.Jcirl rcguldriotrs E86dnr8 Nbrnos rcnbvaluc not lprlicablelo lhh pord
&(,.nn, ,n , , *," nuo ,nr apprtrrn,n !.d dsrc rhar he lhor in i\ c.tu.r.I nE6 ro.onrly wirh rllCiryrnd Couniy
r.rr.enuivcs ofrhis Cir, !trd Counrr ro cnrer up.n rhcorlinarccsand Stalc trws rchtinalo hu iklin8 condnrdi{nr rd hc
f Guh;z-arz-
J -r7- Zoi
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Sollit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service lVleter ')I
FINAL ){/zr/fi -..Blrj I
Notes, Remarks, Etc.
Under Slab / Floor
,,*,- 8.'tj - ?otS,rprrri.rnr:)a
I