HomeMy WebLinkAbout20165053 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 g,n Electrical Permit #: 20{ 65053
Pin #: 30365
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Proiect Address: 2227 S Towner St Unit:
Block: NA
Bldg:
Tract: 581
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor'sParcel: 015-172-05 Lot: 68
Owner:
Address:
Artemio & Maria Miramontes
2227 S TOWNER ST
Santa Ana, CA 92705
(714) 549-9419
Fee Type
01116002 51603 Serv Meter
01116002 5'1600 General Plan Update
01116002 51603 lssuance
Amount
51 .29
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$51.29
$21.25
$52.98Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Botrh+:41929 - 112411tt18 I0r LR0SALE
{]ff iier CTYH Trcrns+1 6u 1 of li.i.,i+r Ref+: 2t116:1U51rr;r,i,i;rjr,i455ij - ti24/21!9 !1142 r'n
lr { rrEoct ion Tot(11 $125,12State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
r i.,."iriru & l1flr'ifl llrfonil:,rrt!$
)
:ercr'Cl1 Flon updote Fee
l|l I 160[2- 5160r]0r:10-
I lc, tr icql
'l j 16r_rLr2* 5l6tr30rl(r-risrr
-:(:l : r*r*rlrII}riS?57
qli ')(i
t 1r14.27
at,l.-t,..tt
AuUh+ t 741(ri3
3uildino Use:t. _-JOO rype:
Nature of Work
Single Family Dwelling
Miscellaneous
Serv Meter
Occupancy:
Constr Type
Code:
R-3
VB
cEc 2016 Notes: Upgrade/handoutgiven
Planning Approval By Misc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
eri 01t2412018
Account#
Every permit issued shall become invalid unless the wo* on the site
authoized by such pemit is commenced within 180 days aftet its
issuance, or if lhe wo* aulhorized on the site by such pemit is suspended
ot abandohed fot a peiod of180 days after the tirne the wo* is
comfienced
$21.25
$104.27
$125.52
$0.00
$,t25.52
lnspector
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Oue:
Phone:
Planning Conditions:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Date:
Date:
MID#: 20'18-141071
ELECTRICAL-INSPECTOR RECORD
OWNER BUILDER DELCARATION
I ncrcby il',irm nJcr Fndltyol l,{rjuy lhsl I m Gcnpl fmm lhc Cln rart,6'l-ic..t tlw ror rhc tullowm8 rc!$n (Sc.?0.11.5
Busincs lrl fnfe$on Cixlc): Any Cry or Couhry *n(h tquu.\ d ltmil lo connnr.r. !ll(, imlmvc, &nnisn or Nrar dy
srtucrurc. prior l{r ils issu ., il rqur.\ rh. rpd{,d hr rx.h Fm( lo lllc ! siSncd slalcmnr rhlr tE or shc ir liccnei Nruul
h rhc l)Dv*r,r Dt llr C.ntra.lois Li.cnsd Law (Chapl.r 9. Commercins wirh Sccrtln 7ln0 or Divf$. I oi lhc Blsincs !n'l
Pn{c$i,nsCc,c)orrh.rhcorrhcner.mprrhercnomandrheh$hturrh.rllcs.dcr.m0io..AnyvidllionolScclon?0.ll5by.ny
apth,nr Ibr aFmir lubj.ck rh. aprnc,m ro acivil,).hahyornor mr. rhln lrv. nunJrcd dolkrs (5500).
-1,
is ow.crol th. ln)tEny. ornycm! ryccs w,lh ,as$ rs lh.tr glk qrDn nrario., will do ft. wolk .nl llE srel@ 6 nn
inrcDlol orolicrc! inr s.lc (Ss.7044. Busim$ and Pn)fessionr Col.: The Ont,ctr s Li.ctrs ke &Es nol al'Ply ro an o*hcr oa
rh. pnFn! who huilds or nntbvcs rtuh)4.nd who dds skh s* hhs.llor hcn.llor rhmulh hh or h.r own.ntloyc.s,
lmv*ld rh.l such mr^)rcm.lr m mt i dxlo.l or ofted td srL lf, h.Ncw, lh. hliuhg or inlatmnr i $U w hit orc ]tu
ofonglcri,tr rfi. Own.r BuiliLr wiu hlk rh. burJ.. of ptuvn! rhzr hc or ir dil mr huir.l o rFmvc lh. pn'pcdy for ric llnqn{ o,
L a\owtrc!olrhc ls,pcny, !mcrclu\ivcl, (onrracrrns wnh li.cnsd coDkdcrff t, c.nnrud rhc poicd (Scu. 7044. Rurn.s
Brn$$nCdlc:ThcContra.tx'sl-,c.nscL.edocsnordlplyk)anowncrolpiopcrlywhotiu,lJrorihtn,vcsrh$..n.
.nJ who conrmd { nn \urh tn+ct wirh a conrBcr)(n lEcnkd plruad h rh. cont,.rtrt Llccn{ ljw).
I amcrcmlx utrd{ Sccrn
I h-r.by rl,irmu dcr p.n.Iy.r !rE!!z!r{ro!
I h.r arkl will frrinr0in a CcnilMlc of Cirnsnl to Sclllnsurc ntr rork.r- {omr.nsd ion. rs l'bvilcd tor by S..(ion J7( ofrhc
Ijtu C-odc. ror lh. Frfomtuc ol thc *.rk r'or *ti.n rh. lcmil is i$ued
lhavc rntl wrllmrml.in woltcr'.omp.nlalion in{traorc. ar EquircJ hyS.crx,n l?00o1rhc llbrtr Cqlc. nlrlhc lt.tomBnc. ot
lhc *ork n)rwhichrhr p.mir is i\{kal. M} wo cr'NnDcnsation insur,n& rni.r 6nd tray nnnb.r m:
Cri.._
Policy Ntmb.r:-
_l c.nilyrlrat ir llr pcrlornEncc olthc wo,k ntr sniuh thr r.rnir is nsucd. I null n.r.hploy rny lf,ron n' a., m.nrcr
a, r{ lEom sb]cct to rhc h*si.omFnsalnn l.wr ofCalil,rmir, rnJ rsft rhar fI sbull bc.om rubicur rolhe
work.s.tq,cnsaliorForisionsofS&lion-1700.iih.LahorCodc.Ilhall.n,nhwnhcohl,lywr'hrh)$,Nvisions
WARNING: Fa'lur. h s.nrc workcs' .omFns.l irn covcnEc s unlawtul. and shall slbjcct an enplor.r ro dininal lEn .s Md
I lo om hundrcd lh.nsafr, dollis rfir,o(x,), rn i drotr kr rtu Los. ofconp.n\rion. d.m8.s ls {,{vklcd ktr rh
S.!ri.n 11,?6.Irh.ljhtr(hlc inrcr.(
I MEhy{lrtmu cr l{nalryol rcrjury rhrr I rn lidn{d r |n ov'\ ii)n ol Clr|rc, 9 ilomNtunu wnhS((r
of lhc Busincs lnd Pn tsions CGlc. en my ltcn$ n in full lnu srr.fi&l
I lrcEby altirm nntlcr pcnaltyol perjury l[d llErc h
s$rd (S... l$)7, Civ. C.)
.ondru.ri,tr LnJirg rgcncr lnrih. Fdnrtunc. otrhcwork tur*hi.hrhtr p-rn,ir r
AEELICANLIECI.A8AIIO!
I Imbyatlmu lcr pcnrhyolpcrjury on. ol rh. iollowins dcclorllions:
D.mlnii. P.mitn^sh.(os Nolirrcrlion F..I€ml R.Suhrions (Titlc 40, Pan6)
_R.quind kner rNdifMto.
I rcnirirhd rh. rcJoalrcr ldrtr,n cB.idinEash.no\rcn!,valnri.rrpdr.hlcn'ihnp3)1..r
hivc rc.dihFlapliialiflrxl drrcihar rh.lh)rc ir,.mrrtr)n tr.or.c! I r8rd r' $mdy qnh rll Ctry lnn Connr!
n..n,thc..hyrnrhorizcrrprcscnl lr!.rrlnsCnyrndCoutrlylo.nrcruFrli.
APPROVALS DATE COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Torqueing
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sollit Rouoh
Ceilings (T-Bar Rouoh)
l\4eter Release
Rough
FINAL l-n-l*bh.ffi
Notes, Remarks, Etc
174
ID/SIG.
Transformers
Sub-Panels
Service Meter
-
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