HomeMy WebLinkAbout20166636 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Sa.rta Ana, CA92702
lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66636
Pin #: 82839
BT,-lProiect Address: 1019 N Baker St
Assessor'sParcel: 405-294-12 Lot. NA
Unit:
Block: NA
Bldg:
Tract: NA
Suite Range:
Zoning: R1
Ownerl
Address:
Contractor
Address:
Fee
$1.45
$'1 . s8
$1 .0s
$96.90
$24.79
$22.08
$55.04
Phone
Tenant Name:
Cathy Vu
1019 N Baker St
Santa Ana, CA 92703
(7141423-3625
Service Champions
3150 E Birch Street
Brea, CA 92821
(7141777-7777
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
Air Conditioner 96.90
Dedicated Circuit 24.79
General Plan Update 22 Oa
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
1.00
1.00
1.00
Phone
State Lic #: 799170
Lic Type: C-36, B, C-2, C-20
Bus. Lic #: 195430
Workers' Compensalion lnsurance:Carrier: PacificCompensationlnsuranceCompany
Policy #: WA00060703
Expires: 0312212019
Bot.h+:45343 - 8/13/21118 IDrolf ice: (:TYH TP(lns+: 105Ac':t+: Ref+: 2r"l
t(rpt+:tr2353470 - 8/13/?01S 11.
Trnnsort ion Totol til
serv i,:.e ahniD ioos
Building Usel
Job Type:
Nature of Work
Planning Conditions
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Fieldl
Building Permit #:
R-3, U
VB
cEc 2016 New A/C unit and furnace
Date:
Date:
Date:
lvlisc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
Every pemlit issued sha become invalid unless the wo* on tho slte
authoized by such permit is commenced within180 days aftet its
issuance, ot it the wo* authonzed on the site by such pemit is suspended
or abahdoned fo( a peiod of 180 days after the time the work is
commenced.
$202.89
$0.00
$202.89
lnspector MID#: 2018-145304
01 1 16002 5'1600
01 1 16002 51603
$22.O8
$180 8'1
Address Range:
Historic: No
01 1 16002 5160:
01116002 5160:
01116002 5160:
011'16002 5160:
01 1 '16002 5't60:
011'16002 5160C
01116002 5160:
Occupancy:
Constr Type:
Code;Noles:
Single Family Drvelling
Miscellaneous
A/C & FAU
08/13/2018
Account#
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE OWNEN BUILDER DELC RATION
I hcrcby ltnrn undcr p.nolry of Frjury lnol I am cienpr lmn riE C.nrrncbn t-ic.n{ bq for thc lollo*in8 ,ca{,n (Scc 70:l l 5
Busincs\ aftl Prole$ion Codc): Any Ciry or G,unry whi.h mquircs r Fnnii to ofl\lrucr- alrcr. inprovc, &nolhh or EP.n My
s .rurc. priorro ih hsua.... also rcqutcs lhc olplicant for such pcmil ro flca risncd cmm rhnr h.orshc i.liccnscd turqanl
lo rn povhio.. of rlE Conrracrois Licened tnw (Chaprd 9. cofrmn.ine wirh Scction ?ux) ot Divnion I .r rh. Busincs and
Prea€$nrnr Cudc) or rh{ h.orsh. ic.rcn rh.earo,nrnd rhc b,sis for lhc n,le-ecd cicmpri.n An,violarionoaS.crion7o.115hyany
.ppli.!d ror dle.nrir subF-rsthc applicrnr to ucivilpcnrllyofnol nFrcrMn fivu hu.drcd dolla^ ($5fi))
_1. a\ Dsncr ol rhc lmrcny, (tr my cnplor.c\ wnh w,B.r as rhcn $t conrFnsar ion- will do |tc sork and rh. {turxft i1 nor
iNdrdcd or ofrcrcd lor elc I SN.7044- Busincs\ and Pmlc$ions Codc 'l'hc Conh&t,\ Liccnsc hw dacs ml 0ptly h m oBmr ot
rtc pnlEny who ttrilds o, i'qrekr rh.mtr .Jrl wh) dds ikh sun hn$clt or h.scll or lhnugh hh or hcr o*n c Dloyc.s,
nmvidcd rhar su.h inDmvcmnk iE (r ir cnlctl or onard ior {lc ll t *crs, rhc t ildinE or nlFnruEnr k $H sirhin .R )tor
olcoq)krion. rhc Owmr Buildc! will hlve rhe lldcn ofpmvins lhd hc or shc did nor btrikl or itrpft,ve rtE PmFny fo. rhc purlneol
l. N o*ncr ot rhc lmpcny. 0'n erclu\ircly conrracl ins sil h licenscd .onrracnn\ b ..nsd.r rhl troid (Scc ?0{.r. Bu\in$\
lod Ptr,icshn Codc: The C.nh&kr'r l-ic.trsc Lrw doc! not nprly ro 0nowtrcr olp.opcny *h(, builds ur inpr.v.s rhcrcor.
ud etu .onM.lsforsu(hrmlccrsunhaG,rtmcro(, lie.*dl)Uis,snr hrhccoftn.roi\ Li.ctrs trw)
tan.rc'n.rutr,lcr Sdton .B &PC l,{rhh'. " '
]!lJ-8-[.u8rl9ur!t!"tr!)!
t)t.t( LAk,\lr()N
I h.rcby,mnnundcr n nnlryof rrjulyorc oIrhc r'ollowin8 dalarlrt'.s:
Irh{ (i.J..li rl.( J\1l."rtr cc.r rhr w.rk h_ rlLh rh( Frrn'
Xl\r(.n.1$iltr"inLitrqo'k r.r'n'F.n.x'.,ntr\u'J' .,.
rh. $, 'l ," yrbn l- ,hr |c.'trir i. i*unl M) w,rkl.'r, nlrn,i i,
,,-,". r4clFre_
r.quircd bySc.lion 3700otlhc Llbor Codc, ror rhc Frromtnc. oa
)n insurmc cmicr an lnlicy numher ei
z
IccniIlhalinlhcpcrri,irMnccofrhcworkn{shichrhi!!.riniri\is\uc.IrhallnorcnrployrrryNroninaoynruncr
\r !\ ki hcq,nt$hi(rhrhc worlq( c..ycnu n,n hw\ .r Cahtunrin. ,nd +e lhalill \houkl hccom \ubFcr b rlf,
rorkcrs.omrcnrlrionpovi\i,'nrofSdn,n.l7(x)otrhclrtxrCdc.lshxll.ionhwnhconlly*ithrhocpmvnn,ns
WARNIN(|: FJlur. b *ur.*.rkcrj.on\rnsion covctuBc is unhwl'lll. !ln] shall \utrlrr rn. plo$r to mniMl P.mhics lnd
.ivil fincs up b um hundrcd lhousand dollirs ($l(x).ux,). in ondii.n ro llE co{.r.onvx.\.rion. d0ntr8cs 3r trovidcd lor rhe
\..,.,, rr,{;,, .r.,r", (,,J, , k,..,
,..: t/,1rs
D&CI.ABAIION
I n.Eby ortrh und$ pcnally ofrcrjury lhd I am liensn udd pmvisi.n olChrprd 9l.on.Emine {ilh Setion 70fl)) otDiltt,t l
ot rhc Busifts und Pbr.*ions Codc. 0Jrd ny lhcn* h in tull forcc un cftccl
C 20 CryA /?/7aaE_
CONEIAIJI]I!)NIENDIIG.AGIN.II,
I hcrcbyrllir uMfFmllyolpcrluryIhorlhcrcisrcnn(ruclionbndinga!.tuylnrrhclEornn.cofrhcsotkiorshichrhnlcrniri\
nsucd (S.{ .lO97.Civ. C ).
Lcn&i\ Nam
-
ABrIICANLDECI.ABAIION
t h.,rhy Im und.r F.ahy or Frjury unc ol rhc followi.S delaralnrtrs:
Dcmolirion Pcrmik Asbcsbs Norilic ion Fedcrrl Rdgohrions (Tn!c 40. Pd6)
-Rcquncd
Lcrrcrof Norifi cdion
I rrnifyrhrrrhcfcdc'al'rBUh{i,,nycgrrdnrs rr![no\ rc Dvnirc tror it'fl.rhlc l,) rl,ir Irtcfr
I c.dilyrh,t I hrvc i.nd rhs.fdiorion
oftliMtrcs and sr.i. tiws rclnrirt ro buildt
rh)rc m.rioncd lii,pcdy for in\Fcrion Nr
sn storc lhar thc atnvc informrn,n h coBr I alIft lo
rE conslruclion. $d hcrcbyaurhoria rcpre*nr.rika orrW-AlDlionl trr AA. tSix ahft./r+/@ts
.onply wnh allCilyond Counly
hnc y. kl c.u/y ro cn,7/DF,n rrE
* C/3,t<
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service [tr]eter
FINAL f\?,8ltg l,ra&(,E)
Notes, Remarks, Etc
ID/SIG.COtI/IMENTS
I hrvc dklsrllrrirriir r (tnifcrlcoiCo0scnllo Selllnsurc hr w.rlcr\'comfcnsnrnnr. r\ tln,vrlcd nt by Sedi,r l7(x).lrhc
u,,,,..-^,,,,,,*,,11) 4 ffiGC 7d/ u.,,',".
*