HomeMy WebLinkAbout20168223 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 14], 667-27 38 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counteri (714) 647-5800
vY
Project Address: 2002 1/2 S Baker St
Assessor'sParcel: 015-220-02 Lol: 28
Unit:
Block: NA
Bldg:
Tract: '1367
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Nam€:
Contractor
Address:
Emperatriz Alba
2002 S. Baker Street
Santa Ana, CA 927072144
(6s7) 266-0409
Owner-Builder
Fee Type
01116002 5'1603 Serv Meter
01 1 16002 51600 General Plan Update
01116002 5'1603 lssuance
Amount
53.28
22.O8
55.04
Qty
1 .00
1.00
1.00
Fee
$53.28
$22.08
$s5.04
Phone
Building Use:
Job Type:
Nature of Work:
R-3
VB
cEc 2016
Accessory Dwelling Unit-C Occupancy:
Miscellaneous Constr Type
Serv Meter Code;
Notes:Handout'lliven. Auth. letter on file
or, JPd(te Fee
51600000-
6eneroJE
r'r 11 1600
Elect,r i,
01 1 16CrC
LCL,-:he
Planning Conditions:
Planning Approval By Date
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Date
2_ 51603urllJ-:L 1tr1542
ate
o3118t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$130.40
$0.00
9130.40
lnspector MID#: 2018-143527
011'16002 51600
01 't 16002 51603
$22.08
$108.32
Fee Total:
Paid to Date:
Balance Due:
Permit #: 2lJ168223
Pin #: 91731
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
Eotchi:48858 - 3/ lS/2O19 I0: i
0f 0 i,:e: CTYH Trons+: 129Acct+: Ref+: 2lrr(
R.pL+i0?561122 - 3/ lgl?frl? 3124
Tnonsqct ion ToLoI 95r2t
Every permit issued shall becofie invalid unless the wo* on the sile
authorized by such pennit is commenced within 180 days after its
issuance, or if the wo* authoi?ed on the site by such permit is suspended
ot abandoned for a peiod of180 days aftet the tine the work is
cofifienced.
ELECTRICAL-INSPECTOR RECORD
COMMENTSAPPROVALSDATE
Site-Work
Under round
Pole Bases
Li ht Standards
S as, Pool, Fountains
Si NS monument
Life Sale /Low Volta e
Fire Alarm / Dam ers
Communications Cable
Buildin
Under Slab / Floor
Bondin / UFER/ Groundin
Transformers
Sub-Panels
Air Conditioners
Roof To UI ment
Fact Wired Unit
Walls Rou h
Ceilin Hard & Soflit Rou h
Itrleter Release
Rou h
l,qnService It/eler
Notes, Remarks, Etc.
FINAL
ol!Nuk Btrll,Dr:R Dlll,( ;\RATl(,N
I ltrrcby afinh undcr p.nah, o, F4ury lhal I am ci.npr fmm rhe Conk,cttri Lf,cnB I:w ror ihc li'llo*ila rcaY'' lscc 7011 5
Bu!,cs and Pmlesion CoJc): A,ry Cily or Coxmy which rcqltes I trmir ro con{dct. allcr. imoruvc, demrhh 'r rFn ov
(rucxrc, pnor h ik isruMo., eho aqutrci th. imlaanr n)t sucl Frmil r{' rik a siSmd slrrcNnr rhdt h' or sh' ir Ii"nE! plrsri
t, rhc |xsvisn F of rhc Conraclois Li.cn{d kw (Ch!Pr.r 9, G,mmctuitr3 *irh S&rion ?0U) ol Drvison I ol rh' Rtrsnc* rnJ
P&l'cs\n'n\ ctdc) or rh,l hco.sn ir etf,pr UErcfron $d rhc h.ss ti,r rhc auc8.d crcmrrn'f, Anvvidrlonorseri'n70115bvanv
iptl'.anr litr.ocmil sohjeck rhc apdicdtrrro Ic,vrlFnrhy01nor morc rlm nvc htn lr.d d.llaB (S5m)
-1.
!s oNn.r or rh. ptuIcny, or d cmtloyccs wilh $asd! 5 rh.tr sok .onFnsnuon will Jo rlf wo* a''l lhc inrtE ir nor
inh .rl orolftrcd ar si (Sec.7or4, susircss D,l Prolc*tuns Cojc: Thc ai,.rracroi s Lmnslj*d(tcsfrn afl'lv t'} ao oMcr or
thc ptrp.ny wtu hrild\ or in{,ovcs rh.Btr xnl who Jtr frn unk hrmscll or hcrscll or I hmugh hN or hcr own '6fk'vccs'p",im,r rl,"r .u"lr imldctrnk e ml hlcftldl or olIcdl ntr saL t,l hwcvcr. rhc buiLlnE or ml,l$vcmd n eU rirlin onc ,tt
;rd,mplcri
'n.
rrr owi;r BuirJcr vill hah rhc tuftlcn o! F,viry lh.r hc .r rlr Jii tur ttriu or npdr $c nNFiv ntr lh' pnqr* or
l. Nowncrorrhc pqr.ny. an.rclmrvcly.onrEdirrE wirh hcnscd c.nkrcloN k' uonnd.r rh. F)jccr (S'(' 704'l' Bu\incs
,J PblissbnCo,lc:ih. conkkktr s Liccn\. L,w dds trol.ptly t, rn.wncr orprdp.nv sk' $uiut or rmprr!'r rhcRon'
r d *l$ co krcrsntrs'.hpn)iccr\ wnhrCr')rtrr, h.ctrsci pu!\urnr rodLC,,nkrctr'\ Llcnrc l-rw)
I nnc\.nq undcr Scdion-
tI( l,Alr \t ()\
I hcrcby.lT16 undcr p€nahyoip.iurydnc oiihc nnL,wing deLmlnlos:
I hlvc anl will m'nlain r C.dili.arc or conscnl l0 Sclllnrurc lbr wort.c' onpcnsar nrn, al P$vicd lor hv S*rnr l?00 ot th'
tibor Cixle. for llE ptrromEN ol lhc wort ror whi.h lhc P.mn ( krucd.
I hiv. rnd w'll m.mrlin work.( contfnsdr)n rnnr
rh. sork for whichthis o.mnr ,s,s\ucd Myworkc^'c(\3
rcquiEJ by s&t ion l?l)o of rh. tjbor Ctdc. for thc tl.dnmn . 01
il)n insu(afrc otri.r a&i policypmn r a.:
(_) ,l^,
e.(r
l.cn rrhdr rihc pcnnrroncr (n lhc work lnr wh'chrhrsl)crmir ir tsu.J I drall nor cnll!)v .rrv pcron 'i'nvmann're, a( r, h.'rom suhJe(r h thc *orkcis, com|Ing.on lrws oi Crtit'hii utl lSEc rhd rf l should hc'oft suhic'r b rhc
wolkcr ..mlcnsarbnpn,vreonsols..rion lT0Ool lhc l-ah, Culc.l drll. hnhw h.omPlv wir h rhok F)rh('n\
IIARNINC: l'rlurc ni tct'. workcr\ lotrItns$(n,l. and \hxil suhic(t !n .nrdoycr n) oimnal Fndlrts mJ
lhc con of.omp.Dslnln. dJnrlcs a\ P vd.,l Lr iftc,vil lincs up lo onc hrtulrcd thousan!
S{rntr, ltr76dl rhc l- xtrC({1.
I hcr6! ilTnrundcr pcnrhy o, Briury I trtulcr povsi(r oiChrpr.r 9 i$nrtucrcnl3 w h S.ddr]lx(,)olD^srnr
.nsc $ n lirll ln(r rJkl clri.r.
Del.-=-
I h.trl,t rltu undcr p.nrlryolfnuryth,rlI k u,h$dcr6n,.nling.gcncy iot rht i.!'loanrnrc oirlt'wo.k li)rrhf,hrhl\ IErnril is
$s'cJ (Scc .l0r)7. Civ. C )
APPI ICANT DECLARATION
I lErch, dtim undcr pc.alty oi ,criury onc of rhc tirllowing dc.lml ilns:
ocfroliln,n Pcrnik-Ash.{os Noiiiicarn,n Fcd.rll Rcsuhn,ns ('I'illc 40 P!n6)
Requtcd L.I.r of Noritiqii,n
rr.nDlxlr nor rmlcrl,lc h rhr lmjc.'
rhc ah)v. rrornDii,nr iscoftc.r.l asrcc b conrdy qih rll Ciry.ftl Counrv
iitr, ui h.r.hy durh,iz. Etdscnrltircs ofrht cny ind Coury ro cnlcr u[r'nrh.
'
ID/SIG.
4il*/n-/a-thd/l,
Toroueinq
Walls (Conduit)
Ceilinqs (T-Bar Rouqh)
0 -./'Ax/tt t h*zn- 1r
1