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HomeMy WebLinkAbout20164562 - PermitCity of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santd Ana, CA92702 Electrical lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Project Address: 1111 N Baker St Unit; Block: NA Bldg: Tract: NA Address Range: Historic: NoAssessoasParcel: 405-294-15 Lot: NA Owner: Address: Eddie Gallardo 11'l l N. Baker St. Santa Ana, CA 92703 (7141478-9791 01116002 0't'116002 01116002 01116002 01116002 01116002 Fee Type 51603 125 Volt Receptacle 51603 Light Switches, Occ. Se 51603 Lig\tixtlres-. 51603\-{erv Meter ) 5 1 600 GelieiarPEnipdate 51603 lssuance Amount 1.40 1 .52 1.01 51.29 21.25 52.98 Qty 16.00 10.00 22.00 1.00 1.00 1.00 Fee $22.40 $15.20 $22.22 $51.29 $21.25 $52.98 Phone Contractor Address; Owner-Builder State Lic #: Lic Type: Bus. Lic #l Workers' Compensation lnsurance Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work Single Family Dwelling Miscellaneous Electrical R-3 VB cEc 20'13 Notes: Electrical Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: web user Date Date Date 11t0712017 Account# i4isc. Receipt: Misc. Receipt: Misc. Receipt: Total Every pemit issued shall become invalid unless the work on the site authorized by such permit is conmenced withinl80 days aftet ils issuanco, ot if the wo* authorized on the site by such pemit is suspended or abandoned lor a peiod of180 days aftet the time the work is commenced. $185.34 $ 185.34 $0.00 lnspector MID#: 2017-'139779 N/A - No Balance Fee Total: Paid to Date: Balance Due: Permit #: 2lJ16,456.2 Pin #: 45640 Suite Range: Zoning: Rl Tenant Name:---,:- Phone: Occupancy; Constr Type: Code: ELECTRICAL.INSPECTOR RECOBD APPROVALS DATE IDiSIG.COMMENTS I. rr oancrolthc pro[lcrly, or nrycnrlloyccs wilh *agc( rs rhcir sh .onrPcn\arn,n, wilt do rh. *orl urd ltE (nrluN h nol inrcnid orofcrcd,or slc (Se 7(N.t. Btsitu:s and lrrcfcssions C()d.: Th. Conttrois Liicnsc Llw doc\ noi qrp], h Mo$dcr.f rhctmFny shr huikh or irvn'rc\ rhm$n, rftl *h) d{r\ !rl, rod( hinrrdlfor hci\clfor ihtoDgi hk ot hcr o*nc'nnkly.ci. Drovnhd lhd such i'n!rctcrxft0rmr inrcMcdorofc'ld lhrsalc ll h.*ctr. rhchuildirgorin{n.vcmnr isdd+irhi onc Far ofconrkri.n. rh. Ow cr Auiud *rll hrvr rlf, hudcn of F)vin8 rhd hc or shc rii, mt h,ikl or i,\roE rh. pn,Fny nn rhc rurF,{ of _l.arorn$ofrhc!rupcny,rncrclhrvclycotur.rnrgsirhlicutr*d.onrdcktrsloonslruclrhctn,ic.l(S(7llt4,Bu.inc$ rl Pn,f.ssrr Codc Th.Cotrlracrors Liccnsc L{s (nrcs nor rtplyro rtrotrntr.fprot t wh. build\ or ir.prclcs lhcrcon. rnd who conrmck ror su.hri&.rswrh. cbnrrucrorls) lkcn*d purnhnr ro rhc Cnnrraclols l-kcns. tiw). I a'n.x.nrpr un .r S.di, ]IaB(EBlIaMfliNS/U[]N tlECttxAIIaN I hrdhy drfirnund$ l.nrlrt orp.rjuryo.c.lrhc nnhpiri8 l..lnmtiotrs I havc{d *illnuinrsinr Ccflifi.arc.l Coi*d n, Sctlli\ud litrsorkcF comtcnsarion. as povidedfi,hySdlionl7U)ofrh. lj6or (id., tur rhc Fnbnmmc ofrhc N.rk tur whi.h rh. p&mir i\ icsucd lh.!condwillnminloinworkcrsconrpcnrltioniNurancc.osrcquitcJhySccrn,n:r70Oof(h.L0hoiCodc.l()rrhcptrfonnrccol rrE worktbrwhichthk p.iorit is isss! My$orkcs .omncneliqr i'tsurstrcc..ni$ ond Flicy nu,nhct ne: -l c.nity rhll n, rh. Ilofn'utr.. ofrhc work tu whirh thn Fnnir i\ i\\ucd. I drll nor cmploy 3try ncrnr i', rny nrnrcr s, ,\ t, h.o r sxhicr ri rhc sorkcr' .onrFn\nrio,r l.* .f C.lifdnir. in<l iSE llur if I sl$old hL(Dr {hlcd ro lhc sorkm .onllc \rri(,r pmvi\n,N ol sc.r iLnr 1700 ol lhc trlxtr C,nlc. I n$ll. rihh\ iri .onrdy wirh rh.s flovisios WARNIN(; F,ilur. ro surc *orkcrs'co.D.nsdi(in.o\crr8. is utrlnwrul. !0d lhtrll slhjc.r ar' c'nPkJr.r b dnniml Pctrrhil md civil iincs ut ro on. hundrcd rhousa d dollrs (SI(Xl.0lX)). in.ddiiion ro rnc con ofcomp.nsdnn. drm8.s !s Droviled ior lnc serio 10T6 llhc hh.r Codc. inlcrc( !.d ltrormy'r r'e\ l)Htc: /\DDli(rnl: LMlMllNlltl.uBDr(l BltlllN ,n rtu lluri',rs rnll\ol.\r' L\(i{r. rllnr} r.tr! i\ i'i rr ll rri.. xrLl .l ..r CONSIEUCIIANIENDINC.ACEBCI IhcEhy.ffirmunderpenllryofpcrjurythutlhcrcL\,coniru.rionkndine.e..ylorrhcPc,foirnrmcofrh.so fotwhi.hihit Fnnn h issucd (S.c.1097. Civ C ). AfIL&ANLIIECL/$AfIoN I hcE$y allirm urder Fnolty oi i,€rjlry onc oflhc folhwio8 dccl.rdri.is: Dcmliri.nPfin rsAsb.sosNoiincarion FcdcBl Rcnularions(Iirlc41).Pon6) Rcqutcrl t ncr of NoifEorion _lccniiyrhii rhc fc{lcrrlreguhrion\ rq&li',A ashldo\ r.R,vrl arc nor lPpli.iblc tu rhis fm]ccl -lccnifythnr I h^r..ad rhtapl,li.dn ,nd far. rhd rh.trt \r infornrrion n corcd I nSre h cohpl, wirh all cny ,nd County ordinlnccs und Siarc l"aws rclriing h building coD{ru.ri.n. rd h.rchyaurhdizc rqEscnrdilci ofliis Cir, Dnd C.unryr. cnrcr upon ihc atn,vc nf,nliorcn popcrly n, i'1sF.rion lurF)sca ]\pDlicnnl or AEcnl SiInature Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lile Salety /Low Voltaqe Fire Alarm / Dampers Buildinq Under Slab / Floor Bondino / Groundino / UFER Transformers Torqueing Sub-Panels Rool Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soflit Rouqh Ceilings (T-Bar Rouoh) lvleter Release "/t: tt2iH 6 Rouqh 4Z''i * <,,.'Y-\.evF.9 Service Ir/eter FINAL t1 _.{L(n ,r4 )------------vNotes, Remarks, Etc Communications Cable Air Conditioners OWNER BUILI'ER DELCARAI'ION I hcrcby afinn undcr pcnslly ol'pciury thll I am crcmpl lron lh. Conk,ctin l-i.cns bw lor Ihc follorine rclv,n rscc 7l-rl t Businc$ ad l,rofc$ion Code): Any Ciry u Co! y whi.h Eqxncs I Firni to consrrucl- slle!. imp!ov.. dcn)li*h or rl.n iny srrucrlrc. pri,r ro irr irsu,n....l$ rcquncs lh. arllic0 rbr surn [E.nrir lo fiL! sirn.d darcftnr rhd hco. shc n liccnscd Nrsulnr ro rhc prolisions ofrhc Conrdcrocs Lic.nscd tiw (chnflfi 9. ComnrrcinB wirh Scclion ?O(n or Di$liotr :r ofrhc Businc$ $nd Pofcsions Codc) or th.l lEorshc tcrrmpl rhclcrror and lhc$o\iq fttr rhc slltgcd cxcq)ridr. AnrviolationofSarion 70:ll5 hyin, q,plicanr fn ! ncnnihul,jN( rh. appli.anr h a.i!ilpcndlryornor morcrhin fivc hundrcddollar ($5{x,). CMEr:- Liccnsc chss:-Liftnrc Nun rr: - D.lc. (onrmclorl)lri