HomeMy WebLinkAbout20266816 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20266816
Pin #: 758{O
Project Address: 11 15 S Shelton St
Assessor'sParcel: 013-061-06 Lot: 69
Unit:
Block: NA
Bldg:
Tract: 557
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Phone:
Tenant Name:
Contractor
Address:
GIaciela Lopez & Sergio Arargon
1115 S Shelton
Anaheim, CA 92802
(714) 398-6342
Owner-Builder
Fee Type Amount
011'16002 51603 Demolition (includes ren 48.46
01116002 51600 General Plan Update 22.08
01'116002 51603 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$48.46
$22.08
$55.04
State Lic #:
Lic Type:
Bus. Lac #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued
Single Family Dwelling
Alteration
Demo Addns/Alterations
Occupancy;
Constr Type
Code:
R.3, U
VB
cEc 20'16
Notes; Repair/remove all unpermitted electrical,
n
Date
Date
Date
l\,lisc. Receipt:
l\,lisc. Receipt:
lvlisc. Receipt:
TotalSubject to Field
0297565
Every pemit issued shall become invalid unless the wo* on the site
authonzed by such pa nl is cofifienced within 180 days after ils
issuance, or if the wod< aulhoized on the site by such pemit is suspended
ot abandoned for a penod of 1 80 days aftet the time the work is
comfienced.
08/30/2018
Account#
$125.58
$0.00
$125.58
lnspector MID#: 2018-'t45780
01116002 51600
01 I 16002 51603
Fee Total:
Paid to Dale:
Balance Due:
Owner:
Address:
Phone;
u/Ju/ 2r,rl u
Irqng+:40
Ref i-9/38/2tt')
olI r[n5(
ir(rt r €
Gener(
s 5er9 to Ar
lpdofe Fee
r-r[rUtr--
3utr0-
ulIl6!J
El ectr
rt11160
Cosh
i hnrrgr
Planning Conditions; Demo all unpermitted additions & alterations.
Building Permit #:$22.08
$103.50
ELECTRICAL-INSPECTOR HECORD
APPHOVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soflit Rouoh
Ceilinos (T-Bar Rouqh)
Ivleter Release
Rouqh
Service Meter
{J^^Qrt 9,> )FINAL I >l t4-tv
Notes, Remarks, Etc.un
OWNET AUILDER DELCARATION
I hcrcl,y afiirh und6 pnally ol F.riury lhal I 0m cxcnfl tmm rhc ContdoF Lianr ljw ror rhc rolhwir8 rcap. (S.c.70.11.5
Bu\in.ss ..ld Proltsion Codc): Any Ciry or counry which rcquir.s a pcrni! b .on{ru.t. .lrcr. imPovc. thmlish .r E:lEir atrv
srdciurc. prfiro irs issx0rc..0ko rcquircs rhc apflklnr lor slch Fnr lo filcasisnql slalcftnr rhar h..rshc t lltcnscd pn6xmr
ro lhc tmvisions of lhc Conr&ror's Li.cned bw (ChlPlct 9, Commctiis wirh Scctiotr 7OO0 oa Divnion I orlhc Businc$ !n,
ProfessionsCodc)orrhlrh.orshciscxcmpllnercfrcmandrhchasnrorrh.rllcscdcxcnll,rion.Anyvi.larionolSdionL]l5hr,.v
applicanr td r Flmn \ubjc.lsthc dtplicant lo acivilpcnuxrorh.r mrclhon fivc hundrql douars {$50o)
-1.
as owner ol rhc rroFny. or nry cmtloles with wases as rh.t $lc onP.nsrha. wil! do rtc wo* 0,ld llE (nxlurc is mr
inrcdcd or onircd for slc (SE.?(N4, Bnri@a. md Pmf.$iohs Codq Thc Contacror's Ltcnsc kw d.trs nor +ply to d ownq ol
rtc poFny who builds r inpmlB tlrcmtr. md who d.es sch w& hiosclfo. hcrclfor rhrough hh ot her own cmrlovs..
providcd rhrt such imporntnN m mt inrcndcd or oficrcd fo! slc, ll. howcKi thc buildins or impoEft hsldNirhinoncF
orlnnyhriJn. rh owmr auitq sill hat rhc bod.i ortmviig thd lE oi shc did t hrild or in{,ow lnc !mFn, for itr puqDs of
I. * o*n*ofrhc tm!,my. ancrch\ivclyconka.ring wirh lkcn$\d.o raci(ns t,.oniru.t ItE Pmrc.r (Scc 7044. Bi(in.$
md l,rDEs\ion Codc: Thc Conra.rols Liccnsc L,.w dos nor applyro M osnct offioP.ny who buiids or inlptorcs 'h.rsn.rid qho .on rN li)r s'ch nn,rcc* sirhl ((s) liccnscd pusuanr ro rh. Conrktol s Lic€ne hw).
B & P C. for rhis ,.!$n.I an crcnrpr undcr Sccri,,n
{'o-c^e\a. f-o
llllL8r u!\
I hcrchyamr utrdcr pcnrllyolF-rjuy
-l
haw lDd wiu @n rin a Ccniftarc ot G'nsnr t, SclH nruc rd workcn .omFo\arn,n. N fovided ror hv S6rn r .1700 of I hc
tjhor Codc. lor rhe lsfomftc or rh. work nx which lhc pcrmir i\ issucd
I hrvc rnd will,nli|rrnr workcri conp.nsdriotr insurrrcc. as required hySc.rn,nl?moflh. LlhorG)d.. for rh. pcrlhmEncc ol
rhc sork lbl whichtht pcrn is isskd. Myworkcn .onlEnsalion in\rranN.aratud P.licynumh.rdl
-ExpiEs
WARNINC: Faihrc t, $curc sorlc^ .ompcnillion .o!cri8c i\ unlaqtul. rnd rhrll sthj..r an cmPk,rcr lo dminnl l.Mlric\ md
clvil fincs up lo orc hondr.d rhoxsond dollnn (S ).(ixr. in din ro rhc co{ {)fconrpcn\ari.n. d.nr8cs as F)vidcd lar rhc
Scdtu 10?6 or rh.lltrtrCodc. nrcrc( Md !n
e\r.\ogez-
I2r!1"!B llar
I h.rrhy rlnnr rndcr pcfulryol Nrjuy r rr vhion olCharrer I (conntn.in! sirh Scdion 70(x)) olDivniotr:l
CONSTRI(:TIoN I FNDIN(: AGEN(]V
I hcrcby aflir'n xnd.i F,allyofpcrjury rhur lhdre h r.onsrrudion hndinS ascky forrh. pcrtor.r,ncc ofthc sork r.r which rnk Pcrmit is
issucd 1Se. 309?. Civ. C ).
AITUCAIIDECLAEAIION
I lutby alInn undc! pcnrlly of Frjury onc of thc followine dccirrotionsl
Dcff)lnion PcrnirsArb.{os Notificarion Fedcral R.eularions (Tilc 40. Pan6)
Rcquircd Lcllcr of Notiarcarion
-l
ccn,l} rhqr{h. kJ-!1ft$larrcn\ rcBJrdins a.tE{ \mm\rld. n.rJnflr$lctn rhn ftur'l
, , ",L,n,/*-" ** ,n^ *"ric n,n rftr {sh' ,hlhc rb.\c ,nrh,nuunn F, nrl I rFN ,o comrr) *
-d,i,*".,)i{shttj"srchunptnhildins..i{nrh,.flth.rchyaurhoria,.pl...nrJrtrc\^rrhi\{irydnd
oh.rc mn,'ykh{.n i) lor itr\rsrnnrutro*!
n,o**,lo*-i.*rr,*, G.crOetq \-p.:- -," I
**r**\",nr,( A rt'..;dq. L,oPez-
Counly ro cnlcr uFn ltE
fs,1\9
Under Slab / Floor
I.cnily rhdt ir rhe D.rlonmncc ofrh. work for which rhis pcirnil is tsucd, I shrll trol cnrploy trny Pc!$n in anv $onncr
$ a\ro hcqnm suhicd ro rh. workcB ompctrBrion h*s orCrliromi...nd urce rhar il I \lt,old tro'm subF-l brhe
sorl.r' .omp..qrn,n l)ftrvisions ol Scclion :1700 of rhc tihtr Ctdc. I sh.ll. tunh*irh .ohnly wirh rhoe lmrnions
ol rhc Du{irr$ and hor'csions codc- and my licens h in tullli,rc and clfc.t.
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