HomeMy WebLinkAbout20166047 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Electrical
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 2()16,6,o47
Pin #: 94275
Project Address: 2O3SSMainSt I untY.
Assessor's Parcel: 015-074-17 Lot: 5,6, , Blo^:1
Bldg:
Tract: 517
Address Range: 2034-2038
Historic: No
Suite Range:
Zoning; CSM
q
Owner:
Address
veronica M. Jimenez
53 Seton Road
lrvine, CA 92612
(949) 981-6290
Fee Type
01116002 51603 Re-Set Mtr
0'1116002 5'1603 [Iin Fee Adj
01116002 51600 General Plan Update
011 16002 51603 lssuance
Amount
19.35
21 .25
52.98
Qty
1.00
1.00
1.00
1.00
Fee
$51.29
$19.35
$21.25
$52.98
Phone:
Tenant Name:
Owner-Builder
Phone En
0t
Ar:
4 1r-19
State Lic #:
Lic Type;
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:I l6tltl?- 51i r:t I r:t rlt:r-
nb^hl l,1^n lt....l-I-,
Commercial
Miscellaneous
Re-set Meter
Occupancy:
Constr Type
Code:
B
VB
cEc 2016 Notes Re-set meter. Owner-Builder form on file
Planning Conditions
Chavez, Dave7
Date:
Dale:
Date:06104t2018
Account#
Misc. Receipt:
Misc. Receipt;
Misc. Receiptl
Total
/.
Every pemit issued sha becofie invalid unless the wo* on the site
authorized by such permit is commenced within 180 days afler its
issuance, or if lhe wo* authoized on the site by such permit is suspended
ot abandoned for a peiod of 180 days afterthe tifie the wotu is
cofifienced.
$144.87
$0.00
$1M.87
MID#: 2018-143739
01 116002 51600
01116002 51603
$21.25
$123.62
Fee Total:
Paid to Date:
Balance Due:
Contractor;
Address:
r:i?287619 -
,:t ion T6tol
ll..Jimpr'e
1E.t
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lnspector
ELECTRICAL-INSPECTOR BECORD
APPROVALS DATE OWNER AUILDER DEI-CANATrcN
I hrfthy rlrtrm utu].r p$alry or lrcrjury rh.r I m er.npr rmm rhc CnnlmctoF LiccnE L,* atn rlr r.llowing rclsn lscc.7ol I 5
Blsin€$ ond Profc$ion Codc): Any Cirt or Colnr, whi.h rcqoiiN , Irrniir b onsrrucl. allcr, inPmle. dcmh\h u tNr di
3rtu rud,Irirrb irs h!u,n.c. rho rcquircs lhctrpFlicam for suchFnnir ro file ! si-lned srorcmnr fiar lf, o. 3h. is liccnscd luNuint-
lo thc plolisions ol thc Conrrackn s l-icen$d Lls (Chafls 9. Comeming wnh S.ction 70OO of Divtion I olrhc Busi.cs and
Pmic$ions Code) or rhal hc or shc is ercnfl lheefrom and lhc b$t ntr !h. rll.8cd cxcmtlion. Any riolalion 6fSelion 70.t1.5 hy any
q,plicanr ror aFmir subjdck rhc aptlicanr Io a.ivil p.n,lryornor rmr. ttun fivc hundrcd dollars ($500)
V\"/ L ar owmr of lh. ptuFny. or my cnployces wnh *ages rs then $h .lmpc,slion, will do rh. wo* a,n tu nnl1m n mr
irtcndcn oroEcrcd lor sle (Sa 7(x4, Busircs and Pmf.ssn,ns Codd: Thc conrncloas Liccns tjw dms not apnly b M owncror
rhc ptur.n, wtx, huius m inpn,K fi.mn. dld *ho dc ssh rrrt himsclior hc.\clfo, rhmu8h hk or hcr o*n.mphyccs.
providcd rhlr such imrrcrcrcnrs m mr imcnd orolibrcd 6rsah.ll ho$cw. rh.lrildin8 or impm(nE is sld wirhin.nc rra
ofon{,lelion. thc Owncr BuitLr will hlvc ih. bxnlcn ot potis rhd hc o. rhc did mr huild or i $orc rhc pDpcny for rh. P rF€of
-1.
6 o*rcr ol rlr lnpcn y. rm cxclusirdly conrrrcring wirh liccn{d cdnta.bs to connrud lh. I}(id (Scc 7044, Bunncs
.nd Pmf*sirCodc-th.Conrru.ror'sLiccnscLnwdocsnor.ptlyr.!no*ocrotprcpcnywhobuildroriftprurcsrhcrc.n.
ud sho conrrrk lor roch F,jecrs eirh I Co.ta.k,ns) li.cn*d punud fu lhc Conr0doi\ Licctre ljs)
"",.A/'11 l&.. -L
I hcrcbytrrln'n!nd.rn n,lry.rF,uryotrcolrh.rollosingd..lnr ions
-l
hlvc andwil!maiorain Cdnili.arc.rco cnrroSclrlnsuichtrwork$rcomDcnn(io..is troridcd lorbyS.dnr l?(Xlolrhc
t hor Crdc- for lhc perfornErcc ot rhc so* io. which rhc Frnir is h\ucd
-l holc aM will mlinuin *orlcF co'npcnsrrn i.\urrtu., a ruqunM by scd nrn l?ur ol lhc L{hor C,dc. f{t rh. df.hMNc of
lhc $ort In yhich I [is Frnrir i\ t\kl Myworkc* coht .sark,n iisrtrn.c crEicr .nd Policy.umhcr 6c
Policy Numtler:-Expncs
y! lc.n'ry rhr h rhc n rrontunlc ofrhc anrl ror whrh $is p.,mii n isucd.I shrllnor cmtloy ony pcrson iD 0ny nx'nncr
$ as b h.rom rubj.\l to thc q er comFnstion luws oicrliaomia. and alrc hd ifI should h..om su$jd loltr
u'orkc$ corupctrsdlinpmvisions ofSccri0 lrOOolrte tilitr A'dc.l rhtrll. Lnh*nh conply wir[ lhos rovnions
TVARNINC: l;iihtrc ro ccurc $orkcr\ cotrpcnsdn,n corc gc i\ unh*lnl. rnd nrll \ubncr nrr cnUl.)cr lo riniiul!.Bhi\ rd
S..r 'on lh,7a or r h€ I inr I{nc inlercn
".,",.elqltA
I hcreby rmrnr und.r Fnalry orncrjury rhal I un liccNn unJcr rmlision ofChlprcr I (.om,ncrnre sith
of lnc Busircs and Prcfc$ions C.dc. and .ry lk.n* h in tull fd.. ltrd crier.
Li.cnsc Cl,s:-Liccnsc Numhcr
Dor. ( onlrrcror
COISIAIJCII9N.LENDING.&AIMJI
I hcmhr rin'n trndcr Fmhy.l !.rjury lhit lluc i\. orslru.riotr bndins ascmy ro' rfu pcrlonruku.rrhc work nn which lhis Pcn.ir i\
tsucd (Scc 1097. Civ C )
kndclsNanr
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APPT,ICANT DECLARATION
I hcr.n, afim utuk, pcndlr, oi ,.rjury .rc of lh. following dNldlrions:
Dcmliion P.mits Ash€srox Norillc,'io. Fcdcrsl Rcgul,rion. ITirl. 40. Pd6)
-Rcq!nd
kllerotNnifi carirn
_l .ea ily lhar rhc fcd.ld r.gultrtions rcgtrdir8 asb.slos rcnnvul rc not aprlicatk ro rhis Pn,j.tr
U4Acnity rhd I hN. rcad rhh trl)nlic'rion ontl {atc rhar th. 0bvc inromEr ion ir corsr I astd ro con ly with ,ll ciry and counr,
.di.mcs and srab krs rlarins ro 6uildi.s constructirn. ed h.rchy lurhni2c rcFc*nrarivcs ofrhis cilyand Counly ro cnrcr upon rhe
rhi)r icniiotud lroltny tor msr..r
^pplic.nr
or Aseni slsMtue,]{
r"-u"" ."." r r.ir, t, K VE rzoNt@-
6l qltS
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sollit Rouoh
Ceilings (T-Bar Rouoh)
lvleter Release
Rouqh
Service lvleter
FINAL lDh,//9 vn lqd/
Notes, Remarks, Etc./u"
-+
rD/srG.COMMENTS
Site-Work
I cFdc''s Add'cs
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