HomeMy WebLinkAbout20166433 - PermitCity of Santa Ana
Permat Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Electrical Permit #: 2O165433
Pin #: 47779
Proiect Address: 1801 S Ross St
Assessor'sParcel: 015-051-07 Lot: 18
Unit:
Block: NA
Btdg:
Tract: 1166
Address Range:
Historic: No
Suite Range:
Zoning: R1
ry
Owner:
Address:
Contractor
Address:
Tenant Name:
Mel Frosh
180'l S. Ross St.
Santa Ana, CA 92707
(7141313-8432
All-Pro Remodeling
706 N Tustin St
Orange, CA 92866
g14l2Aa-1314
51603
51603
51603
51600
51603
Fee Totali
Paid to Date:
Balance Due
01116002
01 I 16002
01 1 16002
01 1 16002
01 1 16002
Foe Typo Amount Qty Fee
125 Volt Receptacle 1.45 1.00 $1.45
Light Swilches, Occ. Se 1.58 1.00 $1 .58
Light Fixtures 1.05 4.00 $4.20
General Plan Update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
Bnt':h+:4431rJ - I /L7 /ll.iltl I0r (:CUr.LLAk
tlff i,:er {TYH Tr(tns+i ?3 2 oi' :
A,:ct i: Ref+r ?t-i 1664J.j
ftrp1j+r (r23267,1iJ 7/1-l/).(ttg 3tt.t3 I'n
frnnso,:f ir:n [ot,q I $3.J1;.?li
AI l -Pno Rerodel ins
Phone
State Lic f: 574698
Lic Type: B
Bus. Lic #: 172M5
Workers' Compensation lnsuranceCarrier: Security Nat'l
Policy #: SWCi179182
Expires: 0110112019
GenProl Pltln Upd(rte Fee
011160 2- 516111100(r-
EIP,:tn icol
01116002- 51603000-
ICL Check 0(r000109tr7
t22.tg
*62.27
t335.95
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Single Family Dwelling
Alteration
Patio Enclosure
Amsden. Julie
Date:
Date:
Date: 07117l2O1A
Account#
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 20r6 Notes: Construcl new '11' x 21' patio enclosure
Plan Checked By
Permit lssued By
Subject to Field:
Buildins Permit #: 101 95239
Evary petuit issued shall become invalid unless the wo* on the site
authoized by such pefinit is commenced within 180 days aftet its
issuance, ot if the wotk authoized on the site by such pemit is suspended
or abandoned tor a peiod of 1 80 days after tha time the wo* is
commonced.
MID#: 2018-140771
0'1 1 '16002 5'1600
01 1 16002 51603
$22.08
$62.27
$84.35
$0.00
$84.35
Phone:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER AUILDER DELCARAT'ION
I hcr.by n,tun u8lo p.nJry ol Frru.y $ar I on cxemp! lb,n lhc Conlacro6 Lkcns Llw ,or rhc followinC renv,n (Se.?01 LJ
ausin s ond Profcsio. Cod.): Aoy Cny or Coufll, shth rcqutcs a Fmir ro onsrrud. alrc, ihptovc, dcmolish o! rcpln an,
slruclure. prior ro irs nsu0ncc. lko rcqutcs thc atrlic$l for n'ci Irrdir r. filc d sisftd farcm rh8l hc ot sh. i liccnst Pusunl
!. rhc pftrvisioo\ orrlf, C.nlBclols Licc.pd Lnw (Chnplcr 9, Connncncin8 {irh Scction 70(x) ol Diision,l oflhe Busi..s ind
Pnn ssions C dc) orlhol Ir or shc is excmpl rhcrcfrom and lhc basii ior lhe alkgcd crcnlnraon An, violnlionofsction?031.5 bt !try
aFllic.nr forrpcrnrir subjcch rhc su,licaot ro acivilpcnllrrofmr mrcrhan nve hundrcd dolles {Sr0o).
-1.
as .*n$ of thc ,)$Fny. or my cmlloyEs wilt wa8cs !s tlrt slc c'arprnernrn, will .n th. wor* Md rtr slfu h nor
i'ncdct or.ficrcd (tr ek (S.c 7(N4, Bnrie$ snd Pnrcsions C.dc: l h. conta.lol s Li.cnsc t w docs noi unnly ro u osrcr ot
rhcFmt ny who hnilc\ or inrltrows th.mr d wk' dms such mi( himrclt or hcscli or Ihnlsh his or hct ov..tploy..i,
pmridcd r hlr such inFovcmnls oE mt i.rcndcd or oflcE'd fo. s0lc lt howevcr. thr hnildins or nrqhtft kv,kl*nhD.nc,rr
ofor{,ldion. rh( Owmr BuitLr will h0r tu burdcn of provin8 rh, hc or shc did nor build or irDl,rolc fi. pmFny {or lhc J{rlnr of
-1.
!s owncrofrhc lropcny. omciclusivclrconrrlcting with liccnsd.onttr o^tu.on{n.r rhc pn!.ct (Scc.701,1- Bu\inc.\
andPrltssionCodcrThcc(,r,cr,sLiccnscL0wdocsnorarplyro0nowncroIIrlop€nywnobuildsorimrrovcsrhc.do.
and who co B.Is ld such Plojcts *irh a C.ntnclon s) ltcnsd p!6u ro rhc G).ra.t,r'\ Liccnsc Lrw).
UABTErc]!AMIENIAI1QN
IIECLAEAI]ON
I hcrcby arlirnundft Fmlrroflnjuryonc ollhc nnn,winS d(l rlion!
Ihavcod$rllm trn a Crcn r fi! dc or con{nt r. sc lr- Insun for mrkcm m'n,rcnslrion. o{ rmvidcd t r b, serioo :l?0o ol rhc
I rts Crfhr rhcI]+lro,ruKc n, thc s * I.' uhtrhrhr nfl ,nir r k\u.d
tl,rluvc Jnd *'llmainrar uo*cr' comFnsrhon rn\ursncc. as rcquncd by Secrion l7O0 ot rh. tjhor Codc. lot rh. Frlbnmnc. of
rhc *orklorwhichrhn t'crn r h i$ncd M {l\fl\ otrttF tr{'tr\ trct'.' rfrlp,lr)rlr'l'.'rga)r,tlorrl*-
teL-I
--!rnf r[nr itr rhc lEdnnmncc oI lhc *ok lbrwhichrhis p.flnir ]\ i\\ucd. t shrllnor clnpk)rrnyr.Aon in rny rn,rr
ea\ri,hccorE\uhicrrorhc"lrkcr\$mPti$rnnla*sofCrlinmir.nn.!ncrhdrillshouldbccotruijccrn'rhc
workcr\.ompcn\ariinpn,visi{,n\ofSdcrn,nlT($orrhcLihnGrlc.lrhrll.li,nh*irh.onrplywilhrln,{povnn,n\
\IARNTNC: Failurc ro surc workcn cotrpcn\{ion covcrasc is rtrlawlll. and rhtrlr.ubjcd ar cnl|lorrr ro aiminll pcmxr\ nnd
rivil itrc\ up k, oN hundr.J rhousrnd dollrtrs (Sllx).((x)). tr dirn t) rhc.ost ofconrlicns iotr, d0m8cs !s prolidcd tn rhe
l:'htr(i)dc. Dr.r.n r (lnrtn cy \ 1..\
DECIATA.III}!
I hcnby dmfln u ndcr p.Mhy of pciury rnar I am liencd undcr rovi\ion of Chatrd9lcomri.S eirh sdtion 7000) ofDivnion l
or fie au\iftsr anil Potesionr Cod., {i my lic.ne is in tull forcc ond CITNL
,7tG1k
7 L ,".&oEt^
t0NsI3!cIl(NL!;]ulN!11jIIL!
I hcmby ,lrrf, undcr Fndty of pciury rhll rhE is 0 snslruclbn tdinS agercy ror lhe ll.rfo@r. oa rh. worl for vhjch lhn Irmit t
issucd (Sec 1097. Civ C.)
AIIIICANIIIICI.dIAIION
I h6.6y,fm und.r p.nalt, ol pcrjury oN oflhc followin8 dcclualionsl
Dcn!'lirion Perdir\ A\$c{.\ Noritl.arn,n F.d.rrl Rcgularions (T lc 40. PM6)
Rcquncd ktr.rof Norifi.arion
larions rcgtrdii! aihcstx rnDlrl s. nor{plic$lc ro this pmjccr
pli.dri.n md narc rhd rhc 0hovc inlorm iotr n comcr. I rgre roompl, wirh allCiry rnd cou.ry
ion. d h.rc6y.xlhrrize rcr.scn[rnts olrhir
uhrvc rmnrioocd l)nrpcny
,\ppli.nnl or /\Aenl SianH 'DrLELa)i)7;/;'-"'"
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)
Ivleter Release
Rough
Service ltrleter
FINAL 9l),ohe i ['-(l4rr€,d,),bX )
Notes Remarks, Etc
APPROVALS
Sub-Panels
I Jmcrcmnr undcr S(rion . B. & P.C. fo' rhn Ea\o.
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