HomeMy WebLinkAbout20272600 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
PermitCounter (714)647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 20272600
Pin #: 3776,4
Project Address: 1433 S Maole St Unit:
Block: NA
Bldg:
Tract: 266
Address Range:
Historic: No
Suite Range:
Zoning: RiAssessor'sParcel 014-041-09
Owner:
Address:
Gerardo Camacho
1433 Maple St
Santa Ana, CA 927071810
17'l4l904-2807
Fee Type Amount
Demolition (includes ren 52.21
General Plan Update 23.79
lssuance 59.30
lvlicrofilm Records 4.05
Qty
1.00
1.00
1.00
1.00
Fee
552.21
$23.79
$59.30
$4.05
Phone:
Tenant Name:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier;
Policy #:
Expires:
Building Use:
Job Type:
Nalure of Work
Single Family Dwelling
Alteration
N/V Demo & Windows
Occupancy:
Constr Type:
Codel
R.3, U
VB
cEc 2019 Notes. Legalize window change out-same size, same
style/demo (2) patao covers
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Hernandez, Kathy
102',t05682
Date
Date
Date 01119t2021
Account#
lvlisc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permtt issuecl sha become invalid unless lhe work on the site
authoized by such permt ts commenced wilhin360 days after its
issuance, ot if the wot* authorized on the site by such pemit is suspended
or abandoned fot a peiod c1360 days after the time the wo* is
commenced
$139.35
$0.00
$139.35
lnspector
01 1 16002 51600
0'1 '1 16002 51603
01116002 57770
$23.79
$1 1 1.5'
$4.05
Fee Total
Paid to Date:
Balance Oue:
Lot 9
Conlractor:
Address:
01116002 51603
01116002 5160C
01 116002 5160:
01'116002 5777C
l9
1 1-4r l
MID#: 2020-162858
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDER DELCARATION
I h.rcby afftrm und.r p.nllly of Frjuly lhtrl I dn cx.qrt liom ltc Co.rructou Ltcnc Law nn lhc fdlloein3 reo$n (S.c7031.5
Busnrcs and P.ofc$ion Codc): Any City or Counly lhich caltcs a p(dil io con{fl.r, ,hd. improvc. domlish or EFr lny
dtucrurc. IJr r. irs isrrfte, rl$ rcqun q thc,fi,ltanr ror cuch IBm[ ro Iih c siBmd st{tcnrnt lh8l lEor sh€ is liccnEd punumt
ro lhc Fovhions ot rtE Conrracrois Licensd Liw (Chrfl.r 9, Commcncin8 witb ssrion 70u) of oivision 3 of rrE Busim$ and
Porcsions codc) or rhar tEor shc is.xcmpr rhcrcliom ond thc&sh fot lh. ullqcdcxcmflion. A.y violario.ofs&rion?0:ll5 byany
lpplicunr f{tr upcrmir suhJecrs rhc rnplica.rbacivilpcnaxyor.ormrcrhanllv.hundr.ddollris(5500).
l. as ouncr of rhc lrrotcny. .r nry cnrtloltcs *irh s!3c\ as rh.ir {,lc .odPtnsdnrn. sill do th. wott drd rhc suru. ( mt
i' r [a] or oflcmd nr eh (Sm 7(X.4. arsitus dd l\ofc$nrN C.dd: Thc Conra.kr's Li(cnrc tr* does nol qrDly to an owftr oi
rhc tmFny wtx' hnink or i'nprcvcs rltEn,. rxl who dm\ such w,rl him{llor hcr{lfur rhn,u8h hi! or h.r o*.cn{k)yccs,
provilcdrhrr ru.h impmwrm sGrDt imd'lalolrltrcd lor slk l( howcEL rlE triuing or nrymEftm i\skl wirhino't rtr
ol co'qrLrin. rh. Owmr Bxild.r w l hlk rtr hordcn of JhvinB rhnr tE o. shc dil ml toild or inpmlc th. pmFny for llE purIrs of
l. $ owncr oi rhc pmr.ny. am cxclurircly conrructins sirh licen*t conrru.!.r t, on{fl.r rhc prcFr l s.. 704.1, ausnrc$
a l lifssbn Cod.: ThcConrr.ror's Li.rnsc Lawdocs frn rrl,ly ro an owncr of !rcJlcny who huildsor imtrovcs rhcron.
lnd who conrmrs lor such rmj.rls wi'h a Conr.acro(s) liccnscd po^unm t, rh. Conh.roas Li...sc b*).
DDCIAXAIIA!
I hcrcby rfilrnundcr NMlry.l p.rjury onc olrhc knbwlll8 dccll.xion\
_l harc d w,llrMinrain. ccdifralc ofConsctrl ro Sclf.lnsurc tor workcG onrycrstjon. as Imvidcd forhySecrn,n:lT0Ooflhc
tjk r C{)dc, tirr rhc ,.rfornun c .f rhc *ofk f.r whi.h th. p..mn is ksucn
_l havc rnd uillnrinhin workd^ .onp.nsarion inrutun.c,.s Ntuncd bySccrionlTO0nil& Libor Codc.lor lh. rc orronccof
rhc work a{tr whirh rhr Frnrir i\ nskd My*ork.h co.qEnsarion rnsumnc.fftr n p.[cy numh.r dc
I ccnilylhrrin rhc pcrrb unccoIlhc'orkturhichrhnFnniri\k\ucd,Ishrllnotcn\ployinyI.*oninrnyn'Mmr
$ us h hc(nm subjcd t, rhc sorkc^' comp. n\srn,n h*s of C.librnir. and +mc lhil if I should hccom subj.rt lo th.
workc^.o'nptn\rrionpmvNi{,n\ofSL{ri,,nl7(x)ofthctjborCodc.lshrll.lonhqirhc.nrllywilhthoEpmvisn'ns..
WARNING roilurc lo scurc work$s' conDcnsdion covcr4c i\ unhrlul. !n shull suhicr rn.nrlo)tr rd diminalrrtulrts rnd
civil lincs up b onc hundrcd thousmd dollar (ll(Xl. X)1. in ddirn,n h rh..oi of co'nFnsiliotr. danu3.s !s lrovidcd for rh.6'Sccrio.1076 dfrhc Uborca c, i'tcrc( md r(ormy s fc\.
7
DECIJMIION
I hcEby af6rn unncr pcnahy oipcrjury thll I !m [en*d utrdcr pmvhion olChllrq 9 (commrcins qirh Sccrbn ?000) ofDieiion:]
ul rh. Busincs Md P,Dfc$ions Codc. {i my lkcnsc is in tull f.rcc un cfir..t.
CONiiIf,U(IIONIENDIIIIGENCI
I hcrby amrm undfi pcnalry df l.rnry rhu rhcE a.onntu.ri.n lcndine aB.ncy fo.lhc p.rform a of rnc wort for whih lht lrrmit is
hsucd (Sa.:1097, Civ C )
L(ndc ' NJn(
-
AIIUCANfDECI.dAAIIAN
I hdEt'y ntinn undd p.nrlry orp.rury otu otrtu aollowi.s dNlurtn n\l
O.mlition Pcrmih-Ashcnos Norificdirn Fcdcrd RcSulriiotrs (Tnt 40. Pun6)
Rcquncd btrcr of Norificaio.
I.cnilyrhJrrh.Ld.rrr.gulrrtr,n\r.!idn,!J\h({ovrnn)lrlrrc,Irft)li.xblcbrhi\|m]_.r
_l.cnirirhd I hrvc rcrd rhis.t'd{[otruld rcrhd l}E.hor inlhm ionisc.trccr Lsre h oryly wirh rll Cir] and Counry
onlinan.cs and Slitc L2ws Elaling lo buildirS conslfl clion.
rhrvr mnriomd ptup.dt for insr..rnn
,\t,t,lir lor,\,tr lSix.rlu
aurhoriz. rcprc\cnrarivc\,'frhi\ Cir, and Codnryh cnrcr uF'n rhc
Site-Work
Underground
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Itleter Release
Rouqh
Service ltrleter
7 -tr- 2t *arf.l2
Notes, Remarks, Etc
Rnv 08 07 2015
COMMENTS
Pole Bases
FINAL
._l Jmcrc'nnr Lndfl s*'on-. B a P.C.lorrhs r.rsq, t;"
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WbR{EiascoMiENsATroN'
Conl*lor:
Lrn'lc' .i A'lilrs
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