HomeMy WebLinkAbout20135130 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738
Electrical permit #= 2Ol 35{30
lnspector's Section: (714) 647-58* fu
TProject Address: 2206 S Oak St
Assessor's Parcel: 016-101-03 Lot: POR 1
Suite:
Block: J
Bldg:
Tract: 668
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
German R Velasco
2206 Oak St
Santa Ana, CA 927072925
(7141 432-8712
Fee Type
Res Rewire
lssuance
Notes
Fee Total:
Paid to Date:
Balance Due:
Amount
0.06
34.00
Qty
1,218.00
1 .00
Fee
$73.08
$34.00
$107.08
$0.00
$107.08
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Gonditions:
Single Family Dwelling
Alteration
Rewiring
at
Occupancy:
Constr Type:
Code:
R-3
V.N
cEc 2004
Planning Approval By: Date: Misc. Receipt:
Plan Checked By: VV Date: Misc. Receipt:
Permit lssued By: Verduz6o, Viot"t y* Date: lOtOzt2OOG Misc. Receipt:
Subject to Field
Building Permit
This permit shall expire by limitation and become null and void if the wo* authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wotu authorized by this
permit ls suspended or abandoned at any time afterthe work is commenced for a peiod of 180 days.
Beforc such work can be tecommenced, a new permit shall be first obtained fo do so.
Account #: 01 1-01-5913 Inspector MID#: 2006-72455
)
ELECTRICAL.I N SPECTO R RECORD
Ro h
Service Meter
FINAL
Remarks, Etc.
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bonding / Grounding I UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
a/r19/o>4f%'/
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q@l 2L DfJ*+<,9
Ouaa-Buikla Doclmtio
I hq.hy 16r ulds poelry of pqjuy thc I u mpt Sr tts Contrrrton' Liw I:w 6r thc bllowing uhr (s.7031.5 BurirF$
ud Profcsior Cor,c): Aly City u Couty which rcquis a pcnit o outnrcq dta, inprcvg dolirh or rtprh uy !tn(frr!, ptior ro ft!
issuancg also rcquircs ltc applicet for $c.h pmit to filc I si8lcd stlt e6t that hc or shr is liccarcd pursuut o rho pmviriou of thc
Contsactor'! Li€E d kw (Chapta 9, CoaEcrciog vi& Sction 7000 of Divisior 3 of thc Buire ud Proftssiou Co<te) or thet hc c
shc is dcEpt thsc&om udthc buis 6rtbc rllcgcd aoptior:{[yviolatbu of Soctiou703l.5 by uyrpplicut &rrpmit mbjeu tha
rpplicet to r civil poalty ofEot Eorc thla ivc hudrcd doUars (3500).
_I, a omq of thc !rcpdty, or oy coplole vith wag6 a th ir dc oupasatioa, will & tho m* ud tho rtnrare ir mt inodcd
orof@d fors& ( Se.?044, Buiru udProfssior Co&: ThcCmtrr.to'sLic@hw do6DtrpplyioeowEofth.popqty
who buildr 6 iEproE lhmo, rod who dc suc,h srt hiE&lf G hcclfortbrcughLir or ha om @pblB, gwidcd that ruch
improv@aB [c mt iiladrd or ofr@d for sl,a It howaa, tbc Nlding or inpovmt is rcld withia onc ]acr of coEplaioD, thc
Omcr-Buildq will havc thc burdo of provirg thlt h. or rbc Dot htild u inprovc br thc purporc of s&).
_I, u ow of thc prcpcrty, u crclurivcly oatracilS with liccotcd coltr.toB to oatruct th. Fojet ( Se. 70,14, Buias ed
Prcfsion Co&; ltc Coarndor's Lic@ IJw do6 rot apply to e owE of Fopsty wDo bBilds or iEproE tbEo! , Ed wto
I conracts for such projccts with a Contractor(s) liccoscd punruatrt to the Contractor's Liccosc Law.).
I
|
-f
aE qx,eopt uod€r Scctiou 8. & P.C for this r,easotr.
r-
I o"",*lc-2-O 6 o","46r, ymo z R. le /eSCa
I
I WORKERS COMPEI{SATION pECLARATION
I I hcrcby affirn rrndcr peoaltyofpcrjrry onc of thc followiag dcclaratioos:
I bvc ad will maiutain r CEtifigtc of Cou@t to ScU-Ire fn wrtE!' oEpcllltioa, sr prcvidod frr by Sctiol 3700 of th.
hbor Codc, br th3 pafomracc of tbc work for which thc pmi! is ilsucd.
I havc rod will uitaia workcs' conpcasaion iwc, a requircd by Setion 3700 of thc hbor Codc 6r thc pcrbmcc ofttc
m* forwhi<tthis pmit ir imorl MymrLc' oopa;rtion iurmcc crria adpdicymba m:
l-qrrie+.
PolicyNuba: Expts: _
Crhirietioa dtor)-
I catify tt.t iE thc pcrbmrocc of thc wort 6r which thir pmit is isuo4 I shlll Dot @pby ray pcrroa in ray nrDg ro u to
bcre nbjct o thc wrlqs ' oopcurtior lawr of Crlifon[ ud agrco that if I sbould bcorc rubjc.S to 6r vmstas'
onpcoruioa provisios of Sccrion 3700 of thc hbor Codg I .Lrll, forthvith ooply with tho* provirbu..
o".*ic-2'- o 6 mu^,t €,e'vne," 8.Lle)aS Ca
WARNING: FEilur to scorc worlss' conpcor*ioa covagc ir uLwfirl, rod rhdl subjccr I GoploF b ciniul pcultic ad civil
fiG up to oe hDdrcd thoueddoll8 (S100,000),inadditiontothc o* of cooposatioa, ,t.-.gs !rprcvidcd brtho Scrbn3O6 of
tLc Lrbor CodC iltcct aod rumcy'r fe.
LICENSED CONI?ACNORS DECIIIRATION
I h6cbyrfrm uldElraelty ofpcjwyttat I ulicased udaprevirbaof ChaptE 9 (coEeing witb Sccio 7000) of Divirion3 of
thsBuins&dEo&ssior Codc, edoytic@ir infilll fore rdcffcct
Li@c Cla:_Lic@NuDba_
Datc: CoDtractor:
CONSTRUCTION LENDING AGENCY
of pcrjury that thcrc is a construction lcnding agcocy for the pcrforoancc of thc work for which this pcrmit is
[.cuder's ^ ) -t--
APPLICANT'S DECI.ARATION
Dcoolitioa Pcmis-Asbcstor NotiEoarbn Fc&nl Reuhtiu Clltlc 40, Put 6)
_ Rlquircd L.tta ofNotificatioa
I cc,li&tbrt tbc edalrqubtioE rqrrdir8 rsbcmsrevd rrcrct ryplieblcto thi! pmjct.
_I cati! that Ilevcrcad thir rpp[catiol ud ttdort'.tthr lborc i!6rlti6 ir orrcre Irgreto cooplyvith dl CityEd Coulty
odiM &d Stltc Ls rclatiry to hildiry oEtruc&q rod tst.by aut[orizo rtpsatatie of &ir City rld Couoty to ans upo! rto
rbovc Bcdiolcd pcopaty for iaspcaba purposcs.
Applicant or agcot
Pmittcrec(pric):
-lnspection
,
3097,Civ. C.).