HomeMy WebLinkAbout20166717 - Permit (2)City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7 1 4) 667-2738 lnspector Section: (7 1 41 647 -5853
Electrical Permit #: 20166717
Pin #: 8,6,427
Project Address: 4509 W Sunswept Ave
Assessor'sParcel: 100421-02 Lotr 54
Unit:
Block: NA
Bldg:
Tract 2463
Address Range:
Historic: No
ry
Owner:
Address:
Diem Vu
4509 SUNSWEPT AVE
Santa Ana, CA 927031231
Phone:
Tenant Name:
01116002 51603
0'1 116002 5160C
01115002 5160:
Amount
53.28
22.08
55.04
Fee
$53.28
$22.08
$55.04
Fee Type
Serv Meter
General Plan Update
lssuance
Qty
1 .00
1 .00
1 .00
8ot,,:h+:4151? - 8/21/2418 I0: NGAR0ffi.e: CTYH TronE+l 1 1 rtAc{t+: Ref+t 2t116671
Rcpt*rr?319475 - 8/2112018 9:i9 ,Arl
Tronsai:t ion Totol $ 13tl .4r:lPhone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Owner-Builder
Di/ fi r/ r
G€n€ro1 Pl ur' tlpdote Fee
rl1 1 1,50r,1?- 51600800-
Electr i .ol
01116002- r16fi30(r0-
V isfl
Ct+: *****r***rr15653
sr
AuUh+:r11.63:2
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject lo Fieid:
Building Permit #:
Single Family Owelling
Miscellaneous
Service Meter
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notes: Upgrade. Hand out given. Auth on file.
Date:
Date:
Date:Zuniga, Allissa
Every pennit issued shall become invalid uhless the work o,l fhe site
authorized by such permil is commenced within 180 days alter its
issuance, ot if the work aulhoized on lho site by such pefinil is suspended
o( abandoned fot a period of 180 days after the tine the wod< i6
cofimenced.
o8121t2018
Account#
lnspector MID#: 2018-145533
0'1 1'16002 51600
01 116002 51603
$22.08
$108.32
Fee Total
Paid to Date;
Balance Oue
Suite Range:
Zoning: Rl
Contractor:
Address:
$130.40
$0.00
$130.40
ry
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
OWNER BUII,DER OELCARATION
I hcrcby afltn undcr pcnahy of FrJUry th.t I m cxcmpt fio rlr Cofta.ro6 Lic..sc tiw lor rhc lolbwin8 rcasn (Scc.7o-l 1.5
Busin.s lnd Pmlession Codc): Any Ciry or Couly whicn i.quircs . Fxnil lo con(rud. 0llo. i nrorq dcnDlhh or rclon lny
$ru.rur.. pri, b ni hs&kc, dso rqun.rrh. rlplicur Io, such pcnnirb filea \i-s.cd {arcftnr rhat h..r shc L li.cnscd pu*omrr
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lrrpliconr lor! pcrmit subjsls rhe opplica ro acivilFcn,xyor.or nrrcrhatr rivc hundrcd dollarc I Ssm).
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rhcprcIlcny who hurl.Ls or i.DroEs IhcNn. ntrd stu, des $rh so* hnnsclr or h$scll .r lhrouBh hn or h.r own cnDloyces.
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-1.
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lnd {ho conrachforru.hpmjcdswirhtrContac!)(s)lic.n*lputrurDrhthcC{n rmlor's Liccns lis )
I rnrcrcmd undcrSc.riM;" ,81a 14
D&CLIAd]IAN
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I harc al ,ill nuinruin o Ccnilicarc ol Con\cnr loScll-lnsuro rdr sortd f comncnsorion. as prcvidcd ntr by SE.'rion:r7(I) olih.
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pcrtonnrn.c or
rhc *ork f{n *hici rhisli.rnrir is n{cd Mv*orkcr'conrp.trr.tion nNurrocc crnicr ml policy numbcr @:
Poli.yNumhcr:-
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. otr. hufdftl !hou\xn,l (lollrr\ (Slolr mtcNnrion. dlnugcs !r nroviddd ntr ih.
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I hcEby rmnn und pdnnlty of pcrjuiy rhr( I am li..n{d rndcr pmvi\n r of Chrrrd 9 l connrn.in! wnh S..th 70UD ol Dn ni l
of rh. Busin ssdnd Pn,f.\in BCodc.od Fy liccne i\ in liillli)r.! url ctr(r
Dsler corlrrcto.:
CONSTRUCT(IN T FNDIN(; AGI-NCY
I h.rcby affirm undcr lEmlryofpcrjuryrhai rhsc n a.-ndrucli,n lcndin3 olcncy ftrrhc pcrfofl,Encc ofrhc qork lor whkh rhn p.nnir is
nsu.d (Scc.109?. Civ C ).
APII.ICANTDDIIABAIION
I rrE+,y dfum urder penalty o, Frjury orc oilhc hllowins dcclorarions:
D€mlition Pcrmirs-Ashcnos Nolilication ftdcral Rcauhtions fillc,10. Pon6)
-Rcquncd
Letrcr of N.rificorhn
I ccdii) rhar rtc icd.rnlrcEUlnrionr rcgrdin8 ashcsros
I(c'r'4 'hJrIr$, n'rJ rl\Jffl'. rntrJhl{rh'rl' rhc
rcnDralnrc nor lPplicablc io rhispmjccr.
rtxrc inr{rn*rnnr's.orc.r I ll8hroo'nply
xl hcrcl'y aurh{rik rcp'.\c rnrivesorrhkCntfrditun.cs md sl rc Lrw\ rchrinS
rhn. nf,nriinrri I,oPcnvtrtr
'\lpli(nnl or \!onr Si!tr,lurc
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
To rquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
It4eter Release
Rou gh
Service lvleler I r L- t,c
FINAL L Nlt'l'o .,F,zv
Notes Remarks, Etc
EA
D
D.te:
rtrd Crutrl!r,.trro uD!r rltr
ELECTRICAL-INSPECTOR RECORD
Transformers
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