HomeMy WebLinkAbout20168060 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (7'l 41 667 -27 38 l nspector Section: (71 4) 647-5853
Electrical Permit #: 2Ol68060
Pin #: 59889
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 3510 112 W Fifth St Unit:
Block: NAAssessor'sParcel: 19A-24140 Lot: 4
Bldg:
Tract: 669
Address Range:
Historic: No
Suite Range:
Zoning: SP2
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
920 N Grand Ave LLC
190 W 3rd St
Santa Ana, CA 92701
(714) 393-8001
Owner-Builder
Fee Type
01116002 5160: New Res
01116002 5160: Serv Meter
01116002 5160C General Plan Update
01116002 5160: lssuance
Amount
o.14
53.28
22.O8
55.04
Fee
$107.52
$53.28
$22.08
$55 04
Qty
768.00
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Bot.ch+:4849[r - 2/21/2(Jl9 I0: CCUELLAFT
offic€: CTYH Trons*: 67 ? ol ?
Acr: tl I Ref+. 2t:tl6$r:r60
ftrpt+:02534961 - 7/21/19t9 11:'ig An
TrunsscL ion To[o1 $ ltitr 0St]i. ?$
9?ft N Glond Ave LLC
6enerol Plon Updote Fe€
0l 1 160112- !16rlr-ltr[tl-
fl ectr i col
t t1 I 160rJ2- 5 160.itllill-r-
ICL. i:heck 9219
5?2. r:r$
$215. 94
gtr r r-,3r,.1g
Building Use;
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
New
New attached ADU
Zuniga, Allissa
10197796
te:
te:V,'02t25t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Occupancy:
Constr Type
Code:
Every petmit issued shall become invalid unless the wo* on lhe sile
authorized by such permit is cornmenced within180 days aftar its
issuance, ot if the work authorized on the site by such permit is suspended
or abancloned for a perlod of 180 days after the time lhe wo* is
commenced
$22.08
$215.84
lnspector MID#: 2018-146352
011 16002 51600
011 16002 51603
$237 .92
$0.00
$237.92
c
R-3
VB
cEc 2016
Planning Conditions:
Notes:
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundinq / UFER
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilin gs (T-Bar Rough)
Meter Release
Rough
Service Meter ,D)
Y-->t\^/\?)FINAL 4141".a 1 v
Notes, Remarks, Etc at
OWNER BUILI'ER DET,CARATION
I hs.by amm undd Fnalry oa pcrjury rhar I d dcefl fron th. Conrrdoc' Lic.ne bs aor rh. followinS r.ae; (S( 7Ol1.5'
Busin$s ,.d Prof*ion Code): An, Ciry or Coudy which r.qun6 a pemn ro codru.l. allr. improve ddolnh or r+atr e)
shdu., Fio. ro nr isumc€, also ..qon6 th. applicd ao. sucn Fmir lo fl. a sisncd sldqd rn8r tE or shc ir licft.d Nr$sr
lo thc provisions of lh. Conra.tol. Licened lrv (Chaptd 9, Conm.ncins snh Smiio. 7000 oaDivision I ofth€ BBio6s od
PBtsioN Cod.) or rhar h. or shc i! crcmpt thr.arom and thc bsis for rhc alles.d ermflion. Any vidario. ol Scdion 701 1.5 b, ey
applic&rr.rapmnitsubjdlsthcapplic&rlo6civilp€nalryofnot6orcrhtu6v.hun&eddolltrs($s00).
1.6 oqno oathcproFrty. or my.'nploy6 rilh was6 6 thcn $b.onrpGaion. will do fi. work od th. shclm i! mt
inrd&j or oflk€d lor elc (Sd.?04,1, Busi.< ed Prol*io6 Cod. Th. Conlr0ctol s Licms. ks do6 nol apply to d om6 ot
rh. pmpeny *ho builde or inprovB tlE6n. $d wh. dG $ch Kdr himself or h.Mlf or lhmush his or h6 oM .dploye6.
prorid.n rh.r 3uch imFovmb e. m( inrqrd.d or orard 6,eL.l[ ho!6 d. th. h{ikina or inp.ovmr G sU witliuon }Br
ofooplcrioo. th. (rnq Buiird will hlr lh. hirdo ofFoiins rhar h. or sh. dd nor tnild or inpro\. th. FoFry for lh. RrF F of
I. a ovnd ofrhc Fopdr. tun .rclGi!.1, co.lracti.g silh licns.d contrclou to onnrud lhe pro.j.cl (56. 7044, BNds
dd lrofsion Cod.: Th€ contractofs Lic.ns. Law do6 nor apply to d otrnr olprcpdy s'ho buil& or inprovcs lfiqan.
ed sho .obt.crslorsu.h wnh a Co mdo(,licffie{ pursumr to rh. Co.tracrors Licosc l,ew).
I h.r.by amrm utrdn pcnrliyotpajuryo..of rh. lollorving d(lrarions
-l
h.v. dd *ill @inrain a Cfiincd. of Consr lo sell lBure for Nork.B conp..sarion, 6 Fovidcd for by Serio. 1700 ol rh.
Llbor C6dc, lor lhc pdfomdc. ol rh. *orl lor which lhc pqnn is isu.i.
-l halcand will maintain uorteG comr.nsalion iNurance. s rcqun.d by s(rion 1700 oarh. tnbor Cod..lor thc psfomscc ol
lhc \ork ior Nhich this pmil is issu.d. My $orkc( comlENlion iNurance canid dd poli.y nunbd d.l
_l.edifyrhar inrhcpdaonnadccofrhc work lor shi.hrhis!s.rn is issud.l shollnor cmployanyp{6on in an} mdnd
s s lo become subjGr ro Ihe work6' comoe.sar ion laws ol Califomia, ad arc. rhal if I should b..o,n€ subl(l to lhe
Norks'conrpmsolio.provsionsolS€ctionl?00oftheL.borCode.ldtrll,fonhuilhconply$ithrhosprcvisions..
WARNINO F.ilurc to suc $0116 oipdaldn cor@sc it u.l,sful, md shrll subjcd m cnplorq lo siminal Fuhi6 dd
r. on. hundr.i thou$d doll&s ($l ion. d.trnBd 6 providdt fo, rh.
I hd.by alltrh undd pc.ahy ol pcrjury lh6l I m licos.d ondtr provision oichaprq 9 (connocins s,ilh Sdtion 7000) olDilhion l
ol th. a*i.6 ed PofeioN Cod., ed my licm. t in tull for.c md €lIdl
callralJcrlaNr[lDllslc[!.sr
I h6.hy .rrm onds Fnahy ol ptrjury lh.l th6. is . oisrruciior kndin8 ag6cy lor rhc p6fom&cc of lh. work for which thie pdmit is
i$ucd (Sd.1097. Civ. C.).
ATTLICANLDECI,A&IIIA!
I h.ant .Iim utuid poah, . t p€rju, on. of the followin8 delmrions:
Denohioo Pd'n s Asberos Nolifi.alion F.daal R.ru larions (rhl. ,r0, Pd6)
R.lluircd L.n$ ol Norificd ir.
-l
c61ity rhar th€ Ld6al rcsularioN Esedi.g 6b6los rnovd Ec .or epli.rbl. {o lhis polsr
I c€liry lhd I h.Erad rhis.pplicarion dd store that lhcabovc inlomarion t cotrd. ! alrd roconply*nh sllCilya Counly
ordinancs ed sbtc tjNs Rhtins ro ildins consrrud ion. ad hseby aulhortt rqr.shi6 of rhh Cn, da
,hvc m.lrioncd pror.n, aor
Aplli.ini or a[.nr Sif iru
z b-v c7.n
I
COMMENTS
Under Slab / Floor
Transformers
Lic6. Cl.s:-Licdc Nunbd:
-
D.t.: Co!tr..to.l
Lend.r ! Addr6