HomeMy WebLinkAbout20170622 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2lJ17(Jli,22
Pin #: 6378\i
Project Address: 1418 W Elder Ave
Assessor'sParcel:'109-276-08 Lot: 74
Unit:
Block: NA
Bldg:
Tract: 1574
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Phone.
Tenant Name
Contractor
Address:
Andy Dang
5712 Ocean Vista
Huntington Beach, cA 92548
(7141724-0256
Owner-Builder
01 116002 51603
01 1 16002 51600
0'1 116002 51603
01116002 57770
Fee
$50.36
$22.9s
$57.20
$3.91
Fee Type Amount
Demolition (includes ren 50.36
General Plan Update 22.95
lssuance 57.20
Microfllm Records 3.91
Qry
1.00
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #r
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Planning Conditions:
Planning Approval By Date
Date
DateAmsden, Julie
Buildins Permit #: 1 01 102883
Every pemit issued sha become invalid unless the wo* on lhe site
authorized by such permlt is cgmmenced within360 days aftet its
issuance, or if the work authoized on the sile by such permtt is suspended
or abandoned for a penod of 360 days aftet the lime lhe wo* is
commenced.
0111712020
Account#
Bo[chi:53959 - l/17/2020 l0: C(:UELLAft
0ffice! (TYH Trnns+: 51 ? cll" 3
A,:cti I Rel+3 2ti1711622
Rcall.g2867127 - l/17/2nm 4118 Pn
Tran sact ion Totol $496.1:r?
;indv Dcns
Genernl Plon Updgte Fee $1!.11:;
0l1161102- 5160url0u -
Electr icql $1tr7,:.,6
0l I t6002- 5160stt0r:r-
n icrol i li & OocurentE $5,?1
r.r1 I l6r.1U2- 5777000t1-
Ilaster Card $1'g{i, r:r,
CC+:r*x***x*r*i*5492 Auth + | r.r73?r-U
Electrical for pool demo. *'*PERMIT SHALL NOT BE
FINALED UNTIL ALL N'V PERMITS HAVE BEEN
FINALED-*
Building Use:
Job Type:
Nature of Work
R-3, U
VB
cEc 2019
Single Family Dwelling
Alteration
Pool demo
Notes
lvlisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
$22.95
$107.s6
$3.91
lnspector MID#: 20'19-155420
01 1 16002 51600
01116002 51603
01116002 57770
Fee Total:
Paid to Date:
Balance Due
Occupancy:
Constr Type:
Code:
$134 42
$0.00
$134.42
Plan Checked By.
Permit lssued By:
Subject to Field:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter
\z*mt ^*ylFINALIaau)
Notes, Remarks, Etc.I lrt
't42 t L,,
OWNER BUILDIiIt DET,CARATION
I h6chy amm nndo p6all, oi pdjuy thal I m €xcmpl 60r. lhc Contadots Licds. tjw tor ln. bllowin8 t.en (5*.701 L5
Busin6s d Prof6ion Codc): Any Cny or Condy which t.qunB a pqmit lo coNtrucl, ald, inprcvc ddolish or r.?an ey
slru.ruc. ro ro iis i$uecc also rcqun6lhc applicsl tor such !6nil lo nl. a sig..d slalmcnt lhar h€ or slt is licmai pdlaln
ro rhc polisio6 ofrh. Conr.crols Licenscd Law (Chapld 9. Comdcing silh S6lion 70t0 ol Division 3 ofrhe BBii6 dd
Pioae$ioN Codc) or rhal h. or sh. is .x€lnpl rh6c&o6 dd $e ba3G fo. rh. allcS.d dmprion. Any violalion olsalion 70115 by ey
ffi
lor . pcnni sobjda th. applicmr 1o . civil peMhy of nol oo.. $e 6!. hundrql dollss ($J00)
o*.q ofrh. popcny, or ny mplor€B vilh was6 s Ihd elc compmslion, wil do th€ votk dul lhe nruc1@ is nol
o, olfd.d io. sL (Sa ?044, Busind dd ProfsioN Cod.: Th. Co rlcroas LiccN tiw do6 rol apply lo & owna of
thcpmpgly vho t!il& or inrrov6 $qeq ed who dos su.h md{ hnnkllor h.elt or lhroush his or ho.M mlloyee,
piovidcd thd srch tnpr.vosns m ml i srd.d or o,I6sl ro, sk Ii ho*da. d. hlilding o. imD.olcmnl is $ld withu on. ,€r
olconpldiorl $c oMd Bdld6 sill hirc th. brudd ofprovi.s lh, hc o. sn did @r toild or i,4mrc lnc pmpcly for th. purFFof
l. 6 oEoa ofih. prcpsly, d dclBiv.ly .ont5din! wnh LcaE d contradou
'o
coEtrucl rh. projd' (
and ltofBsionCode: The Contaddrs Li.cnsc La*t applylo oNnq ofprop.ny who builds
ic6ed pu4udi to lh. Contraclois LicaFa.d who conhcls for sch Fljds wilh a ConlEcl
DECIJSAIIA!
I h@b, .mm undd p.nalty ofpgjury orc oflh. followins dc.ldloB:
-- l hav. ud will hainrain a Ccnincalc oaconsl to S.lf-rNurc aor work6 coftpftdion, 4 provid.d aor by Setion 1700 of th.
tibor Codc, for lh. pqfomdft oarnc wo.t aor which lh. pqflit is isucd.
I hsvc ed wiu mainrain vorlds. comp.sarion iB@oce, 6 rcqun.d by Selion 1700 oflh. tabo, Cod.. for $. pdfomo.. of
tn work aor which liis D6nh is iss!€d. My wort6 .oip.n alion i$umc. trid ald policy .uebd e:
Fx.iE
Akcdib rhar '. rh. pdro',nan(. or, h. $ ork ror $ h rh rhis p.mir is bucd, I rlBll no{ mploy sny p6sn m ay ndn6
rcaor k b h.{dn. subjci 1o rhc u 0116' compsd rcn hws of caliaomia. od aere that ir I snouE b€com. subjer ro rhc
*0116' co,npoelionpmv*ios ofs€clion 1700oflh. tjbor Cod€.I slEll. lonhwilh comrly wi
\lAIiNINC li.ilur 10 *onc N!'k.'s corlncDsaritnr
.ivil frcs up lo on€ fiu.d,e! lhousd doll4 {51
ode inrcrBr qnd arbmey s
p!g.6nArlo!
I h@by .mm ufldd Foally of pqjury tha I d ti.@s.d uid6 plviion orchaplq 9 (@mdcing with Scrb. 7000) of Divirion l
ol lh. BEirs sd PmfsioB Codc, dd my licm. B in tull forc. dd .r€I
CANI:IBSCUONJ,BUIC.ACENCI
I n@by aIIm udr F .hy of pqjury thar !h6. is a @i$ruc1ion knding .86cy for lhc pdlome.c ofth. wtk for *tich lhi! Ff,ir i!
issucd (s* 109?, Civ. C.).
ASIUfANI"DICI.AIAI,IO!
I hdrl',arm urd€r p.f,alry ofpqjury on oflhc lollowios dcle.rionsl
Dcnolirion P(mirs-Arbdos Notification l'cd6al RcBulations (Titlc 40, Pai6)
Rcqut€d L€rl6 of Noificarion
I cdiry Ihar rhc fcddal ,c.!!latioa r.sddrn8 sbdlos
lomation is coret. I asre lo cotoply*irh all Cirymd Coum,
rqrBmralive of this Cily and
ab.vc m6rion.d propny aor
Aptlici lor Atcnl Si[nrtrro /)4
Air Conditioners
Li€d.Cla:-
D.t.:
I tr.nsc NLmbo:
ku:1Dv
not applicdblc ro rhis projdl
Rev.08-07-2015