HomeMy WebLinkAbout20167264 - Permit (2)..+
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Cenler Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 201672G,4
Pin #: 64526
l nspection Req uests: (7 1 41 667 -27 38 l nspeclor Section: (7 1 4) 647 -5853
Project Address: 2501 W Strawberry Ln Unit:
Block: NA
Btdg:
Tract: l35l
Suite Range:
Zoning: R1
q
AssessoasParcel: 101-122-19 Lot: 54
Owner:
Address
Cai Van Khiem
2501 W Strawberry Ln
Santa Ana, CA 92706
(310) 570-7856
Fee Type
011 16002 5'1603 Serv Meter
011 16002 51600 General Plan Update
01'1 16002 51603 lssuance
Amount
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$53.28
$22.08
$55.04Phone:
Tenant Name
Contractor
Address:
Owner-Builder Bqtchi:{6620 - 10/26,,2rr1S Itir l-R0SALEoffice: CTYH Tponsi: ly 1 o,' 1Acct+: Rel+: :ir.rl6723,l
RcDt9:0?,t?0769 - lttl?A/?fi19 itr43 AII
Tronsact ion Totol *l {r,r.4r:r
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Co i Uon l(h ien
6enerol Plon Updote Fee
01116t102- 5l/900000-
Fl ect r icnl
01 1 1.5002 - 51603000-
VisB
CC:: rlrrrrr *rr*i l6[5
dl fig 'r'
$ 13(r . 4l
Auth+rrl3779D
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service meter
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016 Notes: Handout glven. Per Notice to Correct
Planning Conditions:
Planning Approval By Date
Date
Date
Misc. Receipt:
Misc. Receiptl
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
m sden, Julie 10t26t2014
Account#
0194821 $22.O8
$108.32
$130.40
$0.00
$130.40
Every permit issued shall become invalid unless lhe work or, the sile
authorized by such pemit is commenced withinl80 days aftet its
issuance, ot if the wo* authoized on the sito by such pemit is susponded
or abandoned fot a peiod of 1 80 days after the tine the wo* is
commenced.
lnspector MID#: 2017-137474
01 't '16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due:
Address Range:
Historic: No
ELECTRICAL-INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage )
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Air Conditioners
Roof Top Equipment )
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service [Veter it{r'18 .za-C A 7
l-S.nrtr:rrFINALt,l l2-Sl'1 'D)
Notes, Remarks, Etc.\u
OWNER BTIILDER DEI,CAIIATION
I h6cby o,Irm und6 r,6.hy of p.iury lhal I d.\cmfl film lhc ConlrtctoB Liccn* Llw lbt th. follovin8 r.en lS(.?011.5
Busin6s d lrof6ion Codc): Any Cry or Counly {hich Equn6 a F il to .onsrucl, a1t6, inpor., d€trolirh or EP.t my
srrucruc, prtu ro its tssuu<., abo r.qun6 rh. srpli.d lor such Fflnil ro fil€ a s'sn d st.lddl ihd h. or lhc is lic.lM' pEu t
ro rhc provisn'ns ot rlE Conticrors Li..nsd Lrw (Chaflo 9. comnm.ing wilfi Sdlion TOI]O of DivBion I oalhc ssins aild
Ptua6ions cddc) or thal h. or shc i!.x.mpi thdcFon md th. b6it tur thc rllcs.d dalFion. Ary violation olSErF. T0ll 5 by any
.pplico ror a Fntril subjels lh. applicanl to 6 .!vil pc@hy ot nol norc the nv. hun&cd dolles ($t00).
l. s o* ns ofrhe propdry. o. ny @plotd wnh *a!6 s rh.t $lc compsBation. sill do tlE worl md lh. srnxluc b ml
i ad.d or ofia.i aor 3rl. (Se 704,1, Buins d PNfBioN Codq l hc Co.lr.clois Lic.M La* doB ml apply lo u oMq of
rh. pmt<y uho toil6 or imFD!6 rh@q &d vrb do6 such *orl hifl*lf or h*lf ot threush his o' hd om mploy.6.
provddl thar such nnpmloE sNnoli ald.d orofiqld for sL lf. how6d, rh.bildinA ot imFov.'ml is $ld eihin on. ra
ol@nrpldt,n, lhc Osnn B!,]lld *tl h,v. th. hd.n oaproving rhd h€ or st c did d hnE oi inrlto!. lh. F.fEty tur llE purpos of
lt t-I 2. c or na of rtrc propa r. dn .lclc'vcly c.nrad'ns *ilh licnMd .onr.dou lo coNl cl lhc p.ojccl (s6.7044 BBirszdd Pl!tosNncod.. Tbcaonrlltor s L(tu. Lrw do6 nor .pply lo ov.(oltrcp.ny*ho b{ildsor ifrpror4 rhsdn,
sd who o n t3 for such Fojds with a ContEcro(s) licos.d pu*mr ro rh. ( onl,ccloir Lic€N liw).
Ln.i.hd mdd Sdii.
G," t"lttltg >.\!a[!:!![1-!]1!t!!sr}l!91uI(L^&Utg!
I hd.byrmrm undd pdrlly ol pcjury onc ol thc follo{ins daldat'on3
-l
ha!. dd uill mimain r Cdilicatc of CoBat lo S.la.lBurc for workfrs conD.osrion, s pmrid.n lor by S(rion 1700 of rh.
tjhor Cod€, ror rh. pdfol:mc. of rh. $o for *hich th. pmn b issu.d
Ihar.andtrillmaintainsork.rs comp.Mlion $urrncc, as r.qun.d ht S(t ion I700 .l rhc l.abor Cdd.. for th. Fiol:Mc. ol
rh. wort for which lhis p.mil is isuqt My *ortdv comFMion i6u c. cmiq dd polty ounbd d.:
]t{!.-,ry,r'", *,1'. p-r"rmnc. otrh. qo,t ror \h,ch rhis p6nr is iss!.d, I sh.ll not orploy any pt600,. ey n@s.Pmo *comc utjeir rtc sorr6 Nmpoen.n la$s .rc6lifomi'. md asr rhar irl sh;[rbc.;mc Nbj.d ro rh.
"r!ls' mmp.Nlion prcvisioB of Sc.rio. 3 700 oarh. Lrb.i Cod., I slEll. lonhsith comply *irh ihoe provisioE.
W RNINC: Failurc ro su. workca' .omptrsarion .ovd.Bc is unl.wlul, ud sharl subjd e anPloF lo oiminal pdallE ed
civil nn6 up ro oo. hund.d lhosdd dollEs {1100.000). i. .ddnion lo lh. cos of conp.erion. d,nts.s 6 proridc,j aor lh.
Cod., 6td6r dd axorrcy\ f6
t6
lr4LASArlA!
I hft6y al'm trbdd p6.lt, of p6jlry lhal I m licsu.d uodo rovtion of Chdptd 9 (enlmcins w h S<lio. 7000) of Division l
ol rh. Bsine ud Pmf6ioB Cod.. .d my lic.M it in lull to,cc dd clldr
l,iccNc CIN
-Lic€nsc
Numbq:
Ijolr,tIllr(lIoNIENDllclcE!(x
I h6Eby aflirm unds rE ahy ol paju, rhd th6. is 0 mdtuclion lodins lsocy for lh. psaollMc. of lhc uorl ror shkh lhL lffin is
ilsucd(S(. 1097, Civ. C.)
AIIIIIAILDEqJAAIIAT
I hd!ry ofnn und.r poallyolpsjuryonc ofrhc aollo*ios d6laBtioN:
D.@tuion Pmtu-Asberos Notificalion F.daal Rcsulalions (Tirl. 40. Pan6)
R.qundl knd of Norifiotion
-l
.qrii lhal Ihc lcdml r.gubtio6 rcsdd,U abGG rmoval sc not applicablc to this lr.itt
-6l*r, fi rr',r r rr"r. .ua rr'is appli(d rcn ed narc thel Ih. ahov. infomaion i! coF..l I lsE io conply * nh aI Cny .nd Counry
-odim6.6 Md Star. L.M Ebrins to buildins coBlrucliotr d hrcby rurh..t. EFffiloliv6 ollhis Ciry od Couly to 6tB upon tlE
abolc 'lqltrncd prcpsry for ituparion puiFsd
(cotcrnrora*arstenrru,", d -/L
("..i,*....rpano' KHIEM (+t t"/a1/18
Communications Cable
Sub-Panels