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20266565 - Permit (2)
City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853 Electrical Permit #: 20266565 Pin #: 77904 ProjectAddress: 1524 S Van Ness Ave Assessor'sParcel: 013-'192-20 Lot; 20, POR 21 Bldg: Tract: 531 Address Range; Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Namg: Remy OC LLC PO BOX 16337 lrvine, CA 926236337 Owner-Builder Fce Type Amount 011'16002 5'160: Demolition (includes rer 48.46 01116002 5160C General Plan Update 22.08 01116002 5160: lssuance 55.04 Qty 1 .00 1 .00 1 .00 Fee $48.46 $22.08 $55.04 Phone Estchi:4509 0f f ice: ,lTY Rcpti: tr?345 TconEqct ion - 7/31/2t7lA IDr Tronsi:1u3Ref+: 2t1)t8 - 7 /31/2(tt8 4:t!totql *8t17 State Lic #: Lic Type: Bus. Lic #: workers'compwBrf[gE t Policy #: Expires: R1.h!, B( Generol P1fln Ljpdote Fee 01116002- 516001100- Electr ii.ritl1ll6002- i16r'13000- V isa CC+; rI*II*r**rr14709Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject lo Field: Building Permit #: Single Family Dwelling Alteration N/V Occupancy: Constr Type: Code: R-3, U VB cEc 2016 Notes. $ Date Date Date Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Hernandez, Kathy Every pemit issued shell become invalid unless the wot* on the sito authoized by such permit is commonced within 180 days aftet its issusnce, or il the worl< authorized on the site by such permit is suspended ot abandoned fot a period of180 days aftet the lime lhe wo* is commencecl. 07131t2018 Account# $'125.58 $0.00 $125.58 lnspector MID#: 2018-145052 01116002 51600 01'116002 51603 $22.O8 $103.50 Fee Total Paid to Date: Balance Due: Unit: Blockr F Contractor: Address: AuLh+ir-i ELECTRICAL.INSPECTOH RECORD APPROVALS ID/SIG.COMMENTS OWNER BUII-DER DXLCARATION I hcrcby ar6rm undcrychohy of pcdury th.' I irn cxcnrl lmm 'he C.ntEroN l-ic.n* ljw fot rh. {.lkrwine rcab (scc.70rl.5 Busi.es dd Prolcsibn Codc)r Any Cny or Cox.ry which rcquirc\ 0 Frmir ro onsrud. lltcr, improvc. dcnxnirh or rcFt Iny slrucrlrc. prior lo its issunrcc. olb rcqlircs |fi. aryliitrr for suchlcrmilx, filc! sisned {s(.mnr rhar h.orsh. n liccnscd aursu.nr b rhc [dvniois ofrhc Co.(rcroas l-iftns.d tiw (Ch,nr.r 9. Conrmn.inS wilh Scclion 7Ou) of Division.] oarh. Brsinc$ ind Prord\\i.ns Codc) or rhar h.orrhc i! cxcnpl lhcrclion,nd 'h. h*n for lhc trllcB(n cxcmtlion. Anyliohrionolsccrion Toll5hynny nptlic0nt ror a pcnnl subjNls lhc 0ppliclnt to !ciilr.mhyolnol nnrclhrn rivc hlndrcd dollaF ( $5fi)). _1,!sowtrc!olrhcpropcny,(nalycnlPk,ytussirhwr!c\asrhcny,h.orfnsnrio..willdorhcsork{xllhc(rudmi\ndr inrc,kL{ or.flarcd lor $lc (Sr.^ 704,1. Busincs and PmfcsiursCod. l h. Coffacrois I -iccnrc lrw do.r mr ,frjrly ro {n owncr .l rh.fmn ny who buildror i,rryi)vc. rhc' Nn. md who d€s such wnl hiNcllor hcFclforrhrcu8hhisorhcrowncmpt,yccs. proridcd rhrr such nn d$.nNrc n i,ncid.d or oficrcil i(n slc ll, lkrscv$. rl.tr hr rklma or imp(*lnEnr i! $kl wirhin,,nc )rJr ofcotrrilclion- llEOwtrcr Buikls willhlE rhc h{dcn ol prcvins ltu tu or \hc dil n.r huiu or nnpmrc rhc l)lntEny lor rhc puqtrsc oI -1. as o*rc!ofthc lnorny. rnrcrclunllyconracrins wirh liccn\cd conrrado^ k,..ni c h. l(il..! (scc.7044,Iiu{nc$ a.d t\i,r6ri,n Codc lhcCo ta.r.r'sLi..nscllwd..snoranrlyrodnowncrofpropcnyshohuildsori"rprovcsrhcr.on. rtrd *ho ommds ror such pnjcls *irh ! Conr6.rons) liccnscd l,ucu.nr ro rh. ConrEctn \ Liccn{ tru) ;lfTdi?H-;;*W.,, DDILIAAII)N I hcrcby.llirnrundcr pcnrlly ol'Frjury onc oilhc rbllo*irr declnrrli,,tr: I harr 0nd willm0int0in iCcrtific{lcofConsctrtlo Sclf.lnnrc f(r wor ter' comp€nsrn,n. !s F,vidcd fuhysNlion ]70ooflhc ljh, Cod.. for rhc pcrfonnrn.c ofth. *ork for shth thc p.rnrl is h\ucd -l havc and will maintanr worlcn compens ion insurarcc. rs !.qutcd h! sccrion l70o ofrht hh.t cod.,lM lhc prrformn.e {f rhc *ork lorwhichlhh nermir is iskd Myso.kcri onrpcnsrri,,n i'rurrrcc.,tridr rd0oltry nun*{!rc: Iccifyrhrrinrhcicrfonutrccofrhcworklarslrichrhisp.rnririshrucd.Isnallmlcnrployrnypcsonntdti1rtrcr $ Nro bccom {hjcd b 'hc rortcr compctrsatiotr la's olC.lilonri( tr.d lgtoc rhrr ir I should hc..'m srbhcl ro lhc w.rkcr' .oorix.stri l'mvi\ions oiScclion lT0Oollhc LlEn Crnlc.l\h,ll. ft,nhwirh comrly wirh rlm* lrovisions WARNINC: F,ilurc k, $rtrrc *ork.r'.orn ns i.n drvcfllc i( uDhslul. ind shrll suhicr ,n clnlhrs ro di inrl lEnnlrics Md civil lincs up ro otu hundEd rnou\0nd dollaK ($ll[.UX])dddni.n b rhc c.( ofcon,I.n\rrnni r rFc\ ds l,rovidcd lor rhc :,: '1l,hc Lrhr Codc. inrcrc(anddlorrcy r lccs hlre .DECI,ANADON t hercb, aifirmundcr pcnulrrofpcrjuy rhar I an licn*rl und.r troli{hn orchrptcr I (comnENin! wirh SNrir,.7(xx)) orDrision ] of thc Busimsatrd Prcrc$n,ns Codc.ond nrr licene is in rullaorcc udcfi.cr. IaNSIBIT.IIIANIENDINC.{AEICI I h.Eby {ifirmund.r p..rlry olpcrjury rh tlm i. s conslrucl ion hnding escm} f.r ltc ncrfomtu. or rh. work aor which lhis Ismit h i$ucd lScc.llr7, Civ. C.) AIILII;ANLIIECLIAAUON lfu.rhy.mmundcr pcnally ofp.rjlry one otrhd rolb*in8 dcclarrri.i(i DcnFlnio. Pcirnirs.Ash.sios Noriliclrion F€derrlRceullrionr(!irlc 40. Pd6) -Rcquncd Lclrs.t N.rili.rri.n I ccniryrh rhc rrdcrdl rc(ul.riotrs rc8lrdin8 osbcsto\ rcmvrl { c nolippli.al,L r. rhn p j.cr I ccnilyrhar lhavc rcd rhtopplicarioni.d(ardhir rhcatovc ini,xn i{nr iscolftr ld$ctro..nrlywilh{llCny ndCounry odimn.cs.trd SlDrc hws rclnlfu ro buildinB rucrion,0d hcrlhy turhrnc 'cprcrnralivcs oflhn Ciryand Counrylo cnrer os,n lhc rh,v. Df,drnn'.. pm|rnylar i'trfc.ridr fu' "","7/br(t{,\pplirn l dr,\ur t Silnnlurr I'rrnrilec n.me (printr: Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Groundinq i UFER Torqueino Sub-Panels Air Conditioners Rool Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rouoh) Ivleter Release Rough Service lt/eler FINAL tpl4lR 1 dzz) Notes, Remarks, Etc.-l crl : DATE Translormers .ncnrc Numtrr - tt