HomeMy WebLinkAbout20165760 - Permit (2)20 Civic Center Plaza (lvl-19), Santa Ana, C492702
lnspection Requests: (714\ 667 -2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O165760
Pin #: 57497
City of Santa Ana
Permit Counter (714) 647-5800
Lot: POR 2
Unit:
Block: L
Bldg:
Tract: 284
Address Range:
Historicr No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 403-154-04
Phone:
Tenant Name;
Owner-Builder
0't 1 16002
01 1 16002
01 1 '16002
01 1 '16002
01 116002
01 1 16002
01 1 16002
51603
5160:
51603
5160:
C IT'UJ
5160C
51603
Fee Typo Amount Qty Fee
125 Volt Receptacle 1.45 9.00 $13.05
Light Switches, Occ. Se 1.58 6.00 $9.48
Light Fixtures 1.05 9.00 $9.45
Low Voltage/Res 32.30 1.00 $32.30
Subpanel 53.28 1.00 $53.28
General Plan Update 22.08 1.00 $22.08
tssuance Bobrhi:44779 -51612/2fi18 1!$S NGAftffi 6aoffi.e: CTYH TrRnei: 6 I of 4Ac(t+r Ref+: 20l6t76tl
Rcpti:0?3?3101 - 7/12/2gt$ 9t26 An
Tnqnsqct ion Totot t527.S6
Tuon oo(tn
P hone
Gener(t1 Plon Updote Fee
01116002- s160r1000-
Electr icol
01116002- 51603000-
Viso
CC+: IIII*r*I*rrr5{56
_ t22,08
t172.60
1127 .86
Auth+ r 09276c
Building Use:
Job Typel
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildang Permit #:
Single Family Dwelling
New
ADU
Zuniga, Allissa
10195988
te;
te:
te: 07112120'18
Account#
Misc. Receipt;
Misc. Receipt;
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 20r6 Notes
Da
Da
Every pomit issued shall bacoma invalid unlessthe wotu on the sito
authoized by such permit is cgmnenced wilhin 180 days aftet its
issuance, ot if the work authorizod on the site by such permit is suspended
or abandoned fot a period of180 ddys after the lime the work is
commenced.
01'116002 51600
ADU attached to detatched 2-car garage. lncludes (1)
bedroom, (1) bathroom & kitchen.
$194.68
$0.00
$194.68
lnspector lMlD#: 2018-142058
01116002 51603
$22.08
$172.60
Fee Total
Paid to Date:
Balance Due
Project Address: 2111 1/2 S Maple St
Tuan Doan
2111 S Maple Street
Santa Ana, CA 92707
(714}. 837 -2251
Owner;
Address:
Contractor:
Address:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDEI{ DI]LCARAT('N
I hcrcht alrirm undcr Fnrhy ol pcrjury lhd I on cx.mpl tiom thc O,nlructoN Liersc Liq lor rIr lollowirS rcd$n (sc.70.ll5
Busin.* and P,.lcsi.n Codc) Any City or Coutrry *hi.h rcqtrirc\ r pcnnir b con(ruct. allcr. imrrovc. dcflblisn or rc,,in aiy
strlcrurc. rn,rr. ns is\oancc. alw.cqunc\ rhc {Ili.ad tur su.h Frnrir r,liL r \iENd nlrcmnt lhar lEor snc h li.cnscd punu!
ro rh. tn,vhn,n\ ol rlE Conrra.rols Li.c.$d tr* (Chtrprcr 9. Conmcncins wirh Sccrion ?uD of Division I ofrhc Busnr\r md
hotcssi(,ns codc).r rhrr hc or shc is cicmpl lheairom lnd rh. bzsi\ fu thc,llclcd cr.nlPrion Anyviolarionofsecrion?0.lt 5 byrtry
atplicanr ior i lcrnrir subrc.B rhc rmlicrd r, a.ivilI)cn(lryofnotflrcthrtr iivc hundrcddottars(!5OO)
-1..s
oqkr of lh.tl(,Fny, or m, rfrplores *irh *0scs as rhct $r.comlcnsarion, willd. rtE *ok and rh. {turh n mr
inrcndrd or oitcred ior elc ( Se.7u4, Bu\in.s a.d P,ofesiotrs Cndc '1 hc Contrd.is Liccn$ tjw d.rs nol .pdy ro dn .sncr or
thc pmlEdy who brilds or in!ft6 rhcNn. od who d(s 1kh tulI hihsclfor h.rulIor rhrougfi hh orncr osn cmployccs.
providcd rhd such inpn,vc'rcnrs rrc nol intcM.d or ofcftd lbr qlc ll hxcvs. rhc hui&lilla or nurcloEnr i! r,U airhd mc ycitr
of.otr!|)uhn. tlEOwnq Builtcr willh!v.lhc bturd.n oftmvina thal hc or shc dn nol hild or impr.v. rh. pnrFny for rh purJ,$ of
l. ff .wtrr .f rh. Ixrpt y. !m ciclusilcly conlrNril8 wirh liccnrd comBcrn\ r0 connrucr rh€ rnjsr (scc ?01,a. uusrnc$
rDd PhL*ri{rnCodr Thc(i,ntacror'sl-iccnsclisdmsnorapplybrtrotrnrorpnrpcdyshobtrildsorihprovcsrhcrcon-
and wno conrr.cls lhr such pmjsls with , Co.hcrtrG) liccnrcd puru.or ro the Corr.dols Liccnsc bwl.
B & PC forlhn rcasn.2U-lp<ta-:*io7 f1 4s
I hcrchyrfliflnrndcr prn!lryolpcrjuryoncoirhc n,lt(,wins dcclurtion\:
l hlE! willm.inr0inrCcdifi.urcofCon{n oScll,lnsuErorworkcrJonp.n\m6n.a{pblidcdtorhySccrion:tT0Ootrhc
Labor Codc.lor thc lcrfoanmN ofthd work nnwhich lhcNrmir is issucd
I hav. rnd w,llmaintri. sqters. conrpcnsarion insurrn.c, rs rcqoi'cd hyS.dnri:r?00ollhc Lihor(.()dc. iot rhc F*rlormm.of
rh. work fushichrhis pcrnrir i\ isml MJ- q,or*sj compcn\arion in\uramccrdcruJd policy nunrbci rcl
Pnl'c) Nun$s L\Irn..
I ccniry lhal i.lhc ptrioflmncc otrhc work ror which rnt t'cflnir is hsucd. I sh0ll not cmplov any pt^on in a.t 'hrnmrb as ro bc('tu iubjccl k,lhc wortcrs q'nlltrn$rion l,wsotCaliiorni!. ud uEc rhar iil should nccom slhjccr ro rhc
*ark.n..mtnsari{nrpmvisionsotSccrionlTmorrhclnhrCodc.lshllltunhwithcon{lyqilhrk,*pmlhions
IyARNING Irrdurc h s.urc \eorkc,\' ro covcrrgc is ntrhqtul, rtrd \hrll \uhr..r nn crplofr k'.nminrl licuhi6 rnd
civil liocs uI lo om hund(d lhousnd dolh l(Xr.(NI)). in addirbi l. rhc .orr ol.o tcnsarion, danjrgcs rs nnviJcd f{r rh.
S(r(tr, l{)74,n thc t-rlir Cod.. ir car x d
-A/z*a".,",t2/t*f ts
DUAAAIIIIN
I hsclryalfir undtr |xnllryofpcrjury rhll I om [ccn$d undcr Fovhion orChrpid.9 (commmins with Sdion ?Ol]O) ol Divhion l
or rhc Blsirc$ and Prcltsions Codc.ond nrylkchac is in aull{orcc 0 clTect.
CoNSTRTI(]TI(IN I FNNINC A{:FN(:Y
I hcEby aiinm undcr rnrkyorp.rjuryrh{l rhsc h 6 oNlrucli.n hnd,ne agcmy ror rhc p.rrdturc orrhc krk for {hth rhis It mil h
issucd isc...1097.Ci!. C ).
APPI I(]ANT NF(]I {R"{TI(IN
I hod,yNrlmunderFnrlry oi lerjury onc ofthc follo*ine dcclualions:
Dcmlilk,n Pcrmirs'Asb.sos NodrEalbn RdcEl R.slbtions (Tillc 40. P0n6)
R.q!ircd Lerrcr of Norilicorion
y Pnh.ll Cnyrnd (ontrlt
ymd Counlyto..lcr upon dc
-l.cnift
thar rhe ltd.r,l bgu hr ions rcsrdina $bestosrcrmvd e. not arpli.ablc ro ihh pDiir.
-l
ccniry rh.r I h.!r rc(l riis lppltarion en nar. rhd nlb!€ inao,nErion n corer.I u.e ro conDl
mditun!.c 3nd srare li{r rbritr&ro buildinS !nn{ru.rhn, ird h(nhyaurhndc rcllc{nklncs otrhN Cir")*).|*'ir^I*.-)[)]2ub.u-
- il.
""*u** ",onnu, rf '7 L,c,4.4 Dra"r,
or e ;/t9
Site-Work
Underground
Poie Bases
Li ht Standards
Spas, Pool, Fountains
Lile Salety /Low Volta ge
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondi ng/Grounding/UFER
Transformers
Roof To E ul ment
Factory Wired Unit
Walls Ro h
Ceili Hard & Solfit Rou hS
Ceilings (T-Bar Rouqh)
)
Bough elsltg I-urrx-t-'{z>/
Service lvleter (t I/'\
FINAL tplt;hl')itn*A ?4)
Notes Remarks Etc.t ul
ELECTRICAL-INSPECTOH RECORD
Siqns (monument)
Torqueino
Sub-Panels
Air Conditioners
Walls (Conduit)
lvleter Release
bnder'r Addrcs _