HomeMy WebLinkAbout20166028 - Permit (2)City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{66028
Pin #: {7958lnspection Requests. (71q 6A7-2738 lnspector Section: (714) 647-5853
Project Address: 2902 W Borchard Ave Unit:
Blockr NA
Bldg:
ltacl:3627
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Lot: 2
Owner.
Address
Thuc Nguyen
2902 W Borchard Ave
Santa Ana, CA 927043005
(714) 675-8606
Amount
o.14
21 .25
s2.98
Qty
412.O0
1 .00
1 .00
Fee
$s7.68
$2',t.25
$52.98Phone
Tenant Name:
Contraclor
Address:
Owner-Builder
Phone is"
toto Iio5(l':t. toI
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
,-iclennl I
n t I 160ri2
F.lErtr ii(
r.r l l 16r:rD7
(:o9h
l:hon se
rn UrdoLe Fee
5 1 6rlr:rtrfl:r-
t 6 t-i 3 r-r:r l
Single Family Dwelling
Addition
Addition
Occupancy;
Constr Type
Code:
R.3, U
VB
cEc 2016
Notes: Add 412 sq ft to enlarge living room and bedroom. Add
18 sq ft porch.
Planning Approval By Date
Date
Date
Misc. Receipt:
l,4isc. Receipt:
l\,lisc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Amsden, Julie 05/30/2018
Account#
10195340 $131 .91
$0.00
$131.91
Every permil issued she becorne invalid unless the wo* on the stte
authorized by such permit is commenced within180 days after its
issuance ot if the work authonzed on the site by such pemit is suspended
or abandoned fot a period of 180 days after the time lhe wotu is
comfienced
MtD#. 2017-138714
01'116002 51600
01116002 51603
$21.25
$'1 10.66
Fee Total:
Paid to Date:
Balance Due;
Assessor'sParcel: 407-041-28
Fee Type
01116002 51603 New Res
01 116002 51600 General Plan Update
01 116002 51603 lssuance
lrt r': t{9Us€rr
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
lnspector
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h.rcby amrm undcr Fnahy {,f pcrhry thar I u crcm aflim rlr ConrEro^ Lic€n* Law for rhx r.U.win! rosn IScc 70-1 I 5
Busin.s\ and Piotcsrbn codclr Ary Cny or C.unry whi.h rcquncs i tunit b .!n.lrud. allci nlrlrcvc, dcmlhh orrElxn nn,
struciurc, pior ro ns hsuancc. oho rcqlncsrnc allliconl aor such peirni o lile. skn€n starcmnr rfilrhcorshc ir licenscd purilnr
lo rh. rovhidnq.r{r. Conrhcroaq LiNn*d trw (Ch.fl..9. Commn.ing *nh S.crion 7o0o of Divkion 3 oflhc Ausincs lnd
Pmfcsi.ns Codc) o. ttu! hc or shc t cxcmtl thcrcfror.nd lh. tusis for rhc trllcecd cxcmplion. Any viohrion ofScclion 70.11.5 hy any
uprlicant for a pcmir sul,jcch thc applicanl ro a civil ncnally of tr(n morclhon nrc hlnd.cd dollds($5(n)
a ", "**. t,* ,"*y, or rry cnlroyr.s wirh *a8cs ar rh.n sh .otrD.nsfion. will do rhc wmk $d lhc sltrtw k ml
L cdct orollcL'd lor srlc (5(.?044. Busimssa.d Profe$io.s Cods ThcCo rucktr\ Lian$ L,w d.cs nor aprly to dn ow d or
rhc tftFny wh hilrh or inqr.vcs th.6n. ffil wtt, 'llrs sh s* himrclfo. hcrsllorttrou8hin or hcr oun cryloyccs.
pruvidcd rhar strch imlr)vcftnk d br i.rertitrj o' oflcrn for eh Il ho*dti rlf, t ihinB o, inprowmnr is eE wilhin orc )ea
of cornpkrb.. thc Owrcr Euiucr wilt hure rhc burdcn of rovins rhor hc or shc did no' hlild 6r iq,6w dc pmr.ny for th. I,UqD$ ol
-l.
aso*trcr o, rhcpnpcny- (nrcicnxirclrconrrr.rins wirh li.cn*d contract,Ft,cotrd cirtrpn,Frlsc. T(}l-.1.8u\im.r
i t\rfssirn()dc:rhcConrrmttrsl-r.ctrscLirdocsiorrt,tlytortro$ncrofnmprnywhohuildsorimprovcsrhrlcon.
nnd who conrEcnro'\uchlr+crsqnhrConrEcr,(s) liccn{d orrunr b rhc Conta(n s Li.cnsc Ltrw).
crcnn' unds SNrior-. B, & P,C. fo,lhh rcornr{bpltL V" \
IIIBf,EBIII;!]MEBSA.IIOAx","
DE(IAAA.IQN
I h.r.ht alfinn trnJcr prnrlry.fF-rurvutu ofrhr f{rk,si'rg dNlfdnntr
-l
hrve t will mointoin r Ccn irtare of Consor ro Selfinsurc for wor[e6 conrcosari.n- rr rolidcd roi hy sc.rion ]?uJ orlhc
bhor Codc. fo rhc p.rlormncc of rhc work for Rhkh rh. l).rnrit k hsucd.
-l
havc and will nrinrair worlcs comljcn\olion imumncc.0s rcquned hySc.li lT0Ootrhc IiborCodc, r(rrhc pdrrornu.c or
Ihc sork for whichlhisrcnnil is issuci. Myworkss .omp.trselnn iNufuEc catricrudrricy iu'nhcr u.:
,Gfcnify rhar itr dc Frrornune ollhc work lor whi.h rhir pcrnir is ir\rcd. I \tull not cnrpk'ynny pcNo.
'n
m, mdhncr
. so a\ lo bco* subjc( ro rhc iort.B compcnerion hss ot Calilnnia. rsl aam rh,r ir I should b..onb subir o lhe
worksi .o'nlcns t,n pn,vhionr.lSerion.lTtX)ofrh. tltnr C.d..lsl$ll. fonhwirh co.rrly Eirhrh.s tmlhions.
\VARNINC: Frilur h wur. urkcr\ conrpcn\nnn' c.ktuCc i\ unlatrrul. 3nd drll $hjc.r !tr .nlrlols to dirrinal FDltics lrkl
civil llncs !p k' onc hundrcd rhou\rnd dnllnF 1$ l(n-(XX)). in rddiri(nr k, ihr.oi of.d rFnsar n. d.nB8cs 3\ provnl(t tu lhc
#:gpil(
DECIJf,AIION
I h.Eby lmrou.d( p€Mlry ol Frjurt rhd I !fl liftnsn u.d( povtion olCh,flcr 9 (onmmins wirh Stlhn 7000) DiDivhn'n.l
ot rhc Busincss ond Pmfcssio.s Gdc. und ny li.cnsc h in inll lore and effccr.
SONIIBICIONIIN!,NGIIiENCI
I heEby l(lrm undcr ,,enalry or pc.jury rhar lhm is , conrdcrio. lcndi.S dScmy fo! thc Frformnce ol rhc h* fd whih rhh Fnn is
hsucd (S(..1097.Civ. C ).
AIPIIIANLIIIL/IAAIION
I hcrny amm u nds rcnalry ofrcrjulr.nc ofrhc firk,wins dcclarurio.s
Dcnx,lirion Pcnnirr^sh.{os Noirficliion Ftdcral Rc8nlirions (Tiilc40. Pun6)
Rcquircd tr crol Norific ior
y rh l hrk r.rJ thi\ 4Dlicrri{n, rnd nrro rltu rhtrh,vo i'rntrir: i( is.o|ccr I rFrcct,conrfly$irhrllCiryrnd (nunry
xtr,lsrrr. I rs\ rohri"S t) hrliln,S.rr{nn,. od hrrchy adlhnr tufic{fialr.\ nl rhi\ Ciry dtul (i,utrryt, cnrcr r]rn, rhr
n rc1)FO
.1-t\i.*,,,,
X,"," <[7"lt<
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Sions (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment \
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
I\4eter Release
Rough llt4ltr 7yfrD
Service l\/eter I
FINAL clt-dr9 t IV4 \\,L1il 4r?S)
Notes Remarks Etc.
Pole Bases
t
a,,ni.1
Licc.sc Class: Li.c.sc NumtEi
-
Drr. Conr.*lor
Lcnd.ir Nsm
-
Irndcr'. Addrcs'
-
-l
ccnify thor rhe lcdcral rcBularions rcsarditrB astEsros Emvrl ffc frn aprlicahlc ro rht pR,jrit
I
=
I