HomeMy WebLinkAbout20165945 - Permit (2)City of Santa Ana
Permit Counter: (714], 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20{65945
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Pin #: 151 I
Project Address: 920 E St Gertrude Pl Unlt:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor'sParcel: 0t6-213.01 Lot: NA
Owner:
Address
Mario Salas
920 E St Gertrude Pl
Santa Ana, CA 92707
17't4l323-607',|
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Update
01116002 51603 lssuance
Qty
'1.00
1.00
1.00Phone
Contractor
Address:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
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 given
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
$Hernandez, Kathy
Date
Oate
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$125.52
$0.00
$125.52
lnspector MID#: 2018-143526
01 116002 51600
01116002 51603
$21.25
$104.27
Fee Total:
Paid to Date:
Balance Due:
Amount
51 .29
21.25
52.98
Fee
$s1.29
$21.25
$52.98
Tenant Name:
Phone.
ost23t20'la
Account#
Every parmit issued shall become invalid unless the work on the sle
authoized by such pormit is comnenced within180 days aftet its
issuance, or if the wotk authonzed on the site by such pemit is suspended
or abandoned fot a period o1180 days aftet lhe time the work is
cofifienced.
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oll Nt:R BIiLDUR DUt,C/tR.t',tI(rN
I hercby oififln undcr pcnrlly oi pcrjury rhar I m cxcmnr rrom rhc Contrcrotr' Li.cnsc tj* tor lhc nlowing ..,$n (S!r?0315
Businc* rnd Prorasion Co<lc): Any Cily or Cooiry shich equncs a lcmir to connD.L itrer, inprovc. d.nBlhh or Epnn y
nflcturc, n .rro ils hsxancc, rho rcquires rhc 0ppttlir for ruch lfmi ro nk. sirrcd narm.i rhd heo, rh. n liceNd !u u r
(o rhc pmvhions or rhc Cotrtrcrols Li.cnrd lje (Chrrr$ 9. Co'nmcrcins wirh sc.rhn 7(xlo or Division I oflh. susin.s ud
Pmfcsn,.( Cdc)orthd h.rrshe irdcnv'r rhcr.liom!.d lhc blsis r(r rh. rlcadeicmfrio. A.tviot.rionorscclionT0]t.5byan,
aprlicant lon pcnn suhjcck rhc applicam ro !cnilp.nahyotml nmElhln 6ec hundrd doltan ($5OO).
-1,
* owrer of rhc ,tmr.ny, (, ny crylolEs wirh *as$ 0s lh.n crd *'mlcnvrion. [ill do lhc worr ard thc nnrlure h nol
inrcnded or orercd tor slc (Se.7044, Boiircss and Pmlcasions Codc: t hc Conr&lors Licensc L.w docs nor arply ro d owncr of
th.ImFcriy who hildr o, in{ro!.s rtcmn. dd wto des skh *.rt hidsctt or hcselfor rhough his o. hs o;cmpbyl{\.
Drovidcdrhar such iml,rkftncremli cnddl fottu for stc. tt txNclcr, thc buitdine or imrmkmnt issuwnhhoN,uorsn k'nn, ttE Own.r Build.r rill harc ltt hidctr oi n .vine rru hc or she di:t nor bxih o. inDNc thc rslsry ror rhc fl{xxc of
-1.
asowrroarhc pmpcn y. , m crclus ilc ly ronrnct ine sirh ticcnsd .ontrrros r, .onsttoct lhc lroJc<l (Sc..704.1. su$ncs
dnd Pnfcsion Codc: 'I hc Contrsdols Liccni. L{* docs nor appty ro otr owns otlroFiry{ho buitds or nn!rcvcs rh.rcon.and who cunrEcts for such !tuidr wirh a conh.d(, ticcnrcd pursrdd ro rhc conr.rctois Li.!n* tlw)
-l
!mcrcnDr u cr Sccrio
5 -2>- )k 4/144J aK-^-
DECt,ARAl'IIIN
I h.'chy r,lim uklci pcn,lry.lpqjuryom oi rhc nnbtrirrr dc.tx'rriur
_l n0k md will mainroin a Cdifi.Nrd ofConscnl ro s.[ tnsrrc tor ]oltnt ompensdnrn. us pmvidcd fo. bySdn,n:t7{r) olrhc
Ldnn cdc.li,r rhc l]cnornrftc olrhc wort lorwhi.h rhl nc.nrir; issu.d.
I hrvc rnd Rillnrinrain workcrl.onrFn\arion insuru,.c, ar ruquted hyScdion 3700orrhc LsrxtrCodc. rb. rhc rc n,nun.c orrhcr [ ,,tr *hrh rhn p.,mir i. i..ucd. M, ] '.c'. \nn'Jrr\rrtr.n'n\u'JncccJrErdF,ttrylumhcruc
-l.cnify
rhd in lhc pcrlonnin.c oflhc work for whirh rhh pcrnir h nsu.d. I \hrI frn cnpLy oDy p.ts.n in any mnE!*, b bcoDf, subj.d h thc *ork cr( .o.rr.nsd ion ln$ orcrlironia. and a!rc hd ifI shurd hcc.onr subi(r lo trEr,,Acr.onfn.Jn,,ntmrtri.lsnlSccr,.n.rrfi,otrhcLhrC',,lc.t\hz[.ronrwh.oi.nlyr,rhrh,.sfrnihion.
WARNINC: Iititurc r. kuto wo,kcN'
civil fii.s uI ro onc hundrcd rhousond
Scction 3076 ofrhc li-rCM. i'.r.d
u".,543- lV
(nnpcnr"rnrn cotcrqc h utrl,wrul ,nd \lEll \uhtcct 0a cnDloFr ro dnrinrt rEDotrts ind
dollatr (slm,ffD. in ftdirion ro rh..osr olconDcnsdion, da'Mgcs nr providcd for lhc3ildirry'\lX
S </-
NFCLANATI()N
I herebyati.nuftier pcnalryofFrjury Ih l ad ljensd u.d.rpovhi.nofChopts 9(om'mnci.g sirhSecltun7{lo0) ofoivirnrnl
oi rh. au\i,rc$ and Profc$iors code. !d my liccnsc h in tutl fore and cficcr.
CONSTNU(:TI(IN I FNIIIIIG ACFNCY
I hcrch, Bffirn u cr pcnslryofpcrjurythot rh.rc hacon(rudion bnding agc.cy for rhc I'cnoirmtu. orrh. wort to, which this Frnn h
issocd (Sd.1097, Civ. C.)
A DPLIC,{NT TF(J .,T R{TION
I lbrhy riim nnd$ p.n,lry oipe[ury orc ofrhc rolk,winx delararions]
Dcmlilion Pcrmns Aslt*os Nolificorion F.dcrsl Rcsulariont (Tirtc 40. Pan6)
-Rcquncd
kr rer ol flotifrcoion
-lccnillthdlhcfcdcrdreSlhrionsrcgddi'rg$trslosrcnn'rrlffcnorqrpticlhhrothisOn.r
thc trhrv. , nf{mBr t,n i\corcct I
.. d h.rchy rhorirr.r.enrar
aArc
'6.on'ply
snh.ll Cnyand Co!trry
iv.s orthis Ciryand Counryro cnld uFn rhc
*,". -f-ZJ -l K
I c.nil) rh, I hrvc Ed lhi\ atplicrli.n and irre lhit
ordinakc\ and sr0lc tiss rl inS lobuildirS.otr{ru.tio
rh,!c mnri.ncd t,u,Fny kr rnslr.r nnurfxis\
nrr,'.rr, n, n*"n, r'*nu,u*L 444-.
PcmilE name lpnnt):
t {a-,
Site-Work
Unde round
Pole Bases
Li ht Standards
S AS Pool Fountains
Life Safety /Low Voltaqe
Fire Alarm / Dam rS
Buildin g
Under Slab / Fl
7tr-11 Pc-z)
Translormers
Sub-Panels
Air Conditioners
UI ment
Facto Wired Unit
Ceilin S Hard & Soflit Rou h
Ceilin S T-Bar Ro h
Ir,4eter Release ?J tSTq /2.-21 I
Service lr/leter z-t{-l\i Z<'z-7
FINAL to/t9/r-,>/W)
Notes, Remarks Etc.tlu
Signs (monument)
Communications Cable
lBondins tgr-ouMt UF-R
Torqueino
Rool Top Eq
Walls (Conduit)
Walls (Rouqh)
Rouqh
-,-SANTA
ANA,'[}ffi
SPECIAL INSPECTION/COMPLAINT
INVESTIGATION FORM
SUBJECT ADDRESS aC
@
mo-t
CfoAma
<t
Purpose of lnsp ection
n Residential { Commercial/lndustrial
,fu\- rn \\--<, 'cecA {e,T
Owner n ntractor tr Real Estate Agent tl Other
1A
4):w
C1t\)225-7 na<L
ACTION TAKEN: D None Required
INSTRUCTIONS: tr OK Subject to Field
D Correction Notice
n Plan Check Required
lectrical ! Plumbing
loor Plan a Roof Plan
PERMITS REQUIRED
PLANS REOI,JIRED:
ftauiatns
P site ptan
pc
PF
lrru"hanical
f] Elevations
tl Elect. Plan ll Plumbing ! Mechanical
FEES: c Regular Fees MPenalty Fee 'r(lnvestigation Fee.,/
NOTE: Building Permits for unpermitted room additions require a site plan, floor
plan, roof plan, framing plan, and elevations
r ac
=ma-
ct:,u*uui-r- rro ,u ro-.,.)]UAe ;,t; Et< . 'frtt4 tti
,/2 I 6
Date:f ime ln. /') |
Time
Departed:NNE lnspector/lDt>
lnspector Office Hours: Monday - Thursday 4i00 - 4:30 PM and Friday 3:00 - 3:30 PM
Pemits may be obtained I\lo nday, Tuesday, Thursday and Friday 8:00 -4 00;Wednesday 10:00 - 4:00
Trackins#: \i'l'raO24
Office [Jse
Amount Paid: \.-{q 99 Receipt #rcq=q
Received bfl Date: 5-\O--
Dare: a\1Address tagged by Tr
Diskrbutron: Whfe & Yellow - lnspector Prnk - File Cdpy
\,.e
Planning & Building Agency
Euilding Safety Oivision
20 Civic Center Plaza
P.O. Box {988 (M-'19)
Santa Ana, CA S2702
(714) 647-s8s3
SUITE:
Requested by;
Name:
Address:
Phone:
Remarks:
*sle
-,-SANTA
NA,'i1,ilffi
Planning & Building Agency
Building Safety Oivision
20 Civic Center Plaza
P.O. Box 1988 (M-{9)
Santa Ana, CA 92702
{714) 547-s853
SPECIAL INSPECTION/COMPLAINT
INVESTIGATION FORM
ro
D Residential
Per "",.t\
X Commercial/lndustrial a\\\rPurpose of lnspection
\\\ +- ( l
Sr€.,A *o .*.*1-<n
Requested by x Owner E ntractor ! Real Estate Agent ! Other
Name /4
Address: Z 2
Phone l4 7
ACTION TAKEN: ! None Required O Correction Notice
INSTRUCTIONS: D OK Subject to Field ! Plan Check Required
PERMITS REQUIRED: fularitaino tsElectrical ! Ptumbing ,fu)Mechanicat
PLANS REQUIRED: psite Plan XrFloor Plan D Roof Plan ! Elevations
D Elect. Plan ll Plumbing ! Mechanical
FEES: ! Regular Fees ,fuiPenalty Fee Eilnvestigation Fee
NOTE: Building Permits for unpermitted room additions require a site plan, floor
plan, roof plan, framing plan, and elevations
Remarks aC
=m
<.1<r-*t - Aa can c>,'-e(sc)fiz i..,r. r .N),2:n1< (.rB o*tec (aL*tt
Date <!1JL rime ln: 9t';,'<rr t4De
Time
parted:/11 spector/lD eP/@
lnspector Offlce Hours: lvlonday - Thursday 4:00 - 4:30 PM and Friday 3:00 - 3:30 PM
Permits may be oblained ironday, Tuesday Th u6day and Friday 8:00 -4:00;Wednesday 10:00 - 4:00
rrackins#: $.llloll
Received by:
Oflice Use r r
Amount Paid: l{! Pn"cei pt*: ' If)t-\55
Date
Date
Distribution White & Yellow- lnspector Pink - File Copy
SUBJECT ADDRESS:SUITE:aC
@
mo+
oov
maI
Address tagged by:
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-'19)
Santa Ana, CA 92702
(714) 647-s853
SPECIAL INSPECTION/COMPLAINT
INVESTIGATION FORM
Purpose of lnspection
,55<-. N G..-A.SUITE
tl Residential x Commercial/lndustrial
aC
@
mo+
o
vmaa
ed by: ! Owner tr Contrgctor tr Real Estate Agent
A i<\\1a ZA( trN,/Jr,'aru^,- Z*rer.-w
! OtherRequest
Name:
Address
Phone:vb2
(Iz Sr,n\?zo(Irv\ 295''1
ACTION TAKEN
INSTRUCTIONS
! None Required ! Correction Notice
! OK Subject to Field n Plan Check Required
PERMITSREQUIRED: TEBuilding PiElectical lelumuing zEiMechanical
PLANS REOUIRED: lAie elan )!'Tloo( Plan , , Roof Plan I Elevations
U Elect. Plan tr Plumbing Ll Mechanical
FEES: a Regular Fees ll Penalty Fee ! lnvestigation Fee
NOTE: Building Permits for unpermitted room additions require a site plan, floor
plan, roof plan, framing plan, and elevations
Remarks {
9
rtcat),^/tt. A-*tz,i'/]& -lb r2,E/lr.o.E L4d *'1'),r,1 4 i-u ,/t2/
aC
=m
' )tt < !I
Duttu /2 )^Z p 1EA1TQ.oo/h -T/U 4A/?-AZ;e..
Date Time ln 0t sz fr/./ o*Ji!i, glg2rrnspectorlrD: -{P/e.
lnspector Office Hours: Monday - Thursday 4i00 - 4:30 PM and Friday 3:00 - 3:30 PM
Permils may be oblained l\,1o , ThuGday and Friday 8:00 -4:00; Wednesday 10:00 - 4:00
Office Use
<(12?-t?0 Amount Paid \q Receipt #rl(.,<; E r:-
l\J ,- )--__-,
bbTracking #
Received b v:4- s-\a-,\6Date
DaleAddress tagged by
*,,SANTA
ANA,'Iiilffi
SUBJECT ADDRESS:
Drst.rbutioni White & Yellow- lnspector Pink-f te Cop