HomeMy WebLinkAbout20166633 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{ 66633
Pin #: trr$ilnspection Requests: (714) 667 -2738 lnspector Section: (714) 647-5853
Project Address: 4214 W Morningside Ave Unit:
Block: NA
Bldg:
Tract 1944
Address Range:
Historic; No
Suite Range:
Zoning: RlAssessor'sParcel: 198-313-02 Lot: 97
Owner:
Address
Tuoc Tran
4214 W Morningside Ave
Santa Ana, CA 927031327
(714) 597 -2231
Fee Type
01116002 51603 Serv Meter
01116002 51600 General Plan Update
0'1116002 51603 lssuance
Amount
s3.28
22.O8
55.04
Qty
100
1 .00
100
Fee
$53.28
$22.08
$5s.04
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Ir")r llriilli
Conlractor
Address:
Owner-Builder I
6i
FIJ
4i.Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
pdote Fee
[:!r:l Lir:r-
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Serv Meter
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Notes: Upgrade/handoutgiven.
Plannlng Conditions: All materiala to match
Planning Approva
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #;
lBy Date:
Date:
Date: 08/09/2018
Account#
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
191705 0'1 1 16002 51600
Every pemit issued shall become invalid unless the work on the site
authotized by such pamit is commenced within 180 days aftet its
issuance, ot if the wo* authoized on the site by such permit is suspended
or abandoned fot a peiod of 1 80 days aftet the time the wo* is
conmenced
lnspector MID#: 2018-145293
01 1 16002 51603
$22.08
$108.32
$130.40
$0.00
$130.40
Phone:
Tenant Name:
rl
l-lI Ir:lll
lr
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECOBD
APPROVALS DATE ID/SIG.COMMENTS
Sile-Work
Underground
Lighl Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Ala rm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER /0-i 7 -/9 tLc-7-
Translormers
Torquerng
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
Ivleler Release
Rough
/a-/7-t,tLc&I
FINAL e--/8.?)R^ r>2,r 5
Notes Remarks, Etc.
OWNER BUILDIiR DDLCARATION
I hcrcby.iftrm und$ pcn ry of p.rjxry (hd I d crcnpr fmd rhc Conrncron L-iccnE ljw fttr rhc tollowin! r.a$n (5*.7031.5
Businc$ !fld lilolesion Codc) Any Cn, or Counly whi.h rcquiG n F nil r. con{dcr, ,lrd. inrthvc. dcmlish or rcn n M!
$flcturc, rlnrt' irs hsurcc.ulso rcquircs rhcapplicanl tor such,rmil ro n[ 0 siemd (stcmnt rhd tEor shc is liccn{d pusuatrl
ro thc pmtsions ofrtr Co.hdols Li.cnsdl tjw (Ch!rr$ 9. Connn.i.i s sirh sccrion 7fi)0 of Dilisn,n ll .r rhc s8inc$ aM
Pefcsions Codc) or lhol h.o!shc iscrenDr lhcrcliom md th. basn lor rhcllt8cdcxcmplion. A.yliotariotrofSclionT03l5 by mt
trpli.aor forapdmn suhjdslhc appliclnl lorcivil,Enaltyofnol morclhrn filc hudrcddollns (S5m).
_1. {s oqncr or ih. ptulfny. oi ny .q)loy*r wirh elscs ss rhcn {h conDcnslrion. sill d{, r}f $orl ud rhc {turw t nor
inr.ndcd or oficrcd Iq slc (Ss ?(},14. Busincs nnd ProfcssnnN C.dc] Thc Cofta.rofs Li.cnsc L.w docs n.rapplylo on n$Nrof
rhc pmpdy Nh. builds or nnpots rhcmn. !l{] wk, dtus fl.h s{)rl hinx.lfor hLrclfor thn,uBh hh or h.r own cmploycc\.
pR,ri,ld rhlr such inrorr'rnrsetur imcndcdoroftrud for salc ll hoscv.r, rhc hilding or inDmEnE nsBwiriin.myrn,
.l co.naldiotr. rhc Owmr Buillcr will hrE rtE h{rd.n of F,vin! rhar h. or shc did ftn $rilt or i'ram}c rhc ptr,p.iy fff rh. pu{n{ or
-1.
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"nd sho .onrE.r\lnrNchpr+crt
sivcly.onrrncring wirh lirci{d codrndo^ r, rrNrrud rtf, rd!.r (s.. 71r44. Bu(ir.$
docs nor lptlyro anowncr olpro|E y who truilds or nnprovc\ rhercon
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I r dcnrpt trnds Sccrion
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-l
hnrc ondwill nDinhir rCcnificrrcofCo.snr cll:ln\ur lar {orkcrr r.'np.n\rrnn,. as prcvid.d larbtS.crion lTlnotrh.
L,bor codc. lor rhe pcrLrnEcc ofrhe worl tor shich thc pcrnrit t hsucd.
_lhuvclndwillm nlain workcB coD[cns ioninsur0nce.N EquiEd by s(rio. ]7fi)ofrh. Lab.rCod.. for Lhc Ffornm or
rhe sorh f(n Nfikh lnis lermn iF Gsu.n. Myworks onp.ns ri,n insur.nc. canir rnd policy number dc
-l
ccrlify lhlt itr rhc Frlorrorc. oflhr work roi whi.h rhis p.rnir k ksucd. I \hnll nur .nfl.y sny f.A.n in rny mtrnmr
$ I b trme slbjcd h rhc woricr' onr|Enslrion l0ps of C.lifornir, 0nd .grcc rhar if I should tEcom {bjccr Io rh.
wo u* ompcn\arion p,olhions 6l Scr ion 3?00 ol rh. ltrtn! Co<lc. I $\.11. ion h{ilh comply silh rhos Frvision(.
WARNING failurc n, torurc *orkcis'.onDcns ovcriBc it unlawlul. and \hnll subjcci n .mplo,tr to rirtriml Fnallis Md
civil finc\ ur r(' orc hhdrcd rhousand doll$ (D.ooo), rn nddiiion ro lhc.o{ of.orpc.sarion. d,nuCcs.s lrovidcd aor rhc
Sccii{n,:1076 o, ihc l.}txtr( o& inr.rc(indrrr 'ru&--,^", Y' 1' t I
I ltrch) allnru .rlf,n lryofncrluryI olChrntcr 9 ($nnrc.cnu with Scctior 70G)) olDivision 3
Dr rhc Blsims aoa Pofcrsions Codc. and nry liccnk ir in iull ioRr iftl cffG!
g)NSIAUq&NIENDUiiAGENS
I hcrby aflirm undcr Fnolry of perjury lhor rtrrc h r 6.{dcrion Liding ag.n.y for rhc Frfomn.c of rh. eorl fo. whkh rhis JErnir b
hsucd (Sc.. 11097. Civ. C.)
AIPI.ICANLDECIAAAII!]N
I hrtyafinnundcr p.n ly or prru.y onc or rhe followi.s d(hd ions:
D.mliiion Pcrnirs Ash.\ros Notificarion Fedcrrl Rcsukrions frnt.l0. Pan6)
R.quircd t (d of Norifruion
lnc lcdcralrcEul ions rcEardinS .sbcnor rcrmval !rc n.r.pplic.bhh rhn Frcjccr
Itrv.rcadrhi\rl)|rli.rrionmddrrcrhrihc&'vci nnniri,n, iscooccr lrg'cck'..mnlygirhrllCiry!trd(,)unr,
rrcLtrw\ Rlarir! b buildingcondrucri,,n. rnn hcrcbyrurh.riTc.ctr.scnrrrir.\ofrhis Citya Couiryt,c crulnnrh.
F)prny ntr ir\p.cri(r ptrpo*si___Te,,wfutt
9-1-/{\pplknnr or^arfrnsruF
Pole Bases
Air Conditioners
Walls (Conduit)
Walls (Rouqh)
Service lvleter
Policy Numb.r:_ExIircs: