HomeMy WebLinkAbout20170593 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 lnspectlon Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 20{70593
Pin #: 20197$
Assessor'sParcel: 407-103-08 Lot.33
Unit:
Block: NA
Btdg:
Tract: 3627
Address Rangel
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Contractor
Address:
Phone
Tenant Name:
Nhi Duong
8020 11th Ave NE
Seattle, WA 98115
(206) 661-8848
D P Electrical
14292 Warren Street
Westminster, CA 92683
l7 1 41 721 -0334
Amount
55.37
22.95
57 .20
3.91
Fee
$55.37
$22.95
$57.20
$3.91
Fee Type
Serv Meter
General Plan Update
lssuance
Microtilm Records
Qty
1.00
1.00
1.00
1.00
Phone
Eobchii;3iii ' Li ii/2lr20 [0: omorolEslS
arif icer (.liii ir.urr>i: 43 1 of :Hr.i:i Ref+ 3 20170593
NcpiirU26riiTr; - ili3/2[2it 1(r:5i An
incnsoct ion Toioi 1412.43
u t Llecl.l. I (ur
Building Use
Job Type.
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject io Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter
Notes:handovt{guf,Ilr ,:si
;eneroi Piorr i.ivdtti,c Fec
r.,i i iti002- ri d00ntt-
riiLt oi ii6 ( irur-urr:rrLs
,.ri i iii0u2- 57770000-
Lr I t louul- ilbr.rJr-rulr-
/iBq
iLi i *r*r rrtrr r **0t:i
i22.9"r
t3.91
$11?.57
$441.13
Auth+: Ul550l
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2019
Date
Date
Date
l\4isc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Hernandez, Kalhy
Every pe.mit issued shall become invalid unless lhe work on the site
authoized by such permtt 6 commenced wtthin360 days after its
$suance. ot if the wo* authonzed on the site by such petmit is suspended
or abandoned fot a peiod of 360 days aftet the tlme the work 6
commenced
01t1512020
Account#
$139.43
$0.00
$139.43
lnspector MtD# 2020-'157'103
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22.95
$112.57
$3.91
Fee Total
Paid to Date:
Balance Due:
Proiect Address: 1414 S Mohawk Dr
01116002 5160:
0'1116002 5160t
01116002 5160:
01116002 5777C
State Lic #: 844046
Lic Type: C-10
Bus. Lic #: 356905
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Planning Conditions:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNf, R BUILDER DELCAI'4TION
I h@by armt undd poalty of pdtuy rh I m .rcma, Iion lhc Contado6 Lic€N Law lor llE following r@n (5(.703 I 5
Blsins rd Pruaeio. Cod.): Any City or Cornly which !.qut6 a p<mit lo onnrud. ahd. ieplov., dsolish or qun y
sLactur., Fior ro its isumcc. also r.qut6 rh. applicdl for such !.nnir ro nE a rig..d slar@ol lhrt hc or lhc is lics.d puNet
to rhc prorisions ofthc Contracror's Licens.d L.p (Chapta 9, Conntui.s with S*rio. 7000 oaDilision I ofthe ltsinBs dd
Prefesions Codc) or rh he or sh. is exnpt o@lioe dd Oc b6.b ao. thc allcS.rl qmption. Any viololion of Se.lion 701I 5 by a.y
applicanl lor a pcnnir subjElsth€ applicanl to acivilpqahyofnol dor.lhtu 6r. hun&.d dollas($500).
L a orrr oarh. prcFny, or fty mplo,6 \,irh $a86 a tbcir sl€ comp€salion. will .lo th€ Eo* ad thc srud@ n mr
inldd.d or or6cd for salc {Sa.7lH4. Bcins ed Prcf6ioB Conc Thc Codrrclois Licee L.w do6 not apply lo d oMd of
fi. pmFiy who hilds or iDFov6lhmn. ed who do6 $.h *!* hms.lt or h6.laor rhmtrgh his or hd oM .mploy6.
prclid.d that such imFtrvoMls e ml inldxlo.l or ofi6€d aor slc. lt hoso-6. !h€ buildi.s or idpllllffir is eld eiihin on. ,d
ofcooplemo, rhc OM6 Buildg wiU h.v. th. h{do of pmvog 0d lrc or stE did rol hild or inprcvc thc p'opqly fo. lh. purpos ot
L s o*nr ofrhc popsly, ane{clsivelyconrraclin8 wirh lic€ns.d coitadoE to coishd rh.pmjel (se.7044. ash6
aod Eolsb. Cod.r Th. Conlrad.r's l-iccn. l.a* do6 nol dpply ro b ownd ofproFny who builds o! implov6 lhqcon.
and who conr.cls for such rtroj{rs wirh . Co Ecro(s) licmsd pucudn to rhc Contdcror's Li.N tlv)
I m.r.mpt u.dd Serion .B.&P.C forlhis r.en
va8(EB!tro!lf!!$M!
DEClAtAlt9!
I hercb, afinn undd !.nahyofpgjuryonc oflhc followinE dclaations
_I har€ and{ill'@i ri. a Cdlirlalc olconsl lo s.lf-laurc aor trorte .onp.nsrlion, 6 Fovidcd for by S61ion 1700 of lhc
Lrbor Cod€, lor rnc pdfol:Mc. of rh. wort for *hich lh. pqnil is isu.d.
I haE and vill 'nlintain
porkd conp.Natior iNuranc.. 4 ftrt&.d b, S{tb. 1700 oarh€ tibor Cod€, lor the pslomec. ot
th€ *,o.k lor whi.h rhi. rErhn ie Nucd My work6 .onlp.@rion iBu.e.c .dis dd policy tumbn 6c:
yI cedify rhar i, thc psfoflmce of thc work aor which rtis p.mir
's
irsud! I stEll nor @plor..y Fion in my Den.r
$ 6 to b€comc subj6r ro rh. *ort6' .onpqetnrn hs ofcalifomia, md agE thal il I should beomc subjal lo th€
work6' ..n\poerio. prolisio8 of Saiion 1700 of $. ljt r Code I shEll. lonhwilh comply vilh lhoe provisioc..
WARNINC faihrc to sur€ \ork6 compostion covsasc is lnlawrul. d sharl subjcd m mployd ro Ennnlal F.altls &d
civil fincs uD to on€ hundr.d lhous d dollaB ($100.000). in addilio. rc rh. cost oaco6lc6ttion, dena8s 6 p,ovidcd lor the
DECI,AAAIIO!
I h@by altm undd Fnalry of p6jrry rhar I m liffil Ndd Fovieion of Ch.pla 9 (comnqcins vilh Sdlion 7000) ol Diltsion l
of lh. BBine 6d PofsioN Cod., dnd my lic.M is in tull forc. ud .fi..1.
l/tr/fuot a .*".^*
coNsrBllcItoll.ElotlclgElc!
I h@by amm undq p€.ahy of pdjury lh.1 rh6. is a cocttu rio. kndin8 .gmcy ior th. p.rtommcc oath. woII for which this Fnil is
issu€d (Sa 1017. Civ. C.).
AITUTANI-DEEIABAIIAI
I nd.t'yallnn unds p.f,.ky of pdjur, onc of lh. follo*ins dal alions:
D.mohion Prmns- sbdlos Norificdion F.dral R.sularions (Tnk40. Pd6)
Rettuncd litr..f Nor,6carion
I c61ia, that rhc lcddal regul,lioN EgordinS 6b61os movd oe nol applicablc to fiis projct.
I l cd r ry r har I h,\. r.rd Lh! applicahon ed !rd. r hd rh. abov. inlonndion is cotrel I asc m onply qilh all Cil, and Counry
oinmanc d Sralc Lsq Eldi.s ro burlding con$tudio( ad hdcbyaulhoriz rcFMlalivB oflhis Cily ad Cou.tyto dl6 !F.dt
Ar2 o
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bonding / Groundinq / UFER tt?z.b -bto>
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rouqh)
Ivleter Release /..22-2.d.n,/t,
Rough /-22-2p &lrd ,/t\
Service Meter / - >2 -?,oFINAL/-22-",tb,,Jlt
Notes, Remarks, Etc
Rev.0B-07'2015
Communications Cable
Sation 3076 olthcUbo.Code inlcr6l ddromcy\ 16.
",,", t/ I cf2o ) .
.n"*".*, I lO
Lm lft s Addr6'
abo!€ morion.d pmpdy
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