HomeMy WebLinkAbout20170603 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (7141647-5853
Permit #: 2O170603
Pin #: 5Ol70 \.1
Project Address: 2349 N Siemon St Unit:
Block: NA
Bldg:
Tract: 3637
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor'sParcel: 101-042-01 Lot: 34
Owner:
Address:
Andy Oang
5712 Ocean Vista
Huntington Beach, CA 92648
(7141724-0256
Amount
55.37
22.95
3.91
Qty
'1 .00
1 .00
1 .00
Fee
$55.37
$3.91Phone:
Tenant Name:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carier
Policy #:
Expires:
Ands Done
Generol Plon UpdRte Fee
01116002- 51600000-
E I ectP icol
01116002- 51603U00-
Il icrof iIr & Docurents
r.'f 1 1 16002- 377 7000t1 -
nrlster (:ord
CC+: n rx *r I*x**xr54 92
$55
$3, 91
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019
ss?
Auth+:r:l13il]c
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Service Meter
Notes: issuance fee pd on 20170590
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
[k Hernandez, Kathy
Date:
Date:
Date:01t1512020
Account#
Evary permit issued shall become invalid unless th€ work orl the sile
authoized by such permit is cofimenced within360 days after ils
issuance, or if the wo* authoized on the site by such permil is suspended
ot abandoned fot a peiod ot360 days afler lhe timo the v/o* is
commenced.
$82.23
$0.00
$82.23
lnspector MID#: 20'19-149692
01 't '16002 51600
01 1 16002 51603
01116002 57770
Fee Total
Paid to Date:
Balance Due
Fee Type
01116002 5160: Serv Meter
01116002 5'160t General Plan Update
01116002 5777C Microfilm Records
Contractor:
Address:
Eotch+:53913 - t/15/2n2fr I0: CCU!.ltAii
officp: CTYH Trcne+l S 1 tif 1Acr:t+i Refi: 20171:16l:13
RcpLi:92865994 - L/ 11/2tt2g 2113 ?r1
Trons(lct ion Totol t82.23
Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
$22.95
$55.37
$3.91
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWN6R BUILDER DET,CARAIION
I h@t!y amnn !.de Fn lry oaFjury thd I m q.mpl ftonr lnc Coitaclo6 Li.@ tn* for thc followi,S rmn 6e.?011.5
BusinN md Prcfsio. Cod.) Any City or Counly rvhrh rcqui,6 a panil lo .onsltucl, altE, improvo dsmlish or 4on oy
srrcruc. pnor to ns isudcc. abo r.qonB rh. alplicel aor such Fmit lo fil. a sisn d slol@ol rhtl h. or sh. n [c6..d pGu l
ro rh. FovisioN olrhe Contrftrois Lic.n$d Law (ClE rd 9. Comocin8 wiih Serioo 7000 ofDivision I ol$c BusiflB and
Prof€sions Codc) or thar nc or shc * .xc6pl thEftor md tlE bcis aor thc ollcs.d cxmplioi. an, liolali.n of Sdion ?01 I 5 by any
oppltrdr lorspon subldsrh. app[cant lo tctr'lpcnalr) olnor no..rh fiv. hundrcd doll6 (tt00)
fz4r, * o** orrt p-rmr. or my cmnlo)6 Mrh tras6 6 lho. elc conpaE tion, sll do th. *ork ud lhc stnsluE s mt
ioldi.d or orded lor slc (Sa 7014. Bui.6s od PrcaBioG cod.: Tn. codtuois Lic€c l,u do6 .or ,pPly
'o
d omd oa
ihcprDp.n, who buil& or nnpB6lheor d who do6 st.h s* hims.lf or hcelf or lircu8h his or hd om mplorcB.
provided rhar su.h improvffils m mt intod.d or oft6.d for eL. I[ how*6. th. bildi.S or imFovml is 5ld wilhin on. ,w
oicompl.riotr. rhe Otrrs Duildd will ha!. lh6 b(rd6 olprovine rhd he or shc did not build o. ir+mve lh. prcpely tur thc pupo* ol
-
t, s osq olthc prcp6|y, e .x.lusivcly conr.din8 wilt licffid co raclos to consltu.l lhc proj<l
and PNfeion Code: Thc Co r&toi s Li.6r. kw do6
and who contEcls lor such pmjEts wirh a Conl6cro(
.prly lo own€r otprop.ny{ho builds o
p06ua ro
'hc('onradois
P'
D.&CI.ABAIIO!
I ncrcby arm mdd pcnaly ol pdjury on. oathc follovins d(ldal io6
I har€ and will @intad a Cdificlt. of Cohsr b S.la'INurc for work6 codFsarion, 6 Fovid.d tor by S4lion 1700 oflnc
lzbor Code, lor rh. pdfomm.e oathe ml{ for vhich thc panil is isucd
InN.mdwillmai ain wort6 co,npcNtion iNuran.., s Gqtncd b, s(lion 1700 oflh€ bborCodc. aorlh. pofolr@.cof
$. work lor * hich lhis p6mil is Gu.d My uort6 conp@srion iNumce cei6 dd policy nunbd &.
l'olicyNumb6: Lipt6:
I cdit) th.l in lhe pdlormanccorlhc worlt ror which lhis pdnir is issu€d, I shall not @ploy ey r.6on in my hend
e N ro b.:o6c aubjet lo rh. wortd' co,npdstion laqs ofcalifomia. md as@ that ia l should baome
worl6s' conlpdsrion provisioN of Sedion 3700 of lhc Laboi Cod.. I shall, fonhNilh comply wilh thoe
$ARNINC: railurc to sue No m'ompcNtion it unlawlul. drl shall strblEl an
ion ro rlf cos ofcomp..sat
t ?2U n
DECIdAAUA!
t h@by 6fam und6 leiahy oa pdjory thal I &n li@s.d undq p6vnion ofcha$e 9 (comming wilt Selior ?000) oa Division l
of lh. Bcirs sd PotNioc Code, md sy licce is in tull lor.c ed cft6r.
(OISIBICUOijI,INI)IIGrICENCI
I h@by afimundd p.nalryofpojoryOal tha. iso co.st clbn Icnding asdcy lor th.,rfoljM.. oa$. Mrt for whkh this Fnit b
iss!.d (Se 309?, Civ. C.).
artl.lcaNfDrc!4nallQ!
I hdby silnn uids Fnal'y oi pdjury on. of lhc following dclaalions:
DcnDlirion Pdmils-Asb6tos Noxlicalion Fedoal R.lularions (Tirl. 40, Pan6)
R.nutcd l.(!Y o I Norin$tiof,
f,u^o I agra ro conrply wilh allCiiyand Counry
aborc morioned prolEny fr
"(0 ZO
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire A|arm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service [,4eter !,. r -1
FINAL I ?t wu .t)7ilrtxrl 4tru
Notes, Remark!, Eto I
a trv'YlttR I
(
5'
Rev 0n-07-2015
Transformers
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Appli.inl or.\Eenr Signirure
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