HomeMy WebLinkAbout20170514 - PermitProject Address; 2039 S Van Ness Ave
Assessor'sParceli 0'15-125-04 Lot: 23
Unit:
Block: 5
Bldg:
Tract 517
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Electrical
Permit Counter: (714\ 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 2(J17o514
Pin #: 6893$
Owner:
Address:
Contractor
Address:
Amount
1.09
22.95
57.20
3.91
Qry
47.OO
1 .00
1 .00
1 .00
Fee
$51.23
$22.95
$57.20
$3.91
Phone
Tenant Name:
Marvin Roias
2039 S Van Ness Ave
Santa Ana, CA 927072639
Financial Consulting Help C
9651 Business Center Drive
Rancho Cucamonga, CA 91
(909)466-7180
Fee Type
01'1 16002 5160: Light Fixtures
01'1 16002 5160C General Plan Update
011 16002 5160: lssuance
01'1 16002 5777C Microfilm Records
Eqfchi:53672 - !/2/2tt2tt ID: t:CUi:.i,L.A
off i,re: (:TYH Trttns+! 71 ?. r.l' \Acct+l Refi: 2lll7l:rli14
Rcp t i : t1f29F5836 - t/2/2t!20 11:?l An
Tronsttct ion TotsI t811. r:r;
State Lac #: 1O3O177
Lic Type: B
- Bus. Lic #: 366918
Workers' Compensation Insurance:
Carrier: State Fund
. Policy #: 9211816
Expires: 06/03/2020
F insnc iol (:onsultins Help (:ent
Generol. Flqn Updote Fee
r:r1 116r:rtt2- 51600000-Ele.tl. icol
|:u 1 16tr02- 51 6tr3r:rtr(r-
n icrof i Is & Docufients
tr1116tr02- 577700tr(r-
Visa
CC+: xr*I*****rrr9239
$trl8.{..
tl ,J
${114 . r:r
Auth+:r-t41
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject lo Field:
Building Permit #:
Single Family Dwelling
Alteration
Fixtures
Occupancy:
Conslr Type:
Code:
R-3, U
VB
cEc 2016
Notes auth on file
Date:
Datel
Date:
lvlisc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
101102725
Every permit issued shall become invalid unless the wotk on the site
authotized by such pemit is commenced within 360 days aftet its
issuance, or if the wotu authorized on the site by such pemit is suspended
or abandoned fot a petiod of360days after the time the work is
comfienced
lnspector MID#: 2020-1568'13
01to212020
Account#
01116002 51600
01 116002 51603
01116002 57770
$22.95
$108.43
$3.91
Fee Total
Paid to Date:
Balance Due:
$135.29
$0.00
$135.29
Phone:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNAR BUILDl]R DELCARA-I-ION
I her.by aiirm ondd pcflalry of Fjury rhal I m c\dnpl ftom lhc Cott.rcrou Licas. tiw lbt rh. fouo$in8 tNn (Sa 70l I 5
B$in6s atrd Prolsio! Codr): .y Cny or Counly vhich r€qun6 a Fmn to coNlrucl. .lla inprove donolish or rcPan s,
nrucrre Irnr b irs issumce. ale r.qui!6 lhc appli.anr for such pmit lo fiI. a siln d srahd that hc or sh. t lichscd pu6u t
1o rlE pnvttuN ol rhc Conradors Lic€ns.d li$ (ChaprE 9, ( ommcbci.s wirh S<lion 7000 of Division I oalh. Busin.ss ed
PBf.$bns Code) or lhrr h. or shc is ercmpr lhde,iot d rh. bsis lor rhe allelcd cxdnplion. Aov violationolsdrion ?011 5 bv anv
applica.r aor a p.m subjclslhc applic,nlro t.ivilpmahrofnol Dorclhd ar. hundr€ddolla.s(S50o)
L as o$s oflhc rrcpdrr, o ny onploy6 $ith Na!66 thcir sol. cor.posalioi. $ill do ft. Nott sd lheslrud@ h n'r
iolod.d orofrd.d aor eh (S{ 7044- Busin6s dd PrDfsions Code Ih€(onta.rorsLiccNlrsdo6nor.pplvto 0\6oa
Ihc pmpeny who hil& or inDror6 lh@n. od who do6 such !o,l tnnseltor h.ts.llor ttrcush his orhd o\h.tnplov€6.
Eovided lhar such i'nFor@drs mnol i q'&d oroltu rorek.ll hotr66.lhc b{ildi.E or inProYclBt is sJk snhin orc }w
ofcoopL{iotr $. own6 Buildr will hav. thc brdd of prcving lhd hc or sh. did nol build or inFovc thc ,'spsiy for ll"E purrDs ol
l. N oNns o llhc p.opolr, an cx.losivcl, conrrasrios tr irh licscd .ont.do6 lo consrrud rhc Eoj..l (Sd 7014. BuqinN
and lha6i.n ( ode Tnc Conlrackn s L(.s. Law d.6 nol apply k' an .*nd of rrop.n y *ho builds or inpro L 6 lhdsn.
and trho co rads iorsu.h ptuisG silh a Conra.b(, licds.d pnBu.nl lo rheContacrors Licflsc t-aw)
I 0 exenfl udd sdrion
$oRxnRs' contPENSAT|oN
DECI,AA{I{)!
I hs€by sffiirn und.r p.nrll! of psjury ooe ol rh. rolbr ins d..l&.tiom
I ha!€ ad vill @inrain a Cedificar€ of Consd b S.lf-lftur. lor tork6 compsetion. s Fovid.d hr bv scrion 1?00 of lhc
l,bor Code. lor lhc pctomec. of thc vork for $nich lhc D@il il issu.d.
lLI harc aid will nainlaii work6 conpc6aron iGurft., 6 r.qlircd by Sdriotr 3'7oO oalh€ Llbor Cod. for rh. Ffom cc of
thc *ork for *hich $is p.flnn is Ls.d My vort6 compoerion insnrmc. 6id ed policy numbr 4c:
.-,- ,fola P''.rnd -
r"ri., rr".r,., 4 (, \\0\b ,.on*, U4LO
I c.nitylh in lhe Frr.mt.c. of rh.qotk for which thi. pnnir is isu.{.I sh.llnot dnploy tnv l.Mn in ev nmd
$ 6 ro b€rome stjfi lo lh. $ort6' compcmarion Ia$ of Califomia. dd agrd rhat if I should b..om. subi..l to lh.
s!it6' compaerion provisioB olsdioh l?00 of lh. Lobo. Corje, I shrll, fonhw t enply wilh rh.e pmvisions..
W,{RNING: Faihr. tu surc wo 6 conpdMrion covdagc is uilaNtul. ed shall subj€cl an nplo,6 ro ciminrl p€ishi6 dd
c!-il fin6 up (o on. hrn&€d rhorMd dolld ($loo.OOO). in.ddnion lo rhe cosl of conp.Grtion. d.mag6 6 prolidcd fo, $.
S4lion 1076 oarh. t bor Codc inlcr6l ed .tomc, s 16
w", \l?-l Zo u
D!C!,A8AI]o!
I heEby &firm undr pda[y of pdjury rbal I m lictudi undd pmvilion ofciapld I (com mcinS with Sc€lio. ?OO0) 'r Diviri" l
of rh. BGinN d Profsios Cod.. dl ny licd$ is in tuu torc &d clf(l
h to?o\-.)l
,",",\1?-,1@ .",,.".,..
CONSIRUCTION LENNING ACE CTY
I h@by arm und,i p.n,lry of prjury rhd lh6. is a .oislru.1iof, Lndins ssd.y for rh. psfomoc. of th. woik for ehich thit paf,it is
i$u.d (Se. 109?, Civ. C. ).
tando-r \am.
-
AFPLICAN'I' DECLARA'NON
I hot!, afrm und( por.lry olp6jry onc of lhc follo*ins deldarioN:
D.molilion PcrDils-AstEslos Nolificarion F.ddal R.8ulations ('l'nk 40, Pd6)
R.quircd Lcrt6 of Noti6crlion
-l
.6riry rhar lh. Ldd.l rcsuhtio6 tsalins sbcros rdo\.1 dc nol appli.abic ro thit poi6l.
I cfiirylhar t hae rcad rhis applicalion dd slrl.lhat lhc aborc infodrlio. i. cotrdt. I asrr to complvvnh.[ citvand counl,
o.dinanc6;d Sur. t?M rcklhs lo buildins coctoclio( ad hd€by aulhoi@ qr6alalive of this Cil, ed Colnlv to dl6 upo. th.
rbore mcnron.d nmrleny lor insp(d)on nurFls/
^pprrAnr
o,
^Bd,
sisn.rur. Yt---fi-'
permr,ee n,ne,prrn,): i.^vltA lxo.lo'vt O
"^,.{LU9
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
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 (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Rough
Service Meter *-z
FINAL tlun)DAo,o sr -p tcl
TINotes, Remarks, Etc
Meter Release