HomeMy WebLinkAbout20162634 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana , CA 92702 Electrical Permit #: 20162634
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Project Address: 3417 S Timber St
Assessor's Parcel:
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
State Lie#:
Lie Type:
Bus. Lie#:
410-161-11
Tracy Tran
3417 S. Timber
Santa Ana, CA 92707
(714) 334-3170
Lot: 23
Master Construction & Deve
1228 Village Way #A
Santa Ana, CA 92706
(714) 568-5444
532153
B
347001
Workers' Compensation Insurance:
Carrier: State Fund
Policy#: 1965180
Expires:
Building Use:
05/31/2017
Single Family Dwelling
Addition
Occupancy:
Unit:
Block: NA
R-3, U
VB
Bldg : Add ress Range:
Tract: 7002 Historic: No
Fee Type
01116002 51603 125 Volt Receptacle
01116002 51603 Ligh t Switches , 0cc. Se
01116002 51603 Light Fixtures
01116002 51603 Air Conditioner
01116002 51603 FWU
011 16002 51603 Dedicated Circuit
01116002 51603 Serv Meter
01116002 51603 Subpanel
01116002 51600 General Plan Update
01116002 51603 Issuance
Pin#:
Suite Range :
Zoning : R1
Amount Qty
1.35 12.00
1.47 8.00
0 .98 22.00
90.25 1.00
23.09 3 .00
23 .09 2.00
49 .63 1.00
49 .63 2.00
20 .56 1.00
51 .26 1.00
74839
Fee
$16 .2 0
$11 .76
$21 .56
$90.25
$6 9 .27
$46.18
$49.63
$99.26
$20.56
$51.26
Job Type :
Nature of Work:
Constr Type :
Serv Meter/Panels/Air Condi-Code: CEC 2016 Notes: Upgrade serv meter/handout given.
Planning Conditions: Neighbor's consent on file. A/C on side property.
'ate:
Plan Checked By: Date:
Planning Approval By: ,, Q
Pecmillss,ed By, V ),wski, e,i
Subject to Field: ( -.... f\ \ ;
Building Permit#: ~'90132
Date: 02/23/2017
Account#
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of180 days after the time the work is
commenced.
Inspector MID#: 2016-130238
01116002 51600
01116002 51603
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$20.56
$455.37
Fee Total:
Paid to Date:
Balance Due:
$4 75.93
$0.00
$475.93
APPROVALS DATE ID/SIG.
Site-Work
Underqround
Pole Bases
Liaht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaae
Fire Alarm / Dampers
Communications Cable
Buildina
Under Slab / Floor
Bondina / Groundina / UFER
Transformers
Toraueina
Sub-Panels
Air Conditioners
Roof Top Equipm e nt
Factorv Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouah
Ceilinas (T-Bar Rouah)
Meter Re lease
Rouah
S erv ice M et er
FINAL
Notes, Remarks, Etc. V
ELECTRICAL-INSPECTOR RECORD
COMMENTS OWN EH UU ll.l>EI{ l>EL C AHA TION
I he rch y affirm 11mlcr pe nalt y o f perjury 1h,11 I :un e'<\Clll]l l frnm the Gmtrai:111r,;· Lit·Cn"-c I.aw fur ilw fnll l1\v i11g n.•:1"1111 i Sl'i.:.70.11.5
13usine!-S am! Pn\fe,;siun Cndc): Any City nr C'nu111y whic h req uires a pe rmit tu c1111,;1ru1.:1. ;1ltcr. impnm:. 1k-i n1d i,;h or re-pa ir :my
:,;tnll'turc, prio r toils issu:mct:', alsn requ ires l hc a ppl il.:a11t for sui:h pt·r111i11 11 fik :1 ,;iJ!11ctl 'i late111t·111 1ha1 lie 11r ,;h,_• i, !kcn,,.·d pursuant
lo till' prm•h•io 11'-or lhc C1111t r:u:tor",,; Lkcn~cll L:1w lChaptCI' 9. C11111mc111:i ng w ith Si.:i.:t i1111 70IMI nf D iv i,im1 .1 o f lhc B11,;i11c,;,; a nd
l'rnfl's,;ion, Cntlcj or th;1t he nr ,;he j-. exempt thcn,:frmn a ml !ht· h.1,;i-. f11r the ;1ll q!t'd t·\t:111p1i11n. Any \'i11l:1tin11 of Sc:c:t inn ill,1 l ,) hy a ny
app!h:ant f111· a pcl'mit su hjec:\,; the applic;u1t 1t1 a dvil penalty uf not mnri: 1h:111 five humlrl.'d llollar,; t\:'\Oll f.
_I. a,; nwner oflhc pr'o pcrty. u r my cmp lnyecs with W:IJ!t'<; :1-: tht:i r -.11k comrcn,al inn. will Jn !he \\'111t and thl! ,;1n11..·111rc i~ 111 11
intt•tuleJ ur u ffen·d for salt-(Scl·.70-l4. Busint•<:,; :md l'rures-:inn-: Code: The Cm1tr:tl'Wr'.-. Lil'l'IN : I .:1w d11t'<; 11111 :1pply 111 :111 11\\'Ut~r nf
1hc prnrcrty whn huiltl'-o r im prnvc" 1hcrenn. :11ul who doc'-<:uch wnrk hi nl',elf or licr<:elf or chrough hi, 11r he r ,,,,·11 c 111 p ~1ycc-:.
prnvi,kd that sm:h i1np 1·nve1111:11(s are nnt inlcrnled nr ofll'rt'tl li ,r <::1le. If. h1111·e1w.1he hi1ihli ng 111' i111prun::m.:11t i-. ,;old within o ne )l'.ir
uf c:ompk:-t ion. the Owner Bulkier ,viii han: lhc hurdc111 ,r pn1\'i11g th:i t he 11rshc tl id 11111 huild u r i111p101·c.• tht: pmpc.•n y r1 1r Ilk.' pl lll '-''l' ,,r
-:ale).
_l. a._ nwn cr of !ht• Pnllll'l'ly. ;1111 t'Xt.:111<:i\'e ly c11nl r:1cti111! wi th lit-c-n~ed c11ntrnt.:t11 n:: 111 1.."11 11,lnit·t t ill' p1,1,it'l'l lScc.·. 70.1-1. Rlhilll'"-
antl J>rnfo,-,-ii.111 C ndc : The C1111t r:1~·1nr'" Liccn-.c l.:iw dnl'S 11111 app ly to a n nw ncr n f prnpc1 I)' whn hu ihl-. or im11n1rc-: lht'lt'•111.
nnd who contrnt.:I<: for ,;11d1 pr11jcc1-. wi th :i Cn 111rac1L11(<:) licl'n>:t.:d pur<:11:1 111 Ill 1hc Cn111r:11.."t11r',;; LicCll"-C l.:1w1.
_I a111 e.-:empl umlcr St.:t·tinn, ________ . B. & P.C. fnr tl1i~ n:a -.1111.
IJ:.1 l c ; _________ O"lll'f '
W<JHK EllS' <.Ut\ll'ENSA'l'U)N
UECLAlt,\'r l«l N
I he rd1y artir111 u ntlcr pcn:LII )' 11f pt.:rj ury one nf the fullnwi111! dedar:ui,111,;:
_! ha\'c ,11Kl will mai11 t ai11 a Ccni!katc 11rCon-.cn1 111 Sdf-111-.urt· fL1r \\'mh·1~· curnpc11"a1 i1rn , a, p1mi1ktl f11 r h y ,c;;ct·1i1111 .noo 11f 1he
L;1h11r Cude, 11,r 1he pe rfi1rn1:1m:c nf thl' m1rk fur whid1 thc pe rmit j,-i~"uctl.
_1 ha,·t' aml wil l m:1intain winke r-.· co111 pr11~;u i11n iu .. urancc. a~ rc11Lti rcd hy Sl't.:!inn J 700 1it'thl" l.:ihor l·mk. !i 1r 1he pi.!1·fu1111:111l'l• 11f
thl' wu rk flll' whid1 th i-. permit i-. i .. -.uell. M y worker._· t.:11111pl'n'-•ll i1111 imu ranct: carricr ;md polit.:y m1 1nher a1c·
C:1rricr:: __________________________ _
P11licy Numh<.'r:. ____________________ Exp ire-.: _________ _
_I l'erl ify thal i111hc pcrf111·1rn1m·l" ofthl" work f11r whic h thi -: 1,-:nni1 j,; j,;-.ul't1. I sl1:1 ll n111 e1npl11y a11y pcr~11n in an)' 111a111wr
!-ill a~ 111 hecmnc s11hjer.:1 tn the workl't·s· r.:111npe11<:attl1n law~ 11f C:al il'nrni:i. a nd :1gn!c 1ha1 if I ,h1111ld h,,•..:1111ll.' '-llli,jl·l·I 111 !ht·
wmkcr._' COtnl'ICfl '-:ll inn 1mwi~inn<: ofSt!i.:tion .HOii nrthc L:,ho r Cw lt!. l <:ha ll. ti1rt hw ith c11111ply w ith th11-.t"" prn\'!,;in n~ ..
WAltNIN(;: F:iilme In 1;ecure \\'n rkcr-." 1.:nmpcnc;:1tion coverage i<: unlawful, and <:hall ~11bjeL'I :Hi e1111,lnycr tn nim in:111w11:1l1 it''-rmJ
rivil fine,; up In nne humln:d thou~antl 1lnll:1r<: (. .r'IMU }OI>). i1 · hliti1rn ln the cost n f c11111pt.'n,;:11 inrL da1n:1gc~ :1<: prn\'idt·d flll' the
Si.:ct i11n J(l.76 nfthc .i1hur~'uc.lc, i tcrC"-1 ;'I d :1111, ;)' -
U:ok: ~ /,_, / 2-~ ~'7_ Ap ·:o ut:
L, / 7--.EN~ RAf " m
1 --.. ECLffiATION
1 111.:rchy aflirin undcr perml1y n r pt·rjury 111.11 I m11 llcl·owtl 11111\cr pn)vhi11n ,,rch,1pll·1· 11 tt·1111 1111enci11i; wi1l1 Sn:ti,111 7lltHl) ,,flJi\·i ,~,n J
of the Bu-:inc"" nnc.1 Prnfe-.sinn" Crnle . ,mu 1ny ti ct·nst' is iu full fn rcc :rnd effect.
L icen<:c Class: .,, i I · ......... , Numher: --::::::--------------
Uat< ______ ~--17~, c n ,.:£ ~) -/-/--~
/ JNS 'l 'l!l l':'1'1 ·£.:Nm Nt:A<:ENC\' V f
~ .hcrchy a ffirm 11mle!. pc1~a ll)' nf perju ry th · tht•rc ¼·1111-:1rul'tinn k-mli ng agency fu r the pcrfm1nance nf tile wn nr ·hid11hi~ permit is
1s~ued (Sec. JO~?. c,, .. c.i. -----Lemler·~ Name: ________________________ _
Leuder·s 1\ddn·~s: ________________________ _
Al'l'I.ICANT UEC LAIUTION
I herchy ;1llin11 u11 dcr pe nalty nf perjury 1,nc of tht! foll,1wi11g det·larat ion":
l)c1no liti1111 l'e rmit~•/\shestos Nol lfieat inn Fcdcr·al Rcg111:Jtio11 ~ (Til le 411 , Pr1rt fi)
_lkqu ircd Lcllcruf NutifN.::alion
f
_I 't'rl ify ml t he th lcnLl rcgu l.nk,n" rcgartling a-.hcsms rc1111wal arc not :1pp lkahk lo lhi~ pmjc~:l.
_1 cer 'fy hal I ha\·l' rc:1d lhis a pplil-aliott ;11KJ ,;;ta lc th:11 the a bun-i11 f11nn:11io n is t·nrrcl·t. I :l!_!l'l'l' 1n n1111p!)' wi1J1 ;111 C i1y :111d C111rn1y
nrdinanl."C . ·1r1d St:itc Laws rcbting 111 building con~tru1.:t i11 11, and hereby authmizc represc111:11 in:'i nr thi,; Cit y and Coutll}' 111 e 111c r upon the
aho\'e 11 1111 1cd pn,pct1y fur i11spet.:tk111 purposes.
il1>11li<a11t nr A~rnt 7 n:ot urc: -rv/ l/~ 0 ,/ ll:11,•:~0?--
l 'r1·111itl½1111c ~11 1: / ~ ~.// ~./7 ___ .,,,,
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