HomeMy WebLinkAbout20168113 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit#: 20{681{3
Pin #: 15712
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Project Address: 13'19 1/2 W Third St Unat:
Block: B
Bldg: Address Range:
Tract: GOLDSMITH'S AD0Historic: No
Suite Range:
Zoning: R2Assessor'sParcelr 007-183-13
Owner;
Address
Truong Pham
31850 Paseo Tarazona
San Juan Capistrano, CA 92575
(714) 397-6490
Amount
96.90
22.O8
55.04
Qty
100
1.00
100
Fee
$96.90
$22.08
$55.04Phone
Tenant Name:
Botchii49620 - 3/ 1/2{J19
off ice: CTYH Trons+: 88AE,:t+: Ref+:
Rcoti:02550421 - 3/ 4 /2fi19
Tccn,'cct ion Totnl
I0 |
2l
12l
s9'
Phone
l68l 1 :!
'11 Pn
State Lic #: 439166
Lic Type: C-35, B, C-10
Bus. Lic #: 347724
Workers' Compensation lnsurance:Carrier: California lns Co
Policy #: 4600941902
Expires: 08/16/2019
6enerol Plnn updute Fee
0111600?- i1600000-
Electn i, q1
0111600?- 5160300fr-
ICL Checlr 0115611
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
HVAC
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016
Planning Conditions:
Date
Date
Date
03/04/2019 Misc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
.$erouzco, viotet o3to4t2019
Account#
Every permit issued shall become invalid unless the wotu on the sile
authoized by such permit is commenced wilhin180 days after ils
issuance, or if the wo* aulhoized on the site by such pennil is suspended
ot abandoned for a peiod of180 days afler lhe time the work is
cofimenced.
$17 4.O2
$0.00
$174.02
lnspector MID#: 2019-149815
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due:
{r)
Lotr 14
Conlractor:
Address:
Mr Build Home lmprovemen
8391 Beverly Blvd, #340
Los Angeles, CA 90048
(310) 275-{076
Fee Type
0'1116002 51603 Air Conditioner
01116002 51600 General Plan Update
01'116002 51603 lssuance
nr Build Horie J ppovenent {:oil!
722 .t1E
$1sl.?{
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Orozco, lvan
Notes:
$22.O8
$151.94
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rough
Service Meter
FINAL 6ln 1A)
Notes, Remarks, Etc.u I \--,/.l
OWNER AULDER DELC RATION
I h...by .itum ud6 F.olry ol psjury thar I on .rmpt frcm rhc ConlracroR Licose tjq lor Ih. fouowir8 rcsa (Se ?01 1.5
Busins md Profsion Cod.): Any Cny or Counry which E9uir6 a p6nil ro @n$rucr !llr, inprcv€, d.oolish or tpair dy
sttuclue prior to irs isuarce also Equirs lhc applicel for su.h Frnir lo 6L a siSn d sl6r6dl lhal hc or sh€ b licsed ps@r
ro rh. povsioB offi. Contrrctoas Li€enFd kw (Ch.Frd 9. aoo,r.ncirs rvilh Selio. 701)0 ol Divirtun I otih. Busins &d
Poacsions Cod.) or thal hc or shc is ex.mpt lha€from &d lh€ b$is aor rh. 6llc!.d .rdnFion. Any r iolation olsc.lioo 701 I 5 by y
applicdl ro. s pdn subjcrs lh. applica r. a cilil p...hy of nol mor. lhm fivc hundEd dolles {1500).
kl, s o\ns orrlE pmpaly. or ny mployG wir! waB6 d rh.t sL compoMio,L will do rhc \rclt od th. srrucr@€ 6 mr
inlftt€d or ofis.d lor slc (56.7044. B6in6i ed PrcfBidtu Cod. Th€ ConrEctoas Liccc li* dod nol tpply ro d ownd of
rh. p,opdy sno t0 & or nnFov6 fison. ud *ho &6 sch $rI hnn*llor hmlfot rhroush his o, hq o*T dnplore6.
provid.d rhlt su.h nnlrovm.l3 mnor intrr:Ld orofiGd forele lf. howod,lhe boildins or iqmvmdl t sE wnnin onc yar
of conpkiofl. thc Otrn6 ltuili6 will hair tlE hmko olFovins lh![ he or the dt @t toild o, improv. lhe plDpqty foi llE Fnpo* oa
-1,
doM6olthcItropsry, @ .xclusiv.lt .ontaclin! *nh li..o*d connadoBto constru.r rhc |Ioi.d (S{ 7014, Bums
rnd Ptuessin cod.: Th. Conrra.lois Lic€nsc kL' 'jo6 nol applylo do*nd ofprop.ny{ho boilds or inprc!.s lhsdn.
and rvho conrmcrs for such projars wilh a Co.rftdo(s) licosd p,mmt ro the Conl.acrff s t.ictuc Las)
_l dncxdnpt undq Sdiofl ,B & P.C.lorlhBrdon/rxl 4.ro**,". ft(fttr _.ul)axEal(olt8ErlAM!llflLtallrllD
I hftb amm uida p@ll) of pqury on. ofih. fo[ou in3 del,mrioN
4lh!"c d *ill medao c cdrfi.ar. ot consr 16 s.lllBur. aor rcrkdc conD.hltlion. s Fovid.d for by sdlion 3?oo oIlh.
Lr-bor Code lor $c FfollMG ol lhc E L ror * htb I h. Fn B su.d
-l
hav. Dd $ill m.i ain wo*.ru' comFN.lio. iNllecc. s rcquitd by Scrion l?00 of rh. tlbor Co&, fo. thc Ffo,i@c of
{birh rhi! p.trtr h isu€d. M) wqld comp<6d rcn rNL, M(c cMid Md policv numba o€
t\tffitL0
r0 r 000 G3 01 -0
V(drf) rhar in rhe psfomancc of lh. \o ror s hrh rhis p6mil is Gsu.d. I shall nol mploy any rl6on in My mm.d
n^tu ro h{'h. s.or(r , o rh. *0116 comp.Nron la\csor. al'lom,a, d +'Frh,'fI rhoull b.(om.'ubj(r torhc
{ort6' .6np.nerion prelieioN of Sarion l?00 of thc Labor Code I slEll. fonhs irh conply wiih tho* povisio6..
WARNINC ljailurc to sre uork6 conip.Balion .o\@!r is unl.Nful. lnd shall an onployd ro $ininal p.oafti6 and
civil fin6 up ro on. hun&.d thoMd dolld ($100.000). ii a'ldnion to rn coi ofc
IItf t 0
I ho eby amnn unds p€nahy of pqjury thal I d licctucd undd prcvbion of Ciopla 9 (commencins wilh S(don ?000) of Division l
of thc Buin* &d PoaeioB Cod.. dd ny licG is in full lora d'd cllcl.
4.(1 pru€
colslaucuoll,ElDllc-acl!(I
I hGby ammr undcr p.nslty of Fjury rha fi@ i. a coGtu.lio. Lndin8 atdcy for lhe Faoman.. of rh. wo.k aor $tict lhG p6mn is
issned (Se 109?. Civ C.).
AITCANLDECIASAIIO!
I hoq arfrm u.d6 p6ahy of pojury on. oalh. aollo{i,B d6l.ral iors:
D.molilion Pmils-Asb6los Norificarion Fcd@l R.rulalions (Tnb 40, Pd6)
R.quired Lcit6 ot Nolificalion
-l
.d!ry thar rhe fcdFel manldioG r+edine sbdos r.mov.l dc ool arplicrbl. to rnir prujd
I cdilylhd I h.vc rad lhisapplicalioa udstalcllul lhe abo\. inaonndion is cond.l aBre lo conply$nh.ll ciry md Couniy
ordinanca and Srate L.ws rclaliry !o burldr! construdii. od hdlby adhoriz reprd.ilsl iv6 of rhis Cily dd Couniy lo ctrts upon th.
abor. mmrion€d propcn, aor iNp€ct
,1pplicrnl or As..(St.tttrn
Pmlenrm€(prl.Oi
lrW,^" )twth l, rnq
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