HomeMy WebLinkAbout20166224 - Permit\
City of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical
Project Address: 1026 S Dennis St
Assessor'sParcel: 10A-721-14 Lot: 75
Unit:
Block: NA
Bldg:
Tract; 8924
Address Range:
Historic: No
q
Owner:
Address
Contractor
Address:
01 1 '16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
51603
51603
51603
5'1600
51603
Qty
8.00
4.00
10.00
1 .00
1 .00
Fee
$1 1.20
$6.08
$ 1 0.10
$21.25
$52.98
Phone
Tenant Name:
Vicky Nguyen
14272 Webber Pl.
Westminster, CA 92683
(7',t41623-0204
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1 .52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensation lnsurance:Carrier: Exempt
Policy #;
Expires:
Plannang Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave-9
10195551
Planning Conditions: Shower not permitted in addn. All materials to match existing
06/18/2018
Account#
Notes: New family room, powder room (no shower), & open
patio with solid roof cover.
Date:
Date:
Date:
Misc. Receipt:
[Iisc. Receipt:
Misc. Receipt:
Total
C
Every pe nit issued shall become invalid unless the wo* on tho sito
authoized by such permit is commanced within180 days aftet its
issuance, ot if the wo* authorized on the site by such permit is suspended
or abandoned for a period of 1 80 days aftet the time lhe work is
commenced.
lnspector MID#: 2018]141437
0'1116002 51600
01116002 51603
$2',t.25
$80.36
Fee Total:
Paid to Date:
Balance Due:
Permit #: 2IJ166224
Pin #: 94572
Suite Range:
Zoning: Rl
H L Home
11071 Dune St
Norwalk, CA 90650
15621412-1818
Building Use: Single Family Dwelling Occupancy: R-3, U
Job Type: Addition Constr TYPe: v B
Nature ofWork; Addn/patio Cover Code: CEC 2016
Eotrh+:44.149 - 6/18/2ltg
0ff icer (.TYH IrRns+: g0
A':rt+r Refi:
F rptirtr:?97971 - 6118/2(rlg
irttnso,:t ion Totol
t Htjl'll:
it?ner(tI Plnn UPdote Fee
ru 1 l61102- 516[0trtrtr-
Electr icol
fl 1I16rl(r?- 516030t1r:l-
r/ i gtl
CC+ r r * * i *r rrxlrr9515
ID: IJ
7lll /]
Aulh{
$ 101 61
$0.00
$101.61
ELECTRICAL-INSPECTOR RECORD J
DATE ID/SIG.COMMENTS OWNER BUILDET DELCARATION
I ncrcb, omrm undcr pcnally of Frjury rhd I no cicmpt iiom rhc ConrEctof Liccns LIw for lhc follori.g B.$n i Scc 70:1 1 .5
Businc$ uftl Profc$ion Codc): An, Cily or Coxdt whi.h dqltc\ a tf,rdir to .onstu r, ahq. imtrovc. dcmlnh or Etlon flny
sltu.turc. pri)ltu irs hsumc. !l$ Eauircs rhc atplicer fo. su.h Fhnir h liha silncd dar.tunr rh,r h.o, \hc n lic.nscd p *uant
ro rhe Folisions of rhe Coniro.rols Li.cn*d t,,w {Chapter 9, Conmencins ,irh Scction 70OO of Division I olthc Busin.s and
ProL*ions Codc) or rharhcor shc h cxctrrpt rhcrcfiom dd rhc b*h nr rhc rllcsed.xcnlJjri.n AnrliolarioaorS6tionT0ll t hy rny
rpplicrnr ror a p.mn slbjccr\ thc applicrtrrkracivilFnohyofnor.rorcrha.fivchu.drcddollust$500)
L as oRtur of rhc lrolrny. or my cmployes w h wrgcs .s rh.n vre .om,cnsar ion. wiU do rh. work srd rhc dtud@ is nol
inlcndLn or oricrcd ror sL (se.701.1. Busincss and Pmfessions Code Tlrc Cotrtri.roas Li.ctrE Las docs nor applyto anowncr ol
rh. tmp.ny $ho builds or improrcs rhemo. ad who des such wr* himsclror hcr{lfor rhmu8h hh or h$own cmt,lo}rcs,
nrcvidcd rhd such inp'umnB d. fr i.rcnd.d oroncqr hr sk ll hoNcur rlr hlildinsor iqmvcmnt t$klBirhin.nc,r
olcoryLrkr.. rh. Owhcr Bril&, will hovr llrc turdcn ofl)roving rh,r h.or {hc dii to t iki or inp(rlr $e porEl, tor rhe DurrDsc of
_1. n owmr ol rh. pmp.ny. r r.xclusilcly coniridils wirh licnsd cotrtrrcron r(' on(rud rtf, l)()j.cr (sm 7044, Busncs\
lnd h,hsskn' Codc: 'l he Conrador's Licctrs. L.w doB no! aptly ro !n owncr.rpropcny who l,uilds or nDpnnrs ricrcon.
snd who onrdck ror such tFigcrs wirh a Conrmcro(, licc.sd pursur ro lh. Cotrr{.ror'( Licctr* trwr
-l
anrcxcnw undcr Sccrnr
-.3
& PC lnrrhh rcrstr.
D.t€: O$nrr:
wonKrRs coirPmsaTIoN
tl[ct a.SaIluN
I hercby.ffirm undn !.n.hy or ldjuiy o.c olrhu {dl'wins dcclaftti()n!
I hrw dd will .Binrin r C.n irrlrc oa Gnr{nr ro Scllhsurc lor wort.n ronlrnslrio . ar lor idL{ lor hy S(rion l7m or rh.
Iihtr Gdc. rn rhc perlormne oi lhc {ork for whi.h rh. Fcd is nsucd
_lluvcondwillroinrainwork.*.omFnsarionin\lrumc.asrcquncdbySccriotr3rmofrhcLrborCudc,rorrhepcrrorm,n.cor
rne $o.k for whichlhispcrmit is issucd. Mywo c6 comp.nsarn,n insuoEe caricr ond policy nunrhcr !rc:
Policy Numhcr: _F\pnc.
I ccnify thar inlhc nerf.rronccoflh. work lrr whi.hrhis p.flnii is i\sucd,I shr!llor cnfbysnrrc6oi in rny nrnncrs s ro b.&nf subF.r b rhc *orker' d,nncn\lrion laws of calirirnio. rtri rsEc thd rf I should hcrom subjccr ro rhc
wolkrc'cotrFns,rb.prrlisn,nrors..ri.nl?(xlofrhcl,ho!Co<le.lshnll.ionhwilhcomplysirhrhosproviions.
WAiNIN(;: FrihB xr rc!rc srken omtEns0rion corcm8c N unlawrul. and shrll srhjor n. cnDlorcr tu aiNirnl p.Mht\ rid
.ivil finc* rt ro.ne hlndrcd rh.lsand dolhn (SlUr.oU)), rn Nddiiion ro thc.os ofcotr1p.os.rio.. dr Decl {s provid.d for rh.
,*iiG{LeiS ^.^.,,,k,,"*_.,rkfuN& le-
DEqI,AAA.IIOI
I hcEby arr$ u6dd p.naxy or Frjury thd t !n lien$d undcr t'ovniotr oIChofls 9 (omnrmins *ilh Sccrion l00o) ofDivnion l
or rh. Busiic$ and k,l'cssinns Codc- rDd my li.ensc is in full roN ed tfi.ct.
b(r.^:o1
.-,*"-,X= -tLLEh+4e
co$trBugllaNff!.Dllc-a ji.E!l;I
I hereby ulltrnundcr Fnahyofpcdury ltul lhm k a oniruc'irn Lndin! agcky rorrhd p.rr.r.un d.rrh. {. rff whi.h rhk p.nnir t
issucd (Sa.3097, Civ. c.)
AIPJ,ICANII'ECI.AXAIIqN
I hcr$y olInn unJcr p.n,lly ol p.rjury o* or rh. follo{inB d(lrarions:
D.mlnion PcrmirsAsb.nos Norificark Fcd.Dl RcsUsrions frnt.l0, Part6)
-RcquiEd
L.tr.r of Nditicarbn
_l ccriilyrhd ihc lcdcral rcBuhriotrsr*ud ! s\t nosrcnrvtrl!r. nor aprlicahk h rhn nnjccr
I &difyrhrr I h^crc rhhlpplicalionanlnrlerhitth.ahorcinionndioni\.urNr.Ingmk,.onDlywirhrllCiry.ndCounry
ordimE-cs.nd srrrc liss rcllrins ro huiidins conNru.r iNl hcrchynurhoa?crcfcrcfkrivc\oflhN Cir! dtrd Counry h ctrlcr uF r)r
^rr,,"rn,
o. n*"n,
",*rr,u* )(
e"*r* nr.. , prnt,, )--dv Ntr r
,,.,"ortlg Ire
Site-Work
lJnderground
Pole Bases
Light Slandards
Spas, Pool, Founlains
Life Safety /Low Voltaqe
f!1e Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundi ng / UFER
Sub-Panels
Air Conditioners
Roof Top Equipment
Facto Wired Unit
Walls (Rough)
Ceilings (Hard & Sollit Rouoh
Ceilin s (T-Bar Rough)
Ivleter Release ql%lcltTn ?u
I U\
Eough flt7ltK ryx\n0L l'2.\)*ain n r^&rJt,ffi)^
FINAL blt'l9 L J-1D)
-+
APPROVALS
Siqns (monument)
Transformers
Torqueinq
Walls (Conduit)
Service lvleter
Notes, Remarks, Etc.I
L.ndei\ AddEs
rk,!d rEDrioned proFny for insDsrionpu4n*s
I