HomeMy WebLinkAbout20167375 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2IJ167375
e65et{
Project Address: 1122 S Golden West Ave
Assessor'sParcel: 109-09246 Lot: POR 23
Unit:
Block: A
Address Range:
Historic: No
Phone
Tenant Name:
Rarendra Jhunjhnuwala
1796 Cape Town Circl€
Costa Mesa, CA 92627
(s491 202-6276
Owner:
Address:
Contractor
Address:
Fee Type
01116002 5'1603 New Garage
01116002 51600 General Plan Update
0'1116002 51603 lssuance
Amount
o.14
22.O8
55.04
Qty
441.OO
1.00
1 .00
Fee
$61 .74
$22.08
$5s.04
r 1/r,/ 2i I V"rRns+: l1
17/9/2(ttg
ID:
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
iltul t6
l,pdqte Fee
1u0{:r-t-
Planning Conditions
Planninq Approval By
Single Family Dwelling
New Garage
New Garage
Occupancy:
Constr Type
Code:
U
VB
cEc 2016
Plan Checked By:
Permit lssued By:
Subject to Field:
Amsden, Julie
Buildins Permit #: 1 0196325
Every permil issued shall become invalid unlessthe wotk on the site
authorized by such pemit is commenced wilhin180 days after its
issuance, ot if lhe work authotized on the site by such pemit is iuspended
ot abandoned fot a period of 180 days after the time the wotk is
cofifienced.
Date:
Date:
Date: 11lOgl2O1A
Account#
Notes: New 2-car detached garage. Letter of auth on file.
$138.86
$0.00
$138.86
01116002 51600
lnspector Ir.4tD# 2018-141905
011 '16002 51603
$22.08
$1 16.78
Fee Total:
Paid to Date:
Balance Due
Pin #:
Bldg:
Tract: 604
Suite Range:
Zoning: R2
Owner-Builder
Phone:
EotEh+
0ff iiE
[icPl+r
Trcrn sc
t i 1603r.rt0-
Lr 12tl
Building Use:
Job Type:
Nature of Work:
Misc. Receipl:
Misc. Receiptl
Misc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDER DELCARATION
I h6.by affm urdcr pc.ahy of pejury thal I @ .r@fl fiom Oe Conlradou Liccni. LjB aor the following lten (5&.701 L5
Busines dd Prolsion Codc): Any Cily or Couniy whi.h r.quir6 a p6nn lo coNlrucl. sho. inprorc, d.inol6h o. r.pat &y
strucru€. pior to irs isudcc, also !.!uir6 lh. @plic r for slch p.flnit ro fil€ a sisn.d srarmor rh,l hc or shc t licaB.d lusua,
ro rfi. provisioB oafi. Co"lrlcloas Li@trsed L,w (Chapid 9. Com,n.ming wnh Scliotr 7OO0 of Division I ollhc Busin* dd
Pmfesions Cod.) or thol hc or shc is cxflpl ltacnom Ed lte b.si! aor lhe .llcs.d cxmpl ion. Any violaliot olsdio. 701 I t t y e,
applica for a pmir subjds lhc applicdl lo a civil prtuh y o f nor norc rh& filc hu.dr.d dollas (S500)
ff3t.*o"n*oi't'.p.p."t,orm).,nplo)6trirhtra!6srh.irslecomp€Nrbn.wrll&ih.tr'oA&nrh.nMU.snorinroidj or^fe.lj r.r slle (s( 7044, Bulin6 hd hori.sions Co&: The conrsclo.. Li.a* bw doenot.pplylo anowncrof
rh€ pmpdi! who b(ilds or inprov6lhsen. od who do6 sRh wol{ hnns€lf or h6ello. thmu3fi his or hd oM dDloy6,
prcrid.d lhal such inplovmmts ee,ol hlsl(kd o!otrEld aor ek l[ ho\q6, ih. hildins or in{mvmot n$ld wnhin 06. }@
ofNnpl.lion. th. Ownd Boitl€r willM\c Lh. htrdar ofFov$g thar hcorshc dil nol boild or impi$r. $. FDpdy lor tt porpo*of
-1.
N otrns of thc plo!€ny. s exclusively conrBdinr rvirh lic€ns.d contadoB ro .oBttucl lh. prcj*l (S€c 7044. B6'nRs
ed Pbft$ion Code: Thc CDntra.lols Lic..sc Law do6 nor Applyro d osnd ofpropdly who builds or improvcs lhdcon.
and who ontmcrs lor such prejstsNith a Conimcro(, licmrcd pusuml torh. Contocror's t.icos t{w).
Imc.Dludo SdFL,B &PC talt6r.e0. /
,.,", r.[a[tB ""*,--A.td]o*-!woRrdI[s' cbntPF,tsaTlON
DESAAAIIO!
I h6ely .fim u.dd Fnally ol pajury on. ollnc lollowing delmliorc:
_l havc a j will naind. a Cdincrrc oacoiMl lo S.lf-l$urc lor sortnl mnlp.nstion, s Frvid.d lor by Sdlion l?00 o llhc
lrbor Cod€. lor thc psfonn c€otthcworlfor$hichlhcpq it b i$u!n.
I ha!€ and will,naintain volll.r3 conp.Ntion insunnc.. 6 .equn€d by Setion 1700 oflhc Labor Codc. for lh. pdLtlM.. ol
thc wo,k lor which this p.nnil is is.d. My workEa mmpmrlion insur .c cdiq d.d policy nuobd @:
NARNINC: Failur. io ecure wo,k6' onD€.srion covdaB. is unlavful. d shall subj(t u dplo)t ro di'ninal Fnahi3 ..d
ndr.d rhoMd dolltrs ($100.00{). in 6ddnior b the cosr ol codD.cain'n. d@as.s d provided for rh.
(td.. i6rdd drd !tumcy s le6
lc
ot("^!Jlrof
I hGby aflim undo poalty of psjury $ar I a, li.as.d udd provnion of Chaprd 9 (conmdcing siLt' S..lbn ?000) of Division 3
of ln€ Busins dd hofsio( C.d., &d my lic€ns is i. tull aorce od cner.
COIIIAJJCIIANJiIIDING.AGET(I
I lmby .mm und.r Fn.lty of p6ju.y ihar rh@ is a otr(dcrion knding astry for rh. p6fomdc. of rh. $ork aor *htn rhis p@In b
i$!.d (Se.1097, Civ. C ).
AIIII(AILDICLIaAIIOT
I My afnn undd paahy olpsju.y ore of lh€ lollorinS dc.learionsl
D6oliion Pdmils Asb.sros Nori6.dio. F.ddal Rcrularions {Tirl. 40. Pad6)
Rcquired knd olNorin.dbn
-l
ccnirythat lhc ftdsal re8ulatioN re3udin8 dhclos rdrov0l arc not applicablc ro lhis pmj.d
I cdia! $ot I hav. rdd rhir applicarion 6d s0r. ihar rh.ab.vc inlomalion is coEd. I aBre ro comply wnh aU Cny and Cou.ty
odin.ma md Srare La{srclatinxto buildio(ddbn.-e turcby.utho,izc rcpr6dlativ6 o ilhG Ciry
alxNc mmrioncd pmp.nt lor
\pfri$nr o, \!rtrl si[trrrurr ,7 ffi:_
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundinq / UFER
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
lVeter Release
Rough Vt Ti/xu{
Service [\,4eter
FINAL 2-of. ro 04< tou
Notes, Remarks, Etc
COMMENTS
Under Slab / Floor
Transformers
ryen e-dz.b)
44 caiiyrtrar m rtc patormnc. orrhc lvorl ror rhich ttis pmir is issu.d. I shall nor dployany pdsn in d, n,mnd
$ a ro beomc rubjd ro rh. *0l{6 @q)derion la"i or Califomia, rnd .d@ thd if I sho(ld b€.om. sbj6l to the
w.ih6'.ompdelionprolisioBols.crionlT00officLab.rCode,lshalt.fonhsithcomply$irtrhosprovisions
I onJ.r (
^dJu{