HomeMy WebLinkAbout20167515 - PermitProiect Address: 251 3 W Harvard St
Assessor'sParcel: 408-093-18 Lot: 10
Unit
Block. NA
Bldg:
Tract: 3623
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2l!1fo.7515
Pin #: 33503
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Vicky Tran
25'13 W Harvard St
Santa Ana, CA 92704
(7141623-0204
H L Home
11071 Dune St
Noftvalk, CA 90650
(562) 412-18r 8
Fee Type
'125 Voll Receptacle
Lighl Switches, Occ. Se
Light Fixtures
Serv Meter
General Plan Update
lssuance
Amount Qty
1.45 21.00
1.58 2.OO
1 05 9.oo
53.28 i.00
2208 1.00
55.04 1.00
01 1 16002
01116002
01 1 16002
01 't '16002
01 't 16002
0't 1 16002
51603
51603
51603
5'1603
51600
51603
Fee
$30.45
$3.16
$9.45
$53.28
$22.08
$55.04
Phone
State Lic #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:
lte Fee
l0-
Building Use:
Job Type:
Nalure of Work
Occupancy:
Constr Type
Code.
R-3
VB
cEc 2016
Single Family Dwelling
Addition
Addition
Planning Conditions:
Date
Date
Date 11t2812018
Account#
Notes: Add (2) bedrooms, (1/2) bathroom and 1 full bathroom,
tamily room/convert (e) bedroom into library. SAUSD
#3790.
$'173.46
$0.00
$173.46
Misc. Receipt:
Misc. Receipl:
Misc. Receipt:
Total
lnspector MID#: 2018-145713
01 116002 51600
01 116002 51603
$22.08
$151 .38
Fee Total:
Paid to Date;
Balance Due:
[]l0l
6f
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E
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Planning Approval By:
Plan Checked By:
Permit lssued By: Chauez, Dave
?OSubject to Field:
BuirdinsPermit#: 10197747
Every pemit issued shall becofie invalid unless the worr( on the sil6
authorized by such permit is commencecl within 180 days after ils
issuance, or if the wotk authoized on lhe site by such permit is suspehded
orabandonedfota peiod of 180 days aftot the time lhe wotu is
commenced.
ELECTRICAL.INSPECTOR RECORD
APPROVALS tDistG.COMMENTS OWNER BUII,DER DELCARATION
I ha.by amrD und6 p..aly ol pcrjury that I m .xemB from th. Conlra.toE Licen* Lirv for th. followins I6)n (Sft.703 L5
Businss and Prolsion Codc): Any Cily or County \vhich r.qui,6 a Fmil lo coNlrucl. slt6, idprovc. d.,@lLh or etBir o,
stuc'uiq pdor
'o
irs tssue.., also raluirG lhc applicdt lor su.h Fnnn r nlc a signcd srat@dr thar h. or sh. is lic.ns.d puuu6l
ro rhc provtioE olrhc Conti.{oas Lic.ns.d l,a* {Chaptq 9. Commocms $i!! Sdrion 7000 oaDilision I oarh. Busm6 d
PoasioG cod.) or lh h. or sh. is .r.,npt $sclio 6 dd $. b6.i! ao r r he allcg.d .rdprion. Anyviolalionofs.dion 701I5 byey
.pplicantaorspfltritsubjectslh.appticanlto.civilpctr.hyofnolDorelhanfilchundr.ddollos(S500)
_1. {s ovndoarhc pop.dr. oi nry.npkrt6 {ih was6 6 rhen Fk compoE lion. willdo th. wo,k rnd ttc slnclG is mr
inidicd or olTd.d for elc (Sa.r044, Buin<i ed Pmf6sio.s Cod.: flr Conrractol s Lice$ L.w do6 nol aoply to e o@d of
lh€ |x.pdy who buildror i.rFo!6Ihs@n. a.d *ho &6such Bo himcll or hcll or 0lough his or hd oM .mplort6.
provid.d rfiat such improvmls d€ nor intddcd ororcdl roreL.l[ hoq66. rh. h]ildin8 or inprov.m.6r is$ldwithinonc y@
ofenrgldirn. lh. (rnd lloills snl navc lhc trkn ol pmling thal h. or sh. dll nol buiH or imFo\ c thc rlrEry for th. pupoF of
-1.
6 oNns of th€ lropsly. m cxclusiv.ly conlE€lins Nith licens.d conlracloE
'o
coBlru.t th. Fjc.1 (sd 7044, aci.s
and l\ua6i.. cod.i Tn. conkiciols Li..nse Law do6 ool arply ro aoNn6 oapoldy who brilds or improv.s thq6.,
and wno conl,acls loi such Fojds Nirh a ContEclo(, liccns€d pu6@r rorhcCo.raddrs l-icc@ L,*).
-l
m€xcnpt und6 SElion , A. & P.C. for this r6on
D.t€: Ormr:
!{t85lSg.qqst!EN4-lor
DECIAf,AIIO!
I h.reby amrm undd pcnallyofpqru,yon.ofth. aollowing dale.tioas:
I h!!c ud vill maimain a CdifEal€ ofconst ro sclf-lNur.lor \orkm @dpcnsaiion, 6 p.ovid€d for bySelio.l?00 oa$c
tjbor Cod.. lbr rh. p6foll1mc. olln work aor wnich th. p6,nn is isued.
! have and \vill m.iMin Do*.rt comrEBar ion iGurance 6 r cquneJ by SNlion l?00 oi rh€ ltbor C.de, aor rhe pdfomdc. of
lhc \ork aor which lfiis pmil is isu€d. My work6s' comp.rcation iNurecc c i€r ard Dalicy nudbd r.l
Kcenirylhal in the pdiorm0nceoirhc$ork lorNhichrhisp€nnil is isstr.d. lshallnol o$loyanypq$n ind|ndne
ro b.LonE subjat ro Ih. work6 competrrar
'on
la*r ol Caliromia. &d asrr rhar il I should bcro,n. strbld to lhc
sori6' compaetion prcvsioN of S..lion 1700 ollh€ l-abor Codc. I dEU. lonh*ilh codply *irh rnos lrcvbioN
WARNINCT F:ailur.lo suc *ork6 onptration ovdge is unlarful, Md stall subjN! u @plorq ro oninal Fstslri. d
civil fines up ro onc huffred thousd dou6 (1100.000), in addiriotr to rhc con oa conp.elion. danlgd 6 providcd tor ln.
Serio. 1076 ofrh. Lntor Codq intdel md aftomey s tB
\*>1- $il]N G \-f,
ITCETISIILC()NII,^(IIAur:(I^&ll&!
I h€reby a,Irn undcr p.nally o I pdjury that I m licosd undd provision of Ch.pt6 9 (colnnocios wnh S.dion 7000) oa Divtion .l
of rhe BusiB dd PmfsioB Cod., ed fty licw is in aull forc. od .ftar.
e th -s oa\
t-
colllaucro!,llDac-ac&lcr
I h6.by amm uidd Fnalty of l,6jury $!1 lt@ is r co.sto.rioi h.dj,!g agdcy aor lh. pdfollMc. otd. mrl fo. whkh this Fflil ir
issu.d (se. 3097, civ. c).
AfIIICANLDECLAAAIIO!
I h6ay atrm und6 Fnaly ol psjury on€ oalfi. follosinS ddle.l ions:
D.moltion PmiB Asbelos Noti6c{io. Fcddal R.gu,alior. (TnL 40. Pd6)
-R.qut
d lritd oaNorifu,lion
_l cqlify thot thc f€iLral resulatioG Es6dinB stGros rmoL al &€ nol applicabl. lo this prjccr.
S,,6*,, ,n, , ** .-O ,n" applicatiob md siatc rhar thc abov. i.romahon is coffit. I asrc to comply virh all (lry snd county
ordindc6 dd srar. t ws El,ling ro b! ildiog .o reElcl io.. and h@by aulhoriz. r.prMralivG oflhis City dd Countylo dld upon lh.
dr^c trrmincd pn,p.nv ln' insrarnn,
ipplicrnr or ,{gdr Si*nilurr:
$\/f'!G-
\9.
Site-Work
Underground
Pole Bases
Light Standards
s, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers t ,t t
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
l.gtq Tdq a1\r4e/J p >)
t
Rough ilfl14 1i 't^^*,
^ E
Service lvleler 9lrlt4 Id /. LLerA
FINAL
Noles Remarks, Etc.\'ar
+
DATE
Meter Release
,)
olilh irnl,A,l'4 b)
L.nd.r3 Ad&6s:
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