HomeMy WebLinkAbout20166124 - PermitProiect Address: 2213W Monte Vista Ave
Assessor'sParcel: 010-303-18 Lotr 120
Unit:
Blockr NA
Btdg:
Tract: 4559
Address Range:
Hisloric: No
20 Civic Center Plaza (lvl-19), Santa Ana, CA92702
lnspection Requestsr (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20166124
Pin #: 48t56
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Phone:
Tenant Name:
Contraclor
Address:
Doantrang Dang
91 Legacy Way
lrvine, CA 92602
(714) 6s7-5899
Owner-Builder
Fee Type Amount
125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52.98
Qty
9.00
300
900
1.00
100
Fee
$12.60
$4.56
$9.09
$21.25
$52.98
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Kitchen/bath remodel
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By; Chavez, Dave
Subject to Field:
Buirdins Permit #; 10196712
-29-
Every pemit issued shall become invalid unless t e work o, lhe s/e
authonzed by such pomit ts commenced wllhtn 180 days aftet ils
issuance, or ifthe wo* authotized on the site by such permil is suspended
orabandonedfot a peiod of 180 days after the time the work is
commenced.
lnspector MID#: 2018-143918
06t11t2014
Account#
01'1 't6002 51600
011 16002 5't603
$21 25
$79 23
Fee Total:
Paid to Date:
Balance Due
Generol Flon Updote Fee ,. 1
[rl l161102- i l6rJr"rurJ0-
EleEtr icsl :
I l l16rJ02- i l6r-'rJ(tr'rtr-
V isttC{:+:xr*rrrrrrr*rl146 Auth+:ll..Non€tructural kitchen and bathioom remoalel. Light
fixtures, outlets, light srvitches.
$100.48
$0.00
$100.48
Occupancy:
Constr Type
Codei
R-3, U
VB
cEc 2016 Notes
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Suite Range:
Zoning: Rl
ry
01116002 sl603
011 '16002 51603
01116002 sl603
011 '16002 51600
01116002 51603
Eotch+:44229 - 6/l!/2L\tS I0: J6iloIfr
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Ironsact ion TotoI t5.i2..qt
tloontrtin9 0nn9
ELECTHICAL-INSPECTOR RECOHD
APPROVALS DATE tDistG.COMMENTS OWNER BUII-DER DALCANATION
t hcrcl,y al6rn und., pcnahy r)f ,rcrFry rhol I d .x.ofl tn,m rhc Co rack,6 Lic..sc tiw tot lh€ lolLwine rcabn (Ss 703 I 5
BlFiturs rnd Pror.sn,n Codc): Any Ciry .r Coum, which tcquires 0 Fmii ro conslruct. ohe.. imirovc. d.mlish or aran &iv
srtu rurc.riorro ns issuMcc. aho mqutesrhcapplicanl for \uchnemir ro filca sismd shrcftnr rhxr h.or shc is liccn\cd pusun
ro rhc lk,lnions or tlf, Crotrt&rois Licc.s.d bw (Chstlcr 9. CommriiS wilh Scclion 7(x)0 of Divkion I of rh. Bbinds and
PmrcrsbnrCodc) orlhlr hcorrhc h cxcnrpr lhcrcfrommd rhcbosn tdrh. rllcScdcremllb. An, violarionorSccri,nToll5bv anv
aprlic!trr ior r lcrn sbr..h lhc ttPlicanrtoacivilPcnahyofnorm.erhrnnvchlodrcddollds(5500).
El. i\ owis of lhc |mr.nr, or iy cmltortcs wnh s08cs us lncir $k mqxnsdrion- willdo ltr *dt and rlE dtrtw i\ mr
; endcd or oiler.t for sl. ( se 704,1, Blsims and Pn)tc$nrns codc l-he Conrd.roar Lkcnsc tiw drcs nor upllv ro an owrcr .t
rh. rmFiy wh. boilds or i'nprB rkrsn. dnd who d@s such rc* hims.lror hcsclfoi lhmush hn or h.. o*ncmPlorcca.
providcd lnll such in{,rovcftnrs m m! inrcndcd or ofrcrcd for sk lt rbscrci E toildins or irymv.m h$ld wirhinon. rtu
orconnhlio.. rhc Owncr Blildcr will hnlt lhc hudcn ofpmvins rhd nc oi shc did nol t iU or irymh rhc pDtlnv iorrhcptrrPe.r
-1.
asoqrctofrhe pmpeny. dmcxclusivclycrnlBcri.g *irh lic.nsd conr0dor lo flr{nd rtE Ptuitt (Scc 7044 Busm$
rnd It rGsionCodc:ThcConlrackn'sLicc.scLowdocsnotq,plylorno*ncrofPml)crty*h.boildsorimlmvcsrhcrcon.
and who 6 n h ror such pr.irrs wirh r Conr&ro(O li.cnscrl pulrEnr ro rh. contmdor's Licnsc kw).
_l a,ncrcnrnr uMcr Sarn ll
'cl trfr (u-.".X
DECI,ASAIION
I hcruby {ftirn DMcr p.nall} of p.rJury om ol tl'. lbllowinE dcclmtionrl
I havc lrl will mi.rain o Clrl iiE|l. of Consenl ro Sclf l nsuc r.r wo cs @nqs.sriot s pmvidcd tor bv S..lion 1700 ollhe
Lnb.r Cod., for thr pslormtra ol rh. Mlk lor whth llrc !.m n isslcd
-t harc lnd will roinhin {o.kcm compcnsrrion ins!6tu., is r.quiEd by S6lioo l?@ of rnc bbor Code. n/ th. pcrforoGc or
lhc work fr vhich rhn Fmir ii issxn My work..s' mnqEnsrion insumrce cdtfurd l[lay numb€r 6cl
U l ccn ity rhd in rhc rcrformrcc or rhc *ork ro. *hich rhis D.rn r t t\ucd, I shull nol cnploy an, p.rson in an, maner
$ asro bcconrc subjecl ro rh. soiks compcnsarion laws ofculil'ornio. sl(l aBEe rhd if I stFuld bccotm subl.d ro lh.
wolktri compen$rion !tuvisions of Sc.lion 3?00 or rh. tjbor Cidc. I snall tonhsirh orPlv $nh l,Es pmvkio.s
WARNING Foilxrc ro sccuE *ork.^ .on1F,nsllion orcEsc i\ onltwtul. ond shlll \uhj..' nr' .mlk')tr l(r dinintl l)co lics and
.ivil nncs up to onc hundrcd rhoussnd doll s (SIOO.(X)o). in rdnirion ro rhc co( o, comp..salion. damgcs as provid'd r'or rhc
sc.rdr 1076.l rhc Llktr C, c. i'ncrci rtrd tonrr's fccs
"","
. t,ltlt(lppricanr:ts
DBCI ARATI(}N
I hcnhy !flnm undq p€natryofp.tjury rh l am licnsd ud6 pn,vision of Chlprc. 9 (onmtrins with Serk. 7fiD) ol Dilhion l
or rhc Busimss otrd Pofessi6n3 Codc. a my liccns t in ruu toft tu l cfiect
CoNSTRI]CTION I FNDING AGENCY
I hcehy affim: undcr !€nllryorp.rjury lhar lhcrc h a con(rucrion knditrB usc..y ttt th. pcrformotrcc otrh. wo.k for shich rhn Fmir
'shrued (sf.. 1097. Civ C.).
tfndtr ( Addrc$:
-
APPLICANA D}'CI ATIAT!(IN
I hcrEby lnimuodcr pcnrhy of pcrJury onc ofrh. follosi.g dctltrtrlio.\
I)cmolirion P.irnns.AstEsros Norificdi fcdcnl Rcgohtn,n\ (Tirlc.rll, Prn6)
_Rcqutd brtct of Norif.alirn
-l
ceflify rhar rhe lcdcm! rc8ubl ions egtrdi.S ssbcsos rcmvd are nor trpplic$k to lhis Pmjccl.
Ul ceniryrld I h,vc r.ad rhis aPdicarion ond slarc rhsr $c atnvc informiion iscordr' I agft rosnDlvvirhlll Cirvand Counlv
6rdao,re1 r,rd Srarc t:*s Ehing ro boildi.8 consrru.iion. an lEeby tuthoriz rcF€e.rdriws ol rhh Cilv .Id Counlv lo cnls lFn rlE
rhivc trrnho ctlt'o|{ny li)r iNpccrvAppliunl o. .{gctrl SigMturc
t tnrilec nnnnrn;nrr: *-Sfe."^ !1"^,"r
-". (,1!+{
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Buildanq
Under Slab i Floor
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouoh
Ceilinos (T-Bar Rouoh)
Ivleter Release
Rouqh 6"271V XU-,{.)lU
Service Meter (r
FINAL 1\\l\fl ^dltAG)Notes, Remarks, Etc.
-a
Policy Nu.rlEr
-Erpnc(:
Li.cnsc Chs: Li.cnsc Nunrbcr _-
Dor? - ('onlrucinr
fT
I