HomeMy WebLinkAbout20165642 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Electrical Permit #: 20165642
Pin #: 71404
City of Santa Ana
Permit Counter: (714) 647-5800
Btdg:
Tract: 4548
Address Range:
Historic: No
Suite Range:
Zoning: R'l
ryProject Address: 4007 W Wisteria Pl
Assessor'sParcel:'108-601-22 Lot: 45
Unit:
Block: NA
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
JOEL MENDOZA
4OO7 W WISTERIA PL
Santa Ana, CA 927042143
(714) 830-8134
Owner-Builder
01116002
01'116002
01116002
01116002
0'1116002
01116002
51603
51603
51603
51603
51600
51603
Qty
769.00
3.00
1.00
1.00
1.00
1.00
Fee
$ 107.66
$71.61
$35.35
$51.29
$21.25
$52.98
Fee Type
Addn/Res
FWU
Low Voltage/Res
Serv Meter
General Plan Update
lssuance
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
BoLch+:433112 - 4/L6/2ill9 I0: CCUE:LLA|Office3 CTYH Trqns+3 161 2 of iAc,:ti: &ef+: 201656411
Rcp t + ! tf223295:; - 4/16/21t18 4:it f,fi
Tronsq,:t ion f ot,qI 7Lr?32.t"t/
Jt]l.l" I'lENtxrTA
Building Use:
Job Type:
Nature of Work
Single Family Owelling
Addition
Addition
Amsden, Julie
Planning Conditions: All materials to match existing
Date
Date
Date
Plan Checked
Permit lssued By:
Subject to Field:
Buirdins Permit#: - 10195244
Every pemit issued shall becorne invalid unless the wo* on lhe site
authoized by such permit is commenced within180 days after its
issuance or il the wo* aulhotized on the site by such pemit is suspended
or abandoned for a penod of180 days aftet the tirne the wo* is
commencod.
o411612018
Account#
6enert(i l'l(lrr ilpdcrte Fr:e n
r.rl l lnrirI2',t6llr:IiLrr_l
[.1e,: tt r, r, t ] ill l16tttl, . 'i Inr r.illrlVisn $i,j.
aoairio*:6i i4$d$ftftifi I,lt.l$lttrrooriytfl {iUit6#
room & a family room. lncludes conversion of one
existing bedroom to media room. GGUSD *4862.
$340.1 4
$0.00
$340.14
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 20'16
t/
Notesl
l\4isc. Receipt:
N.4isc. Receipt:
lvlisc. Receipt:
Total
lnspector MID#: 20'15-123940
01 I 16002 51600
01 1 16002 51603
$21.25
$3'18.89
Fee Total:
Paid to Date:
Balance Due:
Amount
0.14
23.47
35.35
51 .29
21.25
52.98
Planning Approval By:
ELECTRICAL.INSPECTOR RECORD
APPHOVALS DATE IDiSIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondino / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Sollit Rouqh
Ceilinqs (T-Bar Rouoh)
Rough gLitt('tW'ltt Y ,/uz)
Service lVleter g/*tK ' >-l-9
FINAL I .ilfr)
Notes, Remarks, Etc.I 0/tII
OWNER BUILDER DELCARATION
I h.rcby afiirm und.r Fnllry ol pcrjury rhd I m cxcdpr rron rh. Con'Eror' Lk.r* b{ ror lhe rollowinS E sn (s(.7011.5
Ausine$ and Proicsion Codc) Any City or Coutrry whi.h .cquiEs . p..ntr ro conslrucr. alts, nnprow. d.molhh or Eprt my
(ruc1urc, nrior to ils nsuoncc, als rcqlircs rhc oppliconr lbr su.h llflrir lo lilc n siBncd nalemnl lhst heor shc is liensd |[6u.nt
ro lhc E.visions ofitE Conr0cbas Liensd L.w {Chrtrcr S, Cdmmn.inB wirh Sccri.n 70OO ol Divhion I ofthc Busincsr rnd
PmlcsionsCodc)orthlrlEorshchcxcmltthcrclmmlndrhcbasislorlhcrlhScncxcn{,tion.A.rviolationofSerionT0Sl5hrlny
nppli.am ru a pcnnl iuhjeck rne Jlplicunt lo acililpcnalrrotnor nmrc rhu,ivc hundrcn dollatr {$500).
ItZl. * .**, *r* **"y. o, my crylolRs wirh aas.s u. rh.n sh.omp.nsri,[ will do rh. wo* ad fi. stnrrE i mr
irlcDded or oficrcd l'or $le (Se.?04,1. gusimss and ftolt$io s Codc Thc Cont.clols Lkense t w docs nol opdy to m owmr of
rhcpmFny slxr hilds or itrrpn)vcs rltm( ad wtF d,rs slct wrk himscll or hcscla or lhmush hh or hcr o*n cnploy.cs.
I,rolidcd ihar such imtmEmnN e mr intcndcd o.otr Ed foreL.ll bw.w. rhc boihin8 or in{lme,Ent is sld wirhin om Fd
ofc.,r{i.rion, r Owncr Builtn wil how r 6udcn ofprovin8 rhd h. or shc Jid mr b{ilt.r inpmw rhc,rDlriy for rhc purro$ oa
I. Aorncrorrhcrmpcfly, ilcx.lulivcly.ont,.rins*irhliccnrdconrrrx,^n,.on{tu.rrhcttuj..r(s..70r!l.Bu\i,'cs
nnd Pmtssr CndcrlhcCotrnrtolsLiccnscL.wdo.snorilflyrodiowncrorfmpcrlywhobuildsoritr{'roveslncrcon.rnd *ho conrrr.h lor such proj.rls *irh a ConrBcb( 9 liccncd 0ur\unrro ihc Conrlacroi\ Licnr Ij*)
-l
Jmc\cmnl undcr Scci.*4o/r 81
lllclAxAlltlN
I hcrcby rllirmundn lc.olryoftdjuryo.c ofrhc folbBins d..le.liotrs
Ihrv.$dw'lltrui'rn.C.difi.arcofCotrsctrrbSclf.ln\ur.ritrwork(.onDctrsrd).asprcvidcdlubySdion]T0Ootrhc
Utxn Codc. fr rhc l.rtomncc or rh. woA for*hich rh. p.rnrir i\ hsocd.
lhrlc rnd willmridrin so crlcoarpcns ir)ninsur0.c,rsrcqundh,Scclionl7(x)oirhcljhorCodc,forlhcFrlormanccoi
rh. wo t)rwhi.hrhispcnnilisissucd.Myworkc(.omrns,rt,niNur0ncccrnicrardrnicynunrbcruc
'fZ4.nn,t, -t.*U"rmrnc. rrhcs,trlr,trNh'.hrhisFrmirisisru.d.Ishallnotc,nployantpcsonironyntrnrer
's, uiro b.tun* subtc!rro rh. solkss s ncnsri.n hwsofcalifornia. ond lsNIhol itIshould lEcomc \!hj<t l.rtE
wolksl cornp.nsolio. prclhions of Sccl ion 3?u) of lhc L{hor Code. I shall. fonhwilh comdy *irh rhoE pnvnionr
WARNIN(i: Failuru ro *.rr. workc^ .omt n\dn,n.ovcra!. r\ unhstul. rnd shdl subicr an cndolcr lo criminrlrmlris otrd(i!il ftrc\ ut k' otu hundrcn rhousnd dollrs (Slfi,.(xx)). in rddiri( ro rhr.on ol .o y.nsrrion. d.trB8cs as providcd for thc
inrcr.n and rrntrmy s f.c\
181-no,u*,.{u"R€zk!*Ji*/zr4L2z
DECI.{BAITON
I hcrcby sl',tm undcr pcm,tyofFrjuiylhol I am licctrsn undcr prcvhion ofCMrtcr 9 (ommEins *irh S.crirn 7filo) orDilkioh l
of thc Businesr and h.f.sion\ Cod.. md nry liccnse i. in full forc. Md .ffdr.
CONEIAI]CIIONIENDINCII lII
I h.Eh, rfirm undcr FnalryofFrjuryrnd rhcrc h o.oNrucriotr lcnding !8crcy lor lnc pcrformaN ofrhc sork fot whichrhis trnnit is
ksucd(Scc. 1097.Civ. C ).
ATTUIANIDfIIASAIION
I lrrbt anm utrdcr pcnali] ol'pcrjury orc or rh. fdkrwins d(ktr r ion\:
Dcnrlirion Pcann!Ashestos Norificalion lcdcrol Reglhlion\ Ont 40. Pda,
R.dnird I.rrd.r Nnrifiorion
-l
ccniiy rhar th. fcdcE I rcg! lar io.s regdding dsb.io{icnn,valarc nor applic.hlc lo rhis tnjccl
211anrry !h,r I hivc rc.d rhi\ lnplEarion and <nr. rhJr thc onovc inlb]dhn i!.orer.I alre lo conrp, wnt allCn,!"d Coury
ordin.n cs and Storc Laws Errins ro brildins .oniru.rion, ud hcftby aurho.ih rcrr.e alircsofthisCnyandColnryroc.rruF,nrh€
,bvc rfttrridrd tmpcny ior inrFccr
Applienl orA*cnl SiAtultr )
(2b-/-'1t=t/Pozl
'idtalffilg'a
Meter Release
tJld.r'. Natr. _
Lr.dci\ Addr\{
II