HomeMy WebLinkAbout20266247 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Project Address:1121 S Gold en West Ave
Assessor'sParcel; 109-091-05 Lot: POR 2
Unit:
Block: B
Bldg:
Tract: 604
Address Range:
Historic: No
Suite Range:
Zoning: R2
E
Owner:
Address:
Phone.
Tenant Name
Contractor
Address:
Andrew Dao
1 121 S Golden west Ave
Santa Ana, CA 927043203
/.714l-716-620',1
Owner-Builder
Fee Type Amount
01116002 5'!603 Demolition (includes ren 45.65
01116002 51600 General Plan Update 21.25
01 1 '16002 5'1603 lssuance 52.98
Qty
1.00
't.00
1.00
Fee
$45.65
$21.25
$52.98
iloTtcE oF I OT,AflOEi
Botchi:4{397 - 6/2!/20lg ID: CCUELLAR
office: CTYH Trons;: 91 2 of 3Accti: Ref+. 2Q2662+7
Rcpti:02299593 - 6/20/2919 2?11 Pn
Tronsoct ioB Totol t770.92JI
Generol Plan thdote Fee
0u16002- 51600000-
El ectr icul
01116002- s1603000-
ICL Check 29f9
Building Use: Single Family Dwelling Occupancy:
Job Type: Alteration Constr TYPe
Nature ofWork: Remove Garage Al1s1211sns Code:
U
VB
cEc 2016 Notes: Remove unpermitted electrical. Letter of auth on file
Planning Conditions: Garage to be used for its intended use of parking & storage.
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Masc. Receipt:
Total
Every permit issued shall become invalid unless the wotu on the site
authorized by such pemit is commenced within180 days aftet its
tssuance. or if the wo* authorized on the site by such pemit is suspended
or abandoned fot a peiod of180 days after the time the work is
cofimenced
06/20/2018
Account#
lnspector MID#: 2018-144117
01 1 16002 51600
01 1 16002 51603
$21 .25
$98.63
Fee Total:
Paid to Date:
Balance Due:
$119.88
$0.00
$119.88
Permit #: 2o2G,6.247
Pin #: 1O4O7
321 .25
t98.63
177n.92
AndreH Doo
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #;
Expires:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #i
,,.).*.o"n, ru,,u
',l0296788
ELECTBICAL.INSPECTOR BECOBD
APPROVALS IDiSIG.COMMENTS OWNEN BUILDIjR DELCARATION
I hc,eby amrn lndcr p.nalty .f lcrflry nEr I an cxcmpr fmn rhc Conrrack c Lkcn* r!{ tor rhc rollowing B.$n (sc.?o.ll.5
Busi..$ and Ptur.asion Codc): ny Cn! or County vhkh rquncl , pcrmt lo conslrud. olrcr. improvc. d.mlnh o, Eprn any
srocruc. prior to ni isuaRc. aho rcquncs lhc appli. r Lr such Fnnit ro fik ! signcd srarcmnr rhlr hc or sh. is li.cnrd l]uisuair
t, rh. pmvisnrni olrhc Conr'acrois Liccn*d lis (Chaprcr 9- Commceins wirh Scdion 7000 oa Division 3 oflhc Busincs enf
Pmf.ssbns cod.) or rhar rE ., rhc is crcq)l rhd.tu,n and rhc hf,rn for
'he
dl.g.d cx.mprio.. Any riolalhn of Strlbn 701 I 5 b, rny
alllic.nt for a pennil subjelrrhc apllicsflrto6civilpcn0lryornornbethlnfilthuodrcrldollos($50o)
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"**,r,n" r.*nr. or mrcnplo)ccs wirh *oEcs as rhct stc crn0cosario.. uitrd() rrr wo,k,.d trE srM@ n nor
inlcft*n or oficrcd ror e . ( SN.7044. Busirc$ rnd Prolcssions Codc: Thc ConlBdols Ltcns tiw des not atdy ro o.*ncr or
rh. pmFrly *ho b!il& o' in{mrB rh.@( rld who des ffih wort hims.l( or h$elf or lhnuh hk 6r h.r own cmpbrccs.
providcd $ar such imnmwmnk m mr inlcnt { oi ofi€ed for slc la, h,w.hr, rlr huilding or inlpmwmnt is sld wilhin om ]Ed
ofonpLrirn. ilx Ownf Builitcr will haw rhe hrdctr of Dmving lhat h. or sh€ dil mr truild o. impoE tlE IrDIEty for rhc ,rurxM of
l. {s o*mrofthc tmF.ny. amcx.lusivclyco ra.ring wnh li.cnscd coniDcktrs ro .on(rucr rhc lmjccr rS(.70,14. B!\ii.s
a.d PDicsnn Codc I hc Co.rrucrois !-iccnse liw des nor npFly ro r. os'rcr oi popcny eho build\ or nnpii,vcs rhcr.on.
rnd wh. $nthcB rd srh ptuh.a wilh a Conkacrdlt li..n\.d lU nair ro rh. cdntu ttr s Li..n* tr*)
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amcrcmrl utr{icr $dnnr-. a &PC forihisrco$n.
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DSCL$ r()!
I h.ir.$y rlnnnrndc' |{drlr! ofNrjury oft nl rhc,nln'qi'U dr.l r rn,I
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haw .rxl will nuinrrin 0 Ccniilc.t. of Consnl b Sclf lnsurc for w.lktrs comprNdion. as pmvided fo! by S(xon 3 l(Xl of lhc
blr, Gd.. for rhc p.rtormun.. ofrhr wort for whicli lhe psmir i\ i\ikd
_lhalcrnd willman oinwoltcn compcns ioninM.ncc.i\.cquncdhySdion3T()0.trhcL,horCodc-{orrncpcrformuccof
rhc work lotwhichlhk pc nir is hsucd Myworkcrs c,npcnsdtioa insuruncccatricr rd F,licy nuni,cr uc:
PolicY Numbcr:-ErDircs:
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orrhc *or( ror {hich rhis pcrn,ir i\ is\urd. I strtt tror.n,pk,r rny p.son n, nn, nr{nnc,
$ ds t h..om \trbicr k, rh. *ltrk.r\ Lunpci\dn hs\ ot Crlifonria. lnd +n. thlr iI l dNuld bLronr b,.d l() lhc
$dkc^ comr.nun,n pn,vnn,n\ olSc.rn'n lT0Oofrhc tjhn Codc.l shall. fonhwirh comply $irh rno* provnion(
WARNINC Failurc h scu.c sorkc( compcnstn)n corcagc i\ unla*tu| rnd \lull {rhtc.r Jr L'ipl.ycr k, sinrirl l.nhics rnd
.i!il finc\ up k, oro hridrcd rhou\dnd dolla^ ($lm.m0)- in nJdni,)n t' rhc ro$ ofcn.rlatr\rrtun. d{trB8cs rr provnicn tu r[c
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LX;EN:IELCONINAIIAA
IECLAAAIION
U-a-,--
I h.rcb, lffirm !.dcr pcmltyofFrjur} lhal I afl liccnst undcrymlisiofl ofChaptcr 9 (otnr.ci.s oirh Scrbo 7tn0) urDivisiod:1
of rhc Busincscund Pn,f.ssi..s Cbdc,0nd my lac.s. k nr full fom &d cffccr.
SONIiIf,UCIONIEND]XIiICENS
I h.eby arlirn und( Fnalry of Frju,y lhar rhcE h r .onsm.rion lcodine ngcnc, ror rhc IslollMcc or th. work t r *htt rhir pcrhir i\
hsued lscc 1097. Ci! C.).
AIILICAII.DICLASAII{T!
I rtEb, ,rim undcr ,$any oa rErjury ot ol rk aolk,wins dah.!!ions:
Dcnrlirion Pcrmils-Asbcsros Norificsrion F.nsal Rc$bli,trs (Tirlc 40, Pan6)
-Rcquncd
Ldrcr ol NolifEarion
-l
cdifyrhlr lhc Ldcral EBUhl ions rcSmdi.8 trsiEs.s rcnmv.l rrc mlorplicahlc to ltG pmrccl
Yal en'ry rhar I hs'crcad rhhapnlrrri.nsJd {irerh,rrhcrtDlc iniorturion (.dr.c' I agrft ro omply wirh all Cily lnd Counly
ordituecc od Surc lrws el"ring b hlilding.onrrd.rion, rnd h..cby auihrnc rcpescNrtivcs oflhis City.nd Coutrrylo cnlc, uF)n lhc
lhorc nxntnnrd porcny lor
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\crr.l,l2-Dr 1.1 6ii\rur "l-
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Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dam pers
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
l\4eter Release
R ough
Service lVleter tt
FINAL 4lbllq',|(\vr/l\.,\O t/ ?,
Notes, Remarks , Etc.-I I \
DATE
Communications Cable
L.ndc\ AddF*
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