HomeMy WebLinkAbout20167481 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section 714) 647-5853
Permit #: 2()167441
Pin #: 42322
Electrical
Project Address: 5022 1/2 W Sixteenth St
Assessor'sParcel: 100-170-36 Lot: NA
Unitl
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suale Range:
Zoning: R2
Contractor
Address:
Tenant Name:
Duc Kien Tran
5022 W tSth St
Santa Ana, CA 927031106
(714) 902-3468
T & T construction Service
9985 Aster Circle
Fountain valley, CA 92708
(714) 608-1083
01 1 '16002
01 1 16002
01 1 16002
0'1 1 16002
01 1 16002
Amount
0.14
96.90
53.28
22.O8
55.04
51603
51603
51603
51600
51603
Qty
1,118.00
1.00
1.00
1.00
1.00
Fee
$156.52
$96.90
$53.28
$22.08
$55.04
Fee Type
New Res
Air Conditioner
Serv Meter
General Plan Update
lssuance
P hone
l{
Le I
R-3
VB
cEc 2016
Single Family Dwelling
New
ADU
Notes New detatched ADU with (3) bedrooms & (2)
bathrooms
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Chavez. Dave- Date: 1112612018
subject to Field: &
Account#
Planning Conditions
Buildins Permit #: 10196388
Every pemit issued shall become invalid unless the wo* on lhe site
authoized by such pemit is comfienced within 180 days aftet its
issuence, or if the wo* authorizad on the site by such permil is suspended
ot abandoned fora period of 180 days after the time the work is
comfienced.
lnspector MtD#. 2018-143276
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
0't116002 51600
01116002 51603
$22.O8
$361.74
$383.82
$0.00
$383.82
Owner:
Address:
Phone:
State Lic #: 650089
Lic Type: B, A
Bus. Lic #: 167194
Workers' Compensalion lnsurance:Carrief: State Fund
Policy #: 904Si07
Expires: 10/01/2019
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i{ef + r
l1/24/'lt-l
ift'\, r
, l_r
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Codel
Fee Totall
Paid to Dale:
Balance Oue:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE tD/sto.COMMENTS OWNER AUILDER DELCARATION
I hdcby amm uid* p6nlt, of pdjnry lhd I m.x.mpt ttrrn r Conrado* Li.en.. lr\r aor th. follo{ing r@n (Se 70ll5
Busines and Prolsion Cod.): Any Cily or Counly $hi.h r.qut6 a p€rnil lo .lnslrucl. all6, inprore, d.molish or rcPan e,
shdue. prio! ro ns issoecc, slso rcqun6 lh. applicet for soch ,.mnl lo ,]lc a sistcd nain. rhai h. or sh. is licB.d puuuer
ro rh. previ.ions oa rh. Ctnlr.crors Lic.nscd Lss (cMOd 9. CommcRins wiih Sdiotr 7000 oI rrivision :r oalh. Bciod d
ProfNio.s Code) or thot h€ or shc is cxcmpr lhdcnoh and rh€ basis lo. thc allcs.{t .rornio.. Any liolalion of Sdioi 70115 ty any
applic&t ror r pdir subjers rh. applicmr ro r civil pmhyof nor mor€ rhM five hu.dr.n dollds ($5C{)
l.N ovn6 ofth. pmp€rly, or my € ploy6 sirh { as6 s rh.ir $le comp.M ion, s iu do th. "ork d thc slrucluc s nor
imadrJ or olr6.d aor el. (56 7014. BBins Md PiofsioB Cod.: Th. aonlracloi s Lic.N liN do6 not apgly tu M ow.r of
rh. I'lp6ty lho boilds or inlrov6 thd@q dd who dc lsh M* hm.lf or h6elao.lircush his or hr otrr.nployG,
prolidel $ar !o.h ihrovadls de no! hldd.d ff or6€d lor slc. lf. hostvr, thc hrilding or imp,oBndt is eld wilhr orc )@
ofconl9kiio.. rh. OMr Buil&r *ill hav. rh. htrda ofrioli.g th, h. or dE did not boild or imprev€ lh€ fr$Fry aor th. pupos of
-1.
6 orrs olrh. proldy, !n .xclusiv.ly contoding lvnh lic.ns.d conrdos ro consrucl lhe pmjd {s< 70,14. Blains
and l\llision Codc: Thc Conrr.crors l.iccnsc l,aw do6 nol applr ro do*n6 olprop.ny $ho builds o! improv6lh.r@n,
dd sno conrads ror slch pojdtsrilh. Conta.lo(, ltens.d pu6ldrl to rh€ Contrcrofs l-icd* tjtr)
_l ar ex€opr undd S(rio
uqB6Ets_caMr!N$I!9!
DECIAEAITS!
I hqcby aflirm unds Fulty of pojury onc offic foltou ing dftldllioa:
-l
i.v. and will oai.rain ! Cfiifi.atc oaco.mr ro S.lf-|Btrrc for wortcE @mp.tutlion, a Foviddl a6r by Sdtion 1700 o f th.
Labor Cod€. for rhc Ffo.r@.. olfi. wort for *hi.t rh. pdnn b isu.d.
I hav. and will mainrain work.B codp.dalion iNurdcc, 6 r.quircd by s<tion 1700 of lh. rjbor Cod.. for lhc pqfomdc. ol
thc mrt for ethh thjs p.mn is isu.d. My work6' onpaBaion iBuec. mid $d policy numbd rc:
"*., ' SioIb+urnC
'alt+o5to1
-l
cdrifo ihar in r& Faom&c. oafi. wort aor whi.h lhis p.mn is issu€d. I shall nol mploy any pdso. i. doy mmn.r
s 6lo b€.onE subjat lo th. sort6 compqsation lfls ofcalifomid. dd as@ rhar ifl snoud b..omc subjel to lhc
worldl compeNlion qovisioN ofS..lion 1700oflhc Lab.r Cod..l shall,lonh$nh comply wnh lho$prcyisio6.
WARNINC: Failur.lo Bue sork6 .o,np6.lion .ov@!c G unlavlul. d shall subj<l u drloy6 ro aiminal Fnahi6 d
cilil li.es up ro onc hu&.d rhoMd dollm ($100.000). i..ddnion Io lhc co, olcodp.Balion, dda!6 6 pro\id.d for lh.
Ssrion 10?6 oIlhc LaborCode i q6tedatromy'stB
o.,", tl -2t" - (B o ^Juclitsfl(l)fr&icrqBl)rclt&u&!
I hs€by amnn und6 p.n lty ol pdjury rhar I m li.abdt dd6 lnrvision orchaptr 9 (co,nmocins wilh Scclb. 70ul) ol Division 3
ot th. Busins &d Prof6sio6 Code. ald my lice@ i! in rull for. ed.lTet
e €oo89
tb]
coxslauquoNj ElDrtc-ac[lcl
I h*by armn und6 pcoalry of pdjury lhd th@ is . 6osruc1bn lcrdine a8@cy for lh. pdtollrucc of th. work tut whi.h
'hn
p6,nn i
issuql (Se. 1097. Ci!. C.).
AIIUCANLDECIAAAIIA!
I hnibr.rnn undd pdalty oapsjury onc oflhe fouoNin8 d(laalions:
Dcnolirion PmirsAsbcros Norific bn F.d.ral R.eularions (Tnle ,10, P.n6l
Reqtrtrcd LcrrcrotNotlicdrii
I cdiay rhd tb. a.dEol r.sulations Essdins sbdos rsnoval uc nol afplicablc lo lhir prcj..l
Va.,n, *", , ** .*o tro applicarion o.d llarc rhn rhc .boE intomarion ie cond. I aBE ro comply wnh all cny sd couoty
odinan B and St.tc L.ws Elalins to buildins onsruclion, d b6eby aurhoriz. rcFMiarive oarhis Cily ud Codty ro 6i6 utb. lhe
trlF!enr (i(!rd flof.n\ li)r insp(ri.n tu,r)ses
^pDrir,trr
or aa r si*n'(rr.: )A ]^ V e"-^-l
Pr.ninrnx,t(rrn ):E "Tr,r. V n nJ
.{*>J *" tl:26.1?
Ncau:rEr./
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Ivleler Release
Rough duq1n rl,t?2..L,22
Service Meter tt
FINAL oltn )Vt til,?-Xvt p,oe)
Notes, Remarks, Etc f 11 r a1
ro -oi-t4
*", (t-AG l€ c,u..,-[ E- \ts4.f
L.ndd s Ad&s
Sub-Panels