HomeMy WebLinkAbout20270334 - PermitProject Address: 1827 W Seventeenth St
Assessor'sParcel 001-033-40 Lot: 94
Unit:
Block: NA
Bldg:
Iract:1478
Address Range:
Historic: No
Suite Range:
Zoning: Cl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA9270?
Permit Counter (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
ee Electrical Permit #: 2o27()334
",1o aass\
Owner:
Address
Phone:
Tenant Name:
Contractor
Addressl
01116002
01116002
01116002
01116002
011 16002
51603
51603
51600
51603
57770
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Fee Type Amount
Serv Meter 55.37
Demolition (includes rer 50.36
General Plan Update 22.9s
lssuance 57.20
Microfilm Records 3.91
T,AFIISA ROEHANZAIIIF
Bstchi:53316 - 12/tr/21119 IDr HGARCIA0ffice: CTYII Trcnsi: 6? ? ol 3Acct+: Ref+: ?*2711334
ftcpti:t:r2929179 - 1215/2019 1:39 tll
TnonEoct ion ToLfl I SlrtltB?.91
PARISA ROSHANZAMIR
6 SABLE SANDS
Newport Coast, CA 926571907
(949) 903-4808
Owner-Builder
Qty
1.00
1.00
1.00
'1.00
1.00
Fee
$55.37
$50.36
$22.95
$57 .20
$3 91
Genentll P10n [Jpdote Fee
n1 116(10?- :i160[tr(fl:r-
Elertr ical
011 16un2- 516030r:fl-1-
Il icrof i 1r & 0ocurients
Lrl I I6082- 5777(r00r:r-
V iscr
Building Use:
Job Typel
Nature of Work
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Single Family Dwelling
Alteration
Demo Addn(s)/Alterations
Br , Teri
2102442
$16?. t3
$3.91
$1r 092.91
Planning Conditions Remove addn & patio, Return garage to its intended use. Unseal garage
door.
Planning Approval By
R-3, U
VB
cEc 2015
12tO512019
Account#
01 't16002 51600
01 1 16002 51603
01116002 57770
$22.95
$ 162.93
$3 91
Fee Total:
Paid to Date:
Balance Due:
Notes: Remov4ffi IUfibtlltitfttd AJdtricaLrUFbfodB riSl{r
meter/handout given.
$189.79
$0.00
$189.79
Occupancy;
Constr Type
Code:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permlt issued sha become invalid unless the work on tho stte
authorizecl by such pemil is commenced within360 days aftet its
issuance, or if the work authofizec! on the sile by such pemil is susponded
ot aban.loned for a period of360 days after the lme the work is
commenced.
lnspector MID#: 20'19-'156330
Phone:
Date:
Date:
Date:
ON
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER LZc-2o s-( r r>
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
N,4eter Release ,-7r'2c D'rr'.J t o)
Rough d4n-at g..C tot
Service [Vleter 2.-24 - 2.o al lo!
2-??-ac e.-1, ts9
Notes, Remarks, Elc.
OWNER BUILDER DET-CARATION
I hdeby amm uidd poall, of Fjur, 'ha
I m .xmp fmD $. Contra.loE Lic s Law for thc follosiry .qen (S( 701 I 5
asif,*s md ProaNion Cod.): Any Cily or County which rojunB a Fmit lo coslruc1. ahd, i'nprovc. ddnolish or rcpair ey
slruclur€. lrior lo hs issuane. also rcqutG lh€ @plicet for such rFnir ro 6lc a 3isncd ndmd rhd h. or sh. b licftcd tlNni
lo lh. rovisions ofth. aonlr.clor's l-iccns€d l-.w (Chaud 9. Comm.ncins wilh Sclion ?000 otDivision I of(h. BNi.6s dd
Prctssions Codc) or lhat be or sh€ is dcnfl thd.liom ed lh. baris lor lhc allcBcd .rmption Any violalio, ot Sdioa 70115 by any
arplicaor for ap.ftil su6jcsrh. rppli.anr ro 6 ciril p@hy o a mr Dorc rh& fivc hund,.d dolles ($500) '
l. s owns oflhe prop€rly. or fty coplor6 rvirh *dr6 6 lh.t elc cooroslio.. sil do th. *ort md tt sloclr is ml
inrod or oftaed for el. (Sa.7(x4, aGin* dd PofBioB Cod.: Th. Co.lr.dors Lic.E Ij$ do6 nol lpply lo e osq or
lh.pmpely who buil.ls or improEltcsn. dd who doe such \wr* hinsclf or h€scllo' rhmueh his or hr oM.nployds.
prolidd, rhar such inrmvm6 d mr iddtldl orollrnd lor $1. ll ho$66, $. buitins o. imrmffiat is eE wilhin on. )@
orompLro.. thc O*ns Build6 siu hav. $. hrdo oarroyin€ ihd h. or sh. dt nor toirl o. i,nForc fi. popdy for th€ p{.pos of
I. aoNnerofrh. pr.pdr. an crclusilcl, conrading trhh licd*n contra.tou to coNrud thc !,ojcl (56 7044. Bsm<
and l'rnf.sionCodc'rheConlraclorsl-iccnseLawdo6nolapDlyloano$.erorfop.nyvhobuildsornnpm!6lhseon.
and who .o.rrrds for su.h t 6jds $nh a Conr6do(3) licm0d puGrmr lo theConloclors Licds L.s)
I @.r.'nfl undd s€.rion
4.51q
I htrctry imnn unJer Fnany o r f6]ury
I h.vc and Bill mainrrin a Cd ifEalr of Consdt ro Sclf-l6u!c for *ort6 cohFerion, 6 Fovid.d Li hy sd(ion l70o o ath.
Labor Codc. for rh. pdaomecc oflhc Nork lor which th.pmii i3 isu.d.
I hav€ and will moinloin Nork6 comp.Nalion iNuBncc, 6 r.quned by Strion l70o .flhc Lrbor Cod., for ih. pdfomanc. of
lhe vort fo! rvhich this p.mil is issuql My sork(i comFosalion insu.anc€ cMicr ud Flicy numbd ec:
I ccnilyrhar inrnc!.rronnan..of$.Nork ior whi.h this pd'nir is i$!ed.I sh.ll nor BnployanypeBon inany drn€r
$ a
'o
b(om. sbj{r
'o
rhc qolt6' conpasorion lass ofc.lifomia. and asrE rhal il I snouu bcc.me subj(r ro rh.
$0116 com!.Nlion pBr isiom of Sdion 170$ ol ihc Lahor Cone. I shall. fonhs il h comtly wilh rh,e pnn iriod
WARNING: Failurc ro ru.. $orkds ..mpmrion cov.o!. is o.la\fol. md shnll sutrd .n €nployo lo ainriml p6Fhi6 and
civil llns trp t. o.e hondred rhorsd d.lltus in addnion lo ln€ con otcomp€nstio.. damqes 6 pro!'dcd lor rhc
s..ri.n 1076.filr I rhy(-.d. nn6d rnn ri
.tq
I hocby nmrm lnder pcnahyolp.rjuryrhar I m I'e.s.d undd tmvirion.l( h.prd 9 (.ornnEn;nx \viih S.clion 7000) ofl)irhion l
of lhc Ausioes d Pmlssio'Ls ('ode. d nrvl(cN t io tullnm.od.fict
COAiIBU{JIAIJDNDIXC.AGIICT
I hmby 0rrm und€r pcslty of prlury lh3l lhs. is . conidclion kf,din-! asocy lor lhe pdfomdcc oalh. {or! for which lhi5 pdfrt ie
bsu.d(Sr 1097.Civ C )
AIIIICANLDECIdAAIIOT
I h*by afm undcr pdalty ofp€rjury oncollhc lollovin8 deldalionsl
Dc,mlhiod Pd nnstub*ros Norirrcarion F.ddlRc8rlarioB (TnE 40. Pd6)
Rcqutcd Lell€r ol Nolificalion
I cen iry lhal th€ Lnral rcsulal iod r.lardin! 6b6los rmo\ al ar. rct appl'cnhle lo Ihii proj.cr
lo cohpl, with.[ cnyand Coum]
afiis Ciry r.d Coonr, lo 6t6 upon th.
n*n*qa."1,y', pAA/,\A .sllrlilZatw*
Site-Work
FINAL
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