HomeMy WebLinkAbout20169706 - Permitcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 Electrical Permit #:2fl{69706
Pin #: 446,41Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 :J
Proiect Address: 4926 W Kent Avea
Unit:
Block: NA
Bldg:
Tract: 3528
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 108-373-08 Lot: 76
Owner:
Address:
THAO NGO
4926 W KENT AVE
Santa Ana, CA 927041936
(7141 383-0002
Fee Type
01 1 16002 51603 Serv Meter
01 1 16002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
s5 37
22.95
57.20
Qty
100
100
100
Fee
$ss.37
$22.9s
$57 20Phone:
Tenant Name:
Contractor
Address.
Owner-Builder
Phone:Botchi:52116r-1 9/17/?Lr1? I0: HGAR(:IA
0ff ice: CTYH Trnns*: 39, 1 ol I
Accb*: Ref*: 21t16?7t-r6
Rcpt*:02750399 ?/17i}t-tlg 2:34 F[1
Tronsnction Totnl t135.52
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
THAO H6LI
Buildino Use:ar
.fob Type:
Nature of Work.
Single Family Dwelling
Miscellaneous
Service Meter Upgrade
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2016
Genernl Flnn Updnte Fee
01 I 16r-1112- 5l6LilJULtu-
El ectr i cnl
rJ1 I 16rJtr2- 516fr3t_n_tr_r-
Uiscl
(:C*: ***f ****x***5f ?7
$2?, ?5
_ $11?.17
$135,i:i
Autht:?93340
Notes: Service meter upgrade. Handout given
Planning Conditions:
Planning Approval By.
Plan Checked By.
Permit lssued By:
Subject to Field:
Building Permit #.
Chavez, Dave
Date:
Date:
Date.09/17 t2019
Account#
Misc. Receipt:
Misc. Receipt.
Misc. Receipt:
Totalv
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 s1600
01 1 16002 s1603
$22.es
$1 t 2.57
Fee Total.
Paid to Date:
Balance Due:
$1 3s s2
$0.00
$135.52
lnspector MtD#'. 201 9-151159
ELECTRICAL-INSPECTOR RECORD
)n.i f
APPROVALS DATE ID/SIG COMMENTS OlVN F]R RTiII,I)I.]R I )I.:I,(',\ RA'I'ION
I hcrcby affirm under pcnalty of lErjury thal I am cxcmpt fron thc Corlraclo$' Liccnrc kw for thc following rc.sn (Ss.7031.5
Busincss ard Pmfesshn Codc): Any City or County which rcquircs s lEnnit to construct. allcn improvc. dcmlish or rcpair any
structurc. prior lo its issuare. als rcquircs thc applicant for such lErnril lo filc a siSncd stalcmnl that hc or shc is liccnscd puNanl
lo thc pmvisions of thc Contrack r's Liccnred Law (Chaptcr 9. Comrcrcing wilh Sction 70(n of Division 3 of lhc Busincss and
prcfcssionsCodc)orthathcorshciscxcmptthcrcfrommdlhchosisforthcallcgcdexcmption. AnyviolationofSccthnTO3l5byany
.afplicanl for o pcrmil subttls thc applicant to a civit pcnalty of nol mrc lhan fivc hundrcd dollsrs ($500).
I lr./
!ll. as owncr of thc prolEny. or my cmplo)rccs with wagcs as their $h ompcnsation. will do Ihc wotk {d thc slnr{w is mt
intendcrl or offcrcd fq sle (Sa.2044. gusircss and Professions Codc: Thc Contractor's l-iccnsc hw docs nol aPPly to an owncr of
lhc pnrFny who huil<ls or improrcs thcNn. and who dms such mrt himsclf or hcr$lf or lhrcugh his or hcl own cmployccs.
p..rUca rhor ruch imlmwmnls m mt intcnlc{ or olf$ql for $h. If. lhwercr. lhc boiuing or ifi{rrcrclrcnl is $H within orc }cu
;f complction. thc Owncr Buildcr will hrw thc hurdcn of pmving thsr hc or shc did not buiH or iry,rcre thc lreFrry for tlrc PurtD$ of
sle).
_1. as owncr of the ;nopcny. om exclusivcly controctilg with liccnrcd contractotr lo coNtruct thc pmjst (Ss. 7(X4. Busircss
arxl prolbrsion Code: Thc Conlrsctor's Liccnsc Law docs not apply to an owncr of propcny who builds or improvcs lhercon.
and who conlmclsforsuchproj.tlswilhaContmclo(s)liccnscdput$unllolhcConlrudor'sLicensckw)'
I arrr cxerrtnt
"*",-g-!
under Section-. B. & P.C
t-7 / tg or"n".,\(--
I hcrcby alTirnt undcr pcnahy ol'pcrjury one ol'thc follttwing dcclarations:
_l havc a1d will maintain a Ccrlificatcof Consclrt to Self-lnsurc for workcrs'compcnsalion. as provided for byScction -j700of thc
Labor Crde. for the pcrformancc of the work l'or which thc pernrit is issuccl.
_l havc an4 will maintain workcrs'compcnsation insurance. as rcquircd by Scction -37fi) of thc Lahor Code, for the pcrformance of
the work for which this Jrcrmit is issucd. My workers' conrJrensali<ln insurancc carricr and Jnlicy number are:
that in thc lrcrfornrance of thc work ltrr which this pcrrnit is issuctl. I shall rxrl crnpkly any pcrson in any matlncr
if I should bcconrc subject lo thc
cornply with th<lsc provisi<lns..
su as to hecornc subjcct to the workers'cotnpcnsalion laws of Calitirrnia. and agrcc that
workcrs' conrpensalion provisions of Sccti<ln 37()0of thc Latxrr Code. I shall. lirrthwith
WARNING: lrtilurc lo sccurc workcrs' corrrllcrtsation c()vcrilgc is tttrlts'lul.shall subjcct tn etnployer ttl pcrraltics artd
civil fines up lo one hundrcd thousand dollars (Slm'un)' in addition ol' colrtpcnsat ion.as provided for the
Scctiort 3076 of thc Lahor Cotlc. intcrcsl and allorncy's l'ccs.
,,r",?141 ll9 Applicant:
a
t hcrchy aflirrn undcr pcnalty of pcrjury lhat I atn licenscd undcr provision of Chaplcr 9
of thc Busincss and Professions Codc. and nty liccnsc is in full fbrcc urxletl'cct.
u'ilh Scction 70fi)t of Divisioll 3
Date:-('ottl raclor.
CONSTRUCTION LENDING AGENCY
I herchy atfirm undcr JEnaltyof Frjury lhat lhm is a @nstruclion hndirrg rgency for lhc pcrfonprcc of lhc work for which this lrcrmit is
issucd (sc. 3097. Civ. C.).
lrndcr's Nanrc:
Lendcr's Adclrcss:
APPI ICANT DECLARATION
I hcrcby aflirm under pcnalty of perjury onc of the following declarations:
Denrolition Permits-Asbestos Notification Fedcral Regulations (Title 40. Part6)
-Rcquircd
Lcttcr of Notification
(8"::,:i'::,".
fctlcral rcgulatiorrs rcgarding ashcslos rcnxrvitlflrc nol ap;llicahlc lo lhis project.
rcad this applicatiort ald ahrvc intirnttation is with all City and Counly
and County l() cnlcr uyrn thcordinanccs and .Statc l.aws rclaling to building and hcrcby aullnrizc
ahrvc rrtcntioncd propcrly l'or insJrcctiott
Applicnnt or Agenl Signnture:L-Nao
,*",gft1 ft!
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Sl ab I Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lVleter Release
Rough
Service JVleter I -
S.\
FINAL \tl 4 lq -l M g
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