HomeMy WebLinkAbout20173397 - PermitCity of Santa Ana 20 Crvic Center Plaza (M-'19), Santa Ana, CA,27O2 , -Electrical
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 20173397
Pin #: 58323
Proj ect Address: 1 v Unit:
Block: NA
Bldg.
Tract: 251'l
Address Range:
Historic NoAssessor'sParcel: 408-103-05 Lot 82
Owner.
Address
r- l
Thanh Loan nouirisbn
1909 S Sullivan
Santa Ana, CA 92704
(714) 317-1988
01 1 16002 5160:
01 1 16002 5160C
01 1 16002 5160:
01116002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57 .40
23.79
59.30
4.05
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$57.40
$23.79
$59.30
$4.05
Phone:
Tenant Name:
Contractor
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Single Family Dwelling
Miscellaneeus
Service Meter
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2019 Notes: handout given
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #.
v\ernandez, Kathy
Date
Date
Date 05126t2021
Account#
Misc. Receipt:
Misc. Receipti
Misc Receipt:
Total
Every permit issued shall become tnvaltd unless lhe work on lhe s e
aulhofizec! by such permit is commenced withtn360 days after its
issuance. ot t the wo* aulhorizecl on the stte by such pemit ts suspended
or abandoned for a pefiod of 360 days aftet the lime the work ts
commenced
lnspector MID#: 2021-166393
Fee Total
Paid to Date:
Balance Due:
$144 54
$0.00
$144.s4
Suite Range: 6/
Zoning: Rl
Estchi ;:
nf t.i
h': L'l
Tronsoct rBn Totcl
I honh Lson F:oLi i n
he,:t
.E
Building User
Job Type:
Nature of Work:
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23.79
$1 16.70
$4.05
ELECTRICAL.INSPECTOR RECORD
ID/SIG.APPROVALS DATE-COMMENTS OWNER BUILDIiR DI'L(IRATION
I lEr.hy amrm unrLr Fnaky of p.rluy thnt I d .r.mp{ fEm (h. Cotudctor' Lic.ne ljw itr th. follo*hg r.x,n (s( 7011 5
Au\in.s a Pruf.$nrn CdL)r Any Ciiy or Coudy rhich rcqu,Es a lE.mit ro mnrtud, ak.r, inptov., d.mrish or EPi. iny
itucrm, prbrb ns ksumc.. al$ Equn.s ik arpli.rn. for schF mirb nl.a \tn.d nd.ftnt rh{ IEor slE s lt?nsd l,usu.d
& rh. F,vtions ol : Conrmcrois La.nEJ bw (Chapr.r 9. Colffifting v(h Srtiotr 7(IX) oI Dirision 1 .f rh. Blsin.s tnd
PDf.$ioD Cod.) or ttBr h. or sh. L .x.npr thdriofr aixl rh. brsis for rh. alk3.d .r.q*b! Any viJbtb. Df Sdiot 7031 5 hy any
amlican( fDr. D.rnir subtets rh. apl,ltrniroacivilp.nakyofnorDr.rh,nfiv.hundftddoll&s(1500r.
_1, a\ owtur ol rh. ,f,,IF y. or ry onlkry..s wiih wa3.\ a! rh.i sk .omp€nsd n, *iU do rlt *st and ih. rM@ $ dn
inrcdLd or.trcr.d for uh ( Sc ?u4, Bulims and Prol$i,n\ Cd.: Th. Cont*r.r'r LNnr bw c! nur atllybmolnerof
ih. pDrEny whJt ilds or intn,v?s rh.d,n. rnd wh. dBuh Nrk hims.lta' h.rElror thrcu8hhn oi h.r own.mploy..s.
pnvid.d drr \kh iryroEftnt\ ft ton i .nlal or otr Ed for sh Il hweEi rh. tuilring or inlxMr n$Uwlhinon.Fa
ofcompLoDn, tlE Orn.. Aurll.r wrll haE th. bod.n.ll,Fviry dd lE n, slE did mt t iU or iiiJtuE th. nniFny tu rh. FUIE{ ot
-1.
as ow*r .f ih. Ircn ny. on ci.lu.ively cD.tr&1mg $ilh lic.nEd .odrado6 h mtrr d rlt ptol.cr (Ss. ?044. Bu!n.$
md PrDLssbnCod.: lh. Contdols Lic.nsc Lle rlo.s not apply h ornd of nnD.ny wlf,) huilds.t improv.r 6.'.nn,
o whr..nrrEtuluchnnjedswnhaCodcch(s)li..n*dplrsodhrllConua.(tr\La..ct2*)
I h.r.by rlfirmundd p.ndry.fl.4uryon? Dfrh. followin3 d(hmno.s
_lhavcandwil)minrdnaC.nifrd.olco'enrroS.lflnsur.trtu*.d.omr.rsr n,as pn)vid.dl hySccrnn1700oI(h.
La&r CoJ., for rh. p.rformnc..frh. wo* for whi.h ih. p.mit h hiu.d
_l hrve.nd$illroinr'in wo*.ri co'np.n\arion ihurak., ri r-.quiEd b, S..rirn lTtlr] ol $. Labor C1)d.. tor rh. Dcrforurc. of
rh. hrk f.r which rhh p.rnn n isu.d. My wolk.n cory).ner irn insuraN. cmi.r rnd F,hy numb.r u.:
Policy Numb.r:-Elpn s
-l..nify
rhlr in rh. F fomrnc. oirh. wo* itr $hrh (h'\ p.rmn i\ n\u.d, I shall nor.mrloy anyp.rsrn, nny mtrr.r
v, sbhed'r hrd ro rh€ rorkds comFnsarion h*s orcalinnir,.id,38. rh.r ifI sh.uld tE om ubj.rt rorh.
wo*.rJ.onrEnenonpruvreutrrois.d0n37u).Irh.Lit C'rd., ! \hn[ n)nh$irhmmd, snhLlbs l,6v(,.ns.
w,tRNlN{;: ,J3rlur. nr vcur. *nrk.r\ comFnsar r cov.n!. n unhqtul, rnd \tu'llsubl..r ai crUrl.y.r b lrimiml n naxF\ 3nd
civil ,li.\ uI h o0. hundcd rh.tr$nd dollr^ (tl(x).tr{xD, in adJni.D r, rh. .oi uf somt nMrion. dimq.s rs pmvid.d nn rh.
DgqlJEaIIo!
I h.Eb, affrm und.r p.&hy of p.iury LlDi I m lt nso.l !nd.. proviri, ofctuttg 9 lomrBi,g eiltl S.dirn 7Ul0) of Divirirn l
of lhc Busincs ud PrnLssi,trs Cod., ad hy li..n* is in tull fot. a cffer.
I-ic.tr\echs Li..is. Nun$.r:
AO],ICANIIECI,IIBAIIA!
I hadry atrm und.r t nrlry of Ftury ok oi rh. followin8 dGLrdiors
D.mrir n P.rmit.Astrnos Norilicdion f.d.ral R.Enhrn,ns (Tirl. .l(). Pd6)
R<uird kn.r of Ndif.arion
-l
.cn ily rh! rh. Lrl.hl rc3!14 idnr Eg,rning a\[.{.s Enxval aE nor 4l,licabk ro rhii proi..i
_l c.nify rhd I hav. r.ad rhn applicarion z'rl qac rhd dE ,lnE inf{trro(ion i\ cotret I .38 fu .Dnply sirh all Ciy and Canry
orJinan(s 3nd Srlr. L!!sEl.!n3n) hu connrucrioi, at h.Ehy aurhni! r.pr.\entariv.r ofdrii Ciry rnd Countyio ?trr.r uFnrh.
,^,, s-Jl,-,A!pu.a.t or ABdt si8mt
Tf+*fiA In-A^i \.1
I
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Lite Satety /Low Voltaqe
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor .- l. ,l ^.tl I ,a
Bonding i Groundino / UFER @ttYtdl Kt/ra '/0fld0
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh),a
qlr/eter.Release ailc/2/hUttlt M(U.L6{J^1lr"l)r U{OAA ffitX\
Rough -r- l- t Lt--r ^fi
Service l\ileter 'Pr[d4 fiKft UdhA.r'
FINAL llLtl)l lyffit n\/r6
INotes, Remarks, Etc
Flev. 08'07'2015
Contractor:
(:ausll!.cuq!-!lNlllclcElcl
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isruci (S.c 309?,Civ C )
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