HomeMy WebLinkAbout20166918 - PermitPermit #: 20{66918
Pin #: 89195
Proiect Address: 2718 W Pendleton Ave Uniti
Block: NA
Bldgl
I.act 2260
Address Range:
Historic: No
Suite Range:
Zoning: R'l
I'
Assessor'sParcel: 408-225-04 Lot: 169
Owner:
Address
Gruz Shen
2718 W Pendleton Ave
Santa Ana, CA 927044922
Fee Type Amount
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Qty
7.00
6.00
1.00
1.00
Fee
$1 1.0e
$6.30
$22.O8
$55.04
Phone
Tenant Name:
Contractor:
Address:
Signature Design Center
329 N State College
Anaheim, CA 92806
(714) 533-9595 dfl icer a
hcpc+:r-,13
Tronioc+- i
9 / !7 /2ttl.i3
Trqns+:47
Ref+ :
-.1/L1/20L8
IO: J6
State Lic #: 924506
Lic Type: B
Bus. Lic #: 348538
Workers' Compensation lnsurance:Carrier: Falls Lake Fire & Casulty Co
Policy #: FLA00749200
Expires: 1'111212018
ln ToLq I
2rr1{
lIlJ
t5s7,
,rr (:enLer
tenero I
r:r111600:
Elecbr i
U111600.
ICL rhe
in l.lpdote Fee
i i r;0tt0([,t -
6 n30(r(r*
ri20950
Single Family Drrvelling
Miscellaneous
Kitchen Remodel
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2016 Notesr auth on file
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
$Hernandez, Kathy
Date
Dale
Dale 0911712018
Account#
lvlisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
BuirdinsPermit#: 10197715
Every pefinit issued shall become invalid unless the work on the site
authotized by such pemit is confienced within180 days after its
issuance, or if the wotk authotized on lhe site by such pemit is suspended
ot abandoned fot a peiod ofl80 days after the time the work is
commonced.
$22.08
$72.4O
$94 48
$0.00
$94.48
lnspector MID#: 2018-146145
01116002 51600
01't 16002 51603
Fee Total
Paid to Date:
Balance Oue:
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
Permit Counter: (7141647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
01 1 16002 5'!603
01 1 16002 51603
01 1 16002 5160C
01116002 5'160:
Phone:
lz:t-.i-l
Building Usel
Job Type:
Nature of Work:
ELECTRICAL.INSPECTOH RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNER BUII,DER DELCARATION
I hcrchy lrfiirn undcr pcMlty or Frjury rh{ I am .rcnpr rrorn lhc Con! rck,6 Li.cnsc bw fo, rtc foltowjns rc$.n (sN ?0.1 t 5
Ilu\inc$ nnd Prorc$ion Code): Any Ciiy or Counry whic[ rcqun r a pcrmir ro cotrjru.r. atrcr. inptuvc, dcmhh or rpnn ,
srucrtrc- !.ior to irs issuatuc, nno rcquiEs rhc applicanr lor $chNnnir ro fitca signcd d3rcmnr lhal hco.lh. n liccnscd purqad
ro rhc prurisions olrhc Conlmcr.ls Lic.nscd ljs (C[,/..9. Codncrcin-! wirh Sccriotr 7000 .r Divisior ]t ol rhc Busilcf mi
Pftnasnrns Codc)orrha, heorshc is crcnrlt th.rcfrom anil thc ba\is tur rhL dbgst cicmpr ion An, viot,k,n ot sccrid 7O:I.5byony
0trlicanr tnr ! Fr.rir subjccrs rhc applicanr to a.ivil pc !ky!, nor nnrc rhin nvc hundrcd doltas (55uJ).
l. rs own.r olrhc por.ny, or
'ny
emtlorrcs *nh oascs as rhcn $t comFnsarion, witt do lhc work a,r lh. slfrm G bri cnd.d oroficrcd for slc (Sc.7u4. Aosinc$ otrd Pror.$i.ns Cod€: Ttc Conrmdm\ Licns tiwdocimt Eplyroanoqffiorrl{ rmtEny ebhoildsor irfrercx drNn.oJd who d@s su.h s.* hiEs.tior hcrstforrhDueh hn or hc. owi cfrpk,rE:.
Pr.vidcdlhat such iml,okmnh m nor inlcndcn o, oftrcn for sL. tr. thec& rh. huildins or in!6wmnr is sH withn o,rc )tsofconrrlclirn. rh. O{ncr Buildcr will hw rhc buden of rrovi.g rhai hc or sh. d d nor blitd or imphle $e poFny for rhc FurrD$ or
_1. !s owrcr oh lE f6tcrty. am erclusivcly .onr,cring with li.ctr*d .ontr,ck,6 b o nrud rhc roj.rl (scc. 7014, Buyncs
0M Pturd\t.Codc:ThcCont,.ror'sl-icenscL{wd.cinollptlyro.nnqocrorptu|f,wh(,nuiBsornnprolcsrh&.oi.
rid who onrnck ao. slch pnjccls wilh 0 Conrrlcn'(s) li.cn.cd pu^Mm h rhc Co racrors Licctrs rjw)
_lr cxcnU ulldcr slrrirn__ IJ & p.C. rorihirr.an,i
Dale Oer€r
woRxERs C(|NIPFNSA',T()N
IIEII.AA{ITON
I hcrcb, a0i,m und$ p.trrhyorrdjuryonc ollhc lalbwins .lcchrariotrs
I hnv€andwill nBinr.in rCcnificolcolCo.scnr roSeta-t.surc for qor*cr' sdprnsarion. as pmvidcd torbysdn,ilTmolrhe
Lnhor Codc. nr (ht n rrormne ol tic wo.* ror {iich rhc pfml n kqx.d
-l
hrvc rnn sillDainIlin workcB .ofrpcnsltiotr n$urrncc, n\ rcqlired hy Sccrion rr(x) .r rhc lnhor Gdc, lnr thc ncdonMncc or
lhc work r(r which rhis I,crmit is issNd M y *orke6 conrl.n\arion insurqncc caEi.r od potkt nxfrb.r !
Poli.y Nrmhcr:_
-l
cdiry$!l in lhclcrfoirrEnccofrhd wort lor whichrhis pcrmil n hsucd.l shaltn.r.'npt.rdnyI{.$n inanyaurncry, Nro tieonE sxhrc.r h rhc wo*er ospcn{ion laws.ic.litornin,.6d lsrcc rhd ift should h.\.onr subjd r. rtr
wo.kcs compctrsrrt,opmvnirn\ofSc.tionlT(xlofrlttrt,Codc.t\hdtlronhwirhomptywirhlho{pmvhionr
WARNTN(;: Flilurc ro surc sorkcA conD.trs idr cor.ra[c is unhwtn]. n shrtt sDhjscr 0I cmptoy.r to dimin ! FMhics a.d
civil nn.\ ut ro onc hundrcd rhoDs,nd dollln (Slu).ffxt)_ in ridnion to rhc con of.. rt i drtr'i!.\ , \ J,'!tr dc,l ktr rlr:';;E)t
DEII.AMtrQN
I hcrchy afrm uniL! Fnlllro{pcryury lhal Lh liansd utrdcr ptuvisio. olCh,pter 9(.onrrcmine wilhS&rion 7fl)O) atDnhion l
ol lhc Busimrs ad Pmf.$ions Cod.. ,rd ny liccnsc is in tutl ro,cc srd cfrel
e{ ft'/l conhc,c}l
C(TNSTRIJCAION LENTIIN(: ACT'NCY
I hcshy amrm ufldcr Fnrlry .a p.rjory lh.t thcrc h a d,nneriofl lcndinB .8crc, aor rh. l,ffo.mre of lh. work tor shi.h rht rErm is
hrue.l (S(. 309'7. Civ. C,)
APPI I(:AIIT DECI ARATI(IN
I tl{h! l8im undcr pc.rhyoflcrjlryone oilhc,nl[,uins dcclonri.trs:
Ocmlirion P.irnns Asbcdos Notificarion Fcdfial Rqulaliotrs (tnb{0, Pff6)
Rcquired Lcllcr of Norifi .arion
-l
c.niry rhrr rhc iedcnl rc8llalonr rsudin8 ashc(olr.evatarc nor anfticabk b rhk pbjftr
l..nirvll r lhr\( rcirl r[nrpfli.diru d ndr rhxr rlt ]tnc ifnr hr otr A.or.cr t)
ordinarccs md Sldc hqs rcLriig b bu ild inA coniflci i.n. a hcrctr) rur
Ay\€l- ar.l.-e ,w
gc roconlnly wirh dllciry snd counry
::;/zur
Site-Work
Li ht Standards
Life Salet y /Low Voltage
Fire Alarm / Dam pers
Communications Cable
Bu ild i ng
Translormers
Sub-Panels
Air Conditioners
Roof T E ut ent
Facto Wired Unit
Ceilin s Hard & Soff it Rou h
Ceilin s T-Bar Rou h
lvleter Release
Rou h qlzaltfr r{q )
Service lvleter I ',l u {'\
FINAL Ir*l$-,K K.\4TI
Notes Remarks, Etc.
Underoround
Pole Bases
Spas, Pool, Founlains
Signs (monument)
Under SIab / Floor
Bonding / Groundinq / UFER
Torqueinq
Walls (Conduit)
Walls (Rouqh)
Li.cnscclrs:
-
Liccn\c Nuarhcr