HomeMy WebLinkAbout20166842 - PermitProiect Address: 5322W Roosevelt Ave Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: R2
E
Assessor'sParcel: 099-212-67 Lolr NA
Permit #: 20166442
Pin #: 37017
Conlractor:
Address:
Phone
Tenant Name:
State Lic #: 990020
Lic Type: B
Bus. Lic #: 349608
Workers' Compensation lnsuranceCarrier: exempl
Policy #:
Expires:
Fee Type Amount
'125 Volt Receplacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
JllA Pat is ir Construction
Botrh+:4t764 - t /5/2{tl$ I0: onon0ffice: CTYH Tncrns+: 36 3 i,'
Acct,i I Refi: 2u16684
Rcpt+:02378622 - 9/3/2918 2:32 Pil
Tronsoct isn Totol t874.59
oIesl5t3
2
Danny Quach
5322 W Roosevelt Ave
Santa Ana, CA 927032428
(714) 548-1029
JMA Patio & Construction
19'100 Friar Street
Reseda, CA 91335
(818) 425-4730
Qty
4.00
4.00
12.00
1.00
1.00
Fee
$5.80
$6.32
$12.60
$22.08
$55.04
Gen€roI Flon Updote F€e
0ll 16t-t02- 516t'1000(-
Ele,:t. i.q1
Lll 1 16002" 516r'l3tr(r(r-
ICL Che,:l: t13666
*22.n$
179 .76
$874. r19
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Open Patio & Enclosure
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2016
Notes
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permil #: 1 0196698
Every pemit issued shall become invalid unless the wo* on the site
authorized by such pormit is commenced within180 days after its
issuance, or if tbe wotu aulhoized on the sito by such pemit is suspended
ot abandoned for a period of180 days aftet the time the work is
commenced.
lnspector MID#: 2018-143905
$ nernanoez, ratnv
Date
Date
Date 09/05/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
011 16002 51600
01116002 51603
$22.08
$79.76
Fee Total
Paid to Date;
Balance Oue:
$101 .84
$0.00
$101.84
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\TTOZ Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address:01 116002 5160:
01 116002 5160:
01 116002 51603
01 1 16002 5160C
01 1 16002 5160:
Phone:
ELECTRICAL.INSPECTOR RECORD !
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I herchy afinm under acnrlly ot pcrjurv rnar t cxempr lmnrlhc ConrBcro6 Li.cn<. b* ror rh( roln,wirrS rc.q'n tSEtoll5
Busiocss ond Proic$ion Cde) An, Cily or Co,nry *hich rcqltcs r p.rnir kr cotrsru.l. ,lrcr. irymvc, dcmolish .r EItrt !t,
srtu.rurc. prt,r b ns isuan... nhor.qun s rhc +rli.a for skh F.rn r.lilcan8trcd sakmnt rhat ncorshc is licn\.J prr\unr
ro rh. pmvhions olrlt Conrrlcrols l.i.cnrd ljw (Chaptcr 9- Connnrmin! *irh sc.rnnr ?0(D or Div$ion I oI rhc Busines and
Pmfc*snrn\C.dc)orrhai hrorsh. hcxcmpr rhcrclionrndrhd basi\ fdrhc 0llcgcd cicmlrlion. Any viol.rionolStri,nT0ll.5 hXany
attlicinr iu 0 p.mil suhjccklhc aprlicanrroacivilFnaltyofn r ,mrc rhan fivc hundr dolhr($5m)
l. $ 6w!.rorrh. thlxdy. or f,ycnFloyc.( *nh w.B.s N rlcn rok ompcnsalion- *ill o ltr sort( DDd rlE nftrh 6 no'
irrc cd.rofiercdlorsrlc(Sa.?044.BusircssandProfcssiotrsCo<lc:lhcContado\l,iccnrlrwdft!trol,t'/ylotrnowncroi
rh.fhlEny who bnilrs or inpohr rh.mn. ld wlb dm\ such so* hnnsclf or hcrslf o! rhou8h his or lrcr o*n cmpbyecs,
prolidcd rh0r su.h imoorcmnrs u ior inrcnlcd or oftcr.d ntr sb lt how$cr, th. huildiry or iqrroventnr ir tukl wnhin .ft )td
orompLrbn, rh. o*'ftr Buihs will haE In burdcn oflmvinS lhd rrornEdil nor buiH or inro! rhc In,rdy n rhc IlUr,[*ol
l.isowncrorrhcpmp..lr,dnqclusivclycortrrclirsBilIliccscdco acn'Fr{,con{rucr rhc pn,]..r lscc. 7(l]ll, Busmc$
rnil PDf.ssk,n Codc:'l hc Conr,ctr'i Liccnsc Lrw du.s nor rpplyn, rnuwncrolfropc y who huilds or impn,vcs rtcrcotr.
nnd who conrmck hr such prcjccrr wirh a Conhcro(, licc,sc purulnr t' rhc Conrncroas Lic.tr* tiw)
-lrmcrc
rpl uMcr Sccrion-. B &PC turhi\rorv,n
llate Onmr:
$aa& [rauf[N5a:Il!]l!
DESAAAIIIIN
I hcrcby nlltmundcr lcnrllyolFrjulyom ol rhc nrhqir8 dslanrbn!
I hsvc ud v ill minrrin ! CcnifEalc of Cor*nr ro Sclilnsurc tu *ortcn compcnsarion. !s Inrlided fttr by sNr tun l?00 ol rhe
ttrbor Cdc, r.i rh. r.rfomncc oflhc work lor *hkh rh. r.rmn h issucd
-lhirc und *illmoinroin worter conrFn\rrion insurancc. ar rcqutcd hrsccrn,n]Tmofrhi Lilsr Codc.lir rhcp.riomuNcof
ihc work ft, shichrht Dcnnll is i\\dlrl Myworkc^ dJmFi\ari.n i'run r.. nid ld tricy .un$cr irc:
I c.dify rhar in rhc !ff.rnran.. olthc work for qhi.h rhn r.rnrir is t$cd. I null nor cmnlor sny pc on in rtr! nrtrmr
{' l.ltt .E suhrd ro rhc wintgr .omrcn\al ion lsws otcolitornir. .nd alN
'hnr
irI rtsnld hcorc sh]ccl to rhc
workcm' mDpcn$li prorisions ot Scc(nnr :17(X) of rhc lrhtr Co.lc. I shrll. fiflhsirh .orply wirh rhoc [ovti(,ns .
cilil fincs up b onc htrndrcJ rh.usand d.llrs lSlm.UD). r xtldiinr b rhc coi.f.onrpcn\ ion-funHE.!rs tiovdcd ior rhc
Srdirir 1076.1rhr l-rlrnCod.. crc\ amldktrky-\ l(c\Z{/ t(t I
DES.AAAUON
I hcnby dItrm und$ pcnalty ol pcrjury that I am lisnsal u cr provision oi Chsp!& 9 (c.mm..ing wirh sction 70m) oi Divhion 3
of rh. Busiftse dd Pmfcsions Codc. ot my liccn* ii in tull lor.! rnd cl'fc.l
P ?oo ?<>I
(I}NSTRUCTrcN t FNDING AGENCT
| [cEhy rfirnr undcr Fnallyol pcriury lha[hcrc h a consrrucrioo lcdins sse.cy rur rhc poroflnnn.c orlhc work tbr whichrhh Fmit k
hsucd (Scc 1097. Cir. C ).
tr'"lr' . \rn'
AfIIICANIDECIAAA.IION
! Itrc$y afirm utrd.r l}cnaliy ofFrjury onc of lfic followin8 dsl.rarinns:
D.mlirion P.rnns A$..rx No fica'ion ladcr.l Rc8uld io.s (Titlc 40, Pan6r
Rcquired lxrlcr of t{oliarsrbn
-l
.cnifylhil lhc ltdcrllrcgulari{,ns r.8rdi',s i\hc(o\r.nn,vrl rrc nnr {tli.rbL r.
'rN I'ni..l
I..drfy rhd I hrv. rcad rhN.Itllcrlion orxl nntc thd rh. ah.'c intumurlion i\.otr(l Illgrebco DlysirhrllCiryand Counry
ordthiftcs rtrd Suc Laws rlflin8 ro huildin[ con(ru.rio[ rnd lucby rurhorizc rcprc{nurivcs ofrhn Ciryn*] coumy b cnld upotr lh.
**.'*i$:".-ff2/*;.",C>q/:Li
,.," 1/t/,r
Site-Work
Underqround
Pole Bases
Light Standards
as, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Bough)
Ceilings (Hard & Soflit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Belease
Rouoh
Service lVleter /
FINAL
Notes, Remarks EtC.
,/2/a 7,/,{ -1,U 14,4../I
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