HomeMy WebLinkAbout20165935 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{ 55935
Pin #: 7E426$lnspection Requests: (714) 667-2738 lnspector Section: 1714) 647-5853
ProjectAddress: 1802 N Sourgeon St Bldg: Address Range:
Tract: OFFICIAL MAP f I Historic: No
Suite Range:
Zoning: R3Assessor'sParcel: 003-141-10
Owner:
Address:
Long T. Nguyen
1802 N. Spurgeon
Santa Ana, CA 92706
(714) 5s3-8066
01116002
011'16002
01116002
01116002
01 1 16002
01 'l '16002
51603
51603
51603
51603
51600
51603
Fee
$136.92
$93.28
$35.35
$51.29
$21 .25
$52.98
Phone:
Tenant Name:
Owner-Builder
Phone
ion Totol
'19 Lrg en
ienertrl Flan Ljpdote Feerll 16110?- ll6t-fl:t0[rtt-:lertr icnll1ll6riil2- 5l6rl3it:tu-
i: t x * i *.r.! * *x *t 7??
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Addition
Addition
R-3
VB
cEc 2015
Planning Conditions
Planning Approval By
Plan Checked By;
Permit lssued By:
Subjecl to Field:
Date
Date
Date
05122t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
\N Hernandez, Kathy 05122t2018
Account#
Buildins Permit #: 101 95666
Every pefinil issued shall become invalid unless the wo* on the sile
authotizad by such permil is commenced within 180 days aftet its
issuance, or if the work authotized on the site by such permit is suspended
ot abahdoned fot a period of 180 days after the time the wotu is
commenced.
0'1 1 16002 51600
01 1 16002 51603
$2',t.25
$369.82
$391.07
$0.00
$391.07
Lot: 4
U nit:
Block: NA
Fee Type Amount Qty
Addn/Res O.14 978.00
Air Conditioner 93.28 1.00
Low Voltage/Res 35.35 1.00
serv Meter 51 .29 1.00
General Plan Update 21.25 1.00
lssuance 52.98 1.00
I I it:i,r.jitr| ,r.,:,:,,t,ir .ti)1
,: i.j: I i )t ir ,ril..:i ; | ..
Contractor:
Address:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Ref* r
1/21/)ttlg
,Lrl,1
Auth.+ tl r
Guevara, Jerry
Occupancy:
Constr Type:
Code:Noles:
lnspector MID#: 20'lB-14'1353
Fee Total:
Paid to Date:
Balance Oue:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BUILDER DELCARATION
I h.dby affrn undcr p..uhy ol pcrjury lhll I m cxcnpl rmrn lhc Co reto Liccnsc Lnw lbr rh. {ollowins rdn\or (scc 70]1.5
Busin.ss md PnlLssion Codc): Any Cny or Counly whicn rcquircs ! pcrn l ro on.ltucl, allci nlrlrovc. dcnnlish or (|[i My
(rudu.c. Frk r to iis issuarc.. al$ rcquncs rtc applicsnr ior sch lcnnir ro lilc s sigftd ftrc'mn' fiar hc or sh. n lienscd llursrnr _
nJ rhc pmvisiotrs of ltE Cookocrols Licenscd tiv (Chrprcr 9. Commncitr-q Bilh Sccrion 70m ol Divirion.l ol th. Busincss rnd
Pmlcssions Code) o, thor lr or shc ircremfl lhcrcf,om lnd rhc blsis fff rhc dlcgcdcr.mprio. AnyviolalionofscclionT0:ll5hyao,
{ppli.ani tu a Demn subirIs rh. applicnm ro rcivilp.mlryornor nRrhM 6vc hundrcd dolhs($500).
-t.
ns owrcr of rnc pn'pcny. or ny cdf,l6re$ wirh waEes as rhcn r.b conwnsd ion. will do lh. wo* r'lrhc sr*lr h to
inr.ndcd or ollcred for slc (Se 7044. Businc* and Prof.ssirnr C.dc Tl.a Contndois Lien$ kw dcs not lpnly ro m owncr oa
lhcp$F1ly *ho builds or nq'mrcs lhcmn. oi who {krs such wlk hnnsclior ncrrlforlhmu-qi his or hc.own cq)loy.cs,
prcvidcd lhal such imrroEmnh @ not inrcn.lcd or.lteBl for sL.It how.u. rlE btrildi.-g or in{rokmnr ii $BrnhinoN )tr
olcon{lclion. Ih Owncr Buitlcr will hovc rtc tx,lcn oa pmlins lh4 h€ tr sh. did nor lflild or irlll,mw $c lln rdy rnr rlx NrrxM or
l. rs ownc. of rh. ,mpol,. amcxclusivclyco rncrinS with liccnscd conrracroF ro on{ cr rtE pnr..' (scc. ?04,4. Ausirc$
rfrl lhli\\ir Corlc 'lh.(innrrnn \ I iccn\c l j$ docs norroply
anJ $ho ( rr( lnr srchnolLr( $ir[r (-r fu.r,(\) lNf\.|)n,Fdy uhD huilds or irpnxcslhcrcon.
.t
'o
rhc
?rudds
Licne rlw)
;:-"4C /tc
I h.rch, aitnrundcr Fn.lryollcrjuryonc oflhc followins
I hav. nd willrtuinr{iirC.diftral..lConsctrr(, S.lf ln\orc htr work 6'conlpcnsdion. !s proridcd ir by SRridn .l7U) of rh.
t.hor Codc. ,or rhc !.rl'onMnc. oa rh. sort aor whi.h rhe pcnnil i\ h\.r.i
I hivc nd*itln,intoinworkcrscotrpcnsrlioninsurdNc.isrcquncdhySccrionlT(norrh.LlborC.dc.rdthc,tlfonMrccof
rhc work f.r whrh tht pcrnril is hsucd My workcn' conrFnsalion insuEtrcc c!tricr ud Fnty .ufrb.r e.
_l ccdili,har in rhc lrrlordnccof rh. work nr whichthi\ n rnn i\ hsu.d- I shnll nor cnrtlorrnyl}cnon in anymanmr
$ N tJ b.coim subF.r ro lhc work.r' colqEnsrh l,ws ol Cnrifdnii. aM asrcc lhll il I should hecom sohj..r t, rrl
*o!k.s' ..nD.nsDrion pottbni of Scci ion l?ur ol lhc Irtur Codc- I $011. lonhwirh .armply wirh rlx,{ pn,vist,ns..
wAINING llil(c b {cuft workcr' con,!.n\Jrion.orcBs.
. tr;l firc. Lj r , 'c hurl'.J ,h,,d. 'i J, lll'\ ,1llr,.irr,'. i',
rfl cmploycr (' si'ni'rl p.'r'lrils a
iotr. irnrngcs rs polnldd f(tr rhc
Sccri.tr 1076 oilhc l,hr.Cod..
"",", s/a&!r K
I hcruby rmrm undd J*nilryofpcrlury rh r I.r li.cnrn undcr inS $irh S..iiotr l0(r0) ol Dtrisiotr I
ol rhc Busilcs md Pn,Icssnn$Codc. a Nyli.cnsc is ir full f,r.c rl cilccr
IAN,IIBUqIII)N.LENDIIIi.AGINII
I hcrchy.finmuRlcr pcnallyotr.rjlrr rhlr rtqd n r rotr{rucri,)n hMirC tr8on.y f.r rhc p.Yloir.a.ce ollhc $ork ror which rhn Frmii i\
hsucd (Sc..1097, Civ. C.)
AIETQNLDECI.ASAIIO!
I hfthydrr undcr p.mht ofp.rFryonc olrhc followinS dclealhtri
Dcnrlirn,n Permnr Asbc{os Norincdion F.dcml Rcaul k,nx (Tillc.lO. Prn6)
_Rdquicd trtr& ot N.riar.arion
lc
-l
eniry lnal rhc fcdcrll rcsulations E-qedifls asbcstos rcDlul arc nor nprli.abh ro lhiq pmj..l.
-l,.dlrrharrh6Fm,Jrhtr6r'r,lr(nnsrn{trhtf
rh. lboyrintfrruhn i.c,'rer laErdto€mtlys hsll(il)on<l
ordindnms,nd Srar. tlws Fhnnp r" burldtrRrorr*rinn. rn !iEb{.urrndr rclrrcrnhrivc. ol rhF Cly,nd counry rn cn
ilil::::,il":-'w4%-=-- D." r/,.2/
P.rm,Fmm.,pr,tro: J J,/
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
Rough LolglLq a lFrTr"lTC,1/,
Service Meter YA
FINAL \-L\-'u \\t\q)
Notes, Remarks, Etc.w
It/eter Release
li