HomeMy WebLinkAbout20166234 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C4927024
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Pin #: 95021
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Project Address:1107 W M emorv Ln Unit; A
Block: NA
Bldg: 15 Address Range:
Tract: POTTS, BORDEN &Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 232-051-10 Lot: 'l
Owner:
Address:
Kurt Hauffe
1107 W Memory Ln
Santa Ana, CA 92705
(7141925-7878
01116002
01'1 16002
011 16002
011 16002
01116002
01116002
011 16002
51603
51603
51603
51603
51603
51600
51603
Fee Type Amount
Light Switches, Occ. Se 1.52
Air Conditioner 93.28
Low Voltage/Res 35.35
Subpanel 51.29
0-1 HP. KW or KVA 3.43
General Plan Update 21.25
lssuance 52.98
Qty
6.00
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$9.12
$93.28
$35.35
$51.29
$3.43
$21 .25
$s2.98
Phone:
Tenant Name
Contractor
Address:
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Condominium
Miscellaneous
a./c
Occupancy:
Constr Type
Code:
R-2
VB
cEc 2016
Notes:
Kelaher, Selena Date
Date
Date
06/19/2018 Misc. Receipl;
Misc. Receipl:
Misc. Receipt:
Total
Hernandez, Kathy 06/19/2018
Account#
Every permit issued shell become invalid unless the wolr( o, the srte
authonzed by such permit is commenced within180 days attet ils
issuance, ot il the wotk authoi2ed on the site by such permit is suspended
or abandoned for a pariod of180 days afrer the time lhe wo* is
cornmenced.
$21 .25
$245.45
$266.70
$0.00
$266.70
lnspector MID#: 2018-144147
011 't6002 51600
01 1 '16002 51603
Fee Total.
Paid to Date:
Balance Due:
Electrical Permit #: 2lJ1li,6234
Owner-Builder
Phone:t'Lu r
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
'$
ELECTRICAL-INSPECTOR RECOBD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Si gns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bonding / Groundinq / UFER r 1
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment I
I
Factory Wired Unit
Walls (Conduit)I
Walls (Rough)
Ceilings (Hard & Soffit Rouoh I
Ceilinos (T-Bar Rouoh)I
Ivleter Release I
-Rou gh I -7- t J/abl z@
Service I/eter
e-rB--lg SAeE*{t+r)
Notes, Remarks, Etc
(,WNDR BUII-DI]R DEI,CARATloN
I h.rry aflir r rtulcr Fnilry of p.!ju,y rhlr I ! cxcnpr fmm thc conr,.Ms Li.cn\c l-lw forlhc ftnk,wiog (rq,r (sL!70.11.5
ausirc(s and Prorasion Cod.): An, Ciry or Cornly which Equncs 0 Frnil n, conitucr. alrcr, impflrvc. d.nni\h ,tr Rtxtr Jny
(ruclurc. rior ro ik issuamc..ko rcqutcs rhc amlicB tu such pcirnl lo tuc I siBn d $.tcnrtrl th.t hcor shc h li$mcd pu!\uani
tu rhc lmvisbns ordt Conracd\ l-iccn*d tjw (Chaprur 9. C.imrturnE * h s.d'.n 7r,rrr I D'vrr,n Inlrhc Businc$ ond
Prclession\ Cod.) or rnd hcorshc is cxcmpr rhcrcrnrmlnd rhctu\t r,tr rhc rlicsc.t c\cnfln,n( try !nlornilofsc i,i 70.1I5 bt rny
,pplicaor for r Ii.rmir subJcclsrhc aff,lica loacrvilpcnrlryof.orm,crhnnfivchundr.ddolla6l$5CD)
I
-1,
as ownn ol lhc tml)cny. or my cnplorr.s wnh wascr !\ rtcir $t conFnsri{,n, willdo rhc wort( dIhc(urE G nor
inrcndcd or ofcrcd to. sl€ (sc 7l)4,,1, Busimss snd ftorcssions (:odc: Thc ( onradols r-ken\e bw dd! noi +rly lo an owrcr o,
ihc F)p.ny wlb tdild\ or imtmrcs thcFn- ud sk) dcs srh *on hrmsellor hcrrcllor lhmuBh his or hcrown cnpl{'yccr.
prclidcd rhdr such iDpmk,mnk m mr inrc.dsl or olrcd ttr sL lt horercr. ltF buildinS or irn0rovcnEnl is rcld ,irhin om jru
of conrplcli,!. lhc Owrcr Buikcr will htrvc llr budcn of pmring lhd hc or rhe dil frn hniu or itr{,(,vc th. I,oFiy rd rh. l)ui?.* of
L aso*hcr ofrhc pnrl).dy. !m.r(lu:iv.lyconk(rine wirh lic.nicd contrrt(trs to t'mlc lScc. 7(I,lt. Businc$
huilds or nnnmvr\ rhcrcof.irl Ilnli.\\tu(irlc lhc(iintxdr'\ l.!..tr\. I rB,n)c\ n.rrnJ,lvn)xn.rf
rid {ho .ofuJdsntr \Nhnn+.r wirh rConkrcr{(n liccnscd pu
I rn'crcmd undcr Scclion
^,, O/ete -*,-,8
! hcrcny rfiflnundcr Ffl.hyoipcrjury orc olrhc lrnlowin8 tl&lni0rions
-l
h$c an<t will mrintoin ! Ccnific e ol Con€nr ro Sclf- lnsrrc lor vorkcr' ompcnsdion. a\ pmvid.d ro by s(r tun -1r0o of lhc
rj&n Codc.lbl thc !.rforron.c ol thc wolt Io. whi.h lhe psinir h hsucd.
-l
halc and willnrainluin *orkcrs c.nrFnsation insur0rcc. tr( requtcd hy Sccrio.]700 orrhc Labat C.dc. rd lhc t'.rfonMmc ol
rh. wo,k ld *nichrhis pcmir is issEd My $orkcs .onrp.nsrion insur!'rc.!dd ml lilli.y nun'hd r.
-l
ccniiyrhd hlhc tErioirnonccolrhc 'ork lo, whi.hlhis p.rmit k is\ued.l shall nor cmrk,yrnyr.is.n in rnyn'.nrcr
v, ns r.' bconm sobicr ro rh. s.rldn co rl.h\srid hwsorcdlif(mid, and o8rc rhd rf I shoukl b.com suhjNr l{' rh.
wor[cA co rp.Dsrrion pm!i\i.tr\olSccrn,n.]7(lrol rhc l nhtrC{ilc.l (trll.l.nh$irh
IV^RNIN(; I;olurc (, \c.urc \rolkcr\ .onlrtr\rto .r\r'r8c a u ln !n crDloyrr t, qi'nn'rlrnihic\ and
(vil ,itrr! !p t) on( hrnddl ihuusrfd .lh^ lSllX).UX)r. n tr(
sc!rk 1176urrh.l,'htr (irtt i' $.{,nJ
L/rultc
CAdiIBITCIIONIENI}IN GEN.CI
I h(Eby artrD uBlcr FMltyoip€dury dal thcrc is a.on(Nction tndiaB asercy tu rhc p.rformftc orih. wrk for which lhn [Ermi n
nsucd (scc.1097, Civ. C ).
AITLIqANLDICI.ANAIION
I rL1$y dtim undcr lcnrliy.frrjuy om ollh. rollowinS dclaralions
Dc.$lirnro Pernir\ sh.{o\ Nurifi.lrion Fcd.rrl RcSuhn,n! lTirl.40, PM6)
-Rcqrncd
Lcuc. of Norificarjon
I c.ni,y rhtrl rhc riddrrLrrguhri()n\ rcg:trdi',9 n(x(o\ rcnlrxlxr. ror
l..,rilI rlhr I hr\r r.x,l rhtr Odl.nri,rr ,urior is.otrc.r Irgr& ioc.mply *irh all Cn! atrd C.unty
odi'rncc\ rnd Srrrr Ils\ rhrnrStu ives olrhis Ciry sid Coutrtyh cnrq u,nn rhc
rh\. nrnri,trr.d fn|tny lor n,
Appliunl or Aaenl Si8n.t loltslrZ
DATE
Under Slab / Floor
FINAL
t h.rch, amonundcr pcnaliy ol p.rjury rhar I sn liened !nd.r px,lirioo olChnp!& 9 (connm..in8 wnh Sstion 7O0O) ofDilkion.l
ol th. Busincssond PmicsiotrsCodc. a.d nry liccnsc t in tull6rcc orncfrccr
Li.cosc Cla$:_Li..n* Numbtr:
-
D{re_ .. Conr{.ror_
Lrndcr\ Addr.s'