HomeMy WebLinkAbout20166963 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
lnspection Requests: (7 1 41 667-2738 lnspector Section: (71 4) 647-5853
Proiect Address: 5322W Henderson Pl Unit;
Block: NA
Bldg:
Tract: 2033
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 108-393-09 Lotr 33
Owner:
Address:
Beatrice Nguyen
5322 W Henderson
Santa Ana, CA 927041937
(7141791-5473
Fee Type
01'116002 51603 Serv Meter
0'l'116002 51600 General Plan Update
01116002 5'1603 Issuance
Amount
53.28
22.O4
55.04
Qty
1 .00
1 .00
1 .00
Fee
$53.28
$22.08
$55.04
Tenant Name:
Contractor
Address:
N T Electric & HVAC lnc
7251 Garden Grove Blvd, SL
Garden Grove, CA 92841
17141277-6747
State Lic #: 959727
Lic Type: C-10, C-20
Bus. Lic #: 337543
Workers' Compensalion lnsurance:Carrier: Norguard lns.
Policy #: SWCl157439
Expires: 0812512019
Building Use:
Job Type:
Nature of Work
R-3, U
VB
cEc 2016 Notes: Upgrade/ha
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Brodowski, Teri
Date
Date
Date 0912412018
Account#
lvlisc. Receipt:
l\4isc. Receipt:
L/lisc. Receipt:
Total
Every pemit issued shall become invalid unless the wo on lhe site
authodzed by such pemit is commenced within180 days aftet its
issuence, or if the t/'/otk authotized on the site by such pemit is suspended
or abandoned lot a peiod o1180 days aftet tho time the wod< is
commenced
$22.08
$108.32
$130.40
$0.00
$130.40
lnspector MtD#. 2018-145746
01 I 16002 51600
011'16002 51603
Fee Total:
Paid to Date:
Balance Due:
Permit #: 2O166963
Pin #: 3EO6{
Phone:
Phone:
Botch+?460,95 - 9/?4,!..
Olf i.e; ITYH Trens*
AEcl+ i
Rrpt+ I r.12390r:t3? .c/
Tronsact ion Foto I
'!
,i T Slectri,: & HUA
GEnerol Plcn Updote ler
Electr ic!
r:r111tt02-
(:(:* ! l(lxr
!16r:t0000-
516(13o(rtr-
{r*rr*r7[t[li i r-r39:{
Single Family Dwelling
Miscellaneous
Serv Meter
Occupancy:
Constr Type:
Code:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Bu ild inq
Under Slab / Floor
Bonding / Groundinq / UFER 9:28 18 2/2,))
Translormers ,-.,.
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solfit Rouoh
Ceilinos (T-Bar Rouoh)
Meter Release
Rouqh -.."1o.4t-ro ./-/r,1 t"1Service lt/eter
IQo /u,4/(-.,
Notes, Remarks, Etc.
OWNER BTIILDER DELCARATIoN
I h.icbt alfifln undcr |*nolr, ol pcrjrry rhll I ! crrnrpr fmrn ltc Coikdh* t.i..tr* Llw ror rhc fol,o*in8 rcosn (Scc 70.115
Busincss llxl Pmlcssi,)n Codc): Any Ciiy or Counry whih r.quiics a Frnrir ro mnslrucl. alrcr, n.pmt. d.nt,li\h r rNir rny
$dcrurd, tlnnb irs hsnM.c. iho rcquncs thc rt'tll.ant lor such ncrmit lo rlc! xisncd (olrmm rhrr h.or\h. is liccnscd punu.nt
ro rh. noli\n,is of rhc Conrdkr's l-i.cn..d ljw (Chrfl.i 9. C.nnmkirg wiri Sccrion 7(XX) of Division :l .f rh: Btrsincss 0trd
Pr)rcsst,ns a)dc) orrhar hc.rshc hcicmfl lhcrcl'm and lhc blsis r'or lhc dlcg.d cxc.rrridr Aiyviol.lionolSdi,nT0ll5bya.y
rpplicadfo'rpcnnilsubj6..lsthcrfplicaniloacivilpc.rlltoln.rn,kihrnriv.htrndrcddolhs(3500).
-1,
as owic' .frh. F),.dy. or my cmtlotccs with woSc\ nc lhct soh compcrslrion. wiUdo rhe worl Md rlt efum n nor
i cMcd orofitrcd forslc(Se 7014. tlusincssatu h.fc$ions C.nc: Tlt G).rsdor! l-kcn* Ltw dms nol lodyromorncto{
rht F,pedy wtx, hlikls o, inqn,rs rhcm[ mi who dfts skh eork hinls.ll or hcRlf or rhmuEh hh or hd oen cnPloyccs.
lmvidcd thor su.h impmrcnrnk m ior inrcldcd or offercd lor sL. lt no*cru, rh. huildin8 or ir1l,n'vcmni n sok wirhin om ]tg
ol coD{,lclion. rhc Owrcr Buildq vill h.E llr tudco of |()vin-q lhal tr or \he dil mr hditt or nBmk rhc ,mFny fot rhe nurtmc o,
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rnd PmGssh Codc: Thc Conl,aclor'\ I-iccnsc t-r* rloc\ tror rprl, n, ri.$ncr 01[opcrlywho buinh or nnproh\ rl'.rcoi.
rnd *ho coiracr\ rui \u.h t ,jccls wilh r conlBct(tr(\) li.ctr*d puruml lorhcConrr&tr \ Lkctrsc l-rs).
litr,r\rnr otrdd Sc.ri(B &PC n,lhi\ r.ann'.
D q Oam.wonxrts'cotrpmii ritw
IECIAAAION
I lrrcby afiirn und.r lcnrlry ol'pc,jury onc ofrhc folk,$in8 dslnrnnms:
I hsv. dd sill Einri. a C}n iicarc ol Consc k, Sclll trsurc lnr qukcis co.rr.nsdn,r r trovidcdforhyScclion]T(noflhc
tihor Codc. lor rhc p.rtomr& of rh. wulk f(tr whi.h rh. |xnnir is i{sucd
Ihrlcrhdwillnlrifirinu.rkcrscotrrErsari,rinurncc.rsrc{lirrJh!Sc.ri{ 17(Xr.frl[t-rhor(tdc.lo!lhcFrforrut.cof
rhcworkforwhnhrhhp.nnniri$uciMyworkcsconf.nslrioni'r\urrncccxric.nMB,licyflun$cruc
Exfircs
I(cniillhrl irrhcrurntrnHlccolrltvorkl,nshi.hrhi\pcnnit i\ is{cd.l nMll Nl clnplo, rn} jtrvnr i'r trynrtrncr
n) 3\t, h..om $hr.rh rhc$orkcdco |xns riotr 10tr s rt C.lilor.ir. rrl 4rcc rhrr if I \ldrld h.onf, \uhi.l h il'c
s.rkc co rlf,nsarn{Oo\inotrsoiSccriorlTll)olrhc Lih.r (ttc.l d ll. 6n h*iih con{ly wirhrhot novi\inr\
WARNINC Failllc ro {cxid *(*.rs .onDc.\mion ovcn{r is utrhwlnl md \hall strbF.r $.n{'lo}tr ro aini0rl pcnllrts aid
.iril lnr.r uf n) onc hunJrrd rlru\xtrd dolln^ {$).ur). ir ldirio ro rhc cod o
S..ri{$ l(r7().lrhr l.xlxtr C{xlc. I.tu{
".,",01-24-l<ti
I hcEhy afilirnundcr ncnultyof pc.jt' y rhsr I ar lidnsd undfi rovi\i.n orCh,/$ 9lcommmins wirh s{ri.n TuDr.rDivisintr l
of rh. BuriN\s trnd Pmic\sions Codc. a my licens t in rull forc llld clt cr
10 2w4-t I <1n--- 1+
I hcrch! rflnnrnDdcr rEnalry olntriury lhd I i\ r.otr{n,cri(r lorli'rL rrcNy lhr rhc |[r,nnrr...irh. Nork lnr trh'(h rlns |[nir i\
AIILIEANIDECIABAUA!
I lrn:hy rrm undd p.nahy of pcrjury onc of thc tbllowin8 dcclomrions:
Dcmoliriofl Pcrmirs AstE\ros Nolifrari.n kd.rnl R.!ul iods lTilL 40. PM6)
-Rcquired
Lcrtcr o, N{{ifrlrion
l..nilyrhd rhc fcdcnl rcgulnriotrs regr in8 a\hc(osicnrnrlnr. iorrmli.rhlc r. rln( Pmiccr
nnnnn otr is.on(r lrgre h con{ly Niih ill( nyrnd Coutrry
hy.urhorizc rcrrc€nhrnrs of rhis Ciry ! d Counry h ctrrcr ulx lh(
)doalc
q-2-4-=tt
tD/stG.COMMENTS
Site-Work
FINAL
hsu.d lsec. 3i197. Civ. C.)
Lcndci\ N,mc'-
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