HomeMy WebLinkAbout20166691 - PermitCity of Santa Ana
Permit Counter: (714), 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical
lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853
Proiect Address: 1722W Adams St Unil:
Block: NA
Btdg:
Tract: 5856
Address Range:
Historic: No
Suite Range:
Zoning: Rl
ry
Assessor'sParcel 412-423-06 Lot: 6
Owner:
Address
Vu Hoan
1722 W AOAMS ST
Santa Ana, CA 927045631
17141457-1578
01 1 16002 51603
01 1 16002 s1600
01 116002 51603
Fee Type
Serv Meter
General Plan Update
lssuance
Amount
53.28
22.O4
55.04
Qty
1 .00
1 .00
1 .00
Fee
$53.28
$22.O8
$55.04
Tenant Name
Contractor
Address:
Stephen Wayne Cavenee
1891 Lincoln St
Orange, CA 92665
(714) 974-7063
Bot,:h+:4:i.421
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trqns+: 55
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iit ep h lhsne (:flvenee
F lon Updote Fee6enern 1
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1.4
Single Family Dwelling
Miscellaneous
Meter upgrade
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2016
Planning Conditions:
Chavez, Dave
Date
Date
Date 08/'t6/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Evory permit issued shallbecome invalid unlesslhe wo* on the site
authoized by such parmit tscommenced within 180 days after its
issuance, or if the wo* authoized on the site by such permit is suspended
ot abandoned for a period of 180 days aftet the titne the work is
commenced.
$130.40
$0.00
$130.40
lnspector MtD#. 2018-145473
01116002 51600
01 I 16002 51603
$22.08
$108.32
Permit #: 2O16669{
Pin #: t78O6
Phone:
Phone:
State Lic #: 467884
Lic Type: C-'10
Bus. Lic #: 344306
Workers' Compensaiion lnsurance:Carrier: Exempt
Policy #:
Expires:
Notes: Service meter upgrade. Handout given.
Fee Totall
Paid to Date:
Balance Due:
Buildang Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
ELECTRICAL.INSPECTOR HECORD
APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDEf, I'ELCA RATION
I rf,rcb, amrn lndcr Ilc.alr, .f p€rj!ry rhar I d cxcnfl fFm rhc Cnntrb^ Li...* tlw for rh. followinB rclsn (S.c 70.11 5
Busincss and Prof.isiun Codc): Any City or Coxmy which rcquirc( 3 lf,r ro on(fld. sXcr. inuovc, demlth nr ruI3t ,n,
srucrurc. prio. to ns nsuancc. also requircsrhc amlicanr aor su.hFrnir ro nh o sismd (atcmnr rhar hc.rrh. ir licci*d N(ua
ro rh. F,vi\n,ns otrhe Conkadoas Lisnrcd trw (Ch,flq 9, Connmncing wnh Sccrio. TtxD of Dirision I or lhc Blsincs lnd
Pofc$ions Codc)orthd lIorshc n.r.mpl thcrcf !rndrhchasislnrthc0llc8cdcxcmplion AnyviolalionoiS€clion?0315hytri,
applicont for a Fcnnir subj(lslhc opplicanl ro a.ivilpcMllyofnol nnrclhon lilc hundrcddolh6 (5500)
I. ar owN 6f lhc lhFdr. m ny c,nplorr.\ wirh *rg.s as rhcn vnc .ompcnsrt,on. will do rhc wolk and lhc slMrm i\ B,
inlcn ll or ofi.rcd li, sL ( se 1044. Susirc$ lnd Prefcsion\ CMcr l hc Conlractois Liensc Lio riocs nor apply '. atr osnr or
rh.pmFny sk) hoildr or imporcs rlrED, srxl who dlB schw iins.lf or hcrslf or rhrcueh hn or hcr .wn cq'l.yccs.
praridcd lhal such inDnwnrnls @ ml i"rcndct o. olIqld loreh lt ho*rrr rhc tniHing or imtmvcmm is $ki wirhh .N ,r
ofo,npb'bn. rrr owncr Buil,cr will haw tE burdcn of roving rh{ h or shc di] ml build or impmrc lhe pmFriy ror rhc puqrr* or
l. arown.rofrhctntcny, rDrcxclu\ivcly.ontruclihE wirh li.ctr{d .onrftcnn lo onnru.l rhc pnjucr(Scc 7(}44,3u\N\r
rnd thrislb. Codc lh.Contacktr r t-icr \c l-aN doc\ nor atplyt, rno\ncr oftropc yshobulldsorimtrovcsrhc'con-
{nd sho.onrdlrnsuchpmj.rls*irhrC.tr'm n(olicctrsdnunurnrrorheConrracroi\lic.n\cbw)
I amcrmnr undcr S€rio
llaAK!:lLsDlfENSiUlaX
DECLA.SIIION
I hcrcbtrllnnu d.r lcnnlryoflLrjuryon. ollhc lalk,$n{ dc.lardii r\
-lhlvcrndwilliiuinlain!Ccnifi.atcolCotrsnrloSclf-Insurcnxworkc^
conqEns.lion. us rovidcdforbySc.rnJnlT()().frh.
hb.i Cod., f.i rh. Fifortumc ol rh. solk lor whih rhc p.rnrn n irsuc{
,l hrlc.trd *illm.intrin $orken compcnsltiotr insurrncc. as rcquircd h, Sccri{nr]7O0.rrh. l/tx, (bd.. ror rhc pclfonmncc of
rhc work rbr which this pcrnir i\ issEn M y sorkcn conD.nsal ion insururc. caric. ,nd pli.y nr frber m
Pol'cyNumb.r i
Xccn'ry rhr irrhc [Icrr.rmi.c orrh. $o nr whrhrhispc.mir is irsucd.lrhnll nol cmployinyocFon in anymanncr
s\ rs ro ttsnr lublrr ro rhc trnrkcF cnnlI{nqrnn Lrw\orcalrf.rnn. arll8rc rh,r :fl \hnuu t{c.r* {bjn r t, rt
workcB.onEtrssriohpmvhionsofSR_lion3?moirhcrjtnrCod..I.h.ll.forlhwilhconrpl,sirhrlDspmvi\nrns.
WARNIN(; Irrilurc r, {.!r. *orkcrs con'tcnsnr(nr.o\r' gc a ln{llrl n ,l shxll nrhj..r r crnfkD.r b ninri'[lpcD]lri6 rntl
Uvil lnic( trl) n, o r htr d'cd rhonsnntlrtrllrrs (ll(X).1)00r.i,nr. Jrnrgc\ Js nn,v .(l l,r rhc
S.!r.i ll,7ii,,l'lr ttrhrC',,1r. trt'cq d rtfnry
u!l!.!&tlt!
I hcrchy rfln r uid$ Nnrlry of Ftury rhN I rr li..tql uMcr |ruvi\i(r .l ( hrt'lcr 9 ( connEncirg q irh S(rnrn XXX)) of Diri\n{ l
ol rhc llusi'rs rnd Pnfc$ion\(id. rnd 'nvli.cnr i\ in full nnr Jrxic,fc.r
Lts 8fr{tu@ Lba-og (])llttll-1l0rlal!}Li,!!r}!!
I hercby ofinn undcr Fnally of rrrJury thlt lhsc i\ ! c,nsrrudhn kndins ilcty ror rh. pGroimmc of rh. work tor which ltis pcrmn is
issucd (S.c.1097, Civ C.).
AIIIICANLIECIABAIIO!
I lrrl,y.trEn undn p.nalry ofI'ctury onc ol lhe lolbwin8 dcclanrions:
Dcmlirion Prnirr Ash.{os Notillcation Fcd.r0l Rrgul ions (rirlc 40. P.n6)
-Rcquncd
kncr of Ndifi .arion
I c.!ril.v rhxr rlr ltdr'rlroBtrlrn(na 'ctnkir! r\E((o\ rcfnrrlJc no! rt)l,li. hlr r) rlrN t)n,1.(r
l.cnily rhrr I havc rcrd rhh.mlic.lionanl rhdrhcrhrvcinl'omrarionn.onccr Irgrl!hcomnly*irhrllCirynidCounry
odimnccs nkl Sfurc tres rcLrriry Io buildnrg zc r.Ircrnhrilcs ofrhn c i aid counrt r) cnrd trF[ |lf,
,t{u. 'nnr i.ftd f)p.ny tiir imtcrio,
ftetar,*l6
c2.,oI8
Applicanl or ri*enl Signalut:
l'cmilee mne lpdni): +q+@.EE-
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER {-211 v.tz$01
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouoh
Ceilinqs (T-Bar Rouoh)/A
Meter Release i-2a-1tr \\u)a)
Rough ,4.
Service l\/eter ,V.tu)dZilHr -t (v
Notes,R e m a r ks E tc.
s(
-\.
Transformers
FINAL ih.tlt)r
"*,$vQ!P+?-
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2-o6
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Planning & Building Agency Smoke & CO
Alarm Affidavit
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-'19)
Santa Ana. CA 92702
(714) 647-5800
www santa-ana o19
tNSP 02 2013 CRC
fhis document mqy be lound ot...h ttp:/lMM/v. sa nta-ana.o roloba,'
(Please use a black or blue ink ball-point pen)
Project Address:M
Permit Number:k t 66(,1 I
Property Owner:Nonc $o..n \,{r.
Contractor:License #:
State of California requires that smoke and carbon monoxide {CO) alarms are installed in residential
b u ild ings.
California Residential Code (CRC) Section R314.1. and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the requ ired locations.
A ao,h boxes below must be checked:
E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
S Smot e alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
bV the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in complaance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
man ufacture r's instructions.
(check onel Licensed Contractor 8. Prope y Owner
NOTE: fh6 se/r-c ertificdtion is only used for projects thdt dffect the EXTERIOR of the sttucture. This
process is applicdble ONLY to projects where dccess to the interior of the dwelling by a Sontd And
lnspector is not required.
0,1a x)l*,^,tn -Dote s.l u/rs
Have this completed form and the job-card readily available on final inspection!
,"-SANTA
NA-Tffi
Signature: