HomeMy WebLinkAbout20166630 - PermitPermit #: 2O156630
Pin #: 65345
Unit:
Block: NA
Bldg:
Tract: 3528
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor'sParcel: 108-382-07 Lot.46
Owner:
Address:
Nhu Quynh Oang
13163 Newland Street
Garden Grove, cA 92844
(9s6) 777-9999
01 't 16002 5160:
01'116002 5160:
01 't 16002 51603
01 1 16002 5160C
01116002 5160:
Fee Type Amount
'125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures '1.05
General Plan Update 22.08
Qty
6.00
3.00
3.00
1.00
Fee
$8.70
$4.7 4
$3.15
$22.08
$55.04
Phone:
Tenant Name:lssuance
Contractor
Addressl
5504 100
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
e Fee
leL
111
ssh
h0n
I6t:l3r:r[n-l-
Building Use;
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Remodel
Occupancy:
Constr Typei
Code:
R.3, U
VB
cEc 2016
Notes Remodel existing kitchen and (2) bathrooms. No
structural modifications. Auth on file.
Planning Conditions
Planning Approval By:e
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 101 97303
Date:
Date:08/09/20't8
Account#
Every pemit issued shall become invalid unless tho work on the site
authoized by such permit is commenced within180 days attet its
issuance, or lf the work authoized on the site by such parmtt is suspended
ot abandoned fot a pariod of180 days aftet the time the wotk is
commenced
$93.71
$0 00
$93.71
lnspector MID#: 2018-145281
01 116002 51600
01 116002 51603
$22.08
$71.63
Fee Total
Paid to Date:
Balance Due:
City of Santa Ana 20 Civic Center Plaza (N4-'19), Santa Ana, CA\27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 'l/
Proiect Address: 1201 S Genoa Dr
Owner-Builder
Phone:
Nhu fluerrh Diirs
l:l
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION
I h.6by ,lftrm lBlcr pcmlry of pcrjury rhur I on cxcmpr lon lhc Conrracro6 l-ic.n* bw for rh. follo*ins rcasn (Sc.7011j
Busin.s dnd Protcssi{ Codc) Any City or County lhth rcquncs u tEnir r. .{nslrud. all(. improvc, d.mlnh ot Epat an,
$rucruE.priorbns nsumc, aho rcriuncs thc applic.nr lbr such pcrmn ro fi b a silncd slalcmnl thd tu or shc is liccnrd pusuanr
ro rhc rovhions ol rhc Conrrn r.r's Li.c.*d bw (ChlFrcr 9, conmcmins wirh Sccrion 7m0 ol Divilion I oflh ausiness,nd
Prclcsions Cod.) or rhri hcor shc hcxcmpl lhcrchommd rhcb0sh ior lhc alhsed.x.nflb AnyviolntionofS$tio.?0ll.5brany
lpllico tnr ! pcrnrir subjEr\ rhc aprlicanrtuaciviltcoalrrolnornrcihdlivehundrcddouds($500)
-1.
$ osocrolrhc pmrEny. or my unrploFes snh *aEc\ ar rkn qrc emp.nqart,r, willdo t work..d lh. \rnxl@ is to,
inrcndcd or onird ror slc (Scc 7044, ausirrrs rtrd Pmrcsi.ns Codc: Thc Contacrois l,icensc l-aw doca oor amlr ro.n ownq ol
rhcpmrEny wlm builds or inDm6 rtE@n- lnd who des slcn *od( him{lfo. h.rslfor rhoulhhh ot hct owncmployccs.
proridcd rhar soch iq,(,!.ft.k m to i6r.ntri or offcft] for $L lL h.w.vcr. dc h{ildiry or inrr,orcaEni i\ \okl wirhin "nc Fr
oloollcrion. rhc Owncr Auitls willhar Ilt bnfrlcn.r ptuvinr rlEr h. or rh. dil mr boild or iqmw lhc IretEq ror rhc pury)e or
,. rr o*mr of th. l)tupcny. anrcxclusiNl,contr lins wirh licnsd conrr..t,B k, .on{dcr rlt pojcd (Sct 701,1, Bu\in \\
a tt ti\{ir C{xlc l'hc C.fua.nn s Li.cn\. Ls* d.cs mr rltlyu anowncrofrmpcnyuho huilds or imrrovcs rhticon,
rnd who.otrrr.rsidsuchpmlcr{withoContncro(nliccnrcdpurunrrorhcCdnh.rufsLi.cnsubw).
;""q1\iil
l)l( r,,1R,\11()\
I hcrcby lffirh unds pcnnlry orp.rjuryonc llhc folbwliS dc.l(dti0ns
-!
hrvc al{l will mirroir u Ccn ii.lrc ol C.iscnr h s.lr lisurc rm w.rktrs conrFnsalion. 0s prclidcd L. br se.rbn rT0o or rhc
ljbor Codc. for
'h.
pcrlornENc oflhc *ork a{r wh(h rhc pcrmir is ils&d
Ih,v.ddwill rinrnh work.rl compcnsarion insur.ncc..s rcAuned hySccrion:r?mnrrh. trb.rCodc. iot thc p. onMEc ol
rhc sorr ror which rht Frmn ir is\u.d My workcs .o'npcnerio. insuruDcc clricI dd poli.y nu n'bd trc
Poli.y Numhcr-Etptcs:
--l.dniryrhrr
h rh. pcnarnDncc ofrhc work lor qhich rhi\ p.rmil t hsucd. I \hallnor cnlPl.y a.t lc6.n in ony flrnncr
s {st) trom subirl to Ihc sorkcr ompen{lion lass oicllil',nia. md n!ftc lh,l irl should tE onE suticcr k) rhc
workcB conrpcn\ation [ovnion\ olScclion ]TlDolrhe Llhn Codc.l \h!!1. ronhsirh.um0ly wilh rhos plolnion\
WARNINC: liilurc x' $urc hrL*' sqxnerion covcntc ( unl,wtul. ood shall sul,jccl !. e.lI]loy.r k' oininal Fnrllhs and
civil r'itr.\ up n) onc hunnrc thot\rnd d.lli^$|(X).(XX)). iddirnn ro lhc c.( ol conr Itn\rrnn,. drtrrgr\ r\ ln,vnlcd ntr rh.
Sc.ltn,.l0?(ofrhc litxn Gxlc, i crcirndar
/8
I hcrcby aflirnuidcr l.n.hy orrcrjurylnar I io lienEl r rmision ol Chrprcr 9 iclhm .tr! qirh Sccri.n 70(x1) of Divi\ion .l
ol rhc Bu\in.s\ md P'olc\\ion\ CoJc, drl nry li.cn\. is in lulltur.. dDd cllarl
D.r. ('onlroclor
calsrBllguaN.LIlDAc-f,aElcr
I h.toby afliim und.r Fmhyofpcqury rhlr Ihc,c h a @nsru.lion lcndins agcn y n, lhc P.rformmc oi thc work for enich rhk Pcmir ii
nrucd (Sec, :lO9?. Civ.C.)
PPI I(: NT DFCI ,TR^TION
I hcrchy dilmr u ndc! pcnolty orFrjury oi. or$. r.llowinS de.ld !.i\:
Dcnnirion Pc.nnsAsbsror Noiiication Fcdc.rl RcBUIllionr (tnh 4J- Pan6)
Rcquiad trircr ol N({ifi (rrhn
I ccniry rhd I hlv. tuad rhi! lppli.rrionturlsatclhor l[c0hvc inionndion i\c.tr.d Id8rct,.on{'lysnh0llCnyondCounr,
ffil hcrchylDrhorizc rcprcenrrriv.s ofrhis Ciry nd Counly lo cnrcr uF'n rhc
abv. n{nrnrcd ptr,r.n! tu ir\
Drt. - jl t7z/tt
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soflit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough -/-)( z->
Service lvleter c, -LL-(a',/rfi+t,7r'{
FINAL - f-16't1 lltzz
Notes, Remarks, Etc
Lcnncis Nrm
-
-lccnilyrhr[hc
ledcrul rglldions rcgaii]nrB rsh.nos rctrsvdlarc rct etlicohlc h rhi\ poj.yr
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