HomeMy WebLinkAbout20166625 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA927A2
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20166625
Pin #: 95847
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 4018 W Lehnhardt Ave
Assessor'sParcel: 108-722-25 Lot: 25
Unit:
Block: NA
Bldg:
Tract 8924
Address Range:
Historic; No
Suite Range:
Zoning: R'l
q
Phone:
Tenant Name:
Mimosa Diep & Tien Nguyen
4018 W Lehnhardt Ave
Santa Ana, CA 927042219
(714) 785-8301
Owner-Builder
011 16002
011 16002
01'1 16002
01116002
01116002
01116002
01116002
5160?
5160:
5160:
s1603
5160:
5160C
5160:
Amount
o.14
0.14
96.90
24.79
36.72
22.O8
55.04
Fee
$47.04
$42.00
$96.90
$99.16
$36.72
$22.08
$55.04
FeG Type
Addn/Res
Res Rewire
Air Conditioner
FWU
Low Voltage/Res
General Plan Update
lssuance
Phone
Building Use:
Job Type:
Nature of Work
Single Family Owelling
Addition
Addition/Remodel
Occupancy:
Conslr Type:
Code:
R-3, U
VB
cEc 20't6
Notes: Remodel existing (2) bathrooms & kitchen.
Planning conditions: A./C in rear yard,
Planning Approval By:
Plan Checked By:
Permit lssued By: Brodowski, Teri
Subject to Field:
Buildins Permit #: 101 96323
Date
Date
Date
?*?.Utp,rta lTooovtc gntja, ,/y'r,
uP lr C id*rcc oa27- zo ,a.a/.
SoLccatso W f toE .flp o _D. <.
'/,/u
Misc. Receipt;
Misc. Receipt;
Misc. Receipt:
Total
0'1116002 51600
01116002 51603
$22.08
$376.86
$398.94
$0.00
$398.94
Every permit issued shall become invalid unless the worr( o, thg slle
authorized by such permit is commenced within 1 80 days atter its
issuance, ot il tho wotk authoized on the site by such permit is susponded
ot abandoned for a peiod o1180 days aftet the time lhe wotu is
commenced.
lnspector MID#: 2018-143123
Owner:
Address;
Qty
336.00
300.00
1.00
4.00
1.00
1.00
't.00Contraclor:
Address:
State Lic #:
Lic Type:
Bus. Lic *:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
Fee Total
Paid to Date:
Balance Oue:
08/08/2018
Account#
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNTIT BUILDER DELCARATION
I hcrcby umrn lnder r.nalrr r,t p.rjury rhar I dn cxcnu from thc Co racrr{ Li.cn{ uw forlhc r'ollowin! ro,\on (srcloll5
Busincs trtoI Prorcsion Codc) Any City or Counly Fhich rcqutc\ r ,'.nnil r. con(rucr. Elrer. imrrov.- d.nlolish or rc|an any
ntu.ror.. t,itr k, irs issuarcc. als rcquirc\ rhc alplktnr liJr ruch Fnnir ro iilc 0 si3md dlrcmnr rhrr tr or shc h liccn{d pur{lnr
ro rh. prcvnnnF otrtl Conlitcror\ Lrctrscd tiw (Ch.!rcr 9. Comm'kins wnh sc.rion 7firo of Di!i\n,o 3 .rrhc ausinc$ a.d r
Pn,tcs\ions cidc) or thd trorshc h crcnul thcrcflon lnd rhc hast ror I h. nllcScd crc mpl ion Any vidrri{'n olScdiotr 71r.11.5 hy uny
rmli.a.rraraNnnilsuhjdsrhcapplicu'x,rciviltcndhyornor.mrorh0nlivchunr.{ldollur(s5(x)).
-1.
as ostur or rh. t'tup.ny, or my cmpbyes with *!scs !1 rhdn sob .onr!.nql ion, will do rhe work ukl rlt nfrturc i|n,l
inrcflLd .i ofcrcd lor ek ( S( 70.14- Businc$ !.d Pnrr.\rnnF Codc l h. Conr!rcloi\ l,icctr{ Ijr do.\ trot opdy k' !n ownrr .t
rhc tmpcny wl.i) build\ or i'qnors rhcrsn. lnd who de\ such *oir hims.llor hfi{lfor rhn,uah his or hcr.wn cmPhvccs.
lr.vidcd rhd su.h impnN,Enll m mr inr.nd.d .r ofiftd n, *k. It h.scvcr rh. hdildi.S or imEorcnEnr is old *irhin ok )td
orc.rpLrion. rhr owru Buildcrnillh.vcrhc hlrd.n orp vi'r8 rhar lf or \nc dt not buiB o, nr{novc rhc fmFny for rhc Irln { or
Lr\o*trcr.rrhclnJncnr.anrciclu\irc]yconkNri'rg*irhli..i{d.ontrch6locon{rucrrlrrnic(r(Sc.7t},l,l.lnai'(\t
rrd Ptriri\sinr Codc:'lhc Coirrr.ror'r l.i.ctrsc L.rv docs tror {Drly ro rn o*ncr orPr,r,-iir yho buikk or nfn,vcs rhcrc.r.
rnd wlr .onta.(lor nrh llrcjcds silh trConrrrronr) liccntcd Pui\xrtrl torhcConrrlcttr\ l-ic.trr. hw)
-l
h.vc $n will roinbin ! Ccnirrcarc olcotrrc hS.lf.lnsurclorworkcn.omFnsarion.as Eovidcd ror b, s.crion 1700oflh.
hbor Codc. Ior lhe pcrformancc orrhc qolk for whi.h rhc p.rni n issucd
-lhsv.andwillmainrainworkcs
compenslrion insn.trncc, a\ rdtxircd by Scction 1700.frhc tjb.r Lbdc. fot lhc Pcrfortu..d or
rht {orl lor shich lht pfin l is tsu.n My *orkc6 .r,npcnsxrion insurarcc qtrier lld Erlk! numb.r u.
Poli.y Nunrbc!
-Exptcs:
-
-l..niri
rhrr in rhc ptrfonnincc olrhc s'ork lbr whth rhn Il.rmir G i\rucd. I shrll nol ctrlPloy rny l.^on in lny 'unncrs ask,bcNm srbj.rl lo lhc sorlers'comp.n\ ri.n lowsorcalifornin. r0 lcdihd ill d$uld bccoflE sh]cd rorht
wor*crs.omNtrsiliorpmvisionsoiScclt,n:l7u)orrhcLftoCodc.ldxrLlli,nhwirhco.ll,ywithlhorcprovhions
W RNINC f{ilurc h *urc workcB compens ion colcmse h unlacrul. md shall suhjccl a. cmplorti h diminal lr@his and
civil fine\ ur ro oe hmdrcd rhoustnd dollsn ($100.000), in addirion t! rhc cosl ofcotp.nsrioh. dtro8cs os fnovidcd ror rhc
Scction 3076 ofihc hhtr C.dc. intcrc( lnd orlomy s ltcs.
Appltdnl:
LtcENs[DlQltrnallltl
DIiCI.ASA.IION
I heEby 0lfirm under ncnllty or pcrjury rh,t I an liccn$n u tr pnvnn,n of Charrd 9lconrmncins *iln Ser iun 7tx[) ol Divtion :]
or lhc Businecs and Pmlcssions Codc. und hyliccnsc k in tull roM md etfccr
CorlEclor
colErau(IlaN.r[lDMi-dalNg
lhcE$y3tfiir.undcrpcnslryor!.rjuryrhnrrhcrcn.onsrrucrhnlcndi',sascncyrorih.Dcrformanccolrhcs.!kiorwhichrhiipcnniris
i$xcd (sc. 1097. Civ C )
AITIICANIDECTJEAIION
I h.ftihy of6m undcr lcnalry oI ricrrury one or $c followinS dcclual ions:
Dcfrnirion P.rnn$ stEsros Nolification F.d$al R.guhr ioN (Tirlc 40. Pan6)
R.qun d kxcrof ll,tifierion
I .erriiyrl{r lhc lcdcBl rc4ularions rcs[dirs nsbc(os rcmovrlarc nDr |rllrlblc to nris fniccr
-l
ccnifyrhlr I h,k rcrd rhis 4plicalion and stalc lhallhc otnlc innnnurion is corcl I esrc ro NnlJ)ly e irh all Cnv nnd Cr'! v
ordinamcs and Sllrc L.f,s rclrring ro hnihnrg .onslDcrirn. ond hcrcbyluh,nzc dprc{nr,tiv.s oflhis City atd C.udtylo enls u,nn lh.
ah)lc mnrioncd tmpenyn, inspcciion purTx,rs.
,\pplictrnl o. Atenl SiBn.turr
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soflit Bouqh
Ceilinqs (T-Bar Rouqh)
lvleter Release
I 1
Rough ,t2 )
Service [t/eter
FINAL rl b E -l;4rX\,\P).1 1+))
Notes Remarks Etc.
I mcr.m.r undcr S(non .B &PC.forrhNrcr$,F
D.r. O$n.r -
]TAatrISU.COMIENSAIION
DECLA.IAIII,IN
I h.rcbv amrn undcr Dcnally ol ,l.rjury om of rhc follo*ing dcclrathns
lrndc, . Addrc*
Under Slab / Floor