HomeMy WebLinkAbout20165601 - Permit20 Civic Center Plaza (lil-'l9), Santa Ana, CA 92702
lnspection Requests. 1714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O16560{
Pin #: 44569
City of Santa Ana
Permit Counter (714) 647-5800
Assessor'sParcel:'198-311-14 Lot; 73
Unit:
Block: NA
Bldg:
Tract: 1944
Suite Range:
Zoning: Rl
q
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Dung Nguyen
1405 N Hastings
Santa Ana, CA 92703
(714l722-3452
Owner-Builder
01 't '16002 51603
01 1 16002 51603
01 116002 51603
01 116002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type
Addn/Res
Air Conditioner
Low Voltage/Res
Serv Meter
General Plan Update
lssuance
Amount
0.14
93.28
35.35
51.29
52.98
Qty
489.00
'1.00
1.00
1.00
1.00
1.00
Phone
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Botch+! 43197 - 4 / ltJ,/ 1t'-119 I0i
off ice: CTYH Trons,': l7Accti: F:cf i3 :':
Rcpti:02??S?77 - 4/lr:r./?ulg ll
Tronsdct ion Totol 9l:
I of
11d5581
r1? AllAll P')
R-3, U
VB
cEc 2016
Dutts Hgus en
6enerul Plon Update t e;:
ul I I6r]02- 516000110-
El ectr icol0ll 16002- 51611300r.r-
U i9q
CC+: r*rlr r*rI Irr4 5! I
handout given
$3n 1 .3s
Auth"':132311
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Single Family Dwelling
Addition
Addn
Arabe, Jill
Buirdins Permit #: 10194120
Evory parmit issued shall becomo invalid unle$ the work on the sile
authoized by such permit is commenced within 180 days after its
issuanca, or if the wotu authorized on the site by such pemil is suspended
or abandoned for a peiod o1180 days after the ume the wo* is
commenced.
1\n"'n"no"',
x"tnv o4110t2018
Account#
Dale
Date
Oate
04t10t2018
$322.61
$0.00
$322.61
lnspector MID#: 2017-135398
01 1'16002 s1600
01 116002 51603
$21 .25
$301.36
Project Address: 1405 N Hastinqs St Address Range:
Historic: No
Notesl
Fee
$68.46
$93.28
$35.3s
$s1.29
$21.25
$52.98
1
Occupancy:
Constr Type:
Code:
Planning Conditions:
NIisc. Receipt:
lvlisc. Receipt:
NIisc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Volta
Fire Alarm / Dampers
Communications Cable
Buildinq
Bonding / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soff it Rouqh
Ceilinqs (T-Bar Rouoh)/..,)
Meter Release z-12-tg h -w-)t)
Rouqh t-\- t9 .-l)"9d ,nd')
Service Meter 7-lz-tv v.w-m
FINAL tr9-/tr Y,ttlitl
Notes, Remarks, Etc.
OWNER BUTLDER DELCARAIIIJN
I hcicby aftirm undcr pcnlhy oI Frjury lhll I 0m cxcnpt imm lhc ConlrrctoF l.i.en\c ljw lor rhc ,ollosinE ra$n (s.c 7011.5
Businc$ lnn Pnfcsion Codc): Aiy Ciry .r Counry *fiich rcluirc. ! pcdrir k, condruct. alr$, if,pmvc, dcmolish or rcN" My
idcrrrc. IlIitrb irs n\rnrc. dso rcquims rhc af,plicrnr fu \rchFmir b lllc!siSn d (dcmnt rhm hc or shc ! lienrd lunu t
ro lhc pnvisi,tr$ ol lhc Conlrlcru s l,iccns.d lju (Chaptc, 9. Comntmi'rs wirh sc.rbn 7ffn .r DivNi.n I ol thc Businc$ ctrd
Pturc\(nrnsCi cl.r'hurt orchc ir cx.rfl rh.rcrrom,nd
'hc
b,rn ror (hc alkBcd crcmtlion AnyviolarionolS(ri,o70ll5bya.,
lmlicln 'or a pennil suhjalsrhe aprliclnr to acivilpcnallyofml nD.e than fivc nundrd doll8($500).
l. ,r owmr oirlr p6pcny, or my cmployccs rirh wagcs as $cL q,lc m,q.nsar ion. qill do lh. wtrk !.d thc srrut@ i\ n
intcndcd or oilcrcd for slc (S( 7044, Busine$ lnd Pmlcssiotrs Cdc Thc Cod.acrois Liccn* ljw dds nor rpllyro rnowmr or
rh. I,spcny who hoikh.r irf,(,h\ rlE6.. sd who d,rcs \eh *oil hims.lfor hfi€lfor rhmu8h hn orhn own cnrployccs.
provid.d rha! such iqrowmnrs m mr inr.Ddd or off.!.d f(r elc. ll, horcvcr, rh. bdild,nS or iq"orcnr kbtwnhinorc)ro
ofc.nlllcriDtr rhe Oskr Bliklcr willhaw lhc bndcn ot pmviry lhnr hc or shc ilid mr build or irprcw $c pmFny lor x Furpo$ol
l. *o*krofrhc Jm!.ny, amcx.lxsiwlyconk&tin8 *th li.cn{d .ont.cr o rs ro onnnd ltr pnlcd (Scc. ?(}+,1. Bu\iN$
a'rl h.ic$bn Codc Thc Coorrlcrof s t,iccnsc l,aw does nor opply lo !n osNr or proFny *ho brild* or inrtow. rhcrsn,
and eho conh.rs ror such pmjcts virh a Co mdo(s) li.nscd tusu.nt ro rhc (.onlmcro^ l-iccnc tiul
I mrcrcnln uMcr S..rion ,B.&PC lor this rcason
u.r",6Ll -lo ?,or! o*-,
DICI,IISAIION
I h.r.by rrTiribrndcr pcnalrtoln rjurronc of lhc l'ollouirrS d&lffr'io.s:
-lh0vcandwillrmint0inaCcnificilcofConscntioSclf.lnsurclorwolkc$compc.sarion-asprovidcdforhrsccrbnlT0oofrh.Lrhr Codc. tu thc lcrfornDncc of thc mrl for whichthc pdnir is asucd.
_lh cindwillmon rinqortcn compcnslrhn insu.rncc. as rcquned hySccrionlrTO(,ofrt. tjhorGd.. ft, rh. FlfonMk-.c or
thc work ioi*hichlhk p.nnil is issucd MyworkcG comp.nsnlion iNUr{Ec clrdcr d polic, nlmhcr ac
I ccniiyrhrr in rhc Frtormrnce ol rhc worl lor which rhi\ pcrmil t t\md. I \hrll nor dnrpby rny l.Nr ir rny m rnet
s r\b lr{o'm sub)..r ro rhc wo*crl comlinsdi{[ liws Dl Cnlifdni.. lRla8rcc rhd il'l {houin bcronr a6jsr h rtr
woikc^ .o fcn\di{)n pbviatutrs oi Scdn n l?00 ol lhr Lrhtr C.d.. t shrll. lon hsilh cnmply wiln rhl){ pmvntDr
WARNINC Failu.c ro {curc workcr\'ronTrn\dn'n.oecnac ii unh!tuI. n d $ill \uhj(l rtr cnpbycr ri, ctimiml pcullics and
cilil fincs op b orc hundrcd rhou\ahd dullDr\ ($1fir.o(X), i'r rddirioi o rhc.o{ .f compcns.rion, donm8cs os ptr,vidcd lor rhc
Serion 1076oarhc liboi Cod., inrcr.{ ond rilorfty s fMi
, 0q -io - )o(Q nrrr-*,
DECI.ASAIION
I hcrcby nirr'n undcr p.nolry nf lcrjury rhol I onr liccn$d utrd.r pmvkio. ofChIPtr 9(com
or rh. Busin.* rnd Ptufcssions Codc. anl nry li.ctrF is d fuu foEc rrrl cliccl
C(}NS-IRUCTI(IN I FNDING AGTNCI
I hcEby olfiirnundcr pcnallyof lcrJury that rnm k r.otrsrruclion lcndins arety for rlt pofurl1rm. orrhc wort aor whichlhis !€rmit is
issu.d (Se :1097, Civ. C ).
APPLICANT DF(]I ARATI(IN
I M,y,,Im xndcr pcnrlry or prrjxry onc ollhc rollowin8 dNlrnrions:
De n lirh n Pc tril! A\l,csros Norin.nr ion Fcdcrrl R.EUld idF (l irld l(). Pd6 r
_R.quirrd l,(cr ot N.rifi .arion
l.cdilirh.r ifu rcdcrrlrc8ul,riotrsE$trnnrr $bcstos r.nbul urc nolnpplicablc l. rhis pn+cr
-l
ccrriiyrh lh!!c rcrd rhh0plicrrn,nud (arcrhar rhc ahovc inlbnnlrt'n nr.nccr l dgrm ro omply wirh all Cily otrd Couoly
odinamcs,.d St.rc Uws rcLtins k, buiklins cnn(oction. and ncrchy.urh.rir rcrrcscnrarilcr orrhi. cir, and cou.iylo ctrrs ul)on lhc
hrr nf,ri(nrJ p()lcny nr i
Appliunt or AA$lSiANlur.*" 64- lo ? ^lt
I
ELECTRICAL.INSPECTOR RECORD
Under Slab / Floor
Liccnsc Cliss:-l,iccnrc N0oltr:
-
D.re ( onrrocror.
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