HomeMy WebLinkAbout20254530 - Permit (2)City of Santa Ana
Permit Counter. (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests. (7 1 4) 667 -27 38 lnspector Section : (7 1 4) 647 -5853
Electrical Permit #:2o25453O
Pin #: 48,674
Project Address: 1221 S Linda Way
Assessor'sParcel: 109-383-06 Lot: 28
Unit:
Block: NA
Bldg:
Tracl:2248
Address Range:
Historic: No
Suite Range:
Zoning; R1
Owner:
Address:
Phone:
Fee Type Amount
01116002 51603 Demolition (includes rer 42.71
01116002 51600 General Plan Update 19.46
011 16002 51603 lssuance 48.52
Qty
1.00
1.00
1.00
Fee
$42.71
$19.46
$48.52
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:NOTIGE OF VIOI..ATION
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Alter - n/v
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
U
VB
cEc 2013
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buirdins Permit #: 10282189
08t18t20't4
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
$19.46
$91.23
$110.69
$0.00
$110.69
Every permitissued shall become invalid unless the wofu
on the site authorized by such permit is commenced within
180 days after its lssuance, or if the wotu authorized on the
site by such permit is suspended or abandoned for a peiod
d 180 days after the time the work is commenced.
lnspector MID#: 2014-116012
tr/
Ruben & Nazaria Garcia
1221 S Linda Way
Santa Ana, CA 92704
17141222-3427
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS O$'ncr-Buildcr Dcclaration
IherebyafTirnrunderpenaltyofpcrjurythatIamexemptformtheContraclors LicenseIawforthefollowingrqson(sec.70JL5BrNincss
and Profesion Codc): Any City or County which rcquira a pmit lo construc-i. altcr. improvc. demlish or rcpair any slrucl(c. prior to its
issuancc.alsorcquircsthcspplicantforsuchpcnnillofilcasigncdstatcmcnt thathcorshcislicens.d puBuanttothcprovisionsofthc
Contrsclor's [,rcensed Law (Chaple, 9, Commencing with Srction 7000 ofDivision 3 oflhe Busin6s 8nd Prof*sions Code) or thal hc or
shc is cxcmpl lhercfrom and thc bsis for lhc .llegcd cxcmplion .Any violation ofscclion 703 I .5 by any applicant for a pcmit subjccts thc
spplicsnl to a civil pcnalty ofnot morc lhan fivc hundrcd dollam ($500).
I, !s owncr oflhc property, or my .mployce with wago as lhcir solc compcnsation. will do thc work and thc slructurc is not intcndcd
or offc..d for $le ( Ss 7044, Busin6s snd Professions Codc Thc Contractor's Liceree Law do* rct apply to an owner of thc prcpcny
who builds or improvo thcrcon. 8nd who do6 such work himsclfor hcrsclfor through his or hcr own cmployccs, providcd thEt such
improvcmcnls arc not intcndcd or offscd fo. s!lc. If. howcvcr. lhc building or improvcm.nt is sold within onc ycu ofcomplction. thc
Owncr-Buildar will havc lhc burdcn of proving that hc or shc not build or improvc for thc purposc ofsalc).
_1. 6 owncr of thc propcny. am cxclusivcly contractinS with liccNcd conlrscton to coEtruct thc projdt ( S(. 7044, Busif,css ind
Pref6sion Codc: Thc Conlraclor's License Lrw doe not apply to an ownfi of propcny who builds or improve lhercon . and who
contract! for iuch projdts with a Contractor(s) liccnsed pursuont to thc Contrtdor's Licensc f,aw ;
,",:":'
*l
---',-. x'p'2lu :1^1
I hcrcby affirm urdcrr"*n, orr..;r'onffi
_l havc ed will msinlain a C(dificalc of Conscnt lo S.lflnsure for workers compeNtion. 8s provided for by Setion lToo of thc
hbor Code. for lhc pcrfomancc of lhe work for which thc pcrmit is issucd.
_ I have and will maintain workers' @mpenslion insumnce, as required by Section 3700 ofthe kbor Code, for the performance ofthc
work for which this pcrmit is issued My workers' compcnstion insurance errier and policy numbcr are
Canio:_
Policy Numbtr:_Expircs:
(-[his scction nced nol b€ cornplctcd iflhc permit is for One hundrcd dollare {$1001 or lcss)
I ce(ify thal in lhe pcrformancc of thc work for which this pmil
became subject to the workers' @mpensation laws ofCalifornia, and
is issued. I shall nol any pcmoo in any manocr so N to
that if I should subjecl lo the workers'
compcnsation provisions ofSction 1700 ofthc tabor Code. I shall.with
Datc:*-;":":.":"kWARNINC failure to srcure unlarvful. and subject an cmploycr lo criminal pcnaltie snd civil
fin6 up lo onc hundrcd thouand dollars ($l 00.000).in addition to thc cosl ofcompcnstion. damagcs as providcd for thc S(tion J076 of
lhc lrbor Codc. inlcrest and atlorney s fEs.
LICENSED CONTRACTORS DECLARATION
I hcrcby alTim undcr pcnally of pcrjury lhat I am licenscd under provision ofChaptcr 9 (commencing wilh Scction 7000) of Division 3 of
the Busincss and Professions Code. and my liccnsc is in [ull forcc and effect.
Liccroc Class:
D6lc:
License Number
( ()trlriclor:
CONSTRUCTION LENDTNC AGENCY
I hcrcby alfim undcr pcnally ofpcrjury lhat thcrc is a coNtruction lcoding agcncy for thc pcrfomance ofthc work for which this pcrrnit is
issucd (Scc. 1097. Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT'S Df, CLARATION
Dctnolirion Pcrmits-Asbcstos Notificarion Feddal Rcgularions (Tillc 40. Parl 6)
_ Rcquircd Leilcr ofNotification
_l ccnify th8t thc fcdcralrcgulations rcgarding sbGlos rcmovalarc not applicablc to this prejdt.
_ . I c.rlify thal I have rcad this application and slatc infomation is corccl. I agrcc to comply with Ell City and Couty
ordinanccs and Statc Liws rclating authorize represcntalivcs ofthis City and County to cnler upon thc
abovc mcnlioncd propcny for
Applicant or agcnl sig.:
Pcrmittcc namc (print):}(
Datcl
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter I t\I
F!NAL I L ,\,,IXJ 4L
Notes, Remarks, Etc.(l