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HomeMy WebLinkAbout20167938 - Permit (2)@ City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 a Electrical lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:2O167938 Pin #: 73121 'Project Address: 2430 W Elder Ave Unit: Block: NA Bldg: Tract: 1346 Address Range: Historic: No Suite Range: Zoning: R'lAssessor'sParcel: 109-123-01 Lot: 84 Owner: Address: Martin Gonzalez 2430 W Elder Avenue Santa Ana, CA 92704 (949) 544-9901 Fee Type 01 I 16002 51603 New Garage 0'l 'l 16002 51600 General Plan Update 01 1 '16002 51603 lssuance Amount 0.14 22.O8 55.04 Qty 441.00 1.00 1.00 Fee $61.74 $22.08 $s5.04Phone: Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Botchi:48189 - ?/1/2trl9 ID: LRrlSAt_ES 0f f ice: CTYH Trons*: 54 9 r,f' 11Acct*: Ref*: jt-rl,l7?39 Rcpt+rtr25?239? - 2.i1/2{ttq Ir l? pH Tronsoct ion Tqbul $8r11?3.|i? llnrt in 6on;o 1e: General Plan Updnte Fee 01 I 16r:r0?- 5150110011- Electr irnl 01 1 16002- 51603rlllrl- Itnster Cnrd CC+: **r***ffr***3559 ICL Check n09l:r4 $1 16. 7S $5 r t-rilil. [rfr Auth+!L1lt55,tE $3 r t-t9f,,5? $138.86 $0.00 $138.86 $??. r:ri:q Building Use: Job Type: Nature of Work: Single Family Dwelling New Garage New Garage 97099 Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on the site by such permit ls suspended or abandoned for a period of 1 80 days after the time the work is commenced. Occupancy: Constr Type Code: Date: Date: Date: U VB cEc 2016 02t05t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: New detatched 2-car garage. Fee Total: Paid to Date: Balance Due: 01116002 51600 01116002 5'1603 $22.08 $116.78 lnspector MID#: 2017-135399 APPROVALS DATE !D/SIG.COMMENTS Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) Meter Release qt2//%Rough '/4,ZZJQ t 0r 7-19-2-b*.ff" /o- Service Meter FINAL Ltc-"2 \r{ rr> Notes, Remarks, Etc OWNER BUILDER DELCARATION I hoeby affum undr penalty of perjury thal I m exempt fiom the Contractors' Liccnse Larv for the following rffi (Se.70-11.5 Busines ad Profmion Code): Aoy City or County rrhich require a pornit lo coBlruc{. alto, improvq dmolish or rcpair my structuc, pdor to its issumce. also rcquirG the applicant for silch p€mit to file a signed statcment thal he or she is,lic@sed pusui\nt to the provisions of lh€ Contractor's Lic€nsed law (Chapler 9. Commencing with S(tion 7000 of Dir isir/c -1 of th: Busins od ProfessionsCode)orthatheorshcisexemptthtrefiomandtheb6isforthcallegc<lexmption. AnyvioteionofsectionT03l.5byany applicant for a pmit subj(ts the applicmt to a civil pcnalty of not more thil five hundred dollas ($500). . ' D _1. 6 owns ofthe propeny. or my employe with rrago a their mle composation. $ill do lh€ work md the slructm b nol intmded or offqed for mle (Se.7044, Businss od hofasiou Code: The Conlraclor's License Law doe not apply to m ownq of the pmperty u'ho builds or improve th@n, md s'ho do6 such rvort himself or hmelf or through his or he om cmployee. provided that such improvmots tre not intmded or offoed for sale. lf howsq. the building or improvemmt is sold within one ,q ofcomplc{ion. lhe O*nq BuiHq will have thc hrdo ofpreving thd he or shc did rcl build or improve the progrty for th€ purfD* of salc). I _1, m owner of the propffy, an exclusivcly contracting with lice6cd contractore to construct lhe preject (Src. 7044, Uuinss ed Prof6sionCode:lheConlractor'sLicenseLarvdoenotapplytodownsofpropcnyrvhobuildsorimprovGthq@n. and who contracts for such prejats with a Conlracto(s) licssed pursuanl to lhc Conlraclor's Licse l,aw). -l m erempt uder r]. &.c. on", z-o<r-/:: Dlr(I.,ilt\|loN I hoeby affirnr undo pmalty ofpojury onc declaralions: _l have md will maintain I Certificate of Coreent lo Self-lNure lor rvorkers' conrpensalion, 6 providcd for by S@tion 3700 of lhe Labor Codc, for thc pqfommce of the wo* for which the ptrmil is issued. -l have and will maintain wo*ers' compcmalion ireurance, c required by Srction 3700 of the tibor Code, for thc pofommcc of the work for which this pennit is issucd. My workers' compcnsalion ireurmce cu io od policy number a c: Policv Numbo: Exoires: -l colify that in the perfornrance of the work for which this permil is issued. I shall not ernploy ary psson in any manner e as lo become subj(l to lhe work6' compenetion laws of Califomia. dd agree that if I should become subjet to the workes' cornpensation provisions ofSection 3700 oflhe Labor Code. I shall. foflhwith cornply with those provisiom.. WARNING: [failure to wure workqs'compruation covqagc is unlawlirl. and shall subjet a onployo to qiminal penalliG and civil fmcs up to one hundred thoumd dollm (in addition b the cost of dmages I provided for the Scction 3076 oflhe l,abor Code. interGl 's fecs. Orrrr?-F:-/? I hqeby amrm undn pqalty ofpqjury that prc\'ision of Chaptq 9 (commmcing I force md cffat. 7000) ofDivision 3 of the Busines ad Profwiom Codc. md my licme is Licc6e Class:-Liccme Numbs: Dste: Contnctor: CONSTRUCTION L}'NDINC AGFNCY I hercby affrm undo paalty of ptrjury that lh6e is a coNtruction lflding agmcy for the pqfommce of the rvork for rvhich this pqrnit is issued (Se. 3097, Civ. C.). Lender's Ad&s: APPLICAN'T DECI ARATION I horby aflim under pmalty ofpcrjury one ofthc following declarations: Demolition Pcrmits-AsbGtos Nolificalioo Fedqal Regulations ( fitle 40. Pan6) -Required lrtts of Nolification _l cdiry that regulatiom Egffding Nbestos rqnoval ue not applicable lo lhis prcjet. _l read this application ad state lhat the above infonnation is cord. I aSre to comply sith all City aod Couoty ordinanc6 taws relatif,g lo building construction..oflhis Cily and County lo entcr ufxln the above Applicanl or Pernilee nNnre I for inspeclion *r" ? -6- /? ELECTRICAL.INSPECTOR RECORD Lender's Name: