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Home My WebLink About20370747 - Permit (2)City of Santa Ana d{ 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #:2037O747 Pin #: 798,46PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 Inspector Section: (714)647-5853 l(r Proiect Address: 1055 W First Sta - Assessor'sParcel: 008-141-63 Lot: 1,2 Unit: F Block: 4/1 Bldg: Address Range: i055-1069 Tract BALDWINS ADD/CRt{istoric: No Suite Range: Zoning: C'l Owner: Address: Phone: Tenant Name: Sean Phillips POBox Tustin, CA 92781 (714)614-8391 Coin Laundry Steve Maki Electric P.O. Box 1430 Huntington Beach, CA 9264 (71413s3-2077 01116002 51603 01116002 51603 01 1 16002 51603 01116002 51603 01'116002 5'160c 01 1 '16002 51603 01116002 5777C Fee Type Amount Light Switches, Occ. Se 1.64 Light Fixtures 1.09 Subpanel 55.37 Min Fee Adj 2.25 General Plan Update 22.95 lssuance 57.20 Microfilm Records 3.91 Qty 3.00 9.00 1.00 1.00 1.00 1.00 1.00 Fee $4.92 $9.81 $55.37 $2.25 $22.95 $57.20 $3.91 Contractor: Address: Phone: State Lic #: 682074 Lic Type: C-10 Bus. Lic #: 375047 Workers' Compensation lnsurance:Carrier: Exempt Policy #: Expires: Building Use: Commercial Job Type: Miscellaneous Nature of Work: Subpanel/Fixtures Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Occupanc!: Constr Type: Code: Date: B VB cEc 2019 Notes: lnterior subpanel and fixtures Fee Total Paid to Date: Balance Due: ffi::0210612020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Zuniga, Allissa Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 I 16002 51603 01116002 57770 $22.95 $129.55 $3.91 lnspector Mto*: 2020157278 $156.41 $0.00 $156.41 ELECTRICAL.I NSPECTOR RECORD Rev.08-07-2015 APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hoeby affrm under poalty of psjury lhal I m exempt from the ContracloE' Licose [aw for the following rwn (.\ix 7331-5 Busincs ud Profsion Code): Any City or Couily which rcquire a pornit to co$trucl. altc. irnprovq dmolish or rcpair my structue, prior to its isuuce, also requirB the applicilt for such pâ‚¬mit to file a signed statonent that hc or she is licmed pmuat to thc provisions of the Contractor's Licenscd Law (Chapttr 9. Comencing wilh Sstion 7000 of Division 3 of the Business md ProfcssionsCode)orthatheorshcisexemptthgefromedtheb6isfortheallegedexemption. AnyviolationofsectionT03l.5byany applicantforaprmitsubjectsthe applicanltoacivilpenaltyofnotmorelhmlivehundreddollas($500). I. o omq of the propeny, or my employc wilh wags r their rcle compenstion, will do fie work md (hâ‚¬ sructue b mt intodcd or offqed for sle (Sa.7M4, Busine ad Profsions Code: The Contrador's Liccre kw do6 not apply lo m oMq of theprcp.rty whobuildsorimproveth@n.ildwhodoBsuchwrkhimselforhrselfortlroughhisorhrownemployce. provided that such improvmots ilc not intmdcd or offard for sale. If. howdd, thc building or imprcvment is mld within one )q ofcomplaion. the O\vnq Builda will have the budm ofprovitrg that he or shc did not build or imFove the prcpqty for the purpos of ele). _1, 6 owns of thc propâ‚¬rty. m exclsively contraaing with licmed contractoB to construct the prcjwt (SE. 7044, Bsins ed Proft$ionCodc:TheContractor'sLicenseLawdo6notapplytomown6ofpropâ‚¬rtywhobuildsorimprovesthscon, and who contracts for such projccts with a Contrado(s) licssed pumuant to the Contractor's Licose Law). I m exmpt undq Sclion-, B. & P.C. for this r6on. l)8te: WORKERS'COMPENSATION DECLARATION I lroeby allirrn undcr penalty ofpojury one ofthe following declrations: _l have md will mainlain a Certificate of CoNmt lo Self-lNure for workm' compmation. c prcvided for by Sâ‚¬tion 3700 of thc Labor Codc. for the pefommce of the wort for which the pcrnit b i$ued. _l have and will rnainlain workss compensation insurance, 6 by Section 3700 ofthe Labor Code, for the pofonnoce of the work for which this pmnit is issucd. My workos cmie md policy nurnbo ae: Policy _l cdify that in the performance of the work for which this pomit is issued, I shall not employ any peruon in any mmner so d lo become subjst to the workss'cornpensation laws ofcalifomia. md agree that ifl should bocome subject to thc workqs' compmation provisiom of Selion 3700 of the Labor Code. I shall. fo(hwith comply wilh tho* provisioro.. WARNING: Failurc to sue rvorkm'compmation covcagc is unlawful. md shall subjct m mploya to oiminal pqnhies'md civil lincs up to one hundred thousad dollus ($100.000), in to thc cost of compensation. danages ro provided fC. thc Sccti(m 1076 lhe Code. intcrest and I hoeby affrm unda poalty of perjury that I m licosed undo provision of Chaptc 9 (commmciog with Sdion 7000) of Division 3 of the Busins md Profcssiom Code, md my licme is in full force md cffect. C-o L9 2014Liceroe ?P1o CONSTRUCTION LENDING ACENCY I hacby affm unda pmalty of perjury that th6e is a coNtruction l@ding agmcy for the psfonnmce of the work for which this psmit is issued (56. 3097, Civ. C.). knds's Name: Lendcr's Address: APPLICANT DECLARATION t ho@ atrm undq penalty ofpcrjury one ofthe following daluations: Dcmolition Pmits-Asb6tos Notificalion Fcdaal Regulations (Tille 40. Pm6) __Rcquired Ldtq of Notification lhis prcjst. I agre to comply with all City and County ofthis City md County lo entq upon the above mentioned property for Applicaill or,{g(nl Pcrnrilcc nsme zo 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 Bondinq / Groundinq / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough Service Meter /_ FINAL qZ/za-,, r4?4 '/ Notes, Remarks, Etc.I I)ate: