HomeMy WebLinkAbout20170314 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Electrical Permit #:2lJ17o314
Pin #: 5O{7OPK
Project Address: 906 E Santa Clara Ave
Assessor's Parcel: 003-211-12 Lot. 12
Unit:
Block: NA
Bldg:
Tract: 1529
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address
Phone
Tenant Name:
Contractor:
Address:
Aiza Monroe
906 E SANTA CLARA AVE
Santa Ana, CA 927063061
(9s1) 236-9474
OC Builders Group, lnc.
600 W. Santa Ana Blvd. #1 1r
Santa Ana, CA.92701
(7',t4l.417-7771
Fee Type
Res Rewire
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
0.15
55.37
22.95
57.20
3.91
Qry
1,300.00
1.00
1.00
1.00
1.00
Fee
$195.00
$55.37
$22.95
$57.20
$3.91
State Lic #: 1052090
Lic Type: B
Bus. Lic #: 373432
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9256608
Expires: 0612812020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
Rewire/service upgrade
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016 Notes: Rewire & upgrade meter (meter handout given)
't2102t20't9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
lssuance, 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 1 16002 51603
01116002 57770
$22.95
$307.57
$3.91
Fee Total:
Paid to Date:
Balance Due
$334.43
$0.00
$334.43
lnspector MID#: 2019-155610
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 I 16002 51603
01116002 57770
Phone:
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Lt.
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building I
Under Slab / Floor ^l I ,ss2
Bonding / Grounding / UFER 4'tvwfi.4 otxd
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)I ,>e
Walls (Rouqh)(/(11 \A r),Q{t
Ceilings (Hard & Soffit Rouqh u o lt !.l'uTlLL<-{v
Ceilings (T-Bar Rough),
Meter Release !uctta /h,W
lt
Rough
Service Meter II It rl>
F!NAL w /tr)qtrI w60
Notqs, ffgmarks, Etc.It i
l2_q
il ,o',\l\ili(o_PIrJzo Y&-
)
I hoeby affinn under pflahy of ptrjury that I m exempt frorn the Contractors' License Larv for the follorving rc6on (5(.703 1.5
llusinBs ild Profesion Code): Any City or County which requira a pcnnit to construct. alto, improve, demolish or repair my
structue. prior lo its isuoce. also requira the applicant for such pemit to file a signed statonent that he or she is licosed puBuilt
to the provisions of lhe Contraclor's Liccnscd Law (Chapts 9. Cornrnencing wilh Sstion 7000 of Division I of thc Busines md
Profesions Code) or that he or shc is crempt thqefrom ild the b6is for the alleged ermption. Any violation of Sstion 7011.5 by any
applicant for a pmrit subjels the applicant to acivil penaltyofnot morelhil flve hundred dollils ($500).
l. G ownq of the proFErty. or my cmployB rvith rvaga r their mle composation. will do lhe wo* md the stnrlm b rcl
intmdql or offoed for sle (Se.7044. Busins ed hofsioc Code: The Contraclor's Licsc llw do6 nol apply to e oms of
the prefrty who buil& or improve thson. od who doe such sork himself or hqself or through his or ha om employee,
provided that such improvmmls dc mt inloded orolloed for sle. lf, howsq. the huilding or impovmt is mH within onc )er
ofcomplelion. the C)*ns Buildq will ha\e thc hrdo ofproving thm he or she did not huild or improve thc profEty for the purpos of
slc).
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l. as o$'oo ofthe fnopdy. an erclusively contracting rvith licosed contractoE lo corelrucl the proj(t (Ss. 7044. B6ins
md Profssion Code: 'l hc Conlraclor's License Law do6 not apply lo an olvno of propdy u,ho builds or improvc lhomn.
and who contracts for such prejects uith a Contacto(s) licosed puEBnt lo the Conlraclor's License [rw).
I dn exempl undq Sslion_. B. & P.C. for this re6on.
Dnter Owner:
WORKERS' COIlIPENSATTON
DECLARATION
I hereby aflirm under pmalty of pojury one of the following dslaatio6:
lhaveudrvillmaintainaCe(ificateoIConsenttoSelf-lnsureforworkm conrpensalion.[s providedforbySection3T00ofthe
Labor ('ode. for thc pofonnance ofthe work for rvhich the pmnit is issued.
--IhavcandwillmaintainNorktrs'compensalioninsurance.o requiredbySation1700oftheliborCodc.forthepofomanceof
the work for which lhis psmit is issued. My workrs' compemation insurance canis md ;nlicy numbe oe:J S{*{r6trY
I z o_-1---r---ruu.uo, --9 7--l 10
I certify lhat in the poforrnance ofthe work for s'hich this permit is issued. I shall not mploy any pereon in any marno
s 6lo becomc subjst to the u'orkm' compcrslion larvs of Califomia. and agre that if I should become subj(l lo lhc
rvo*ss' compemalion provisions of Smion 3700 of the tabor Code. I shall. forthrvith comply wilh thos prcr'isions..
IVARNINC: Failure to sue lvorkm'compemtion coverage is unla*'ful. and shall subjat m mplo;o to qirninal penahis md
civil fins up to onc hundred lhousod dollars ($100.000). in addition to the cost of com;rmtion. dmages m provided for the r
ion 1076 ofthe Labor Code. inl66t md attomey's '*EnE/,/' ltlrtlP/e Applicflnl:
I,I('F]NSED ('ON'TRA("I'OR
l)E( LAti,(ilON
hereby allirtn undo pmahy ofpqjury lhal I m licensed under provision ofChapta 9 (commcncing rvith Srction 7000) of Division l
of lhc llusinas and l'rofesions Code. md nrv licose is in full force dd effect.
( lass:D "" *,4 o.f 9o
o^r", /l / 1-/'le rz
(.ONS'I'RUC'IION t,I.]NI)INC A(;I.]N('Y
I hoeby affrm unde gmalty of perjury that thqe is a construction lmding agmcy for the pafommcc of lhe work for which this pnnit is
issucd (Ss. -3097. Civ. C.).
Lender's Name:
APPLICANT DECLARATION
I hetby afEm unds poaky of ptrjury one oflhe following d(laationsl
Demolilion Pqmils-AstBlos Nolihcation Federal Regulations (Title 40. Pad6)
_Requircd LeIq of Nolificarion
_l cqtity thal the federal regulations regtrding cbestos rmoval de not applicablc lo lhis prcjst.
-
I cqtify lhat I have red this application and slale that the above infomalion is cor(1. I alirc to comply wilh all Cily and Counly
ordinancG ild Statc Larvs rclating to building construction. ad hoeby authorize reprBmtaliv6 ofthis City ild Counly to olq upon the
n[x)\ e nrcnli()ncd prolrrly for inspeclion
or Agrnl
nailtt utr ha6
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_Expirs: _
/(ontractor:
Lender's Addr6s: