HomeMy WebLinkAbout20270918 - Permit (2)Ciff of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electric
PermitCounter: (714)647-5800 Inspection Requests. (714)667-2738 lnspectorSection: (714)647-5853
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Permit #:2o270918
Pin #: 435{8
Project Address: 329 E Wakeham Ave
Assessor's Parcel: 01 1-044-16 Lot: 7
Unit:
Block: NA
Btdg:
Tract: 584
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Marco & Josephina Chavez
329 Wakeham Ave
Santa Ana, CA 927015953
Fee Type Amount
0'1116002 51600 GeneralPlan Update 22.95
01 116002 5'1602 Permit Extension/Renev 83.27
01116002 57770 Microfilm Records 3.91
Qty
0.00
1.00
0.00
Fee
$0.00
$83.27
$0.00Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
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
Miscellaneous
Addn/Remodel
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
03t02t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Re-opening expired permit #20132650. Extend
bedroom; convert existing closet & a portion of
laundry room to a bathroom.
Chavez, Dave
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.
01116002 5rl€S+
Elt-o3
$83.27
$0.00
$83.27
lnspector MID#: 2O2O-158153
$83.27
APPROVALS DATE ID/SIG.COMMENTS OWNI.]R BI.]II,DER DI'I,CARATION
I lrcrcby aflirnr undcr penally ofperjury that I eD crcnrpl frunr thc C'ontftctoN'Liccnsc law for the followinS rcaen (Scc.7031.5
llusincss md Prolbssion Codc): Any City or County which rcquircs a lErrnit lo construct, altcr, irnprovc. demolish or rcpair any
structure.prirrrtrils issuance.alsorequireslheal)plicunlbrsuchpcnililbfileasignedstatemenl thallForshcislicclrcd pursuant
lo lhc provisions ol thc Contractor's l,icenscd liw (Chaptcr 9. Cohrncncing wilh Scction 7000 ol Division 3 of thc Busincss and
ProltssjursCodc)ortlrrthcorsheiscxcnrlrttherefronrmdllEbasisfortlEalle8edexenrptioD. AnyviolatioDofSeclionT03l.5byany
npplicrnl for a pcrmil subjecls lhe applicdnl to n civil penillty of nol rmrc thaD fivc hundred dollars ($500).
_1, as owncr ol thc prolrny, or my cmployccs wilh wagcs as thcir slc Nmpcnsalion, willdo ttr wftk and thc stM@ is mt
inoJcr.l or offcred for ele (S6.7(x4. Busincss ild PrufcssioDs Cod.: Thc Contractor's Liccnrc [:w des not apply to m ownd of
the pmFfly wlx) builds or irprows lltsrmE snd wlE d(Es such wo* lrimself or IE slf or lkough his o! he! own enrployees,
providcd that such improvetrcnts m mt iilcndcd or ollcrcd for eb. ll, howcwr, thc building or itrprowmnt is $H within orc Jcd
ofconipLrb[ rhc Owrcr Buikhr will haw the bsrdcn ofpovi[8 ltu h. or slE di.l mt buill or ifiprcvc thc prcpdry for thc purpos of
ele).
/. ^o*n , ut tt* propcny, !m cxclusively conradin8 with licctred confacloB to construct thc pmjcd (Scc. 7&4, Busirc$
aryl Prolsirn Codc: Thr Contracbr's License llw d(ts nd apply (o u ownet of propeny who builds or improves thereo[
and who conlracts for such projccts wilh a CoilBcto(s) liccnsd puasuet to thc Contrrclor's Licemc [iw).
_l ailr cren\t utrdcr & P.C. lor this reason.
,,,",/s/t r/<o woRKult^s' coNt PENsA't]0N
DECLARATION
li'lh,wing dccluati(nrs:I hcrchy allirnruD(lcr lrnaltyof pcrjuryone ofthc
_l have md will nraiilain a Cenificale ofConscnl b Sell:lnsure for workss'coDrpensation, as providcd for by Section 3700 ofthc
Latxtr Codc, for rhc pcrfonmncc of(hc work lbr which thc pcrillil is issucd.
_l havc and will nuinlaln workem coD)pc[salion insuilnce, as rcquired by Section 3700 ofthc kbor Codc, for thc lErfomurEc of
tlc work for which this ltrni( is issucd. My workcrs' con4rcnsalion imurmcc cmicr ail lElicy numbcr oc:
Policy Nunrbcr: Expircs:
_l ccniti tlut i0lhc Frfornunce of rhc work for which this pc.nit is issucd, I shall not cmploy my lrcrson in dy memr
$ as to bccorrc suhjccl to thc workers' compcnsation laws of Califomia, and a8ree thd if I slnuld becorre subjcct to thc
workcrs' compensation provisions of section 1700 of (hc Labor C'odc, I shall, fonhwilh conply vith thos provisions..
WARNING: Failure to secure workers'compensution covcra3c is unlawful, and shall subjecr an employer to riminal Fnaltics und
civil tiuesupk)oNhutrdredthousanddollars($100.m0).inadditiortrthecostofcompcNatiur,datrragesasprovidcdlbrlhc
Scction 3076 ofthc titnr intcrc$ and atbrncy's lacs.
,o
LIC[NSDD CON'I'RA(]ToR
I)ECt.ARAl tON
I hcrcby affrrr under lrcnalty of perjury that I anr lc.nsal undff provision of Chapt.r 9 (conmncing with
o[ thc llusinc\s and l'rcfessions Code. trxl rny liccnsc is in lull foa€ anl cffccl.
7000) of Division 3
Liccnsc Class:-Liccusc Numbcr:
W
I hercby allirm undcr pcnalry of pcrjury (hat lhcrc is a construction hnding agcrcy tor the pcrforrorce of the work for which (his Frmit is
issucd (Scc. 1097. Civ. C.).
lrndcr's Nanrc:
[rtrdcr's Addrcss:
APPLICANT DECI,ARATION
I tscby aflimundcr Fnalty of pcrjury onc of the followiag deluations:
DenDlition Pcrmits-Asbcstos Notification Federal Rcgulations (Titlc 40. Pan6)
-Rcquircd
bficr of Nolifislion
_l cmify thal lhc fcdcral rc8ulatioN rcB{ding &sbcslos rcmval uc nol applicabb lo this prcjct.
$ ccnify tlur I lEve read thi5 applicalion ard stetc tlut lhe atnvc infornEtion is cord. I agrft to conply with all City and Couhty
ordimcB and Stale liws rclating to boildinS coNodio[ and hcrcby autlnrir rcpresnHives of this Ci(y ard County to cnt6 upon thc
abovc rrntiorcd prcpeny for
Applicrnt or Agmt
l'cmritcc nonrc
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
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 (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lVleter Release
Rouqh
Service fvleter t rl \r,
FINAL f'11'Nw {Dfl4,',{Y,)
Notes, Remarks, Etc.
ELECTRICAL.INSPECTOR RECORD
Rev.08-07-2015