HomeMy WebLinkAbout20170982 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, c492702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647
Electrical Permit #:2O17O9A2
Pin #: 7O5O5
Proiect Address: 2314 W Wilshire Ave Unit:
Block: NA
Bldg:
Tract: 3354
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor'sParcel: 109-081-34 Lot: 32
Owner:
Address
Phone
Tenant Name:
Contractor:
Address:
Phone
Maria Hernandez
2314W Wilshire
Santa Ana, CA 927043247
(5s91747-7491
Kuubix Energy
7401 W Sunnyview Ave
Visalia, CA 93291
(s59) 972-3119
01 1 16002 5160:
01 1 16002 5160C
01 1 16002 51603
01116002 5777C
Fee Type
Subpanel
General Plan Update
lssuance
Microfilm Records
Amount
55.37
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$5s.37
$22.95
$57.20
$3.91
State Lic #: 1030786
Lic Type: C-10
Bus. Lic #: 374887
Workers' Compensation lnsurance:
\ Carrier: State Fund
\. Policy #: 921s869
Expires: 0811012020
Botch*:5{764 - 3/LlJ/2tt2[ JD: omorqleslS
Office: CTYH Tronsi: 2 I ol' 1Acct*: Rel t: Zt-tt7lt?g?
Rcptlto29t2161 - 3/7tt/21t20 g:35 Afl
Tronsaction Totol t139.43
Ktrub ix Enersy
Generql Plnn Updnte Fee
01 I l6(rCI2- 51611000rl-llicrofilr & DocuaenLs
0l1l61102- 57770001r-
Electr i col
CIlI16002- 516030ULr-
ICL Check 0u2913
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Subpanel
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 101102856
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.
Date:
sz::::03110t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: lnstallsubpanel.
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01'116002 51603
01116002 57770
$22.95
$112.57
$3.91
$139.43
$0.00
$139.43
lnspector MID#: 2020-157128
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS OWNIIR ttl.,ILDUR I)IILCARATION
IhcrabyafftrDlutrderpenultyofperjurythatIaDcxemptfrunlthcContraclos Licen*[:wforthcfollowintrcaon(Scc.7031.5
Busincss ard Prolcssion Codc): Any Cit!, or County which rcquircs a pcnnit to construct, altcr, irprovc, dcmrlish or rcpair any
struclure, prbr m ils issuancc. xlso requifts thc applicuil for such fEf,ril to filc a sigrEd stalcrEnl ihat lE or shc is liccnscd pursant
to thc pmvisions o[ thc Conractor's l,iccnscd law (Chaptcr 9. CommcncinS with Scction 7000 ol l)ivision 3 of thc Busincs and
Profcs3ioNCode)orthatlEorsheiserenliltherefronrandtheb&sisfortlEullegedeiemptiul. AnyviolatiouofSetionT03l.5byany
f,pplicilnt for a pennit subJccts thc npplicant to n civil penrlty of nol rrcre thrn five hundred dollars ($500).
_1, &\ owncr ol tlE proltny. or my cmployccs wilh wagcs as thcir solc com[Ensation. will do thc work ard thc stMw is mt
intc(lcd or offcrerl ftrr ule (Scc.7(X4. Busincss an(l Prcfcsskrrs Cule: Thc Contraclor's Licensc Law d@s not apply to an owrcr of
the prupeay wlo builds or improws tlprlrnr, uxl wlm d(Es such work hinBelf or hrsell or tkough his or lBr owo en)ployecs.
prolidcd that such irnprovcrmn(s arc mt inlcrdcd or ollk*d for sa.lc. Il. however, Ot building or irprovcmnt is sld wilhin onc ,rd
ofcompLlior, tlE OwrEr Builder will hsve the burden ofpn)ving llut he or she did mt boill or irprcve thc pmpgty ftrr tIE puryne of
snle).
_1, u$ owner of the prupcny, dnr exclusivcly contracting with licen*d conlraclors lo conslruct llE projcct (Sec. 7(X4. Business
arf,l hDtesskxlCode:TheContracktr'sLicenseLawd(EsnotapplytoanowDerofpropef,ywhobuildsorinprovesihereon.
and who contracts for such projccts with a Contraclor(s) liccNcd puNuul to thc Contractor's Liccilse llw).
_[ amexenrpt uilder Scc(ion_, B. & P.C. li,r thir reason.
ffi
I hereby affirm undcr lrcnalty of psjury onc of thc lbllowiDg declaratioN:
_lhaveudwill nBinlairaCcfril'icat.ofConscnttoSclf-lnsurcfqworkes'compe[etion,ss Ff,ovidcdforbySation3T00ofthc
Labor Codq for thc Frcrfoflffic of the work for which (he p6mit is issued.
.6r urra nill nrarntarn workcn eonqrmati()n insurancc, as rcquiEd by Setion 3T00 of the tibor Codc, for lhc pcrfonrurcc of- lhc work for which this fErmil i3 issucd. My workos' mmpcnution imurmc cuicr urd fDlicy nuDber se:
c*i..,( 5 hr fr-/^c/
pori"yNuo",,, J 1Ll5t6cr e^pn"",7 o0 ttolzazo
_l cciili that in (hc lrcrii)rnunc!'of lhc work ft)r which thls ltrnril is issucd, I shall not cn\)loy aoy Frson in any nranncr
e as to bccoDE subjccl to lhc workcrs' cotrlpcnsnl ion laws of California. and agrcc that if I should bccorc subjcct to lhc
workers'conrlEnsationprovisionsofSectionlT00oftheLatnrCodc,lshall,fonhwithcornplywiththosprovisions..
WARNING: Failure to scurc workers'compcnsation coveagc is unhwful, and shall subject an
civil Iincs up t<r onc lrundred thousand dollars ($100,000). in addilion to thc cost of
Scction 3076 of thc btx)r Codc. intcrcsl md dklrncv s
o*", .3- t0 - 20Zo
I)ECI,ARATION
I hcrcby affrnr undcr penalty of perjury that I anr liccn*rl undcr prcvision ofchaptcr 9 (conwncing with Scdbn 7000) of Division 3
of thc Busircss and Prcfcssions Codc. arrl my liccns is in full fore and cffcct.
Liccnsc
Dale:
(cz
Nunrber:
/107078[
7t a -za z?
CONSTRUCTION LENDING AGENCY
I hcreby alliiln undcr tf,nahy ol pcrjury that thcrc is a construction lcndinS a8crcy for thc pcrlbrmarcc of the work lbr which lhis pcrmil is
issued (Scc. 3097, Civ. C.).
l-endcr's Nan'.:
lrndc.'s AddGs:
APPI,ICANT T'ECLARATION
I heebyartrmrund* pcnally of pcrjuy onc of the folkrwiog d@ldstions:
Dcmrlilion Permits-Asbcslos Notification Fcderal RcEulations (Titlc ,10, Pat6)
_Rcqutcd trttcr of Nolilication
_l ccaili that thc ltdcral rcgulations rcgudinS asbcstos rclfl)val trc not applicablc to this pmj(I.
,{"n fy *url luvc rcild llus aplhcatiou drd strte that thc ahovc information is corcct. I agrec to comply wirh all City atrd County
'ordinanccs and Starc Ltrus rclatint to b{ilding consmction, and hcrcby authorizc rcprcrenlativcs of this City and County to cnrq upon [E
abovc mehlioncd pmpeny for
Applirant or Agenl
Pcmrilec nanrc
^r".
i4o -fu ?zt
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER //te/le1 l,.,jr, tzta 4u)
Transformers I I I L
Torqueinq
Sub-Panels l/ltolgP -t -rg\ )
Air Conditioners UJ
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rough
Service lrleter
FINAL {@tZ-<i tt6-)
Notes, Remarks, Etc.I Uo(€
Bev.0B-07-2015