HomeMy WebLinkAbout20171032 - 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)647-5853
Electrical Permit #:2fJ171032
Pin #: {3OO9;/
Proiect Address: 2210 W Downie Pl
Assessor's Parcel: 399-142-09 Lol.124
Unit:
Block: NA
Bldg:
Tracl:.2419
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Kathy
Nguyen
Santa Ana, CA 92706
(7'.14l787-8844
01116002 51603
01116002 5160C
01't't6002 5160;.
o1116002 5777C
Fee Type
Serv Meter
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
$55.37
$22.9s
$57.20
$3.91
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 Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Electrical
web_
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cEc 2019
o3t3012020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical
Fee Total
Paid to Date:
Balance Due:
N/A
N/A
No Balance
No Balance
$139.43
$139.43
$0.00
Every permit issued shall become invalid unless the u/ork on the site
authoized 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.
lnspector MID#: 2020-158494
@
Planning Conditions:
ELECTRICAL.INSPECTOR RECOBD
APPROVALS DATE ID/SIG COMMENTS ()wNER Bt'ILDER t)t).CARA'I tON
I lErcby aflrilr under p€nrlt) of pcriury lhal I iuD etcnrpl frotrr the Contru(lon License bw for fie following reasn (Scc.703 1..5
llusincss arkl l'rolbssion (ixlc): Any Cily or Counrv which rcquircs a lEnnil lo construcl, altcr, improvc. dcrnrlish or rcparr any
slruclurc, prior k) its issuarce. olso re(pires llre apflicill for such Fnril k) filc a sigrEd slatctrEtrl lhat lE or she is liccnsd pursuailt
to lhc pmvisions of lh(' Contrachr's l-iccnscd Irw (Chaptcr 9. CornrncncinS wilh Scclion ?txx) ol Division J ol-thc Busincss and
Professi(,nsCode)ortlrrlEorslreiserenrl)tthcrefronraultlEbasisli,rtlEallegcdcxenrptiotr. AnyviolaliulofSectionT03l.5byaily
npplicrnlforafEflnitsubjcclsthe rpplicatrttorcirillrnxltvoInottruelhatrfivchundreddollars($5(X)).
_1. as owncr o,'llr prol{-nv. or my crnf loFcs wilh waScs as thcir elc cornpcnsalion. will do lhc wok and the slM@ is mt
intandcil or offcrcd for ulc (S(.7(X4. Busircss and Prcfcssions Cole: Thc Conlractor's Liccnrc llw docs nol apply to tui owlcr of
thc pmFEdy wlx) trrilds or inproves lherdn! ntd wlx) d(Es such work hinrself or lrrself or through his or her own enDloyees,
providcd that such irnpr(rwrEnls ilc ftn intcnlcd or olTcr!'d lbr sh. ll. hwcvcr. 0E buikling or irirprovcrrcnt is skl wi$in one yce
ofconplctiln, rlrc OwrEr Buildcr will luve the burdcn ofpnivinS lhd lE or shc did nd buill or inrpruve rlE pmpdy for llE purposc of
ele).
_1. as owDer ofthe lrr)pcrly, ilnr cxchsi\ cly colrilcli[8 with liccr)sed conlrack)rs lo conslrucl lhc pNject (Sec. 704,1. Busirress
aud ttull'ssirr Code: 'l [e Corilrrck)r's l-iceilse l,rw does not aplly kr ail owner of l)rofany who builds or inrproves thcreon.
and who coillracts li,r \uch pr,iccls with | (l)ntracktr(s) liccnscd pur\uant r) thc C(,nlractor's Liccnsc L1w).
-Idrlcxen)l)tuildclSectirrn-'B,&P.C,tiltIlisreason'
IVoRKI.;RS' CONI PI]NSA'I'ION
DECLAR,\TION
I hqchy allirilr un(lcr Irc[alty (,1 Nriury onc 0l thc li'llowi[g (lcchrati(nrs:
_lhavearxlwill nDifitainaCenillcateofC(rNentbSelflnsurefirrwrrkers'con4rcnsation.rs pruvidcdforbySectionST00ofthc
lntx)r Codc, for lhc pcrfonruncc o[ thc trork l'('r qhich llE frcroril is issuc(|.
_lhaveundwilltrHirilrinworkers c([rpetrsaliotritrsurre.as requiredhySecliur]T00oflheLahorCode,fortheperfornu,rceof
thc uork frrr wlrich this Frnrit is irsut'd. My uorkcrs' conrFnsatir)n insururce cmicr arrl yrlicy runrhcr u'c:
Policy Nunlh€r: llxpircs:
_lcc(ilylhatiDthcFrli)ilDaNcolthcwrrrktirw[ichthrspcrnritisissucd, Ishall notcn4rloyanyprsonitanynranncr
so ds lo bccorrc suh.icct !) lhc workr'rs'cornpcnsrtion luws ofCalifornia, and agrcc that iI I should hccorE sub.icct to lhc
workers' conrlrcnsation prrvrsions of Section .1700 of the Latrcr Crxlc, I slrall, fonhwith corlply with tlo* provisiuls..
IYARNING: Failurc k) secure workers'conrpensrtion covcrage is unlilwful. rnd shall subject dn cmployer to criminal pcnaltics tnd
civil fims up trr one lrumlred lhousand dollars ($100.000). in adrlitiur tr the cost ol compensation, danrages as providcd for rhc
Scction 3076 of thc LllNr C(xlc. inlcrcst and albrNv's lccs.
LICENSED CONTRACTOR
I)HCI,ARAl'ION
I hereby ilflifln undcr t)cnnlly of pc{ury thnl I anr licensetl under pr<)visior of Chnpter 9 (cornrEncin8 with Sectiotr 7000) of Di\ ision l
of rhe llusiness and l'roltssions ('odc. rnd 'ilv license is h full tl)rce rnd c,fecr
l-iccnsc Numberi
Cohtmctor'
CONSTNUCTION LENDING AGENCY
I hcreby al'llrm undar l{nall}, ol pcrjury that thcrc is n construclion lcnding agency for thc pcrlbflnAnce ofthe work lor which this [rcrrnit is
issuerl (Scc. 3097. Civ. C.).
lrtrdcr's Address:
APPI,ICANT DECI,AIIA'IION
I luehy trflimr under ltnnlty of lEr.iury onc of thc lirlk,wing decluali(,nsl
Dcnnlition Pcrmils-Asbcst)s Notificati()n lrcrlcral Rcgulations (Titlc 40, Pal6)
_Rcquilcd lrllcr of Nolilicali(,n
_l ccdily that thc lcdcrnl rcgulntit)ns rcttullinS a\tEslos rcrm)val a( not applicablc lo lhis projcct.
ordinanccs nnd Stalc liws rchling n) buildinS construction. iud hcrcby authorizc rc[r'scntalivcs of this City and C]ounty to cntcr uF)n tlr
aborc rEntioned pF)pcfly lor inspecli(n purF)*'s.
Applicilnt rI ABml
l'crnrilcc trnnrc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rough)
lrleter Release
Rouqh n
Servicetvleter 2,/l</Z -.a'11H 7-7)
FINAL /2//ts/z ? -i\ryn
Notes, Remarks, Elc. //- /(/
lrndcr'. Nanr