HomeMy WebLinkAbout20165912 - Permit@ City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical ,
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 \.,,/
Permit #: 2lJ1659{ 2
Pin #: 8994{
Proiect Address: 1705 W Cubbon Sta
-
Unit:
Block: NA
Bldg:
Tract: 2355
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor'sParcel: 109-361-05 Lot: 66
Owner:
Address:
Peter Martinez
1705 W Cubbon St
Santa Ana, CA 927034605
(7141492-37',49
Fee Type
0'tl't6002 51603 FWU
01116002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
100
100
1.00
Fee
$23.87
$21.2s
$52.98Phone
Tenant Name:
Contractor:
Address:
Alum Works
16350 Ventura Blvd., #D-103
Encino, CA 91436
(8181742-8874
; i r.rl
Phone:
State Lic #: 857189
Lic Type: B
Bus. Lic #: 363021
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 91164'17
Expires: 1012912018
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
FWU
Occupancy:
Constr Type:
Code:
R.3, U
VB
cEc 2016
Notes: Ceiling fan in patio cover
Planning Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Amsden, Julie 05t2'v2018
Account#
Buildins Permit #: 10196501
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
$21.25
$76.85
Fee Total:
Paid to Date:
Balance Due:
$98.1 0
$0.00
$98.10
lnspector MID#: 2018-143459
I
I
01116002 51600
01116002 51603
ELECTRICAL.INSPECTOR RECORD
DATE ID/S!G.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
unlawlirl.
t(, lhc(x).{xx)). in
lccs.
Ceilinos (T-Bar Rouqh)
N/eter Release
Rough
Service Meter rlu t
mnur:
F!NAL
Remarks Etc
t
o\\'NItR IrtIt,Dt]R l)ut.( ARA t'roN
I hcrcby allirm under pclally ol pcrjury thnl I am cxcrnpl lionr lhc Conlracn)rs' Liccnsc L{w tor lhc f'olk,wing rcnson (Scc.7o.ll.5
Busincss arrd Prolcssk)n Codc): Any City or Counly which rcquircs a Jrrmil lo con\tnrct. rllcr. iil{rrove. dcnmli\h or rcpair nny .
slructurc. prior to ils issuancc. also rcquircs thc apflicanl for such pcrillil l() lilc n signcd stalcntcnt that hc or shc is liccnscd pur\uxnt _
k) thc provisiotrs of thc Contrilctor's l-iccnscrl Iaw (Chaplcr 9. Coillmcnciilg with Scction 7(XX) of l)ivision .l of thc Busincss and '
ProlcssionsCodc)orlhillhcorshciscxcmpllhcrclromdndthcbasisfbrthcallc8cdcxctrlption. AlyviolationofScctimT0ll.5hyrny
dpplicanllbrapcrmilsubjcctslhc applicanlloacivilpenallyofnotnDrcthanfivchundrcd&)lhrs($5(X)).
_1, xs owner of lhc proFrly. or my cnrployccs with wagcs a\ thcir sole conrpcnsalion. will do lhc work md thc struclurc is nol
inlcnded oroiltrcdforsalc(Scr.7(Il,l.BusincssandPnrfcssionsCrdcrJhcC()nlracbr'sLicensclrwdocsnotalfrlykranowilcrol'
thc propcny who builds or improvcs thcrmn. anil who (locs such sr)rk himscll ()r hcrselfor lhrough his or hcr own crtpkryccs.
providcdlhctsuch imfrovcnEtrtstrcnolirlcndcdorolltredf()r$lc.lf.howcvcr.thchuildingorinlprovcmntissoklsilhtnonc)rar
ofcompblion. thr Owner Buiklcr will havc thc burden ol proving lhd hc or shc did nol build or improvc the prcfrcrty for lhc purfns of
salc ).
-1.
as owncr of thc propcny. ntrl cxclusively conirncting wilh liccnscd conlrack)rs b conslrucl lhc nrojccl (Scc. 7044. Busitrcss
aml PnrlcsshnCqle:ThcConlrrctor'sLicensclawdocsnolapplyloanowncrofpropcrlywhohuildsorinrproveslhcreon.
and who conlmcts f()r such projecls wilh a Conlrdchr(s) liccnsed pursra[t lo lhc Conlractor's l-iccnsc Law).
_l am cxctrlpl u&ler Sccl B. & P.C. for this rcason.
Dste:_,_Owner:
WORKFRS' COIIIPENSA'IION
DECLARATION
Ihcrchyallirntunrlcrpcnaltyofpcrjuryoncofthclblk)u'ing(lcclarttions:
-l
havc rutd will mairlain a Ccf,ificatc of Conscnt lo Sclf'lnsure li)r workcrs conrlEnsation. as providcd for hy Scction .i7(X) of thc
htnr Codc. for lhc Frcrformancc ofthc work for which the pcrnrit is issucd.
_l havc ard will uainlilin workcrs'ItrSUTaDCC. AS hy Sccl i0fl .17(x)ol thc l.nhor (irdc.lir thc pcrfbrnuncc ol'
lhc uork h,r whi(h thi\ pcrilrit i\ issuc{1.cxrricr u(!policy rttnrbcr nrc:
_l ccrlili thal in thc pcrfbrDuncc of tbr which lhis pcrnrit is issucd. I shall n(il uny pcrson in any nranncr
so xs b bcconE suhjecl b thc workers'cotrrpc[sdtion luws ol'Calili)min. and rgrcc rhat if I should bccomc lo Iltr
workcrs conrprr)satior prrvisions ol Scctir)n JT0l0 ol thc Lahrr Codc. l shall. lbnhwith coiltply
IVARNIN(l: traihrrc to workcrs'to ffiilrinnl frmltics arxl
civil fincs up k)thousand do {)l daNngcs as providc(l li)r thc
Scctbn .1076 of Lulxrr anrl
I hcrchy allirmun(lcr pcnaltyol pcrjury thal (c(,nrmcncing with Scclion 7UX)) of t)ivi\k)n l
of lhc Busincss and Profcssir)ns Codc. ard my is in lirll l'orcc md
-?- ,*'\
I hr:rchy al'lirnr untlcr 1)cnxlly ol lcrilrry lhal thcrc is i lcnding rgcncy lirr lhc f$iinlnililcc ol the work lbr s'hich this |rlnit is
issucd (Scc. 3097. Civ. C.).
[-cntlcr's Nrnrc:
Lcndcr's Addrcss:
APPLICANT DECLARATION
I hcrc+ry aflim uMcr pcnalty of Jrcrjury onc of the following dccltrotions:
Dcnxrlilion Pennits-Ashcstos N(ilificalion Fcdcral Rcgulations (Title 40. Pnn6)
_Rcquircd kltcr of Notificatkln
I ccnify thrt lhc li\loral rcguldtions rcgrrding a\hc\k)s lo lhis pr+ct.
I ccrlily lhal I hnvc rcx(l lhis ion is corrccl. I xgrcc lo conrl)ly wilh nll Ciry
ordinarces and Slalc Lnws rclat
ahovc nlcnli0ncd l()pcf,y lirr
Applicsnt or Agenl
trxnte
lhc
rcprcscnlalivcs oflhis Cily and County cnlcr thc
APPROVALS
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