HomeMy WebLinkAbout20170804 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
PermitCounter. (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection. (714)647-5853
Electrical Permit #:2O17O8O4
Pin #: 9O16{\
Project Address: 2517 N Cotter St
Assessor's Parcel: 399-142-01 Lot: 1'16
Unit:
Block: NA
Btdg:
Tract: 2419
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
William Gerard
2517 Cotter St
Santa Ana, CA 927061200
(714) 971-2463
Safe Step Walk-in Tub Comg
15262 Pipeline Lane
Huntington Beach, CA 9264
(714) 373-8545
01 1 16002 51603
01116002 51603
01 't 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
125 Volt Receptacle
Dedicated Circuit
General Plan Update
lssuance
Microfilm Records
Amount
.t.51
25.76
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$1.51
$2s.76
$22.95
$57.20
$3.91
State Lic #: 983603
Lic Type: B
Bus. Lic #: 365881
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9002411
Expires: 0110'112021
Building Use: Single Family Dwelling
Job Type: Alteration
Nature of Work: Walk-ln Shower
Planning Conditions: No change in floor plan.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
,
Building Permit #:
eri
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cEc 2019
o2t't3t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Ded circuit & outlet for walk-in tub/shower,
Fee Total:
Paid to Date:
Balance Due:
1103133
Every permit issued shall become invalid unless the work on the slte
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.
01 1 16002 51600
01116002 51603
01116002 57770
$22.95
$84.47
$3.91
$111.33
$0.00
$111.33
lnspector MID#: 2020-157764
LL,lr.
r-u r
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER BtJII,I)I]R I)l]I,CAR 'TION
IherehyaflirnruntlcrpenahyofFriurythrtIailrexenrilfromtlrcConlraclos Liccnselrtwforthcfollowingrcaen(Sec.70]1.5
llusincss and l,rol'cssi1)n C'!dc): Any City or Counly which rcquircs a ltrmil kr construct, altcr. irnproyc. dcrnolish or rcnat any
structrrre.pri(,rt(!irs issurncc.ahorequircstheal)l)licaDtk)rsuchltrnilk)rihusig[cdslateiltil lhalleorsheislicct*d pursuanl
to thc provisions ol'llrc Contrnctor's Liccnscd l,aw (Chrl)fcr L Cornrncncing wilh Scction 7000 ol l)ivision 3 ol'thc iJusincss an<l
ProlessiotsCode)orthatlwrrrheiserenr|ltherelronrandtlEbasistbrtlEalleS!'dexenrpti(nl. Atyri()laliolofSecliulT0ll.5hy6ny
ilpplicxn(forapennitsubjcclsrhe npplicxn(torcivilpennltyolnoltruethilnfivchundrcddollurs($5()l)).
_1. as owncr ol-lhc protl-ny. or n)y crnpl()yces wilh wagcs as thcir sle cornpcnsation, will do thc work ard thc stMlwc is il)l
itiletxlcd orofferedforsalc(Sec.?(]t4.BusiilcssardPrcfcsstilNCode:TheCoDx'aclor'sLiccnscLawdoesnotapplytoanownerof
thepn)IEdy wlx)larildsorinprovcstlErdnLarxlwlx)d(tssuchworkhinrselforlErselforlhrcughhisorlErownenpl()yes.
providr'd that such itnprovctrcnts uc iltr inlcndcd or oll'crcd for salc. I1. howcver, lh! building or improverrcnt is srrld within onc yt'ar
ofconpleliur, tlE OwNr Builtler will have thc burdcn ofpn)virrg llu( lE or she did eil build or inrp()vc lhc pmpef,y for llE purposc of
sdc).
_1. fls owncr ofthc propeny, ah cxclusi!cly contrrctinS wilh licen*d conlr.cloA to conslrucl lhc preject (Sec. 7(X4. Busincss
and PnrtLssirlrCorle:'IheContracrcr'sLicenseLawdoesnotapplytoanownerofpropenywhobuildsoriNprovesthereou.
and who contrac(s for such p()jccls wilh a Conlrack)r(s) licensd pursuml to thc G)ntractor's Liccnsc Law).
-l
ilur exetrrpt undcr Scctioil-, Il. & P.C. lirr this rcasrrr.
Dstc:-
WORKI'RS' COMPTiNSA'TION
DECLARATION
I lrcrehy affirnr undcr pcnalty ofpcrjury onc oftlrc li)llowing dccltrations:
_lhaveandwill nuintairrCenilicaleofC()nscntk)Self-lnsureforworkcrs'cotrrlEnsalion,as prcvidedforbyScct()n3700ofthe
LatDr Codc. Ior (he pcrforruncc ol lhc work li)r which thc pcrinil is isslcd.
4fivcarulwrll nrrrntuinworkers coD)pensalioninsuftncc,as requiredhySeclion3?00oflhetnk)rCode,forthcperfonnatrceof
- the wtrk for which this lErnlit is issucd. My workqs' courFnsaliul irNurilcc cmicr axl 1rclicy nunrbcr uc:
lrrli!y \
_l colitylhatiIthclErli,rnraDcc(,flhcworkforwhichtlispcrilrilisissucd, Ishall notcnrpkryanylErrcniranynunncr
so as k) bcconr subjcct to lhc workcrs' coililrc[saliil] laws ofcalilornia. aDd agrcc lhat il l should becoDN subjcct to lhc
*orkers conrpcnsarion proyi\idN ofSectiotr 3TLU ofthe Latrur Code, I $hll, fonhwith cornply with tlD* proviriotrs..
WARNING: l;ailurc lo scura worlicrs'compensation covcragc is unlawful, nnd shall subjcct nn ernployer lo rirninol pcnaltics and
civil itres up tr) o,lc ltrrtrdrcd thousand rhllars (S irr additior to lhe cosl of competrsatioil, danug.s as providcd for thc
Scction:1076 hlxrr Codc, inLcrcst Itcs.
7/rt
I hercby affirrn undcr lxtrally of perjury lhnt I arn licenser.l under pn)vision of Chdptcr 9 (conmEncitrg with Section 7000) of Division 3
of lhe tlusines\ rnd l'mfessions Code. ilrxl rrv license is in full l'orce aril elfecl.
I-ic!'0sc 4V3/ o
I hcrcby allirnr unds Ff, naltyol pcrjury thrl
issucd (Sec. 1097. ('iY. C.).
isr lcnding agcncy lilr thc pcrli)flnnnce ofthc work lt r which lhis pcflnit is
Lendcr's Nanrc:
[.ndcr's Addrcs\:
APPI-ICANT DECLARATION
I lFrcby afiimrundcr pcnnlty of perjury one of thc i)lbwing del{ations:
Dcnx,lili()n Pcrilrits-Asbcsk)s Notificarion Fcdcral Rcgulati()ns (Tillc 40. Pd6)
-Rcquircd
lxtlcr ol Notificalion
_l ectrily lhat thc lcdcralrctuhri,)ns rcgffdin8 ilsbcslos rcrnovalrrc il{ al)pli(ablc () lhis pr()jcct.
{:ttrityrtut llu\ ilpl)h(rti(nr rxl slillc thal llE irlx)\'c rtrlinrrilrnr i\ c(xrccl I agrcc lr conrplv with all City antl Crrunty
and (i)unly lo ('nlcr ulx)n Llrordinanccs and rclaling h buildinS conslruction. and hcrchy auth)rizc rcprc*ntatircs of this City
ilboYe [EntioEd
Appli(sDt 0r
Itrrnril(c ilunrc
lor inspcction
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Gf6ilnEinb / UFER Z/ta/to Pc,r^le,o $2,
. -v
lranslormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lVeter Release
Rouqh 4c/zo PL Zrl
Service l\Ieter
FINAL VrA/zo lCr?U€..aS Zry
Notes, Remarks, Etc.
.u*i"r, *r^A<-.E^c(. A
l)atr:*/,./.-