HomeMy WebLinkAbout20168413 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Electrical Permit #z 2fl1684{ 3
Pin #: 911376
Project Address: 2206 fl2 S Broadway
Assessor'sParcel: 015-092-08 Lot: 2
Unit:
Block: NA
Bldg:
Tract1297
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
JA]ME & MARIA BECERRA
2206 S BROADWAY
Santa Ana, CA 927072713
(714) 907-5306
Suncosmic Builders, lnc.
7647 Haywanhurst Ave. Ste.
Van Nuys, CA 91406
(818) 402-8530
01 1 16002 51603
0't116002 51603
01 1 16002 51603
01't16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type
Res Rewire
Air Conditioner
FWU
Dedicated Circuit
Low Voltage/Res
General Plan Update
lssuance
Amount
0.14
96.90
24.79
24.79
36.72
22.08
55.04
Qty
500.00
1.00
3.00
2.00
1.00
1.00
1.00
Fee
$70.00
$96.90
$74.37
$49.58
$36.72
$22.08
$55.04
State Lic #: 10070'|.4
Lic Type: B
Bus. Lic #: 353128
Workers' Compensation I nsurance:Carrier: National Liability and Fire lnsurance Company
Policy #: V9WC896902
Expires: 0112912019
Building Use: Accessory Dwelling Unit-C Occupancy:
Job Type: New Constr TYPe:
Nature of Work: ADU Code:
Planning Conditions: lndoor a/c inside living room
R-3
VB
cEc 2016
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
lssuance, 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.
Teri
Date:
Date:
Date:o4t't0t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electric stove
Fee Total:
Paid to Date:
Balance Due:
26 $22.08
$382.61
$404.69
$0.00
$404.69
01 1 16002 51600
01 1 16002 51603
lnspector MID#: 2018-146402
IDiSIG COMMENTSAPPROVALSDATE
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rough)
Meter Release
XJ/b-'-l'l .lL IRouqh
tl U I J-nService Meter
+l D"lFINALam
Notes, Remarks, Etc.l,:Tl
OWNER BUILDER DELCARATION
I herchy aflirm un,Jer pcnalty of Frjury that I m cxcmpt from thc Conlracl)rs Liccnsc Law lbr thc ti)llowitlS rcason (Scc.70-] 1 .5
Busincss ail P(rlassion C(xlc)i Any City or Counly which requircs il lrmlrl k) con$lrucl, altcr. improvc. dcm(]lish or rcPair any
stnrcturc,priork)ils issunnce.alsorequiresthcapplicantli)rsuchlrcrmittotilcasiSncdslalcmcnl lhathcorshcirlicensed pursuant
to thc provisi{)ns of lhc Contrack,r's Liccnscd Law (Chaplcr 9. CommcncinS wilh Scction 7(}00 ol Division .l of lhc Busincss and
PrultssionsCodc)orthatlrcorshciscxcmptlhcretionandlhcbasisti)rthcallcScdcxcmption. AnyviolationofScctionT0]l.5byany
applicanttirralErnlitsuhjectslhc apPlicantk)acivilpenallyofnotmorclhallilchuildrcddollils(S5U))
_1. as owncr of thc proFdy. or my cmployccs wilh wagcs as thcir s()lc conlpcnsati([. will do lhc work ud lhc slructw is not
intcnlcd orolltrcdl'('rsalc(Se.?(X4,BusinessedPnrfessrrnsCrxlc:'fhcCuilracbr'sLiccnscljwdoesnotapplybanowncrof
thepn)fre(y whobuildsorimpr)vcsthcre\)n,iltdwhodocssuchworkhimsclforhcrsellorthrouShhisorhcrownemployees.
providcd lhat such improvcmnts e ton intcnlcd orollcrcd lirr slc. It: h()wcvcr. lhe huihlinc or improrcrrcnt is soll wilhin ilnc y('e
ofconrpleli{)n, thc Owncr Buildcr will have thc hurdcn of proving that hc or she did not bttild or intprovc lhc pn)FErty lhr tlE purJbsc ol
sah).
_1. as owncr of thc propciy, tm cxclusivcly contrae(in8 with liccnscd coilracl(n's lo conslrucl lhc pF)iccl (Scc. 7M4. Busincss
aml PnrtissilrCorlc:ThcContracbr's[,iccnscLawdoesnolalplyk)anowncrofproPcrtywhohuildsorimprovcslhclcon.
and who conlracts li)r such lrojccts wilh a G)ntraclo(s) liccnscd pursuant k' lhc Conlrack)r's [,iccnsc Law).
_l rtrr c\rnrpl u,xlcr Scel Il. & P.( . li)r lhr\ rcrsrnr.
Drte:-
WORKERS'COMPENSATION
DECLARATION
I hcrchy all irm undcr penalty of pcrjury onc of {hc tbll)wing dccldations:
_l havc and wiLl mainlain a Ccdilicatc of Consenl to Scl[lnsure lbr workcrs compcnsation, as provided ti)r by Scction .]7U) of the
lntx)r C(xtc. ti)r thc pcrlbrmncc of lhc work ti)r which thc JEmit is issueil.
_l havc and will maiDttin workcrs compcnsalion insurancc, as rcquircJ hy Scclion .\7U) ot thc Lahor C(ldc, for lhe perfbmancc of
lhc work lor which this Frmil is isscd. My workers compcnsation insurance cffiicr and F)licy numhcr trc:
Policy Numhcr: E\Pircs:
_l ccflil.v that in thc pcrlbrmxncc ol thc work tbr which lhis pcrnil is issucJ. I shall nol enrpk)y any pcrson ir any ilanncr
so {s to trccorc suhjcct k) the workers compcnsatx)n laws (,1 Caliti)rnia. and agrcc lhat tl I sh()uld hccorc suhjcct k) thc
workcrr'c()nrpcnsationprrvisionsofScction.lTmofthcLah)rCode.lshall,ti)nhwithcrlmplywiththoscprovisi(rrs..
IVARNIN(i: Failurc k) sccure workers'compcnsation covcragc is unhwful. anrJ shall suhjcct rn cnrpkryct kt criminal Fnallies and
civil lines !p (o onc hundrcd thousand dollars (Slm,o&D. in addit(trr k) thc cosl ol cotrrt--nsatt)n. tlamagcs as providcd li)r lhc
Sccr()n -1076 ofthc Lalx)r Codc.rDd l'ccs.
l,lcENst.:D ('()Nt RA("1'oR
t)t,t( t,,\t{,\1't()N
I hocby allir m undcr pcnally ()l l^-rjury I anr under prrrvisirn ofChap(cr 9 (eomnrcncilrS Bilh Scclion 7000) ol Divisi()n -1
of lhc Busincss and Pnrlcssrrns Codc, and my liccnsc is in lill lirrcc aml cllcct
Licr'nsc Class:Nunrhcr:
J 1r1
I hercby al lrm undcr frcnally of pcrjury lhal lhcre is a conslruction lcndhg agcncy tbr lhc perli)rmancc r)f lhc w()rk ti)r which this [tmit is
issuc,l (Scc. 1097. Civ. C.).
[-cn(id"s Ninlc
lrndcr's Atldrcssr
APPLICANT DECLARATTON
I hcre-by allimundcr Jrcnally ol lrcrjury onc ol thc titllowinS dcclaralions:
f)cnx)lition Pcrmils-Asbcslos Notitlcalion Fcdcral Rcgulati(rns ('I illc 40, Pan6)
-Rcquircd
lrncr ol Nolif icattrn
cc(ily thxt thc tcdcral rc8ulation( rcgddinS flshuslos rcmovll drc nol applicxblc kr lhis projcct
hrvc lhis rpplicdti()n drl stale lhat thc atx)vc intomation is corcct. I agrec h comply wilh all City and County
'cs rnd rclatinS lo md hcrchy aulh{}rizc rcprescnlativcs of this City rnd County b cnter uflm lhc
Applicnnt or
Pemritcc nam\lpri
lor
,,",",sq - \0-tcl
ELECTRICAL.INSPECTOR RECORD