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HomeMy WebLinkAbout20171070 - Permit (2)Ia city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927O2 - Electrical Permit #:2O171O7O Pin #: 10281Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Project Address: 2336 N Oakmont Ave Assessor's Parcel: 003-092-27 Lot: 28 Unit: Block: A Bldg: Tract 378 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor Address: Phone: Cameron Sherry 2336 Oakmont Ave. Santa Ana, CA 92706 (323) 678-6394 Express Electrical Service 1011Goodrich Blvd Los Angeles, CA 90022 (8oo) 982-3022 01116002 5't603 0'11't6002 5160c 01 1 16002 51603 01116002 5777C Fee Type Serv Meter General Plan Update lssuance Microfilm Records Amount 55.37 22.95 57.20 3.91 Qty 1.00 't.00 1.00 1.00 Fee $55.37 $22.95 $57.20 $3.91 State Lic #: 992260 Lic Type: C-36, B, C-10, C-20 Bus. Lic #: 365079 Workers' Compensation lnsurance:Carrier: Hartford Policy #: 72WECAA4J7E Expires: 07lO1l2O2O Building Use: Job Type: Nature of Work: Planning Conditions: 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 04127t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Electrical Fee Total Paid to Date: Balance Due: N/A - No Balance N/A - No Balance $139.43 $139.43 $0.00 Every permit issued shall become invalid unless lhe work on the site authorized by such permit is commenced within360 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#: 2020-158705 a t ELECTRICAL.INSPECTOR RECORD Rev. 08'07-201 5 APPROVALS DATE ID/SIG.COMMENTS oWNIiR BUII,DER DIiI,CARATION I hercby affrnr under penalty of periury that I iuD crempt fronl the C:ontractoN' License Law for thc following reaen (Scc.70Jl.5 Busincss and Prol'cssion Cfilc): Any City or County which requircs a pcnnil to construct, altcr, irnprovc. dcmlish or rcpai any structurc, prior to its issuance. also requires thc applicail for such lEmil lo fih a si8Dcd slatcnrol lhat lE or shc ir liccmd puoant to thc pmvisions of lhc Contracklr's l,icenscd lrw (Chaptcr 9. CohmcncinS wilh Scction 70U) of Division 3 of the Busihcss and Protessions Code) or (hat lp or slr is eien4rt therel'rom afld tlE bdis for tlE alleged exenption. Any violalion of Seclion 7031 .5 hy any npplicontforapeflnitsubjcctsthc applicarttoncivilpennltyotnotmrethanfivehundreddollars($500). _1. s owncr ol'lh('prolE(!. or rny crnployccs wilh wagcs as lhcir $le com[rnsathn, willdo the work and lhc stMtm is mt intcnlql or offcrcrl for slc (Se.7(X,1, Busincss and Prcfcssions Crxlc: The Conltactor's Liccnc kw d@s nol apply to m owncr of the pmlEdy wlm truilds or inqrrovcs tlrro[ and wl$ dNs such work hinrself or lrcrself or tfuou8h his or her own enrployfts, providcd that such irnprovcmnls {c not intcndcd or ollcrcd for sh. lll howcvcr, OE building or ir{,roverrcnt is sold wi$i! onc )c{ ofcompletirl thc Owner Builder will lmve the burden of provin8 that Irc or she did mt buill or ifiptuvc fie prcprxy fo. thc purpo* of sr.lc ). _1. as owncr of the propeny, am e^clusively conlructinS with liccnsd conlraclorr to construct tha prcject (Scc. 7{X4, Businc$ aul ltr)tbssiol Code: The Coillracbr's License Law does not apply to ar owocr of propeny who builds or improves lhercon. and who contracts for such prejccts with 0 Contractor(s) liccf,scd pursuMt lo thc Conurctor's Liccnse Law). -l mr erempt under Sstio[-, B. & P.C. fot this rcasn- EQ8IESSS9MPJNSAII9N DECLARATION I hcrcby affrm undd pcnalty ofpajury ore oflhc lbllowitrg dccldatioN: _l h.vc snd will nuinlaiD a Ccnifeatc of Consnt lo S.lf-lNurc for work6' @trrpcGdion, 8s prcvidcd for by Satioo 3700 of thc tabor Code, for the Frforl,ffic of the work for which the pqmit is issued. _l havc and will nraintain workcrs' conrpcNalion insuratrcc, as rcquircd by Selion 3700 of lhr kbor Codc, for thc pqfotlrrm. of ttE work for which lhis lrcrnit i! is$ed My work6s' cotrlpcNtion iNure wier ud policy numbcr ac: Policy Nutrrber: Expires: _l ccnily lhal io thc [rrfotnuncc of lhc work for which rhis pcrnril is issucd, I shall not cnrploy fiy frrson in any muncr $ as to bccorrc suhjcct to thc workcrs'cornpcnsalion laws ofCalifornia. and a8rcc that ifl should bccoE subjcct lo the workers' compcnsatioD prc\'isions ofSection 3700 ofthc Labor Code, I shall, fonhwith conrply with lhos prcvisions.. WARNING: Failure ro *curc worlers'mmp.nsalion coveEgc is unlawful, and shall subjcct an cmploycr to 6imin0l pcnahics and civil r'incsuptourchundrcdlhousanddollars(3100.000).inaddiliontollEcostofcom{Erstion,dmugcsNprovidcdforlhc Scction 3076 otthe llbor Cnlc, inlercs ed sttorrcy's [ces. UCENSEP-CANTAASJQB DDCI,ARATION I hercby alftrm undcr peMhyof pcrjury that I am liGnsl undcr prcvision of Chapta 9 (conmncing wirh Sccticn 7000) of Division 3 of th. Busincss and Pmfcssions Codc. ard mv liccnse is in full forcc ard cffcct. Liccnsc Class:-Liccnsc Number: Contmclor: CONSTRUCTION LENDlNG AGENCY I hercby alllrrn undcr frnalt),of pcrjury thal thcrc is a conrtruction hnding agcrcy Ior thc pcrlbrmarcc ofthc work lbr which this pcftnil is issucd (Scc. 1097. Ci!. C.). kndcr's Nailre: ktrder's A,l,lrc'\: APPLICANT DECLARATION I hrcby afiirm undcr Fnalty of pcrjury onc of thc folk)wing dcclxations: Dcnrclition Pernrits-Ashcsk)s Notification Fcdcral Rcgulations (Titlc 40, Pm6) -Rcquircd trllcr of Nuificalion _l certify thar lhc fcdcralrcSulations rcgdding asbcshs rclmval tre not applicablc lo this prcj€1. _l ccrtity llul I luvc rcad this application drl stsle llut the atx)vc inlbmElion is corcct. I aSre to conply with ull City and County ordinances md Statc kws relating lo building construdiotr and hcrcby authorize rcprcsntatives oflhis City and County to ents upotr rhc obovc rrcntioncd prcpeny for inspection purpoEs. Appli(rrrt or Agflt l,crmi(cc nantc (pritrl)l Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor t/ Bondinq / Groundinq / UFER 7/%/1/U Wt/dt</rrd Transformers t I Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh)I .O- lvleter Release 4D//r/U Pturn ' nrf T Rouqh r2 Service Meter r/?afidu #.fr./m 6{O FINAL VA/r/?2 (+iW@ M,S6 Notes, Remarks, Etc.