HomeMy WebLinkAbout20171822 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20171822
Pin #: 2347tJ\/
Project Address: 2306 N Cottonwood St Unit:
Block: NA
Bldg:
Tract: 8370
Address Range:
Historic: No
Suite Range.
Zoning: RlAssessor's Parcel: 396-243-'12 Lot. 1'l
Owner:
Address:
Phone
Mony Peak
2306 Cottonwood St.
Santa Ana, CA 92705
(714) 263-s662
01 1 16002 5160:
01 1 '16002 5't60c
011'16002 5160:
01116002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
405
Qty
1.00
't.00
1.00
100
Fee
$57 40
$23.79
$59.30
$4 05
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 Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sublect to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Electrical
0910'U2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc Receipt:
Total
Notes: Electrical
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cEc 2019
N/A - No Balance
N/A - No Balance
$144.54
$144.54
$0.00
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-161246
web_user,t(I/-
ELECTRICAL.!NSPECTOR RECORD
Rev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DI'R DTiI,CARATION
I hcrcby affrm undcr pcnahy of pcrjury lhat I dil cxcDpt from thc ClontracloN Liccnsc law for thc following casn (Se.?o] 1.5
Busincss and Prol'cssion Codc): Any Cily or County which requires a frcrmit to construct, altcr. improve. demolish or rcpair my
structurc. prior k) ils issuancc. also Equircs thc applicuil for sucl pemrit to filc a sigrcd statamnl lhat lE or shc is licered pur$anl
lo the pmvisions ofthc Contractor's l,icenscd liw (Chaptcr 9, Comrncncing with Section 7000 ol Division 3 ofthe Busine$ and
Professio[sCode)orthrtlEorslEisexenrpttherefromandtlEb&sirfortlrcallegedexenlptiul A,ryviolationofsectioDT03l.5byany
applicrntfornp.nn[subjcctsthe applicantloacivilpenaltyofnotmrcthanfivchundrcddollors($5fi)).
_1. as owner ol tlrc proFf,y. or nry ernployecs wilh wagcs as lhcir elc compcnsalion, will do thc work and the stMtue i$ ftX
intcrxlad or oflcrad for slc (Se.71I44, Business and Prcfcssions Codci The Conua(tor's Licen* Lsw d@s nol apply to m owner o[
tlE pfi)|Ir|y who builds or inprovcs therdnr, ud wlb does such work himselfor herselfor lltrough his or her owo enlployees,
providcd that such imlrovcmnts uc mt htcndcd ()r ollcrcd for sh. li txlucvcr. trc buiHin8 or itrprowmnt is sld withitr onc }la
of conrplctiorr, thc Owrer Builder will have the burden of prcving llut lE or shc r.lirl mt build or impmvc thc pmpqty for thc pury&s of
sJe).
_[, as owner ofthe pmpcny, dm crclusi!cly contrilcling with liccnscd contraclors to construct lhc prejcct (Se(. 7Ot4, Businc$
and PNltssioilCode:TheContracbr'sLicetrse[-awdoesnotapplytoanownerofproFnywhobuildsorimprovesthereon.
and who contracb for such projecls with a Contracto(s) licen*d pursumt to lhc Contrador's LhcNc liw).
-ImrexenrptuDdeIsectioh-'B.&P.c.lbrtlrisreason'lr-r-._ n---..
WORKIiRS' COMPI]NSATTON
DECLARATION
I lrereby allirm unde! pcnaltyoflcrjury onc ofthc tbllowing dccltrations:
_IhavcaMwillnuintainaCcnillcatcofConscnttoScl!:lnsurcforworkqs'crmlrcNation,as prcvidcdforbyScction3T0Oofthc
Labor Code, Ior thc pcrfonEncc ofthc work for which lhe permit ir issued.
_lhaveandwillruairilaillworkc.rs conrpensati(xrinsurarce.as rcqutedbySecltr[3T00oftheljhorCodc,fortheperfonrtrilreeof
tlrc work li)r which this l)crmit is irsued. My worlcrs' conlrcnsatior itrsurdrcc cffiicr and lxrlicy numrLr tre:
Policy Numbcr: rpircs:
_I ccnily that in thc lNrli)rnuncc of tlr work for whicll this pcrmil is issucd, I shall not cmploy any lErson in any nrdncr
so as to bccorm subjccl lo thc workcrs' conlpcnsnlion laws ofcalifomia, end agrcc that if I should bccorre subjcct to thc
workers'conrpensationprovisionsofSec(ion3T00ofthetaborCode,tslull,fonhwithco[DlywilhthoFpruvisions..
WARNING: Failurc to sccure workers'compensation covcragc is unlawful, and shall subjcct an anploycr to oiminal pcnahia and
civil fincsuploouehundr€dthousarddollars(5100.000).inad<litiontothecostofcompe[salion,ddugesasprovidcdforthc
scction 3076 ofthc tlbor Codc. inrcres( md atlorNy s fccs.
LICENSED CONTRACTOR
I)HCI,ARATI()N
I hercby affrrn under penrlty ofpcrjury tlrat I anr liccf,sd under pNvision ofChaptcr 9 (coilurEn.in8 with Scction 70@) ofDivision 3
of thc liusines\ and Prcfcssions Code. ail my liccns€ is in full forc. and cffcct.
l-icensc Numbcr: _
CONSTRUCTION LENDING AGENCY
I hcrcby aflirm undcr pcnalty of pcrjury that thcrc is a construction lcndinS agcrcy for the performarcc ofthe work tt]r which lhis pcrmit is
issued (Scc,109?, Civ. C.).
Lcnder's Nanlei
[ander's A,i,lrcsr:
APPI,ICANT DECI,ARATION
I irrcbyaflimrundcr pcnahy ofpcr.jury onc of thc following dcldalions:
Dcnnlition Pcrnrils-Asbcstos N(ilificati(,n Ftdcral Rcgulations (Titlc 40, Pd6)
-Rcquircd
Ldlcr of Notificati()n
_l ccnily lhat lhc fcdcral rcSulations rcgddinS asbcstos remval4c not applicablc to this proj@t.
_l ccnili thar I luve rcrd this applicatk[ ad stalc that lhc abovc informaliur is coret. I agrcrc to conply with all Cily and County
ordinmccs and statc kws rclaling h building constructioG ard hcrcby aulprizc rcprc*otativcs ofthis City ud County to entd uF)n tlE
abovc nEntioncd prcpc(y for inspcction purlFws.
Aoolicsnt orAsml Sipnsture: Datel
Pcmilcc nsme IDfinll:
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Flre Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondins / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
It/eter Release
Rouqh
Service lt/eter I I
FINAL 7
R Etc.