HomeMy WebLinkAbout20169511 - Permit (3)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Electrica!Permit #: 2o^{69511
Pin #: 6E563PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Address: 2900 S Bradford Pl
Assessor's Parcel: 933-1 20-77 Lot: 1, 211
Unit: D
Block: NA
Bldg: Address Range: 2goo-3ogo
Tract: 758317161 Historic. No
Suite Range:
Zoning: R1
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Bradford Place Santa Ana West HOA
15661 Red Hill Ave #210C
Tustin, CA 92780
(7141 285-2626
24 HRC dba 24 Hour Restori
PO Box 7124
Laguna Niguel, CA 92607
(888) 5244687
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
Fee Type
Res Rewire
Garage Rewire
FWU
Low Voltage/Res
General Plan Update
I ssuance
Amount
015
0.15
25.76
38 16
22 95
57.20
Qty
850 00
414 00
300
100
100
100
Fee
$1 27 50
$62 10
$77.28
$38 16
$22 e5
$57 20
$2?.95
$362 .2+
State Lic #: 895339
Lic Type: B
Bus. Lic #: 371971
Workers' Compensation lnsurance:
Carrier. Great Divide Insurance Company
Policy #. WCA200939816
Expires: 0712612020
Botch*:51626 g/22/:irJl? ID: i1l-'INF:DA0ffice: CTYH TrnnE*: 67 1 crl 3Acct*: Ref*: 2llt,S?::iti
Rcpt*:tr?724443 8/2L/2tr19 +!22 F.'11Tronsoction Totql tlr[Br:r .+2
24 HR(: dbn 24 Hour Restorot i on
Genernl Plcrn Updqte Fee
01 I l6tr02- 51 6rJlr0[[r-
Electr iccrl
LII I t 6Lt0?- 51,5IJ3t-rt-rrt-
Notes:F i re o ",{tB: qFfi ai, 5u *Tqw rr* ffillgo, " %[,tq | ? g F, I *l i,]fs,'
Building Use Condominium
Job Type: Alteration
Nature of Work Fire RePair
Planning Conditions: All materials to match existing.
Planning Approval By:
Occupancy:
Constr Type:
Code:
Date:
Date.
Date:
U, R.2
VB
cEc 2016
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
08t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
1 00408
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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 '51600
01 1 16002 51603
$22 9s
$362.24
Fee Total:
Paid to Date:
Balance Due:
$385.1 9
$0.00
$385.19
lnspector MtD#. 2019-1521 00
ELECTRICAL-INSPECTOR RECORD
t3^,, fl(l'i' '',: /\ .i l':
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundins I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
PM*Walls (Rouqh)I x?l?d &ry
Ceilinss (Hard & Soffit Rouqh t
"/1-1"/)
OlWt tA'ry
Ceilings (T-Bar Rough)
Nleter Release
Rough
Service N/eter I I
FINAL WmlL tr57
Notes, Bemarks, Etc uu-
l,A1YLI A (l,/L r171 T0{L*W,7
ll
OWNDR BUILDER DELCARATION
I hcrcby affirm undcr pcnalty of pcrjury thil I {m cxempl frcN thc Contractors' Licenrc L{w for lhc following rcasm (5(.7031.5
Business ard Profcssion Code): Any City or County which rcquircs a Jrcrmit to snslrucl. ahcr. improvc. dcmolish or rcpair any
struclurc. prior to its issuancc. also rcquires lhc npplicant for such lrrmil lo lilc a signcd slalcmnl lhnl hc or shc is liccnscd puNuarl
to lhc pmvisions of lhe Contrachr's Liccnscd law (Chaplcr 9. (irmmeming with Scction ?0fl) of Division 3 of lhc Busincss sld
ProfessionsCodc)orrhalhcorshciscxcmptthcrcfromandthch{sisforthc{llcgcdcxenftbn. AnyviolalionofsectionT0.ll.5hyany
upplicilnt for a permil suhjets the applicant to a civil pcnahy of nol morc thar livc hundrcd <lollars ($5fi)i. I
_t. as owner of thc propcrty. or nly ernployccs with wagcs as lhcir solc cornpcnsalion. willdo thc work and thc structurc is nol
intcndcd or <lflbrcd for salc (Sec.7(H4. Business and Jtol'cssions Codc: Thc Contraclor's Licensc Law docs nol apply to an owner of
thc prrrperty who builds or improvcs lhcrcon. and who d<rcs such work hirnself or hcrsclf or through his or her own cntployecs.
providcd that such inrprovcmcnts are mlt intendcd orollcred firr salc. lf. hou'cvcr. tlrc buildirtg or inprovenrcnl is sold within onc )rcar
of conrplction. the Owncr Builder will havc the burdcn of proving that hc or shc did not build or inprove the pnrprty for thc purposc of
sah).
_1. as owncr of thc propcrty. arn cxclusivcly contract ilrg with licclrscd conlraclors lo conslruct thc project (Scc. 7M4. Busincss
and Pnltbsskrn Codc: 'f he Contractor's Liccnse Law docs not apply lo an owncr ol'propcrty who builds or intproves thcreon.
and who contracts tirr such projccts with a Contraclor(s) liccnscd pursuanl to lhe Contraclor's Liccnsc [:w).
-lamcxcmptundcrScction-.B'&P.C.forthisrcason.Date:_()rrnt.r
}V( }RK IiRS' CONI PENSA'I'I( }N
DECT ARAI'ION
I hcrcby alfirrnundcr pcnaltyof pcrjury onc of lhc ltrllowing dccluralions:
_l havc and will nuintain a Ccrtilicatcof Conscnt to Self-lnsurc lirr workcrs'cornpensation. as providcd f<lr bySection 37fi)of the
Latxrr C<rdc. for thc grcrformance of thc work lbr which the pcrrnit is issued.
_l havc alrd will mairrtain workcrs' cornperrsatiolr insurancc. as rcquircd by Scct ion .j7fi) of the l-abor Codc. for the pcrlbrmance of
thc work l'or which this ;rcrrnit is issucd. My workcrs' cornperrsalion insurancc carricr and policy nultrbcr arc:
Policy Number: Expircs:
_l ccrtily that in thc pcrl'ornrancc of the work lbr which this pcrnrit is issucd. I shall not cmploy any pcrson in any manncr
so as to hccome subjcct to thc workcrs' compensation laws of Calilbrnia. and agrcc lhat if I should becorrc suhjcct to thc
workcrs' c<lmpensation provisions of Scction 37fi) ol'thc labor Crxlc. I shall. forthwith comply with thosc provisions..
WARNING: Failurc lo sccure
civil lincs up lo orrc hundrcd
rvorkcrs'coverilgc is unlawful. and shall subjcct an cnrploycr lo criminal pcnalties and
dollars I t'l to thc cost of comJrcnsation. damages as providcd lbr thc
Sccliorr .107(r thc Codc.
LtrcI)ate:%
I hcrcby al'l'irrn under penalty of pcrjury I artt undcr provision 9 (conrmcncing with .Section 7fin) of Division 3
of thc Business and Profcssions Codc. and nry liccrrsc is in lirll torcc and ct'fcct
Liccnsc
Date:
Nunrhcr:6q57zA
6 IA trKc-
I hcrcby affinn undcr pcnalty of pcrjury lhat
issued (Scc. .3097. Civ. C.).
tsa bnding aScncy t'or thc Jrcrfornuncc of thc work for which this Jrcrnrit is
l.cnder's Namc:
Lcndcr's Acldress:
APPLICANT DF'CLARATION
I trcrcbyallinnundcr pcnalty of perjury ottc of thc folkrwing dcclarations:
Dcnrolition Pcrmits-Asbcstos Notification Fedcral Rcgulations (Title 40. Parl(r)
-Rcquircd
lrttcr of Notificalion
I
q
_l ccrlily that regulations rcgarding ashcstos rctnovalnrc nol applicahlc to lhis projccl.
ccrl ify rcad this application and slatc that the ahrvc inlirrrnatiorr is concct. I agrcc l<l conrply with all City and Coultty
conslruction. and hcrcby aulhoriz.c rcprcscntativcs <lI this City and County ltt cnlcr upon lhc
abovc
,,,.'-g!zJApplicant or Agent 2011
Pernrilce
l-aws rclating to
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