HomeMy WebLinkAbout20169700 - Permitcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927O2 Electrical Permit #:2o^16,9700
Pin #: 86499PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Project Address: 2618 W Huckleberry Rd Unit:
Assessor's Parcel: 101-122-09 Lot: 10 Block: NA
Bldg:
Tract: 1369
Address Range:
Historic. No
Suite Range.
Zoning: Rl
Owner.
Address:
Phone
Julie Tran
2618 W Huckleberry Rd
Santa Ana, CA 927062107
(6s7) 257-s585
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Bnbch*:52u32 9/16/7t-tl9 I
Lif f i ce : {.TYH Tr nn s* : 15ttAcct*: Ret*:
Rcpt*:1t274?855 9/I6/2ltI9
Trnnsn':t i sn Tobn I $
lul ie Trnn
Genernl PInn Updqte Fee
trl I 16tJLt2- 51 6lllttilJu-
I lectr i cn]
rJl I l6LrU2- 516rJ3r_r[rr_r-
I (.L Ch eck Llg9l
Notes: Electrical for addition
Fee Total
Paid to Date:
Balance Due:
li
1 59'lt-ui
I1 F'H
t
Building Use:
Job Type:
Nature of Work.
Planning Conditions:
Plannrng Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Addition
Addition
Zuniga,^,,,rV
Occupancy.
Constr Type:
Code
Date:
Date:
Date:
R-3, U
VB
cEC 2016
09/16/2019
Account#
Misc. Receipt:
Misc. Receipt:
Mrsc. Receipt:
Total
Buildins Permit #: 1 01 1 01 0 23
Every permit issued shall become invaltd unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or tf 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
01116002 51603
$22 es
$82 64
$1 0s s9
$0 00
$10s.5s
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
Fee Type Amount
125 Volt Receptacle 1 .51
Light Switches, Occ. Se 'l .64
Light Fixtures 1 .09
General Plan Update 22.95
lssuance 57.20
Qty
6.00
600
6.00
100
1 .00
Fee
$e 06
$e 84
$6.54
$22 95
$s7 20
lnspector MrD#' 2019-153528
-t
ELECTRICAL-INSPECTOR R ECORD
APPROVALS DATE ID/SIG COMMENTS 0lvNIiR IIU Il.l)llR l)l.ll.('A RA'rl( )N
I hcrcby aflirm undcr 1Enalty of pcrjury that I m cxcmpt fmm lhc Conlmclom' Liens tiw for Ihc following rcason (Scc.703 1.5
Busincss and Profcssion Code): Any City or County which rcquircs d [ErNil lo onslruct. alten impmvc. dcmlish or rcpair any
struclurc. prhr k, its issuancc. also requires thc applicant for such Jrnrrit to filc a signcd stutemnt lhal h. or shc is liccnsd pursuant
ro lhc lnrvisions of thc Contraclor's Licened hw (Chuptcr 9. Comtrcrcing with Scction ?fi)0 of Division 3 of thc Busincss and
Prcfcssions Codc) or thal hc or shc is crcmpt Ihcrcfrom and thc bnsis for lhc allegcd cxemplion. Any violalion of Scction 703 I .5 by .ny
rpplicant for s [Ermil $ubjccts tlE applicant to a civil pcntrlty of nol nmrc thon fivc hundrcd dollds (5500).
_1. as owncr of thc lrrlf,ny. or my emplo)es with wages .s thcir $lc Nmpcnsalion. sill do lhe work and lhc slfflw is mt
inlcmlq.l or offcrcd for sh (Sa.?O44. Business and hofcssions Codc: Thc Conlractor's Liccnsc lrw docs nol apply to an owncr of
lhcpnrlEny whobuildso.irprewstlr@n.andwhodessuchmrkhirnsclforherslforlhrcughhisorhcrownemployccs.
providc{t thdl such inrlrercmnts rc mt intendcd oroficrcd fo] suh. If. howcrcr,lhc huiHing or hrpmrcmnl is $H wilhin onc ]te
ofdnnphtkn,lhcOwrcrBuiHerwillharethcburdcnofpmvinglhalhcorshcdk notbuiHoritrprorcthcpmlEllyforthcpurlDsof
slc).
_1. as owncr ofthc p(rpcrty. am cxclu$ively contracting whh liccnscd controctors k, construct thc prcjcct (Scc. 7(N4. Busincss
and Pmlb$sionCodc:ThcConlractor'sLicenscLawdocsnolapplytounowncrofprolErtywhobuildsorimpmvcsthcrcon.
and who contracts for such prcjccts with a Grntmcto.(s) liccn$d pursuant lo lhc Conlroctor's Licens hw)
I ant excnnl un,
;",q llb
v
B.tirr lhis
I hcrcby affirm under pcnalty of pcrjury onc of thc following dcclarations:
_l have and will tnaintain a Ccrtificate of Conselrt to Self-lnsurc for workcrs' compensation. as provided for by Seclion 37fi) of thc
l:txlr Codc. for lhe performancc of thc work for which thc pcrmit is issued.
_l havc an6 will maintain workers'compensation insurancc. as required by Scclion 37fi) of the l-abor Code. for the [rcrformancc of
thc w<lrk for which this pcrmit is issucd. My workers' comlrcnsation insurancc calrier and plicy numbcr arc:
Policy Number: ExPires:
_l cerlil.v that irr thc pcrfornlancc of thc work lor which this pcrrnit is issuctl. I shall not ernploy any pcrson in any lllanncr
so lstobccorncsubjccttothcworkcrs'conrpcnsalionlawsofCalililrnia.artdagrccthatif'lshouldbcc<lmesubjccttolhc
wgrkcrs' cornpcnsutiorr provisions of Scctir)n 37U) of thc Lahrr Crxlc. I shall. lirrrhwith cornply with those provisions..?
wARNIN(i: l;ailurc lo sccurc workcrs'covcragc is unlau,ful. and shall subjcct an employcr to critninal Jrcnaltics and
civil lirrcs up lo onC hurrdrcd lhousand l(X).(Xn). in arltlitiott lo lhc cost oI compensation. damages as for the
intcrcst fccs.
I hcrcby alfirrn undcr pcnalty of pcrjury that I arn liccnrcd undcr provision of Chaptcr 9 (comnrcncing with Section 7m0) of Division 3
of the Busincss and Profcssions Code. and my licensc is in full lirrcc and cffecl.
Liccrtsc'
Date:__ Conlractor:_
CONSTRUCTI(IN LE]I\TDING AGENCY
I hcrchy affirm undcr Fnalyof pcrjury that thcre is a constructhn lcrding agcncy for thc pcrformnce of thc work for which lhis Ismil is
issucd (Scc. 3097. Civ. C.).
kndcr's Namc:
APPLICANT DFCLARATI(IN
I hcrcby alfrrnr undcr pcnalty of perjury one of the following dcclaratiotls:
Dcmolition Pcrmits-Asbcstos Notification Fedcral Regulalions (Titlc 40. Pan6)
-Rcquired
Lcttcr of Nolification
_l ccrtify that thc fcdcralregulations regarding asbcstos rcnrovnl arc not npplicablc to this project.
_l ccrtify that I havc rcad this application and stalc that thc atxrvc irtlirrrnaliott is corrcct. I agree to comply with all City arrd Cbunly
or<linarrccs arrd .Slatc l,aws rclaling to County to enlcr uport lhe
ahovc nrcrrlionctl propcrly lbr
Aglplicnnt or Agent
I'ernrilee nilnre ( prinl ):
rcprcscrttativcs of
Date:-? //r/rq
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundinq / UFER
Transf ormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wa!ls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
N/eter Release
A
Rouqh tr//ll t ru,'Lld-/
Service N/eter .-1
FINAL wlxzl U1 'l-Tt^u*l firU
Remarks Etc.
ct-rnslrucl iott.
purposcs.
hercbv aulhorizc.-7
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