HomeMy WebLinkAbout20470917 - Permit (2)Proiect Address: 1000 N Harbor Blvd-a- -Unit: E
Assessor's Parcel: 198-01 1-08 Lot: NA Block: NA
Bldg:
Tract: NA
Address Range: 980-1000*
Historic: No
Suite Range.
Zoning: SP2
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 kf
Permit #:20470917
Pin #: 20422
Owner:
Address:
Phone
Tenant Name:
Joe Zeigler
1 155 Meridian Ave '111
San Jose, CA 951 254331
Claasic Auto Repair
Owner-Builder
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
Light Switches, Occ. Se 1.64
FWU 25.76
0-1 HP, KW or KVA 3.70
Penalty 252.69
General Plan Update 22.95
lssuance 57 .20
Microfilm Records 3.91
Qty
2.00
1.00
1.00
1.00
1.00
1 .00
100
Fee
$3 28
$25.76
$3.70
$2s2 69
$22.e5
$57.20
$3.91
Contractor:
Address:
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
. Policy #:
Expires:
Botch*:54641 3/2/2{tiir IDr (:(:tl[l t
0t- f i ce: (:TYH TrBn si : 16 ? cr r'
Acct * : Ret * : ?tt4 "l {"i'i 1-1
Rcp ti :029066?5 3i 2i ?tt?ir 1 1 : I;5 Afl
Tronsact ion Totnl ti r l4rr .ill i
Building Use:
Job Type:
Nature of Work:
H-4
V B, SPK
cEc 2019
Jcre Zeisler'
Genernl F'lcrrr Updnte Fee
Ltl 1 lot-tt-t2- 516tt(tttttt t-
ElectricctI
Ltl I I6ltu2- 516030tttt-
ll i cro[ i Im & Dcrcument s
t-tl l l6LrLr!- 377 7t-t0ttt-t-
I (:t- (:hecir [ti:36t
Notes: Electrical for-Legalize installation of auto lift.
lrJ.,L , 7
$34?,S
:IJO7
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Buirdins Permit #: 1041 0 3229
Every permitissued 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 fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-157948
Commercial
Miscellaneous
Auto Lift
Zuniga, All
J. deSoto
Occupancy:
Constr Type.
Code:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Mrsc. Receipt:
Total
03t02t2020
Account#
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$22.95
$342.63
$3.e1
Fee Total
Paid to Date:
Balance Due:
$369.49
$0.00
$369.49
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinss (Hard & Soffit Rouqh
Ceilinss (T-Bar Rouqh)
N/eter Release
Rouqh 9,/r,/z t,R<-ts,V' =' /"t'
Service Meter ,
7/*/e)FINAL ruS,;te4.eS Af)
7aNotes, Remarks, Etc.,
OWNIiR BUILDER DEI,CARATION
I hereby affirnt under penalty of perjury that I am exempt from the Contractors' License law for the following rcason (Sec.7031.5
Business and Profcssion Codc): Any City or County which requircs a pcrmit to construcl, alter, irnprovc, dennlish or repair any
strucrure, prior to its issuance. also requires the applicant for such perntt to file a signed staternenl that hc or she is liccnscd pursuant
to the pmvisions of thc Contractor's l,icenscd Law (Chapter 9. Commencing with Section 700O of Division 3 of the Business and
Professions Code) or that lle or she is exempt therefrom and tlre basis for tlre alleged exenrption. Any violation of Seclion 7031.5 by any
applicant for a pennit subjects thc applicant to o civil penalty of not morc than live hundrcd dollars ($5tttt).
_1. a.s owner ol'the propcrty, or my clnployccs with wages as their sole compensalion, will do thc work and thc structure is not
intenlal or offercd for sale (Sec'.704+. Busircss and hofessions Cqlc: The Contractor's Licensc l-aw docs not apPly to an owner of
the properry who builds or improves tlrreon" and wlp does .suclr work himself or lrerself or through his or her own employees,
provided that such irnprovenrcnts arc rnt intcndcd oroffered for sale. Il. howcver, tlrc building or irprovcrmnt is sold within one )aar
of complctiorL thc Owncr BuiIJer will havc thc burden of pnoving ttrat hc or shc did mt buill or inrpmvc thc propaty for thc purposc of
K8-:'ff Tii"JJ;?lffi ]il"Jl,:"ffr':x,;:iff [*;Tff :"J:ffiilfr lff If,,';::i'tr;lHl,[tril
and who contracts for such projccts with a Contractor(s) licenscd pursuant to the Conuactor's License [.aw).
_l anr exempt
f
I hcrcby affirnr undcr pcnalty of pcrjury onc of the tbllowing
_l have and will nraintain a Certilicate of C<lnsent to Self-lnsure for workers'conqrcnsation, as provided fior by Section 3700 of thc
Lahor Code, for the performarrcc of thc work for which the Srrmit is issued.
_l have and will nraintain workers' conrpen.sation insurarr:e, as required by
thc work for which this pcrmit is issucd. My workcrs' comlrcnsation insurancc
Seclion 3700 of thc l-abor Code, for the perfornunce of
carricr uxl policy number arc:
Policy
_l ccrtify that in thc prtbrnuncc of thc work for which this grcrmit is issucd, I shall not enrploy eny pcrson in any manncr
so as to bccorne subjcct to thc workcrs' conrpcnsation laws of Califomia, and agrec that if I should beconrc subjcct to the
workers' com;rnsation provisiorrs of Section 3700 of the Labor Code, I shall, forrhwith comply with those provisi<lns..
WARNING: Failure to secure workers'compensation coverdge i.s unlawful, and shatl subject an employer to criminul penalriesrand
civil fines to oue hundred lhousand dollars (S in addition to the cost of comSrcnsation, danrages as provided for thc
Scction Codc, intercst and
>o
I hereby affinn under ;rcnalty of perjury tlrat I ant licensed 9 (corunrencing with Section 7m0) of Division 3
of the Business and Professions Code. arxl my license is in full forcc arxl elTect.
Licensc Numbcr:
Contrector:
CONSTRUCTION LE}IDING AGENCY
I hcreby al'lirm undcr pcnalty of pcrjury that thcre is a conslruction hnding agerrcy for the Jrcrformance of the work for which this permit is
issued (Sec. 3097. Civ. C.).
[.cnder's Name:
A PPI,ICANT DECLARATION
I hrcby aflirnr undcr pcnalty of perjury one of thc folklwing declarations:
Dcnxrlition Pernrits-Ashestos Notification Fedcral Rcgulations (Titlc 40, Pan6)
-Rcquired
lrtter of Notifrcation
,Z certity that rhc fcdcral rcgularions regarding asbcstos rcmoval ile not applicable to this prolxt.
{rcertify tlrat I luve rcad this appticarion arl state rlrat thc ahrve informalion is corrcct. I agree to conrply with all City an<l County
ordinances and Statc Laws rclating to construction.auttnrize reprcsentatives of this City and eotcr upoll ure
ahrve rrrcntioned property for
Applicant or Agent
Pcrnritec nonrc
u)
-201
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