HomeMy WebLinkAbout20171181 - Permita
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2o^17118{
Pin #: 90931
Proiect Address: 1918 112 S Svcamore Sta
Unit.
Block: B
Bldg:
Tract: 289
Address Range:
Historic: No
Suite Range:
Zoning: R2Assessor's Parcel: 015-063-1 1 Lot: 5
Owner:
Address:
Ana Casti!lo
1918 S Sycamore St
Santa Ana, CA 92707
(7141 317-e681
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
125 Volt Receptacle 1 .51
Light Switches, Occ. Se 1.64
Light Fixtures 1 .09
FWU 25.76
Dedicated Circuit 25.76
Serv Meter 55.37
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
17 00
8.00
900
1 .00
100
100
1 .00
1 .00
1.00
Fee
$25.67
$1 3.1 2
$9.81
$25 76
$25.76
$5s 37
$22.e5
$57.20
$3.91
Phone.
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:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy.
Constr Type.
Code:
R-3
VB
cEc 2019 Notes: Electrica!
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Building Permit #:
web_user
Date:
Date.
Date:06/01 t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, 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.
N/A
N/A
No Balance
No Balance
Fee Total:
Paid to Date:
Balance Due:
$239.55
$239.55
$0.00
lnspector MID#: 2020-1 59169
APPROVALS DATE ID/SIG.COMMENTS OWNTiR BUII,DIiR DEI,CARATTON
I hereby affirnr under penalty of perjury that I am exenrpt frorn the Contractont' License [:w for thc following, reason (Sec.7031.5
Business and Prolbssion Code): Any City or County which requires a permit to construct, alter. improve, demolish or repair any
structure, prior to its issuance. also requires tlre applicant for such pernit to file a signed slatenEnt that h or she is ticenscd pursuant
to thc pmvisions of thc Contractor's Licenscd taw (Chapter 9, Commencing with Section 7(fi) of Division 3 of the Business and
Professions Code) clr that he or she is exenpt therefrom and the basis for tlre alleged exemption. Any violation of Section 7031.5 by any
applicant for a pennit subjects thc applicunt to n civil penalty of not more than five hundred dollars ($500).
_1. as owner ol'the property. or my ernployccs with wages as thcir solL' compcnsalion, will do thc work and the stnrcture is not
interxled or offerctt frrr sale (Scc.7H4. Business and Prufcssions Code: The Contractor's Liccnsc l-aw does not apply to an owner of
the properly wlxr builds or improvr* thermq and wlro does such work himself or lrerself or lhrough his or her own enployees,
provided that such improvelncnts arc not intendcd oroffcred for sale. Il. howcvct tlrc building or furprovenrcnl is soH within orc ),car
of completioru the Owner Buildcr will have tb burtlen of pnrving thd tE or shc did not buikl or inprove Orc pnopaty for the purpose of
sah).
_1. as owner of the property, am exclusivcly contracting with liccnscd contractors to construct thc project (Sec. 7044, Busincss
arxl Boftssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts lor such projects with a Contractor(s) licensed pursuant to thc Contractor's License l-aw).
-l
anr exempt under Section-, B. & P.C. for this reas<ln.
f \,.. ^.
WORKT]ITS' COM PE,NSATION
DECLARATION
I hereby affirm under pcnalty of perjury onc of the following dcclarations:
_l have and will nnintafur a Certificate of Consent to Self-lnsure for workers'contpensation, as provided for by Section 3700 of thc
I-abor Code, for the Jrerfonnance of thc work for which the Jrermit is issued.
_l have and will maintain workers' conrpensalion insurarrce, as required by Section 3700 of the [:bor Code, for the perfonnance of
thc work for which this pcrmit is issucd. My workcrs' conryrensation insurancc carrier arxl plicy numbcr are:
Canier:
Policy Numbcr: Expires:
_l ccrrify that in thc lrcrfornrance of thc work for which this pcrmit i.s issucd, I shall not cmploy any pcrson in any manncr
so as to becomc subjcct to the workcrs' compensation laws of California, and agrcc that if I should becomc subject to thc
workers' cornlxnsation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with thosc provisions..
WARNING: Failure lo secure workers'cornpensation coverage is unlawful, and shall subjcct an cmploycr to criminal pcnaltics and
civil fines up to one hundred thousand dollars ($100.000). in addition to tlrc cost o[ competuation, danuges as provirled for the
Section 3076 of thc labor Code. intcrcst and altorncy's [ces.
LICEIISED CONTRACTOR
DECLARATTON
I hereby affrrn under ;renalty of perjury that I anr licensul untler provision of Chapter 9 (comnrncing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
Licerrsc Number:
n^r^.
CONS'TRUCTION I-ENI)ING AGENCI'
I hcreby allirm undcr prcnalty of pcrjury that therc is a construction lending agcncy for the pcrlbrrnancc of thc work lbr which this pcrmit is
issuetl (Sec. 3097. Civ. C.).
Lrnder's Name:
APPI,ICANT DECLARATION
I My affirm undcr pnalty of perjury one of the following declarations:
Denrolition Pernrits-Asbestos Notification Federal Regulations (Title 40, Part6)
Rcquircd lrtter of Notification
_l ccaily that thc fcdcral rcgulations rcgarding asbcstos rcmoval arc not applicablc to this project.
_l ccrtily that I havc rcad this application and statc that lhc abovc inlbrmation is corrcct. I agrcrc to contply with all City and County
ordinances and State l-aws rclating to building construction, and hereby authorize reprcscntatives of this City and County to enter upon thc
above rnentioned property for inspection purposes.
Applicant or Agent
Pcrmitec name (print):
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor ll
Bondinq I Groundinq I UFER 6 'Ll 7!/DK{Y -/
Transformers I
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)7 IN 40 DffW 7
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
N/eter Release a{%t\/f++4 fl
Rough tl
Service lVleter c 7rl 'u >(wt r/
FINAL ot lr '4,
11 n l>rq-**{
Notes, Remarks, Etc.r/
ELECTRICAL.INSPECTOR R ECORD
Rev. 08-07-201 5
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