HomeMy WebLinkAbout20172290 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)'667-2738 lnspectorSection: (714),647-5853
Permit #:2o^172290
Pin #: 675 12
Proiect Address: 1431 N Louise Sta
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 405-251-21 Lot: NA
Owner:
Address:
Etil Guillen
1431 N Louise St
Santa Ana, CA 92706
(7141 328-6899
01116002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
I ssuance
Microfilm Records
Amount
57.40
23.79
s9.30
4.05
Qty
1 .00
1.00
1.00
1.00
Fee
$57.40
$23.79
$59.30
$4.05
Phone.
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
nf,:hie! CTYH T
I
'Ion Updot(
5I6t:t[u:n:uj.
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Service Meter
Occupancy:
Constr Type
Code:
R-3, U
VB
GEC 2019 Notes:
Planning Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Amsden, Julie 't1t16t2020
Account#
Every permit issued 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.
01 1 16002 51600
01 1 16002 51603
01116002 s7770
$23.79
$116 70
$4.05
Fee Total:
Paid to Date:
Balance Due:
$144.54
$0.00
$144.54
lnspector MID#: 2020-162741
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
Buildinq
Under Slab / Floor
Bondino / Groundino I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rouqh
Service N/eter I
/Notes, Remarks, Etc. /
I
O}YNI.]R
I hereby affirnr under penalty of prjury that I arn exempt fronr the Contractors' License I:w for the following reason (Sec.7031.5
Business and Prol'cssion Codc): Any City or County which rcquircs a pcrmil to construct, alter, itnprovc, demolish or rcpair any
structure, prior to its issuance. afso requires tlre applicutt for such penrtt to file a sigrrcd staternent that lrc or she is licerrsed pursuant
to thc pmvisions of thc Contractor's l,iccnscd law (Chaptcr 9. Commencing with Scction 7ffi of Division 3 of thc Busincss and
Professions Code ) or that he or she is exenrpt therefrom and tlre basis for tlre alleged exemption. Any violation of Section 703 1.5 by any
applicnnt for a permit subjects tlrc applicant to a civil pcnnlty of not more than five hundred dollars ($5tltl).
a.s owncr ol'thc propcrty. or tny crnployccs with wagcs as thcir solc compcnsation, willdo thc work ard thc structure is rnt
or offered for sale (Sec.7Ua. Business and Prcfessions Code: The Contraclor's License Law docs nol apply to an owner of
wlro builds or inrproves therurn, and wlp does such work him.self or lrerself or ttuouglr his or her own entployees,
providcd that such improvemcnts are not intendod orollcrcd for sale. Il. howevcr, thc building or improvenrcnt is sold within one ycar
of complctiorL thc Owner Buikler will havc thc burden of pmving that hc or shc did not buikl or improve thc propoty for thc purpose of
sale).
_1. as owner of the properly, am exclusively contracting with liccnscd contractoni to conslrucl the project (Scc. 7044, Business
aill Protessbn Code: The Contractor's License Law dms not apply to an owner of property who builds or intproves thereon
and who contracts for such projccts with a Contracto(s) licensed pursuant to the Contractor's License taw).
_l anr reason.
\)p
I hcrcby allirnr undcr pcnalty of pcrjury onc of thc tbllowing
_l have and will nnintain a Certilicate of Con.sent to Self-lnsure for workers' comSrcnsation, as provided for by Section 3700 of the
Labor Code, for the Jrerformarrcc of the work for which thc perrnit is issucd.
_l have and will maintain workers' conryrcnsation insurarrce, as required by Seclion 3700 of thc Labor Codc, for the perfornunce of
the work for which this permit is issued. My workers' compcnsation insurance carricr ud policy number are:
in tlrc;rcrfornlancc of thc work for which tlris prnrit is issued, I shall not cntploy any pcrson in any manncr
to thc workcrs'conrpensation laws of California,and agree that if should becomc subject to thc
provisions of Section 3700 of the Labor C'rxle,slrall,forthwith conrply witlr those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and
civil lirrcs up to one hundred tlxrusand dollars ($100.()001.to the cost of comperrsation, danuges as provided for the
Scction of thc L:bor Codc, interest and attorncy's [ees.
I hereby affirm under grcnalty of perjury that I ant licens,ed 9 (conrnrncing with Section 7000) of Division 3
of the Business and Professions Code. and rny license is in full forcc aM effect.
Licen.sc Numbcr:
CONSTRUCTION LENDING AGENCY
I hcreby al'lirm undcr pcnalty of perjury that thcrc is a construction hnding agency for the perlbrmance of thc work for which this pcrmit is
issued (Scc. 3097, Civ. C.).
lrnder's Name:
[rnder's Address:
APPI,ICANT DECI,ARATION
I Mry affrm undcr pcnalty of pcrjury onc o[ the following dcclarations:
Denrclition Pernits-Asbcstos Notification Fcderal Rcgulations (Titlc 40, Part6)
_Rcquircd lrttcr of Notifrcation
_l ccrtily that thc federal rcgulations rcgarding asbcstos rcmoval arc not applicablc to this projcnct.
all City antl County
Statc laws relating to entcr upon thc
It
Pernrilec nanle
properry for
(-,
arxl hereby authorize reprcscntatives of
?9
ELECTRICAL.INSPECTOR RECOR D
t
Rev. 08-07-2015
,
I
so
tlrat I havc rcad this application arxl statc that lhc ahrvc infrrrnution is corrcct. I agrc.c to
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