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Home My WebLink About20168161 - PermitCity of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrica! I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853 Permit #i 20{68{6{ Pin #: {7059 Project Address: 925 E Bishop St Assessor's Parcel: 404-012-14 Lot: 43 Unit: Block: NA Bldg: Tract: 2482 Address Range: Historic: No Suite Range: Zoning: Rl Owner. Address: Phone: Yop Ris 925 E Bishop St Santa Ana, CA 92701 (7141 206-6192 Fee Type 01 1 16002 51603 Serv Meter 01 116002 5160C General Plan Update 01 1 16002 51603 lssuance Amount 53.28 22.08 55.04 Qty 100 1 .00 100 Fee $s3.28 $22.08 $5s.04 Tenant Name: Contractor. Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation ! nsurance: Carrier: Policy #: Expires: BaL ch t z 48*rr7 3/7 /2fr19 0f f i,rP I ,:T'il'i l'ronsi: g7 Acct*: Ref*: Fcp r* ; irj55i:r3? 3/7 /2CrI9'[rsnEoct ion Totol Yop zrJ 16i 3:15 'r t 1.3[t . I lr.. I '. :i I I r.ri tjp dnte Fee 5 i 6ru-r0t]0 - 6tJSUlJtj- Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approva! By: Plan Checked By: Permit lssued By: Subject to Field. Building Permit #: Single Family Dwelling Miscellaneous Service Meter Zuniga, Allissa 03t07 t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Occupancy: Constr Type: Code: Date: Date: Date: R.3, U VB cEc 2016 Notes: Upgrade. Hand out given. Auth on file. Fee Total Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 s1603 $22 08 $108.32 $130.40 $0.00 $130.40 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on fhe sife by such permitis suspended or abandoned for a period of 180 days after the time the work is commenced. lnspector MID#: 201 9-149927 ELECTRICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hacby affm undcr poalty of pqjury that I m excmpt from thc Contractor' Liccmc Law for thc follorving rcen (5(.7031.5 Buines od Profcssion Codc): Any City or County which rcquira a pamit to costruct. alt6. improvq dmolish or rcpair my strucluc. prior to its issuucc, dm rpquiro the applicmt for such pcrnit to filc a signsd stalmmt thal hc or shc is licemcd pmuant to thc prcvisiom of the Contractor's Liccnsed l:w (Chapttr 9. Conmcncing with Setion 7000 of Division 3 of thc Buins md Prof*ions Codc) or that hc or shc is qmpt thaâ‚¬from md thc besis for the allcgcd crmFion. Atry violstion of Sccrion 70-l1.5 by any applicantforapcmitsubjctsthc applicmttoacivilpenattyofnotmorcthmfivchundrcddollus($500). -_1. as owner of the property. or my employees with wages as their sole compensation. will do the rvork and thc structure is not intended or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License Law does not apply to an orvner of the property who builds or improves thereon. and who does such wort himself or herself or through his or her orvn employees. providd that such improvements are not intended or offtred for sale. lf. horvevâ‚¬r. the building or improvemcnt is sold within one )car of complaiorL the Orvner Builder will have the hrrden of proving that hc or she did not build or improve the propa'ty for the purpose of salc). ____1. as owner of the propoly. am exclusively contracting with licensed contraclors to construct the project (Sec. 7044. Business and ttofession Code: The Contractor's License Law does not apply to an owner of property rvho builds or improves thereon. and who contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's License Law). _l am exempt B. &.P.C. for this tl)rlc:q Lv * I)D(ll,AltrVI'l0N I hereby alTirm under penalty of perjury one of the following declarations: -l have and rvill maintain a Cenifrcate of Consent to Self-lnsure for rvorkers' compexsation. as provided for by Section 3700 of the Labor Code. for the performance of the rvork for rvhich the perrnit is issued. -l have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the pcrformance of the work for which this permit is iszued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number: Expires: _.-l certify that in the performance of the work flor which this permit is issued. I shall not employ any person in any manner so as to become subject to the workâ‚¬rs' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthrvith cornply u,ith those provisions.. WARNING: Failure to sccure rvorkers' compensation is unlawful. and shall subject an onployer to criminal petr,alties and civil fines to one hundred thousand in addiliqn to the cost of compensation. ,:,5',- as provided for the Section Labor Code. interest and 72'dl o(t I hereby affirm under panalty of perjury that I am licensod under provision of Chapter 9 (commencing with Sc'ction 7000) of Division 3 of the Business and Professions Code. and my license is in flull force and effect. Date: Contrector:_ W I hccby alfrm undu pcnalty of pqjury that th6c is 8 srutruclion loding agmcy for thc pâ‚¬rformcc of lhc work for which this p6mit b issued (Sa. 3097, Civ. C.). l-ender's Name: Lender's Address: APPLICANT DECLARATION I horby affirm under penalty of perjury one of the following declarations: Demolition Permits-Asbcstos Notification Federal Regulations (Title 40. Part6) _Required letter of Notification -l ccrti& that the federal regulations regarding asbestos removal are not applicable to this project. -l certi& that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances and State Larvs relating to and hereby represmtatives of this City and County to etter upon tlrc above mentioned property for Applicant or Agent Permilee nRme (print): V Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm I Dampers Communications Cable Building Under Slab / Floor Bonding I Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Roush) lvleter Release Rough Service Meter /I -- FINAL /t 721*oo -rffi ) T ./Notes, Remarks, Etc. L License Class: License Number: