HomeMy WebLinkAbout20270424 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20.270424
Pin #: 64751PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Project Address: 825 S Cypress Ave
Assessor's Parcel: 011-052-03 Lot: POR 8
Unit:
Block: NA
Bldg: Address Range:
Tract: PART OF MCFADDEIIistoric: No
Suite Range:
Zoning: R2
Owner:
Address.
Nghiem Nguyen
54 Maywood
lrvine, CA 92602
Phone
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Bobchf :53531 12/ 19 /2ttl9 ID: CCUIL,
Off ice: CTYH Trctns*: 7 5 o{'Acct*: Ref *: 20?7t-r424
Rcpti:rr?837711 I?/fi/?rJI? S:4[t Arl
Trnnsocbion Totctl $1r5g4.8C'
Hs h i errr t'lg us en
6ener0l F lan Updcrt e Fee
01116002- 5l60lr0lrfl-
Electr i cnl
tJl I I 6t1tr2- 51 6t-t3t-t0[t-
It icrof i lrrr & Docuttents
0l I l6r-rtrl- 1777t7 tJrJ'J-
V isn
CC+ : r**r********3748
Notes: Electrical demo for unpermitted additiodwalls and
revert back to originally permitted patio cover.
lLtB.6:
t? ql
$1 I 594
Auth+ :751137[
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Demolition
N/V-Demo
Zuniga,^,,,y
Occupancy.
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2016
12118/2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buirdins Permit #: 102102598
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 the site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$22.9s
$108.65
$3.e1
Fee Total
Paid to Date:
Balance Due:
$135.51
$0.00
$135.51
01 1 16002 51603
01 1 16002 5160"2
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
Light Fixtures 1 .09
Demolition (includes ren 50.30
General Plan Update 22.9s
lssuance 57.20
Microfilm Records 3.91
Qty
1 .00
1.00
1.00
100
100
Fee
$1.0e
$s0.36
$22.es
$s7.20
$3.e1
lnspector MID#: 201 9-156556
ELECTRICAL.I NSPECTOR RECORD
() -rt nQ n7 1n,t s.
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION '
I hseby affum undtr pmlty of perjury that I m cxmpt from the ContractoE' LiceN law for thc following |@n (5(.7031.5
Busins ard Profesion Codc): Any City or County which rcquts a pcmh to coNtruc1. altq. improvq dcrnolish or rcpair my
structue, frior to its issuucc, also require the applicot for such pcmit to filc a siSncd statmot that hc or shc is licffcd plmut
to thc provisios of thc Contrsctor's Licased taw (Chaptc 9. Commcncing with S(tion 700O of Division 3 of thc Busine ud
Prof*sionsCode)orthathcorshcisexcmptthccfromadthcbasisforthcallegedcrmption. AnyviolationofS6{ion703l.5byany
applicail for I prmit subjccls thc applicilt to a civil penalty of not more thil five hundrcd dollus ($500).
_1. as o\\'ner of the property. or my employees with wages as their sole compensation. rvill do the work and the structure is not
intended or offered for salc (Sec.7044. Business and hofessions Code: The Contraclor's License Law does not apply to an owncr of
the properry who builds or improves theron. and who does such wolt himself or herself or through his or her own employees,
providd that such improvancnts are nol intendd or offered for sale. l[, howwer. the building or improvemert is sold within one ]€ar
of cornplaion. the Orvner Builder will have the burden of proving tha he or she did not build or irnprove the propa'ty for the purposc of
sale).
-1.
as owner of the propcrty. am exclusively contracting rvith licensed contractors to construct the gnoject (Sec. 7M4. Business
and ttoftssion Code: The Contractor's License Law does not apply to an orvner of property who builds or improves thereon.
and who contracts for such projects rvith a Contracto(s) licensed pursuant to the Contractor's License Larv).
_l am exempt under & P.C. for this reason.,?
I hereby a{Tirm under penalty of perjury one of the
_l have and will maintain a Ceflificate of Consent to for rvorkers' cornpensation. as provided for by Section 3700 of the
Labor Code. for the perfonnance of the work for which the pennit is issued.
-l
have and rvill rnaintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the perlormance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy Number:Exoires:
_l cerrify that in the perfornrance of the work for u'hich this pernrit is issued. I shall not ernploy any person in any manner
so as to become subject to the rvorkers'compensation las's of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forrhrvith comply with those provisions..
WARNING: Failure lo secure rvorkers' compensation coverage is unlarvful. and shall subject an anployet to criminal penalties and
compensation. damages as provided for thein addition to the cost of
Section -3076 of the interest and
I hereby affrrm under penalty of pajury that I arn provision with Section 7000) of Division -3
of the Business and Professions Code. and rny license is in force and
Liccnse Class:-I-icense Number:
I)alc:
W
I hrcby allirm undr pcnalty of pqjury that thqe is r construction lending agacy for thc pqfomucc of thc work for which this pqmit b
issucd (Se. 3097. Civ. C.).
Lender's Narne:
Lender's Address:
APPLICANT DEC LARA'IION
I hereby affrrm under penalty of perjury one of the follorving declarations:
Dernolition Permits-Asbcstos Notification Federal Regulations (Title 40. Pan6)
-Required
Letter of Notiflrcation
ra
-l
cerrify that the federal regulations regarding asbestos removal are not applicable to this project.a
rvith all City and County
and County to entef, upon the
above mentioned property for
Applicnnt or Agent
Permilee nflme (print):
purposes.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Buildins
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilinss (T-Bar Rouqh)
Jvleter Release
Rough
Service Meter ./I
FINAL ////7/z*4,o 4)4h4 o
Notes, Remarks, E(c. t l\--l 1,.-
"^'"''Df 4'201 7
Carrier:_
(lontractor:
MtAify that I have read this application
ordinances and State Laws relating
)