HomeMy WebLinkAbout20172191 - PermitCity 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
Permit #:20172{9{
Pin #: 17132
Project Address: 1241 S Everglade St
Assessor's Parcel: 407-026-06 Lot: 80
Unit:
Block: NA
Bldg:
Tract 3531
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Elvia Herrera
1241 S Everglade St
Santa Ana, CA 9270431 15
(7141 467-7865
Electricians Service Exprest
17610 Beach Blvd, #50
Huntington Beach, CA 9264
(562) 2614876
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
4.05
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$57.40
$23.79
$se.30
$4.05
State Lic #. 1061 212
Lic Type: C-10
Bus. Lic #: 376469
Workers' Compensation !nsurance:
Carrier: Norguard lns Co
Policy #: ELWC032747
Expires: 1210312020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter
Kathy 10t28t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: handout given
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.79
$1 16.70
$4.05
$144.54
$0.00
$144.54
Every permit issued 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 sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
i
Inspector MID#: 2020-162467
6"rnandez,
ELECTRICAL-INSPECTOR RECORD
Rev. 08-07-201{
APPROVALS DATE ID/S!G.COMMENTS 0WNIIR B I.] I I,I)F,R T)I.;I,CA KA.I'I(,N
I lrcreby affirru urrder penalty of pr.iury that I arn exenryt fmnr the C:ontracloni' License law for the following reason (Set'.7031.5
Busincss arxl Prol'cssion Crxlc): Any City or County which rcquircs a p-rrnit to construct, altcr. improve. dcrrxrlish or rcpair any
struclure. prior to ils issuance. also requires tlre applicarrt tirr such pennil to fih a sigrrcd slatemenl that lr or she is liccnsed pursuanl
to thc provisions ol'tht' Contractor's l,iccnsed l:w (Chaptcr 9. C'omrncncing with Section 7fi)0 of Division 3 ol'thc Business and
Pnrl'essions Crxle ) or that lrc or she is exenrpl therefronr anrl tlrc basis ftrr the alleged exenption. Any violation of Section 703I .5 by any
applicant ftrr u perrnit subjects tlre applicant to il civil penalty oI not rnore than five hundred dollars ($5tXtt.
_1. as owncr ol'tlrc proli*rty. or rny crnplovccs with wagcs as thcir solc cornpcnsation, will do thc work and the structurc is not
intendetl or olTeretl frrr sale (Sec.7O44. Business antl Professiorrs Ctxle: 'I'lrc Corrtractor's License Law tloes not apply lo an owner oI
tlrc prlpefly wlxr builds or irt4rrovc's lhereon, and whr does suclr work hinrself rlr herself or tluough his or her owrt enrpkryees,
prol'idcd that such irnprovr'rncnts arc mrt intcndcd or olfcrc'd lirr salc. ll. howcver. tlrc building or irnproverncnt is sold within onc yr'ar
o[ conrpletion, tlrc Owrrcr Builder will have the burden o[ provirrg that he or she did not build or improve tlrc pruperty for the purprse of
s"tle).
_1. asownerof the pnrpeily, amexclusilelycontracting with licen.setl conlraclorstoconstruct tlrc project (Sec.7(X4. Business
arxJ Prulc'ssiorr CorJe: Tlre Contructor's License Law drles not apply to an owrrcr of proJrerty who builds or inrproves lhereon.
and who conlracts frrr such pr<r.ic'cts with a Contractor(s) liccn*-d pursuant to thc Contraclor's Licensc kw).
-IantexemptultderSectitllt-,B.&P.C.lbrthisreason.
WORKERS' C0Nt I'DNSA'rI0N
DECLARATION
I hcrcby afl'irnr unrlcr pcnalty of pcrjury onc of the tirllowing dccluations:
_llraveantlwill rtnintainaCerlil'icateofCon.senttoSell-hrsurelirrworkers'conlpensation,as providedfirrbySection3T00oftlrc
Labor Codc, for thc Jrcrlorrruncc of thc work lbr which thc pcrnrit is issucd.
_l have and will nuintuin workers' conrpensation insurarrce. as required by Section 3700 of the Labor Code, frrr lhe Jrrfonrurrce of
thc work for wlrich this prnrit is issucd. My workcrs' conrpcnsation insurancc carricr uxl Jxrlicy numbcr are:
S r) I-(+Na(\ !c(d
Policy L ltLl"t/ro, o
_l ccrtify that in tlrc ;^.^rtornuncc of thc work f<rr which tlris pcrnrit is issucd, I shall mrt enrploy any pcrson in any nranncr
s() as to bccomc subjcct to thc workers' cornpen.sation laws of California. and agrec that if I should bccomc subjcct to thc
workers' corrrlrcnsatiorr provisiorrs of Section 3700 of the Labor Code, I slurll, forthwith conrply with those provisions..
WARNING: Failure lo secure workers'compensation coverage is unlaw[ul, and shal! subject an employer to crirninal penalties and
Sectkrn 3076 of thc l,atxrr (ixlc, intt'rcst and atlorncv's l'ccs.
o
I hercby affirnr under pnalty of perjury that I anr licensctl under pruvision of Chapter 9 (conrnrncing with Section 7firu) of Division 3
of the Busine.ss and Pmfessions Code. anj mv license is in full forcc and effect.
Licerxe lD Nunrber:o
D
CONSTRUCTION LENDING AGENCY
I hcrcby al'lirrn undcr 1^-nalty of pcrjury that thcre is a construction lcnding agcncy for thc pcrlbrmance of the work ltrr which this pcrmit is
issued (Sec. 3097. Civ. C.).
lrnder's Nanre:
l-cnder's Address:
APPI,ICAN'T DECI,ARATION
I lrrcby aflirnr unclcr pnalty of Jrcrjury onc of thc lirlkrwing dcclarations:
Denxrlition Pcrnrits-Ash,t'stos Notification Fetlcral Rcgulations ('titlc 4O, Part6)
_Rcquircd L,cttcr of Notification
_l ccrtily that thc I'cdcralrcgulalions rcgarding a.sbestos rcrrrrval arc nol applicablc' to this project.
ordinanccs and Statc l,aws rclatirrg to building construction. tnd hcrchy authorizc rcprcscntativcs of this City and County to cntcr up)n thc
atxx'e rrrcntioned pr()t)c't'ty ft)r pur[x)ses.
Applicant or Agurt
Itcrnritec nonrc ( urirrt ):rtlrt hia-m Gc p(
Ort",
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor -?-
Bondins I Groundinq I UFER (\-?la D,ffi,-/
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)I
[Meter Release t(1 I DWt 7
I ,
Rough ,I
Service N/eter t t17 lz e trytF 7
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