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Home My WebLink About20270842 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:2o.27o842 Pin #: 54584 Proiect Address: 1005 N Fairlawn Sta Assessor's Parcel: 405-1 14-07 Lot: 41 Unit: Block: NA Bldg: Tract: 1899 Address Range: Historic. No Suite Range: Zoning: Rl Owner: Address: Phone: Sankofa 1005 N. Fairlawn Ave. Santa Ana, CA 92703 (310) 350-1 7e2 01 1 16002 51603 01 1 16002 51603 01 1 16002 51600 01 1 16002 51603 01 1 16002 57770 Fee Type Light Fixtures Serv Meter General Plan Update lssuance Microfilm Records Amount 109 55.37 22.95 57.20 391 Qty 100 1.00 1 .00 1 .00 100 Fee $1 0e $s5.37 $22 95 $57 20 $3 e1 Tenant Name: Contractor: Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Htttch i : Ir++:'ij tlf i r ':e: i:TYli lt - -l..f 'l'lLl- L r r RcpL#lLr?utglr (iii 9; ; I[l: (:i:UELLAT 2 ot- 3 ittiT tl84r Geriernl tr11t6[rI E1ectr i fr1 1 i Or.t( ll i ,:r'of i utl i i ot"ti UlsttBuilding Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By. Permit lssued By: Subject to Field. Single Family Dwelling OccuPancy: Atteration Constr Type N/V - Demo/RePair/Restore Code: Chavez, Dave -7, Date: Date: Date:O R.3, U VB cEC 2019 Notes:Legalize electrical within garage. Service meter Owner-Builder form on file. 02t19t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Buirdins Permit #: 1 0 2103204 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 fhe sife 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 01 1 16002 57770 $22.e5 $1 13.66 $3 91 Fee Total. Paid to Date: Balance Due: $140 52 $0 00 $140.52 Inspector MID#: 2020-157561 t a ELECTRICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hftby affm undq paalty of psjury that I m q@pt &om thc ContractoE' LicoE trw for thâ‚¬ following lwn (Sc.7031.5 Businas 8trd Profasion Code): Any City or County which rcquim a pamit to coEtruct, alt6, improvc, &molish or rtpair my structw, prior to its isuucc. also rcquire thc applicmt for such pcrmit to filc a signcd stat@6t thd hc or shc is licq&d plllswt to thc Fovisio6 of thc Contnctor's Liccnscd law (Chaptq 9, Commcing with Setion 7000 of Division 3 of thc BEitB ud Prcfeioro Codc) or that hc or shc is qcmpt thqetom md thc bssis for thc allcjcd umption. Any violstio! of Setion 703 I .5 by uy app[cmtforaparnitsubjetsthc applicmttoacivilpcultyofootmorcthdfivchundrctdollm($500). lff * o*o of ,tc propsty, or my mplo)6 with w8g6 s their $le ompcreation, will do the wod< ad tIrc $ruc{rc is not ffiilrdcd or offred for salc (Se.7044. BGins md Prcfsioro Code: Thc Cortraclor's LiccN L8w do6 not apply to m oM6 of 'thcpnpory whohuildsorimproqthqon.mdwhodo6srchwrlhimselforhmlforthrcughhisorhaomcmploye, providcd that such imFowmtts e rct irtqrdod or of&rcd for slc. lf, howrc. thc huiHing or improvmt is eU withio onc )s ofcomptiio& thâ‚¬ o\rn6 Buil.h will harc thc hrda ofprcviry thd hc or she did not build or itrprow thc pmpqty for thc Brpo& of slc). -1, r owno of thc prcpcty. m acluive ly contrsc{ing with licqtsâ‚¬d contrctoG to consEuct tlrc prcjct (Se. 7(x4, &sins srd Profusim Code : Thc ContEctor's Liccnsc Law do6 not apply to e oms of properry who builds or improvG th6@n, ad who ontncts for such Fojels with I ContBcto(s) lictrcd p6ualt to thc Cotrtractor's Licffi ttw). I am exemot B. & P.C. for this reason. rD I hereby affrrm under penalty of perjury one of the following -l have and will maintain a Certificate of Consent to SelGlnsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the psformance of the work for which the pennit is issued. -l have and will maintain workers' comperu;ation insurance. as required by Section 3700 of the Labor Code. for thc performance of the work for which this p,ermit is issued. My workers' compcnsation insurance ciurier and policy numhr are: in the pcrformance of the work for which this permit is issued. I shall not employ any person in any manner subject to the workers' compensation laws of California. and agree that if I should become subject to the workef,s' compensation provisions of Section 3700 of the Labor Code, I shall, fcrrthwith comply with those provisions.. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an onployer to oiminal pmalties and civil fines up to one hundred thousand dollars ($100.000), in addition to the cost of damagcs as provided for the ISection 3076 of the interest and attorney's fees. ,2 I hereby afl'irm under penalty of perjury that I arn licensed under 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codc, and my license is in full force and effect. Number: Date:_ Contractor: CONSTRUCTION LENDING AGENCY I hwby aflim undo pcnslty of pajury that th@ b 8 snstruction lcnding agocy for the pafomuce of thc rcrk for which this panit b issucd (Sc. 3097, Civ. C.). Lendcr's Name: I-cnder's Address: APPLICAI\T DECII\RATION I hcr*,y affirm under penalty of perjury one of thc following dcclarations: Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6) -Required [rtter of Notificaion -l certi& that the fcdcral regulations regarding asbestos removal are not applicable to this project. f%iry tha I havc read thb application and state that the abovc infonnation is correct. I agre to comply with all City and County ordinanccs and State laws relating to building and hereby authorizc reprcseilatives of this City and to cnter upon the above merltioncd property for inspection Applicnnt or Agent Permitee name ( Zoz+> Site-Work Underground Pole Bases Light Standards Spas, Poo!, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm I Dampers Communications Cable Building Under Slab / Floor Bonding I Groundinq / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soffit Roush Ceilinqs (T-Bar Rouqh) Meter Release Rouqh I Service Meter Pr I rL c2- FINAL I )t1 l'10 yr++f o/ Noles, Remarks, Etc.I I )r ( lAISI I I + Rev. 08-07 -201 5 Carrier: