HomeMy WebLinkAbout20171590 - 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 #:20{71590
Pin #: 41576
Proiect Address: 928 S Cedar Sta
Unit:
Block: NA
Bldg:
Tract: 3078
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 011 -236-02 Lot: 9
Owner:
Address:
Graciela Alfaro
928 CEDAR ST
Santa Ana, CA 927016212
(213I- e08-8229
01 1 1 6002 s1 603
01 1 1 6002 51 600
01 1 1 6002 51 603
01116002 57770
Fee Type
Serv Meter
General Plan Update
I ssuance
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
$59.30
$4.05
Phone:
Tenant Name:
Contractor:
Add ress:
Tower Power Electric
519 Poinsettia Street
Bakersfield, CA 93307
(661) 333-3e4ePhone.
State Lic #: 820382
Lic Type: B, C-10
3us. Lic #: 373454
V\'crkers' Compensation I nsurance:Carrier: Ohio Security lnsurance Company
Poliiy #: XWS59430369
Expires: 0110412021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Service meter upgrade
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019
Notes: Service meter upgrade. Handout given.
Planning Conditions:
a
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave 07131t2020
Account#t
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
/ssuance, 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 1 6002 51 600
01 1 1 6002 s1 603
01 1 16002 57770
$23 79
$1 16 70
$4.05
Fee Tota!:
Paid to Date:
Balance Due:
$144.54
$0.00
$144.54
lnspector lMlD#: 2020-160484
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O1VNER BUILDER DEI,CARATION
t hqeby aflim und6 pqalty of pojury that I m cxmpt ftom thc Contlaclos' Licffi taw for thc following lt@n (Se.7031.5
Busin6s ild Prcfasion Codc): Any City or County which requirc a pamh to costruct, alt6, improvc, dmolish or rcpai ily
structw. prbr to its isuoce, also rcquirc thc applicmt for such pcmit to filc a signcd statmot thal hc or dE is licm€d pwsnt
to thc provisios of the Contractor's Licenscd lrw (Chaptq 9, Comcncing with Sction 7000 of Division 3 of thc Busine ud
Prcfcsions Code) or that hc or shc is cxcmpt thqcfrom ed thc bais for thc allcgcd qmption, Any violation of S6{ion 7031.5 by ily
applicantforapcmitsubjetsthe applicanttoacivilpcnaltyofnotmorcthafivchundrcddollm($500).
_1, s owner of thc property. or my employees with wages as their sole compensation, will do the work and the stnrcturc is not
intended or offered for sale (Sec.7044, Business and hofessions Codc: The Contractor's License Law does not apply to an owner of
the property who builds or improves ther@n. and who does such work himself or herself or through his or her own employecs,
provided that such improvonents are not intended or offered for sale. I(, however. the building or improvement is sold within one ytar
of complaion, the Orvner Buildcr will have the burden of proving tha he or she did not build or improve the propoty for the purpose of
sale).
_1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Btsiness
and hofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves lhereon,
and who contracts for such projeds with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
am exempt under Section-, B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATTON
I hereby aflinn under pcnalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
'ff::-for thc performance of the work for which the perrnit is issued.
3700 of the labor Code, for the pei'formance of
the work for and policy number are:
poricy*"^*.FPa)Lll3C'l-t (
Expires:-l-(
!
_l cerri$ that in the perfonnance of thc work for which this permit is issued. I shall not employ any pcrson in any manner
so as to become subject to the work€rs'compensation laws of California, and agree that if I should become subject to the
workers' cornpensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an onployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000), in addition to the cost of compensation. damages as provided for the
Section 3076 of the tabor Code, interest and attorney's fees.
ll.rtn.
LICENSED CONTRACTOR
DECT.ARATION
I hereby affrnn under penalty of perjury that I am licensed under p,rovision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effcct.
Licensect^u, T- C tO
License Nurnbcr:lc>L1+L('(
W
I hmby smm undtr pcnalty of pqjury thd thsc is a condruciion knding agocy for thc psfomcc of thc mrk 6r which thb pqrnh is
issucd (Sc. 3097. Civ. C.). .
tgrdq's Nme:
Lender's Address:
,
APPLICANT DECLARATION
I herdry affinn under pcnalty of perjury one of thc following dcclarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Requircd
Later of Notification
-l
cdiry that thc Hqal rcgulatioB rcgoditrg cbctos moval ae not applicsble to this prcjet.
-l
cqtiry that I havc sd this application dd stalc that thc sbovc infomstion is corol. I agre to comply with all City ed County
ordirucB ud Statc laws claring to buildin&Eorotrucrion. ad hqcby authorirc rcFMtativ6 of tNs City md County to @lE upon thc
above mqtioncd prcpcny for irepcfion nr6s
ApprcmrorAsqrs r"n rrn /# . on , 7- 7C) - 70
,"-U**rrrr*rl
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire AIarm I Dampers
Communications Cable
Buildinq
Under SIab / Floor ,I I
Bonding I Grounding / UFER -W-[N lt ltq ?i wz
Transformers lt
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Rough
Ceilinss (T-Bar Rouqh)
Meter Release lfr 7
I
Rouqh I zl
Service Meter t,l-7 7
FINAL Irl (4 6 7 >(WZ 7
Notes, Remarks, Etc.I t
Rev. 08-07-2015
a -' )o-zODate:_
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