HomeMy WebLinkAbout20152984 - Permitt
city of santa Ana 20 civic center Plaza (M-19), santa Aru, cA 92702 Electrical Permit #: 20152984
Pin #: 85383PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Proiect Address: 3500 W MacArthur BIvda
Assessor's Parcel: 414-262-09 Lot: NA
Unit:
Block: NA
Bldg:
Tract: WILLIAMS
Address Range:
Historic: No
Suite Range:
Zoning: M1
Owner:
Address:
Phone:
The Home Depot
3500 W MacArthur Bl
Santa Ana, CA 92704
(7141 966-8551
Fee Type
01 1 16002 51603 Special Event
01 1 16002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
138.22
19.04
47.48
Qty
1.00
1.00
1.00
Fee
$138.22
$19.04
$47.48
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone.
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Carvajal, Verny 11t19t2013
11t19t2013
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Commercial
Miscellaneous
Special Event
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2010 Notes: Christmas tree loUhandout given LUC-2013-1 13
$ernandez,Kathy
Every permit issued shall become invalid unless fhe work
on the sife authorized by such permit is commenced within
180 days afterifs issuance, or if the work authoized on the
sife by such permrf ,s suspen ded or abandoned for a period
d 1 80 days after the time the wofu is commenced.
01 1 16002 51600
01 1 16002 51603
$19 04
$185.70
Fee Total:
Paid to Date:
Balance Due:
$204.74
$0.00
$204.74
Inspector MID#: 2013-110977
\
CAL-INSPECTOR RECORD (r|D
APPROVALS DATE ID/SIG.COMMENTS Omcr-Buildcr Dch.rion
I hcrcby rffirm undcr pcuhy of psjury thrt I m cxcmpr fom thc Controcloro' Lien* Llw for rhc following rcen (s 701I 5 Busincss
ud I'rofcssion Codc): Any Cily or Couily which rcquircs r pcmia to @nstruct, rhcr, improvq dcmlirh or r.prir uy structuc, prior to its
irsurre, rlrc rcquircs thc ippliqtlt for $ch pamit to 6lc a signcd strrcmcna dut hc or lhc ir licctr$d pursuet to thc provisiom of fic
Contractor's Licensed Law (Chapter 9,with Section 7000 of Division 3 of the Business and Professions Code) or that he or
exemption .Any violation of Section 7031 5 by any applicant for a permit subjects rhe
rpplicrnt b s civil pcnrlty ofnot morc thm fivc hundrcd dollm ($500)
---1, ro omq of thc prcpqty, o. my smploye with wrgcr rs rhcir rclc ompcnsrtion, will do thc work rnd rhc ctruquc is mt intcadcd
or ofcrcd for slc ( Sc.7044, Busimr md Prcfcrrionr Codc Thc Cotrrtcttr'r Liene Llw dG nor rpply ro D omcr of rhc prcpcny
who builds or improve Ocmq md who der rch work himrclf or harclf u tluough his or hcr our cmploya, providcd thsr such
improvcmcnts arc rct inrcndcd or offcrcd for de. If, howcve, thc building or improvcmcnt is sold within onc yc{ ofcomplction, thc
Owrer-Buildcr will havc thc burdcn ofproving that hc or shc trot build or improvc for thc purpor ofnlc).
-1,
s omq of th€ propqty, rm qclusivcly onraaing with lienscd ontrrctors rc oorna rhe projet ( Sff ?04.1, Busincss md
Pofcsion Codc: Thc Contncbr'r Li@o$ Irw dG not spply to m omcr of propoty who builds o improve theron , md who
ontrrcts for uch prcjetr with E Contrrdq(3) liccnsad pur$rnt to thc Conrrclor'r Licens l-rw.).
_l arn excmpt under Scction .8. & P.C. for
o",. l{-[4- t j o*no
I herr:by affirm under penalty of perjury one declarations.
--l hrvc ud will mrintrin r Cstifiotc of Corenr to Sclf-lnuc for rcrtss' mmpcNtior\ !s providcd for by Sarion 3700 of thc
Lebor Codc, for fic pcrfomane of rhc wotk for which thc psmit ir i$ucd
-lhaveodwillmaintsinworkcm'ompcnsationinsurancc,ar
rcquircdbyScctionST00ofrhcLlborCodc,forrhcpcrfomaneoflhe
work for which this pcmit is isucd. My worhas' compcnution inrurue cenio rnd policy number ue
('arrir:r
Policy Numbcr: Expirca:
(This scction nr oi bss)
_-- I ccrtifu that in the pcrformancc of the work for which this permit is issued, I shall not employ any person in any manner so as to
becantc subject to the workers ' compensation laws of California, and agrce that if I should bccome subjecr to the workcrs'
;:jj jT e'rT i
-
i,'ri'-,i W with those provisions
WARNING: Failurc o surc workcru' @mpcnlation covcragc is unhwful, md rhrll nbjar m cmploycr to eiminal pcuhics ad civil
6ncs up to onc huodrcd thourud dollm (S100,000),io sddition 10 $c @sr of @mpcnsliot\ drmgct I provid€d for fic Sdion 30?6 of
thc kbor Codc, intcrEt ud rttmy's fB.
I.ICENSED CONTRACTORS DECl.ARATION
I hcrcby afrirm unda pcmlty of pcrjury that I m liccnrcd undcr prcvirion of Chrprs 9 (@mcncing wifi S6rion 700o) of Divirion 3 of
thc Bulircss and Profcssionr Codg rnd my liccuc it in full force md cffer.
License Class:
Date:
License Number
Contractor: --
CONSTRTICTION I,ENDING AGENCY
I hcrdy affim unda pcmlty of pcrjury $.a thqc i3 r onstructiotr lcnding rgcncy for thc perfomrncc of thc wok for which this prcrmil is
issuad (Ss. 3097, Civ. C.).
Lcndcr'r Nrmc:
Lender's Address:
A PPI,ICA NT'S DECI,A RATION
Demorition Permits-Asbestos Notification Federal Regulations (Title 40, Part 6)
_* - Required Letter of Notification
__l csdry thrt th€ fcdcrrl rcguhtionr rcgsding rsbcsror rcmovrl rc not applioblc to this projet
-
I @niry thar I hrvc red thir rpplicrtion ud $8tc thlt thc sborc infom.lion is @rd. t lgre ro @mply *irh all Ciry rnd County
ordinances and State laws relating to building construction, and hcrcby authorize rcprescntatives of this City and County to enter upon the
above mcntioned property for
Applicant or agent sig l)atc ll-
IPermittee name (print):iuKl
tu t7
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Grounding / UFER
Transformers
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release EYEIII lEn
-,
ll I rID I'
Rough nFntt 20?t
Service Meter -J ,-1 -.FINAL )ruyl\., O-+O, Zt u, 556, 667 --lfg)t\e{rrf4o )
Notes, Remarks, Etc.wv V
Torquing