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Home My WebLink About20167961 - PermitProject Address: 916 1/2 N Louise St Assessor's Parcel: 405-262-09 Lot: NA Unit: Block: NA Bldg: Address Range: Tract LOURIES SUB. Historic: No Suite Range: Zoning: Rl 1, City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:20167961 Pin #: {OO3O Owner: Address: Phone Patricio & Carmen Lopez 916 Louise St Santa Ana, CA 927032148 (7141 6314010 Fee Type 01 1 16002 51603 New Res 01 1 16002 51603 Subpanel 01 1 16002 5160C General Plan Update 01 116002 51603 lssuance Amount 0.14 53.28 22.08 55.04 Qty 523.00 1.00 1.00 1.00 Fee $73.22 $s3.28 $22.08 $5s.04Tenant Name: Contractor: Address. Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: ?/7 /21-tL? i'r nn s* : 3tt I'ief * I 2/7 /2(tI9 al ;?r:l 1r'niEn Loriet pdnte Fee i[t[t[t* if:tIr_rt r0- { FC''I .-r.JO Building Use: Job Type: Nature of Work: Single Family Dwelling New New 2nd Dwelling Unit Occupancy: Constr Type: Code: R-3, U VB cEc 2016 Planning Gonditions: Planning Approval By: Plan Checked By: Permit lssued By: Zuniga, Allissa Subject to Field: Building Permit #: 1 0197 473 Mi:.02t07t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Auth on file. Fee Total Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51603 $22.08 $181 .54 $203.62 $0.00 $203.62 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance , or if the work authorized on the site by such permit is suspe nded or abandoned for a period of 180 days after the time the work is commenced. lnspector MID#: 201 8-1441 81 ELECTRICAL.! NSPECTOR RECORD f)..t rto ,'t? rn { r::. APPROVALS DATE !D/SIG.COMMENTS OWNERBUILDERDELCARATION ' ' I hrcby affm unds pcoslry of psrjury thd I m cxmpt ftom thc ContEctoa' Liicnrc taw for thc fotlowing @n (Se.7031.5 Bsin6s ad Profcssion Codc): Atry City or Couty which rcquirc a pornh to @nstruct. altc, improve dmolish or rcpair oy slructre. prior to its issuucc. also rcquirs thc applicilt for such pcmit to filc a signcd statmot thar hc or shc is licqNcd psult to thc provisio$ of thc Contractor's Lienrcd Law (Chapts 9. Comcncing with Sction 7000 of Division 3 of thc Busins md ProfsioN Codc) or that hc or shc is cxcmpt thrcftom ad thc bssis for thc allcged amption. Any violation of Scrion 7031.5 by my applicut for a pmit subjsts thc applicant to a civil pcmlty of not morc thu fivc hundrcd dollus ($500). _1, 6 omq of thc propcrty, or my cmployG with wag6 6 their slc compflsalion. will do the work dd thc $rudrc b mt intqrdcd or offqed for slc (Sc.7044. Busitrs md hofsioro Code: Thâ‚¬ Contrector'3 Lic4c Law do6 not apply to m oma of the prcpqty who builds or imprcc thq@n, aod who do6 sch rcrt himclf or hcrclf or thrcugh his or hc om mployc. providcd that such improvqmb @ mt intodcd oroffrcd 6r slc. I[ hows. thc tuilding or im[ro@t is sH within onc ]sr of ompklion thc o\rna BuiHq will h8w thE htrdo of proviry thd hc or dtc did mt build or improvc thc propdy for rhc purpos of sdc). _1. as owner am exclusively contracting with licensed Business and ttofession Code:License Law does not to thereon. and who contracts for such with a -l an Y .c. I hereby affrrm under peralty of pcrjury one of the declarations: _l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the pcrfonnance of the work for which the perrnit is issued. _l have and rvill maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance of the work for which this pennit is issucd. My workers' compensation insurance carrier and policy numttcr are: Policy Numbcr: ExPires: _l certify that in the performance of thc work for which this permit is issued. I shall not employ any person in any manner so as to bccome subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with those provisions.. WARNING: Failure to secure workers' compcnsation coverage is unlawful. and shall subject an employer to *,N,and civil fines up to one hundred thousand dollars ($100.000).to the$st of ils for the Section and t hereby affirm under pcnalty of pcrjury that I arn licensed under 9 (comrnencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class: Licensc Number: Date, Contrectori CONSTRUCTION LENDING AGENCY I hrcby affm undo pcnalty of pqjury thar thEe is a corgruclion lading agmcy for thc pqfomcc of thc work for which this pqmit b issucd (Sc. 3097, Civ. C.). APPLICANT NECLARATION I hercby affirm under pcnalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Part6) -Required lrtter of Notification -l certi[ that the lbderal regulations regarding asbcstos removalare not applicable to this project. -l cerlify that I have read this application and state that the above information is I ordinances and State Laws above rnentioned property for Applicant or Agent I'ernritee nanre and Site'Work Underground Pole Bases Lisht Standards Spas. Pool, Fountains Siqns (monument) Life Safety /Low Voltaqe Fire AIarm I Dampers Communications Cable Buildins Under SIab / Floor Bondins I Groundins / UFER Transformers Torqueincl Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit tl ?t ,\ Walls (Conduit)t l7,,lwt {-n ttrt f/ Walls (Rouqh)/l/ u lYv Ceilinss (Hard & Soffit Rouqh Ceilings (T-Bar Roush) Meter Release I , Rough /t Ll Z,o P tfi?/lry Service Meter vl t/Al ,ao F!NAL tcl/tr/eD *f_rt(,ru6dc Notes, Remarks, Etc.(l t to the Contractor's License Larv). ('t \ I)ate: