HomeMy WebLinkAbout20172031 - PermitC
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electtical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O172O3{
Pin #: 52fi,42
Proiect Address: 2528 N Oakmont Avea
Assessor's Parcel: 003-050-35 Lot: 5&POR4
Unit:
Block: NA
Bldg:
Tract: 1294
Address Range:
Historrc: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Susan Taylor
2528 N Oakmont Avenue
Santa Ana, CA 92706
(562) 760-8480
Sol Volta
22557 Hatteras St
Woodland Hills, CA 91367
(833) 76s-86s8
01 1 1 6002 51 603
01 1 16002 51603
01 1 16002 51600
01 1 16002 s1603
01116002 57770
Fee Type
Serv Meter
Trust Applied
General Plan Update
I ssuance
Microfilm Records
Amount
1 56.51
-144.54
23.79
59 30
405
Qty
100
1.00
100
1.00
1.00
Fee
$1 56 s1
$-144 54
$23 7e
$5e 30
$4 05
tr tce;
-.-L I rl-l-1,7 r
'lI't + : [l
nOnSOr-
I
t
State Lic #: 1037346
Lic Type: C-10
Bus. Lic #: 376356
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9229730
Expires. 0411312021
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
Electrical
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2019 Notes: Electrical for service meter. Fees pd on 20171969
applied to this permit. Handout given.
't0t22t2020
Account#
Misc. Receipt:
Misc. Receipt:
Mrsc. Receipt:
Total
, Julie
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 the sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
0111600251600
01 1 16002 51603
01116002 57770
$23 7e
$71 27
$4 05
Fee Total:
Paid to Date.
Balance Due:
$99 11
$0.00
$es.11
t_
Inspector MtD# 2020-1 61972
\
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor -1. t A
ll4:'b.ulflBonding I Grounding I UFER Hfilfu (0\t'
Transformers ,' ,
Torqueing
Sub-Panels
Air Conditioners /
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Igilings (Hard & Soffit Roush
Ceilings (T-Bar Rough)lt ,
N/eter Release )llb/h)6'L{ZLi@t tlx
ll
Rough II al f!
Service lVleter ilM',A lWrin $/Y
FINAL '2/2 elart Dba.lh ,fatr[
Noles, Remarks, Etc.r
c7(
ArV
I
}IT]II,DIiR
I hereby affirnr under penalty of perjury that I arn exempt fronr the Cbntractoni' License [:w for the following reason (Sec.7031.5
Iiusinc.ss and Prol'cssion Codc): Any City or County which requircs a pcrrnit to construct, atter. irnprove, demolish or rcpair any
slructure, prior to ils issuance. also requires the appliczutt for such grnnit to file a signed slaternent that lr or she is liccnscd pursuant
to the provisions of the Contractor's l,icenscd law (Chapter 9. Commcncing with Section 7fi)0 of Division 3 of thc Bu.siness and
Professiotts Codel or tltat lrc or slrc is exempl therefrom arxJ tlre basis for tlr alleged exenrption. fuiy violation of Section 7031.5 by any
applicunt for a pennit subjects the applicant to a civil pcnalty of not nrore than [ive hundred dottars ($500).
-1.
as owncr ol'the propcrty. or my crnployees with wages as their sole compcnsation, will do the work and the stnrcture is not
intentled or offered for sale (Sec'.7044. Business and Prufcssions Code: The Contractor's Licensc Law does not apply to an owncr of
the properly wlro builds or ilrtprrves thereon, and wlm does such work himself or lrerself or through his or her own enrployees,
providcd that such imprrrvctrcnts arc rnt intcnded or olTcrcd for sah. Il. howcvcr, rhc building or furprovcnrcnt is sold within orc )car
of complctitrru thc Owrrcr Buikler will have the burden of pnrving that hc or she did not buikl or inrprove thc propcrty for rhc purposc of
sale).
-1.
as ownet of the propcrty, um exclusively contracting with licenscd conlractors to construct thc project (Sec. 7044, Busincss
and hofession Code: The Contractor's License Law does not apply to an owner of property who buil<Js or improves thereon,and who contracts for such projccts with a Contractor(s) licensed pursuant to thc Contractor's License l-aw).
-IantexemptunderSectiott-,B.&P.C.lbrthlsreason.
WORKERS' COMPI'NSATION
DECLARATION
I hcrcby affirm undcr pcnalty of pcrjury one of thc tbllowing dcclarations:
-l
have and will nnintaitt a Certilicate of Consent to Self-lnsure for workers' conrlrcrxation, as pruvided for by Section 3700 of the
4ffi;
for the grcrformancc of thc work lbr which thc perrnit is issued.
will nraintain workers'insurarrce, as required by Section 3700 of the labor Code, for the Jrerfonrnnc'e of
is compcnsation insurancc carricr and policy numhcr are:
D
-l
ccrlify that in thc lrcrfornuncc of thc work for which this pcrmit is issucd, I shall not cmploy any pcrson in any manncr
so as to bccomc subjcct to thc work!'rs' compensation laws of California, and agrec that if I stnuld becomc subject to the
worliers' contpensation pruvisions of Section 3700 of the Labor Code, I shall, furthwith comply with those provisions..
WARNING: Failure to secure workers' compensation coverelge is untawful, and shall subject an cmployer to criminal pcnaltics und
compensalion, damages as provitled for thecivil lines up to one tlxrusand dollars ($100.000). in addition to tlrc of
Scction 307(r intcrcst and attorncy's l'ccs.
I.I (]T]NSI'D CONTRA C'I'()R
DECII\RATION
I hereby affirm under penalty of perjury that I anr liccnsred under provision of Chapter 9 (comnrencing with Section 7000) of Division 3
of the Business and Professions Code. and my licensc is in full force and effect.
Numbcr: /o3 73/C
CONSTRUCTTON LENDING AGENCY
I hcrcby allirrn under pcnalty of pcrjury that thcre is a construction lending agcncy for the pcrlbrmancc of thc work lbr which this pcrrnit is
issued (Sec. 3097. Civ. C.).
bnder's Name:
lrnder's Address:
APPI,ICA NT DECI,ARATION
I lucby allirm undcr pnalty of pcrjury onc of thc f<rlkrwing dcclarations:
Dcnrolition Pcrnrits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Parr6)
_Rcquircd l,etter of NotiFrcatkrn
Sl, ccflily that thc federal rcgulations regarding asbcstos removal are nor applicable to this project.
I(btt tlral I have read this appticatiorr and state thar the above intbrmarion is corect. I agree to conply wirh all City and County
ordinanccs and Statc Laws rclating Io building construction,City
rrrcntioned purposes.
or
abovc
nanlc
property [or inspection
and hcrcby authorizc rcprescntativcs ol'this and to cntcr
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ELECTRICAL-INSPECTOR RECORD
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