HomeMy WebLinkAbout20171484 - 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 #: 20171484
Pin #: 28,o,6^7
Project Address: 1227 S Orange Ave Unit:
Block: G
Bldg:
Tract: 266
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 014-01 3-08 Lot: 7
Owner:
Address:
Benjamin vallejo
1227 S orange ave
Santa Ana, CA 92707
(7141 227-2615
01 1 16002 s1603
01 1 16002 51603
01 1 16002 51603
01 1 16002 s1603
01 1 16002 51600
01 1 16002 s1603
01 1 16002 s7770
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1.70
Light Fixtures 1 .1 3
Dedicated Circuit 26.71
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
14.00
4.00
6.00
7.00
1.00
1.00
1.00
Fee
$21 .98
$6.80
$6.78
$186.e7
$23.79
$59.30
$4.05
Phone:
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:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019 Notes: Electrical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web_user
Date:
Date:
Date:07t09t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 authoized on fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
N/A
N/A
No Balance
No Balance
Fee Total:
Paid to Date:
Balance Due:
$309.67
$30e.67
$0.00
Inspector MID#: 2020-1 60046
I
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundins I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)I I t -?
Dl'\1n4,.Walls (Roush)1 l@':N Wbz
Ceilinss (Hard & Soffit Rouqh \u
Ceilinss (T-Bar Rouqh)
JVleter Release
Rouqh
Service N/eter II
FINAL I t lo JXtryCI r
Notes, Remarks, Etc.
OWNER BUILDER DIi,I,CA RATION
I hereby affrm untler penalty of prjury that I anr exenrpt from the Contracton' License l-aw for the following, reason (Sec.7031.5
Business and Prol'ession Code): Any City or County which requircs a permit to conslruct, alter. irnprovc. dcmolish or rcpair any
structure, prior to its issuance. also reguires the applicurt for such pcrnrit to fih a signed slaternent that lr or she is licensed pursuanl
to the provisions of thc Contractor's l.iccnscd law (Chapter 9, Commcncing with Section 7000 of Division 3 of the Business and
Professions Code) or that he or she is exen4rt therefrom and tlrc basis for tlre alleged exentption. Any violation of Section 7031.5 by any
applicant for a perrnit subjects the applicant to a civilpenalty of not more than five hundred dollars ($5tttt1.
_1. as owner olthc property. or my ernployccs with wagcs as their s'ole compensation, will do thc wcnk and the struclurc is not
irrterrded or offered for sale (Sec.7H4. Business antl Professions Code: The Contractor's License Law docs not apply to an owncr of
the property wlro builds or improves thereorl arxl wlro does such work himself or lrerself or through his or her own enrployees,
provided that such impmvcnrcnts arc rnt intendcd orolTercd for salc. Il. hnwever, the building or inproracrrcnt is soH within orc ye:r
of conpletion, thc Owncr Buil&r will have the burden of pmving ttrat hc or she did not buill or inrprove tlrc pmpaty for thc purposc of
sale).
_1. as owner of the property, am exclusively contracting with liccnscd conuactonr to conslruct thc projcct (Sec. 7044. Business
arxl hrofesskn Code: The Contractor's Licerrse Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Conuactor's Licensc Law).
-IantexemptunderSection-,B.&P.C.forthisreason.Owner:
WORKEILS' COM PENSATION
DECLARATION
I hcreby affirm undcr penalty of pcrjury one o[ thc lbllowing declarations:
_I have and will nraintain a Cerlilicate of Consent to Self-lnsure for workers'compensation. as provided for by Scction 3700 of thc
L:bor Codc, for the Jrerformance of thc work for which the pennit is issued.
_l have arrd will maintain workers' conrpensation insurarrce, as required by Section 3700 of lhe l-abor Code, for lhe lrcrfontutrce of
thc work for which this prmit is issucd. My workcrs' comlrcnsation insurance carrier and gnlicy number arc:
Policy Number: l:xpires:
_l ccrtify that in thc 1,.*rfornnncc of thc work for which this permit is issued, I shall not cnrploy any pcrson in any manncr
so astobccorncsubjccttothcworkcrs'conrporsationlawso[California,andagrcethatiflshouldbecomcsubjecttothe
workers' conr;rnsation provisions of Section 3700 of the labor C'otle, I stull, forthwith conrply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shal! subject an cmployer to crirninal penaltics and
civil fines up to one hundred thousand dollars ($l00.Un). in addition to the cost of compctsation. danrages as provided for the
Section 3076 of the [:tnr Codc. intcrcst and attorncy's l'ccs.
LICENSED CONTRACTOR
DECLAITATION
I hcrcby affirnr under pcnalty of perjury that I anr licensal under provision of Chapter 9 (conutrcncing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full forcc und effect.
License Class: License Number:
fl.,r -.
CONSTRUCTION LENDING AGENCY
I hcreby allirm under Jrcnalty of pcrjury that thcrc is a construction lcnding agency for the perlbnnance of the work ltrr which this pcrmit is
issued (Sec. 3097. Civ. C.).
lrnder's Nanrc:
lrnder's Address:
APPI,ICANT DECI,ARATION
I hrcby affrnr under pnalty of pcrjury one of thc following rlcclarations:
Dcnrclition Pernrits-Asbcstos Notification Fcdcral Rcgulations (Tille 40, Part6)
Requircd lrttcr of Ntxif,rcation
_l certiti that thc fcdcral rcgulations regarding asbestos rcmcrval iue not applicablc to tHs pro]xt.
_l certify that I luvc rcad this application urd stutc that lhc above infornution Ls corrcct. I agrcc to comply with all City and County
ordinances and State Laws relating to building constructioru and hcrcby autlnrizc rcprcscntatives of this City and County to enter upon thc
abovc mentioned propcrty for inspection purposcs.
Applicant or Agent Date:-
I'crnritec nanrc ( nrinl l:
ELECTRICAL-INSPECTOR RECOR D
a
Rev.08-07-201
Conlractor: