HomeMy WebLinkAbout20172332 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:2O172332
Pin #: 320,8,2
Proiect Address: 413 N Linwood Avea
Assessor's Parcel: 398-393-13 Lot: 18
Unit:
Block: NA
Bldg:
Tract: 319
Address Range: 411413
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
CAROLYN SCHAFFER
413 N LINWOOD AVE
Santa Ana, CA 927014326
(7141 6s74327
Toto Air lnc
12734 Bessemer St
North Hollywood, CA 91606
(818) 387-5021
Fee Type
01 1 16002 51603 FWU
01116002 51600 General Plan Update
01 1 16002 51603 lssuance
01 1 16002 57770 Microfilm Records
Amount
26.71
23.79
59 30
4.05
Qty
1 .00
1 .00
1 .00
100
Fee
$26.71
$23 79
$59.30
$4.05
Contractor:
Address:
Phone
State Lic #: 1057901
Lic Type: C-20
Bus. Lic #: 376825
Workers' Compensation I nsurance.Carrier: State Fund
Policy #. 9262898
Expires. 0111512021
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
Alteration
HVAC
Occupancy:
Constr Type
Code:
Date.
Date:
Date:
R-3, U
VB
cEc 2019
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Notes: Replace A/C compressor
Fee Total:
Paid to Date:
Balance Due:
Amsden, 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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
11t20t2020
Account#
01 1 1 6002 51 600
01 1 1 6002 51 603
01116002 57770
$23.79
$86.01
$4 05
$11385
$0 00
$t t 3.85
lnspector MtD#. 2020-162025
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ELECTRICAL-INSPECTOR RECOR D
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underoround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq lGroundino I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Roush
Ceilings (T-Bar Rough)
N/eter Release
Rouqh
Service Meter I I I
Ah
oFINAL ,
L1 u \/lv{x6
l'lNotes, Remarks, Etc.
I hereby affirnr untler penalty of perjury that I arn exempt fmm the Contractors' License l-aw for the following, reason (Sec.7031.5
Busincss and Profession Codc): Any City or County which requircs a permit to construct, alter, irnprove, demolish or repair any
structure, prior to its issuance. also requires the applicant tbr such grcrnrit to file a signed slaternent that lr or she is licensed pursuant
to thc provisions ol'thc Contractor's l.iccnsed L-aw (Chaptcr 9. Commencing with Section 70fi) of Division 3 of thc Busincss and
Professions Code) or tlut lu or she is exenrpt therefronr and tlre basis for tlre alleged exemption. fuiy violation of Section 7031.5 by any
applicant for u pennit subjects thc applicant to a civil penalty of not more than five hundred dollars ($stttt).
_1. as owner of thc propcrty. or my crnployccs with wages a.s their solc compensation, willdo ttrc work and thc structure is rrrt
intcrxlctl or offered for salc (Scc.70l4. Busincss and Professions Cqle: Thc Contraclor's Licensc Law docs not apply to an owner of
the prcgrerty wlro builds or inprows thcrmrl and who does such work himself or herself or thruuglr his or her own entployecs,
provided that such irnprovcrrcnts arc rnt intcndcd oroflercd for sah. Il. howevcr, t}c building or inprorrcnrnt is soH within onc ),ear
of complctioru the Owrrer Buikler will have the burden of proving tlut hc or she did not builtl or inprove tlre propary for thc purposc of
sale).
_1. as owner of the property, um exclusively contracting with liccn.scd contractors to conslruct thc projcct (Sec. 7044, Business
and hrofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contmcts for such projects with a Contractor(s) liccn.scd pursuant to thc Contraclor's Licensc l-aw).
-IantexemptunderSectitltt-,B'&P'C.lbrtlrisreason'
WORKERS' COMPENSATION
DECLARATION
I hereby aftirm under grcnalty of pcrjury onc of the following declarations:
EL, have and will nraintain a Cerrificate of Coment to Self-Insure for workers' compensation, as provided for by Scction 3700 of thc
Labor Code, for the performance of the work for which thc pcrmit is issued.
Code, for the Jrcrf<rrttuurce of
alc:
Policy
_l ccrrify that in tlrc ;rrftrrnuncc of thc work for which this pcrmit is issucd, I shall not cmploy any person in any manncr
so as to bccomc subject to thc workers'compcnsation laws of California. and agrce that if I should bccomc subject to the
workers' conrpensation pruvisiorrs of Section 3700 of the Labor Code, I slrall, forthwith conrply wilh thosc provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crirninal penaltics tnd
civil fines up to otre hundred thousand dollars ($100.000t. in addition to tlrc cost of contpetusation, danuges as provided for the
Sc'ction 3076 of thc [:krr Codc, intcrcst and attorncy's lbes.
*,,n*,, Q? (ra(93 ,xpires:
,",., tttza (z-,
Licensc crurs, C &() Liccnsc Numbcr:[os13o\
I hercby affirnr under penalty of perjury that I anr licensetl
of the Business and l'rofessions Code. aM rny license is in full forcc and effect.
Applicant or Agent
Itcrmitce name
9 (conrnrncing with Section 7000) of Division 3
I hcrcby al'l'irm undc'r pcnalty of pcrjury that thcre
issuetl (Sec. 3097. Civ. C.).
a construction lending agency for thc pcrlbrrnancc of thc work lbr which this pcrrnit is
[.cnder's Name:
Lrnder's Address:
APPLICANT DECLARATION
I Hry affirm under pcnalty of pcrjury one of thc following declarations:
Denrolition Permits-Asbcstos Notification Fcdcral Regulations (Title 40, Part6)
_Required l,ettcr of Nuifrcation
_I certify that thc fcdcral regulations regarding asbcstos rcmnval are not applicable to this pro!:ct.
3ln ccrtify thar I havc read ttris application urd state tlrar lhe above informarion is corrcct. I agrerc to conply with all City and County
'ordinances and State Laws rclating to building consuuction, and hcrcby authorize representatives of this City and County to enter upon the
abovc rrrcntioned propetly for inspection purposes.
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Bev. 08-07-201 5
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