HomeMy WebLinkAbout20172189 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrica!
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:20172{89
Pin #: 55852
Proiect Address: 321 0 S Genter Sta
Assessor's Parcel 412-092-20 Lot: 36
Unit.
Block: NA
Bldg:
Tract 7644
Address Range:
Historic: No
Suite Range:
Zoning: Al
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address:
Phone:
CARLOS P SOTO
3210 S CENTER ST
Santa Ana, CA 927046609
(949) 619-9835
Jose A Veliz
322 E Smith Street
Long Beach, CA 90805
(eoe) 562-24s2
01 1 16002 51603
01 1 16002 5160C
01 1 1 6002 51 603
01 1 16002 5777C
Fee Type
FWU
General Plan Update
lssuance
Microfilm Records
Amount
26.71
23.79
s9.30
405
Qty
1.00
1.00
1.00
1.00
Fee
$26.71
$23.7e
$se.30
$4.05
State Lic #: 1004945
Lic Type: C-20
Bus. Lic #: 363187
Workers' Compensation I nsurance:Carrier: Norguard lns Co
' Policy #: VEWCIS6OIO
Expires: 0310312021
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
A/C & FAU
Zuniga
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
10t28t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical for A/C change out
Fee Total
Paid to Date:
Balance Due:
Every permitissued 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 site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.7e
$86 01
$4.05
$1 13.85
$0.00
$1 t 3.85
Inspector MID#: 2020-162462
ELECTRICAL.INSPECTOR RECORD
Rev. 08"07-20 1 5
APPROVALS DATE ID/SIG.COMMENTS OWNIER B I'II,DIiR DIiI,CA RATION
t hereby affinn under penulty of perjury that I anr exerrryt fronr the Contractoru' License [-aw for the following, reav)n (Sec.7031.5
Busincss and Prol'cssion Codc): Any City or County which rcquircs a pcrrnit to conslruct, altcr. itnprovc. dcrntrlish or rcpair any
structure. prior to its issuance. llso requires the applicant fbr such Jrernilt to file a sigrred slatemenl that lte or slte is licensed pursuanl
to thc provisions of tlrc. Contractor's l,iccnscd taw (Chaptcr 9, Commcncing with Scction 7fl)0 ol' Division 3 ol'thc Bu.sincss and
Pnrfessions Ctxlc t or that lrc or slrc is exenrpt therefronr and the basis for the alleged exenlption. Any violatittn of Section 703 L5 by any
applicant fior a pennit subjects the applicant to il civil penalty of not rnre than five hundred dollars ($5tttt1.
_1. as owncr ol'tlrc prop(-rty. or tny ernplovccs with wagcs as thcir solc cornpcnsation. willdo thc work and thc structurc is not
interxJed or offeretl for sale ( Sec.7()1.1. Busincss and Professiorx Ctxle: The Contraclor's Licensc Law does not apply to an owner of
the pnrllerty wlxr txrilds or inqrroves tlrreon, arxl wlxr dtrcs such work hintself or lrerself or through his or lrcr own entployees,
provided that such irnprovtlncnts arc not intcndcd orolfcrcd for salc. ll. howcvcr. thc building or itnprrvetnent is sold within one ycar
of conpletion, tlre Owrrcr Builder will have tlrc burden of pmving that lre or she ditl mt build or impnrve the propelty for tlre purprse of
srlt').
_1. as owner of tlre propetly, ilm exclusively contracting with licensed contractors to construct thc project (Sec. 7(X4. Business
aud hulbssiorr Code: The Corrtructor's Liceuse Law does not apply l() an owner o[ property who builds or intproves thereott.
an<l who contracts lor such prcr.iects with a C()ntract()r(s) liccnscd pursuant to thc Contractor's Liccnse taw).
_l anr exempt under Sectiorr-, B. & P.C. lbr tlti.s reasott.
WORKI,ITS' COMPI,NSATION
DECLARATTON
I hc'rcby affirnr unrlcr pcnalty of pcrjury onc ol'tltc lirlkrwing dcclarations:
_l have and will ruaintain a Certilicate of Consent to Self-lnsure frrr workers' cornperuation, as pruvirled f<rr by Section 3700 of the
Latxrr Codc, [<rr thc Jrrfonrurncc of thc work tirr which tnh pcrntit is lssucd.
_llraveandwill ruaintainworkc.r.s'conrpcnsalioninsurulrce,as requiredbySectiotr3T00oftheLaborCode,firrlhelrcrftrrttuttreof
thc work lirr wlticlr this My insurarrcc cun'icr antl lxrlicy ttuntlrcr iu'c:
\L V t/A
0tPolicy
_l ccrrify that in thc l,"-rlornrancc ol'tlrc work for whiclr tlris pcrnril is issucd. I slrall ttot cntpkty an! lErst)tl any manllcr
so as to bccoltrc suhjcct to thc workcrs' conrlrcnsation laws of California. and agree that if I should bccolne subjcct to thc
workers' coru;rcnsation provisiuns of Section 3700 of the Labor Code, I shall, forthwith colnply with tlxrse provi.siotrs..
WARNING: Failure to secure workers'contlrnsation covemge is illl and
thecivil lines ujr lo ()ue hutdred llruusand dollars (Sl
Sc'clion 3076
i'd"
Crxlc, intcrcst and
I hereby affinu under lrcnalty of perjury that I tnr licensetl under provisiotr of Chapter 9 (cotrurrcncing with Section 7000) of Division 3
of the Business and Professions Code. and rnv license is in full force untl et'fect.
=Licerrse
CONSTRUCTION LENDING AGENCY
I hcrcby alf irm undcr pcnalty of pcrjury that thcrc is a construction lcnding agency for the performancc of the work l'or which this permit is
issued (Sec. 3097. Cir'. C.).
Lcnder's Name:
lrnder's Address:
APPI,ICANT DECI,ARATTON
I lrrc*ry aft-rnr unrlcr ;rnalty of pcrjury onc of thc folkrwing dt'clarations:
Dcnxrlit ion Pcrnrits-Asbcstos Notification Fctlcral Rcgulat ions (Titlc 40. Prut6)
_Rcquircd Lcttcr of Notilication
_l ccrtify that thc lcdcral rcgulations rcgarding asbcslos rcrnovat arc not applicablc to this projcct.
_l ccrtify thal I havc rcatl this ap;rlication and inlirrnralion is corrccl. I agrcc to conply with all City and County
ordinancc.s and Statc [.aws rclating to
above rrrcntioned proprty for
0Applit'ant or,,\gt'nt
lDcrmilce nanrc
authrrize rcprr'scntativcs o[ this City and t() cntcr thr'
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundins I UFER
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
[/eter Release
Rough
Service lVleter
FINAL /lzt'.2)ILC,
Notes, Remarks, Etc
l)ate: