HomeMy WebLinkAbout20172295 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 20172295
Pin #: 34923
Proiect Address: 1918 W Martha Lna
Assessor's Parcel: 405-101-06 Lot: 86
Unit.
Block: NA
BIdg:
Tract: 1925
Address Range:
Historic. No
Suite Range:
Zoning: Rl
Owner:
Address.
Phone:
Tenant Name:
Contractor:
Address:
Phone:
RODRIGO TORRES
1918 W MARTHA LN
Santa Ana, CA 927063218
RC Lighting & Electric
2221 Kilson Drive
Santa Ana, CA 92707
(7141 824-7230
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
4.05
Qty
100
1 .00
100
1 .00
Fee
$s7.40
$23.7e
$59 30
$4.05
State Lic #: 1047278
Lic Type: C-10
Bus. Lic #. 371443
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
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
Service Meter
Verduzco, Viol"hN
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: upgrade/handouts given
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
11t16t2020
Account#
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 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
01116002 57770
$23.7e
$1 16.70
$4 05
$144.54
$0 00
$144.54
lnspector MID#: 2020-162747
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BUII,DER DIELCA RATION
I hcreby affrnr under penalty of prjury that I anr exempt fronr the Contractors'License [:w for the following reason (Sec,7031.5
Busincss and Prol'cssion Codc): Any City or County which requires a pcrrnit to construct, alter, improve. demolish or repair any
structure, prior to its issuance. also requires the applicant for such pernrit to filc a signed slaterncnt that hc or she is licensed pursuanl
to thc provisions of thc Contractor's l,iccnsed law (Chapter 9. Comrncncing with Section 70fi) of Division 3 of thc Busincss and
Professions Code) or tlrat lrc or she is exenpt therefronr and tlre basis for tlre alleged exenption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($stltl;.
_1. as owncr ol'thc propcrty. or my ernployecs with wagcs as thcir solc compcnsation, willdo thc work and thc structurc is rnt
interxlcd or ofTered for sale (Sec.7044. Business and Profcssiorus Code: The Contractor's License law does not apply to an owner of
the proprry wlxr builds or improves thereorr" uxl wln doqs such work himself or lrcrself or ttuouglr his or her own employees,
providcd that such improvenrcnts are rnt intcndcd orollcrcd for sah. Il. hcrwever. ttrc building or inprovcnrcnt is sold within onc )aar
of completion, tlrc Owncr Builder will have the bunlen of proving that he or she did not builtl or impnove thc properry for thc purpose of
sah).
-1.
as owner of the propefly, am exclusively contracting with liccnsed conlraclors to conslruct thc project (Sec. 7044, Business
arxJ Plolessbn Code: The Contractor's License Law does not apply to an own€r of property wtto builds or improves thereon.
and who contracts for such projccts wilh a Contractor(s) licensed pursuant to the Contractor's Liccnse l-aw).
-IanrexemptunderSection-,B.&P.C.lbrtlrisreas<rn.
Date:
WORKERS' COM PT:IISATION
DECLARATION
I hcreby affirm undcr penalty of pcrjury one of thc following declarations:
_I have and will nraintain a Certilicate of Coment to Self-Insure for workers'conrpensation, as prcvided for by Section 3700 of the
I-abor Code, for the perforrnance of thc work for which thc permit is issucd.
-l
have and will maintain workers' compensation insurance, as required by Section 3700 of thc l-abor Code, for thc perfornunce of
the work for which this permit is issucd. My workers' cornpensation insurarrce carrier uxl policy numbcr are:
Carrier:
Policy
( ccrtify that in tlre lrcrfornuncc of thc work for which this pcrmit is issucd, I shall not cmploy any lrcrson in any manncr
.so as to bccornc subject to thc workers' conrpcnsation laws o[ California. and agrce that if I should bccomc subject to thc
workers' conrlrnsation provisions of Section 3700 of the Labor Cotle, I shall, firrthwith conply wilh thosc provisions..
WARNING: Failure to liecure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltics and
civil fines up lo one hundred tlrousand dollars ($100.000). in cost of comperrsation, danrages as provided for the
attorncy's [ccs.
I hercby affirrn under pnalty of perjury that I ant licensed Chapter 9 (conunencing with Section 7000) <lf Division 3
of the Business and Professions Code. and my license is in full force and effect.
License
I hcreby al'lirrn under pcnalty of perjury that thcrc
issued (Scc. 3097. Civ. C.).
lrnder's Nanrc:
agcncy perlbnnancc of thc work lbr which this Jrerrnit is
Lrnder's Address:
APPI,ICANT DECI,ARATION
I trcrcby irftirnr undcr penalty of pcrjury <lnc of thc folkrwing dcclarations:
Dcnrolition Pcrnrit.s-Asbcstos Nt[ification Fcdcral Regulations (Titlc 40. Part6)
Required [rttcr of Notification
_I ccrtily that thc fcdcral rcgulations rcgarding a-sbcstos removal arc not applicable to this project.
_l ccrtily that I luvc rcad this application and statc tlut with all City and County
ordinanccs und Statc Laws rclating to building and County to
above rEntioned propcrty for inspcction
Applicant or Agent
Pcrmitcc nonlc
I
upon thc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Fire Alarm / Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondins / G6ilndinb / UFER It 2f nm a twLl
Transformers \"-l
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
N/eter Release
Rough
Service Nleter rl - L; ,?t {L UFT r)
FINAL tt:L{q9 O Dtq xJ t:it^ \ Lrl
Notes, Remarks, Etc.
Bev. 08-07-201 5
Life Safety /Low Voltage
and hcrcby authorizc rcprescntativcs ofthis
a