HomeMy WebLinkAbout20164502 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 >1 Electrical Permit #:211164502
Pin #: 58098
I nspection Requests: (7 1 4) 667 -27 38 lnspector Section: (7 1 4) 647 -5853
Proiect Addressi 2607 N Olive Lna
-
Unit:
Block: NA
Bldg:
Tract: 1824
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 001-244-13 Lot: 58
Owner:
Address:
Timothy Hamlin
2607 N Olive Ln
Santa Ana, CA 92706
(71414O1-77s2
Fee Type
0't116002 51603 FWU
01 1 16002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$23.87
$21.25
$52.98Phone:
Tenant Name:Eotch*:40761 - l0/31/2017 ID: .i
0ff ice: CTYH Tronsi: 116
A,:cL+ r Ref i: 20:
t,cptir0206182l - fi/31/?$t7 3l
Trqnsoction Totol |294XX
Joseph Lvnch
Contractor:
Address:
Joseph Lynch
19373 Mickel Lane
Yorba Linda, CA 92886
(800) 815-9624Phone:
State Lic #: 500930
Lic Type: B
Bus. Lic #: 366332
Workers' Compensation I nsurance:Carrier: EXEMPT
Policy #:
Expires:
ieneral Plun Update Fee $2
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
A/C & Furnace
Occupancy:
Constr Type:
Code:
R-3, U
VB
cEc 2015 Notes NOTE: This contractor is doing more than (2) unrelated
trades at this job.
Planning Conditions: A/C in side yard
Planning Approval By:Date:Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
T Date:10t31t2017
Account#
Every permit issued shall become invalid unless fhe work on the site
authorized by such permit is commenced within 180 days after its
lssuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 1 80 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
$21.25
$76.85
Fee Total:
Paid to Date:
Balance Due:
$98.1 0
$0.00
$98.10
lnspector MID#: 2017-139665
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rouqh
Service Meter
FINAL vft 'y'|,/ 5.\81 l;eru<"
Notes, Remarks, Etc
OWNER BUILDER DELCARATION
I hocby affirm undo poalty of pqjury thal I m exempl liom lhe Contraclos' Licmc Law for thc lollowing reen (Se.70-11.5
Busines md Profmion Codc): Any Cily or County which rcquire a pomil lo conslruct, all6. improve. dmolish or rcpair any
structue. prior to its issuilce. aLso requirG lhe applicet for such pemit to file a signed statcrndt that he or she is licEnsed pursunnl
to lhe govisions of lhe Contractor's Licensed larv (Chaptq 9, Commencing with Seclion 7000 of Division 3 of the Business ant
ProfesionsCode)orthatheorsheisexemplthfferiomildthcb6sisfortheallegedcxsnplion. AnyviolalionofselionT0ll.5byany
applicantforapennitsubj(lslhe applicantloacivilpenaltyofnotmorethanllvehundreddollils($500). L
_1. o owns of the prefrcrly. or rny employs wilh *,a96 6 their rcle compeNtion. u'ill do the q'ork md the slruclue is not
intmdql oroffqedforsale(Sa.TM4.BusinessandProfessionsCode:TheContractor'sLicmseLawdosnotapplytoanownerof
the fmpeny who builds or improve th6@n. ild who do6 such rvork himself or hmclf or through his or hc orvo cmployee.
provided thal such Lnprovqnots tre nol intmdql or otlred for sle. lf, horvo,q. thc tuildinS or improvemt is old within one yar -
ofcomploion. the Owner lluilds will have the budo ofproving that he or she did ilot build or imfrove the prcpsty for the ptrpor of
sle).
_1. m owner of the propcty. m exclusivcly contradiilg with licensed contractoB to construct lhe project (See-. 7044. Brsincss
and I'rofssionCode:'[heContractor's[-icensel,awdo6notapplytoanosnqofpropertyshobuildsorimprovGthqeon.
and who conlmcts flor such pnjccts with a Cor{racto(s) liceNed pursuilt lo the Contractor's License Law).
-l
m exempt undq S6tion . B. & P.C. for this reoon
Dele:OEner:_
WORI(ERS' COMPENSATION
DECLARATION
I hoeby alTirm undr penalty ofpcjury one ofthc following deloations:
--l
have md rvill maintain a Cenificale of Co$ent lo Self-lNure for workos'cornpmation. m provided for by S(tion 3700 of the
t?bor Code. for lhe pqfonnmce ofthe work for rvhich the pornit is issued.
lhavcandwillmaintairrvorkm conrpensationinsurance.o requiredbyStrlionST00oftheLaborCode,forthepqfomanceof
lhc work for lvhich lhis pmnit is issued. My workqs compostion ircurance cario md Sxrlicy numbe ue:
Cmiq:-
Policy Number:Erpires:
-l cct'lify that in the performance ofthe rvork for which this pornit is issucd. I shall not ernploy any person in any nranner
m mrcbecomesubjrtlothervorkm'compmsationlarvsofCalifomia.andagrethatiflshouldbecomesubjstlothe
*orkm' cornpenstion provisions ofSetion 3700 ofthe l-abor Code. I shall. fonhwilh comply rvith thos provisions..
WARNINC: Failure to secure workss'cornpensation coverage is unlarvful. mcl shall subjet m onpkryer to firninal poalliG and
civil fioes up lo one hundred thousand dollffi in addition kr lhe cosl ofcompensattrn. damages as proricled lirr the
Sslion 3076 ofthe libor Code. intqGl and [ees
o,,". /o-3( -)o t 1
I hcreby aflirnr undo permhy ofperjury I ailr provision ofChapto 9 (commencing with Sstion 7000) ofDivision l
of thc Business and Profssions ('odc. md rny licmsc in full force and elTect.
Liceroc Clasr-
ort"' /o"21 '0 &_
o t'?
Liccnsc
ao
"o
I hoeby aflinn undo pmalty ofperjury lhal
issued (Se. 3097. Civ. C.).
Lender's Name:
ts agmcy for the Ffonnance of lhe rvork ft r Nhich lhis fnnrit is
Lcnder's Ad&asr
APPLICANT DECLARATION
I hodry affm undo pmahy ofperjury one ofthe follos'irg delaations:
Demolition Pemils-Asbstos Notification Fedtral ReSulalions ( Iille 40. Pan6)
Required l-etter of Nolification
_l cff the laloal regulations regrding mtmlos rernoval are ml applicable to this prejet.
wilh all ('ily and ('ounly
md County to ento ugrn the
above
Applicrnl or Date:/a qrro/7
I'ermilee
ftrr inspect
5o-> tpL 4qrr, 4
\