HomeMy WebLinkAbout20171538 - Permit^City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Permit #:2017{538
Pin #: 59743
Proiect Address: 2845 S Fairview Sta Unit: I
Block: NA
Bldg:
Tract: 10220
Address Range: 2801 -2gll
Historic: No
Suite Range:
Zoning: R4Assessor's Parcel: 931-676-49 Lot: 1
Owner:
Address:
Elda Ochoa
2845 S Fairview Street # I
Santa Ana, CA 92704
(714I- 329-8606
01 1 1 6002 51 603
01 1 1 6002 51 603
01 1 1 6002 51 600
01 1 16002 51603
01 1 16002 57770
Fee Type
125 Volt Receptacle
Light Fixtures
General Plan Update
lssuance
Microfilm Records
Amount
1 .57
1 .13
23.79
59.30
4.05
Qty
1.00
8.00
1 .00
1 .00
1 .00
Fee
$1 57
$9.04
$23.7e
$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:
Condominium
Alteration
OutleULight Fixtures
Occupancy:
Constr Type
Code:
R-2
VB
cEc 2019
Notes.
Planning Conditions:
. Planning Approval By:
Plan Checked By:
, Permit lssued By:
Subject to Field:
Building.Permit #.
Verduzco, Viotett{
.l
Date:
Date:
Date:07 t2012020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 sife by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23.79
$69.9 1
$4.0s
Fee Total:
Paid to Date:
Balance Due:
$97.7s
$0.00
$92.75
Inspector MtD#'. 2020-160220
ELECTRICAL-INSPECTOR RECORD l
APPROVALS DATE ID/SIG.COMMENTS OWNE,R BUII,I)IiR DIiI,CARATION
I hereby affrnr urrtler penalty of perjury that I am exenrpl fronr lhe Contractoru' License [:w for the following reason (Sec.7031.5
Business and Prol'ession Crxlc): Any City or County which rcquircs a pcnnit to construct, altcr. irnprovc. demolish or repair any
structure, prior to its issuance. also requires the applicant lirr such permit to file a signed slatenEnl that lr or she is licenscd pursuanl
to the provisions of thc. Contractor's l,icensed law (Chaptcr 9. Commcncing with Section 7fi)0 of l)ivision 3 of thc Business a5d
Professiclns Code) or that lrc or slrc is exenpt tlrcrefronr and tlrc basis for tlre alleged exenption. Any violation of Section 703 1.5 by any
aplicant for a pennit subjects the applicant to a civil penalty of not more than llve hundred dollars ($5tXl1./
V-l.as owncr ol'tlrc protL-rty. or my crnployecs with wagcs as lhcir sote compensation, willdo thc work and rhc structure is not
iutenderl or offered ftrr sale (Ser'.70{4. Business and Professions Cqle: The Contraclor's License Law does not apply to an owner of
the progrerty wlxr builds or inrproves tlrreon, arxl wlxr drus such work himself or lrerself or through his or lrcr owrt entployees,
providcd that such improvc.nrcnts arc not intendcd or ollcrcd for salc. Il. howcvcr, the building or inprovcnrcnt is sold within one ycar
of completion" the Owncr Buikler will have the burden of pmving thal hc or she did not buikl or improve fic propaty for thc purpose of
sale).
_1. as owner of the properly, anr exclusively contracting with licensctl conlraclors to construct thc pruject (Sec. 7044. Business
arxl Protessitrrr Code: Tlre Contractor's License Law des n()t apply to an owner of proJrerty wh<l builds or intproves thereon.
and who contracts lor such pnrjccts with a Contracto(s) liccnsed pursuant to thc Coilractor's License l-aw).
_[ anr exetnpt under Sectit,n_, B. & P.C. tbr tltis reasott.
Dste: 1-?O'LO n*rr"r, E;ldA 0Ch0d
WORKI'ITS' COMPENSATION
lherebyaffirnrun<lcrpcnaltyofpcrjuryoncofthe,o,,o*,ffi
_l have and will nuinlah a Certilicate of Consent to Self-lnsure for workers' compensation, as prcvided for by Section 3700 of thc
Labor Codc, for thc pcrfornunce of thc work lbr which thc Jrcrmit is issucd.
_l have and will ruaintain workers' conrpensation insurance, as required by Section 3700 of the [:b,or Code, for lhe perfonmnce of
thc work for which this lrcrnrit is issued. My w<lrkers' conryrcn.sation irusurancc carrier arxl plicy nuntbcr are:
Carrier:
Policy Number: Expires:
_l ccrtify that in thc;^*rlornuncc of thc work for which this pcrmit is issucd, I shall not employ any person in any manncr
so as to bccomc subjcct to the workcrs' compensation laws of California. and agree that if I should becolne subjcct to the
workers' conrlrnsation provisions of Section 3700 of the Labor Cqle, I slrall, forthwilh comply with th<rsc provisions..
WARNING: Failure lo liecure workers'
civil fines up lo orrc hundred thousand
compensation coverdgc is unlawful, and shall subject an cmployer to criminal penahies and
dollars ($100.000). in addition to the cost of comgrcnsalion, danuges as provided for thc
Section 3076 of the Latnr Codc, intcrest and attorncy's [ccs.LI dn oc-hoao*", '1 '20 -ZO l ---t:
LICENSED CONTRACTOR
DIiCI,ARATION
I hereby affirnr under pnalty of perjury that I anr licens,ed under provision of Chapter 9 (conrrnencing with Section 7000) of Division 3
o[ the Business and Prolessions Code. and my license is in full force and effect.
License Class: License Number:
CONSTRUCTION LENDTNG AGENCY
I hercby allirrn undcr ptnatty of pcrjury that therc is a construction lcnding agency for the pcrl'orrnancc of thc work for which this per,nit is
issued (Sec. 3097. Civ. C.). D
l-ender's Nanre:
l.cnder's Address:,.t
APPI,ICANT DECI,ARATION
I ffiy affrm undc'r frnalty of pcrjury onc of thc folkrwing dcclarations:
Demolition Pcrnrits-Asht'stos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Requircd l,cttcr of Notification
_l certif that thc fcdcral rcgulations rcgarding a.sbcstos rcrnoval iuc not applicablc to this projcct.
_l ccrtily tlral I havc rcarl this application and statc tlral lhc ahrvc infonnaliott witlr all Cily and County
and County to enter upon thcordinanccs and Statc Laws rclating to building construction, aml
above mcntioned propcny frrr inspection
Applicant or Agent
I'crmitec nanre
lL ort", '7'20 -2O
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bonding I Grounding I UFER
Transf ormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Wd!s (Conduit)I I tl 1r\,
Walls (Rouqh)317,tr u 'Drr4ry /
Ceilings (Hard & Soffit Roush I
Ceilings (T-Bar Roush)
N/eter Release
Rouqh
Service [Vleter Ir ,l ,,
FINAL 'Ll'ru DRrlr>/
Notgs, Rpmarks, Etc. t -l 2\
a
a
I I I /
Rev. 08-07-201 5
f-l)n Ar lnnA
/
I