HomeMy WebLinkAbout20171885 - 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 #:2017{885
Pin #: 92036
Proiect Address: 740 N Eastwood Avea
Assessor's Parcel: 398-374-02 Lot: POR 2
Unit.
Block: A
Bldg:
Tract: 344
Address Range:
Historic: No
Suite Range.
Zoning: SD84
Owner:
Address:
Phone:
Luis Campos
740 N EASTWOOD AVE
Santa Ana, CA 92701
(714I- 460-31e8
01 1 16002 s1603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
I ssuance
Microfilm Records
Amount
57.40
23.79
59 30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$s7.40
$23.7e
$5e 30
$4 05
Tenant Name:
Contractor
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
*
lfnp (i!
. Building Use: Single Family Dwelling
Job Type: Miscellaneous
Nature of Work: Service Meter Upgrade
a
Planning Conditions:
Service meter upgrade. Handout given.
Owner-Builder form on file.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Davergq 09/1 4t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
Chavez,
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 fhe sife 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 79
$116 70
$4 0s
$144 54
$0 00
$144.54
lnspector MtD# 2020-1 61473
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DET,CARATION
I hseby affm undq poalty of pqjury thal I m qcmpt ftom thc Con|rrctoB' Lic@ Law for thc following rcen (Se.7031.5
Busine ad hofeion Codc): Any City or Counry which rcquirc a pcmh to anstruc{, alts, improvc. danolish or rcpair uy
structuc. lrior to its issuucc. also rtquirc thc applicmt for such Fmit to file a signcd stalmmt thd hc or slrc b licanscd pwant
to thc provisioN of the Contr&tor's Liccnscd Law (Chspts 9, Comcncing with Sation 7000 of Division 3 of thc Bwin* ud
Profeions Code) or that he or shc is cxmpt thftfrom md thc basis for thc all€gad cxmption. Any violation of Setion 7031.5 by sy
applicmt for a pmit subjCts thc applicet to a civil pemlty of not morc thm fivc hundrtd dollm ($500).
_1. re omq of thc propcrty, or my mployc with wag6 I thcir sle compeGalion. will do thc rcrl. ed thc stnElE is noi
intodcd or offscd ftrr slc (Se.?044, Buins od Profasiom Codc: The Contractor's Licce Lsw do6 not ap?ly to m oma of
thc 1xopqty who buil& or improve th@n, dd who do6 $ch wrt himelf or hclf or thrcugh his or ha om mploye.
providcd thar such imprpmts rc rct intqrdcd or ollircd for slc. lf, howdq. thc building or irprovqMil is sH withitr ooc )€,
of complrio4 thc olrns Bsildr will harc th€ huda of prcving tha hc or she dil mt build o. inprorc the propqty for thc prupo*of
sh).
lr(ZI, c ome of the popaty. m cxcluivcly contructing with licos€d contncloE to construct thc fojet (S*. 7044. Bwins
urd Plroftsion Codc: Thc Contretor's Licmse Law do6 not apply to e omq of propcfiy who builds or imprcv6 thq@n,
md who contmcts for such pmjets with a Contmcto(s) licoscd puE@t to the Contraclor's Licre L8w).
-l
am exempt under Section-, B. & P.C.?q .>o
I hereby affrm under pmalty of perjury one of the following
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the
Labor Code, for the performance of the work for which the perrnit is issued.
_l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of
the work for which this pennit is issued. My workers' compensation insurance crurier and policy number are:
Policy Number: Expires:
tl=t certiry that in the perfonnance of the work for which this permit is issued, I shall not cmploy any person in any manner
so as to become subject to the workers'compensation laws of California, and agree that if I should bccome subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with thosc provisions..
WARNING: Failure to secure workers'
civil fines up to one hundred thousand
Se<tion 3076 of the Labor Code. interest
compensation coverage
I dollars ($100.000). in
and attorney's fecs.
is unlawful. and shall subject an employer to crirninal penalties and
addition to the cost compensation. damages as provided for thc
a >t)
I
I hcreby affrm undcr penalty of perjury that I am licenscd 9 (commencing with Section 7000) of Division 3
of the Business and Profcssions Code. and my licensc is in full force and effect.
5
License Class: License Number:
Contractori
CONSTRUCTION LEIIDING AGENCY
I h@by affm und6 pcralty of pcjury tha the is s constructbn knding agocy for thc pqfommcc of thc rcrk for which this pqmil b
issucd (Sa. 3097, Civ. C.).
[tnd6's Nmc:
Lender's Address:
r hq"b,yaffnn und6 pcnalty of pcrjury onc of *" ffin**"u*^*f*
Dcmolilion Pmits-Asbctos Notificarion Fcdml RcgulatioN (Titlc 40, Pan6)
-Rcquircd
lrtt6 of Notificalion
-l
cdiry that lhc fcd6d rcgulatiou regarding rbetos rmoval rc not eplic8blc to this prcjer.
[Cl cqri& that I have red this application md statc thal thc abovc infomatiotr is corcr. I agrc to comply with all City md County
ordimncG ed Statc kws rclating to building coNtruclio[ dd hcrcby suthorirc rcFMtalivc of this City md County to mtE upon thc
abovc mqtiotrcd prcpsty for impction purBpr;s- f);;;;;;;;;;;;;n*,"*,izu %4,.," . Q lH fzo
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltase
Fire Alarm lDampers
Communications Cable
Buildins
Under SIab / Floor (
Bondins I Groundinq / UFER tow L>rffiiW ,a
Transformers Jr
Torqueincl
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Roush
Ceilinqs ff-Bar Rouoh)
Meter Release
Rouqh I
Service Meter ii tolA,lvkrttM)N r(
FINAL lu 0ta)l)hovkDs ,g
Notes, Remarks, Etc.
Rev. 08-07-2015
Carrier:-
Permiteenametprintl, K LU, a Ca-p. PaS
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