HomeMy WebLinkAbout20172323 - 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 #= 2tl172323
Pin #: E5753
Proiect Address: 3638 S Main Sta Unit: B
Block: NA
Bldg:
Tract: NA
Address Range. 3620-3640
Historic: No
Suite Range:
Zoning. C4Assessor's Parcel: 932-910-13 Lot: NA
Owner:
Address:
The Main Attraction
3638 S. Main Street
Santa Ana, CA 92707
(7141 397-3194
CoDd ou19 Fee Type
Air Conditioner
General Plan Update
I ssuance
Microfilm Records
Amount
104.40
23.79
59 30
4.05
Qty
1 .00
1 .00
1 .00
1 .00
Fee
$104.40
$23.79
$5e.30
$4.0s
Phone
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Tenant Name:
Contractor:
Address:
Phone.
Griswold Electric
21111 Greenboro Ln
Huntington Beach, CA 9264
(7141 296-9082
State Lic #: 620685
Lic Type: B, C-10
Bus. Lic #: 373517
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Buildino Use:tv
Job Type:
;Nature
of Work:
Planning Conditions:
Condominium
Miscellaneous
New A/C
Occupancy:
Constr Type:
Code:
R-1
VB
cEc 2019
Notes: Electrical for new A/C unit.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Graham, Jeffery Date:
Date:
Date:
11t19t2020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez DavePa 11t19t2020
Account#,
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
01116002 51603
01 1 16002 57770
$23.79
$ 1 63.70
$4.0s
Fee Total:
Paid to Date:
Balance Due:
$191 .54
$0 00
$191 .54
lnspector MID#: 2020-162855
ELECTRICAL-INSPECTOR RECOR D
APPROVALS DATE ID/SIG.COMMENTS OWNITR llt, I LDl,lR Dlll,CA RATION
I lrreby afhrnr untler penalty of per.iury that I arn exenrpt fronr the Contraclon' License Law for the following, reason (Sec.7031.5
lfusincss and Prol'cssion Codc): Any City or Countv which rct;uircs a pcrrnit lo construct, altcr. irnprovc. de'molish or rcpair any
structure, prior to its issuance. al.so requires tlre applicanl for such Jremtt to file a sigrted slatenrenl that ln or she ls licen.scd pursuanl
to the provisions ol'tl*.^ Contractor's l,iccnscd Iarv (Chapter 9. Comrncncing with Scction 70U) ol' Division 3 of thc Busincss and
Prol'essions Code) or that lrc or slre is exenrpt tlrerefronr and tlre basis lirr the alleged exenplion. Any violatiott of Section T03l .5 by any
applicunt for a Jrennit subjccts the npplicunt to l civil pennlty of not rnore than llve hundred dollars ($500).
_l. as owner ol'thc. propctly. ()r tny c.lnployccs with wagcs as thcir solc' cornp^-nsation, will do thc work and thc stnrcturc is rnt
irrrerrded or oflered ftrr sale (Sec.7(]44. Business and Professiorrs Code: Tlte Contraclor's License [.aw does not apPly to an owncr of
tlrc property wlxl builds or inproves thereorl aml wlxr dtles such work himself or lrerself or lhrough his or her owtt enployees,
providc.d that such improvr'rrrcnts arc ff)t intcndcd or ollcrc.d for salc. ll. howcvc'r, t-k building or improvetncnt is sold within onc yL'ar
of completion, tlre Owner Builder will have tlrc burden of proving that lre or she dirl not buikl or improve 0re prcpary for thc purposc of
srle).
_1. as owncr of thc pnrperly, um cxclusively contracting with licen:;ed contractors to construct thc pnoject (Sec. 70*t4. Business
and Pnrlbssfult Code: 'l'he Contractor's [-iceuse Law does rrrt apply to an owner of proSrerty who huilds or inrproves tltereon.
and who contracts for such proiccts with a C()ntractor(s) liccnsed pursuant to thc Contractor's Licensc law).
-l
anr exempt under Sectiorr-, B. & P.C. lbr tltis reasott.
Date:
}ryORKEITS' COM PT]NSATION
DECLARATION
I hcreby affirm undcr pcnalty of perjury one of thc hllowing declarations:
_l have arxl will nuinlafur a Certilicate of Consent to Sclf-lnsure for workers' conqrcnsation, as provided for by Section 3700 of the
Lahor Code, for thc l**rfonlrance o[ thc work lbr which the permit is issucd.
_l have and will nuintain workers' corupensation insurarrce, as required by Section 3700 of the Labor Code, for tlre perfornunce of
tlrc work frlr insuriurcc carricr arxl p,olicy nunrbcr :ue:
.l
a al'olicy
_l ccrrily that in tlrc grcrlirrnuncc of tlrc work firr which this pcrnril is issucd, I shall not cntpkry atry lrcrson in auy manncr
so as to hccornc suhjcct to thc workcrs' cornlrcrrsation laws of Califonria. and agrcc that if I should bccornc suhjcct to thc
workers' cornpensation provisiolts of Section 3700 of the Labor Code, I slurll, forthwith conrply with tlpsc provisions..
WARNING: Failure to secure workers' cornpettsation and shall subject an to and
to tlrc cosl of lhe
Sr'clion 3076 intcrcst and atlorncy's l-ccs.
a
t.tcl,NSt.,l) ('( )NI'ItA( "1'( )R
I )[.( :1.,\ lt,\'l'l( )N )
I hereby alfinn under penalty r.rf perjury that I anr licersed under provision of Chapter 9 (cortutrncing with Section 7000) of Divisign 3
of the Business and l)rofessiorrs Code. and rrrv license is in full fbrce and el'fect.
il
License o ID -
O
CONSTRUCTION LEND]NG AGENCY
I hercby al'lirm undcr 1^-nalty ol'pcrjury that thcrc is a construction lcnding agcncy for thc pcrlbrmarrcc of thc work l'or which this prmit is
issued (Sec. 3097. Civ. C.).
[-cnder's Nanre:
APPT,TCANT DECI,ARATION
I hcrcby aflirnr undcr p^-nalty of pcrjury onc of the following dc'clarations:
Dcnxrlition Pcrnrits-Asbcstos Notification Fctlcral Regulations (Titlc 40, Pan6)
-Rcquircd
l,ettcr of Ntlification
I
,tffi"aify that thc fcdcral rcgulations regarding .tsbestos rcmoval arc not applicable to this projcct.
\l ccrtiti tlrat I lurvc rcad this application and statc llral ltrc atxrve infornution is corrcct. I agrcrc to contply with all City and County
ordinanccs and Statc Laws rclating to building arxl hcrcb], authorizc rcprcscntativcs of this City and County to entcr upon thc
above lnentioned pnrprty ftrr .lAllplicant or Agcnl
I'crnrilcc nanlc turirrrl: X,
-2D
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildins
Under Slab / Floor
Bondinq I Groundinq I UFER
Transf ormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouoh)
Nleter Release
Rough
Service l/eter I
FINAL tzl r€l?t ,D**1c )
Notes, Remarks, Etc.,
D
Rev. 0B-07-201 5
civil lines up lo one hurrdred tlxrusand dollars
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