HomeMy WebLinkAbout20171980 - 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 #:2o^171 98O
Pin #: 99659
Project Address: 1014 W Moore Ave Unit:
Block: NA
Bldg:
Tract: 9622
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 410-451-24 Lot: 24
Owner:
Address.
Salvador Del Real
1014 W MOORE AVE
Santa Ana, CA 927073816
(7141 376-1 348
Fee Type
01 1 16002 51603 FWU
01 116002 51600 General Plan Update
01 1 16002 51603 lssuance
01 116002 57770 Microfilm Records
Amount
26.71
23.79
59.30
4.05
Qty
1 .00
100
1 .00
1 .00
Fee
$2671
$23.79
$s9 30
$4 05
Phone
Tenant Name:
Contractor:
Address:
Greenstar Home Services ln
1951 N Main Street
Orange, CA 92865
(s49) 885-0102Phone
State Lic #: 795556
Lic Type: C-36, C-20
Bus. Lic #: 344246
Workers' Compensation I nsurance:Carrier: Liberty lnsurance Corp
Policy #: WA763D508631019
Expires . 10/01 12020
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
A/C replacement
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2019 Notes. A/C replacement
Planning Conditions:
Plannrng Approval By Date:
Date.
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By.
Subject to Field:
Building Permit #:
Amsden, Julie 09t30t2020
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 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
01116002 57770
$23 79
$86 01
$4 05
Fee Total:
Paid to Date:
Balance Due:
$11385
$0 00
$t t 3.85
lnspector MID#: 2020-1 61828
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNTiR BIIILDIiR DI'I,CA RATION
I hereby affirnr under penulty of perjury that I anr exenrpt fronr tlte Contractors' License Law for the following reason (Sec.7031.5
llusincss and Prol'cssion Codc): Any City or County which rcquircs a pcnnit to construct, alter. itnprovc, dcmolish or rcpair any
structure. prior to its issuance. also retluires tlre applicant li)r such Jremrit to file a signed slaterlrnl that lre or she is licen.sed pursuanl
to thc provisions of tlr Contraclor's l.iccnsed law (Chaptcr 9. Comrncncing with Scction 7(D0 ol'l)ivision 3 of the Busincss and
ProfessionsCode)orthatlrcorsheisexen4rttherefronrandtlrcbasisfortheallegedexenptioll. AnyviolationofSectionT03l.5byany
applicantforapnnitsubjectstlre applicanltoocivilpenirltyofnotmorethanfivehundreddollars($5tXt1.
_1. a.s owncr ol'tht prol^*rtv. or lny crnplovccs with wagcs as thcir sole comJrcnsation, will do thc work and thc structure is not
intentled or offered for sale (Sec.7044. Business antl Professions Code: The Cottlraclor's License Law does not apply to an owner of
the pnrperty wlxr txrilds or inrproves tlureon, atxl wlxr dtrs such work lrinrself or lprself or through his or her own entployees,
providccl that such irnprovr.rncnts arc il)t furtcndcd or olTcrcd for salc. ll. lrrwevcr, tlrc building or funprovctncnt is sokl within one year
of comphtiorr, the Owrrcr Builder will have the burden of proving tlrat he or she did not build or improve the property [or the purpose of
salet.
_1. as owner of the propetly, am exclusively contracting with licensetl contractors to conslruct the project (Sec. 7044, Business
arxl Protession Cotle: The Contractor's License Law dcrs not apply to an owner of property who builds or impr<lves thereon.
and who contracts lor such pr<rject.s with a Contractrlr(s) licenscd pursuant to the Contractor's License kw).
-l
anr exenpt urrder Section-, B. & P.C. lbr tltis reason.
Date: Owner:
lVO RKF]ITS' COM PI]NSATION
DECLARATION
I hcrcby aflirm under penalty of pcrjury onc of the tbllowing declarations:
_l have and will nmintain a Certilicate of Consent to Self-lnsure for workers'conrJreruation, as pruvided for by Section 3700 of tlre
Latxrr Code, for thc Jrcrfornmnce of thc work ftrr which the pcrmit is issued.
m,Irave and will nraintain workers'courpen.sation insurance. as required by Section 3700 of tlte Labor Code, lbr lhe perforttutrce of
work lbr which this llcrnrit is issucd. My,workcrs' conrJrcusatiun insurancc can'icr aurd grlicy nuntbcr iue:
tibqh+Y \r\5ttf(A^t-!Carier:
Policy
_l ccrrity that in thc lrcrtirrnuncc ol'thc work frrr which tlris pcrmit is is.sucd, I shall not cnpkry any lrcrs()n in any manncr
so as to bccornc subjcct to thc workers' corrrperrsation laws of Califonria. and agree that if I should bccolne subjcct to thc
workers' conrlrnsation provisions of Section 3700 of the labor Code, I slull, firrthwith conrply with tlrosc provisions..
WARNING: Failure to secure workers' cornperrsation coverage is urrlaw[ul, and shall subject an cmployer to critninal Jrcnalties arrd
civil fines up to one hurdred tlxrusand dollars ($100.0001. in addition to lhe cost of conrpetrsatiott, tlanuges as provided for tlrc
attorney's
I hereby affirrrr under lrcnalty of perjury that I anr licensctl 9 (corrrrrnrcing with Section 70m) <lf Divisi<ln 3
of the flusiness and Professions Code. amJ rnv license is in l'ull force and effect.
License Nunrber:+q b )\G
CONSTRUCTTON LENDING AGENCY
I hcreby al'lirm undc.r pcnalty ol'pcrjury that thcrc is a construction lending agcncy for thc pcrlbrmance ol'thc work lbr which this pcrrnit is
issued (Sec. 3097. Civ. C.).
Lrnder's Name:
APPI,ICANT DECLARATION
I tuu*ry affirnr untlcr pcnalty of perjury one of thc following declarations:
Dennrlition Pernrits-Asbcstos Notification Fedcral Regulations (Title 40, Part6)
-Rcquired
l-ctter of l.{otification
_l certily that the fcderal regulations regarding asbestos rcmoval arc not applicable to this prnject.
tllccrtily tlrat I luvc rcatl this apptication and state tlrat the ahovc informalion is correct. I agree to conrply with all City and County
r dldirlanccs and Statc l,aws rclating to building construction. and hcreby authorize reprcsentativcs o[ this City and County to enter upon thc
above rnentioned propcrty for
Applicant or Agent
l'crnrilee nanrc
\
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bondinq I Groundino I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Roush
Ceilinqs (T-Bar Rouqh)
N/eter Release
Rouqh
Service [/eter ,l l -.st
FINAL LII'I W ,PWYI
Notes, Remarks, Etc
lrnder's Address:
,^,",t9 l)o!lo
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