HomeMy WebLinkAbout20172311 - PermitProject Address: 2229 S Cypress Ave
Assessor's Parcel: 403-1 42-09 Lot: 8
Unit:
Block: D
Bldg:
Tract: 638
Address Range: 2229-2231
Historic: No
Suite Range:
Zoning: R2
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 lnspector Section: (714)647-5853
Permit #= 2o^172311
Pin #: 27973
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Ubaldo Ramirez
2229 S. Cypress Ave.
Santa Ana, CA 927073245
(7141 206-1 647
Freedom Forever
43445 Business Park Dr, #1
Temecula, CA 92590
(9sl ) 445-5645
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59 30
4.05
Qty
1 .00
1.00
100
1.00
Fee
$57 40
$23 7e
$5e.30
$4.05
State Lic #: 102964{-
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation ! nsurance:Carrier: Redwood Fire and Casualty lnsurance Company
Policy #: FRWC 113471
Expires: 0110112021
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Service Meter upgrade
Chavez, Dave
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
11t18t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
Notes: Service meter upgrade. Handout given.
Fee Total:
Paid to Date:
Balance Due:
crg*'
01 1 1 6002 51 600
01 1 16002 51603
01 1 16002 57770
$23.79
$1 16.70
$4.0s
$144.s4
$0 00
$144.54
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 after the time the work is
commenced.
lnspector MID#: 2020-162174
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas. Poo!, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq I Groundins I UFER ILIIL ,?p \Lil&
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinss (Hard & Soffit Roush
Ceilinss (T-Bar Rouqh)
N/eter Release x;
Rouqh Ir _,,
Service N/eter [?t [.'L0 >(Wb1
T'M,WXF!NAL
Notes, Remarks, Etc.I
D
OWNER BUILDIiR DIiI,CA RATION
I hereby affirnr under penalty of prjury that I anr exenrpl from the Cbntractors'Licensc Law for the following reason (Sec.7031.5
Business and Profcssion Code): Any City or County which requircs a pcrmit to construct, alter, irnprove, dcmolish or rcpair any
structurc, prior to its issuance. also requires the applicart for such permit to filc a signed statemenl that lr or she is licensed pursuanl
to thc provisions of thc Contractor's Licenscd l.aw (Chaptcr 9, Comrnencing with Section 7000 ol' Division 3 of thc Business and
hofessions Cotle) or that lre or she i^s exempt therefrom and tlre basi.s for tlre alleged exemption. Any violation of Section 7031.5 by any
appliclnt for a pcnnit subjects the applicant to o civilpenalty of not more than five hundred dollars ($5{tO;.
_1. as owncr ol'the propcrty. or rny cmployecs with wages as their sole compcnsation, will do thc work and thc structure is not
intenlcd or offered for salc (Sec.7H4. Business and Professions Code: The Contractor's License Law rJoes not apply lo an owner of
the propcrty wlxr builds or improves tlrereorL and wlro dtxs such work himself or lrerself or ttrough his or her own employees,
providcd that such improverncnts arc not intcnded or olTercd for sale. Il. however, thc building or improverncnt is sold within onc ycar
of completioq tlr Owner Builder will have the burden of proving that hc or she did rxlt buikl or improvc 0rc property for thc purpose of
sah).
-1.
as owner of the properly, am exclusively contracting with licenscd conlraclors to conslruct thc project (Sec. 7M4, Business
affl holessbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such pnrjccts with a Contractor(s) licenscd pursuant to the Conuactor's License law).
-IantexemptunderSectiott-,B'&P.C.fortlrisreas<rtt.I l^. ^.
W0 R K l',1 t(S' COM I'liN SA'l' I 0N
DECLARATION
I hcrcby aflirm under pcnalty of pcrjury one of thc lbllowing dcclarations:
_l have and will nnintafur a Certilicate of Consent to Self-lnsure for workers'compensation, as provided for by Section 3700 of the
[:bor Code, for thc perfornrance of the work for which thc Jrcrrnit is issucd.
_l have anrJ will nnintailr workers'Section 3700 of the Labor Code, for the grcrfonnance of
,carricr arxl gxllicy nunrbcr are:the work for this 1^-rrnit is
a oo t ?8-\
^5
Policy U t7 q1 t 0\zt
-l
ccrrify that in the lrcrlirrnrance of tlrc work for whiclr this permit is issucd, I shall not cnlploy any pcrson in any manncr
so as to bccornc subjcct to thc workers' compensation laws of Califomia. and agrcc that if I should become subjcct to the
workers' conryrnsation provisions of Section 3700 of the l-abor CrxJe, I shall, forthwith conply with those provisioru..
WARNING: Failure to secure workers'compensution coverage is unlawful, and shall subject an employer to criminal pcnalties and
civil lines up lo one hundred thousand dollars ($100.000t. in addition to the cost of compensation, danuges as provided for,the
Section 3076 of thc [:tnr Cedc- intc'rcst and attorncy's ll'cs. ^-A r
,^,". 1t/t6 / 20 ooo,,*,.t-
I hereby affrnr under pnalty of perjury that I anr licensed untler provisiorr of Chapter 9 (conrmencing with Section 70m) of Division 3
of the Businc.ss and Professions Code. arxl my licensc is in full forcc arxl effect.
License ,liLq'|cr{,4
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undcr pcnalty of perjury that there is a construction lcnding agerrcy for thc pcrformance of thc work ltrr which this pcrrnit is
issued (Sec. 3097, Civ. C.).
[.cnder's Name:
I-rntler's Address:
APPLICANT DECI,ARATION
I hcreby affrnr untlcr penalty of perjury unc of thc folklwing dcclarations:
Dcnxrlition Pcrnrits-Asbcstos Notification Fedcral Regulations (Tillc 40. Pan6)
-Rcquired
l.cttcr of Notification
I ccrtilv that thc
&^nr.y,r,* I ltavc
federal rcgulations rcgarding asbcstos rcmoval arc nol applicable to this projr:ct.
rcatl this application and stulc that thc ahrve
ordinanccs and State laws rclating to building
above mcntioned pmperty for
Applicant or Agent
Pcrnrilee a
Licensecrass: Lt o/ cqg /F
o^,",'ll/ ( b/ Lo