HomeMy WebLinkAbout20172397 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Permit #:2O172397
Pin #: 43895
Proiect Address: 1244 S Parton Sta
Unit.
Block: 7
Bldg:
Tract. 352
Address Range.
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 013-1 02-24 Lot: 1, POR 2
Owner:
Address:
Sergio Calderon
1244 S. Parton Street
Santa Ana, CA 927071134
(7141 658-4868
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 1 6002 51 603
01 1 16002 57770
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1.70
Light Fixtures 1 .1 3
General Plan Update 23.79
Issuance 59.30
Microfilm Records 4.05
Qty
6.00
2.00
4.00
1.00
1.00
1.00
Fee
$9.42
$3.40
$4.52
$23.7e
$5e.30
$4.0s
Phone
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
/+/'l
nn si
It
7ftc,
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2019
.rt-t[tt_tt_r
Building Use:
,Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Electrica!
Notes: Electricat outlets, switches, fixtures. Owner-Builder
form on file. ;
.Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Date:
Date:
Date:
I
12t04t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
2',
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 1 6002 s1 600
01 1 16002 51603
01 1 16002 57770
$23.79
$76.64
$4.05
Fee Total:
Paid to Date:
Balance Due:
$104.48
$0.00
$104.48
lnspector MID#: 2020-1 63100
i7
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNI'R BUII,DER DEI,CARATION
I hereby affirnr under penalty of perjury that I am excmpt from the Contractors' License law for the following reason (Sec.7031.5
Business and Profcssion Codc): Any City or County which requires a pcrmit to construct, alter, irnprovc. demolish or repair any
structure, prior to it.s issuance. also requires the applicant for such ;rcrntt to file a signed staterrnt that lre or she is licenscd pursuant
to the provisions of thc Contractor's Liccnscd l:w (Chapter 9. Commencing wilh Section 7fiX) of Division 3 of the Business and
Professions Code) or that lre or slre is exempt tltrefronr and tlrc basis for tlre alleged exenption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($stttt).
)cL\ as owncr ol'thc propcrty. or my ernployees with wages as their sole compensation, willdo thc work and the stnrture is rnt
interxlcd or offcred for sale (Sec.7(X4, Business and Professions Code: The Contractor's Licensc Law docs nol apply to an owner of
the pmperty wlro builds or inrproves thereon" and wln does such work himself or lrerself or through his or her own enrployees,
providcd that such improvcrrnts are not intendcd or offcred for sah. ll, howcver, thc buiHing or inprovcnrcnt is sold within onc )€ar
of completion, tlrc Owner Builder will have the burden of proving thu he or she did not build or improve the properry for thc purposc of
yale).
_1. as owner of the property, am exclu.sively contracting with licenscd contractors to construct the project (Sec. 7Ma. Businers
arxl Prolbssitn Code: The Contractor's License Law does not apply to an owner <lf property who builds or inrproves thereon.
and who contract.s for such projccts with a Contractor(s) liccnscd pursuant to thc Contraclor's Licensc l-aw).
_l anr exempt under rcas()n.
,r^r", b il Z/N//?,t/,r
I hereby aftirnr undcr penalty of pcrjury one of thc tbllowing declarations:
I have and will nninlahr a Certiticate of Consent to Self-lnsure for workers' cornpensalion, as provided for by Scction 3700 of the
I-abor Code, for the Jrerforrnarrce of the work for which the pcrmit is issued.
_l have and will nuintain workers' conrlrcnsalion insurance, as required by Section 3700 of the l-abor Code, for the perfornunce of
the work for which this Jrcrnrit is issued. My w<lrkcrs' compcnsation insurance carrier and policy number are:
Policy Numbcr: Expires:
&rccrrify lhat in thc prltrrnnnce of thc work for which this pcrmil is issucd, I shall not cmploy any lrcrson in any manncr
so as to becomc subject to thc workers' compcrsation laws of California, and agree that if I should becomc subjcct to thc
workers' conlp€nsation provisiors of Section 3700 of the Labor Codc, I shall, forthwith conrply with those provisions..
WARNING: Failure to secure workers' compensation coverdge is unlawful, and shall subject an ernployer to crirninal pcnaltbs and
civil lines up to orrc hundred thousand dollars ($100.000).
Scction 3076 of thc [abor Code, interest and attorney's lbes.
in addition to the cost of danuges as provided for lhe
o^r", . / Z/ et// Za ?a,
I hereby affirnr untler penalty of perjury tlut I anr licensrerl 9 (corrrnrncing with Section 7000) of Diviin 3
of the Business and Professions Code. and my license is in full force and effect.
License Class: Licerrse Number:
CONSTRUCTION LENDING AGENCY
I hcrcby aflirm undcr pcnalty of pcrjury that thcrc is a construction lcnding agency for thc pcrformance of thc work lbr which this pcrmit is
issued (Sec. 3097, Civ. C.).
knder's Name:
lrnder's Address:
A PPI,ICANT DECI,ARATION
I Hry affrnr undcr Jrcnalty of pcrjury onc of thc folhwing dcclarations:
Dcnrolition Pernrits-Asbcstos Notification Federal Regulations (Titlc 40, Part6)
_Rcquircd Lcttcr of Notification
this pro_icct.
Orc
above rncntioned propcrty ftrr inspection
Applicant or
IDcrmilec nanle
mt",y'n t/ /' ''
"?
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq / Groundinq I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
N/eter Release
Rouqh
Service N/eter
FINAL lz//l/?n?r A ,Y-/r,/
Notes, Remarks, Etc.I /- Yl/
Rev. 08-07-201 5
a
Contractor:
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