HomeMy WebLinkAbout20172407 - PermitI
t City 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^1724fJ7
Pin #: 2236,4
Proiect Address: 705 N Eastside Avea
Unit:
Block: NA
Bldg:
Tract: 1790
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 398-051-18 Lot: 15
Owner:
Address:
Concepcion M & Alejandro Alvarado
705 N Eastside Avenue
Santa Ana, CA 92701
(7141 222-e070
Fee Type
01116002 51603 TPP
01 1 16002 51600 General Plan Update
01 1 16002 51603 lssuance
01 1 16002 57770 Microfilm Records
Amount
111 .04
23.79
59.30
4.05
Qty
100
1.00
1.00
1 .00
Fee
$1 1 1.04
$23.79
$se.30
$4.05
Phone:
Tenant Name:
Contractor
Address:
HR Hernandez Construction
1352 E Edinger Avenue, Uni
Santa Ana, CA 92705
(7141 791-9952Phone:
State Lic #: 1031540
Lic Type: B
Bus. Lic #: 372726
Workers' Compensation lnsurance:Carrier: exempt
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
TPP
Occupancy:
Constr Type
Code:
R-3, U
VB
cEc 2019 Notes: temporary power pole for addition
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Verduzco, Vio!"i d
Date:
Date:
Date:12t08t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
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 permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 1 6002 51 600
01 1 16002 51603
01116002 57770
$23.7e
$170.34
$4.05
Fee Total.
Paid to Date:
Balance Due:
$1 98.1 8
$0.00
$198.18
lnspector MID#: 201 8-144512
a
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNIi,R BUTI,DER DTiLCARATION
I hereby affirnr under penalty of perjury that I arn exenrpt from the Contractors' License [:w for the following reason (Sec.7031.5
Busincss and Profcssion Codc): Any City or County which requircs a pcrmil to construct, altcr. itnprove. dcmolish or rcpair any
structure, prior to its issuance. also requires the applicant for such Srenrrit to file a signed statemenl that lre or she is licensed pursuant
to thc provisions of thc Contractor's l,iccnsed law (Chaptcr 9, Commencing with Scction 70fi) of Division 3 of the Business and
Professions Code) or that he or she is exenrpt therefronr and tlrc basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for u lxrrnit subjects the applicunt to a civil pennlty of not more than live hundred dollars ($5tttt1.
L
_1. as owncr ol'the propcrty. or my crnployccs with wages as their srle compensation, willdo thc work and thc structure is not
intendcd or offered for sale (Sec'.7044. Business antl Professions Cotlc: The Contraclor's License Law does not apply to an owner of
the pmperty wlxr builds or inproves there<rn, and wlxr does suclr work himself or lrerself or lhrough his or her own entployees,
provided that such impmvcrncnts are ff)t intcndcd or ollcrc'd for sah. Il. hcrwcvcr, the building or inprovenrcnt is sold within onc )aiu
of conrpletion, tlre Owner Builder will havc the burden of proving that he or she did not buikl or improve the prcperly for the purpose of
sale).
_1. as owner of tlrc propefly, am exclusively contracting with licensetl conlractors to construcl thc project (Sec. 7(X4, Business
and hotessbn Code: The Contractor's License Law does not apply to an owner of proJrrty who builds or improves thereon.
and who contracts [<rr such projccts with a Contractor(s) licenscd pursuant to the Contractor's License [aw).
-l
anr exempt under Section-, B. & P.C. lbr this reason.
Date:
WORKI'ILS' COM I'EIISA'I'ION
DECLARATION
I hercby affirrn undcr pcnalty of pcrjury onc of thc following dcclarations:
_l have arxt will nuintain a Certilicate of Consent to Self-lnsure for workers'conqrensation, as pruvided for by Scction 3700 of the
Latxrr Code, for thc perlrrrrnancc o[the work lbr which thc pcrrnit is issucd.
_I have and will nurintain workers' conrgrcmatiorr insurance, as required by Seclion 3700 of the L-abor Code, for lhe perfonruurce of
thc work for which this pcrmit is issued. My workcrs' compcnsation insurancc carrier arxl plicy number arc:
Carier:
Policy Number: Expires:
)g..!ccrtify that in thc lrcrfornuncc of thc work frrr which this pcrmit is issucd, I shall not cnrploy any lrcrson in any manncr
-so al to becornc subject to the workers' cornpcnsation laws of California. and agrce that if I should becomc subject to the
workers' corrrpensation provisions of Section 3700 of the Labor Code, I slull, forrhwith comply with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to crirninal penalties and
civil fines up lo one hurdred tlmusand dollars ($100.0001. in additiort to tlte cost of comgrctsation, danuges as provided for lhc
Section 3076 of thc Labor Codc, intercst and attorncy's fees.
I hercby affrnr under penalty of perjury that I anr licensed under provision of Chapter 9 (cottrnrcncing with Section 7000) of Division 3
of the Busincss and Professions Code. and rny license is in full force and effect.
Nunrber:1e715 o
License
2 2o
CONSTRUCTION LENDING AGENCY
I hcrcby affirrn under pcnalty of pcrjury that there is a construction hnding agency for thc pcrforrnance of thc work ltrr which this permit is
issued (Sec. 3097. Civ. C.).
Lender's Nante:
APPI,ICA NT DECT,ARATION
I hcrcby aftirnr undcr pcnalty of pcrjury onc of thc firllowing dcclauations:
Denxrlition Pcrnrits-Asbc'stos N<lification Fctleral Rcgulations (Tillc 40, Pafl6)
_Rcquircd l.cttcr of Notification
_l ccrtily that the fcdcral rcgulations rcgarding a.sbcstos rcmoval are not applicable to this projcct.
_l ccrtify tlul I havc rcad tlus applicalkrn axl statc that tltc ahtvc infornution
tl**ordinanccs and Statc laws rclating to building
above rnentioned propeny lor inspection
Applicant or Agent
I'crnrilec
12 20? o
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under SIab / Floor
Bondinq I Groundinq I UFER
Transf ormers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouoh
Ceilinqs [-Bar Rouqh)
lVleter Release
I
Rough tt lt
-rlService N/eter r lqlDt /l,tvt,'Ma)fl
FINAL t'l7-/n-tQ\-r t svy Y J
Notes Remarks Etc.
I
Rev. 08-07-201 5
f)ate:71 l/, /te?Dll
City and County
and entcr u[X)nto