HomeMy WebLinkAbout20171496 - PermitProiect Address: 3208 S Alton Crt-a-
Assessor's Parcel: 931-678-13 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SD81
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2017{496
Pin #: 61 461
Owner:
Address:
Phone:
Perry Vu
3208 S Alton Court
Santa Ana, CA 92704
(7141 227 -3073
01 1 1 6002 51 603
01 1 1 6002 51 603
01 1 1 6002 51 603
01 1 16002 5160C
01 1 1 6002 s1 603
01116002 5777C
Fee
$4 71
$26.71
$56 37
$23 79
$5e.30
$4.05
Fee Type Amount Qty
125 Volt Receptacle 1 .57 3.00
Dedicated Circuit 26.71 1.00
Spas (Above Ground) 56.37 1.00
General Plan Update 23.79 1.00
lssuance 59.30 1.00
Microfilm Records 4.05 1.00
Tenant Name:
Contractor.
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
F'er r'y Vu
Gerrerol Flan Updcrte Fe
u I I 1,5r-rr-r2 - 5 I 6Ln:tLt[u:t-
ElectriccrI
Ltl I 160112- 516lt3lrr-rtr-
ll i cr of i Im & Documen t s
Lrl 1 16LtLr2- 37'77utilJLr-
Visn
C(:+ : *f r***r*r***44'76Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Swimming Pool/Spa
Above Ground Spa
Hernandez, Kathy
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: lnstall above ground spa
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cEc 2019
07 t30t2020
Account#
Buirdins Permit #: 1 01104046
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 site by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector MID#: 2020-1 60001
01 1 1 6002 51 600
01 1 1 6002 51 603
01116002 57770
$23.79
$147 09
$4.05
$174.93
$0.00
$174.93
\d
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE !D/S!G.GOMMENTS OWNER BUTLDER DELCARATION
I hereby affm unds poalty of pejury that I m excmpt from thc Contraclor' Licre law for the following rwn,(Sc.7031.5
Buines md Profeion Codc): Any City or County which rcquirs a pomh to coNtruct, altq. improvc, donolish or repair ay
structuc. prior to it$ issuilce, also requirB thc spplicet for such pcrmit to filc I signcd stalo@t thd hc or sltc is licm!€d pwant
to the prcvisioE of thc Contractor's Licm*d l"aw (Chaptq 9, Commcncing with Setion ?000 of Division 3 of the Buines ud
Prcfsions Code) or that he or shc is qmpt thqcfrom ed thc basis for thc allegcd cxmption. Any violation of Setion 7031.5 by dny
applicantforspennitsubjctsthc applicmttoacivilpmltyofnotmorcthmfivchundrrcddollm($500).
_1. &s owner of the property, or my employe'es with wages as their sole compensation, will do the work and the structure is not
intcnded or offered for sale (Sec.7044, Business and Professions Code: The Contractor's License l-aw does not apply to an owner of
the progrerty who builds or improves thereon and who does such work himself or herself or through his or her own employces,
providd that such improvernents are not intended or offered for sale. I(, however. the b,uilding or improvement is sold within onc year
of complaion. the Owner Builder will have the burden of proving that he or she did not build or improvc the property for thc purposeof
salc).
_1, 3s owner of the prop€rty. am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Business
and Professbn Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contractor(s) licorsed pursuant to the Contractor's Licensc Larv).
_l am Section-, B. &
o
I hereby affrnn under penalty of perjury one of the following
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
Labor Code, for the perfonnance of the work for which the permit is issued.
_l have and will maintain workers' compcnsation insurance. as required by Scction 3700 of the Labor Code, for the performance of
the work for which this perrnit is issued. My workers' compensation insurance carricr and policy number are:
Policy Number: Expires:
_l certify that in the perforrnance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the workers'compcnsation laws of California. and agree that if I should becorne subject to the
workers' compensation provisions of Seaion -1700 of the t^abor Code. I shall. forthrvith comply with those provisions..
I
WARNING: Failure to secure workers'compcnsation coverage is arrd
civil fines up to one hundred thousand dollars ($100.000). in the
attorney's fees.
DECI.ARATTON
I hereby affrrm under penalty of perjury that I am licensed under provision of Chapter 9 (commancing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License Class: License Number:
Contractor:
CONSTRUCTION LENDING AGENCY
I hrcby allim undc pcnalty of pcrjury that thrc is a construabn lcnding agocy for thc po forec of thc work for which this pqrnit b
issucd (Se. 3097, Civ. C.).
lrnder's Name:
Landcr's Addrcss:
APPLICANT DECLARATION
I horby affinn under poralty of perjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Par16)
_Required Lrtter of Notification
_l ccrti& that the fedc'ral regulations regarding asbestos ronoval ile not applicable to this project.
_l certi& that I have read this application the above information is correct. I agree to comply with all City and County
ordinances and State Laws relating to building upon the
above mentioned property for
Applicant or Agent
Permitee nRme
and hereby authorize representatives of
Ze>
Site-Work )a
Underground c(h z -\ 7,t b Mrn.
Pole Bases t\\\
Liqht Standards
Spas, Pool, Fountains qvlrvt)\m
Siqns (monument)lr lr
Life Safety /Low Voltage
Fire Alarm lDampers
Communications Cable
Buildinq
Under SIab / Floor
Bonding I Grounding / UFER 3^b
Transformers \
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Wails (Roush)
Ceilings (Hard & Soffit Roush
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter tl lr I I
FINAL \LlLll'lf DWK'
Etc.
Rev. 08-07-2015
0wner:_4
('lrrlicr':-
Date:_
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