HomeMy WebLinkAbout20171721 - PermitCity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 Electrical Permit #:2tJ171721
Pin #: 539{OPermit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 d
Project Address: 1018 W Occidenta! St Unit:
Block: NA
Bldg:
Tract: 1498
Address Range:
Historic. No
Suite Range:
Zoning: RlAssessor'sParcel: 013-214-06 Lot: 25
Owner:
Address:
Rosario Ledezma
1018 W Occidental St
Santa Ana, CA 92707
(714) 966-1182
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01116002 5777C
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
Fee
$57.40
$23.79
$59.30
$4.05
Phone.
Tenant Name:
Contractor:
Address:
Phone:
lon Electric lnc
1830 E Miraloma Ave Ste E
Placentia, CA 92870
(714) 993-9469
State Lic #: 95'1482
Lic Type: C-10
Bus. Lic #: 371524
Workers' Compensation I nsurance:CaTTieT: ACCREDITED SURETY AND CASUALTY COMPANY INC
Policy #: 1ATCA16000219
Expires: O9lO1l2O2O
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019 Notes: Electrical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
,"0-ra"r(
Date:
Date:
Date:08t21t2020
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
rssuance, or if the work authorized on the site by such permtt is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
N/A - No Balance
N/A - No Balance
Fee Total
Paid to Date:
Balance Due:
$144.54
$144.54
$0.00
lnspector MID#: 2020-160980
ELECTRICAL.INSPECTOR RECORD
Bev.08-07-2015
APPROVALS DATE ID/SIG.COMMENTS OWNITR BT'II,DI]R DI]I,CARATION
I hcrcby affrm undcr pcnalry of pcrjury that I atr cxcDrpt frutrl lhe Clontmcto6' Liccnsc l:w for the following rcaen (SqJ.7031.5
Busincss ard Profcssion Codc): Any City or Counly which rcquircs a [LTrnil lo construct. slts, irnprovc, dcmlish or rcpair My
struclure, prior h ils issuancc. aJso cquiEs thc applicut fm sucl FEmril lo filc a signcd slatemnt that lE or shc is licensd pur$art
to tlrc pmvisions of thc Contractor's l-kcnscd kw (Chaptcr 9. Commcncing with S€tion 7U)0 o, Division 3 of lhc Business and
hofe$ions Code) or that lt or she is exenrpt theEfron snd tlP b6is for tl* alleged exenrption. Any violalion of Srction 7031.5 by any
applicantforaFnnitsubjdtsthe applicunttoacivilpcnnhyofnotmrcthanfivchundrcddollars($500).
_1. as owncr ol tlr prclEny, or my crnployccs with wagcs as thcir slc cornltnsnlion, willdo thc work and thc slMuc is mt
inteBlad or ollcred for salc (Se.7(X4. Busincss and Prcfcssions Codc: Thc Contractor's Liccnsc llw does nol apply lo ill owner of
the ptupeny wlb builds or in[roves lhrrdE and wlx] d(rs such ur)* himself or lErself or lhrough his or her own enployees,
provided that such irnprovcrrcnts ec frx iilcftlcd or ollcrcd lor $lc. ll, howevcr. thc boilding or irrprovcmnl is $ld within one ycd
of compbliotr tlE Owrcr Buil&r will luvc thc burd.n of prcvin8 lhat hc or she did ftn buikl or impsvc thc pmpdty for the purpos of
sdle).
_1, as owner ofthc property, am cxclusively coutracling with liccnsd conlracloft lo consfuct lhc pojcct (Scc. 7{N4, Businc$
and PrctlssionCode:TheCulrachr'sLicenseLawdoesDotapplytoanownerofpropenywhobuildsorinrproverlhe,eon.
and who conlracls for such projccts with a Conlracb(s) licctrscd pursuut to thc Contraclor's Liccnsc Law).
-l
anr exempt undcr Sectioil-, B. & P.C. lbr this raasoil.
tv( )RKltRs' coMt,lINSA'I I(rN
I)I;CI,ARA'I'ION
I lNrcby afl'irnr u[dd' |cnrlly i,l pcriury onc ()l lhc l(,lkrwing (lcclirrali('ns:
_l have ild will nlaintair a Ceniticate of Co[setrt h Self-lnsurc for workcrs' conDcnsation, as pruvided for by Scctioil 3700 of the
kbor Code, for the perfornrancc o[lhc work tor which thc pcflrit is issucd.
_l have aD{j will truintain workers'c(mrpe[sali()n insuraucc, as rcquircd by Scclion 3700 oflhc Labor Code, for the perfornunce of
thc work for which lhis lrrnlit is issucd. My workcrs' conrlrcusation insuruce cmicr iurl u)licy numbcr ile:
Policy Numbcr: Expitcs:
_l ccnify that in thc Frlilrnuncc of thc work for wltich this pcroil is issucd, I shall not cmploy any Frson in any manncr
so as to bccom suhject lo thc workcrs' conrpcnsation laws of California. and agrce that if I should bccorrc subjcct to thc
*orkers'cotrrpensalionprovisionsofSection3?00ofthetnborCodc,lshall.fonhwithcon)plywiththo$provisiorN..
WARNING: Failurc to scurc workcrs'compcnsation covcmgc is unlawful, aDd shall subjcct 0n .mployer to riminal pcnahio and
civil fincs up b one hundrcd thousand dollars ($l00,m0). ir addilion b lhc cosl of compcrelion, danuScs d provid.d for lhc
Scclion 3076 of thc Latbr Cdc, intcrcst md athrNy s [ccs.
LICENSED CONTRACTOR
DI;CI,ARATION
I hcrcby affrm undcr pcnalry of pcrjury rhal I anr licensd undcr provision ofchaptq 9 (cotrrnEncints with Scction 7000) of Division 3
of thc Busircss a0d Pmf.ssions Codc. etrl my liccn€ is in full fore und cffecl.
Liccose Numbcr:
-
Dsle'- Contraclor'-
CONSTRUCTION LENDING AGENCY
I hcrcby aflirm undcr pcnalty ofpcrj!ry thd thcrc is a construction lcnding a8crcy to. the [Erlbrmarcc ofthc *ork fbr which this frcrmit is
issucd (Scc. 309?, Civ. C.).
Lender's Nanre
kndcr's Addrcss:
APPI,ICAN'T DECI,ARATION
I tscby Jfflrmundcr lf,nalty of pcljury onc of thc [olbwing declilati(,ns:
Dcffi)lition Pcrmits-Ask+sbs Notificati()n Fcdcral RcSulati(,ns (Titlc 40. Pd6)
-Rcquircd
tdtcr of Milification
|
-l
cdily thar thc ltdcralrcgulali rns rcgdding asbcstos rctmvaluc not applicablc to this prejcct.
I| _l ccnify rhat I havc rcad this applicalior ilrd s(atc that lhc ahrvc inti,Imalion is corccl. I aSre b conDly with all Cilyand County
I rrrdinanccs and Statc laws rclating k) building construc(ir]n. md hcrcby authorizc rcprcsntativcs of lhis Ci(y and County to cnter upon thc
I abovc rncntioncd prrpef,y for insp.ction purposs.
Applicant or Agent
I'crnritcc nonrc
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor A\
Bondinq / Grounding / UFER xwla
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
lMeter Release
Rouqh h I tVt(us9
Service lVleter VhWY h -l J.lu,>tY
FINAL lo rOV)t'i>lM -'g otJ 4lqlz.,>
Notes, Remark$, Etc I
9-I VtCtrs vlllM\J\J
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