HomeMy WebLinkAbout20171044 - Permit@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:2lJ171o,44
Pin #: 6,25A4
Proiect Address: 1001 N French Sta
-
Assessor's Parcel: 398-031-15 Lot: 4,5,6,7,8, POR 3
Unit:
Block: 84
Bldg: Address Range:
Tract: SANTA ANA EAST HiStOriC: No
Suite Range:
Zoning: SD19
Owner:
Address
Phone
Grapevine Property Services
1001 N. French Street
Santa Ana, CA 92701
(41s) s41-6233
01 I 16002 51603
01 1 1 6002 51 603
01116002 51600
01 1 1 6002 51 603
o1116002 57770
Fee Type
Re-Set Mtr
Min Fee Adj
General Plan Update
lssuance
Microfllm Records
Amount
55.37
16.98
22 95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$s5.37
$16.e8
$22.9s
$57.20
$3.91Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Re-set Meter Code:
R-t
VB
cEc 2019
Notes: Re-set meter only, due to fire damage. Letter of
authorization on file.
Planning Conditions:
Chavez, Dave
Date:
Date:
Date:
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 permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
04t13t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01116002 5't603
01116002 57770
$22.95
$129.55
$3.91
Fee Total:
Paid to Date:
Balance Due:
$1s6.41
$0.00
$156.41
lnspector MID#: 2020-158604
Electrical
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE !D/SIG.COMMENTS OWNIiR RtltLl)llR l)l'ILCARATION
I hereby al'firnr ![der petrilhy of p.riury that I aD e\ernpt frotrr lhc (bntraclors' License bw for tlE following reasotr (Sec.70]1.5
lJusincss and Prolassir)n Codc): Any Cit!, or C,)unty which rcquircs a p-rmit h con\trucl, allcr. improlc. dcrnolish or rtprir any
slnlclure,prior!,ils i\surilce.ils()requirestheapllicxrildrsuclpcrnilt,fleasigDedstalenElt lhallEorsheirlicensd pursuant
b lhc provixions ol llt Coillrilclor's Liccnscd Inw (Chaptcr 9. CornrncncinS with Scclion 7(XN) ol Division 3 ol thc Busincss and
npplicnntforrpcnnitrubjectslhc ipplicrnltorciyilpennltvoInotnnethilnIlvehundrcddollars($5{x)).
_1. as owncr ol llt prolErtv. or n1y ctrrplovccs wilh waScs as lhcir \olc cornlrhsalion, will do thc work and thc strmture is nol
inerxlcr.l or offered lirr $le {Se(.7(}44. Ilusirress and Profcssiurs Crxle: The (lontractor's Liccnra Law d(Es not apply t) nn owner of
the pn)plrly who hilds or in{rroves llrrdilr, and wlx) docs such work llinNclf or herselt or lh(}ugh his or her owD enlpl()yees,
providcd lhat such irnpnrltnrnls arc nrt inlcrxlcd ()rollcrcd li)r slc. ll. howcvt-r. thc huilding or irnprovcrmnt is sold wilhin one year
ofconpletiul tlrc (lwner lluilder will luvc thc burden of provin8 llu{ lc or she did rtx buil.l r)r iDprovc tlE p()pcny for lh.. purlDse of
srle).
_1. rs owncr ofthe l)rolcrty. dm cxclusively conlrn(ting with lircnEd conlrack)rs lo colslrucl tlrc projelt (Sec. 7Ol{. Bu\iness
arrd f'roli'ssirr Code: -l'he Contractor's Lrcensr l,aw docs not apply lo an owDer ofprop(y wh() huilds or in)Iroves thereon.
atrd who conlracls for \uch proiccts with a Conlrack,r(s) liccnscd pursuanl to thL G)otractor's Liccnsc Law).
-liln|exen\nuDdeIScctirln-.B,&P,C,li)rtllisreilsotrDate,-i-
W(rRKIi:RS' C0l\lIUNSAll0N
DECLARATION
I lNrchy allirn) un(lcr l\-nrhv r)f pcriurv {)trc (,1 lllc li,ll(,s ing (lcclarali(ills:
-l
havc ul will nraiilain a Ccnilicale of C()nsetrt t) Se lllnsurc for uorlers'con4rnsation, as providcd for hy S€ction 3700 of thc
LalNr C-dlc, for thc trrforDurcc o[thc work lirr which thc pcrlit is issucd.
_l have ail will ilHirtrtin workers c(nnpensilli(il insuratrce. as rcquired by Seclior 3700 ofllrc lrbor Ci)de, for the pcrf{)rnnnce of
thc worl lor which tlris pcrDlit is issuc(I. My workcrs'con4^-nsation i[surercc cm'icr ilxl1xrlicy nun*rr uc:
Policy Numbcr: Erpi,cs:
_l ccnily lhrt in lhc ltrli)rtrHilcc ()f tltc work f(!r rvhich this lcrnlil is issulat, I shall not cnrpkry any lEasoo in any nranncr
so as to hccorrc suhjcct to thc workcrs' coilrpcmation laws ol Calilornia. atrd agrcc that if I should hccorrc subjccl to thc
sorkers'corr\EnsrlionprovirionsofSectionl?00oftheLahrrCorle,lshall,fonhwilhcorlrplywithtlusprovisions..
WARNINGT Failure $ secure workers conrpensation aoveraSc is unlawful. md shnll subjecl in cmployer lo criminnl penaltics trnd
Scction 3076 ot thc tnlxI Codc, iilcrcst and atbrrcv's lccs.
a
LICENSED CONTRACTOR
DI]CI,ARA'I'IoN
I hereby nftrnr under tEnnlly of Ftjury thrl I inr licencd under provision of Chapter 9 ( cornnEncing with Section 7fi)0) of Division :l
o[ lhe Irusiness and l)rolessiors ('ode. atrd rnv liccn\e is in full force xnd effcct.
Licetrse Cluss:_Liccnse Nunlberl
CONSTRUCTION LENDING AGENCY
I hcreby allirrn undcr pnalty ol pcrjury that thctc is a construction hnding aScncy lor the pcrfoilnancc o[ thc work lbr which this pcrrnit is
issued (Se(. 1097. Cir. C.).
lJnder's Nanrc:
lf,nder's Addrcs\:
APPI,ICANT DECI-ARATION
I hrrty affirnlundcr pcnally of pcrjury onc ofthc following deldati(,ns:
Dcnrliti{)n Perorits-Asb.stos Notificatbn Fedcral Rcg!lati(tni (Title 40. Pd6)
_Rcquircd Lctlcr of Nolification
_l cenili lhd lhc tederalrcSulations rcgildin8 asbeshs rcrmval tue not applicablc to this pmj€t.
_l cenify tlul I luve rcad this afplicalion od stalc lhal llrc ah)ve itrformtion is corect. I agre to conply with sll City ud County
ordillmcs md State bws rclating to building consttuction. ud hcreby authorize rcprcsntalives of lhis City atrd County lo entd upon thc
abovc trenlioncd propcny for
Appli(atrt or Ag0t
l'cmrilcc [anrc
PUrlx)scs.
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lVeter Release
Rouqh
Service lVleter
FINAL
Notes, Remarks, Etc.
?al1loq,l
ELECTRICAL-INSPECTOB BECORD
APPBOVALS DATE ID/SIG COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monunrent)
Life Safetv /Low Voltaoe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueino
Air Conditioners
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouslr)
Ceilings (Hard & Soffit Houqh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service lVeter ?'.ls"zt:1Ccz7
FINAL tt -/ f-?zt tZ(t W*,Aa9 L?
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