HomeMy WebLinkAbout20169137 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O169137
Pin #: 74766--Dl
Proiect Address: 1033 W River Lna
-
Assessor's Parcel: 00'l -231-01 Lot. 15
Unit:
Block. NA
Bldg:
Tract 1160
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Robert Rede
1033 W River Ln
santa Ana, cA 927061523
(7141315-2541
Fee Type
01'l'16002 51603 Light Fixtures
01'l 16002 5160C General Plan Update
01 'l '16002 51603 lssuance
Amount
1.09
22 95
57.20
Qty
4.00
1.00
1.00
Fee
$4.36
$22.95
$57.20
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
E;pires:
Bobch*:5r-t6?t-t -
0f t ice: (:TYH
Plr-LL?.
fi,:p b*: Lt?68Ltl1l
Trnnscr':t ion ToL
Rel i
lioirert l(edE
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Alteration
Occupancy:
Constr Type:
Code:
Date:
R-3, U
VB
cEc 2016
benersl l'10n updnBE Fee
01 I l,5r-rr.t2- 516Ur:rl[tr-
Electr irr.r-l
t.tl 1 l6t-t02- 51,5tl3lltlr1-
U iso
CC:+ : x*rr*r****x*?1 61
Notes: New !ighting for new patio area. Auth on file
Fee Total
Paid to Date:
Balance Due:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 101100687
v3::'07/05/2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51603
$22.9s
$61.56
$84.51
$0.00
$84.s1
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-152767
iD:
2l.r
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APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
lt/eter Release
Rouqh
Service Meter ,a--],
FINAL c/47- n /Lt('spt-lo)l zr7 I
Notes, Remarks, Etc
OWNER BU ILDER DEI,('ARA'TION
I herelry affirrn under penalty of pqjury thal I dfl crcmpl from lhc Conlractors l-icmse [.aN for the follos,ing reen (Se.70-11.5
Busines and Profsion ('ode): Any City or County Nhich requira a pmnit to coNnrct. allr. improve. dmolish or repair any
structure. prior lo ils issuance. also requires the applicdt for such Jrennit to file a signed staternenl that he or she is licensed pursuant
to the provisiom oflhe Conlraclor's l-icensed l,arr'(Chapler 9. Conrmencing rvith Sation 7000 ofDivision J ofthe Business md
ProfessionsCode)orthalheorsheisexemptthsefrornandthcbasisforthcallegedexmplion Any\iolalionofsslionT0-ll.5byany
applicant forapmnil subjstslhe applicantto acivilpenaltyofnot morcthm fir,ehundreddollars($500).
I. ns o\r'nq of lhe ptrofaiy. or my employG \t'ilh uaE6 as lheir slc compmsalion. \'ill do the work md ltE slnrctue is nol
intode<l orofloedforsle(Se.T044.BusinesandProfesionsCoderTheConlractor'sLicenseLa\\'do6notapplytoanoNnsof
thepropoly rvhotlrildsorimprovethqon.mdwhodoesuchrvotkhirnselforherselIorthroughhisorhoomemploye*.
provided that such improvanmts ile nol intmded oroffsed for sale. lf. hos'qq. the building or impro\'trrml is rcld rvithin one yw
ofcornplelion. the Osns Buildq Nill havc the hrdfl ofFo\in8 lha he or she did not trrild or improle tlr pmtEty for lhe purFD$ of
ele).
l. as o\\'ner of I he propdy. tun exc lusilely contract ing s ilh conh'acto6 lo conslrucl lhe fojecl (Sc. 7044. BusinN
builds or irnprovcs thomn.
,icmc l,aw).
and ltofqsion Code; The ('ontractor's l-icense LaN dos nol orvne ofproperty who
and rvho contracts for such prcjecls \silh a Contmcto(s)lo ( ontrackf s I
I an e\empl undtr Sslion for
,,,"- l)'l-05'19
t)tt( t.AIL\ il()N
I herebr alTirrn undcr pcnall) ofpsjur) ooe of follo* ing d<larations:
Ihaveodwill maintaif,aCertificaleofcoNotloSelf-lnsurelorwuk6s'compensation.o providcdforbyS(tionlT00ofthc
tabor Code. for lhe pqfomece of lhc work for s'hich lhe p6mit is i$ucd.
Ihavcandwillmaintainrvorkm'compensationinsurance.as requiredbySection-ST00oftheLaborCode.forthcpafonnanccof
the rvork for rvhich this pcnnit is issued. My works' compqsalion ireurance canir ad policy numbo ue:
Cmie:
Policy Number:Expires:
-.1
cenify that in the perfonnance ofthe work for rvhich this pennit is issued, I shall not eilrploy any pemon in any manner
so G k) lrccoiDe snbist to lhe workq's'conlpensation larvs of('alifomia. and agree lhal ifl shoukl become subj@l lo lhe
workss' compssationprovisioro of Section l700of lhe titrer I shall. forlhrvith comply $ ith thow previsions..
WAIININC: I:aillrrc lo sccurc $orkcrs' cornpeilsali()n is shall subiccl an crnpkrycr lo oininal poaltits and
civil lines up lo onc hundrcd thousmd dollars ($aLld it of cornpenvtion. ddnagc 6 1-ovided for the
56lion 3076 ofthc Labor Code. intffBt and atlomey's
I herehy affi rnr under pcnalty o f per iu y that I am liccnsed lrovision ol ('haptcr q (cornrncncing rvith Scction 7000) ofDivisioil -1
of lhe Businss and Profesions Code. md mv licmse is in full force &rd eff6t.
Licensc ('las:
Dale:
I iecrrsc Nrrrrrlrr
( onIrilclor
CONSTRUCTION LENDTNC ACENCY
I hqeby allim undq tmalty of pqjury lhat lh6e is a conslruclion hndinS agocy for lhe pefommce of lhc rvork for * hich this pmnit is
issued (Se. 3097. ('iv. C.).
Lender's Name:
Lods s Addras:
APPLICAN'T DECLARATION
I hotll'affrm undo poalty ofperjury one ofthe follo\f ing d(ltrations:
Demolilion Psmits-Asbestos Notification liedsal Regulations (Title 40. Pan6)
Required tdltr of Nolificalion
I cdiry that lhe fedtral rcgulalions rcilx)val arc o({ rpplic.hlc lo this prcjccl
I celify lhal I hare read this application ud is co[(t. I agre to compl]- \ ith all ( ity and Colnty
ordinanca and State Lass relating lo authorize reprsmtativ6 of(his Cily aild County to flts uFxrn the
above Drcnlioned propeny for
Applicrnt or Agent Signature:
I'emri(ec name (pritr():tuBrpr A
alrx c
Datel rLll12
ELECTRICAL.INSPECTOR RECORD
,,",", t01- 05'19
PEDE