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Home My WebLink About20170051 - PermitProject Address: 1924 S Bamda! St Assessor's Parcel: 408-093-04 Lot: 81 Unit: Block: NA Bldg: Tracl 2487 Address Range: Historic: No Suite Range: Zoning: Rl 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 #:2O17OO51 Pin #: zoao( rl Owner: Address: Phone: Contractor: Address: Donald Hamlin 1924 S Bamdal St Santa Ana, CA 927044012 1r,-t 5yq - 3Zo3 Fee Type Amount 01 't 16002 51603 Light Switches, Occ. Se 1 .64 01 1 16002 51 603 Light Fixtures 1 .09 01 116002 51600 General Plan Update 22.95 01 116002 51603 lssuance 57.2O Qty 2.00 2.00 '1.00 '1.00 Fee $3.28 $2.1 I $22.95 $57.20Tenant Name: Patio Warehouse lnc. 950 E. Katella Ave. Ste. 2 Orange, CA 92867 Phone State Lic #: 875966 Lic Type: B, C-61, D-03, C-8, C-29 Bus. Lic #: 351569 Workers' Compensation lnsurance:Carrier: Liberty Mutual Policy #: XWS59104195 Expires: 1OlO1l2O2O Ecrtchi ; 54t-t +I - L / 23/ 2i.t?t.]l Uf t ice: {:TYH Trans*: ,qAcct*: Ref Rcpt*:Lr?gBLr93Lr - 1/23/?il Tnnnsact i on Totnl l $ PnLia l,hrehouse lnc I Electrical for enclosed patio cover. Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Single Family Dwelling Alteration Patio Enclosure Occupancy: Constr Type: Code: Date: Date: Date: R-3, U VB cEc 2016 Notes: 01t23t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Chavez, Dave Subject to Field: Buirdins Permit#: 101102049 n7L. Every permit issued shall become invalid unless lhe u/ork 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 is suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2019-155510 01 1 16002 51600 01 1 16002 51603 95 66 $22 $62 Fee Tolal: Paid to Date: Balance Due: $8s.61 $0.00 $85.61 I AuLh* ELECTRICAL.I NSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER RUII,DER DEI,CARA'IION I hecby aflinn under poalty of psjury that I m cxempl from lhe Contractos Licme lav for thc following remn (Sc.7Cl1.5 Busilss and Profsion Codc): Any City or County rvhich rcquires a pmnit lo construcl, alt(. improve, dmohsh or repair my structure. Frior lo its isuance. also rcquirB the applicant for such [Emit to file a signed statonml that he or shc is licosed pursuilt lo the provisions ofthe Conlractor's Liccnsed Larv (Chapts 9. Comrnencing rvith Selion 7000 of Division 3 ofthc Businesl md Professions Code) or that he or she is exempl thsefrom and the bsis for the alleged exemption. Any violalion ofSdtion 703 L5 by any applicant for a pmit subjsts the applicant to a civil penalty of nol morc thm five hundrcd dolles ($500). I. c orvnr ofthe prop€(y. or my employeG with wag6 6 their sle cornpquation, *ill do the work ad thc sructwe is not inlodql orolleredforslc(Se.T044.BusinsadProfesionsCode:ThcContractor'sLicoselrwdo6ootapplyloanownflof theprcpeny whobuilGorirnprovGthqon.ildwhodo6suchworkhimselforherselforthroughhisorherownemployeG, provided lhat such improvmots oc not inlmded oroffocd for ele. lf. horvevs. the building or improvenent is sld rvhhin one ya ofcornpletion. the Orvns Builds will have the budfl ofproving lhd he or she did not build or improvc the prcpsly for the pupo* of sle). l. d owncr ofthe fropdy. m erclusively contracting with lictrsed conlractoE to conslruct the prejd (Ss. 7044. Buins and PrefrsionCode:'lheContractor'sLicenseLawdo6notapplytoanownsofpropffy$'hobuildsorirnprovBlhs@n. and rvho contracts for such projets with a Contracto(s) licensed pulsuant to the Contrack)r's Licmse Larv). I m exemDt ud6 Sstion-. B. & P.C. for ihis reqson. l)rte:Owner:_ ruaBKEES:CAitTXENS DECLARATION I hoeby affrrm undo penalty ofpsjury onc ofthc follorving declaations: _ _l have md will maintain a Cmificate of CoBot to Self-lnsure for work6s' compmation. 6 provided for by Sdtion ]700 of the Labor Code. for the pofomucc of thc rvork for which the psrnit is isued. qaf'f,Ive and rvill maintain workm' compensation insurance. as required by Sslion 3700 of the Labor Codc. for the pcfomecc of thc srrrk lirr UC: t o- /-\3 - I ce(ify that in the poforrnance ofthe rvork for rvhich this psmit is issued. I shall nol mploy any peNon in any mann6 so 6 lo become subj(l to the workqs' cornpensalion la\r's o f Califomia. and agrtr lhal if I should tEcome subj(t to the workqs' compensation provisions ofSmion 3700 ofthe l,abor Codc, I shall. forlhwith comply with those provisions.. IVARNINC: Failure to scue \rorkers'compwlion covqage is unlarvful. and shall subiect m mploye to oirninal pelaltie and civil fines up to one hundred thousand dollaE ($100,000), in ad(lilion lo dmagcs m provided for the Sation 30?6 of the l:bor Code. intqGt ud anomey's fe. a DECLARATTON I hreby affinn unds p€nalty ofpqjury that I m licssql undtr prevision otChapts 9 (commenciog with S(lion 7000) ofDirision 3 of the Businas md Proicsions Code, md my licose is in full force od effect. ! License Class:- <l 3ts7t"pLiceme Number: Date:contractor:-F -ZNCONSI'RUCTION LENDINC AGENCY I hoeby aflirm undo lrralty of perjury that lhqe is a construction loding agsrcy tor the pqfomance of the work for which lhis pcfinit is issued (Sa. 3097. Civ. C.). Lods's Addr6: - I hedry amm unds pcnahy orpalury one of ,n" "ffiffiffiffiloNDenolition Permits-Asbestos Nolification Fedsal Rcgulations (Title 40. Pan6) -Required Letls of Notification LIPAj;U tl|atrhe fcdqBlregulatioN reSdding dbestos rqnoval6re oot applicablc lo lhis projet. I/[*t, ,n, I have rad rhis applicarion ed srat)ilhat rhc abore rnfonnatron B corect. I agre to comply wilh all crty and County ordinancG md Stale Laws relating to building coy'1r{rction. md [elebyTuthorize reprBqtativs ofthis City md County lo cntq upon thcff*;H:il,:::Elg& D.'u,.- t - )3')p Pemitenamelprint;: D(, - E otOA!F-4 - Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Siqns (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bondinq / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough Service Meter FINAL Z-Zo-zp I 21 /o\ Notes, Remarks, Etc -|) cmir:-l Q'Rza-|'l Policy Nurnbe: t y\rd5 -s 4T;E I a Lender's Name: