HomeMy WebLinkAbout20262004 - PermitCity of San ta Ana 20 Civic Center Plaza (M-19), Santa Ana , CA 92702 Electrical Permit#: 20262004
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Project Address: 701 E Occidental St
Assessor's Parcel:
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
State Lie#:
Lie Type:
Bus . Lie#:
014-213-18 Lot 23
YESENIA ARRIAGA
701 E OCCIDENT AL ST
Santa Ana, CA 927072333
(714) 928-3010
Owner-Builder
Workers' Compensation Insurance:
Carrier:
Policy#:
Expires :
Building Use: Occupancy:
Unit
Block: NA
R-3, U
VB
Bldg: Address Range:
Tract 2238 Historic: No
Fee Type
01116002 51603 Demolit(on (includes ren
01116002 51600 General Plan Update
01116002 51603 Issuance
Pin#: 97790
Suite Range:
Zoning: R1
Amount
45.13
20.56
51.26
Qty
1.00
1.00
1.00
Fee
$45.13
$20.5 6
$51 .26
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Remove Electrical
Constr Type:
Code: CEC 2013 Notes: Repair/remove unpermitted electrical.
Planning Conditions:
Date:
Plan Checked By: , Date:
Planning Approval By: . ~
Permit Issued By: d r do ·, Teri
Subject to Field: '·
Date: 11/15/2016
Account#
Building Permit#: 291383
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of180 days after the time the work is
commenced.
Inspector MID#: 2016-132841
01116002 51600
01116002 51603
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$20.56
$96.39
Fee T otal:
Paid to Date:
Balance Due:
$11 6.95
$0 .00
$116 .95
A PP ROV ALS DAT E ID/SIG .
Site-Wo rk
Undergroun d
Po le Bases
Li g ht Sta ndards
Spas, Poo l, Fountains
Siqns (monument)
Life Safety /Low V o ltage
Fire A larm / Dampers
Communications Cable
Bu i lding
Un der Slab / Floo r
Bond ing / Ground ing / UFER
T ransforme rs
T orqueinq
Sub-Panels
A ir Conditioners
Roof Top Equ ipment
Facto ry Wi red Unit
Wa ll s (Conduit)
Walls (Rouqh)
Ce ili ngs (Ha r d & Soffit Rouq h
Ce ili nqs (T -Ba r Rouqh)
Meter Re lease
Roug h
Service Meter ' 1 r--.
FINAL \ ... \1.'1..\\\, I ~ltA
Notes , Rema r ks, Etc. I ----.
ELECTRICAL-INSPECTOR RECORD
COMMENTS O W NER llUILDE R D ELCARATION
I hereby affi rm under penalty ofpe,jury that I run exem pt from the Cont r:ict ors' License Law for the foll owing reason (Sec.703 1.5
Dusiness and Profession Code): Any City or County which requires n pcnn it to cons1nic1. alter, improve. de mol i~h cw repair a•?,y
structure. prior to its issuance. also requires the applicanl for such pcm1i1 to file a signed statement that he or she is lin~nscd pursuant
to lh e prO\'isions of the Contrnclor·s Licensed L.iw (Chapter 9. Commencing wilh Sect io n 7000 of Division 3 of th e Business mid
Professions Code} or thnt he or she is exempt therefrom and the basis for the alleged exemption. Any violat ion or Sect ion 70J 1.5 by any
app!ic.int for a pcnnit subjects the applica nt to a civi l penall y of no1 more than five hundred dolla rs lS500).
_I. as owner o r1hc propc11y. or my employees with wages .is their so le compcnsntio11. will do the w ork and the strnd ure is not
in1ended or offc .-ed for sale {Sec.7044 . Business and Pmrcss ions Code: T he Contracto1-·s License L'l w does not apply to nn owner of
the pmpc11y who builds or improves thereon, and who docs suc h wofk himselr or hersel f or through his or her own employees.
provided 1hm such imp rovements arc not intended or offered for sale. If, howe\'cr. t he bui lding or i111provemen1 is so ld within one year
of comp!e1ion. the Owner Builder will hn \'e the burden of pro\'ing lhnt he or sh e did not bui ld or improve the propc11y for the purpose of
sa le).
_I. <15 owner of the.: prope,,·ty. am exclusively contracting with li<x·nscd contrnctol's to constrn ct lhc project tScc. 7044 , Btisiness
and Profession Code: T he Con tractor's License Law does not npply to an owner or propc11y who build s or im pron~s thereon.
and who contracts for such p10Jects II nit a Comract m(s) hccnsed pmsuam to the Com,actors/~ense La w)
Da l~amcxemptunderSect,on I r.-b ~;iJ~' UJ -vi t!J1{1('. ~ ~VOil~ RS ' r :O ~1PE NsA·1 1O~ /
<; ,/...,} ECLAllA I ION
I hereby affirm under penalty orperJ ury nc orth fo lo~ <.k·cl1mu1ons
_l lmvc and will Jm1.intai11 a Cc11ifil:a1c or Consent to Scl r•lns u rc for \\"Urkcrs' co1npcnsrition, as pro, idcd fo r by Sec tion 3700 oflhe
Labor Code. for t he perfo rmance o r the ,vork for wl1ich th e permit is iss ued.
_I have and wil l maintain workers· compensat io n insuran ce . .is requi red by Seel ion 3700 of1he Labo r Code, fo r lhc perfonua11ce of
the work for which this permit is issuc.'d. My workers' compensation insurance ca1Ticr mid pol icy num ber are:
C'nrricr: __________________________ _
Polic y Numbc r: _____________________ E.'<pires: __________ _
_I ce11iry that in t he performan ce or the work for which this permi t is issued. I s ha ll not empl0y any person in ,rny m.nmer
so as 10 beco me subject to the workers' co mpcnsmion laws ofCalifo miri. an d agree thai i rl should become s ubj e ct to th e
workers' co m pensation provisio ns of Sect ion 3700 or th e Labor Code. I sh.ill. forthwith com p ly with those proYisions ..
\VA H..N ING: f nilurc to secure.: workers' compcnsmion LO\·eragc is unlnwfol. nm.I shnat}l sub·ccl nn cmpl0ycr to crimin.il pena llies n
Sectio n 3076 o r the Lnbor Code. intcresl ~1d allorn 's re / I}/) fl r_,,j//4 ~ _ . ci vi l fines up to one hun dred 1ho11sn11.d dollars ($1( .oo~u· in ~dd it icm 10 the C'OSI o r l 'ijc < 11. t1nmngcs as rovided fi 1e
Dale: ___________ Al ,ant; f / J _jl/}11} 'f /1(/ff/t, T A
. '-.1.1 ,.d,A l!A T ION /
CENSIW C O NTRACTOII. -
1
~
1
(_,/
I h!.!rcby affirm under penally o r pe1j ury that I am lit·cnsed ml0¢" provision o rClwptt:..T 9 (co11 11 nc11ciug, vith cction 7000) of Division 3
or the llusincss and r m ressions C ode. and my li cense is in'-f.:111 fo rce and cITcct.
License Class: ______________ License Nu111ber: ~---------------
Date: ___________ Cont rnC'l or: _____________________ _
C ONSTRUCT I O N LE ND ING AGENC Y
I hereby affi rm under pe nal ty o f perjury that there is a construction lending agency for the perfon nancc o f th e wor k for \\"hich this pennit is
issued (Sec . 309 7. Civ. C.).
Lender·s Name: _________________________ _
Lender·s Address: _________________________ _
A PPLICANT llECLAllATION
I hL'febyaffi n n under pena lty or perjury one of the fo llow ing declaration s:
Demolit ion Pennits•Asbestos Notifi cation Federn l Reg ulatio ns (Title 40, Part6)
_Requi red Leiter of No tifi cation
_1 ct.-,·1iry 1ha1 the fcdcrnl regulations regardi ng asl>cslos rcmov.il arc nol app lic.i blc lo this project.
I
_I cei1i th I ha\'e rend th is applicm ion nd sta te !hat the aOOve i11 fo n nation is cc,rrect. I :ii;ree to c 1 ly wi1h all C'ity and County
ordina nces'. Stale Laws rel~ting to r J1ildi co11s.trnt.:1ion, a11d hc.:71re utho~¥ !'epresentalivcs o f ,h' C ty ~nl/J('ounl IO";;ClllCIJiUpo n ,y
above men d prope11y for 111spect1 n p ~s}1. (.J, J 1 . J f,
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