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Home My WebLink About20162078 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20162078 Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 Project Address: 321 5 Andres Pl Assessor's Parcel: Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: State Lie#: Lie Type: Bus. Lie#: 108-113-06 Lot: 28 Vesta Clarkson & Maynard 321 S Andres Santa Ana, CA 92704 (714) 224-2170 Lightning Construction and 6047 Tampa Ave. #303 Tarzana, CA 91356 (818) 277-2043 951122 B 354082 Workers' Compensation Insurance: Carrier: State Fund Policy #: 9117672 Expires: 11/13/2017 Bui lding Use: Occupancy: Unit: Block: NA R-3, U VB Bldg : Address Range: Tract: 1550 Historic: No Fee Type 01116002 51603 Addn/Res 01116002 51603 Addn/Gar 01116002 51603 Air Conditioner 01116002 51603 FWU 01116002 51603 Low Vo ltage/Res 01116002 51603 Serv Meter 01116002 51600 General Plan Update 01116002 51603 Issuance Pin#: 76484 Suite Range: Zoning: R1 Amount Qty Fee 0.13 853.00 $110.89 0 .13 56.00 $7.28 90.25 1.00 $90.25 23.09 4.00 $92.36 34.20 1.00 $34.20 49.63 1.00 $49.63 20.56 1.00 $20.56 51.26 1.00 $51.26 Job Type : Nature of Work: Single Family Dwelling Addition Constr Type: Addn/Remodel/Patio Cover/\Code: CEC 2013 Planning Conditions: All materials to match existing. FLOOD ELEVATION CERT REQ'D@ CONSTRUCTION & FINAL. Notes: Upgrade serv meter/handout given. Remove wood burning & replace with an electric (FWU) fireplace in (e) living room. Planning Approval By: Date: Plan Checked By: Date: Permit Issued By: Subject to Field: Chavez, Dave-o?-Date: 12/06/2016 Account# Bui lding Permit#: 10189522 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 of 180 days after the time the work is commenced. Inspector MID#: 2016-128450 01116002 51600 01116002 51603 Misc. Receipt: Misc. Receipt: Misc. Receipt: T otal $20.56 $435.87 Fee Total: Paid to Date: Balance Due: $456.43 $0.00 $456.43 APPROVALS Site-Work Underqround Pole Bases Lioht Standards Soas, Pool, Fountains Sians (monument) Life Safetv /Low Voltaae Fire Alarm / Damoers Communications Cable Buildina Under Slab I Floor Bondina / Groundino / UFER Transform e rs Toraueina Sub-Panel s Air Conditioners Roof Too Equipment Factory Wired Unit Walls (Conduit) Walls (Rouah) Ceilinas (Hard & Soffit Rouqh Ceilinas (T-Bar Rouqh) Meter Release Rouqh Service Meter FINAL Notes , Rem arks, Etc. DATE ID/SIG. ll ti lr:t JIJ1i///!J<J ' I ELECTRICAL-INSPECTOR RECORD COMMENTS O WNER IIUI Ll>ER l>ELCARATION I he1·eby .iflirm under penalty o f pc1jury !hat I mn exempt from the Contracto rs· License Law fo r the follow ing re ... son (Sec. 7031.5 Bus iness and Proression Code): Any Cily or Co un ty which requires a JX.11 nit to con st nu.:t. alter. improYe, demolish or repai~ ::o.,y s tru cture. prior to it s issuance. also requires the applicant fo r such permit 10 lile a signed statement that he or she is liccused pur s'i.ianl lo the pro,,isions of the Co utractor's Licenst::d Law (Chapter 9. Commen cing with Section 7000 of Divi5io11 3 of the Bu1:iness and Pro fessions Code) o r that he or she is exempt thercrrom and the basis for 1hc aHcgcd e.xemption . An y violation or Section 703 1.5 by nny applicnnt fo r a permi t subjc..-..:ts the app licant lo a civil pena lty of not more than fi ve hLmdred dollars ($500). .. _1. as owner or the prope11y, or my employees with wages as their sole compensat ion. will do the \vork and the structure is not intended o r ofli:rcd for sale (Sec. 7044. Business and Professions Code: The Contractor's Liccm;c L1w does not npply 10 nn owner or th e proper1y who builds or imprnvcs thcroon, ru 1d who docs such work hi msc:lr or hersel f or through his or her own e mployees. provided thnl such im pro\'emcnts are not intended or oJTcrcd for sale . If. however. the bu ilding or improvemenl is sold within one year or completion. the Owner Boil dt.T \\~II have lhc burden of prO\'ing lhat he or she did nol build or improve th e prope11y for the pi1rpose of ~,le). _I. as owneror the propeny. am exclusively con1rnc1 in~ with li censed ront ractors to constrnct the projccl (Sec. 70➔4. Business and PrurQision Code: The Contractor's License Law docs not app ly to an owner of prope11y who bu ilds or imp roves thereon. and who contracts fo r si1ch projects with a Contracto r(s) licensed pursuant to th e Co ntractor's Li cense Lmv). _I am e.xcmpt under Section ________ . B. & P.C. for 1his reason. Dale: __________ Owner:. _______________________ _ WORKllRS' CO~lrENSAT I ON UEC LARAT I ON I he re by affirm under pena lty of pc1jury o ne of the follow ing decbrntions: _1 have and will 111,1i111ain a Cc1tificate of Cons~nt lo Self-Insure for workers· compensation. as provided for by Sec::1io11 3700 of t he Labor Code. for the pt:.i·fon nancc oft he work for which the pennit is issued. ~rnve nnd will mainta in workers· compensation insurance. ns required by Section .HO O of t he Lnbor Code. for 1he per fo nnnnc:e of t he work for which this pc1111 i1 is issued . My workers' compensation insurance carrier and po licy number are: C;UTier,._~---~$,__(Pt""-''-'J-e_,'--""'-(P"--_vt....:._:_V1.,__~-'------------- Policy Number:_•----9++)_,_l_'J+-.,.(.,_·,..__.,.2-=---------Expi,·cs: _• __ [_c/_, L/_'S_,_-'-'--[_1,_ __ _I certify t hat in 1he performance of the work for wh ich this permit is issued. I shall not employ any person in any mmmcr so ns to become subject to the workers ' compensat ion laws of01lifo m ia. an d agree thol if I should become subject to the wo rk ers' co mpensatio n pro visions of Section 3700 of the Labor Code. I shal l. forc hwit h comp ly with those provisions .. WARN ING: Failure to secure workers· compensmi on coverage is unlawful. and shal l subject an emp loyer to afo1ina l pt..'nalt ics and civil fines up lo one hundred thousand doll ars ($1 00,000}, in addit io n to the cost of compensation. damages as prm·idcd for the Stclion 3076 of t he Labor Code, int erest and attorney's recs. Uatc: • \2.._ {... •I (o A p p lka nt:~ . ~ LI __E_N SlcD CONl RA C I O R l>EC L A RATION I hereby affirm under penalty orpc1jury 1ha1 I ,u n license..'<! under pro vision or Chapter 9 (commencing with Sec1ion 7000) of Di visi on 3 of the Business nnd Professions Code, and my li cense is in fu ll force and effect. License Cktss::_'•----'-~-----,--------Liccm;c N umber: , q ~ / / 2.-2-._ l)atc: __ ,. __ ii..12="'--''-"{,,:;__:,_J/'--"L'----Contrnctor .. .,."f-,,,__ __ ~=--~-___,g=-~c:=c:c._ __ ~ _______ _ CONSTRUCT ION L EN DING AGENCY I hereby affi rm un der penalty of pe1j ury thal there is n constmcl io n lending age ncy for the pcrfommncc oflhe work fo r \\'hich th is permit is issued (Sec. 3097, Civ. C.). Lender·s Name : _________________________ _ Lender's Address: _________________________ _ ArPLICA NT DECLARA TION I hereby affu,n under pe na ll y or pe1j ury one of th e fo llowing declarations: Demolit ion Permits-Asbest os Notification Federal Regulations (Title 40. Pa1t6) _Required Lt!l lerofNoti fication _I t.:ciiify t hat the federal regulations regarding asbestos remova l are not applicable to 1his project. ~ .✓.:crtiry that I hn\·c read this .ipplication and stale that tl1c above infonnat ion is correct. I agree to comply with all Cit y and County 1----------------------------------------------------~-I ordinances and State Laws relat ing lo building const111ct ion. and hereby .iuthorize represenlat ives of th is City and County lo enter upon tl1c above mentioned prope11y fo r inspc...-ction purposes. Applicant or Agent Signa111re: "'f-~~ Pcnnitcc nnmc (p rinl): )( 6'1 1'('\cr G!vc//-e.,.r-.