HomeMy WebLinkAbout20171908 - Permita City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (7141647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2017{9O8
Pin #: 24212
Proiect Address: 27 17 S Center St-a
Unit:
Block: NA
Bldg:
Tract 8343
Address Range:
Historic: No
Suite Range:
Zoning: R1Assessor's Parcel: 412-255-08 Lot: 3
Owner:
Address.
Kenneth Nguyen
2717 S Center St
Santa Ana, CA 92704
(7141 883-5383
01 1 1 6002 51 603
01 1 1 6002 s1 60C
01 1 1 6002 51 603
01116002 5777C
Fee Type
Serv Meter
General Plan Update
I ssuance
Microfilm Records
Amount
57.40
23 79
59 30
4.05
Qty
1.00
1.00
100
1 .00
Fee
$57.40
$23 79
$59 30
$4 05
Phone:
Tenant Name:
Contractor:
Address:
Solartime Electrical Service:
14371 Euclid Street, #2F
Garden Grove, CA 92843
(626) 7s7 -6677Phone:
State Lic #: 1051 487
Lic Type: B, C-10
Bus. Lic #: 374129
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: gZSTTg3
Expires: 0711912021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Electrical
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019 Notes: Electrical
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field.
Building Permit #:
web-ur"r$1
Date:
Date:
Date:09/1712020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
N/A - No
N/A . No
Balance
Balance
Fee Total
Paid to Date:
Balance Due:
$144 54
$144 54
$0.00
lnspector MID#: 2020-161581
ELECTRICAL-INSPECTOR RECORD t
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BIJII,DIiR DEI,CARATION
I hereby affrnr under penalty of pcrjury that I anr exenrpt frcm the Contractors'License [-aw for the following reason (Scc.7031.5
lJusincss and Prolbssion Codc): Any City or County which rcquires a pcrrnit to construct, altcr, itnprovc, dcmolish or rcpair any
structure, prior to its issuance. also requires the applicurt lor such perntt to fih a sigrrcd slatement that lre or she is licensed pursuanl
to tl-*^ provisions of the Contrlctor's Licenscd t-aw (Chapter 9. Commcncing with Section 7000 of Division 3 of the Business and
Professions Code) or that lrc or she is exempt therefronr and tlrc basis ftrr tlrc alleged exenption. Any violation of Section 7031.5 by any
applicant for a perrnit subjects thc applicant to a civil pcnalty o[ not more than five hundred dollars ($5tlO1.
_1. as owner ol'thc propcrty. or my crnployccs with wages as thcir solc compcnsation, will do the work and thc structurc is not
interxletl or offcretl for salc (Scc.7014, Busine.ss and Pnrfession^s Code: The Contractor's Licensc l-aw does not apply to an owner of
the property wlm builds or improves tlrre<rn, and wllo does such work himself or lrerself or througlt his or her own entployees,
provided that such irnproverrcnts arc rnt intcndcd or offercd for salc. If. trowcver, the building or improvcnrnt is snld within onc )tar
of conrpletiotr, tlrc Owrrer Builder will havc the burden of provirrg ttrat lr or she did not buikl or inprove Or propaty for thc purposc of
vdh).
_1. as owner of the propeny, am exclusively contracting with licensed contractors to construct thc prujcct (Sec. 7044. Business
arxJ hofessi<rn Code: The Contractor's License Law does not apply to an owner of proprcrty who builds or intproves thereon,
and who conracts for such projects with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnse l-aw).
-l
anr exempt under Sectiott-, B. & P.C. for tltis reason.
f 1... ^.
WORKEIIS' COMPENSATTON
DECLARATION
I hereby affirm under penalty of perjury one of the tbllowing declarations:
_I have and will ntaintah a Ce(ilicate of Consent to Self-lnsure for workers'c'om5rnsation, as provided for by Section 3700 of the
Labor Code, for the pcrformance of the work for which the perrnit is issucd.
-l
have and will maintain workers'c<lnrpcnsation insurarrce, as required by Section 3700 of the [:bor Code, for lhc perfornunce of
the work for which this pernrit is issucd. My workcrs' compensation insurance carrier ard policy number are:
Policy Number: Expircs:
_l ccrlity that in thc lrcrfrlrnunce of tlrc work for which this pcrmit is issucd, I shall not cnploy any pcrson in any manncr
so as to bccome .subjcct to the workcrs' cornpensation laws of California. and agrec that if I should becolne subjcct to the
workers' cornpensation pruvisions of Section 370O of the Labor Code, I slnll, forthwith conrply with those provisions..
WARNING: Failure to secure workers'compensation covemge is unlawful, and shall sub.iect an employer to criminal penaltics and
civil fines up to orrc hundred th<lusand dollars ($100.000). in addilion to lhe cost of compensation, damages as provided for the
Scction 3076 of the l,abor Code, interest and attorrrcy's [ees.
Date: Applicant:
LICENSED CONTRACTOR
DECLARATION
I hereby affrm under penalty of perjury that I arrr licensed under provision of Chapter 9 (conrnrncing with Section 7000) of Division 3
of the Business and Pmfessions Code. and my license is in full forcc and cffect.
License Class: Licensc Number:
Datc:
CONSTRUCTION LENDING AGENCY
I hcrcby allirm undcr pcnalty of pcrjury that thcre is a construction hnding agency for the pcrlbrmance of the work lbr which this permit is
issuerl (Sec. 3097. Cir'. C.).
[*nder's Nanre:
APPI,ICANT DECLARATION
I hcn$y aflirnr under pnalty of perjury onc of thc lbllowing dcclarations:
Dcnnlition Pcrmits-Asht'stos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Required lrttcr of Notifrcation
_l certify that thc l'cdcral rcgutations rcgarding a.sbcstos rcnroval arc not applicablc to this projcct.
_l ccrrify tlrat I have read this application and statc that the abovc informalion is corrcct. I agrcr: to comply with all City and C<lunty
ordinanccs and State laws rclating lo building construction, and hereby auttnrize rcprcscntatives of this Cily and County to cnter upon thc
above rrrcntioned propcrty for inspection purposes.
Allplicant or Agent Dale:
Pcrmitec nomc (print):
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor 1l I ^a
Bondinq I Groundi no I UFER I
a
/
I u 7/DYTVV t
Transformers I
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)Ir t ?d
[/eter Release ilJ I
I
Rough I I
Service lt/eter IL L 7/0 nk#81 2/t
FINAL l1/A -L( ,lznu.%f/
Notes, Femarks, Etc.\ -l
Ao C2rl
Flev. 08-07-201 5
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