HomeMy WebLinkAbout20172264 - PermitProiect Address: 2136 N Jodv Ave
Assessor's Parcel: 001-092-01 Lot: 173
Unit:
Block: NA
Bldg:
Tract: 1724
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 #:2o-172264
Pin #: 27372
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Melissa Miller
2136 N Jody
Santa Ana, CA 92706
(e4e) 3744156
Freedom Forever
43445 Business Park Dr, #1
Temecula, CA 92590
(951) 44s-5645
01 1 16002 51603
01 1 16002 s1600
01 1 16002 51603
01 1 16002 57770
Fee Type
Serv Meter
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
4.05
Qty
100
100
100
100
Fee
$57.40
$23.79
$se.30
$4 05
Phone.
State Lic #: 1029644
Lic Type: B, C-10, C-39, C46
Bus. Lic #: 370076
Workers' Compensation Insurance:Carrier: Redwood Fire and Casualty lnsurance Company
Policy #: FRWC 113471
Expires. 0110112021
I
. Building Use:
- Job Type:
Nature of Work
Single Family Dwelling
Solar
Service Meter upgrade
Chavez, Dave
<q'l
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirdins Permit #: 1 01104365
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 the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-160938
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3
VB
cEc 2019
11t09t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:Service Meter upgrade. Handout given
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.7e
$1 16.70
$4 0s
$144 54
$0.00
$144.54
ELECTRICAL.I NSPECTOR R ECOR D
APPROVALS DATE ID/SIG.COMMENTS OWNI',R B UII,DI'R DIiI,CA ITATION
I hcreby affrm untler penalty of frjury that I arn exenpt frorn the C:ontractonr' License I:w f<rr the following rcason (Sec.7031.5
tlusincss and Profcssion Codc): Any City or County which requircs a permit to construct, altcr, itnprovc. dcmolish or rcpair any
strucrure, prior to its issuance. also rcquires the applicant for such pernrit to file a sigrrcd slatement lhat lre or she is licensed pursuant
to the pmvisions o[ tlr Contractor's l,iccnscd law (Chaptcr 9, Commcncing with Section 7fiX) of Division 3 of the Busincss and
Professions Code) or that he or she is exenpt tlrerefronr arxl tlre basis for the alleged exenrption. Any violation of Section 7031.5 by any
applicantforaperrnitsubjectsthe applicanttoacivilpenaltyofnotmorethanllvehundreddollars($500).
_1. a-s owner of thc propcrty, or rny ernployecs with wages as their solc compensation, will do thc work ard the structure is not
interxletl or offered ftrr sale (Sec.7tXa, Business and Professions Codc: The Contractor's Licensc Law does not apply to an owner o[
the proprly wlrc builds or imgnoves thereon, and wlro docs such work himself or lrerself or through his or her own enrployees,
provided that such impmvcnrents arc not intendcd oroffcred for sale. I[, howcvcr, 0rc building or inprovenrcnt is sold within one ]aar
of completiotL the Owrcr Buikkr will have the burtlen of proving that he or she did mt build or improve tlrc prcperty for thc purposc of
sah).
_1. as owner of the pmperty, am exclusively contracting with liccnsed conlractoni to conslrucl thc projcct (Scc. 704+, Business
ard hofr:ssion Code: The Contractor's License l-aw does not apply to an owner of prolrcrty who builds or improves thereon.
and who contracts for such prcrjccts with a Contractor(s) licensed pursuant to thc Contrector's Liccnse l-aw).
-l
anr exempt under Section-, B. & P.C. for this reason.
WORK ERS' COM PIINSATION
DECLARATION
I hereby aftirm under pcnalty of pcrjury onc of thc lbllowing declarations:
_l have arxl wilt nraintain a Certificate of Consent to Self-lnsure for workers' compensalion, as provided for by Section 3700 of the
Labor Code, for thc Jrcrformance of the work for which thc pcrrnit is lssued.
VI hur. aml will nuintain workers' conrpensation insurance, as required by Seclion 3700 of the Labor Code, for the grcrforman"^e of
are:tlrc is issucd. My workers' conrpensation insurancc carricr arxl plicy numbcr
d Firo o^J Celteq [t.o T
Policy OF W r3 \a t t ?-l
_l ccrtify that in thc lxrftrrnuncc of thc work for which this 1rcrmit is issucd, I shall not employ any person in any nrallncr
so as to bccorne subject to thc workcrs' cornlrcnsalion laws of California. and agrce that if I should becotnc subjcct to the
workers' conlpensation provisions of Section 3700 of the Labor C'ode, I shall. forthwith conrply with thosc provisions..
WARNING: Failure to sccure workers' compensation coverdgc is unlawful, and shall subject an employer to crirninal pcnahics and
civil tirrcs up to one hundred thousand dollars ($100.000). in tlre cost of compensation, danuges as provided for lherlattorney's l'ecs.
a
DECI,ARATION
I hercby affrnr untler penalty of pcrjury that I anr licensetl under provision of Chapter 9 (cotturpncing with Section 7000) of Division 3
of the Business and Professiorrs Code. and my license is in full force and effect.
Licerxe -b /cto ,l0?.q bl.t
,t
CONSTRUCTION LENDING AGENCY
I hercby aflirm undcr pcnalty of pcrjury that thcre is a construction lcnding agcncy for thc performancc of the work lbr which this permit is
issued (Sec. 3097, Civ. C.).
knder's Name:
A PPI,ICANT DECLARATION
I hrchy allirnr under Jrcnalty of perjury onc of thc following dcclarations:
Demolition Permits-Asbcstos Notification Fcdcral Regulations (Titlc 40. Pan6)
-Requircd
lrttcr rtf Ntlification
_l ccrtily that thc fcderal regulations rcgarding asbcstos rcmoval arc not applicablc to this projcct.
t$+*"nilty that I lravc rcad this application uxl statc that lhe abovc infrrrmarion is corrcct. I agrce to conrply with all City antl County
ordinanccs and Statc Laws rclating to hcreby auttnrize reprcscntatives of this City and County to cntcr upn thc
above rnentioned propeny for inspection
,[lApplicant or Agent
Pcrnritec namc
a q LD
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service lVleter I
FINAL t//o ?/tn*r, /#W/,/
Notes, Remarks, Etc. ' '// \'J vl/
Rev. 08-07-201 5
o