HomeMy WebLinkAbout20172113 - PermitProiect Address: 1830 E Nineteenth Sta
Assessor's Parcel: 396-352-19 Lot: 7
Unit:
Block. NA
Bldg
Tract: NA
Address Range: 1828-1834
Historic: No
Suite Range:
Zoning: A1
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #i 20172113
Pin #: 15712
Owner.
Address:
Phone
Tenant Name:
Contractor:
Address:
John Johnson
1830 E 19th St
Santa Ana, CA 92705
(7141 483-1217
Pro Star Builders
17412 Ventura Ste 151
Encino, CA 91316
(866) 772-6161
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 5160C
01 1 16002 51603
01 1 16002 5777C
Fee Type Amount
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .TO
Light Fixtures 1 .1 3
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
200
1 .00
100
1 .00
100
1.00
Fee
$3 14
$1 70
$1 13
$23 79
$se 30
$4 05
Phone:
State Lic #: 1053661
Lic Type: . B
Bus. Lic #: 376410
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 92GG353
Expires. 1213112021
Bntch*:56S6? Lu/ lli,i
0f'f i ce: (:TYH Tr nn sl
A--Llr,-tLL {, ? .
Rcpti:Ltsll?4I42 1[r,,
Tronsof,t i on totnl
F'r B St nn P.u i l der's
Occupancy:
Constr Type:
Code:
R-3
VB
cEc 2019 Notes:Electrical for guest bathroom remodel.
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
Bathroom Remodel
Zuniga, Allissa
101104959
10t15t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
pate
V3:r,
Every permit issued 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.
Inspector MrD#. 2020-1621 80
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23 79
$6s 27
$4 05
Fee Total
Paid to Date:
Balance Due:
$93 11
$0 00
$93.11
_l
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI'R BU ILDER DI'I,CARATION
I hereby affirnt untler penalry of perjury that I arrr exempt fronr the Contracrors' License Law for the following reason (Sec.lOlt.5
Business and Prolbssion Codc): Any City or County which rcquircs a pcrmit to construct, alter, irnprove. dcmolish or rcpair any
structure, prior t<l its issuance. also requires the applicant for such pernrit to fih a signed slate]rEnt that he or she is licenscd pursuant
to thc provisions of thc Contractor's l,iccnscd l,aw (Chapter 9, Commencing with Scction 70fi) of Division 3 of thc Business and
Professions Code) or that he or she is exenpt therefronr and tlre basis for tlrc alleged exentption. Any violation of Section 7031.5 by any
applicant for a Jrcnnit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
_1. as owner of thc property. or tny ernployces with wages as thcir sole compensation, will do thc work and thc struclure is not
interxled or offered for sale (Scc.7014. Business and Profcssiorrs Codc: Thc Contractor's License Law does not apply to ur owner of
the progrerty wlro builds or inrproves lhererrn, and wlro dtrcs such work himself or herself or through his or her own enrployees,
provided that such improvcnrcnts arc not intcrxlcd or ollcred for sah. Il. however, the building or furprovenrcnt is soH within one year
of completion, the C)wner Builder will have the burdcn of proving that hc or shc did not build or improve the propcrty for thc purprsc o[
sah).
_1. as owner of the property, am exclusively contracting with licenscd contractors to construct thc pmject (Sec. 7044. Business
arxl hotbssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projccts with a Contracto(s) licenscd pursuant to the Contractor's Licensc taw).
-l
anr exempt under Section-, B. & P.C. for this reasott.
I l^. ...
WORKER.S' COM PENSATION
DECLARATION
I hcrcby affirm under penalty of perjury one of the tbllowing declarations:
_l have arxl will nnintain a Certilicate of Consent to Self-lnsure for workers' contpensalion, as provided for by Scction 3700 of the
labor Codc, for the performance of the work for which the pcrmit is issued.
-l
have and will nraintain workers'conryrcnsation insurance, as required by Section 3700 of the l-abor Code, for lhc perfonmrce of
which this prmit is is.sued. My Workcrs' compcnsation insurance carrier and gxllicy number arc:( tqfe- )
thc work for
f Z-Zl-7cPolicy
_l ccrtify tlrat in tlrc lrcrfornuncc of tlrc work f<rr which this pcrmit is issucd, I shall not cmploy any pcrson in any manner
so as to bccoryrc subject to the workers' compcnsation laws of California. and agree that if I should beconr subjcct to the
workers' conlpensation provisions of Section 3700 of the Labor Code, I shall, forthwith conrply with thosc provisions..(
WARNING: Failure to secure workers'compensation coverdge is unlawful. and shall subject an employer to criminal pcnaltics and
'compensation, danuges as provi,.led for lhecivil lines up to one hurdred tlulusand dollars in tlrc cost of
Section 3076 of thc [:tnr Crxlc. intcrcst and
I)ate:.lo -15'2c
I hereby affrnr untler penalty of perjury ttrat I anr liccnscd under provision of Chapter 9 (cotturrcncing with Scction 7000) of Division 3
of the Business and Professions Code. and rny license is in full forcc and effect.
License
Date:
).,ur", b ticense Number:l.p I
Itf- lf'U)
CONSTRUCTION LENDING AGENCY
I hcrcby aflirrn undcr pcnalty of pcrjury that thcre is a construction hnding agcrrcy for the perlbrrnancc of the work ltrr which this pcrmit is
issued (Sec. 3097, Civ. C.).
lrnder's Name:
APPI,TCANT DECI,ARATION
I trrcby affrnr undcr pnalty of prjury onc of the following dcclarations:
Dcnxrlithn Pcrnrits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40, Pafl6)
-Requircd
kttcr of Notification
_l certily that thc fedcral rcgulations rcgarding &shstos rennl'al arc not applicablc to this project.
_l ccrtily thal I havc rcatl this applicalion urd tlrat ttrc atxlvc inf<rrnution is corrcct. I agrcc to conlply witlr all City and County
ordinances and Statc laws rclating and hcrcby authorizc reprcscntatives of this City and County to cnter upon thc
above rnentioned properry for
Applicant or Agent
I'crnritee
to building
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq I UFER
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinqs (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouoh)
Meter Release
Rough L',11'A)VEDil,:,*s?8t
Service N/eter I I tAl -.? -(*
FINAL llPqTc Uf)"t'?0r/, w
Notes, Remarks, Etc.I
(
Rev. 08-07-201 5
,