HomeMy WebLinkAbout20169711 - PermitProiect Address: 2321 N Baker Sta
Assessor's Parcel: 001 -173-13 Lot: 17
Unit:
Block: NA
Bldg:
Tract: 1740
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City nf 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 20169711
Pin #: 95920
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Cal Rosseti
2321 N Baker
Santa Ana, CA 92706
(7141 875-7 34s
Ron McMaster dba McMaste
2 McLaren #C
lrvine, CA 92618
(e49) 481-79e5
Fee Type
01 1 16002 51603 FWU
01 1 16002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
25.76
22.95
57.20
Qty
1 .00
1.00
1 .00
Fee
$2s 76
$22.es
$s7.20
State Lic #: 726607
Lic Type: C-20
Bus. Lic #: 341707
Workers' Compensation lnsurance:
Carrier: Sentinel lnsurance
Policy #: 72WECZUB138
Expires: 02lO2l2O2O
Batch*:52t-t80 ?/18/?rtt9 ID: HGAR(:IA
Off ice: (:TYH Trnrrs*: zLt 1 of 3Acct*: Rel*: 201 69711
Rcpt*:02750824 ?/lg/21r19 12:59 F'H
Tronsoct i on Totnl t483. ?3
Ran llcllaEter dbn llcllnEter A ir
Generql Plon Updqte Fee
ol 1 16oo?- Sl6lrlrlll:ro-
Electr icql
Lrl I I 6ttrr?- 5l 6(r3lt0rr-
Viso
(:C* : rr******** *x84 58
i22.71
$82. ?,5
t493.?3
Auth*:Lrg395GBuilding 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
Miscellaneous
FWU
Fregoso, Vince
Hernan dez, Kathy
09/18/2019
09/18/2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Recerpt:
Total
Notes: c/o
Fee Total
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2016
01 1 16002 51600
01 1 16002 51603
$22 95
$82 e6
$1 0s 91
$0 00
$105.91
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 fhe sife by such permit is suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MtD#. 2019-154470
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION
I hcrcby affirm umlcr pcnolty of perjury lhot I mt cxcmpl fiom lhc Conlraclos' Liccnrc hw for lhc following rca*rn (Scc.7o.ll 5
Busincss ond Profcssion Cttc): Any City or County which rcquircs r fErmit lo conslrucl. allcr, improlc. demlish or rcIEir any
structurc. prior to its issuarcc. also rcquircs the applicanl for such [Er[il lo lilc { signed statcnEnt thol he or shc is licensd pu]suf,nl
to thc provisions of thc Contr[ctor's Liccnscd Ltrw (Chnptcr 9. Conrnrcncing with Sslion 70U) of Division 3 of the Busincss and
prdcsskrr Codc ) or lhat hc or shc is cxempt thcrcfrom and thc h{sis for rhe alhgcd cxcmption. Any violution of Scclhn TO3 l 5 by rny
{pplicanl for a pcrmil suhjccls lhc applicant to a civil pcmlly of nol rmrc lhan fivc hundrci dollurs ($5il))
_1, us owncr of thc proFrty. or my cmplolres wilh wtrgcs ils thcil solc com{rcnsolfun. willdo thc work and thc slnrc{urc is nol
intcrxlcd orolTercdfilJb(Sa.Z044.BusircssandProfcssionsCodc:ThcContractor'sLiccnrclnwd@snotlpplytornowncrof
lhc pmFf,y who builds or inpmvcs thcGrn. ond who d(Es skh w)rk hinrsclf or hcr$lf or lhmugh his or hcr own cmployccs.
pmriacO rhat such imprcrcmnts m mt iilcndcd or otfcrcd for slc. lf. howcwr. lhc building or itr{rrcrcmnl is mld within orrc pu
;fcorr{rhtiotr. lhc Owrcr Buildcr will harc thc hurdcn ofpmving that hc or she did not huild or hnprcvc thc Imlf,rty for thc purlns of
slc).
_1. as owncr of the propeily. ilm exclusivclyconlracling with liccnsd conlructom lo onslruct lhc pmFct (Scc. 7(X4. Bu$incss
srxl ftof6shnCodc:ThcContrrctor'sLiccnscLawdocsnolapplyrranownerofpropcrlywhohuildsorimprovcsthcrcon.
and who contruclsforsuchprojcctswithaConlncto(s)licensdpursuantlothcCbnlractor'sLiccnscbw).
-l
arn cxcrrrpt under B. & P.('. lirr this rcits()tl.
l)ale:_( )w'ner: _
WORKERS' CONTPENS {TION
DECLARATION
I hcreby affirm under pcnahy of pcrjury one of thc following declaralions:
_l havc and will maintain a Ccrtificatc of Consent to Sclf-lnsure for workcrs' compensalion. as provided for by Section 3700 of thc
Labor Codc. for the performancc of lhe work for which thc pcrrnit is issucd.
_l have and will maintflin workcrs'conlpcnsation insurance. as rcquired by Section 3700 of the l-,abor Code. for ltrc Jrcrformance of
thc work for which this permit is issued. My workers' conrlrcnsation insurance carrier and ;nlicy numbcr are:
Policy Nurnbcr: ExPires:
_l ccrtily lhat ilt thc pcrkrrnmnce of thc work lirr which this pcrrnit is issued. I shall not entployany pcrson in any manncr
so us lo bc'cgr.rrc suhjcct ro thc workcrs'contpcnsation laws of Calitbrnia. ancl agrcc thal if I should trccotltc subjcct lo thc
workers' colnpcnsalion provisions of Scction 37fi) of thc Lahrr Codc. I shall. lbrthwith cotnply with thosc provisions..
WARNING: I;ailurc lo scurc workcrs' conrpcnsalioll covcritge
civil lincs rrp to ollc hundrcd lhousand doll:rrs ($luJ'000)' ilt
is unltu'l\rl. antl shall subjccl an crnploycr to critninal Jrcnaltics and
cornpcrtsation. damagcs as provided lor thclo lhe cost ol'
Scction .l0T(r of thc Labor Codc. intcrest and atlorncy's
/to /tn Appricanr:-
l'ccs.
I ):rtt :
q
I hcrchy al'tlrnt uttdcr pcnalty tll'pcrjury thal I aln liccnscd undcr of Chaptcr 9 (contttrcncing with Scctiott 7(ru0) of Division -l
of thc Busirrcss arrd Profcssiorrs Cotlc. antl rtty liccltsc is in full fttrcc attd cl't'cct.
l-iccrtsc Nurrrbcr:
aDate: I /I / tq contracro.' *
CONSTRUCTION LENDTNG AGENCY
I hcrcby aflirrn undcr Jrcn{ltyofpcrjury thrt lhcrc is d conslruclion hnding ugcrcy for thc pcrfornEnce ofthc work for which this Jrcrnrit is
issucd (Scc. 3097. Civ. C.).
Lcnder's Namc:
I-cnder's Address:
APPLICANT NECLARATION
I lrcrchy allirrrr under pcnalty of pcrjury onc of thc ltrllowing declaralions:
Dcnrolit ion Pcrrnits-Asbestos Notification Fcderal Rcgulations ('l'it lc 40. Part6)
-Rcquircd
lrttcr of Notification
_l certily that thc l'ctlcral rcgulatiorrs rcgarding asbcslos rctloval ilrc tx)t applicuble to this projcct.
_l ccrtily that I havc rcad this application antl stalc that thc abovc itttorlttalion is corrccl. I agrcc to conrPlY
' rcprescnlativcs oI this City
with all City and Counly
and Counly lo cnler ulnn thcordinances and Statc Laws rclating to building cortslruct ion. atxl hcrchy :tul horizc
above rncntioned proprty lbr inspction
Allplicanl or Agertl Signnlure:
Pennilce nnnre (;lrinl l:1fu (nll;"<t - 'vrxBr<tn| Ml;q-&-
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundinq / UFER
Transformers
Torqueincr
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
N/eter Release
Rouqh
Service lVleter
FINAL //-r-at tL t,r NUo, Ztl
Notes, Remarks, Etc.
C)r.', nO fl? Dn'i H