HomeMy WebLinkAbout20172193 - PermitProiect Address: 3050 S Bristol Sta
Assessor's Parcel: 412-031-03 Lot: 1
Unit: 5-B
Block: NA
Bldg:
Tract: 10165
Address Range:
Historic: No
Suite Range:
Zoning: R4
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^172{93
Pin #: 385{O
Owner:
Address:
Phone.
Tenant Name:
Contractor:
Address:
Phone:
lvan & Mayra Lozada
3050 S Bristol St, Unit 5-B
Santa Ana, CA 92704
(7141 6184845
QSP Corp dba QSP Constru
3401 Sirius Ave #3-322
Las Vegas, NV 89102
(562) 3714625
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount Qty Fee
Air Conditioner 104.40 1 .00 $104.40
Dedicated Circuit 26.71 1.00 $26.71
Busways 26.71 1.00 $26.71
General Plan Update 23.79 1.00 $23.79
lssuance 59.30 1.00 $59.30
Microfilm Records 4.05 1.00 $4.05
{i,-tl;,.:il'., ::_, r'i.i ii.i Ii.:.,,':.jlj,r,''.itL:,iii iii r_li;;:: . ,',: .'I'
iti'i'i''t-': '',",'; l'it1';t':i,:: 'i.t
... .. . t. - I |.. ,. -.- : . t. :?.tt t I l?tr.' - ..it,rr...r,. r _ ,t..-t t . .._r.... r ..
ir .!. i.;,;....,.;.,i::.j'.. . it :..r,-...j:.1-rr'.ri.r .t. -:' I ar I . - |' ' I l: ' '1.!.' t l -' t-'.: 'l ! .'l I 'l
...
I l'i.i jj:::.11.r.. r.. i i j;; 1 ij r, r-i i ';:..rii,i.i , ,'..'
State Lic #: 1034787
Lic Type: B, C-20
Bus. Lic #: 374450
Workers' Compensation I nsurance:Carrier: Norguard lnsurance Company
Policy #: QSWC170594
Expires: 0112212021
[lSF' i:nr'ri ,Jbn A5[-' i:orrEt,r'uct ion
Genr:rgi Flsn UpdsLe l'en
il1 I l6ulr?- Il6lrlt0[t[r-
11 icrof ilm & Do,:uor:nts
rJ t 1 l6rrlr?* 177 TrJUtrLl-
Ele,:tr'irrc1
Ltl I 16rtr.t?- 516ll3tt[t[r-
I CL Ch e,:l: tlt-t$?4's
Notes: lnstall a/c compressor (153lbs) on balcony.
Fee Total:
Paid to Date:
Balance Due:
$r . tJIj
s217.L2
$5$tr , P) 1.' ,r,,oing Use:
Job Type:
' Nature of Work:
Condominium
Alteration
HVAC
Chavez, Dave
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-2
VB
cEc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
10/,28t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Totalvc'
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 tirne the work is
commenced.
lnspector MID#: 2020-162230
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.79
$217 .12
$4.05
$244.96
$0.00
$244.96
ELECTRICAL.INSPECTOR R ECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI',R II IJILDIiR DIiI,CA RATION
I lrercby afl-rnr under penalty of perjury tlrat I anr exenrpt fronr the Cbntraclom' License l-aw for the following reason (Scc.7031.5
Busincss and Profc.s.sion Codc): Any City or County which rcquircs a pcrmit to construct, alter. improve. dcmoli.sh or rcpair any
structure. prior to its issuance. also requires the applicatrt lbr such Jrernrit to file a signed statement that lr or she is licensed pursuanl
to the provisions of thc Contractor's Liccnscd law (Chaptcr 9. Commcncing with Section 70fi) of Division 3 ol'the lJusines.s and
Professions Code) or that lrc or she is exenrpl tlrcrefronr arxl tlp basis for tlr alleged exenrptiort. Any violation of Section 7031.5 by any
applicant for u lrrrnit sulljects the applicant to a civil pentlty of not more lhan five huntlred dollars ($500).
_1. as owncr ol'th profrcrty. or Iny cmpkrvecs with wages as thcir solc comJrcnsation, will do the wcnk and thc stnrclure is rnt
interxletl or oflbretl frrr sale (Sec.7044. Business antl Professions Ctxle: The Contractor's Licensc l-aw does not apply to an owner of
the pmpefly wlxr builtls or inqnoves tlrre<rn, auxl wlxr does such work himself or lrerself or lhrough his or lur own entployees,
providcd that such irnprovcrncnts arc fi)t intcndcd or ollbrcd frrr salc. ll. howevcr. thc building or inprovcrncnt is sold wilhin onc ycar
of c<lnrpletioq tlrc Owner Buikler will luve the burtlen of pmving tlut hc or she did not build or impruve tlre pnrpoly for tlr purposc of
sale).
_1. a.s owner of the propeny, anr exclu.sively contructing with licensed conlractoni to construcl thc project (Sec. 7O14. Busines.s
arrd Pnrlbssion Code: The Contractor's License Law dtrcs not apply to an owner of property who builds or intproves thereon.
and who c()ntracls lcrr such pro.iccts with a C()ntractor(s) liccnscd pursuant to thc Contractor's Liccnsc [aw).
_l anr exenrpt urrder Section-. B. & P.C. tbr this reasotr.
Dale: Owner:
WORKERS' COTII PENSATION
DECLARATION
I hereby affirm untlcr pcnalty of pcrjury onc of tltc folkrwing dcclarations:
_l have arxt will nninlain a Certilrcate of Consent to Self-lnsure frrr workers' conqreruation, as pnrvided for by Section 3T00 of tlre
Latxrr Codc, for thc 5rcrfonnancc of thc work lirr which tlrc Jrcrrrrit is Lssucd.
Hxr and will nraintuilr workers'cornpersation ilsurunce, as requirrd by Section
lbr which tlis ;rrrnit is issucrl. My workcrs' conrlrcrt.sation insurartcc can'icr
" ,t/orG u, t.l tte,
3700 of the Latxrr Grde, for lhe perfontunce of
axl Jnlicy nunrhcr arc:
3l'olicy i t
_l ccrrily that in thc lrrlornuncc of tlrc work for which this prnrit is issucd. I shall not cnrploy any pcrson in any manncr
so as to bcconr subjcct to thc rvorkers'conrpcn.saliorr laws of California. and agrce that if I stnuld bccotnc subjcct to thc
workers' corrrpensatiorr pmvisions of Section 3700 of the Labor Cotle, I slrall. forthwith conrply with
WARNTNG: I;ailure to secure workers' compensution coverage is slrall to criminal lrnaltie.s irntl
civil fines up t(, oue hurrdred tlrousattd dollars ($1ffi.([]O1. itt cost of tirr lhe
Scction 3076 ottho [atxrrEodc.
rle,e: q lolral^r
intcrcst and atlornc'y's l'ccs.
a
t(
I hercby affrnr untler penalty of perjury that
of thc Business and Pmfessions Cotle. and
DI'CI,ARA'I'ION
I anr licensed under provisiort of Chapter
rnv license is in lull lirrce atrd efifect.
9 (conrnrncing with Section 7000) of Division 3
\
aa t.ILicense
,.
Date:
CONSTRUCTION LENDING AGENCY
I hcrcby al'lirrn undcr p*nalty ol'pcrjurv that thcrc is a construction lcnding agcncy for thc pcrl'ormancc of the work lirr which this permit is
issued (Sec. 3097. Cir'. C.).
I-elrder's Nirnrc:
l-erxler's Addrcss:
APPI,ICANT DECI,ARATION
I htcby allimr untlc'r lxnalty of pcrjury onc of thc firllowing dcclarations:
Dcnxrlition Pcrnrits-Ashc'stos Nr[ification Fctlcral Rcgulations ('titlc 40. Part6)
-Rcquirctl
Lcttcr o[ Ntxification
_l ccrtily that thc l'cdcral rcgulations rcgarding a.shcstos rcrnol'al arc not applicablc to lhis projcct.
fficcrtity tlrat I luvc rcart this applicati.n axl state atxrvc witlr all City and Counly
ordinanccs and Statc Laws rclating to building th:
ahlve rrrcntioned propcrlv lrrr irrspection
Aplllicant or Agent
Pcrnritce nonle
and ol'this and County entcr
D
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
Bondinq I Groundinq I UFER
Transformers
Torqueincl
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Wdls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
ltleter Release
Rough
Service N/eter t I
FINAL lt q\u DA.TV/
Notes, Remarks, Etc.\
--Il