HomeMy WebLinkAbout20170087 - PermitProiect Address: 3401 S Timber Sta
Assessor's Parcel: 410-161-06 Lot. 19
Unit:
Block. NA
Bldg:
Tract: 7002
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: ?O17OOET
Pin #: 3956{
Owner:
Address:
Robert Giannini
3401 S Timber St
Santa Ana, CA 92707
(7141 497-7714
Fee Type Amount Qty Fee
125 Volt Receptacle 1 .51 12.00 $18.12
Light Switches, Occ. Se 1 .64 7.00 $1 1.48
Light Fixtures 1 .09 10.00 $10.90
FWU 25 76 1.00 $2s.76
Low Voltage/Res 38.16 1 .00 $38.16
General Plan Updqte Z:2 95 , 1.00 $22.95
rssuance '-: ' '' -,' ' si,l .zo', ;, i"'1 oU'" i;'r;rr5lr.zo
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Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation Insurance:
Carrier:
Policy #:
Expires:
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Rc,bert G innn in
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
New Bedroom/Bth/C loset
Occupancy.
Constr Type
Code:
R.3, U
VB
cEc 2016
6ener01 F'lon Updote Fee
r-t 1 1 1,5Llu?- I 1 o[tt-lt-ttltt-
HIe,;l,r i'-ni
U 1 I 1,5Llu2* 5 1,5tlJt-tt-ttt-
ll i,-rof ilm & Dacuments
Lrt 1 t or-tu2- 17 7 /LtLtLtU-
Uiso
(:(:*: r***.r****** x73? 4
$22. ?5
$16L,62
$3.?1
$1r364.3?
Authf : Lr83 47r-t
$188.48
$0.00
$188.48
Notes: Convert (e) permitted family room to bedroom & add
interior walls to create new bathrooffi, walk-in closet, &
install (2) skylights.
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
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.
lnspector MID#: 201 9-151456
T
Date.
Date:10t31t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
0087 $22.e5
$161 .62
$3.91
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
ELECTRICAL.I NSPECTOR RECORD
f)n.nQ n'7 1^4 A
APPROVALS DATE ID/S!G.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm I Dampers
Communications Cable
Building
Under SIab / Floor
Bonding I Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)-/ I tl
Walls (Roush)(/1,t 7T Dr+Ja 7
Ceilings (Hard & Soffit Roush q f)7i htr44 ,q
Ceilings (T-Bar Rough)tl
Meter Release
Rough
Service Meter
FINAL I tl,?/2 rMxot
Notes, Remarks, Etc.
OWNER BUILDER DELCARA'TION
I h6cby amrm unda penalty of perjury that I m cxmpt from thc ConlmcloF' Liccrc law for thc following rwn (Qe.7031.5
Busincs and Profssion Code): Any City or County which requira a pamit to construct, altc. improvq dmolish or rcpair uy
structuc. prior to ils isuacc. ds rcquirc rhc applicmt for such pcnnit to filc a signcd stalmot that hc or dr. is licmscd plNant
to the prcvisiom of thc Contrutor's Licensed Law (Chaptc 9. Commencing wilh Setion 7000 of Division 3 of thc Busines ad
Prcfeions Codc) or that hc or shc is exmpt th6e&om ud thc besis for thc allcgcd oonpion. Any violation of Sdbn 7031.5 by uy
applicantforapflnilsubjGtsthe applicanttoacivilpenaltyofnotmorclhmfivehundrcddolla!($500).
_1. 6 oms ofthc prcperty. or my cmployG with wag6 6 their mlc ompmsalion, will do thc wort and the structrc b rcl
intodcd or oflercd for sle (Sc.7M4, Bsins ild PrcfsioG Codq Thc Contractor's Lic6e lrw do6 not apply to e omtr of
thc prcpcrry uho huilds or improvc th6@[ md who dG such uort himsclf or hmclf or thrcugh his or ha om mploys.
providcd that such imprc@ots rc rct intadod or ofErcd for slc. lf, horvqq, thc building or imprcv@t is mH within onc )qr
of mmplaion, the Orunq Builds will hrvc thc hrda of prcving tha hc or $e did not huild or improve thc popoty for tlrc prposof
elc).
_1. as owner of the property. am exclusively contracting rvith to construct the project 1Sec. 7M4, Buiness
and t'rofession Code: The Contraclor's License Larv of property who builds or improves thereon.
and who contracts for such projects with a to the Contractor's l,icense Law).
_l arn exempt under
l)atc:
t)t ('1.,\RA]'t0N
I hereby afTinn undcr penalty of perjury declarations:
I
-l
have and will maintain a Certificate of Consent to Self-lnsure ftrr workers' cornpensation. as povided for by Section -1700 of the
Labor Code. for the performance of the work for which the permil is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for thc performance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number arc:
Carrier:-
I'olic) Nulnlrcr': Ijrpitcs:
_l cenify that in the performance of the rvork for which this perrnit is issued. I shall not employ any p€rson in any manner
so as to becorne subject to thc workers' compensation laws of California, and agree that if I should become subject to the
workers' cornpensation provisions of Section 3700 of the Labor Code. I shall. forthwith cornply with those provisions..
WARNING: Failurc to secure rvorkcrs'and shall subject\ anployer to crirninal penalties and
civil fines up to one hundred to the cost of compensation. darnages as provided for the
Section 3076 of the Labor Code. interest
Date:
I hereby affrnn under penalty of perjury that licensed under provision of Chapter 9 (commencing with Section 7000) of Division -3
of the Business and Professions Code. and nry liccnse is in full force and effect.
License Class:-
Date:
! in--or"Nurnber:
Contractor:_
CONS'TRUC'TION LENDING AGT'NCY
I haeby alfirm unda pculty of pcrjury that thqe is a construction lcnding agocy for rhe pcfomucc of thc rcrk for which this psmit is
isucd (S€. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT DECLARATION
I hereby affrnn under perralty of perjury one of the follorving declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Parr6)
--Required
regarding asbestos are not applicable to thilproject.
-I
is con'ect. I agree to cornply rvith all ('ity and County
represenlatives of this City and County to enter upon theordinancesand hereby authorize
above
Applicant or
(
(l'crrrrilcc nanre
Law's
inspection purposes.
(v i