HomeMy WebLinkAbout20171611 - PermitProiect Address: 3401 S Timber Sta
Assessor's Parcel: 410-151-06 Lot: 19
Unit:
Block: NA
Bldg:
Tract: 7002
Address Range:
Historic. No
Suite Range:
Zoning: R1
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 #:2017{611
Pin #: 73795
Owner:
Address:
Charles J Welman
3401 S. Timber Street
Santa Ana, CA 92707
01 1 1 6002 51 603
01 1 16002 5160C
01 1 1 6002 51 603
01116002 5777C
Fee Type
Air Conditioner
General Plan Update
I ssuance
Microfilm Records
Amount
104.40
23.79
59.30
4.0s
Qt)'
1 .00
1 .00
1.00
1.00
Fee
$104.40
$23.7e
$59 30
$4.05
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires.
35-,6112: CTYH
Z02Lr ID
s*'. t
F:el*:
LAftgi 6/Bnf ch i
0ff ice Tr 0n
Accbt:
il;;i+ t ir3lr?538-6 .t;iliott ion Tobtl
gl6/2tt?tt $:1t-t An
t4S6 . ?6
2
lnstallation of A/C unit.
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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
Miscellaneous
A/C unit
Graham, Jeffery
Zuniga,Allissa
08/05/2020
08/06/2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Totat
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date.
Date:
R-3, U
VB
cEc 2019
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 permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector !vtD#'. 2019-151456
01 1 1 6002 51 600
01 1 1 6002 51 603
01116002 57770
$23.7e
$1 63 70
$4.05
$191.54
$0.00
$1 91 .54
7ir
f.&+'I
APPROVALS DATE ID/SIG.COMMENTS
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
Bonding I Groundins I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouoh
l')Service Meter t bfldr 5YFINALtlv\4n
Notes, Remarks, Etc.ll
OWNT'R B UII,DER DEI,CARATION
I hcreby affirnr under penalty of perjury that I arn exenlpt frorn the Contractors' Licerse l-aw for the following rcason (Scc.7031.5
Busincss and Profcssion Codc): Any City or County which rcquircs a permit to construct, alter. improvc, demolish or rcpair any
structure, prior to its issuance. also requires the applicant for such pernrit to file a signed slaternenl that h or strc is licenscd pursuanl
to thc pmvisions of the Contractor's l-icenscd I:w (Chapter 9. Commencing with Section 7000 of Division 3 of the Busincss and
Professions Code) or that lre or she is exempt therefronr and the basis for tlrc alleged exenption. Any violation of Section 7031 .5 by any
applicant for a pennit subjects thc applicant to a civil penalty of not more than five hundred dollars ($500).
_1. as owner ol'thc propcrty. or my ernployccs with wagcs as their solc compensation, willdo the work and thc structure is not
interxled or offered for sale (Scc.7(Xa. Business and Profcssions Cotle: Thc Contractor's Liccnsc Law tloes not apply to an owner of
thc pruperty who builds or improves thcreoru and wlro dtrcs such work hirnself or lrerself or through his or her own entployees,
providcd that such improverncnts arc not intendcd or ollered for sale. Il. however. thc building or irprovermnt is sold within onc ycar
of completior\ thc Owrrr Buiklcr will havc the burden of proving tlru he or she did not builtl or improve thc propcrty for thc purposc of
sale).
-1.
as owncr of the property, am exclusively contracting with licensed Business
and hufcsklrr Code: The Cotttractor's License Law dtrs not to lhereolr.
and who contracts for such projccts with a
-I \
I hcreby affirm under grcnalty of perjury one of the
_l have and will nraintah a Certilicatc of Consent to Self-lrrsure f<rr workers' compensation, as provided for by Scction 3700 of the
l-abor Codc, for thc Jrcrforrrancc of thc work for which the pennit is issued.
_l have and will nraintain workers'conrpensalion insurarrce, as re<luired by Seclion 3700 of the l-abor Code, for the perfontunce of
the work for which this prmit is issucd. My workers' compensation insurance carrier and Sxllicy number are:
Policy Number: Expires:
_l ccrtify that in tlrc pcrfornurncc of thc work f<rr which this grcrmit is issued, I shall not cnploy any pcrson in any mannet
so as lo bcconrc subjcct to thc workcrs' compcnsation laws of California. and agree that if I should bccorne subject to the
workers' conrlrnsation provisions of Section 37fi) of the Labor Ctxle, I shall, forthwith conrply with thosc provisions..
I
WARNING: Failure lo secure workers'shall subject an cmploycr to oirninal pcnalties and
civil fines up to hurdred thousand of compcnsalian, danrages as proviled for the
Scction intercst and
I hcreby affrnr under pnalty of perjury that I anr licensctl 9 (comnrcncing with Section 7000) of Division 3
of the Busincss and Professions Code. and my license is in full forcc arxl effect.
License Class: Liccnsc Number:
CONSTRUCTION LENDTNG AGENCY
I hcrcby affirm undcr pcnalty of pcrjury that thcrc is a construction tcnding agency for the pc-rformance of thc work for which this permit is
issucd (Scc. 3097. Civ. C.).
[.cnder's Name:
APPI,ICANT DECLARATION
I hrchy zrffrm under Jrcnalty of pcrjury one of thc foll<lwing dc.clarations:
Dcnxrlition Pcrmits-Ashe'stos Notification Fedcral Rcgulations (Title 40, Part6)
-Rcquircd
l-ctter of Notification
-l
certily that thc fcdcral rcgulations arc not applicable to this proict.
(
I ccrrity that I havc rcad this County
above nrcnti<lned
Applicant or Agent
7
I)crnrilcc
thc ahlvcrilfornrat ion all
upon thc
ELECTRICAL.INSPECTOR RECORD
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-20
who
representatives of this