HomeMy WebLinkAbout20270661 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 AP
Permit #: 2o,27066{
Pin #: 4E228
Address: 2317 S Laura Linda Ln Unit:
Assessor's Parcel. 408413-06 Lot: 63 Block: NA
Bldg
Tract: 2041
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Emma Wilson-Hill
2317 S Laura Linda Ln
Santa Ana, CA 92704
(7141 54s-324s
01 1 16002 51603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
Light Switches, Occ. Se 1.64
Light Fixtures 1.09
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
100
4.00
1 .00
100
1.00
Fee
$1.64
$4.36
$22 9s
$57 20
$3.e1
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Botch* :541143 l/23/ 2020 I D : (:C:tJEl,-t-AR
0f f i ce: C:TYH Tn on s* : 4tt ? ol 5Acct*: Ref i: 2tt27t-r,561
Rcpti; rr2g8(rs75 I/23/7tr2[r 2:01 F'rl
Tronsoction Totol tlrrl3?.66
Emrnn Llilson-Hi1l
Genernl Plnn Updote Fee
trl I 161102- 5160CIr100-
Electr i cnl
rrt I l60rJ2- 51603011[r-
I1 icrof i In & Docur€rrts
r-rl I l60rJ2- 57770000-
Viso
CC+ : *trr**r* r,***9[t5$
$22 .?l:
$63, ?[r
$3,?1
$1 r Lr3?,66
Auth* : 17t-t41lJ
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
New Bathroom
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019 Notes: Convert (1) bedroom into (1) master bathroom &
construct new closet in (e) bedroom.
01t23t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
00696
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 after the time the work is
commenced.
lnspector MID#: 2019-152773
01 1 16002 51600
01 1 16002 51603
01116002 57770
$22 es
$63.20
$3 e1
Fee Total:
Paid to Date:
Balance Due:
$90.06
$0.00
$90.06
ELECTRICAL.I NSPECTOR RECORD
C),rt nQ n7 ?n-, A
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltase
Fire Alarm I Dampers
Communications Cable
Building
Under SIab / Floor
Bondins I Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Roush)
Meter Release
Rough
Service Meter I I )
FINAL a t4 ?tt Dlfr/lr,wy"/
Notes, Remarks, Etc.It
OWNER BUILDER DELCARATION
I hecby affrm undo penalty of pojury that I m exempt from the ConlracloG' Licare [aw for thc following rwn (56.7031.5
Bmines md Prof*ion Codc): Any City or County which requirs a permit to @nstruct. alt6. improve. danolish or repairay
struclurq prior to its issuilce, also requirB thc applicot for such pcnnit to file a signcd slalmol thst hc or slrc b licoscd p|Nat
Ilusiness and
7031.5 by any
_1. as o\\'ner of the or rvith rvages as their sole compensation. rvilldo the rvork and the
!
structure ts not
intended or offered for and hofessions Code: 'l'he Contraclor's License [-arv does not apply lo an orvner of
the properry who builds and rvho does such w'ort hirnself or herself or through his or her
lf. howev'er. the building or improvetnenl
own employees.
provided that such not intended or offered for sale.is sold within one year
of cornpletion.Buildo rvill have the burden of proving tha he or she did not build or improve the prograty for the puryrose of
sale).
o\!'ner of the property. arn exclusively contracting rvith licensed contraclors to construct the project (Sec. 7044. Business
builds or improves lhereon.and Profession Code: The Contractor's License Larv does not apply to an orvner of property who
and rvho contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's License [.arv).
_l arn cxernpt under B. & P.C. for this reason.
ort", / -- k,46fu
I hereby alTirm under penalty of perjury one of the
_l have and rvill maintain a Certificate of Consent to Self-lnsure for s'orkers' compensation. as provided for by Section -3700 of the
Labor Code. for the performance of the work for which the perrnit is issued.
_l have and rvill nraintain rvorkers as required by Section 3700 of the Labor Code. for the performance of
the rvork for rvhich this pennit is issued.compensation insurance carrier and policy number are:
('an'ier:
Policy
that in the perforrnance of the rvork for s'hich this permit is issued. I shall not ernploy any person in any manner
so as to become subject to the rvorkers' compensation lau's of California. and agree that if I should become subject to the
rvorkers' compensation provisions of Section 3700 of the l.abor Code. I shall. forthrvith comply with those provisions..
\VARNING: Failure to secure n'orkers' cornpensation coverage is unlas'ful. and shall subject an ernployer to oiminal penalties and
civil fines up to one hundred thousand dollars ($l in addition to the cost of compensation.as provided for the
Section -j076 of the Labor Code. interest and
""", f;%-26D
I hereby affirm under penalty of perjury that I am licenscd under provision 9 (cornmencing rvith Section 7000) of Division -1
of the Business and Professions Code. and my license is in full force and effect.
License Class: License Numbcr:
('otttrirclor.
CONSTRUCTION LENDING AGENCY
I hcby aflirm undo pcnalty of perjury thst thqc is a constructiotr bnding agocy for thc pcrfomcc of thc slrk for which this ponit is
isucd (Ss. 3097, Civ. C.).
Lender's Narne:
Lender's Address:
APPLICANT DECLARATION
I hereby aflinn under penalty of perjury one of the follorving declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40. Parl6)
_Required
_l federal regulations regarding asbestos removal are not applicable to this project.
that I have application and state that the above infonnation is correct. I agree to cornply rvith all City and County
and to building construction. and hereby authorize representatives of this City and County lo enter upon the
above mentioned
Applicant or
l'ernrilee ntrme
for purposes.
""",/-JS-tgL 0
Expires:
I
o il )'t4vt 4JJtt