HomeMy WebLinkAbout20169857 - PermitZ'O\ka-t
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
18
Permit #:20{69857
Pin #: 14146
Proiect Address: 2605 N Towner Lna
Assessor's Parcel: 001 -241-04 Lot: 21
Unit:
Block: NA
Bldg:
Tract: 1824
Address Range.
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Judy Sui Wong
2605 N Towner Lane
Santa Ana, CA 92706
(714!- 206-3000
Le's Builders lnc
8951 McClure Avenue
Westminster, CA 92683
(7141 615-5970
Fee Type
01116002 51603 Serv Meter
01116002 5160C General Plan Update
01 1 16002 51603 lssuance
Amount
55.37
22.95
57.20
Qty
100
100
1.00
Fee
$s5.37
$22.e5
$57.20
Bnbch#:52367 ltr/7 /?til? ID: c:(:ULl l.A
Off ice: CTYH Trnnsi: 121 2 ui' +Acct*: Ref*: 2ul6?g5 7
Rcpt*:02772550 Ltt/7/2rJ19 1?:13 [if1
Tronsoction Totcrl fgLl6.l:l?
Le's Bu i lders Inc
State Lic #. 708253
Lic Type: C-36, B, A, C-10
Bus. Lic #: 374A41
Workers' Compensation lnsurance:Carrier: State Comp Fund
Policy #: g1Z0Z4g
Expires . 1211312019
Generol Plqn Updote Fee
Lrl I l61102- 516110000-
EIectr i csl
rtl I l60tr2- f,l603L'0u-
Visn
CC+:***r*rr****x3410
SSLr6
Auth* : t'9522Gt?Jurldrng 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
Service Meter
Occupancy:
Constr Type:
Code:
Date.
Date:
Date.
R-3, U
VB
cEc 2016 \v
Verduzco, Vio,",{{
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
Notes: upgrade/handouts given
Fee Total
Paid to Date:
Balance Due:
10t07 t2019
Account#
01 1 16002 51600
01 1 16002 51603
$22.e5
$112.57
$1 35 52
$0 00
$135.52
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe site by such permitis suspended
or abandoned for a period of 360days afterthe time the work is
commenced.
lnspector MID#'. 2019-154921
ELECTRICAL.INSPECTOR RECORD
no n7 ,n{ E
APPROVALS DATE ID/SIG.COMMENTS 0WNF]R BTI I I,I)F]R I)F]I,(:ARA'[I0N
I hcrcby afftrm undcr JEnalry of perjury that I m cxcmpt from thc Contretos' Liccn* [:w for thc following rcasn (Scc.70.tl.5
Busincss anl profcssion Cqle): Any City or County which rcquircs a [Emit to construcl, all6. impruvc. demlish or rcpafu ey
structurc. prior to its issuecc. afs rcquires thc applicant for such [rmit to lib a sigred stalcrcnl that hc or shc ir licn$d Pusot
kl thc pruvisions of thc Contretor's Lien*d Law (Chaplcr 9. Commcncing wilh Setion 70oO of Division 3 of thc Business 'ndpnrfcssttns Culc) or lhat he or shc is cxempt thcrcfrom md thc basis lor lhc allcgcd exemption. Any violation of Sstion 70J 1.5 by any
applicatrt Iirr a pcmit subjects rhc applicanr rr a civil lxmlry of n(rt more lhan fivc hundrcd dollss ($500).
_1. as owrcr of thc pmFny. or my employcs with wagcs rs thcir solc coE{Ensation. will do lhc work arxi lhr sth*tE is not
intwJol or offcrcrt tu mle 1Se.7O44, nusincss md Pnrfcssions Cillc: Thc Coilr.ctor's Liccns [.w d(rs not apply to m owns of
thcpmpcrty wtrttfliLlsorintpmreslhc@[afirwlxrdmssrehw*himsclforhctrclforthrcughhisorherowncmplo)rccs'
p^rrilc.t rhur such imlnrremnts re mt intcrxjql oroflbEt for sb. lf, howcu. thc huilling or imlnrwmnt is sU vithin orc )c{
;f $mplction, thc Owncr Buillcr will haw thc bunten of pruving that hc or shc did mt huill or imprcrc the pmtsly fo. the purF)E of
sab).
_1, $ owncr of thc pofErty, am cxclusivcly contractiDg sith liccnsd contractoN to construct th€ prcj$t (Scc. 7(X4, Busincss
anl pofcssbnCodc:TheContrector'sLicenseLawdocsnotapplytoanowncrofprclEnywhobuildsorimprcvesthcrcon,
and who q)ntmcts for such Jmjects wilh a contreto(s) liensd pursuanl l() thc contractor's Licen* kw).
-l
anr cxcmpt undcr B. & P.C. lirr this rcason.
Dete: Owner:
WORKERS' COI I PENSATION
DECLARATION
I hereby aflhnr undcr penalty of 5rcrjury one of the folkrwing dcclarations:
_l havc arxl will maintain a Ccrtifrcare of Consent to Sclf-lnsure for workcrs' compensation. as pruviderJ for by Section 3700 of the
latxtr Codc, for the performance of thc work for which thc grcrmit ls issued.
-l
havc and will maintain workers'insurancc. as required hy Scction 37fi) of thc Labor Cotlc, lirr thc pertilrmancc of
thc work lirr which this pcrmit is issued.c()nrlrcnsalion insurancc carricr and ptllicy numbcr arc:
Z /3
l)olicy
_l ccrrily that in the Jrcrlbrmance of the work litr which this prnrit is issuctl, I shall not employ any pcrson in any manncr
s6 as t11 bec6nrc subjcct to thc workers' comlrcnsation laws ol'Calililrnia, and agrec thal if I should bcconrc subjcct lo thc
wgrkcrs' cempcnsation provisions of Scction J700 of thc l-ahrr Ctxlc, I shall, tilrthwith comply with thosc pn)visiolls..
!VARNIN(i: Failurc to sccurc workers' compcnsation covcr:Ulc is urtlawt'ul. and shall suhjcct ttt and
thccivil lincs up to onc huntlred thousand dollars (S100,fin). in addition to cost of damages as
Scction 1076 of Cule, interest and attonrcy's l'ces.
,
I hcrcby allirm ulrlcr penalty of pcrjury that I am liccnscd undcr provision o[ Chaptcr 9 (comnrcncing with Scclion 70m) of Division
ol' lhc Busincss and Pnll'essions Codc, and my liccnsc is in lull ltlrcc urd cl'l'ect.
Liccnsc c/0 C Nunrtrer:
I hcr"-by allirm untlcr Srcnaltyof perjury that therc is a conslruction lcnding agency for lhe pertirrmancc tlf thc wtlrk lirr which this grcrmit ls
issued (Sec. 1097, Civ. C.).
[-ender's Name:
APPLICANT DECLARATION
I lrcrcby all-rm undcr penalty of perjury one of thc following dcclarations:
Demolition Pcrmits-Asbcstos Notilication Fedcral Regulations ('Iitle 40, Part6)
-Rcquircd
l*ttcr of Notihcation
-l
ccrtily thal the t'edcral rcgulations regarding asbcslos rcnxrvalrrc nol applicablc to this projcct.
-l
ccrtily that I have rcad this applicatkrn iutd statc that lhc inlirrnratiort is corrcct.with allCity and County
rlrdinanccs and Statc Laws rclating to buikling construction.
atxlve nrcntioncd pK)pcrty lbr insJrcction
Applicant 0r Agent
Penrrilcc nerrne
authorizc rcprcscntativcs
to
and
7
ttt uprn tlrc
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Grounding / UFER z-Lrl-?1\L^, loa
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rough
Ceilinqs [-Bar Rouqh)
Meter Release 2"tt-Zc a.\P t{,
Rouqh ?'?Y -Zr' I -#Service [\Ieter 7-?l-LD /'a-,,)
F!NAL ? -lo-fu ).f 7o.,
Notes, Remarks, Etc