HomeMy WebLinkAbout20169062 - Permit (2)City of Santa Ana 20 Civtc Center Plaza (M-19), Santa Ana, CA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #:20{69062
Pin #: 49424il
Proiect Address: 2229 112 W La Verne Avea
Assessor's Parcel: 109-1 21-15 Lot: 15
Unit:
Block: NA
Bldg
Tract: 1346
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Phone
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
DAVID & ANGELICA MEDRANO
2229 W LA VERNE AVE
Santa Ana, CA 927043509
(7141 501 -726e
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 16002
01 1 1 6002
01 1 1 6002
51 603
51 603
51 603
51 603
51 603
51 600
51 603
Qty
21 00
700
10 00
100
1 .00
1 .00
100
Fee
$30 45
$11 06
$10 50
$24 79
$36 72
$22 08
$55 04
Fee Type Amount
125 Volt Receptacle 1 .45
Light Switches, Occ. Se 1 .58
Light Fixtures 1 .05
Dedicated Circuit 24.79
Low Voltage/Res 36.72
General Plan Update 22.08
lssuance 55.04
Oal.-hr.cil'tEfl'r L lnL:,lnfilt.l. TOr I C.nCAl trC
nff ir-a. /aTVU Tnr.nrlr l{ I -.f I
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Conveft detatched garage to ADU (487sf) with 1 : ,'.: :
bed roodi; t bhtlt ldddri k itt hoh,' iivi n g rbrlrn I &' la0ri dii
and storage area (160sf). Auth on file.
I\8, A
!.'atla
lilE'
a ll-
Building Use:
Job Type:
Nature of Work:
Accessory Dwelling Unit-C Occupancy.
Conversion Constr Type:
ADU Code:
Chavez
Date:
Date:
Date:
R.3, U
VB
cEc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Buildins Permit #: 1 01 988 34
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 fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Dave -9?'06t25t2019
Account#
Misc. Receipt:
Misc. Receipt.
Misc. Recept:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
01 116002 51600
01 1 16002 51603
$22 08
$168 56
$190 64
$0 00
$190.64
lnspector MtD#'.201 8-1481 30
ELECTRICAL.INSPECTOR RECORD
)rii(
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Groundi ng I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilinqs [-Bar Rouqh)
lVleter Release
Rouqh t/2, ln lYKrTl /a -
Service lVeter
iTap;-euFINALtilwl M J )
Notes Remarks Etc
,D
orvNFtR l)r.t.('AR,\TloN
I hcrchy atlirft undcr Fnalty of pcrjury thal I am cxcmpt lrrm lhe Cililrack)n' l-iccnse hw lilr thc lbllowing rcas)n (Sor.70-11.5
Busincss anl Prolcssi()n CGlc): Any City or County which rcquircs a lErmil k) construcl. allcr. improve, .Jcm]lhh (]r rclIir dy
structurc. prirr kr ils issu.mc. nls rcquircs lhc applicanl lbr such lrcrmit k, lilc a signed slalcmcnt thal hc or shc i{ liccnscd pursuill
k) thc pn)visi(|ns o[ tln G)nlHclor's Liccn*d Law (Chaplcr 9. Commcncing wilh Scclion 70()0 of Divisirlr .l of thc Rusincss,and
PrulcssionsCodc)orthutheorshciscxcmplthcrclionandthehasislorthcallcgcdcrcmption. Anyviohtt)nolScctionT0-ll.5byany
applicrntlilraltnnitsuhjcctsthc applicdntk)acivilJrctr{llyolnottrx)rclhilllivchundrcddollars($5U)].
as owncr ol'thc pn)pcny. or my cmpkryccs wilh wagcs as thcir solc conrpcrtsalion. willdo tlrc work and thc slructurL' is nol
intcntled rlr oll'ercd tirr sale (Sec.7(X4. Busincss and Prolbssions Crxlc: 'l'hc Conlraclor's Liccnse Law docs nrtt apply lo an ttwncr rtf
lhc pnrJrcrty who huiltls or inrpnlves tlrcrcrln, and wlxl drrcs such wrld< himscll'or hcrscll'or lhnlugh his rtr hcr own cntpklyccs.
provided that such irnprovcnrcnls are not furtcmtc'd orollbrr'tl lirr salc. It. hrwc-r'cr. thc huikling or inrpnrvenrcnl is sokl withinonc yc:r
of'complction. tlrc Owncr Buiklcr will havc the hurdcn ol'proving that lrc or slrc drl mrt huikl or impnlvc thc pnrJrrty tirr lhc puqxrsc of'
salc).
_1, as ()wncr ol'thc propcrty. am cxclusivcly contracting with licensed conlraclors to conslnlct thc projcct (Scc. 7044. Busincss
and PnrfbssklnCotlc: 'l'lrcContractrlr'sLiccnscl.awdocsnolapplyltlanowncrol'prop^-rtywhtlbuildsorintprovcsthcrcttn,
and who corrlrtcls lirr such projccts with a Conlructor(s) liccnscd pursuanl to tltc Conlractrlr's Liccnse [.aw).
_l am cxcmpl undcr .Scct B. & P.C. lirr
I hcrchy alf irnr utttlt'r 1^*traltv ol p.*rjury ttnc ol'thc lirlkrwilrg
_l havc rurd will nuintain a Ccrtilicatc o[Conscnl lo Scll-lnsurc tilr workcrs'corn1-^.^nsation. :ts providctl titr hy Scctiolt J7(X) rlf the
Latxrr Crxlc, lilr thc p,.-rlbrmarrce of thc wrlrk lirr which thc pcrmit is issucd.
thc work lirr which this prrrrit is issued. My workcrs' conllr-nsalion insurancc r:an'icr and prlicy numbcr are:
Policy Numb.'r: Expircs:
fuScertily that in thc Jrertirrnrancc of thc wrlrk lirr which this Jrcrmit is issuctl. I shall not cnrploy any pcrson in any manncr
so as to heconrc subjcct to the workcrs' comJrcnsation laws ol'Calilornia, and agrcc that il'I should hccome suhjcct to thc
workcrs' cumpcnsation pnrvisions of Section 3700 ol'thc Latxlr Code, I shall. lirrrhwith conrply with those pnlviskltts..
civil tincs up lo onc hundrcd thousand tftrllars (Sl(X).UX)). in addition lo lhc ol compcnsation, dantagcs as providcd lirr thc
Scction J076 ot'thc I-atxrr Crxlc. inlcrcst and allortrcy's I'ccs.
u^*,' 6- ?.? - / 7
I hcrcby at't'irnr undcr ;rcnalty ol'pcrjury that I artt liccnscd unr.lcr provision g lconrnrcncing with Scctrrn 7firu) ol'Divisiryt 3
of thc Busincss altd Prol'cssiorrs Crlr.lc, and nty liccrtsc is in lirll lilrcc nnrl cl'li'ct
Liccnse Class: Liccnse Numhcr:
Dale:
W
I hcrcby allirm un'lcr Fnaltyof Frjury that lherc is a crrnstructirn hnding agcrcy for thc lrrfotmnce of lhc w(trk lbr which this Imit ir
issucd (Scc. JG)?. Civ. C.).
Lcndcr's Name:
I-cndcr's Addrc'ss:
APPLICANT DECLARATTON
I hcrcby all-rm undcr pcnalty of pcrjury onc ol'thc lirlkrwing declarations:
Demolition Pcrnrits-Ashcstos Notification Fcdcral Rcgulalions lTitle 40. Pan6)
_Rcqu ircd lrttcr ot' Nol ilicatktn
_l ccrlily that thc l'cticral rcgulations rcgarding astrslos rt-nxrvalarc nol :rpplicahlc lo lhis projc'ct.
ordinanccs antl Statc- I.aws rclaling to huiltling :urtl hcrcby autlxrrizc reprcsclrlativcs of this City and Couttly lo ('nlcr u;xln lhc
alxlvc' mcnlionctl pn)pcrty lor inspcction
Applicant or Agenl
Pernrilee nanre
^r".' 6- flr' /7
r>,.t"'lc'L5 '(?